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11/22/2014

Mary Welch Charged with Medical Child Abuse for Obtaining Unnecessary Treatment

A 50-page arrest warrant for Mary Anna Welch accuses her of deceiving doctors into performing needless invasive surgeries on her son, Duke.  She's charged with child endangerment.  (NBC News; ABC News)

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope. Bookmark the permalink.

11/21/2014

Brain in a Jar – Sufficient Reason to Keep Me Alive

I share this treatment preference expressed by Atul Gawande at a recent Oregon Public Broadcasting book event. "If I'm a brain in jar and I have some sort of sensory devices hooked up to me that allow me to speak, to think, to hear, to talk and to con...

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope. Bookmark the permalink.

11/21/2014

Bioethics Exam

In keeping with the evaluation-obsessed spirit of the time, here is a little bioethics test. No multiple-choice fill-in-the-bubbles here, no simple true/false; but bioethics usually isn’t so simple, is it? So it’s OK if you don’t have a No. 2 pencil, you can still take today’s exam! _______________________ 1. The patient-physician relationship depends on trust, and close observation, and appreciating subtleties, and giving one’s full attention... // Read More »

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11/21/2014

The Bioethics Commission’s Neuro Double-Header

Since President Obama’s April 2013 launch of the Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Initiative, the Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) has worked to ensure that ethics is an integral part of the conversation when discussing neuroscience. This past week, the Bioethics Commission was busy discussing its work at […]

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This entry was posted in Health Care and tagged , , , , . Posted by Alannah Kittle. Bookmark the permalink.

11/21/2014

Time To Stop Paying For Pepsi With Food Stamps

The food stamp program helps over 40 million Americans pay for groceries. Unlike other forms of economic assistance, this program, called SNAP (the Supplemental Nutrition Assistance Program), only pays for food, thereby constraining how recipients make use of the aid. … Continue reading

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11/21/2014

Doused Counties: Banning Tobacco Sales in Massachusetts

by Craig Klugman, Ph.D.

The small city of Westminster, Massachusetts is voting on whether to become the first town in the nation to ban sales of tobacco products, e-cigarettes, and bubblegum-shaped smoking implements within its limits. Many cities already have bans on selling tobacco to minors, smoking bars, businesses, offices, and even in public. The drugstore giant CVS has banned sales of tobacco products from its stores. But this is the first time that a city is making the sale of tobacco and e-cigarettes illegal.

The reasons for the smoking ban are simple. In this town of 7,400, there has been concern that tobacco companies use marketing to create new smokers.…

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

11/21/2014

Resident physicians as the key to Do Not Resuscitate orders

At last month’s ASCO Palliative Care conference in Boston, one of the presentations was a survey, done by resident physicians (doctors 1-3 years out of medical school, doing hospital-based, post graduate training) at Tufts Medical Center.  The topic: what their fellow residents thought about conducting conversations with patients about Do Not Resuscitate (DNR) orders. Some background:  most of the time, these conversations would arise in... // Read More »

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This entry was posted in Health Care and tagged , , , . Posted by Jon Holmlund. Bookmark the permalink.

11/20/2014

Resolving Medical Futility Disputes – Alberta follows Ontario in Chalifoux v. Alberta Health Services

This month, the Court of Queen's Bench of Alberta released an eleven-page opinion in Chalifoux v. Alberta Health Services.  This is a rather typical medical futility case resolved in a typical fashion. The Patient Ava Alayla Chalifoux-C...

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope. Bookmark the permalink.

11/19/2014

The Ethics of Uterus Transplantation

<p><span style="line-height: 19.0400009155273px;">In the last couple of years, the media has reported women undergoing uterus transplantations. Just last month, </span><a style="line-height: 19.0400009155273px;" href="http://www.bbc.com/news/health-29485996">the media reported</a><span style="line-height: 19.0400009155273px;"> that the first baby was born from a transplanted uterus. While the woman’s identity remains unknown, she is a 36 year old Swedish woman who was born with ovaries, but not a uterus. She and her partner underwent IVF to produce embryos that could then be transferred into the transplanted uterus. This donor is a friend of hers who is 61 years old and had experienced menopause seven years beforehand. The quality of a woman’s uterus does not diminish over time, so she is able to successfully carry a pregnancy event postmenopausally (it is the quality and quantity of her eggs that leads to infertility and eventually menopause).  Both the woman and the baby are doing fine, according to media reports. However, the baby was born prematurely at 32 weeks because the women developed preeclampsia and the fetal heart rate became abnormal. It is not clear from the media reports whether the development of preeclampsia was related to the uterus transplantation.</span></p> <p><strong style="line-height: 19.0400009155273px; color: #34405b; font-family: Arial, Helvetica, sans-serif; font-size: 12px;">The Alden March Bioethics Institute offers a Master of Science in Bioethics, a Doctorate of Professional Studies in Bioethics, and Graduate Certificates in Clinical Ethics and Clinical Ethics Consultation. For more information on AMBI's online graduate programs, please visit our <a style="text-decoration: underline; color: #000099;" href="http://www.amc.edu/Academic/bioethics/index.cfm">website</a>.</strong></p>

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This entry was posted in Health Care, Reproductive Medicine and tagged , . Posted by Hayley Dittus-Doria. Bookmark the permalink.

11/19/2014

Martha Perez – Texas Family Charges Organs Procured BEFORE Death

I recently summarized a few cases in which a patient was either negligently or intentionally declared dead prematurely.  

But this recent case reported by Fox News in Dallas Fort Worth indicates misunderstanding by the family rather than error by the clinicians.  

26-year-old Martha Perez dies from injuries sustained in an car wreck involving a suspected drunk driver.  Perez was a registered organ donor and doctors told the family they were prepared to harvest the organs for donations.

The family objected: “But she still has heart and lung functions,” said family member Juan Martinez.  Unfortunately, this statement indicates that the family does not understand that these cardiopulmonary functions are compatible with legal death in Texas.  They can be artificially sustained even after death is determined (on neurological criteria).   

On the other hand, the family also alleges: “They took her off the life support and she was still breathing.”  If that is true, then the determination of death must have been wrong.  A person breathing on their own (without ventilation support) cannot be dead under either cardiopulmonary or neurological criteria.

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This entry was posted in Health Care and tagged , . Posted by Thaddeus Mason Pope. Bookmark the permalink.