My ethical dilemma is about a young boy (7years old) who has been born with cystic fibrosis. In Switzerland this is an illness which is well known and those children have at least once a week physical therapy. My problem is the following. I work in a general physiotherapy clinic which treats all kind of people but rather those with orthopedic, chirurgical or rheumatically problems. This kid comes to therapy to clear his lungs and make it easier for him to breath. But since we are not specialized with those type of patients, I don’t have the knowledge or the practice how to do this. But my chief and colleagues think that he I can do that and don’t want me to send him elsewhere, since he has been treated in this praxis for 2 years so far. Further his mother is also very happy with the therapy in this praxis and for her it’s great since they live next door. So my dilemma is there, that I know that another therapy would be more efficient for him but I don’t want my colleagues and chief to be placed in a bad light, neither to make the mom feel bad to have let him be treated here so far. What should I do?