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Ethics

This category contains 40 posts

Why treating the two Americans with Ebola at Emory is so important

Ebola is a hemorrhagic fever that causes death by what seems like a virally induced stigmata. That statement could be even shorter. With a fatality rate that can reach 80-90% we could just say that Ebola is death. The WHO says this most recent outbreak is “moving faster than our efforts to control it” and … Continue reading

Forced c-sections. Unethical outliers or a disturbing trend?

RH Reality Check is reporting that Jennifer Goodall, a woman in her late 3rd trimester with 3 previous c-sections who wants to attempt a vaginal birth has been notified by the chief financial officer of the hospital where she planned to deliver (Bayfront Health Port Charlotte) that her “prenatal care providers intended to report her … Continue reading

An OB/GYN’s opinion on the Supreme Court, Hobby Lobby, and contraception

The Supreme Court, in a 5-4 decision, sided with Hobby Lobby (and much of the religious right in the United States) and ruled that a closely held private corporation does not have to provide insurance coverage for certain birth control methods. Justice Alito, speaking for the majority wrote: “The owners of the businesses have religious objections … Continue reading

The VA tragedy exposes the dark side of medical metrics

The Veteran’s Administration is under fire for covering up deaths. Men and women who were eligible for care languished on impossibly long waiting lists and even worse when some died waiting for care their deaths were covered up. This is horrific and everyone wants to know how this tragedy could have happened? Veteran’s hospitals have … Continue reading

Headlines blur the difference between statistically significant and clinically meaningful

Interpreting studies is a dicey thing. Often I find what might be statistically significant translated into headlines that might not really get at the nuance of the study or the results. Take these three for example: Pine bark extract improves severe perimenopausal symptoms (Medscape medical news, February 14, 2013) Two weeks of antibiotic therapy relieves … Continue reading

Who is keeping a pregnant woman on life support against her wishes? The hospital or Texas?

Brain death is death. This is one of the definitions of death. Even in Texas. Because brain death is death a do not resuscitate (DNR) order or invalidating a DNR are both meaningless, because you don’t do procedures on dead bodies. This is why taking someone off a ventilator who is brain dead is not … Continue reading

It took 32 days to decide what to do with my son’s body. On grief, ethics, and death.

My eldest son, the first-born of a set of extremely premature triplets, died a few minutes after he was born. Defying the odds I remained pregnant with my other two boys for 24 days. After holding him for some time in the delivery room, the same room where I myself had delivered hundred of babies … Continue reading

ACLU should sue the doctors as well as bishops over denied medically indicated abortion

A pregnant woman in Michigan ruptured her membranes weeks before viability. She is not offered a termination (standard of care in the scenario) and suffers an infectious complication. This case from Michigan has eerie similarities to the Savita tragedy in Ireland. The only difference being Ms. Means did not die and Savita Halappanavar did. This case … Continue reading

Insurance companies should stop paying for robotic hysterectomies

A new study confirms what previous studies tell us. That a robotic hysterectomy is not a safer or a more efficient way to remove a uterus for non-cancerous (benign) surgery than a traditional laparoscopic approach. This study (Rosero et al, Obstet Gynecol 2013) indicates that there is little difference between the two types of surgery … Continue reading

The “crack cocaine” of Canadian universal health care

Michele Bachmann, once again displaying her deep caring for the American people and her intricate understanding of the nuances of health care, voiced her last-minute opposition to Obamacare by stating the President is eager to “Get Americans addicted to the crack cocaine of dependency on government health care.” However inelegant her phrasing, I suspect she … Continue reading

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