Dr. Wade is an anesthesiologist who has just been assigned
to an off-campus location on the day of his current procedure, which is a
transvaginal oocyte retrieval. During a conversation with the patient in the
preanesthesia area, he learns that she is having pre-implantation genetic
diagnostic studies of any fertilized eggs, and that these results will
determine future options, which include deciding to reject and discard any that
would test positive for rare inheritable diseases such as cystic fibrosis or
Down syndrome. Dr. Wade is astounded. He has previously stated to his
supervisors and other members of the health care team that he has a
conscientious objection to participating in certain reproductive procedures.
However, at this moment, time is of the essence as the infertility obstetrician
indicates that the time of the retrieval must take place within the next hour.
Dr. Wade is conflicted and unsure what to do.
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