Introduction: live and learn: courage, honesty, and vulnerability; Part I. Starting at the Beginning: Prenatal and Neonatal Issues: 1. Quality of life - and of ethics consultation - in the NICU Robert C. Macauley and Robert R. Orr; 2. When a baby dies in pain Thomas R. McCormick and David Woodrum; 3. But how can we choose? Richard M. Zaner; 4. Maternal-fetal surgery and the "profoundest questions in ethics" Mark J. Bliton; Commentary 1. Reflections on Part I Lucia D. Wocial; Part II. The Most Vulnerable of Us: Pediatrics: 5. She was the life of the party Douglas S. Diekema; 6. The sound of chains Jeffrey Spike; 7. Susie's voice Rosa Lynn Pinkus, Stella L. Smetanka, and Nathan A. Kottkamp; 8. Access to an infant's family: lingering effects of not talking with parents D. Micah Hester; Commentary 2. Reflections on Part II Nneka Sederstrom; Part III. Diversity of Desires and Limits of Liberty: Psychiatric and Psychological Issues: 9. Helping staff help a "hateful" patient: The case of TJ Joy Skeel and 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 R. Winslow; Commentary 3. Reflections on Part III Maya Scott; 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 P. 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; Commentary 4. Reflections on Part IV Crystal Brown; Part V. The Unspeakable/Unassailable: Religious and Cultural Beliefs: 17. Adolescent pregnancy, confidentiality, and culture Donald Brunquell; 18. 'Tanya, the one with Jonathan's kidney': a living unrelated donor case of church associates Tarris D. Rosell; 19. Futility, Islam, and death Kathryn L. Weise; 20. Suffering as God's will Kathrin Ohnsorge and Paul J. Ford; Commentary 5: Reflections on Part V: The Unspeakable/ Unassailable: Religious and Cultural Beliefs Mahwish Ahmad; 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; Commentary 6: Reflections on Part VI: Human Guinea Pigs and Miracles: Clinical Innovations and Unorthodox Treatment Kaarkuzhali B. Krishnamurthy; Part VII. The Big Picture: Organizational Issues: 25. It's not my responsibility Mary Beth Foglia and Robert A. 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; Commentary 7: Reflections on Part VII Ruchika Mishra; Conclusions, educational activities, and references Denise M. Dudzinski and Paul J. Ford; Index.