
By John D. Lantos MD
During this new, startlingly unique booklet, John D. Lantos weaves a compelling tale that captures the dilemmas of contemporary scientific perform. The Lazarus Case: Life-and-Death matters in Neonatal in depth Care starts with a fictional malpractice case—an amalgam of normal instances within which Lantos seemed as a professional witness—and makes use of it because the framework for addressing the moral matters surrounding neonatal extensive care. Lantos attracts on his event in neonatal drugs, pediatrics, and clinical 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 forestall resuscitation of a untimely child, a tiny "preemie" who turns out prior average care. the newborn survives with critical neurological defects and the oldsters sue the health care professional, alleging that preventing remedy used to be negligent. From this example, Lantos considers our ethical responsibilities to severely in poor health infants, the that means of negligence, and the types of social constructions that form the ethical consciences of doctors.Each bankruptcy starts off with Lantos deposing within the convention room of the plaintiffs' legal professionals. The questions placed to Lantos in the course of the deposition spark an engrossing retelling of his own reports with untimely infants, in addition to his considerate discussions of ethics, morality, heritage, and scientific facts. Sprinkled through the booklet are references to fictional works through Camus, Dostoevsky, Shakespeare, Twain, and others. Lantos makes use of those literary examples to extra illustrate the ambiguities, misunderstandings, tasks, and evasions that plague our judgements relating to existence and demise, remedy and clinical schooling, and finally the fee and cost of conserving the lives of the main weak between us. (2003)
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Extra resources for The Lazarus case: life-and-death issues in neonatal intensive care
Sample text
His manner was reassuring and paternal. We settled in. The court reporter set up her arcane and complex set of recording devices, and after being sworn in (without a Bible), I stated my name and recounted my education. Undergraduate school, medical school, internship, residency, a fellowship in medical ethics. Then, surprisingly, the lawyer for the plaintiffs cut right to the chase. ” “Well I’m not sure what that means,” I said self-deprecatingly. “I’ve read much of what has been written over the last two decades about issues in medical ethics, particularly those related to pediatrics and neonatology.
If only neonatologists had accurate, up-to-date knowledge about what was really going on in NICUs and even other pediatricians and obstetricians were out of touch with recent developments, then it seemed unlikely that parents could understand the complexities. The decisions being made by the small group of experts who understood what was going on had important implications that went far beyond the NICU walls. Not everyone was comfortable with the decisions that those experts were making. Scrutiny shifted from the philosophical basis for the decisions to the sociological milieu of the decision makers.
But it is difficult to determine what, exactly, determines the boundaries. ” The lawyer made a few notes, shuffled through his papers, and nodded his head with a little smile to himself. Then he slowly looked back at me. “Doctor,” he said,“This case involves the care of a premature baby. ” To tell the truth, which I had sworn to do, it had been quite a while since I had taken care of a premature baby. But yes, I had. The question stirred up some memories. Passing Out in the NICU I nearly passed out during my first visit to an NICU.