Schizophrenic patient has an infection that has turned gangrenous.
Amputation is necessary to prevent the infection from spreading.
Patient has paranoia about doctors, doesn't trust anyone.
Is refusing the procedure. Seems to understand the risks. Is still refusing.
What do we do?
The schizophrenia means the patient is not considered competent to make her own medical decisions. The family wants the amputation. Two doctors sign off and say it's absolutely necessary.
So the patient, despite refusing, is wheeled into surgery and her leg is amputated.
Clearly, this won't help the patient and her paranoia that doctors are trying to harm her.
I mean, the doctors just cut off her leg. Despite her refusal. She has reason to be paranoid.
Who's being served here? The patient, or the family?
The patient is the one who has to deal with the loss of the leg. The patient is the one who has to go through the rest of her life like this. Who's to say that the patient would want to live like this, the mental illness on top of the loss of the leg? Well, the family and the doctors say she would, and so that's why the procedure was performed.
Is there a lesson here? I'm glad I'm not a surgeon? I'm glad I'm not schizophrenic? I don't know quite what to take from this one.