Tuesday, January 22, 2019

Quiz Jan 24

Let's begin by revisiting the comments and questions we didn't quite get to last time, beginning with the question of CRISPR. What do you think are the formative sources of your own perspective(s) on such issues?
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1. Chapter 3 begins by asking if our bioethical perspective ("vision") is skewed by _____... (a) cultural assumptions, (b) gender bias, (c) religious faith, (d) all of the above

2. What's the leading global cause of death among women of reproductive age?

3. (T/F) The "feminist critique" says bioethics has been dominated by culturally masculine thinking.

4. What ethical perspective did Nel Noddings (supported by Carol Gilligan's research) describe as the "feminine approach"?

5. What's a furor therapeuticus?

6. Does Campbell consider the outlawing of female genital mutilation culturally insensitive?

7. What's allegedly distinctive about "Asian bioethics"?

8. What western ethical preconception is "somewhat alien" in the eastern dharmic traditions?

9. What gives Buddhists and Hindus a "whole new perspective" on bioethical issues?

10. What does Campbell identify as a "tension in the Christian perspectives" on bioethics?

DQs:

  • How do you think your own attitudes and assumptions about gender, religion, etc. influence your Bioethical perspective?
  • What do Plato's Euthyphro and the Biblical story of Abraham & Isaac suggest to you about the place of religion in addressing biotethical issues? (61-2)
  • What is Buddhism's bioethical relevance? (69)
  • How should medical professionals treat and care for children whose parents object to medical intervention on religious grounds?
  • Is it best for caregivers to try and limit their personal knowledge of patients' particular perspectives, beliefs, identities (religious, political, cultural etc.) so as to avoid conscious or unconscious bias in treatment, or does this unduly sacrifice the humane dimension of medical practice?
  • Post your DQs

"The most interesting and important thing about you"

Pragmatism
Lecture 1: The Present Dilemma in Philosophy

In the preface to that admirable collection of essays of his called 'Heretics,' Mr. Chesterton writes these words: "There are some people - and I am one of them -who think that the most practical and important thing about a man is still his view of the- universe. We think that for a landlady considering a lodger, it is important to know his income, but still more important to know his philosophy. We think that for a general about to fight an enemy, it is important to know the enemy's numbers, but still more important to know the enemy's philosophy. We think the question is not whether the theory of the cosmos affects matters, but whether, in the long run, anything else affects them."

I think with Mr. Chesterton in this matter. I know that you, ladies and gentlemen, have a philosophy, each and all of you, and that the most interesting and important thing about you is the way in which it determines the perspective in your several worlds. You know the same of me. And yet I confess to a certain tremor at the audacity of the enterprise which I am about to begin. For the philosophy which is so important in each of us is not a technical matter; it is our more or less dumb sense of what life honestly and deeply means. It is only partly got from books; it is our individual way of just seeing and feeling the total push and pressure of the cosmos...

William James, Pragmatism Lecture 1, continues
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How to Stop Rogue Gene-Editing of Human Embryos? Scientists Differ
Some U.S. researchers knew of a Chinese scientist’s intentions to implant edited embryos but were unable to stop him. Now scientific institutions are trying to devise global safeguards.

A year ago, Dr. Matthew Porteus, a genetics researcher at Stanford, received an out-of-the-blue email from a young Chinese scientist, asking to meet.

A few weeks later, the scientist, He Jiankui, arrived in his office and dropped a bombshell. He said he had approval from a Chinese ethics board to create pregnancies using human embryos that he had genetically edited, a type of experiment that had never been carried out before and is illegal in many countries.

“I spent probably 40 minutes or so telling him in no uncertain terms how wrong that was, how reckless,” Dr. Porteus said in a recent interview.

Dr. Porteus did not report Dr. He’s intentions to anyone, because he thought he’d talked him out of it and it wasn’t clear where to report the plans of a scientist in China. Neither did two other American scientists Dr. He confided in... (continues)
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Can a Nice Doctor Make Treatments More Effective?
Connecting with patients doesn’t just make them think someone cares. It can make a difference for health outcomes.

In the age of the internet, it’s easier than ever to pull together lots of information to find the best doctor. And if you’re like most patients, the metric you probably rely on most is the doctor’s credentials. Where did she go to school? How many patients has he treated with this condition?

You might also read some Yelp reviews about how nice this doctor is; how friendly and how caring. But all that probably seems secondary to the doctor’s skills; sure, it would be great to have a doctor whom you actually like, but that’s not going to influence your health the way the doctor’s competence will.

But our research in the psychology department at Stanford University suggests that this view is mistaken. We found that having a doctor who is warm and reassuring actually improves your health.

The simple things a doctor says and does to connect with patients can make a difference for health outcomes... (continues)

15 comments:

  1. Quiz question: According to Erich Fromm religion offers what two things to the believer?

    ReplyDelete
    Replies
    1. It offers a frame of orientation and an object of devotion.

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  2. In regards to the "Can a Nice Doctor Make Treatments More Effective" article, I have to say I not only agree with this research but I have always heard (and personally experienced) the effects of hugs. Hugs and other forms of intimacy release Oxytocin, a drug that been linked several health benefits such as lowering stress levels, reducing inflammation, etc.

    It makes sense that having a more personal relationship with your physician will positively affect your health.

    ReplyDelete
    Replies
    1. I agree as well as it has been shown numerous times that a positive experience will induce a positive frame of mind which is a major determinate in how a patient will do. If the patient has a negative frame of mind, they won't recover nearly as quickly as they would if they were positive.

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    2. As well as a negative frame of mind can influence following events! I strive to keep my mornings from too much unpleasantness (aside of course from getting up in the first place) since it can influence the rest of your day into a snowball of negativity.

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    3. And if this snowball of negativity continues, it can lead to many serious mental health issues. Which is why a positive frame of mind must be maintained and medical professionals should strive to positively influence their patients.

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  3. Quiz Questions:
    1. What resource could you use to find "approaches to Eastern religion to ethics?"
    2. What are the core beliefs or "five pillars" to Muslims?
    3. What religion did Campbell say was "arguably the most complex and diverse?"

    ReplyDelete
    Replies
    1. 1. The dharma of ethics and the ethics of dharma, by Arti Dhand

      2. Testimony, prayer, fasting, almsgiving, pilgrimage

      3. Christianity

      Delete
  4. I feel "nice" is a relative term. Someone who is interpreted as "nice" may speak in a pleasant tone or maybe, a nice person is someone who can speak at a level the patient can understand. They initiate conversations that promotes reciprocal communication where the patients’ needs are heard and validated.
    However, being "nice" is only a small component of being what is considered a "good" doctor. In healthcare, we refer to an amicable doctor as someone who has a good bedside manner. They address all of the needs of the patient on a social and educational level.
    As mentioned earlier, a good doctor possesses more than a good bedside manner; they will spend time invested in the patients behind the scenes. When the nurse calls and says their patient’s blood pressure is extremely low, the doctor is courteous to the staff and implements a treatment plan, rather than yelling at the nurse and saying, "don't call me about that" (which happens more than one would like). Is being available and responsive to changing patient conditions being “nice” or being a good doctor? A good doctor is willing to come in during the middle of the night if needed and come in on their day off. It is a full commitment to the care of their patients.
    In my experience there are pleasant doctor’s whose patients don’t fare well. There are disgruntled doctors who offer sublime care to their patients and it is reflected in the health outcomes and there are intolerable doctors whose patients have poor outcomes but continue to practice because of practitioner shortages.

    ReplyDelete
    Replies
    1. I dont think there is a single person in the world who everyone can agree they "like". I find it strange myself; especially when we find those certain people who have to be a saint reincarnated. However there is always at least one person that has no pleasant feelings toward that one person for whatever reason. I also like to think that doctors and nurses are humans who work long hours and sometimes their bedside manner might not be the best - Ive had this, but the second visit he was perfectly good! Just had a bad day- and all of us have our off days. So i wouldnt nessicarily count out a doctor on being a bad doctor if they happen to have an off day. Like Elizabeth has said I believe the good doctors are the ones that are "willing to come in during the middle of the night if needed and come in on their day off." The ones that persist in helping people even when they've met their quota for the next paycheck.

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  5. Alt quiz questions!

    1. The Ethics of Care is a moral theory. True or false?

    2. describe the philosophical puzzle which is problematic for ethical relativism.

    3. What does a feminist critique of oppressive social structures lead to a rejection of?

    4. How can embodiment become demonstrative of self-hatred?

    5. What role does Dualism play in feminist critique? Does it play a role, or emphasize an opposite?

    6. How can empowerment be achieved?

    7. Which biblical story (one of many) contributes to a disdain of women?

    8. How is gender bias evident in medical research?

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  6. My general practitioner is nice, and always takes the time to converse with me on matters not directly related to my health (it doesn't hurt that he took a couple of philosophy course in college). That makes the dreaded prostate exam both more and less comfortable, if you know what I mean!

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  7. On the post about the kindness of doctors; I found it a little bit intriguing and thought about a recent topic I am in a research group for. We are tackling on the problem in hospitals of parents not being able to understand the forms, prescriptions, ect. So far the research group has gathered evidence that the medical lingo online that an everyday citizen would use to check as a first measure of medical treatment is around a 9th grade reading level on average, while the literacy of parents in underprivileged areas tends to fall much below that level; leading to this issue of not being able to understand what documents they are mindlessly signing. This has a correlation with good health. A big part of this problem is that employees in the medical field don't have the time to sit down with every patient that does not understand the forms they are given. This can lead to drastic consequences; An individual that uses Spanish for example could easily misread a prescription of "Take 100mg once a day" with the translation of "take eleven(Spanish equivalent of once) a day", this person is now dead. With regards to the issue posted it makes me wonder if the more caring doctors are also taking more time to explain through what the patients are suffering from and the care they will need to follow through with at home
    .

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  8. How do you think your own attitudes and assumptions about gender, religion, etc. influence your Bioethical perspective?

    In an attempt to give every individual the right of choice regardless of gender, religion, cultural background etc... I believe that I try to remain as nonpartisan as possible. Without forcing my own beliefs regarding bioethical decisions onto others I truly do wish to gauge their understanding without bias or scrutiny. The perspective granted to me may not be aligned with another's perspective, but if their argument is concise and firmly persuasive enough I am more than willing to accept a stronger argument.

    ReplyDelete
  9. Some Extra Questions

    1)What are some other potential biases that come from perspectives?

    2)In your mind, what is more important: the cultural ritual or the health and welfare of an individual?

    3)Do you think different states should have different ethical laws because of differences in culture?

    4)Should different branches of medicine have different rules?(For example, should preventive medicine have more power because of the risk for the public?)

    ReplyDelete