Showing posts with label ethics of medicine. Show all posts
Showing posts with label ethics of medicine. Show all posts

Friday, October 31, 2014

Conflict Issues and Special Topics of Invention in Medicine

A Point of Conflict in Medicine
As mentioned by James in his post, the field of medicine is rife with restrictions, conflict, and moral dilemma.  Difficult decisions have to be made regarding ethics, but oftentimes the cold, seemingly unfeeling conclusion is the only one to be drawn.  Such strenuous situations can incite all manner of negative emotions and feelings—both in the doctor and in the patient. 
Topics of Invention in Medicine
Among the sick and afflicted, certain predicaments present themselves with solutions that are often seen as questionable.  In the case of narcotics, patients must decide firstly whether or not the sacrifice of full consciousness (and possibly morality) is worth the potential healing through the drugs.  Similarly, the doctor is also presented with the issue of right and wrong, and whether or not the risk of overdosing or addiction is too strong in a patient.  A potential instance of this could be:
Sometimes the standard is not enough.  This is where conflict sets in.
            Doctor: "The only way that you can be helped at this point if by the use of narcotics to help alleviate pain, but there is not much else that I can suggest."
            Patient: "No!  I don't want to throw away reality and my own ability to properly think.  Hampering that in any way causes me to shudder.  On top of that, the notion seems to me to be one of direct opposition to my religious beliefs.  It's wrong to me." 
            Doctor: "There is no known cure for your condition at this time, so the only assistance that I can provide is to lessen the severity of it.  Rest assured, I would not prescribe you with anything of lethal or harmful effect, but there is nothing else to be done.  I will not force you, but if you want any relief at all, then this is the only option I can provide." 
            Patient: "You've shown me the facts and I can't argue that this would be the only way as of now.  I want to take this avenue, but it goes against everything that I hold dear to me.  It's the principle!" 
Analysis:
Would these clone troopers be able to provide patients with
proper reassurance as to medical prescriptions and diagnoses?
Or, rather, would they simply force their views upon others?
Would this be right or wrong to do?

The doctor made the distinction between there being legally right and wrong scenarios in order to most remedy the situation, while the patient was trapped in the morality of the two.  Along those same lines of the special topics of invention, there was also the problem of what was advantageous and what was disadvantageous.  Benefits and drawbacks existed on both the judicial and deliberative sides of the spectrum.  In addition, under these circumstances, the common topics of invention of cause and effect, laws, documents, and authorities gain increased potency in their relevance and application.  Clearly laying out a path of logic via these strengthened common topics can be used to persuade an otherwise unwilling patient to make a decision on the use of narcotics in treatment.  

Thursday, October 30, 2014

Conflict Issues and Special Topics of Medicine

Many think that a Doctor is free to do whatever they want. While many Doctors seem to be the ultimate authority, they are in fact, restrained by many rules and regulations. The violation of which can result in termination of their license. While dealing with medications doctors also face many ethical situations. The following is a conversation that I overheard today in the clinic.

Patient: “I don’t understand why you can’t just give me the generic for Suboxone! It’s a lot cheaper and my insurance doesn’t want to cover it anymore.”

Doctor: “This is an addiction clinic. The reason why I don’t just prescribe you the generic is because it can be abused easier. The generic does not come with the naloxone inhibitor, meaning it can be used inappropriately. As your doctor I cannot ethically give you a drug that can potentially be abused.”

Patient: “I don’t believe this! I’ve been clean for 5 years. You can’t treat me like a druggie.”

Doctor: “In addition to these legal standards, many patients do not do well on the generic versions of this drug. Many patients experience nausea, headaches, and are more prone to experience withdrawal symptoms. Unless I have a letter from your insurance, stating that they will not cover the Suboxone I will not switch you onto a generic. Suboxone is a controlled drug, and as such I cannot legally switch you to the generic brand simply because it is more affordable.”


Many physicians are forced to make decisions between things that are legally right and morally right in respect to their patients. Many issues that are controversial are really a part of something bigger. Once the big picture is achieved it can be easier to understand, which could be definition or genus and species. Cause and Effect are also powerful. Stating laws and Authorities (usually themselves or the findings of other doctors) are very persuasive. Special topics include what is ethically right and what is advantageous to the patient.