Bioethics Discussion Blog: April 2019

REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY.

TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD IN THE LEFT HAND SIDE AT TOP OF THE PAGE AND THEN CLICK ON “SEARCH BLOG”. WITH WELL OVER 900 TOPICS, MOST ABOUT GENERAL OR SPECIFIC ETHICAL ISSUES BUT NOT NECESSARILY RELATED TO ANY SPECIFIC DATE OR EVENT, YOU SHOULD BE ABLE TO FIND WHAT YOU WANT. IF YOU DON’T PLEASE WRITE TO ME ON THE FEEDBACK THREAD OR BY E-MAIL DoktorMo@aol.com

IMPORTANT REQUEST TO ALL WHO COMMENT ON THIS BLOG: ALL COMMENTERS WHO WISH TO SIGN ON AS ANONYMOUS NEVERTHELESS PLEASE SIGN OFF AT THE END OF YOUR COMMENTS WITH A CONSISTENT PSEUDONYM NAME OR SOME INITIALS TO HELP MAINTAIN CONTINUITY AND NOT REQUIRE RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice

FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS FEEDBACK THREAD

Sunday, April 28, 2019

Patient Dignity (Formerly:Patient Modesty):Volume 98






So the "Rules of the Road" is a worthy presentation to each patient who comes to the physician for help but what is often missing is that the doctor needs to understand the "Rules of the Road" as taught by each patient.  As you walk into the doctor's office you get a Welcome document from the doctor. What is missing often is the doctor doesn't get a "Its about me" instruction paper from the patient to educate the doctor regarding his or her rules as they both go down the same road with upcoming Stop signs, turnoffs and speed limits.  One major issue within  such a driving analogy is WHO FOLLOWS WHO? (physician paternalism vs patient autonomy).   Can any of my visitors add to this road analogy? ..Maurice

Graphic: From ZNX Health via Google Images and modified by me.

AS OF MAY 13 2019, THERE WILL BE NO FURTHER COMMENTS POSTED ON THIS
VOLUME 98. YOU CAN CONTINUE POSTING ON VOLUME 99.

Wednesday, April 10, 2019

Patient Dignity (Formerly:Patient Modesty): Volume 97



"Not OK" and who decides it's "OK" or "not OK" in a medical professional-patient relationship? Should the final decision be made by the patient (autonomy) or by the medical professional (paternalism).  My view and practice as a physician is that patient informed but autonomous decisions (or informed decisions made by the patient's surrogate, if necessary) should be the determinant state in all patient-medical profession relationships from onset to final actions.  So this view applies to clinical interaction in all stages of medical practice.  In non-clinical relationships (as briefly discussed in Volume 96) the final decisions are more complicated if a clinical relationship had previously been present.

From the onset of this thread topic,  the views presented have clearly held, with examples of patient hurtful contrary professional behavior, that it is the patient who should "be in charge".   What is my opinion is that simply mumbling and grumbling  on this blog thread as to what is "not OK", I fully agree with the attempts by some of our visitors to "move on" to publicize their view for a need for a changes within the medical system to attend to the needs of patients to maintain their dignity beyond maintaining their health and that there are many examples of professional behaviors which are simply "not OK"with them.  ..Maurice.

GRAPHIC: Created by me utilizing the Microsoft Paint Program

NOTICE: BEGINNING APRIL 29 2019 NO FURTHER COMMENTS WILL BE PUBLISHED ON  THIS VOLUME. COMMENTS CAN BE WRITTEN TO VOLUME 98.