tag:blogger.com,1999:blog-426449816547504479.post7674262030254050938..comments2024-03-12T07:39:17.776+00:00Comments on Internal Optimist - Medical Student to Junior Doctor Blog: OverdoseInternal Optimisthttp://www.blogger.com/profile/16194212321633856081noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-426449816547504479.post-14550010538354611652019-11-04T21:04:27.078+00:002019-11-04T21:04:27.078+00:00Sell/sale your k1dney in India Urgently for the su...Sell/sale your k1dney in India Urgently for the sum of $500,000,00,(3 crore) and Also In <br /><br />Foreign currency.For more info Email: healthc976@ gmail.com <br />Call or whatsapp +91 994 531 7569Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-41830566923135359272010-03-29T12:44:09.284+01:002010-03-29T12:44:09.284+01:00Nice to see some healthy debate going on here, and...Nice to see some healthy debate going on here, and thanks for posting up your views and replies. I am glad people agree with me and I am not just airing my feelings of righteousness to a load of people who disagree.<br /><br />If the topic is raised again, yes I would jump at the chance to engage this individual in a proper discussion, but I think it is unlikely that I will pounce on her and start ripping her apart...<br /><br />Don't worry about the multiple posts Anonymous, I will delete a few of them!Internal Optimisthttps://www.blogger.com/profile/16194212321633856081noreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-1883727854615577082010-03-28T23:41:22.588+01:002010-03-28T23:41:22.588+01:00Lordy, sorry for the multiple posts too! My comput...Lordy, sorry for the multiple posts too! My computer has gone nuts!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-37421231643568852902010-03-28T23:18:21.984+01:002010-03-28T23:18:21.984+01:00Ah, I apologise. I wholeheartedly agree with you, ...Ah, I apologise. I wholeheartedly agree with you, yes this gentleman does deserve the liver every bit as much as anyone else, as he has a medical illness, I never meant to make that part of the argument, but reading over it, it does seem as though I was condoning discrimination.<br /><br />My argument was not on what should be done, merely on how people's views differ in the interest of debate. I doubt if you asked this girl what she actually would do, that she would refuse the gentleman the liver. It says in the guidelines for duties of a doctor that a doctor should "never discriminate against patients". It mentions nowhere that doctors are not allowed their own beliefs. There are many doctors who disagree with abortion, even if it is in the patient's best interest. I think, rather than stifle these opinions, it is far more important to address them - I find it far more dangerous to assume I will never have conflicts of conscience such as this girl, rather than learn how to deal with them early on. It is all part of the learning process. Rather than reporting her, I would discuss with her whether that was merely her belief, or what she would genuinely do - they are two very seperate things.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-38512961224522490382010-03-28T11:11:16.552+01:002010-03-28T11:11:16.552+01:00Sorry Anonymous but that is utter nonsense! The de...Sorry Anonymous but that is utter nonsense! The decision as to who gets organs/treatment is one based on factors such as clinical need, risk, chances of success, rejection, complications etc, not a decision made on humanistic merit of whom is more "deserving". Your line of thinking sets a very dangerous and worrying precedent. It is about medical factors, not the moral judgments of others, as to how patients are treated. <br /><br />Now, back to the blog and the issues so rightfully and professionally highlighted. This poor suicidal chap is clearly mentally ill. It is obvious from his previous suicide attempts and the lack of assistance and treatment that the healthcare system has failed him, spectacularly so. Unfortunately, the NHS is notoriously bad at acute intervention and there is a known issue with diabolical provision of chronic Mental Health services. Had this unfortunate chap been assisted properly in a timely manner, he would, on the balance of probabilities, not have again tried to commit suicide, or would have been under appropriate supervision, nor would he have the means to do so - as he should have been sectioned after the first attempt, or first expression of suicidal ideation.<br /><br />As to the medical student deciding to take the moral highground over a mentally ill patient, that student has the wrong attitude entirely for a career in medicine and has no place on a medical course, let alone being anywhere near a hospital. A trainee clinician surmising over whom should and shouldn't be entitled to healthcare is utterly scandalous - healthcare as per the gambit of the NHS is available "at the point of need" and no clinician is in any position to judge, nor provide or deny healthcare based on their own moral prejudices, in line with the Hippocratic oath. <br /><br />Frankly, one can appreciate the fact that you have to see this student regularly, however, whether or not one wishes not to be seen as morally righteous, on balance, the need to correct this terribly inappropriate perspective is of far more importance than the need to avoid looking like a "douchebag". It is imperative that viewpoints like this are not fostered within the NHS and that colleagues expressing such views are immediately informed that those kind of views are repugnant, unprofessional, unethical and essentially tantamount to gross negligence and give rise to possible criminal implications, should they influence patient care. <br /><br />Refusing a clearly mentally ill patient, whom has already patently been failed by the healthcare system, a liver, (and indeed leaving him to die, when the possibility exists that he can be saved), on the grounds that in the clinician's view, his medical condition is "self-inflicted," is expressing the intention to kill someone (by omission or inaction) and would potentially fulfil the criminal elements (mens rea etc) needed to satisfy a murder charge at worst and at best, a charge of manslaughter. This point should have been been made abundantly clear by her peers and/or lecturers. In fact, I will go out on a limb, that student should be asked to leave the course for gross misconduct.<br /><br />I feel that this issue warrants immediate action and that the student in question should be reported and appropriate action taken. One cannot, in all good moral conscience, simply stand back and and let this utterly reprehensible behaviour go unchallenged.Unknownhttps://www.blogger.com/profile/18157880208591015942noreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-61086070283435562202010-03-26T22:25:18.707+00:002010-03-26T22:25:18.707+00:00@anonymous I
depression due to atlered brain bioch...@anonymous I<br />depression due to atlered brain biochemistry, lack of certain neurotransmitters, is a recognized disease like diabetes is recognized as a disease if you want.<br />the decision who would get the liver should not be based on how the liver damage occured but on who was put on the transplant list first.First yearnoreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-88402549242036856482010-03-23T19:21:39.469+00:002010-03-23T19:21:39.469+00:00Very interesting debate over the whole 'who de...Very interesting debate over the whole 'who deserves the organ' issue. I remember having a very similar argument during my PBL sessions. I was, however, probably tipping towards your collegue's side of thinking - all be it she seems to have taken it to an extreme. It must be considered (and this is very much a reality of medicine) that such organs are certainly not plentiful. To whom would you give the one remaining liver if you were faced with the same gentleman you saw and a young, similar aged girl who had been hit by a drunk driver? Perhaps she was not saying that he did not deserve the organ, more that if it came down to a decision on limited supply, it would be difficult to make such a cut and dry case. There are people who need to make these decisions in medicine, and it comes down to who is likely to look after their organ, and have more QALYs with it.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-50673514643955915612010-03-23T00:27:40.545+00:002010-03-23T00:27:40.545+00:00Cheers for the bit about paracetamol overdose, was...Cheers for the bit about paracetamol overdose, was a handy bit of pharmacology revision!<br /><br />Anyway, that girl's opinion is out of order, I would have probably got into an argument with her, then again you're probably more pragmatic than me :PGrumpy Biomedhttps://www.blogger.com/profile/03241706640125695546noreply@blogger.comtag:blogger.com,1999:blog-426449816547504479.post-31078088334250966542010-03-22T03:55:54.673+00:002010-03-22T03:55:54.673+00:00Optimist,
Thanks for your comment and good wishes...Optimist,<br /><br />Thanks for your comment and good wishes. I'm quite jealous of your hands-on experience (except dealing with suicidal patients - that's going to be tough). I'm still four months from being in the hospitals. It's good to read about the cases you find noteworthy, so I look forward to more.<br /><br />ScottScotthttps://www.blogger.com/profile/03384711216894646409noreply@blogger.com