Question 53

Dr. Puneet worried about the test results of his patient, Ms. Benita. Ms. Benita was an old rich widow with no dependents. The results indicate that Ms. Benita has the potentially fatal Lymphanigioleiomyomatosis (LAM) disease. LAM is rare and difficult to diagnose. People with LAM often need oxygen and lung transplants as the disease continues its course. According to the test results, Ms. Benita might have got it.

Dr. Puneet explained the situation to Ms. Benita carefully. Without naming the disease, he explained that the disease was progressive and would need treatment using drugs which were still at the experimental stage. Even then, the chance of success was not too bright. If the treatment was unsuccessful, then they would have to get ready for a lung transplant. The lung transplant itself was a risky course of treatment. Even if successful, she would require constant medical support and treatment.

Ms. Benita looked blank. She asks Dr. Puneet for his advice about the course of action. He nods gravely, ”I’m afraid, Ms. Benita, I think there is only one course we can take.”

What should be Dr. Puneet’s advice?

Solution

Let's analyze the options one by one

Choice (A): It does not constitute a course of action to be taken up by Ms. Benita.

Choice (B): Dr. Puneet would not discuss the gravity of the situation unless he is sure about it. The passage indicates that Dr. Puneet is almost sure. The passage states that the test results indicate that Ms. Benita has the disease. The passage does not indicate whether the test that has been done is the first one or not. Hence, this is not a proper course of action.

Choice (C): It is stated that LAM is potentially fatal but not surely fatal. It is also stated that there are some drugs at experiment stage and that lung transplant is one of the options, even though risky. It indicates that there are chances to change the outcome. Hence, (C) is not a proper course of action.

Choice (D):It is improper to treat a patient without telling her/him about the disease for which he/she is being treated. Hence, it is not a proper course of action.

Choice (E): Test results indicate that Mr.Benita is suffering from LAM. The two available cures are medication. Which is at experimental stage and lung transplantation which is risky. Even if successful, she would require constant medical support and treatment. It is appropriate to go for experimental drug first, before taking up risky lung transplantation.


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