Scenario One: Misdiagnosis or Delayed Diagnosis

Amber, a 45-year-old woman, had been experiencing persistent headaches and occasional dizziness for several months. Concerned about her symptoms, she decided to visit her primary care physician (PCP), Dr. Smith, to seek medical advice. During her appointment, Amber explained her symptoms to Dr. Smith, expressing her worries about their frequency and intensity. Dr. Smith conducted a brief physical examination and attributed her symptoms to stress and tension. He prescribed over-the-counter pain relievers and advised Amber to practice relaxation techniques.

As the weeks went by, Amber's symptoms worsened. The headaches increased in frequency and severity, accompanied by bouts of nausea and blurred vision. Concerned about her deteriorating condition, Amber sought a second opinion from another physician, Dr. Garcia. Upon reviewing Amber's medical history and conducting a thorough examination, Dr. Garcia suspected a potential underlying condition causing her symptoms and ordered several diagnostic tests, including an MRI of the brain. The results revealed a large brain tumor, which had been growing over the past few months, contributing to Amber's symptoms.

Dr. Garcia immediately referred Amber to a neurosurgeon for further evaluation and treatment. Unfortunately, due to the delay in diagnosis, the tumor had progressed to an advanced stage, making it more challenging to remove completely. Amber underwent a complex surgery to remove the tumor, followed by a course of radiation therapy.

The delayed diagnosis and subsequent progression of the tumor caused Amber significant harm and distress. She experienced complications from the surgery and required extensive rehabilitation to regain some of her lost motor and cognitive functions. Her quality of life was significantly impacted, and she faced ongoing medical expenses and emotional trauma because of the misdiagnosis by Dr. Smith. Amber sought legal advice and decided to file a medical malpractice lawsuit against Dr. Smith, alleging negligence in failing to recognize the severity of her symptoms.

1. Dimensions of the ethical dilemma presented in the scenario, including a chart of the steps an administrator would take to resolve the dilemma.
2. Principles of ethical decision-making that guided your resolution.
3. Current legal precedent and health care policies that informed your resolution.