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Total 325 results found since Jan 2013.

BioethicsTV: Week of May 20 – Assisted suicide, public health crisis management, and making promises
Chicago Med In its first season finale (episode 18), Dr. Downey arrives in the emergency department in distress—he is bleeding from his liver as a side effect from his cancer treatment. When he does not awake from the anesthesia, Dr. Rhodes, his protégé, suspects a stroke during surgery. A CT scan shows that Downey did not have a stroke, but rather has a large, inoperable brain tumor—his cancer has metastasized. We are told that his future prognosis is grim and that he is in unrelievable pain.…
Source: blog.bioethics.net - May 20, 2016 Category: Medical Ethics Authors: Craig Klugman Tags: End of Life Care Featured Posts Media Public Health #ContainmentCW #NBCHeartbeat BioethicsTV NBCCHicagoMed promise keeping Source Type: blogs

Inefficient pain management for black patients shows that there is a fine line between ‘inhumane’ and ‘superhuman’
by Keisha Ray, Ph.D. It’s well known that in America there are great disparities in health, access to health care, and health care outcomes between black people and white people, with black people, on average, faring much worse than white people. For example, if you are black in America you are more likely to die from breast cancer, heart disease, strokes, and giving birth than if you are white in America. According to the National Institute of Medicine, health disparities between races exist even when factors such as stage of disease presentation and the severity of disease are the same.…
Source: blog.bioethics.net - May 4, 2016 Category: Medical Ethics Authors: Bonsai Klugman Tags: Featured Posts Health Disparities health equity Source Type: blogs

Watch Out for Those Deductibles!
Lots of folks in the U.S. are finding themselves with health insurance coverage that requires them to pay lots of money, in their deductible, before insurance kicks in. Here is a nice piece in Cancer Today Magazine on the topic: … Continue reading → The post Watch Out for Those Deductibles! appeared first on PeterUbel.com.
Source: blog.bioethics.net - April 25, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Peter Ubel syndicated Uncategorized Source Type: blogs

Is It Rational for Breast Cancer Patients to Have Bilateral Mastectomies?
Warning: I am not writing about Angelina Jolie. I am not asking whether women like Jolie, with a strong family histories of breast cancer and known genetic mutations, should consider having bilateral mastectomies. Women like Jolie face extremely high lifetime … Continue reading → The post Is It Rational for Breast Cancer Patients to Have Bilateral Mastectomies? appeared first on PeterUbel.com.
Source: blog.bioethics.net - April 21, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care breast cancer Medical Decision Making Peter Ubel syndicated Uncategorized Source Type: blogs

Thoughts on Shared Decision Making
I recently gave a talk about shared decision making at the annual conference for the National Comprehensive Cancer Network. Here is a nice write-up of that talk. For those of you silly enough not to travel to Florida to hear … Continue reading → The post Thoughts on Shared Decision Making appeared first on PeterUbel.com.
Source: blog.bioethics.net - April 20, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Peter Ubel shared decision making syndicated Uncategorized Source Type: blogs

BioethicsTV: “Heartbeat” tackles therapeutic misconception
by Craig Klugman, Ph.D. On episode 4 of Heartbeat, the heroine, Dr. Panttiere has received hospital funding to try an experimental cancer treatment on 5 patients. The intervention uses laparoscopic surgery to implant radioactive pellets directly into tumors. The show presents a good debate on the values of enrolling patients because the characters discuss the hope of more time versus providing patients with comfortable quality of life at the end of life. The side-by-side contrast is quite literal as the camera shows Panttiere sitting next to her paramour, Dr.…
Source: blog.bioethics.net - April 8, 2016 Category: Medical Ethics Authors: Craig Klugman Tags: Clinical Trials & Studies Featured Posts Human Subjects Research & IRBs Research Ethics Science #NBCHeartbeat BioethicsTV therapeutic misconception Source Type: blogs

As If We Don’t Have Enough to Think About
My work recently took me to the Multidisciplinary Symposium on Head and Neck Cancer.  Among the proceedings was a discussion of the epidemiology of oropharyngeal cancer—cancer of the throat.  Historically, this tumor typically occurred in people with long histories of smoking and drinking.  Treatment brings the prospect of disfiguring surgery, although the surgeons do great work these days, and/or a 6-7 week slog of radiation... // Read More »
Source: blog.bioethics.net - March 25, 2016 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care bioethics Health Care Practice syndicated Source Type: blogs

The Wrong Way To React When Terminally Ill Patients Cry
Just three weeks earlier, she had noticed something strange about one of her breasts. An irregular shape. Her daughter brought her to the doctor, and soon the patient, I’ll call her Amanda, was diagnosed with breast cancer, stage “to be … Continue reading → The post The Wrong Way To React When Terminally Ill Patients Cry appeared first on PeterUbel.com.
Source: blog.bioethics.net - March 18, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care cancer Doctor patient communication Medical Decision Making Peter Ubel shared decision making syndicated Uncategorized Source Type: blogs

Death with Dignity?
Tarris Rosell, PhD, DMinWhat Kansans Need to Consider about House Bill No. 2150(“The Kansas Death with Dignity Act”)How would you answer the following question if a Gallup pollster asked?When a person has a disease that cannot be cured and is living in severe pain, do you think doctors should or should not be allowed by law to assist the patient to commit suicide if the patient requests it?As of mid-2015, nearly 7 out of 10 Americans polled answered that question, “Yes,” including 48% of those who attend church weekly. The vast majority of Americans, and 81% of young adults ages 18-34, currently fav...
Source: blog.bioethics.net - February 15, 2016 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care advance care directives bioethics chronic pain Death with Dignity end of life care planning medical ethics syndicated Source Type: blogs

"That Dragon, Cancer" – A Journey of Hope in the Shadow of Death EOL in Art 199
“That Dragon, Cancer” is a new video game about Joel Green, a terminally ill 5-year-old, and his parents.  It sounds more (meaningfully) sad than fun.  For example, the game withholds some control from the player as an attempt to convey feelings of helplessness and despair.  “That Dragon, Cancer” mixes animation and magical realism to convey the Greens’ emotional state during Joel’s illness. There is one dragon, but much of the game consists of re-enactments of mundanities like phone messages and hospital visits.  Water fills a room as a doctor says there are no more ...
Source: blog.bioethics.net - February 7, 2016 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs

PART II: SEMBENE! X MOOLAADÉ X DESERT FLOWER: Female Genital Mutilation and Bioethics
Sembene! Theatrical Trailer https://vimeo.com/139538743Sembene! is a documentary co-directed by Samba Gadjigo and Jason Silverman. The filmmaking duo uses Sembene’s screen works to bracket the life events of African cinema’s founder. The ultimate illustration of capacity for complex socially relevant, visually compelling cinema lay in Sembene’s 2004 final film, Moolaadé (Magical Protection). This is a heart wrenching story of a woman named Collé living in a fictional, locked in time, Burkina Faso village.Collé’s is a polygamous family. She resists her daughter havi...
Source: blog.bioethics.net - February 5, 2016 Category: Medical Ethics Authors: September Williams, MD Tags: Health Care syndicated Source Type: blogs

The Sky is Falling: How Much Do We Owe A Patient?
by Craig Klugman, Ph.D. Imagine if a patient went sky diving without a parachute and survived. You fixed up her body and explained to her the dangers of her activities. You refer her to a program that offers free parachutes and trains people on how to use them. Upon discharge, she does the same thing again and ends up back in your hospital? Do you perform the same surgeris again? What if she does this 3 times? Four times? Is there a point at which we “give up” on patients when they consistently return for the same problem from the same cause after ignoring all advice?…
Source: blog.bioethics.net - January 26, 2016 Category: Medical Ethics Authors: Craig Klugman Tags: Clinical Ethics Featured Posts Health Care Source Type: blogs

British Medical Association Issues Report – "End of Life Care and Physician Assisted Dying"
The British Medical  Association has just published a two volume report on end-of-life care.   BMA calls for UK Governments to prioritize end-of-life care.  New research finds the current provision does not consistently match either the public or doctor's expectations. The research found that while there were pockets of excellence in end-of-life care across the country, the current system has led to a variation in the level of care between regions, within hospital authority areas, and based on a patient’s condition.  Four areas of concern were raised: 1. Communication End-of-life care and dying we...
Source: blog.bioethics.net - January 16, 2016 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs

Translational Science as an Ethical Imperative
An acquaintance recently sent me a copy of an article from the December 7, 2015 edition of The New Yorker magazine, describing efforts of a neurosurgeon to use an unconventional approach to treating terminal brain cancer.  Follow the link and read the article for the whole story, but the physician in question was acting on anecdotes of people whose brain tumors had improved dramatically after... // Read More »
Source: blog.bioethics.net - January 15, 2016 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care Consent / Research Health Care Practice syndicated Source Type: blogs

A Tale of Two Friends
I am thinking of two friends from church with advanced cancer, both men about my age, 60-ish. One has a high-grade brain tumor, persistent after standard therapy and more than one experimental new treatment.  He’s a fighter, looking for something new to try.  He’s an ex-Marine, famously fit at baseline, willing and able to tolerate some toxicity.  He also tells me that he is trusting... // Read More »
Source: blog.bioethics.net - December 24, 2015 Category: Medical Ethics Authors: Jon Holmlund Tags: Health Care bioethics end of life Health Care Practice human dignity syndicated Source Type: blogs