You should not. Indeed, you cannot -- not properly, not
without risking charges of bias. Your attachment to your friend
and your position on the hospital's board create -- or may seem
to create -- divided loyalties. You should recuse yourself from
this task, explain to the patient's mother why you are doing so,
and refer her to a disinterested physician with the expertise to
review the records and advise her how best to proceed.
UPDATE: J.R. met with the family but did not offer a medical
opinion, explaining that the records provided insufficient
information for him to do so. He said he believed that they would
not be satisfied unless the matter were investigated further and
so suggested they speak to a lawyer who would have a neutral
expert review the case.
(Readers can direct their questions and comments by e-mail to
ethicist@nytimes.com. This column originates in
The New York Times Magazine.)
Randy Cohen
Randy Cohen writes "The Ethicist" a weekly column for the New York Times Magazine, syndicated by Universal Press Syndicate in newspapers throughout the U.S. and Canada.
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