Foreword Albert Jonsen; Introduction Paul J. Ford and Denise M. Dudzinski; Part I. Starting at the Beginning: Prenatal and Neonatal Issues: 1. Quality of life and of ethics consultation in the NICU Robert Macauley and Robert Orr; 2. When a baby dies in pain David Woodrum and Thomas R. McCormick; 3. But how can we choose? Richard M. Zaner; 4. Maternal-fetal surgery and the 'profoundest question in ethics' Mark J. Bliton; Part II. The Most Vulnerable of Us: Pediatrics: 5. She was the life of the party Douglas S. Diekema; 6. Bound by chains Jeffrey Spike; 7. Susie's voice Rosa Lynn Pinkus, Stella Smetanka and Nathan A. Kottkamp; 8. Access to an infant's family D. Micah Hester; Part III. Diversity of Desires and Limits of Liberty: 9. Helping staff help a 'hateful' patient Joy Skeel, Kristi Williams; 10. Ulysses contract Barbara Daly and Cynthia Griggins; 11. Misjudging needs Paul J. Ford; 12. When the patient refuses to eat Debra Craig and Gerald Winslow; Part IV. Withholding Therapy with a Twist: 13. Listening to the husband Ellen W. Bernal; 14. You're the ethicist; I'm just the surgeon Joseph DeMarco and Paul J. Ford; 15. Haunted by a good outcome: the case of Sister Jane George J. Agich; 16. Is a broken jaw a terminal condition? Stuart G. Finder; Part V. The Unspeakable/Unassailable: Religious and Cultural Beliefs: 17. Adolescent pregnancy, confidentiality and culture Donald Brunnquell; 18. Tanya, the one with Jonathan's kidney Tarris Rosell; 19. Futility, Islam and death Kathryn Weise; 20. Suffering as God's will Kathrin Ohnsorge and Paul J. Ford; Part VI. Human Guinea Pigs and Miracles: Clinical Innovations and Unorthodox Treatment: 21. Amputate my arm please - I don't want it anymore Denise M. Dudzinski; 22. Feuding surrogates, herbal therapies, and a dying patient Alissa Hurwitz Swota; 23. One way out: destination therapy by default Alice Chang and Denise M. Dudzinski; 24. Altruistic organ donation: Credible? Acceptable? Ronald B. Miller; Part VII. The Big Picture: Organizational Issues: 25. It's not my responsibility Mary Beth Foglia and Bob Pearlman; 26. Intra-operative exposure to sporadic Creutzfeldt-Jakob disease: to disclose or not to disclose Joel Potash; 27. Why do we have to discharge this patient? Sarah E. Shannon; 28. Who's that sleeping in my bed?: an institutional response to an organizational ethics problem Daryl Pullman, Rick Singleton and Janet Templeton; 29. Final reflections, activities and resources Denise M. Dudzinski and Paul J. Ford; Index.