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My Human Doctor Medical school teaches us to examine, to research, to treat. We don’t learn to err and recover.

When drinking ruins your liver - should you qualify for a transplant? When patients develop alcohol liver disease, they are often forced to wait 6 months to prove they can abstain from alcohol before they will be considered for a transplant. Is that a fair amount of time? Is that a fair practice at all?

Topics: Addiction / Bias / Compassion Fatigue / Conflict / Provider-Patient RelationshipKeywords: addiction / bias / resource allocation / transplant

Withholding surgery: How gaps in policy fail people who inject drugs A recent New York Times article described a harrowing situation faced by some people who inject drugs and develop endocarditis, a life-threatening infection caused by bacteria that enter the bloodstream and settle in the heart. The article described doctors in Tennessee deciding whether to perform repeat costly heart surgeries on patients who were re-infected with endocarditis as a result of ongoing illicit drug use—and at times declining to operate. There are policy failures that are to blame, too, for how and why resources are allocated this way. This looks at those failures and how our bias influences both the policies and how they are applied.

Topics: Addiction / Background info / Bias / Provider-Patient RelationshipKeywords: addiction / bias / opioid / policy

Injecting Drugs can ruin a heart - how many second chances should a user get? A life-threatening heart infection afflicts a growing number of people who inject opioids or meth. Costly surgery can fix it, but the addiction often goes unaddressed.

Topics: Addiction / Bias / Compassion Fatigue / Guilt & Shame / Provider-Patient RelationshipKeywords: addiction / bias / ethics / resource allocation / surgery

The Fix (whole episode - 43min) This episode we take a sober look at the throbbing, aching, craving desire states that return people (again and again) to the object of their addiction … and the pills that just might set them free.

Topics: Addiction / Guilt & ShameKeywords: addiction / Drugs

A birth plan for dying Hanna Neuschwander grapples with ending a wanted pregnancy, and finds that “right” or “wrong” fail to describe the moral reckoning.

Topics: Death&Dying / Grief / Loss / PerspectiveKeywords: birth / death / loss

Keyword: agenda

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Doctor Priorities vs. Patient Priorities by Danielle Ofri Doctors and patients can have contrasting agendas, viewed through different lenses. The key is not trying to change someone else’s lens, but rather, appreciating the value of their perspective.

Contributor: AdminJanuary 19, 2015Topics: Communication / PerspectiveKeywords: agenda / chronic illness / compromise / denial / lens / patient / perspective / relationship

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