By John D. Lantos MD
During this new, startlingly unique e-book, John D. Lantos weaves a compelling tale that captures the dilemmas of recent scientific perform. The Lazarus Case: Life-and-Death matters in Neonatal in depth Care starts with a fictional malpractice case—an amalgam of commonplace situations within which Lantos seemed as knowledgeable witness—and makes use of it because the framework for addressing the moral concerns surrounding neonatal in depth care. Lantos attracts on his event in neonatal drugs, pediatrics, and scientific ethics to discover a number of moral dilemmas via one poignant consultant situation.In Lantos's version case, a physician comes to a decision to prevent resuscitation of a untimely child, a tiny "preemie" who turns out prior moderate care. the child survives with critical neurological defects and the oldsters sue the health professional, alleging that preventing therapy was once negligent. From this example, Lantos considers our ethical tasks to severely sick infants, the that means of negligence, and the types of social constructions that form the ethical consciences of doctors.Each bankruptcy starts with Lantos deposing within the convention room of the plaintiffs' attorneys. The questions placed to Lantos in the course of the deposition spark an engrossing retelling of his own stories with untimely infants, in addition to his considerate discussions of ethics, morality, background, and scientific facts. Sprinkled in the course of the e-book are references to fictional works by means of Camus, Dostoevsky, Shakespeare, Twain, and others. Lantos makes use of those literary examples to additional illustrate the ambiguities, misunderstandings, tasks, and evasions that plague our judgements relating to existence and loss of life, treatment and clinical schooling, and eventually the price and cost of conserving the lives of the main susceptible between us. (2003)
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Additional info for The Lazarus case: life-and-death issues in neonatal intensive care
Incubators for premature babies were thus a technical and scientiﬁc curiosity looking for a market. They did not create the sense of personal or societal moral obligation to care for each and every premature baby that would come later. Instead of being adopted by hospitals, the Budin-Tarnier incubator was ﬁrst widely used by Martin Couney, who recognized that the fascinating spectacle of tiny premature babies could be quite lucrative. That parents and society allowed the use of preemies in such “freak” shows illustrates just how drastically moral sensitivities have changed over the past decades.
Gustafson was disillusioned by the development of bioethics as a separate discipline. He found the ﬁeld to be distorted by an encroaching “legalism” that cheapened rather than deepened the ﬁeld. In his own work he moved away from the moral problems of medicine to broader moral concerns. 24 George Annas, a lawyer, and Leon Kass, a philosopher, have both taken their bioethics colleagues to task for a vagueness and a lack of direction. Kass thinks that bioethics has become all about talk, rather than action, and thus has failed to have a discernible impact on the day-to-day practice of medicine.
Instead, the professionals focused on the machines and the monitors, listening to the rhythm of the beeps, watching the ﬂickering digits on the ventilators and the infusion pumps and the mysterious tracings across the amber oscilloscope screens representing the electrical activity of the babies’ hearts. (Oscilloscopes! What a mental image! Just two decades ago those oscilloscopes were state-of-the-art. They would now date a photograph of the NICU like a Studebaker or a hula hoop. Today there are only ﬂat-screen graphics displays.