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Author Archive: Craig Klugman

About Craig Klugman


by Craig Klugman, Ph.D.

The Resident (Season 3; Episode 10): Padding stats, gaming the system, losing perspective

During brain surgery, an 89-year-old white male with advanced dementia starts “breaking down”. Cain tells his resident to open the brain. Voss says that the brain is herniating: “Given his physical and mental status before surgery and given his brain herniation, he will have zero quality of life, even if you can call it life…He’ll be a body in a bed, a vegetable. It’s the compassionate choice at this point [to let him go].” Cain Responds, “I’m only going to say this once. Nobody.…

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by Craig Klugman, Ph.D.

Last week I became a Jewish-American. No, I did not change my citizenship. No, I did not change religions. In the morning I was an American (born a U.S. Citizen) who was raised in conservative Judaism and by the afternoon, I was part of a new nationality. What changed last week was President Trump signing an order stating that Title VI applies to anti-Semitism. According to Title VI, “No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance.” Thus, for this law to apply, Judaism has to be a race, a color, or a nation.…

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by Craig Klugman, Ph.D.

The start of the winter holidays means winter hiatus for many shows. This week only one show dealt with bioethical issues.

The Resident (Season 3: Episode 9): Maternal-fetal conflict; Politics, Business, and Torture; Problems with outpatient surgery in offices

In one storyline, a pregnant patient has trouble breathing during a standard ultrasound. She is diagnosed with an enlarged heart, cardiomyopathy brought on by her prior chemo. Okafor suggests delivering the baby early to protect her heart. This situation is a classic case of maternal-fetal conflict: What is good for the baby (being carried to term) is not good for the mother’s health (relieving the stress on her heart).…

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by Craig Klugman, Ph.D.

The Good Doctor (Season 3; Episode 8): Dying alone; Chicago Med (Season 5; Episode 9): Bizarre DNRs, Consent is a process

The Good Doctor (Season 3; Episode 8): Dying alone

A world-famous leukemia oncologist lands in the hospital with occlusion to her coronary arteries and a damaged left side of her heart. During surgery, Melendez mentions that the damage is worse than expected and they should update the power of attorney, who is the patient’s ex-husband. Park informs Melendez that the two haven’t spoken in two years and that he was not coming. Park has also tried to track down a sister who says she doesn’t know her sister and can’t serve.…

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by Craig Klugman, Ph.D.

The Resident (Season 3; Episode 6): Gambling on patients and dangerous surgeries; New Amsterdam (Season 2; Episode 8): Unrelieved pain; Making promises; Chicago Med (Season 5; Episode 8): Assent/Consent, Medical decision-making by internet vote, not treating family, creating a public health threat

The Resident (Season 3; Episode 6): Gambling on patients and dangerous surgeries

During a high stakes game of poker, Cain wins a chronic spinal patient in a poker game. Cain wants to perform an experimental surgery on the patient to replace four spinal discs with artificial ones. The surgery has never been done in the U.S.…

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by Craig Klugman, Ph.D.

New Amsterdam (Season 2: Episode 6): Lying; Inherent bias; Chicago Med (Season 5; Episode 6): Excusing battery; Jehovah’s Witness and blood transfusion; Be yourself or maintain health

New Amsterdam (Season 2: Episode 6): Lying; Inherent bias

A girls trip to New York ends up in the ED with the women injured in accident. The organizer of the trip, we learn, caused the accident deliberately because she took out the supplemental car insurance. The woman in the group all have health problems and lack the money to get the medical care they need. However, her deliberate actions negate the policy.…

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by Craig Klugman, Ph.D.

A few weeks ago, I received an email from a colleague around 7pm on a Friday evening. We are serving on the same committee, which I chair, and he had a question. This led to a series of back and forth email that extended until nearly 11pm. I laughed heartily and asked myself, “When did we become expected to work on Friday night?” My observation was supported when the same thing happened with a colleague at another university on Sunday night. What did I spend the rest of that weekend doing? Mostly grading papers. A report by the National Bureau of Economic Research found that professors work more on weekends than other professions, with their weekdays filled with more meetings, advising and other activities.…

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Last week, the Trump Administration proposed a new rule that would “require DNA-sample collection from individuals who are arrested, facing charges, or convicted, and from non-United States persons who are detained under the authority of the United States.” Collecting DNA of people detained under the Department of Homeland Security is not permitted under U.S. law. The proposed rule aims to change that.

The post Immigrant DNA Collection: Fighting Crime or Moral Panic appeared first on The Hastings Center.

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New Amsterdam (Season 2; Episode 5): Inconstant insurance policies; Negotiating with patients; Chicago Med (Season 5; Episode 5): Battery; Broken Promises

by Craig Klugman, Ph.D.

New Amsterdam (Season 2; Episode 5): Inconstant insurance policies; Negotiating with patients

Two sisters, Jasmine and Paz, sit in Sharpe’s office. Paz is in treatment for uterine cancer. Her sister offered to be her reproductive surrogate and one day from implantation, the insurance company changed the rules and will no longer cover the procedure. Goodwin takes on the insurance company, finding himself in a Byzantine maze. Even more bizarre, the insurance won’t cover surrogacy but it will cover a uterine transplant which is ten times more expensive.…

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