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amednews: Disruptive behavior by doctors, nurses persists a year after crackdown :: Nov. 16, 2009 ... American Medical News
From the article: "A nurse witnessed the onset of complications in an intensive care patient but refused to contact the on-call physician for fear of his temper -- a delay at least one observer thought contributed to the patient's death."
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A nurse witnessed the onset of complications in an intensive care patient but refused to contact the on-call physician for fear of his temper -- a delay at least one observer thought contributed to the patient's death.
In hand sanitizer we trust - The Globe and Mail
A roundup of some changes made to ritual and liturgy in Montréal, Toronto, and elsewhere in Canada as strategies of counteracting the spread of the flu. The piece has a slightly puffy, amused tone, but I think this is pretty interesting, especially for what it implies about the value of ritual and community as opposed to discourse and information (e.g., if the epidemic gets worse, expect churches to tell everyone to stay home and get their sermons via podcast).
YouTube - MainLineHealth's Channel
Wow ... my doctor, or rather my health-care company, has a YouTube channel, a Facebook fan page, and a Twitter feed.
Sharon Begley, "Ignoring the Evidence: Why Do Psychologists Reject Science?," Newsweek.com (Oct. 2, 2009)
Begley doesn't exactly answer the question, but I have some theories, and I suspect it has to do with people's convictions about why human experience is meaningful. I think the disconnect here comes from neglecting what many people, for lack of a better term, might think of as the "spiritual" dimension of their lives. Cognitive-behavioral therapy, as powerful as it has been proven to be, does not satisfy people's desire (both client and therapist) to find narrative resolution, emotional depth, and a sense of meaningful purpose in their suffering. Of course, the same could be said about drugs, and they're obviously very popular, so my gut may be totally wrong on this.
Swine Flu Shots Revive a Debate About Vaccines - NYTimes.com
Excerpt: "According to a CBS News poll conducted last week, only 46 percent said they were likely to get the [H1N1 flu] vaccine... Web sites, Twitter feeds, talk radio and even elevator chatter are awash with skeptics criticizing the vaccine, largely with no factual or scientific basis. The most common complaint is that the vaccine has been newly formed and quickly distributed without the benefit of clinical trials; in fact, the swine flu vaccine was made using the same techniques as seasonal flu shots over the last two decades... There are also claims that the vaccine contains adjuvants -- sometimes added to make vaccines more effective -- although they have not been used in this one. In addition, there is fear that the vaccine could lead to Guillain-Barré syndrome, as was suspected the last time a swine flu vaccine was distributed, in 1976; flu vaccines are now much purer than they were, minimizing the risk, and Guillain-Barré is far rarer."
Swine Flu Shots Revive a Debate About Vaccines - NYTimes.com
Excerpt: "According to a CBS News poll conducted last week, only 46 percent said they were likely to get the [H1N1 flu] vaccine... Web sites, Twitter feeds, talk radio and even elevator chatter are awash with skeptics criticizing the vaccine, largely with no factual or scientific basis. The most common complaint is that the vaccine has been newly formed and quickly distributed without the benefit of clinical trials; in fact, the swine flu vaccine was made using the same techniques as seasonal flu shots over the last two decades... There are also claims that the vaccine contains adjuvants -- sometimes added to make vaccines more effective -- although they have not been used in this one. In addition, there is fear that the vaccine could lead to Guillain-Barré syndrome, as was suspected the last time a swine flu vaccine was distributed, in 1976; flu vaccines are now much purer than they were, minimizing the risk, and Guillain-Barré is far rarer."
Neil Pardington - Home
Over a hundred images by photographer and designer Neil Pardington. The ones that grabbed my attention are images of hospital operating rooms, which were featured on But Does It Float (http://butdoesitfloat.com/96582). Someone posted a link to this on Twitter but I forget who.
Living Will Of Suicide Victim Kerrie Wooltorton - Andrew Jones Of Mackrell Turner Garrett Explains | UK News | Sky News
This Sky News article contains the full text of Kerrie Wooltorton's living will-cum-suicide note.
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14/09/2007 To whom this may concern
If I come into hospital regarding an overdose or any attempt of my life, I would like for NO life saving treatment to be given. I would appreciate it if you could continue to give medicines to help relieve my discomfort, painkillers, oxygen etc. I would hope these wishes would be carried out without loads of questioning.
Please be assured that I am 100% aware of the consequences of this and the probable outcome of drinking antifreeze, eg death in 95-99% of cases and if I survive then kidney failure, I understand and accept them and will take 100% responsibility for this decision.
I am aware that you may think that because I called the ambulance I therefore want treatment, THIS IS NOT THE CASE! I do however want to be comfortable as nobody wants to die alone and scared and without going into details there are loads of reasons I do not want to die at home which I realise you will not understand and I apologise for this.
Please understand that I definitely don't want any form of ventilation, resuscitation or dialysis. These are my wishes please respect and carry them out.
Yours sincerely
Kerrie Wooltorton
Kerrie Wooltorton's death shows how we have lost respect for life - Telegraph
Another op-ed decrying the Kerrie Wooltorton case.
Coroner Says Doctors Had to Let Kerrie Wooltorton Die
Kerrie Wooltorton of Norwich in eastern England, 26, who was reportedly depressed over her inability to have a child, drank antifreeze on Sept. 18, 2007 and then phoned for an ambulance. When she arrived at the hospital, she presented doctors with a living will in which she refused all but palliative treatment. The hospital (after seeking legal advice) honored the living will and let Wooltorton die. Her family is now suing the hospital, and there is an outcry of opposition to the legal basis for the hospital's decision to honor Wooltorton's wishes. They say she was competent to refuse treatment; critics say a depressed person in the process of committing suicide is by definition not competent to make such a decision.
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"It is a double-bind for doctors. She was very clear in her wishes. To have forced treatment on her would have been unlawful," hospital spokesman Andrew Stronach said
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Greater Norfolk Coroner William Armstrong said Monday that the hospital could not be blamed for Wooltorton's death.
"She had capacity to consent to treatment which, it is more likely than not, would have prevented her death," he said. "She refused such treatment in full knowledge of the consequences and died as a result." - 1 more annotations...
DR MARTIN SCURR: Whatever happened to the principle that doctors must always save lives? | Mail Online
An editorial criticizing the decision not to revive Kerrie Wooltorton, 26, who committed suicide in 2007 by drinking antifreeze, and who used the device of a living will to ensure that no lifesaving treatment was given.
Whooping cough deaths spark vaccination debate - ABC News (Australian Broadcasting Corporation)
Australia has its own anti-vaccine movement. In one of the communities where the movement has established a strong presence, there is now a whooping-cough epidemic, which has killed three infants in 2009. The founder of the Australian Vaccination Network has advocated treating whooping cough with homeopathy.
How American Health Care Killed My Father - The Atlantic (September 2009)
One of the smartest all-around pieces I've read on healthcare reform yet. Seen on @karl_bucus 's Twitter stream.
Get fat, live longer - The Globe and Mail
New data suggests that people who are classed as "overweight" may in many instances outlive others whose weight is supposedly healthier.
James Dillard MD (author of The Chronic Pain Solution)
This guy recommends a comprehensive, blended approach to chronic pain management -- lifestyle changes, alternative treatments (such as acupuncture), and traditional medical interventions.
Hayes Pain Management Center (Norristown and Lansdale, PA)
The Norristown office is in Montgomery Hospital.
After more than 15 hours, jury convicts Dale Neumann | wausaudailyherald.com | Wausau Daily Herald
The most complete coverage I've found thus far of the Dale Neumann trial in Marathon County, WI. Archived: http://sqrl.it/?h4anv
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