231 Matching Annotations
  1. May 2018
    1. I realized that with my medical condition (link is external), it had to be someone who understood my condition, my philosophy about life and healthcare, along with knowing my long list of allergies to medications and foods.

      This portion of the article highlights the importance of trusting the person that you chose as a health care proxy to respect your values and lookout for your best interest.

    2. Further, a doctor, medical center, hospital, EMT, and even assisted living staff can make decisions regarding your healthcare, treatment methods and type of medical care to provide you if you are not married, over 18 years old, and do not have a health care proxy in place

      Medical decision making has very specific in rules to protect the rights of the patient. The rules can vary according to a patient's age, marital status, and wether or not they signed a health care proxy document in the first place.

    3. Who would decide what was best for you? Who would advocate on your behalf?

      This is a scary question that most people in the United States have to consider at one point in their life. Trust in the person in charge of making medical decisions is essential.

    4. Health care proxy: An advance medical directive in the form of a legal document that designates another person (a proxy) to make health care decisions in case a person is rendered incapable of making his or her wishes known.

      The medical definition of a health care proxy- a legal medical document that transfers power of medical decision making from a patient to a trusted person.

    1. The question each proxy should ask when making decisions on behalf of others is, who am I truly serving — the patient or myself?

      This article really high lights the potential negatives of the concept of healthcare proxies and provides real life scenarios to help the reader relate.

    2. In situations like this, the proxy (knowingly or unknowingly), is primarily motivated by his own need to have one last opportunity to repair the broken relationship and make amends to redeem himself.

      This last situation suggests that a proxy could have personal motives for keeping a patient alive- in this case, a son was trying to keep his father alive due to his feelings of grief and guilt over the broken relationship. The father was being kept alive in the hospital even though the medical professionals had advised against it.

    3. When the patient is unwilling or unable to make medical decisions, the health care proxy is activated and he or she is obligated to make all health choices on behalf of the patient. These may be related to withdrawing or withholding life support, instituting artificial liquid feeding, attempting resuscitation and even whether or not to participate in autopsy and organ donation.

      Any decisions regarding the care and body of the patient are headed over to their health proxy, who assumes any medical decision making responsibilities from there.

    4. Most of us will lose our ability to make medical decisions for ourselves in the last phase of our lives

      This is an issue that may affect the majority of American people towards the end of their lives.

  2. Feb 2018
  3. Nov 2017
    1. New York is one of 29 states (plus the District of Columbia) that have legalized medical marijuana––a trend that 94 percent of Americans support, according to an August Quinnipiac poll. But on December 8, all of that could begin to change.

      Congress has until that day to decide whether to include the Rohrabacher-Farr Act (also known as Rohrabacher-Blumenauer) in a bill that will fund the government through the next fiscal year. Right now, that law, made up of just 85 words, blocks the Department of Justice from using any money to prosecute medical marijuana in states where it's legal.

      . . .

      “I believe it would be unwise for Congress to restrict the discretion of the Department to fund particular prosecutions, particularly in the midst of an historic drug epidemic and potentially long-term uptick in violent crime," Sessions wrote in his letter.

    1. Via email, the primary investigator of COURAGE, Dr William Boden (Boston University, MA), highlighted that investigators found no subset of patients that did better with PCI vs OMT. Not those with multivessel disease and EF<50%, not those with LAD disease, and not those with nuclear studies showing moderate-severe ischemia.[7–9]
    2. espected investigators from Imperial College London have shaken the core of cardiology. The stakes could not be bigger. Millions of people have received stents for stable coronary artery disease (CAD) at a cost of billions of dollars.
    3. Coronary Stents Humbled Yet Again in Stable CAD
  4. May 2017
  5. Mar 2017
  6. Feb 2017
    1. Previous to the nineteenth century, physicians classified diseases based on the observation of the pre-conditional symptoms known at the time

      Since the medical practices to reveal abnormalities was not an entirely accurate way to "read" bodies, could it be possible that the 19th century norm only became the standard because they couldn't examine bodies to their fullest?

    1. Mengele conducted medical experiments on twins. He also directed serological experiments on Roma (Gypsies), as did Werner Fischer at Sachsenhausen, in order to determine how different "races" withstood various contagious diseases. The research of August Hirt at Strasbourg University also intended to establish "Jewish racial inferiority."

      There is no ethical thing about this "Jewish racial inferiority" because with the resilience of some races to different diseases, they established the "inferiority" at where they were researching. It causes problems because it makes it cloudy to the minds if they were helping or not.

    2. Other gruesome experiments meant to further Nazi racial goals were a series of sterilization experiments, undertaken primarily at Auschwitz and Ravensbrueck.

      This also is unethical, because people have basic rights to make children or offspring. This is unethical because it is was given without consent which in this time and place was not unusual. This shows that with mass sterilization was uncalled for and that with the after effects made it ethical and had to have consent for the procedure.

    3. Unethical medical experimentation carried out during the Third Reich may be divided into three categories.

      By unethical, doctors and scientists experimented on people without supervision or ethics. This shows that in the Nazi Germany that the experiments could be anything and it can have no ethics, this helped with the code of ethics we follow today.

  7. Oct 2016
  8. Sep 2016