Patients Rights or Doctor's Morals? (1 Viewer)

Louis Lasagna, eh?

I've tried to come up with some kind of violation of the Hippocratic Oath, given the examples mentioned in the article, but I can't come up with one. In fact, I can't bring myself to object to any of the examples given. None are "emergency situations" (although I suppose the morning after pill could be interpreted to have been an "emergency".... I'm not sure how time-sensitive that situation might be, but given that she was in a hospital, surely she didn't even have to leave the building to find someone who would write the scrip.)

Generally speaking, I'd agree with Taurus, but I just don't see how Taurus' point applies to any of the specific situations mentioned. Again, only one of the examples could even be argued to have been an "emergency." I could be wrong, but I would assume that these issues are addressed long before any E.R. doc is ever given a patient. Now, whether they're told "if you want to work here, you do not have the freedom to make these decisions" or they're accommodated and the schedule is kept so that there are other docs on duty who will provide these services, I don't know. Maybe different facilities have different policies on that. But I can't imagine that an E.R. wouldn't be well on top of these issues in advance of a situation coming up.

Abortions: Certainly can be an emergency, and obviously can be a matter of the patient's health, even life or death. But the article doesn't make it clear that these are part of what these doctors won't do. Could be that they only refuse elective abortions or abortions of "convenience." Could be that their practice doesn't put them into situations where they're charged with performing "necessary abortions" for the health or life of the mother. The article does not say that anyone has actively refused treatment and as a result has done harm to a patient.

Sterilizations: Is there such thing as an "emergency hysterectomy" where time is of the essence to preserve a woman's health? There might be, I don't know. But outside of that one situation (where, again, you'd assume that if that were the case, they'd be in a hospital with other doctors who could do the procedure) sterilizations are usually elective, and aren't time-sensitive, right?

Contraception: While Taurus is obviously right that contraceptives aren't always solely about contraception, there are other reasons a person might take them, again, it's not like the patient can't get the scrip from another doc. And I can't imagine any kind of time-sensitive "emergency contraception scrip" scenario.

Refusing to remove ventilator or feeding tube: I suppose it could be argued that if family members are staunchly insisting that the patient be "put out of [his/her] misery" and the doc refuses, then perhaps he's "doing harm" to those family members by "prolonging their grief" or whatever, and the Hippocratic Oath as posted by BullDawg seems to indicate that this is part of the doc's charge. So maybe there's an argument there. But again, surely another doc can be called in who does not object.

Viagra for an unmarried man: Please. Just reply to one of the 20 sp@m emails you've received in the last 20 minutes. An added benefit is that it'll be like 80% cheaper or something.

In no case is the doc, by objecting and refusing, causing the patient anything more than a slight inconvenience, as far as I can tell. And like I said before, while generally I tend to lean toward Taurus' position, in cases where it's the doctor's beliefs/morals/convictions/whatever... even ones based on religion... vs. something as minor as the inconvenience of having to seek the service elsewhere, I'm going to have to come down on the side of deeply-held beliefs trumping the slight inconvenience.

Pure Energy said:
Here's another one: What if research concludes better outcomes for patients when the surgeon prays for 5 minutes prior to the procedure?

If some surgeons disagreed with the concept of praying would they be within their rights not to pray before performing the surgery?

Specious reasoning. I just snapped my fingers and rubbed my head. I did not get attacked by a wild boar. I bet if I did the same thing 100 more times, I would not get attacked by a wild boar. Ergo, snapping ones fingers and rubbing one's head keeps wild boars from attacking.

The "conclusions" of that kind of "research" are meaningless and just silly. You could do the same kind of research and conclude that wearing a certain brand of shoes, or spinning in a circle three times and then doing a backflip, or reciting the lyrics to When the Saints Go Marching In affects the outcomes of sugeries. Surgeons should certainly be allowed their pre-surgery rituals if it helps them, but to ask everyone to adopt any pre-surgery ritual is both rediculas and ludacris.
 
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Yup. Except in those cases, the doctor is basing his decision on what he thinks is best for the patient's health. IE: Too many plastic surgeries (or any truly unnecessary surgery) isn't healthy.

In the other cases, the doctor has abandoned the idea of what's right for the patient in favor of what feels good to the doctor.

No difference. Patient WANTS plastic surgery, doctor refuses to do it because of concern over patient's health. Patient WANTS abortion, doctor refuses to do it because of concern over patients' (both patients - mother & baby) health.
 
These are the only reason I would support abortion. Sorry, but that is one of my beliefs, the woman was raped, she should not have to carry that pregnancy!!! The only other is if the mother's life is in danger. Doctor's who want to practice like that should have a sign and listing outlining what they will do!!!! And they would not work in ER or hospital!!!
 
I think a doctor has virtually an absolute right to not engage in behavior they believe is injurious
 
Excellent post, CLAMO. (Good to see you on the EE again)

And I agree that when setting up a practice, a physician has the right to state what services they offer. If it's a matter of inconvenience for the patient to find a doctor who'll perform a purely elective procedure, oh well.

What concerns me are cases where the situation deteriorates and the doctor is forced to make those hard choices for which they get the big bucks.

If a woman develops a heart valve flutter during pregnancy, for instance. If she comes to her doctor and says "This is getting too risky for me, I want to end the pregnancy." What's one of these folks going to tell her?
 
I think a doctor has virtually an absolute right to not engage in behavior they believe is injurious

And vice versa, the patient has the right ,but there are still corrupt and woefully skilled doctors out their, but the AMA and the state's keeps it quite and let's them still work!!!!! We public don't find out except by word of mouth.
 
Specious reasoning. I just snapped my fingers and rubbed my head. I did not get attacked by a wild boar. I bet if I did the same thing 100 more times, I would not get attacked by a wild boar. Ergo, snapping ones fingers and rubbing one's head keeps wild boars from attacking.

The "conclusions" of that kind of "research" are meaningless and just silly. You could do the same kind of research and conclude that wearing a certain brand of shoes, or spinning in a circle three times and then doing a backflip, or reciting the lyrics to When the Saints Go Marching In affects the outcomes of sugeries. Surgeons should certainly be allowed their pre-surgery rituals if it helps them, but to ask everyone to adopt any pre-surgery ritual is both rediculas and ludacris.

In the examples you've outlined above, you've not considered scientific research. For instance, in the example given regarding snapping your fingers, you have to contrast that against not snapping your fingers. With regard to the shoes, if you perform a study and learn that soft soled shoes are advantageous to hard soled shoes, when performing a surgery, then yes you should recommend that to the surgeon. Again, don't think superstition, but rather the scenario of scientific research.

Please try responding again, but address if from the perspective that that scientifically sound research indicated Prayer prior to surgery actually produced better results. Also, assume this research was published in the NE Journal of Medicine. Also assume the coefficient of correlation for a linear regression is +0.96. Finally, assume it cannot be proven exactly why prayer works but the study was conducted with 10,000 surgeons in 150,000 surgical procedures.

The question is would the conclusions from that research put pressure on the surgeons to pray prior to surgery.
 
Well, let's see the article, PE. Does it matter to what the surgeon prays? Does it matter if they "pray" or just take five to center themselves?

Would I be against a suggestion that surgeons do "something" as a pre-surgery ritual to clear their minds if it was shown that doing so clearly helps? No. But then, if the results were so clearcut, I'd expect a good surgeon to find something that works for him/her without being pressured.
 
I don;t think Pure Energy is talking about an actual study because I can find nothing on it except for studies showing prayer has no effect on patients' recovery after surgery.

As for the hypothetical - it is interesting. Assume surgeries performed by surgeons who pray to the Christian god before performing the surgery are more likely to perform successful surgeries than those surgeons who pray to another god or who don;t pray at all - should surgeons then be required to pray to the Christian god before surgeries?
 
I don;t think Pure Energy is talking about an actual study because I can find nothing on it except for studies showing prayer has no effect on patients' recovery after surgery.

As for the hypothetical - it is interesting. Assume surgeries performed by surgeons who pray to the Christian god before performing the surgery are more likely to perform successful surgeries than those surgeons who pray to another god or who don;t pray at all - should surgeons then be required to pray to the Christian god before surgeries?

PE is referring to an actual study, published in The New England Journal of Medicine, about 2 or 3 years ago.
 
PE is referring to an actual study, published in The New England Journal of Medicine, about 2 or 3 years ago.

Can't find anything on Google.

Went to : http://content.nejm.org/ and searched for various combinations of prayer and/or surgery and/or surgeons
and nothing came back resembling a study like the one Pure Energy was talking about.
 
I thought it was a hypothetical question as well. I remember there was a study recently that seemed to conclude that praying for an injured loved one had no effect on their recovery. It was actually sponsored by a group that tried to prove the opposite, IIRC.
 
I don;t think Pure Energy is talking about an actual study because I can find nothing on it except for studies showing prayer has no effect on patients' recovery after surgery.

As for the hypothetical - it is interesting. Assume surgeries performed by surgeons who pray to the Christian god before performing the surgery are more likely to perform successful surgeries than those surgeons who pray to another god or who don;t pray at all - should surgeons then be required to pray to the Christian god before surgeries?

Correct Jim...it's a hypothetical question (I know of no such published research) just to put the shoe on the other foot. On one hand we're saying that Christian surgeons should have the patient's best interest at heart and forgo their moral beliefs in the interest of the patient. My guess is on the other hand the "non-believer" or atheist practitioner wouldn't consider praying to a personal Diety if it was proven that that action would contribute to a better outcome for the patient.

I'm expecting the answer will be a double-standard.
 
Correct Jim...it's a hypothetical question (I know of no such published research) just to put the shoe on the other foot. On one hand we're saying that Christian surgeons should have the patient's best interest at heart and forgo their moral beliefs in the interest of the patient. My guess is on the other hand the "non-believer" or atheist practitioner wouldn't consider praying to a personal Diety if it was proven that that action would contribute to a better outcome for the patient.

I'm expecting the answer will be a double-standard.

It's possible there might be a double-standard. But consider the hypothetical -- hard proof that praying to a Diety works. I assume that under this scenario, any other sort of meditation that does not involve a god does not work.

I suspect, that if the scientific research was rigorous enough, you'd have most athiests converting. Otherwise, market forces would drive the athiest surgeons out of business since they wouldn't be as effective as praying surgeons....

That's what should happen now... if a doctor is working for an employer they follower their employer's rules. If they don't they're fired. If the employer is effective, the turn a profit, if they aren't, they go out of business. At least that's the way it should work. It's not that efficient with the health industry.
 

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