{"id":1301,"date":"2016-06-28T20:17:19","date_gmt":"2016-06-28T19:17:19","guid":{"rendered":"https:\/\/blogs.bmj.com\/adc\/?p=1301"},"modified":"2016-05-23T14:40:12","modified_gmt":"2016-05-23T13:40:12","slug":"adce3-nothing-seems-right","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2016\/06\/28\/adce3-nothing-seems-right\/","title":{"rendered":"ADCE3 &#8211; Nothing seems right"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-1302\" src=\"https:\/\/blogs.bmj.com\/adc\/files\/2016\/05\/download-1-150x150.jpg\" alt=\"download (1)\" width=\"150\" height=\"150\" \/>\u00a0There are some times when it seems that no decision can be the right decision but doing nothing is as much as a decision as doing something.<\/p>\n<p>Admittedly, it&#8217;s rare you&#8217;re faced with shooting a killer in cold blood to prevent him murdering a not-so-innocent man.<\/p>\n<p>But sometimes the triadic nature of paediatric &amp; adolescent medicine causes us trouble.<!--more--><\/p>\n<p>Take the dilemma posed in <a href=\"https:\/\/twitter.com\/search?f=tweets&amp;q=%22%23ADCE3%22%20lang%3Aen\">ADCE3 <\/a>&#8211;<\/p>\n<blockquote><p>A young man of 14, post-pubertal, with a background of moderate learning disability is diagnosed with acute lymphoblastic leukaemia. His parents insist that you do not talk to him about gamete preservation options prior to chemotherapy, carries a moderate risk of subfertility. They explain that he wouldn&#8217;t be able to have his own\u00a0family, and that their religious views see mastubation as an evil act.<\/p>\n<p>Chemotherapy should begin within the next 72hrs or so, and parental support during the intensive &#8211; and prolonged (up to 3 years) therapy is vital.<\/p>\n<p>How do you approach this situation?<\/p><\/blockquote>\n<ul>\n<li>Archi<\/li>\n<\/ul>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0There are some times when it seems that no decision can be the right decision but doing nothing is as much as a decision as doing something. Admittedly, it&#8217;s rare you&#8217;re faced with shooting a killer in cold blood to prevent him murdering a not-so-innocent man. But sometimes the triadic nature of paediatric &amp; adolescent [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/adc\/2016\/06\/28\/adce3-nothing-seems-right\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9809],"tags":[],"class_list":["post-1301","post","type-post","status-publish","format-standard","hentry","category-adce"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ADCE3 - Nothing seems right - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2016\/06\/28\/adce3-nothing-seems-right\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ADCE3 - Nothing seems right - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"\u00a0There are some times when it seems that no decision can be the right decision but doing nothing is as much as a decision as doing something. Admittedly, it&#8217;s rare you&#8217;re faced with shooting a killer in cold blood to prevent him murdering a not-so-innocent man. 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