CC:Peer Review Committee
From:Dr. Jonathan Kesler
The purpose of this memorandum is to inform you that the recipient of the heart transplant has been decided. The following will describe to you the process from which the decision was made. Although the time in which to make the decision was limited the decision was made with professional and ethical choices. There were three qualifying candidates who were in need of the transplant: The first is a 55 year old male named Jerry; then there is a 12 year old girl named Lisa; finally we have a 38 year old named Ozzy. There were however a few ethical factors which had to be considered when making such a decision. The first factor was the obvious, deciding which of the qualifying candidates would actually be the recipient. My decision was based on the overall good of everyone involved this would include the patient and their past, present and future. It would include the patients overall contribution to society both past and future. It would also include the very reason why they are in this position and its impact on their future health. This brings us a second factor which includes the overall good of the hospital, its other patients, its staff, their families and unfortunately the media’s perspective on the decision. Of the three qualifying candidates we have Jerry who is an ex-body builder who is 55 years of age and is now a father of 3 children ages 14, 16 and 19. He is also five years from retirement from his position as manager of a carpet distribution company and is the primary source of income for his family. During his time s a body builder Jerry was a steroid user, however at this time the long term effects of steroid use were unknown. Because of his past steroid use Jerry finds himself in need of a healthy heart. If Jerry is to receive the heart his life expectancy is 10-15 years. We then have Lisa who is age 12 and has...