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While in an administrative meeting, Dr. Calvin, chief of transplant surgery at a major academic hospital in California, receives a phone call from a regional organ procurement organization. A liver has become available for the hospital’s sickest patient, Mr. Lawrence, who was recently admitted with severe complications from advanced alcoholic liver disease and encephalopathy. Knowing how severe Mr. Lawrence’s condition has suddenly become, Dr. Calvin excitedly breaks away from his meeting to page other attending physicians on the transplant service and review the donor information.

Should Physicians Attempt to Persuade a Patient to Accept a Compromised Organ for Transplant?