Autonomy, paternalism and understanding
I gave a talk Wednesday as part of an ethics series here at Duke. Here is one take on my presentation. See if you can spot the Far Side reference!
I gave a talk Wednesday as part of an ethics series here at Duke. Here is one take on my presentation. See if you can spot the Far Side reference!
The first test tube baby was born July 25th, 1978 in the north of England. Louise Brown was called the “baby of the century” by some and a “moral abomination” by others. It wasn’t Brown who critics accused of being immoral, of course. She was just a blameless infant. Instead, it was her doctors who…
Watch this segment from HuffPo Live on two children denied transplants because they were not deemed mentally capable enough to benefit. Two angry moms are fighting back. Love to hear your thoughts.
Steve B. wasn’t going to be fooled twice. He’d recently seen an ear, nose, and throat specialist for a “tickle in the throat” that wouldn’t go away. He’d forked over a co-pay at check-in, but then the doctor said he needed “to put a scope down there” and check his throat. He later received a…
Recently I received an email from someone I have never met, who asked me the following: “Could you refer me to any current study results on Arimidex (Anastrozole)? My oncologist is not helpful. My oncotype dx said I have 9% chance of recurrence and with Arimidex for 5 years that is reduced to 4.5 %….
I need to know what you think of the following situation. You walk into your doctor’s office, turn your insurance information into the clerk, take a seat in the waiting room and discover the following letter sitting on the couch-side table, authored by your very own doctor: “Dear Patient: Section 1311 of the new health…
Many people die in ways, and even in locations, that go against their preferences. They don’t want to be put on ventilators and, yet, spend their last days in intensive care units tethered to breathing machines. They don’t want cardiopulmonary resuscitation (CPR), and, yet, receive full-on “codes” when their hearts stop.
Much of this unwanted care could be avoided if patients (aka: “people”) discussed their treatment preferences with their clinicians.