Thứ Năm, 4 tháng 10, 2012

Susan Van Note - Murder via Forged Advance Directive

The criminal case against Liz Van Note about which I wrote three weeks ago, has now been getting worldwide coverage.






Rasouli - Medical Futility and Physician Power


Robert Cribb has a superb and detailed
article on the Rasouli case in 
Friday's Toronto Star.  Among other
interesting observations, Sunnybrook is apparently far more willing to stand up
to surrogates than are other Toronto hospitals.




While Cribb does
not note it, this is borne out by the several recent cases
 in which Sunnybrook (allegedly) acted unilaterally and did not seek consent through the CCB process.  Three cases other than Rasouli are




  1. Man Kee Li

  2. DeGuerre / Wawrzyniak (lawsuit for damages)

  3. DeGuerre / Wawrzyniak (licensure/registration action)




Barry Swadron, who represents a family in another lawsuit against
Sunnybrook
, says:  "I’ve had at least a dozen
people call me over the past two years with similar incidents at Sunnybrook. . . .  Sunnybrook appears to be an island unto itself. The doctors and
staff seem to think they’re not subject to the procedures that govern other
hospitals in Ontario.”






NY Lawsuit Charges Deaths Hastened to Procure Organs



Three years ago, Dr. Hootan Roozrokh was acquitted of hastening a patient's death in order to procure his organs.  I have written about other cases in Pennsylvania, Florida and elsewhere.  Now, there is a new case in New York City.  



Patrick McMahon, a former transplant coordinator,for the New York Organ Donor Network alleges that NYODN pressured hospital staffers to declare patients brain dead so their body parts could be harvested.  



Here is just one example cited in the complaint:  In September 2011, a 19-year-old man injured in a car wreck was admitted to Nassau University Medical Center. He was still trying to breathe and showed signs of brain activity.  But doctors declared him brain dead under pressure from donor-network officials, including Director Michael Goldstein, who allegedly said during a conference call: “This kid is dead, you got that?”

Karen Okada: Resolving Conflict between Surrogate and Advance Directive


A
few weeks ago, I wrote
a post
 about the ongoing
Karen Okada case in Hawaii.  This 95-year-old woman expressed in her 1998
written advance directive not to have her dying “artificially prolonged.”
 Last month, Mrs. Okada suffered the latest in a series of medical
crises.  Her doctors at The Queen’s
Medical Center determined she was beyond recovery and recommended removing
her feeding tube.  But at the same time she documented her wishes,
Mrs. Okada also appointed her brother as her health care proxy.  He insists the feeding tube stay in
place.





I
argued that the hospital should have just complied with the patient's advance
directive without seeking judicial permission.  But now that the case is
pending in court, the court should permit the hospital to comply with the
patient's advance directive contrary to the surrogate's decision.  Compassion & Choices has just filed a
motion seeking to submit an amicus curiae brief arguing this position.  




Thứ Tư, 3 tháng 10, 2012

Pediatric Bioethics Debate Series



Check out this fantastic Pediatric Bioethics Debate Series at Children’s Mercy Bioethics Center.  I am delighted to be a part of it.



Tuesday, October 2, 2012 

Is Neonatal Euthanasia ever Morally Defensible?

Eduard Verhagen, JD, MD

Neonatologist and Clinical Director of Pediatrics, Department of Pediatrics, University Medical Center Groningen, Netherlands

Brian Carter, MD

Professor of Pediatrics, University of Missouri-Kansas City; Bioethics Center and Section of Neonatology, Children’s Mercy Hospitals and Clinics



Tuesday, November 27, 2012 

Is Expanded Newborn Screening Good for Children?

Duane Alexander, MD

Senior Scientific Advisor, Global Maternal and Child Health Research, Fogarty International Center, National Institutes of Health

Lainie Friedman Ross, MD, PhD

Carolyn and Matthew Bucksbaum Professor of Clinical Medical Ethics; Professor, Departments of Pediatrics, Medicine, and Surgery; Co-Director, Institute for Translational Medicine; Associate Director, MacLean Center for Clinical Medical Ethics, University of Chicago



Thursday, November 29, 2012 

Are Slow Codes Sometimes Preferable to Unilateral DNR Orders?

Annie Janvier, BSc, MD, PhD, FRCPC

Associate Professor, Department of Pediatrics, University of Montreal; Neonatologist and Clinical Researcher, Neonatal Intensive Care Unit, CHU-Sainte Justine Hospital, Montreal, Canada

William Meadow, MD, PhD

Professor of Pediatrics; Co-Section Chief, Neonatology; Director, Neonatology Fellowship Program, University of Chicago



Tuesday, February 5, 2013 

Does the Concept of ‘Medical Futility’ Help Clinicians?

Robert D. Truog, MD

Professor of Medical Ethics, Anesthesiology, and Pediatrics and Director of Clinical Ethics, Harvard Medical School; Executive Director of Institute for Professionalism & Ethical Practice and Senior Associate in Critical Care Medicine, Children’s Hospital, Boston

Robert L. Fine, MD, FACP, FAAHPM

Clinical Director, Office of Clinical Ethics and Palliative Care, Baylor Health Care System

Thaddeus Mason Pope, JD, PhD

Director of Health Law Institute and Professor of Law, Hamline University



Friday, March 15, 2013 

Should Parents be Permitted to Test Children for Adult-Onset Conditions?

Kelly Ormond, MD, CGC

Associate Professor and Director, MS in Human Genetics and Genetic Counseling, Stanford University

Rosamond Rhodes, PhD

Professor of Medical Education and Director of Bioethics Education, Mount Sinai School of Medicine; Professor of Philosophy, The Graduate Center, City University of New York; Professor of Bioethics and Associate Director, Union-Mount Sinai Bioethics Program





Thứ Ba, 2 tháng 10, 2012

Medicare & Medicaid: Where the Money Goes

The High Cost of Dying in the 21st Century

A quarter of Medicare recipients exhaust their entire savings and more on out-of-pocket health care expenses during the last five years of their lives.



Nevertheless, talking about end of life costs is mired in politics.  In the ensuing furor, Dr. Art Derse, says (on Milwaukee Public Radio) on an opportunity was lost to have a rational conversation about the costs of health care as we come to the end of our lives.   Derse is the director of the Center for Bioethics and Medical Humanities at the Medical College of Wisconsin.