Tag: Doctors Patients and Diseases
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Patient choice—Is it always appropriate?
Denis ChenNewcastle-under-Lyme, United Kingdom Beauchamp and Childress published Principles of Biomedical Ethics in 1979, introducing the “Four Principles” of medical ethics: beneficence, non-maleficence, autonomy, and justice.1 They argued that “best” treatment depends on patient preferences and applied to all cultures and societies. These principles were philosophically underpinned by the duty-based ethics of Immanuel Kant (1724–1804)…
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Medical education and family caregiving in immigrant populations
Mahnoor AyubDetroit, Michigan, United States According to the Kaiser Family Foundation,1 1 in 4 children in the US has an immigrant parent. South Asian (SA) countries are one of the main sources of international migration.2 The SA immigrant population in the US is heterogeneous and includes people from countries such as Pakistan, India, Nepal, Bhutan,…
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The privilege of caring for three Nobel laureates and learning from another
Kevin LoughlinBoston, Massachusetts, United States My experience with Nobel laureates began on Monday, July 2, 1979. The previous weekend, I had started my urology residency at Peter Bent Brigham Hospital in Boston. The outgoing resident had signed out the urology service to me the evening before and mentioned, “Doctor Harrison has a suprapubic prostatectomy booked…
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The birds of death
Edward TaborBethesda, Maryland, United States I got to know the children’s hospital when I was in my second year of medical school and was assigned to the pediatric rotation. From one perspective, the building had the wrenching sadness of childhood disrupted by illness. But it also had benevolent stories: most of the children who arrived…
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Waking dream
Jeffrey HauckHouston, Texas, united States I found myself in a grassy field. Lush green below, sapphiric blue above. My mother was with me, and we walked through endless space discussing trivialities that I am sure were important at the time. I turned to her at one point, and she gave me a bizarre look—clearly, something…
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The truth, the whole truth, and nothing but the truth: But to what end?
Hugh Tunstall-PedoeDundee, Scotland Different variants of the doctors’ Hippocratic Oath swear to a virtuous life, honoring their patients and respecting their confidences, but not specifically promising to tell them the truth! Until recent decades it was not uncommon for doctors to avoid telling their patients specifically what was wrong, if serious, in order to avoid…
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Forty years a watchdog: Sidney Wolfe, M.D.
Howard FischerUppsala, Sweden “Somebody has to look out for the people who are being manipulated by hospitals, doctors, insurance and drug companies.”– Sidney Wolfe, MD, 1993 Sidney Wolfe, MD, (1937–2024) was the co-founder in 1971 of the Health Research Group (HRG), a consumer and health advocacy lobbying organization. After earning his medical degree from what…
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Passing sentence
Anthony PapagiannisThessaloniki, Greece The man facing me across the desk is outwardly calm. He gives an innocent enough history of a vague pain in his back which eventually led his family physician to send him for a chest film. Something did not look right, and a computed lung scan followed. This was the reason for…
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Room 460
Megan RizerGainesville, Florida, United States Every time I walked by Mr. L’s hospital room, I heard the Game Show Network blasting on television. The Price is Right, Press Your Luck, Wheel of Fortune—some rerun of an old game show was always on. I had been helping to take care of him for several weeks, rounding…
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The Bancroft doctors: Edward, Daniel, and Nathaniel
Jonathan DavidsonDurham, North Carolina, United States Quercitin is a flavonoid compound derived from quercitron, found in many plants and vegetables. It possesses anti-inflammatory, antioxidant, and other effects and has possible therapeutic value.1 Quercitin not only has medicinal properties, but for almost 100 years was the chief coloring agent used in the textile and printing industry.…