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Case for discussion that has bothered me for a long time. You're the
only physician on duty at a pediatric
ED. Your getting hit very hard and are presently managing a febrile
neonate, a severe asthmatic, a radius-ulna
fracture s/p sedation and  you have a laceration waiting. You have also
called in the opthalmologist to evaluate
a spanish speaking ten year old with a suspected perforated globe. As
you begin to LP the neonate the ophthalmologist
peaks in and says that he is going to the OR with the child with
perforated globe. He states that he is
90% sure that the child will require enucleation, but has elected to
withhold this information from the
child. The spanish-speaking parents are apparently in agreement but you
haven't spoken with them.
What do you do?



Jay Fisher
Las Vegas

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