Top physician dies after treating Ebola patients

The most senior Sierra Leone doctor helping to fight the Ebola epidemic has died after contracting the virus from patients. Dr. Sheikh Umar Khan was a virologist in charge of a hospital unit treating Ebola patients in Kenema – a major city in the most effected area of the country. Dr. Khan was credited with treating over 100 patients since the outbreak began in February.

He passed away on Sunday in a Doctors without Borders clinic, just a few days after being diagnosed.

"It is a big and irreparable loss to Sierra Leone as he was the only specialist the country had in viral haemorrhagic fevers," Chief Medical Officer Dr. Brimba Kargbo said on Tuesday.

Dr. Khan was aware of the risks he was taking, but continued to work with Ebola patients. He has been hailed by Sierra Leoneans as a national hero. 

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Savulescu on changing the world - literally

Academics advocating geoengineering usually encounter strong resistance, and sometimes ridicule, amongst their peers. Many say you risk creating problems worse than the ones you are trying to solve.

In a recent Practical Ethics post, Oxford bioethicist Julian Savulescu defended the notion, suggesting that it could be the only way to combat climate change.  

By genengineering, Savulescu is referring to large-scale interventions by which we can alter the structure of the environment, making it more conducive to human inhabitation. He used as an example the introduction of ants, iron sulphide, and artificial trees to combat global warming.

Savulescu suggests that genengineering is already occurring in the form of massive carbon omissions. Insofar as it is already happening we shouldn’t be concerned to engage in large-scale geoengineering to bring the world back to normal.

He also challenges the claim that the ‘natural’ climate is the best. We should rely less on assessing… click here to read whole article and make comments


Bioethicists defend ‘manipulative’ Facebook study

After the flurry of criticism for the now infamous Facebook ‘social contagion’ study, bioethicists are defending its authors.

The paper, co-authored by a data manager from Facebook and two researchers from Cornell, examined how users’ emotions changed when confronted with manipulated newsfeeds. Based on carefully written algorithm, researchers omitted certain ‘positive’ and ‘negative’ posts from users’ feeds when they logged on to the website (read the abstract here).

The experiment was conducted without the direct consent of its 310,000 participants.

The study has been variously labelled “terrifying”, “scandalous” and “cruel”.

In a column in Nature, a number of prominent bioethicists challenge these criticisms.

The authors argued that the study was no different from Facebook’s usual practice:

“It is true that Facebook altered its algorithm for the study, but it does that all the time, and this alteration was not known at the time to increase risk to anyone involved.”

They were divided… click here to read whole article and make comments


Woman loses baby in tragic mishap

An Indian woman has lost her unborn baby after doctors accidentally administered an abortion drug. The woman, from the Rajouri district in Northern India, was attending a private hospital for a routine check-up when the incident occurred.

According to the woman’s husband, a senior gynaecologist had prescribed an IV glucose drip. Junior medical staff mistakened the woman for another patient and instead administered an abortifacient.

The woman was given the abortion drug despite telling doctors that she had merely come for her weekly glucose drip.

The woman went home, but returned to the hospital just an hour later, complaining of severe abdominal pain. Doctors told her that it was too late to save her baby.

"We have immediately registered a case and arrested the doctor, whose negligent act has caused this," said Rahul Malik, Superintendent of Police in South Jammu.

Indian authorities have suspended the license of the hospital whilst an investigation into… click here to read whole article and make comments


Compassionate use: Putting drug regulations to the test

When should pharmaceutical companies give gravely ill patients access to experimental treatments? The above news segment offers an good summary of the issues involved in this vexed ethical dilemma. 

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Euthanasia could be option for poor, says Lithuanian health minister

The new Lithuanian Health Minister, Rimantė Šalaševičiūtė

Euthanasia might be needed for poor people who cannot access palliative care, the new Lithuanian Health Minister has suggested. Rimantė Šalaševičiūtė was sworn earlier this month, but already she has made waves by backing an open discussion of the legalisation of euthanasia.

Without making any specific proposals, she told local media that Lithuania was not a welfare state with palliative care available for all and that euthanasia might be an option for people who did not want to torment relatives with the spectacle of their suffering.  

The minister has also raised the idea of euthanasia for children. She noted that this option had been approved for Belgian children after a long public debate. It was an option which might be appropriate in Lithuania as well after public debate.

Ms Šalaševičiūtė will face… click here to read whole article and make comments


Guantanamo nurse refuses to participate in force-feedings

A military medical professional at Guantanamo Bay recently refused to force-feed detainees after witnessing the suffering it caused detainees, according to the American branch of the prisoner lobby group Reprieve.  

The incident is thought to be the first case of 'conscientious objection' to force-feeding at Guantánamo since a mass hunger-strike began at the prison last year. Cleared Syrian Abu Wa’el Dhiab related the news on a phone call last week with his Reprieve lawyer, Cori Crider. Dhiab explained that a military nurse recently told him he would no longer participate in force-feedings, saying: “I have come to the decision that I refuse to participate in this criminal act.”  

A Department of Defense spokesperson confirmed this to the Miami Herald: “There was a recent instance of a medical provider not willing to carry out the enteral feeding of a detainee.” The nurse in question has apparently been assigned elsewhere; Mr. Dhiab said that after the… click here to read whole article and make comments


The IVF industry must go green

Free fertility treatment should be banned for those making lifestyle reproductive choices, such as  sterilisation reversal or single motherhood for fertile women. And fertility clinics should be subject to carbon capping schemes, in a bid to help curb climate change, argues a theologian in the Journal of Medical Ethics.

Only those who are medically infertile through no fault of their own should be eligible for government  funded treatment, suggests Cristina Richie, a theology PhD candidate at Boston College, Massachusetts.  

Richie singles out fertility treatments because  they not only produce a carbon footprint as a result of the resource they consume, but also create a  carbon legacy.

And she points out in an accompanying podcast: “Assisted reproductive technologies are typically  given in places with enormously large carbon footprints.” The US, for example, is the world’s second largest carbon emitter, producing 20 metric tonnes of  carbon… click here to read whole article and make comments


A psychiatrist who saved lives—with a gun


Is this one of those “only in America” stories? On Thursday afternoon in a Philadelphia, a man brandishing a pistol stormed the psychiatric ward of Mercy Fitzgerald Hospital. He shot dead his caseworker, 53-year-old Theresa Hunt and fired at his psychiatrist, Dr Lee Silverman, grazing his head. The doctor ducked for cover behind a desk.

But this was not going to be another mass shooting. Dr Silverman was ready for this. He pulled his own pistol out of a desk drawer and returned fire. He shot the patient, Richard Plotts, twice in the torso and once in the arm. Plotts collapsed and bystanders disarmed him.

It was like a script written by the National Rifle Association. The local police chief told the media: “without a doubt, I believe the doctor saved lives. Without that firearm, this guy (the patient) could have went out in the… click here to read whole article and make comments


Does dress matter in medicine?

An ongoing debate amongst physicians has broken into academic discourse – should doctors dress formally for clinical practice?

Microbiologist Stephanie Dancer says ‘yes’.  In an article in the British Medical Journal Dancer asserts that  ‘dressing down’ diminishes the dignitas of the medical profession and could be see as an indication of carelessness: 

“Doctors are members of a distinguished profession and should dress accordingly. Untidiness erodes the image of doctors as responsible and competent…[it] might be taken as a flashing neon sign that says “I don’t care.”

Dancer also claims that scruffy dress could contribute to low hygiene standards in hospitals: “scruffiness, however defined, also intimates a lack of personal hygiene and correspondingly lower standards of hygienic behavior.”

Two Manchester University medical ethicists, Cesar Palacios-Gonzalez and David R Lawrence, have written a scathing critique of Dancer’s claims. Gonzalez and Lawrence assert that scruffy dress has no effect on the ‘intrinsic dignity’ of the medical… click here to read whole article and make comments


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