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Author Archive: Craig Klugman

About Craig Klugman

04/17/2018

The End is Nigh: Bioethics and Antibiotic Resistance

by Craig Klugman, Ph.D.

 ‘We’re out of Options’: Doctors Battle Drug-Resistant Typhoid Outbreak – 13 April 2018

New Concerns Over ‘Super Gonorrhea’ That’s Resistant to All Drugs – 4 April 2018

‘Nightmare’ bacteria, resistant to almost every drug, stalk U.S. hospitals – 3 April 2018

In 1997, I was a new graduate student at the University of Texas Medical Branch, starting my PhD after earning my masters degrees. I presented a paper at the SHHV, AAB, SBC combined meeting in Baltimore on Towards A Communitarian Medicine: Ethics and Responsibility in Anti-Microbial Drug Resistance. I proposed that as a society we needed to address the impending crisis in effective antibiotics by rationing the most powerful, the newest, and the most innovative of these drugs.…

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04/13/2018

BioethicsTV (April 9-13): #ChicagoMed Saving one twin; faking a license; cost of care

by Craig Klugman, Ph.D.

Lots of medical dramas were on hiatus this week but will be back.

Chicago Med (Season 1; Episode 15): Saving one twin; faking a license; cost of care

A set of conjoined twins comes to the ED with one of the twins in heart failure. Their separation surgery is scheduled in 10 weeks to give the hospital time to be prepared and to give the twins time to grow and gain strength. But if one twin dies, the other one will soon follow. Latham says that if they try to separate the twins, there is no chance either will survive; but if they concentrate on just saving one—allowing the second to die in the process—then the odds for the one twin improve.…

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This entry was posted in BioethicsTV, Featured Posts, Pediatrics, professional ethics and tagged . Posted by Craig Klugman. Bookmark the permalink.

04/10/2018

DNA Testing for Baby’s IQ

by Craig Klugman, Ph.D.

In the 1997 film GATTACA, when a child is born, a reading of their DNA is done within minutes. The analysis includes things like the child’s IQ and major health concerns. The readings determine the person’s life—what schools they can attend and even what jobs they can have. While presented as a dystopian fantasy, just such a scenario is being spun by behavioral geneticist Robert Plominin his Nature Reviews Genetics article titled “The new genetics of intelligence.”

Plomin says “Intelligence is highly heritable and predicts important educational, occupational and health outcomes better than any other trait.

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This entry was posted in Featured Posts, Genetics, Pediatrics and tagged , . Posted by Craig Klugman. Bookmark the permalink.

04/06/2018

BioethicsTV (April 2-6): #ChicagoMed; #GreysAnatomy

by Craig Klugman, Ph.D.

Chicago Med (Season 3; Episode 14): Record checking; off label use; scope of practice; Grey’s Anatomy (Season 14; Episode 18): Experimental treatment; Saying goodbye

Chicago Med (Season 3; Episode 14): Record checking; off label use; scope of practice
Psychiatry resident Dr. Reese figures out that her father is a diagnosed psychopath. Her attending, Dr. Charles apologizes to her, letting her know that he could not have told her because to do so would have broken physician-patient confidentiality. However, how she figured it out was by looking at her father’s chart. While Charles was ethical in preserving confidentiality, Reese demonstrated a lack of ethics by checking her father’s chart.…

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04/04/2018

Rise of Neopaternalism

by Craig Klugman, Ph.D.

This week I was teaching autonomy and paternalism to my Introduction to Bioethics class. We talked about how one of the founding myths of bioethics is that we saved patients from paternalistic medicine by forcing a turn to autonomy: Instead of being objects on which doctors did medicine, we became subjects with whom doctors worked to heal. My students felt this was all fine and good in theory, but in practice it seemed to them that healers and patients are actually losing freedom. Our conversation led me to wonder if we have entered the age of neopaternalism.…

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03/30/2018

BioethicsTV (March 26-30): #TheGoodDoctor; #ChicagoMed

by Craig Klugman, Ph.D.
The Good Doctor (Season 1; Episode 18-Season Finale): Medical errors and battery; Chicago Med (Season 3; Episode 13): Who gets the heart? Mercy killing

The Good Doctor (Season 1; Episode 18-Season Finale): Medical errors and battery
A fraternity pledge brings his fellow student to the ER with a compound ankle fracture. He then develops a bowel problem and then disseminated intravascular coagulation (DIC-where he both bleeds out and clots at the same time). From his pledge brother, we learned that he has eaten detergent pods which is what likely caused the bowel problems. When he does not improve, Kalu and Park decide to talk with the pledge who brought in the patient: Kalu treats a cut on his hand and draws blood after fixing the cut to “check for infection.” The pledge agrees.…

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This entry was posted in BioethicsTV, End of Life Care, Featured Posts, Organ Transplant & Donation and tagged . Posted by Craig Klugman. Bookmark the permalink.

03/28/2018

Fertility Meltdown

by Craig Klugman, Ph.D.

Earlier this month, two fertility clinics reported problems with their cold storage equipment that led to the thawing and destruction of frozen embryos and eggs slated for people’s future reproductive options. At University Hospitals in Cleveland, approximately 4,000 gametes/embryos belonging to 950 couples were destroyed. At that facility, the storage tanks were being manually filled with liquid nitrogen and the temperature sensor that would have notified operators of warming was deactivated. Most if not all stored material has been lost. Meanwhile, in San Francisco, Pacific Fertility also experienced a storage tank malfunction that caused a low level of liquid nitrogen, affecting about 400 patients.…

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This entry was posted in Featured Posts, Reproductive Medicine. Posted by Craig Klugman. Bookmark the permalink.

03/22/2018

BioethicsTV (March 19-23): The Good Doctor, The Resident, Chicago Med

by Craig Klugman, Ph.D.

The Good Doctor (Season 1; Episode 17): Cost of healthcare, stealing identities, dating patients; The Resident (Season 1; Episode 8): Patient Dumping; Chicago Med (Season 3; Episode 12): Pedophilia; Cherry-picking; ECMO; teenage pregnancy

The Good Doctor (Season 1; Episode 17): Cost of healthcare, stealing identities, dating patients

In the first storyline,  a patient, “Lucy,” comes to the ER with a post-op infection: She never filled her antibiotic prescription. When the doctors went to see her, she had disappeared. The case gets stranger when another woman named Lucy shows up to get her pain meds, but she can’t because her ID was stolen and the pharmacy says her prescription was filled too recently.…

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03/20/2018

Your Cell Phone Is Tattling About Your Health

by Craig Klugman, Ph.D.

As you may have heard in the news, Cambridge Analytica is a big data company that “uses data to change audience behavior.”  As they say on their website, “We find your voters and move them to action.” Allegedly, the company promised Republicans that they could influence the outcome of elections. The only problem is that they needed a large amount of personal data to do their work. The company that has one of the largest troves of data on the personal lives of over 2.2 billion people is Facebook. Getting access to the data was simple: A third party company wrote and distributed a program that invited users to take a brief personality test.…

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This entry was posted in Ethics, Featured Posts, Informed Consent, Privacy and tagged . Posted by Craig Klugman. Bookmark the permalink.

03/17/2018

BioethicsTV: (March 9-14): Mary Kills People; The Good Doctor; The Resident

by Craig Klugman, Ph.D.

  1. Mary Kills People (Season 2; Episode 1): Helping the healthy to die

This season picks up where the last season left off, with Desmond in prison and Mary carrying on helping people die. In many ways, this show has lost its edge since assisted suicide is now legal in California (where the show appears to take place) and Canada (since we see Mary with a Canadian passport). Desmond quickly is paroled and  Mary brings him on a case. A middle-aged man has mesothelioma and wants help dying. I wondered why he just simply did not ask his physician for help, especially when his wife passed an envelope filled with $20,000 over.…

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