Category Archives: Health and Medicine

May 15, 2013 · 10:57 am

Ethics Hero: Angelina Jolie

Jolie

I am pretty certain that actress Angelina Jolie could have undergone a prophylactic double mastectomy and never revealed it, She could have had reconstructive surgery and continuing to appeal to the sexual fantasies of moviegoers, which has been a significant aspect of her movie career. She had no need to disclose the operation, which she underwent last month, and no obligation to. Nonetheless,Jolie revealed her choice to the world in an eloquent, powerful, and courageous op-ed in the New York Times this week, and undoubtedly saved lives by doing so. She also made a critical cultural statement about the worth of women and how they are devalued by being reduced to their body parts in popular culture, the media, and the minds of men.

I think it is one of the most courageous acts by an entertainment figure that we have ever witnessed.

Jolie writes in part… Continue reading →

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May 13, 2013 · 6:03 pm

Comment of the Day: “‘The Ethicist’ and the Doctor”

"Your secret is safe with me, but I have to ask...what that stolen Renoir doing up there?"

“Your secret is safe with me, but I have to ask…what that stolen Renoir doing up there?”

Jeff Long scores his first Comment of the Day with a welcome excursion into the thickets of medical confidentiality. As I expected, many readers were troubled by my support of strict patient-doctor confidentiality as dictates by AMA medical standards. Jeff does an excellent job elaborating on why I (and the professions like law, medicine and the clergy) take the position they do. In professional relationships, trust is essential, and you can trust professions that approve of breaching confidentiality when a damaging secret is involved.

Here is Jeff’s comment, on the post “The Ethicist and the Doctor.”

“First, with regard to Matthew’s example of the cheating spouse who contracts an STD, I think it would probably be difficult to come up with a better example of “the system working as intended.” In the world where doctors respect confidentiality, at least one person gets treated. In the world where the doctor blabs to the world (or at least, to the spouse), there’s a good chance that nobody does. In fact, if the cheater forgoes treatment out of fear of exposure, s/he is putting the spouse at even GREATER risk than in the former scenario, since the STD goes untreated and has a larger window in which to infect the spouse. Certainly, the ideal world is the one where the cheater gets treated AND confesses to the spouse, but the onus for that lies with the cheater. It’s not the doctor’s place. Continue reading →

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May 12, 2013 · 10:40 am

“The Ethicist” and the Doctor

It's all Greek to "The Ethicist"!

It’s all Greek to “The Ethicist”!

The third New York Times writer to take over the mantle of “The Ethicist” column, Chuck Klosterman, may be the most reliable yet, but he ended up wandering into the ethical weeds in his recent advice to an ethically-perplexed doctor, and engaging in advice column malpractice.

A physician asked him what was his ethical course when a patient divulged to him that his persistent headaches may have arisen from the stress of keeping a secret: he was responsible for a crime that had been pinned on an innocent man. Before the consultation, the doctor had promised his patient that “whatever he told me would not leave the room.“  Now the physician was having second doubts, and wondered if he was right to keep the confidence to his patient at the expense of an innocent man’s freedom and reputation.

Klosterman’s answer:

“I would advise the following: Call the patient back into your office. Urge him to confess what happened to the authorities and tell him you will assist him in any way possible (helping him find a lawyer before going to the police, etc.). If he balks, you will have to go a step further; you will have to tell him that you were wrong to promise him confidentiality and that your desire for social justice is greater than your personal integrity as a professional confidant.”

First of all, I don’t understand why a doctor is asking this question to a newspaper ethicist unless he doesn’t like what professional and medical ethicists are telling him. Klosterman, in reaching his reasonable-sounding but flat-out wrong reply, simply discards the concept of professionalism, beginning with the Hippocratic Oath…. Continue reading →

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May 3, 2013 · 12:17 pm

Ethics Quiz: Mayor Bloomberg’s Pizza Petard

"No pizza for you!"

“No pizza for you!”

I came thiiiiis close to making this an Ethics Hero post, then I realized that the story was a gag.

But fictional tales pose real ethics dilemmas: let’s see if you can resolve the one raised by this spoof.

According to the satirical  Daily Currant, Mayor Bloomberg, better known in NYC as the Nanny Mayor who has, among other measures, decreed how much sweet soda pop one is allowed to sell or purchase to consume, was having a business lunch at Collegno’s Pizzeria. When he asked for second slice of pizza, however, he was refused.

“I’m sorry sir,” the Currant quoted owner “Antonio Benito” as replying, “we can’t do that. You’ve reached your personal slice limit.” And he wasn’t kidding.

“OK, that’s funny,” the alternate universe New York Mayor remarked, “because of the soda thing … No come on. I’m not kidding. I haven’t eaten all morning, just send over another pepperoni.”

“I’m sorry sir. We’re serious,” Benito said. “We’ve decided that eating more than one piece isn’t healthy for you, and so we’re forbidding you from doing it.”

Bloomberg, in the Currant’s account, then snapped., saying:  “Look jackass. I fucking skipped breakfast this morning just so I could eat four slices of your pizza. Don’t be a schmuck, just get back to the kitchen and bring out some fucking pizza, okay.”

Benito stood fast! “I’m sorry sir, there’s nothing I can do. Maybe you could go to several restaurants and get one slice at each. At least that way you’re walking. You know, burning calories.”

Zing!

If only it were true… Continue reading →

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May 2, 2013 · 3:11 pm

Medical Ethics: The Insideousness of Bias

Obesity biasThe New York Times had an enlightening article about bias in its Science section this week. Apparently a study of the interactions between patients and their primary care physicians suggests that doctors are more pleasant, encouraging, empathetic, kinder—just nicer, in short—to their normal weight patients than they are to those who are obese.

From the article:

‘“It’s not like the physicians were being overtly negative or harsh,” said the lead author, Dr. Kimberly A. Gudzune, an assistant professor of general internal medicine at the Johns Hopkins School of Medicine. “They were just not engaging patients in that rapport-building or making that emotional connection with the patient.” …While such expressions of concern and empathy are not remarkable on their own, what was surprising was how absent they were in conversations with overweight and obese patients. And statements like these are no small thing. Studies show that patients are far more likely to follow a doctor’s advice and to have a better health outcome when they believe their doctor empathizes with their plight.

‘“When there is increased empathy by the doctor, patients are more likely to report they are satisfied with their care, and they are more likely to adhere to recommendations of physicians,” Dr. Gudzune said. “There is evidence to show that after visits with more empathy, patients have improved clinical outcomes, so patients with diabetes have better blood sugar control or cholesterol is better controlled.”’

Continue reading →

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April 26, 2013 · 12:06 pm

A New Low, Until The Next One

The horrible mother with her son, who does not have cancer. There does seem to be something amiss with his face, though...

The evil  mother with her son, who does not have cancer. There does seem to be something amiss with his face, though…

I thought the woman who tricked her lesbian crush into marrying her by faking an illness and pretending to be her own doctor in e-mails to her romantic target was about as low as a human being could stoop. Before that, it was the various compassion thieves whose scams have been discussed here. In the category of despicable mothers, I thought ground zero was reached by Torry Hanson, who decided that her adopted Russian son was just too much trouble, so she bought him a one way plane ticket to Russia and shipped him back all by himself, with a note renouncing her parenthood. But then I learned about Wanetta Gibson, and I think I have abandoned the quest for the absolute worst ethical behavior, useful as it would be for establishing a scale for ethical misconduct. Human ingenuity regarding the despicable is just too vast.

Nevertheless, Susan Stillwaggon allegedly pulled a scam that could only be devised by someone whose ethics alarms are not only inoperable, but work in reverse, warning her to stop and change course when she is about to do something good.

In order to pull off a fake illness scam, the New Jersey mother told her family, friends and community that her elementary school age son had cancer. And just so he wouldn’t blow a sweet deal—you know how kids are— she told him he had cancer too.

I’m sure I will eventually hear about something more unethical and heartless than this. I’m not looking forward to it.

_______________________

Facts: CBS (Philly)

Graphic: The Coming Crisis

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April 24, 2013 · 4:22 pm

“The Only Answer”: An Ethics Hero, A Life Saved, And A Troubling Hypothetical

In this universe, a hero...and in an alternate one? I wonder...

In this universe, a hero…and in an alternate one? I wonder…

University of New Hampshire senior Cameron Lyle, a Division I college track and field competitor who excels in the shot put and hammer throw, has chosen to end his collegiate athletic career to save a stranger’s life.

He will donate his bone marrow today to a 28-year-old man suffering from acute lymphoblastic leukemia. Doctors told Lyle the man who will receive his marrow will live only six months without a transplant, and that there was a only one in five million chance for another non-family match. Yet the odds came up in his favor, thanks to  Lyle having his mouth swabbed to join a bone marrow registry two years ago. He was a perfect match.

Lyle says he never hesitated in his choice, once he was informed. “It’s just a sport,” he said. “Just because it’s Division I college level doesn’t make it any more important. Life is a lot more important than that, so it was pretty easy…It was kind of a no-brainer for a decent human. I couldn’t imagine just waiting. He could have been waiting for years for a match. I’d hope that someone would donate to me if I needed it.”

“He made his decision. He gave up his college season to do this. He’s a gentle giant,” Lyle’s mother said of her 6-foot-2-inch, 255-pound son. “He’ll do anything for anybody.”  Lyle’s coach Jim Boulanger, was also completely supportive, and, according to Lyle, came up with an instant Ethics Quote of the Month when the shot-putter told him of his plans.

“Here’s the deal,” Boulanger told Lyle. “You go to the conference and take 12 throws or you could give a man three or four more years of life. I don’t think there’s a big question here. This is not a moral dilemma. There’s only one answer.” Continue reading →

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April 22, 2013 · 3:07 pm

Tales From The “Ick” Files: Should We Take Eggs From Aborted Babies?

"Mom???"

“Mom???”

At the annual conference of the European Society of Human Reproduction and Embryology in Madrid, it was revealed that researchers from Israel and the Netherlands have kept ovarian tissue from aborted fetuses alive in the laboratory for several weeks.The chief researcher in the project, Dr. Tal Biron-Shental, said it was “theoretically possible” that with extra hormone treatment they could have produced mature eggs suitable for use in in vitro fertilization. Female fetuses develop ovaries after as little as 16 weeks in the womb, and harvesting eggs from them could be a boon for infertile couples.

But horrors…

Dr Tom Shakespeare, director of the Policy, Ethics and Life Sciences Research Institute at Newcastle University, told the Daily Mail that he was “deeply uneasy’”about the idea of using aborted fetuses as a source of eggs, saying, “My personal view is that it is wrong. Partly because it would cause widespread revulsion and partly because you would have somebody born who is the child of someone who never lived. We need to consider the welfare of the child and the impact of finding out that your mother was aborted.” Continue reading →

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April 14, 2013 · 8:57 pm

Wikipedia Ethics And The Gosnell Trial

Ah, sunlight! When all the machinations are revealed, it's a lot harder to be unethical.

Ah, sunlight! When all the machinations are revealed, it’s a lot harder to get away with  being unethical.

Apparently Wikipedia almost joined the media outlets operating a cover-up of the Gosnell baby-killing trial. For a while a debate raged on the site, with an editor advocating that the article about the abortion doctor at the center of the horrific allegations and testimony be deleted entirely, because Gosnell’s trial is only a “local multiple-murder story in Pennsylvania.”  Yes, and the Newtown murders are just a multiple-murder story in Connecticut. Outright hoaxes stay on the site for years, puff piece entries on virtual non-entities and insignificant organizations clog it, but a case with major policy implications bearing on a contentious national, bioethics  and human rights issue of long-standing isn’t worthy of a page? The editor in this case, whoever he is, is too biased and incompetent to hold the position. Had his argument prevailed, Wikipedia’s credibility and perceived trustworthiness would have been severely diminished, for an encyclopedia cannot have an ideological agenda, and the desire to marginalize the Gosnell story is smoking-gun proof of one.

Luckily, Wikipedia got it right in the end, and the article survived. What saved Wiki was transparency. The argument about the Gosnell article was open and public, and ethics always benefits when transparency reigns. You would think that would be one of the news media’s mottos…but not, apparently, when it means letting the public know how it is that certain stories get buried, marginalized and ignored.

(The mainstream media, not surprisingly, didn’t cover the Wikipedia debate, either.)

_______________________________________

Sources: Daily Caller1, Daily Caller2, Newsbusters

 

 

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· 9:44 am

Hiding Sandy Hook: The Gosnell Trial, Double Standards, Abortion, And Journalistic Malpractice

Have you heard about the Gosnell trial?

The reserved press section at the Gosnell trial, because baby-killing is no longer news in America.

The reserved press section at the Gosnell trial, because, apparently, baby-killing is no longer news in America.

Neither had I until recently, and there’s a reason for that: the news media doesn’t want you to hear about it. Not just the news media, however; elected public officials, advocacy organizations, bloggers and social media-users apparently don’t want you to know about the trial either, because it graphically and sickeningly exposes the ugly and brutal side of abortion, which owes its continuing legal status  and public support to the avoidance of inconvenient truths.

Imagine, if you will, a Sandy Hook massacre that the national media and politicians decided to ignore as a “local story,” because they knew it would spark a national debate over gun control. Imagine Piers Morgan, CNN, Andrea Mitchell, Chris Matthews, Fox News and the rest scrupulously concentrating on other news stories so what they believed would pose a possible threat to Second Amendment rights would “blow over” without leaving any mark on public opinion. Imagine all of these and more concluding that the incident would be hyped and shamelessly exploited by anti-gun advocates, perhaps leading to a tipping point in societal attitudes toward gun violence, so in order to prevent this possibility, the story, and the deaths of the children, were deliberately marginalized and kept out of the public eye. Would that trouble you? Anger you? Frighten you? Would it cause you to worry that our democracy is becoming a sham, with fact and truth being manipulated so that our Constitutional rights of self-government were a sham and an illusion?

I am angry, troubled and frightened, because this is exactly what is occurring regarding the Gosnell trial. The only difference is that it is abortion, rather than guns, that unethical journalists and unethical public officials are protecting by employing a blatant double standard. Continue reading →

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