Use information from the modular background materials and case assignment narrative as well as any quality resources you can find via the online libraries or Internet.

Use information from the modular background materials and case assignment narrative as well as any quality resources you can find via the online libraries or Internet.
Module 4 — CASE ASSIGNMENT

For this case assignment, you are surgeon and you will be making a decision
regarding the following case: The Case of Peg-Leg Pete

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Pete is a 65 years old man who is an accountant that owns a private firm and has
a wife, 3 children, and 2 grandchildren. He is appears to be very intelligent and
articulate. He enters your office for a surgical consultation and requests that you
amputate is right leg. Upon examination of the leg, it seems healthy. You ask
him why he wants his leg amputated and he says, “I am not happy with my
present body, but long for a peg-leg.” He states he has wanted a peg-leg since
he was 12 years old and considered cutting it off himself many times but
“chickened out” each time. He tells you, “Naturally over the years I have thought
of many arguments against amputation, have … considered them and rejected
them… It is not normal. But what is normal and who is normal? No one has the
right to deny or keep me from this way of life.”
He now states he has the money to do it right and safely. He was considering
going to Mexico to have it done but wanted it performed in an environment he
felt was safer. He offers to pay for the surgery in cash, which is a large sum of
money. This money could help you grow your practice by hiring staff and buying
a new piece of equipment you have put off getting. You fear that if he leaves
your office, you will lose a substantial amount of money to another doctor.
You immediately leave the room and contact a psychiatrist colleague you know and inform him of the situation. He states the patient has a diagnosis called
apotemnophilia, which is a desire for amputation. Although the diagnosis is rare
and uncomfortable, it does not necessarily demonstrate incompetency or
incapacity of mind.

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