During the course of his work-up, Mr. Harrison is found to be HIV positive. Dr. Brown agrees to treat the erectile dysfunction with Mr. Harrison's promise that he will use condoms during sexual activity. Issues to consider in this case include the doctor-patient relationship, patient health and safety, public health and safety. Returning the patient to sexual potency 2. It is unethical to refuse to treat an HIV positive patient whose condition is within the scope of the physician's realm of competence.
Erectile dysfunction is recognized as a clinical condition and can impact a patient's self esteem.
The standard of care should be applied to all patients regardless of their sexual orientation. Merry C, et al. Gostin L, et al. The financial conditions are clearly stated in the patient's informed consent and billing documents. Issues to consider in this case include conflict of interest, patient health and safety.