By Farhat Moazam
This is often an ethnographic examine of dwell, similar kidney donation in Pakistan, in response to Farhat Moazam’s participant-observer study performed at a public sanatorium. Her narrative is either a “thick” description of renal transplant situations and the cultural, moral, and relations conflicts that accompany them, and an item lesson in comparative bioethics.
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Additional info for Bioethics and Organ Transplantation in a Muslim Society: A Study in Culture, Ethnography, and Religion
But my interactions in the ¤rst few hours within the Institute had ¤rmly established my status within the system and would set the tone for future interactions. I had been slotted into the existing hierarchy based on my reputation as a “senior” surgeon with experience working in Pakistan and the United States and reinforced by the regard in which Sir was perceived to hold me. I was henceforth to be “Madam” to one and all, faculty, staff, and residents, and later the patients and families I met.
Because this is a young man. So the ¤nal decision has to be made by me. This is bohat mushkil [extremely dif¤cult] for me. I think the most dif¤cult decision is to say no, to say OK you can’t bring a donor, a family donor, or for some reason they have a family donor but with the wrong [blood] group, so we can’t offer you further dialysis. I think that is the most dif¤cult. I told him that I had heard some of the patients and families being told in the pre-transplant clinic that the patient would be dialyzed for only six to eight sessions and no more if a family donor could not be found.
Badar a man I had just interviewed who wished to donate his kidney to his eighteen-year-old daughter. I spoke of the wretched circumstances of the family: abject poverty, the wife dead, the only adult son a drug addict, no uncles willing to donate, and the man himself, a manual laborer, stooped and wornout at forty-two years of age. Dr. Badar said with a small smile: I have stopped giving money to the beggars on the street. Asal ghurbat to yahan hey [Real poverty is seen in the Institute]. Sometimes when 44 Bioethics and Organ Transplantation in a Muslim Society one of our patients dies, the family does not have enough money to transport the body back to the village.
Bioethics and Organ Transplantation in a Muslim Society: A Study in Culture, Ethnography, and Religion by Farhat Moazam