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Page 1 of 3

Complex Ethics Consultations
  • Cases That Haunt Us in a New Era
  • Volume 2
  • Edited by Denise M. Dudzinski, Kaarkuzhali Babu Krishnamurthy, Paul J. Ford
  • Published online:
    22 December 2025
    Print publication:
    22 January 2026
  • Clinical ethics consultants navigate some of the most challenging cases in patient care, public health, and healthcare policy. The second volume richly details haunting cases pertaining to perinatal, pediatric, and end-of-life issues; neurodiversity; disability; and employment of high-tech devices. Authors explain distinctive features of consultations in rural and pandemic contexts and complicated transitions into and out of inpatient care. Cases are grouped together by theme and organized uniformly. Each chapter includes a case presentation, the authors' professional reflections, a description of haunting aspects, the case outcome, and questions for discussion. Organizational ethics factor into many of the cases. The authors honestly describe the affective aspects of their work, including lingering regrets, doubts, and moral distress. They pay special attention to justice, equity, and inclusivity. It is a fascinating and important read for clinicians and bioethicists engaged in clinical ethics consultations as well as ethics committee members and students.

  • Chapter 21 - Amputate My Arm, Please. I Don’t Want It Anymore

  • from Part VI - Human Guinea Pigs and Miracles
  • Edited by Paul J. Ford, The Cleveland Clinic Foundation, Cleveland, Denise M. Dudzinski, University of Washington School of Medicine, Seattle
  • Book:
    Complex Ethics Consultations
    Published online:
    17 May 2025
    Print publication:
    05 June 2025, pp 169-174

  • Summary

    In this chapter of Complex Ethics Consultations: Cases that Haunt Us, the author encounters a 50-year-old woman who is requesting her arm be amputated to alleviate her complex regional pain syndrome. This is not a usual indication for an amputation, but a surgeon is willing to offer the procedure. The author attempts to bring about clarity even in the face of uncertainty. Moral distress played a substantial role in the consultation.

Page 1 of 3