Here’s an intriguing letter from one John Doherty, published in the BMJ yesterday: Medical titles may well reinforce a clinical hierarchy and inculcate deference in Florida, as Kennedy writes, but such constructs are culture bound. When I worked in outback Australia the patients called me “Mate,” which is what I called them. They still wanted me to be in […]
Category: clinical ethics
Homeopathy, Blacklisting, and the Misuse of Choice
It seems that homeopathy might at last be facing some serious opposition from within the NHS, with the prospect of its being blacklisted being considered. There’s any number of people who’ll be entirely on board with that. Homeopathy doesn’t work. Of course, a lot of medicines turn out not to work, or not to work […]
Stop What You’re Doing: This is Important.
I’d not realised it, but the latest iteration of the erstwhile Medical Innovation Bill – colloquially known as the Saatchi Bill – is up for debate in the Commons on Friday. This is it in its latest form: to all intents and purposes, though, it’s the same thing about which I’ve blogged before. In a […]
Assisted Dying’s Conscience Claws
Aaaaaaaand so the latest attempt to get assisted dying of some sort onto the statute books in the UK has bitten the dust. I can’t say I’m surprised. Watching the debate in the Commons – I didn’t watch it all, but I did watch a fair chunk of it – it was striking just how […]
Jeremy Hunt and Costs to the Taxpayer
“Personal responsibility” is a strange phrase: while not as slippery as some, it can mean any number of things, and be put to use in any number of political contexts. It was the title of the speech that the Health Secretary, Jeremy Hunt, gave yesterday. In that, he spoke of three aspects to the concept. First […]
What should Investigators be Doing with Unexpected Findings in Brain Imaging Research?
Guest Post by Caitlin Cole Incidental findings in brain imaging research are common. Investigators can discover these unexpected findings of potential medical significance in up to 70% of their research scans. However, there are no standards to guide investigators as to whether they should actively search for these findings or which, if any, they should […]
Re-Engineering Shared Decision-Making
Guest post by Muriel R. Gillick When physician-law-professor, Jay Katz, published The Silent World of Doctor and Patient in 1984, shortly after I completed my medical residency, I felt he was speaking directly to me. He was telling me what kind of physician to be – not the old-school, paternalistic physician who told patients what treatment was best, […]
Is Age a Determinant Variable in Forgoing Treatment Decisions at the End of Life?
Guest post by Sandra Martins Pereira, Roeline Pasman and Bregje Onwuteaka-Philipsen Decisions to forgo treatment are embedded in clinical, socio-cultural, philosophical, religious, legal and ethical contexts and beliefs, and they cannot be considered as representing good or poor quality care. Particularly for older people, it is sometimes argued that treatment is aggressive, and that there may […]
The Talking Cure Taboo
Guest post by C Blease Talking cures have never been so accessible. Since 2007 the UK government has invested £300 million launching its Improved Access to Psychological Treatments scheme. The goal is to train up to 4000 therapists in a particular branch of psychotherapy – cognitive behavioural therapy (CBT). CBT is the most widely researched […]
The Death of Sidaway: Values, Judgments and Informed Consent
Guest post by Kirsty Keywood (University of Manchester) On 11th March Nadine Montgomery won her case before the UK Supreme Court to gain compensation for the failure of her obstetrician to warn her of risks associated with the vaginal delivery of a large infant – a risk which she would have averted by requesting a […]