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Author Archive: Craig Klugman

About Craig Klugman


The Resident (Season 2; Episode 17)
Austin’s mentor, Abe, may have been shot in the chest. If he is saved, he may be able to identify who did it (or did he try suicide?). A second patient is Evan, an engineering student initially diagnosed with mono but whose lungs are failing. ECMO is a last ditch effort to try and keep each alive and give their lungs a chance to heal. The hospital has two machines, but only one is available. How to decide who gets it? Bell suggests transferring one of them to a different hospital, but both are too sick and he closest machine is a day’s drive.…

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by Craig Klugman, Ph.D.

Being at a university on the quarter system means that my academic calendar is different than most faculty’s. So as many are returning from spring break, I spend mine grading the term that has just ended and preparing for the one that is about to begin. I recently received a message from my university administration suggesting that we look at open source books for the classes starting in a week. According to a University of California white paper, the cost of textbooks creates stress for 89% of students. Nearly half of students have not purchased a textbook even though they knew they needed it.…

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by Craig Klugman, Ph.D.

An article has sent shockwaves through the bioethics and end-of-life care worlds: A 78-year-old man who was unable to breathe makes his way to the hospital where he is informed in the middle of the night via a telemedicine robot that “he would likely die within days.” The physician appeared on a tablet -like screen attached to a mobile unit and delivers the bad news. An Associated Press article has been published in multiple news outlets with the article headline, “Man learns he’s dying from doctor on robot video at California hospital”. The title has been reproduced in most news outlets, but a tagline has differed: NBC wrote, “The man’s granddaughter said she was stunned to hear from a doctor on a video screen that her grandfather didn’t have long to live.” The Denver Postsaid, ““It should be done by a human.” California man learns he’s dying from doctor on robot video”.…

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“Examining ethical issues in TV medical dramas”
Jump to The Resident (Season 2; Episode 16): Money corrupts, patient autonomy; Jump to The Good Doctor (Season 2; Episode 17): Reporting suspicions of abuse; Jump to New Amsterdam (Season 1; Episode 15): Committing fraud to live, Who protects the elderly

The Resident (Season 2; Episode 16): Money corrupts; patient autonomy

Henry’s mom wants to go public with the damage that the Qouvadis vagus nerve stimulator did to her son. Before she steps out into the press conference, however, the CEO gives her $3.5 million dollars to take care of Henry’s future medical needs.…

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Jump to The Good Doctor (Season 2; Episode 16): Faith, Patient’s know their body; Jump to Chicago Med (Season 4; Episode 16): Savior children, childhood cancer, autonomy, boundary crossings

The Good Doctor (Season 2; Episode 16): Faith, Patient’s know their body

A pastor is scheduled for two surgeries: (1) to fuse part of his spinal cord and (2) to remove a tumor. The pastor is in pain and asks if they can remove the tumor without the fusion. He believes that the pain is his punishment for having counseled a parishioner who later committed suicide. The parishioner was in a moment of crisis and when he called, the pastor was occupied.…

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by Craig Klugman, Ph.D.

The Trump Administration is moving forward on a new Title X rule first proposed in June 2018 that would prohibit any federal funds from going to organizations that perform or refer women to facilities that offer abortion. This move is an extension of the “global gag rule” that forbids US funds from going to organizations that perform, refer, counsel, or even mention the word abortion.

Art by Craig Klugman

The 40-year-old Title X program provides family planning and preventive health services for low income women. Approximately 4 million women get their care through this $286 million program.…

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“Examining ethical issues in TV medical dramas”

Jump to The Resident (Season 2; Episode 15): Insurance Fraud and Endangering Patients in Pursuit of Profit; Jump to The Good Doctor (Season 2; Episode 15): The Risk of Looking, Pediatric Decision-Making; Jump to Chicago Med (Season 4; Episode 15): Racism

The Resident (Season 2; Episode 15): Insurance Fraud and Endangering Patients in Pursuit of Profit

Milo Trainor comes to the ED with severe backpain. Pravesh asks him what his job is and the patient responds that he is an ethicist finishing his dissertation on “moral relevancy”. Pravesh says, “Sounds like you found a job that pays less than my residency.” Pravesh diagnoses kidney stones.…

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by Craig Klugman, Ph.D.

“Examining ethical issues in TV medical dramas”

Jump to The Resident (Season 2; Episode 14): Catastrophic Health Plans; Jump to Chicago Med (Season 4; Episode 14): Above the Call of Duty, Tough Choices in Opioid Epidemic, What is Right is Not Always Clear

The Resident (Season 2; Episode 14): Catastrophic Health Plans

Andre and Otto are a middle-aged gay couple. Otto is tired, weak, dizzy, and with swollen joints. They have only a catastrophic health care plan, so only want the minimal because they have to pay out of pocket. Conrad finds signs of kidney failure and needs tests.…

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by Craig Klugman, Ph.D.

A teenager comes to a medical clinic and asks for an MMR vaccine. Although this particular vaccine is usually given at 12-15 months of age with a second dose at ages 4-6 years, this 16-year-old has never been vaccinated. His parents believe that vaccines cause autism* and are dangerous, therefore they have never vaccinated their children. In the age of the internet, the teen has done a lot of research and found that the science is conclusive: Vaccines are safe and beneficial (as long as you are not allergic to the ingredients). His mother refuses to change her mind.…

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by Craig Klugman, Ph.D.

Move over United States, China is the new research powerhouse. In the last few months, announcements out of China talk about the first live human births from genetically edited embryos; the birth of 5 cloned, genetically edited monkeys, and most recently, announced the development of an artificial intelligencethat is more accurate than human doctors at diagnosing diseases in children. Why this sudden surge in Chinese science and what does that mean for human subject research protection?

One answer might be that China was always this prolific in science but was not as great as touting their work.…

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