Personal view : Ethicist on the ward round  

Oleh:

Sokol, Daniel K.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: British Medical Journal (keterangan: ada di Proquest) vol. 335 no. 7621 (Sep. 2007), page 670.

Ketersediaan

Perpustakaan FK Nomor Panggil: B16.K.2007.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Not so long ago in the BMJ I quipped that most professional medical ethicists could not distinguish their "gluteus maximus from their lateral epicondyle" and suggested that such ethicists should undergo a short clinical attachment (BMJ 2006, 333:1226 doi: 10.1136/bmj.39055.658762.59). Soon after publication, a nephrologist kindly invited me to observe a ward round at his hospital. It proved to be a puzzling experience, not because the blood gases, creatinine levels, diagnostic tests, and myriad statistics recited by a junior doctor sounded like one of Mallarmé's incomprehensible poems, but because, as the afternoon progressed, I noticed the patient-as-person fading behind this shroud of science. I felt comfortable with my consultant, my team with their dangling stethoscopes, the all-knowing computer wheeled by the bedside, and the timid patient, dwarfed by our confident crowd. Ethics seemed a million miles away. This absence of ethics was most puzzling of all. I spend . . .

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