newszine

Waiting for medical records “after discharge” is of no help for decision making

6 years ago Bernard W Freedman, JD, MPH 0
  Medical records: Waiting for medical records “after discharge” is of no help.  Reviewing medical records  in the hospital allows the patient and/or a surrogate decision maker to obtain the greatest amount of information possible over the cross section of medical specialties providing care.  It provides a clear picture of the condition of the patient Read More

Failing to Follow Best Practices – Ovarian Cancer

6 years ago Bernard W Freedman, JD, MPH 0
At the 2013 annual meeting on Women’s Cancer by The Society of Gynecologic Oncology (March 9 2012 – Los Angeles) Dr. Robert Bristow, the director of Gynecologic Oncology at the University of California – Irvine presented a retrospective review of the medical records of 13,321 women with ovarian cancer, diagnosed from 1999 through 2006 in Read More

The Near Future – maybe

9 years ago Bernard W Freedman, JD, MPH 0
  New Reform Medical Center Serving your Community since 2010   Agreement and Release   As you enter this Hospital you understand, acknowledge and agree that this hospital rations medical care and services. This means that the hospital and physicians can determine that you may not be entitled to certain medical treatment, even if it Read More

The Case of Baby RM – Court Intervention in Bioethics

9 years ago Bernard W Freedman, JD, MPH 0
  This is the kind of case that courts dread. Baby RM has congenital myasthenic syndrome (CMS) and is on a respirator. The physician supports the mother’s request to terminally extubate. The father implores to the contrary. To make a decision the court must hear evidence, the kind of that will provide a clear picture of Read More

Daniel Hauser – and Medical Confidentiality

10 years ago Bernard W Freedman, JD, MPH 0
I agree with the court’s rulings in the case of Daniel Hauser, highlighted in the media recently. In this case there is as absolute need to continue chemotherapy. It should however be pointed out that the Court ignored Mrs. Hauser’s demand for confidentiality and contributed to this case becoming a spectacle in the media and Read More

Life, for some in Texas, is Cheap

10 years ago Bernard W Freedman, JD, MPH 0
HEALTH AND SAFETY CODE CHAPTER 166.039. PROCEDURE WHEN PERSON HAS NOT EXECUTED OR ISSUED A DIRECTIVE AND IS INCOMPETENT OR INCAPABLE OF COMMUNICATION For the most vulnerable patients, without friends or family, life for some medical patients in Texas, is cheap.  On vague and specious grounds and without proper oversight or transparency, physicians may withdraw Read More

Letting the Conscious But Incompetent, Non Terminally Ill, Patient Die

10 years ago Bernard W Freedman, JD, MPH 0
It must not be too easy to withhold life sustaining treatment from any patient. When it comes to a conscious patient, who is not suffering from a terminal illness, we have to be unquestionably sure we know what we are doing.      A consulting physician contacted me expressing great concern that a 60 year Read More

Randomized Pediatric Clinical Drug Trials – Africa and America

10 years ago Bernard W Freedman, JD, MPH 0
In 1996, Pfizer needed a randomized trial for a new broad spectrum antibiotic and sent a team of its doctors into the Nigerian slum City of Kano during a meningitis epidemic. It was represented, to be a "humanitarian mission.” A team of Pfizer doctors arrived at the Nigerian camp where meningitis had killed at least Read More

Autonomy and Abandonment – Legal and Moral Implications

10 years ago Bernard W Freedman, JD, MPH 0
Advance Health Directive: Patient has an advanced health directive, witnessed, notarized and in the format of a legal document done by his attorney, rejecting treatment if he has a terminal condition with the probability of death within a few months; and/or an irreversible condition requiring artificial life support. Patient’s daughter is designated as surrogate. The Read More