X-Ray Visions: What is your radiation risk?

January 29, 2009

xraylogo.jpgCommentary by Michael Hanley MD PGY-3 and James D. Koonce MD PGY-3, Department of Radiology, Medical University of South Carolina

www.X-rayRisk.com - A Free Online Calculator that Estimates an Individual’s Additional Risk of Cancer as a Result of Medical Imaging

An estimated 62 million CT scans…

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Posted in Ethics, Radiology

The Genetic Information Nondiscrimination Act (GINA)

October 25, 2008

images4.jpgCommentary by Bani Chander MD, PGY-3.  Reviewed by Antonella Surbone MD PhD FACP, Ethics Section Editor.

On May 21, 2008, president George W. Bush signed the Genetic Information Nondiscrimination Act (GINA) into effect. After 13 years of debate in Congress, the…

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Posted in Ethics

Ethical Responsbilities After GINA

October 25, 2008

Commentary by Antonella Surbone, MD PhD FACP, Ethics Section Editor

The Genetic Information Nondiscrimination Act (GINA), passed by the US Congress on May 1st 2008, protects individuals against discrimination by health insurers and employers on the basis of genetic information.(1-4) Genetic…

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Posted in Ethics

Ethics Q&A

September 16, 2008

Q: What is the appropriate response for an internist to the phone call from a friend….”I hate to ask you but,….I have this minor problem and could you help me over the phone or in your/my house?” Some of these friends are officially your…

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Posted in Ethics

Old age and frailty: Biology and Socio-cultural Constructs

August 21, 2008

41_01_52-elderly-people_web.jpgCommentary by Antonella Surbone MD PhD FACP, Department of Medicine, New York University Medical School, Clinical Correlations Ethics Section Editor

According to the Institute of Medicine (IOM) report of April 14th, 2008, the elderly comprise 12% of the U.S. population, and…

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Posted in Ethics, Geriatrics

Its okay to smoke…we’ll screen you

May 9, 2008

lungca.jpgCommentary by Shrujal Baxi MD, NYU Chief Resident

One of the first things you learn about critically analyzing a medical journal piece is to go to the end and see who sponsored the study. Corporate financing is known to have subtle…

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Posted in Ethics, Pulmonary/Critical Care

Breaking Bad News to Patients- A Challenge for Residents

March 13, 2008

bellevue.jpgCommentary by Parul Gandhi MD, PGY-2

Bad news can be defined as “Situations where there is either a feeling of no hope, a threat to a person’s mental or physical well-being, a risk of upsetting an established lifestyle, or where a…

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Posted in Ethics

Ethical Dilemmas: Medical Futility-The Texas Approach

March 6, 2008

texas.jpgCommentary by Vlad Fridman MD, PGY-3

Futility is a topic which has been debated since the beginning of modern medicine. In Hippocratic times, medical practitioners were called upon to serve three purposes: cure, comfort, and refuse to treat those who were…

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Posted in Ethics

Ethical Dilemmas: Artificial Feeding

December 7, 2007

ethics.pngCommentary by Shrujal Baxi MD, Ethics Section Editor, and Joseph Lowy MD, Medical Director, Palliative Care Service at NYU Hospital 

Mrs. Pleasant is an 85 year old woman brought into the ER by her son for poor appetite. Mrs. P is demented…

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Posted in Ethics

An Update on Domestic Violence

September 6, 2007

purple-ribbon.jpgCommentary by Sean Cavanaugh MD, Associate Editor, Clinical Correlations

Most doctors are aware that Domestic Violence, or Intimate Partner Violence (IPV), is a serious health care issue, but the statistics are still startling to most of us. Some surveys have reported…

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Posted in Ethics, Healthcare Policy

Ethics 101-How Do You Approach a Jehovah’s Witness Patient Who Needs a Transfusion?

February 5, 2007

A 76 year old man with a history of coronary artery disease, diabetes and hypertension was brought in by his wife with two days of lethargy, slurred speech and right arm weakness.   On presentation, the patient was awake and intermittently…

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Posted in Ethics