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Author Archive: Craig Klugman

About Craig Klugman


Is a Vitamin D placebo trial in children with asthma ethical?

by Craig Klugman, Ph.D.

In a 2017 article from India, researchers conducted a meta-analysis looking at vitamin D deficiency and asthma in children. They found a correlation—children with asthma were more likely to have a deficiency—but they did not find a causation—that the deficiency caused asthma, or that asthma caused the deficiency. For example, it’s possible that asthmatic children go outside less because they are more likely to have an asthma attack and thus are less exposed to sunshine, leading to lower levels of Vitamin D. A 2009 article proposed that perhaps adding vitamin D would prevent asthma but without clinical trials, they could not know.…

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Want more efficient and cheaper medicine? Just outsource the doctor

by Craig Klugman, Ph.D.

A new medical school opening this fall in the University of Illinois system will focus on the tech revolution. The foundation of the school is technology and engineering and thus is selecting students with backgrounds in math, computers, and data science. They hope to train a new generation of clinicians who will “disrupt” how medicine is practiced. When the dean offered his vision of medicine practiced by the graduates, he described a scenario where patients talk to physicians through cell phones and where drones deliver diagnostic tools and treatments to your door.

I was taken aback when reading this news story in the February 9th issue of the Chicago Tribune.…

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This entry was posted in Clinical Ethics, Featured Posts, Health Care, professional ethics. Posted by Craig Klugman. Bookmark the permalink.


BioethicsTV (January 29-February 9): #TheResident, #TheGoodDoctor, #ChicagoMed

by Craig Klugman, Ph.D.

The Resident (Season 1; Episode 3): The Cost of a Life The episode opens with residents and nurses attending a required meeting on billing by a “billing consultant”. The consultant’s message is to charge more: “Bill proactively,” “Upcode to what the disease could eventually affect.” Later, the consultant suggests running more tests. She distributes a brochure named “The Art of Upcoding” that is about getting more dollars out of each patient.  In one case, a patient scheduled for hernia surgery has his surgery canceled to get additional testing even though the surgeon says more tests are not needed.…

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This entry was posted in BioethicsTV, Clinical Ethics, End of Life Care, Featured Posts, Justice. Posted by Craig Klugman. Bookmark the permalink.


300: A Blog on Blogs

by Craig Klugman & Bonsai

This post marks a milestone in my life on this blog—it is my 300th posting at It has been 61 months since I took over as blog editor at when my first blog premiered in December 2012. I have moved institutions, states, rank, and responsibilities in that time.  This means, I have written approximately 330,000 words at an average rate 60 blogs per year, 5 per month and 1.13 per week.

Recently, when I mentioned this anniversary to my dog, Bonsai, she suggested that readers might be interested in learning about blogging and offered to interview me.…

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I, My Love, and Apps

This blog is a post of an editorial in the February 2018 issue of the American Journal of Bioethics. You can access the issue’s table of contents here.

I, My Love, and Apps
by Craig Klugman, Ph.D.

In this issue, Danaher, Nyholm, and Earp offer a thorough analysis of the quantified self movement as applied to relationships. Quantification is a trend toward charting, coding, and recording our everyday activities. Think of activity trackers that record your number of steps, sedentary time, even the amount of sleep you get. Now apply that same concept to your relationship and even your performance in the bedroom.…

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This entry was posted in Editorial-AJOB, Featured Posts, Informed Consent, Justice and tagged , . Posted by Craig Klugman. Bookmark the permalink.


The Fine Line Between Living and Dead

by Craig Klugman, Ph.D.

Traditionally, a determination of death can only be made by a physician or by a health care provider (including first responder) if there is evidence of brain matter leakage or the head is severed from the body. However, a series of legal cases in the UK and the US is questioning that tradition. The alternative is for courts to determine when a person is dead or to allow each family to decide what is dead for its members.

The High Court of London has ruled that a hospital may withdraw body sustaining efforts from Isaiah Haastrup over the objections of his parents.…

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BioethicsTV (January 23-26, 2018): Lying, Abused Surrogates, Right to Die, Who Pays for Care #TheGoodDoctor #ChicagoMed #GreysAnatomy

by Craig Klugman, Ph.D.

The Good Doctor (Season 1; Episode 13): Lying to protect and an abused surrogate

After a resident puts his hand on a patient’s arm, she asks him not to touch him. Kalu says that many cultures have taboos about touching, especially by a male doctor. During a bronchoscopy, Melendez, the attending, punctured her bronchus which necessitated a surgery to repair it. Murphy reports the error because the rules say he should. Mendez defends himself by saying he did nothing wrong. When it seems that she came into contact with caustic chemicals, the treatment is ethanol. She refuses because as a follower of Islam, she does not drink.…

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Monkey See, Human Do: Cloning Macaque Monkeys with Fetal Cells

by Craig Klugman, Ph.D.

 “How afraid of human cloning should we be?”
Monkeys have been cloned, Paving the way for human cloning
Yes, They’ve Cloned Monkeys in China. That’s Doesn’t Mean You’re Next
Scientists clone monkeys, leapfrog closer to humans
Monkeys cloned using same technique behind Dolly the sheep

News headlines have declared the success of a Chinese research team in birthing two cloned macaque monkeys. The research is in the February 8 issue of Cell and marks the first time that a nonhuman primate clone has been born. The macaques were created by somatic cell nuclear transfer (SCNT), the same method used in the cloning of Dolly the Cloned Sheep in 1996 and in 23 mammal species since then.…

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BioethicsTV (January 21-22, 2018): The Resident-Our Most Unethical Hospital System

The Resident (Season 1; Episode 1): The Most Unethical Hospital Ever

This new Fox show begins with newly minted MD Devon Pravesh’s first day at a fictional Atlanta hospital. In the first 3 minutes, a surgical team takes photos over a patient’s body during an appendectomy (and break the sterile field). The patient wakes up during the surgery and the surgeon has tremors leading him to cut an artery and the patient bleeds to death. The surgeon, Dr. Bell, then tells the team that the death that the patient was the patient’s fault because he was a poor risk. Bell tells the team, “I’m the chief of surgery at the end of a 30-hour shift.” They all agree to lie about what happened.…

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BioethicsTV (January 15-19, 2018): Life and Death; Consent; Conflicting Mother-Baby Needs

by Craig Klugman, Ph.D.

The Good Doctor (Season 1; Episode 12): Life and Death

Continuing a storyline from last week, this episode centered around the conjoined twins who had to be quickly separated. One twin awakes and is doing well except that her heart failure has not improved. If anything, she is getting worse and may not make it through the night. Her sister is unconscious and suspected to be in a nonsentient state. Their mother decides to remove the ventilator from the unconscious sister so that her heart can be transplanted into the surviving one. The sister is not pleased about the death, but she does like the idea that she would be carrying a part of her sister in herself.…

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This entry was posted in BioethicsTV, End of Life Care, Featured Posts, Informed Consent and tagged , . Posted by Craig Klugman. Bookmark the permalink.