Prudence in Approaching Valvular Heart Disease

Paternalism, Autonomy and Ontology

“…The Manichaeism (Manes, 3rd century), paternalism is bad and autonomy is good, can restrict the physician when understanding that it is essential to be more persuasive with a particular hesitating patient, as this is a more acceptable behavior in response to the clinical need. Not settling for being a Poncio Pilatos means to make good use of the professional tension 9 supported by cautiousness and diligence that enhances the perception on reconciliation between the singularities of medical evidence and diversity of patient behaviors - often on opposite sides. Thus, the physician is able to make more adequate adaptations in order to match the practice of two sequential articles of the Code of Medical Ethics from 2010, with the main section the physician is not allowed to: art.…”