tag:blogger.com,1999:blog-4522792800515673752024-03-08T07:10:18.395-06:00THE ETHICAL PILGRIMAGE<b>Discussing Challenging Ethical Issues — from human medicine to animal care</b>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-452279280051567375.post-85568352245925935062012-08-04T12:44:00.002-05:002012-08-04T13:24:25.005-05:00A CHANGE AT HAND<div style="text-align: center;">
<span style="font-size: large;"><span style="font-family: Trebuchet MS, sans-serif;">IN AN ATTEMPT TO CONSOLIDATE MY WRITING, </span></span></div>
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<span style="font-family: 'Trebuchet MS', sans-serif; font-size: large;">THIS BLOG IS BEING MOVED "ARCHIVE" FORMAT.</span></div>
<span style="font-size: large;"><br /></span><br />
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<span style="font-size: large;"><span style="font-family: Georgia;">If your want to see what I am doing currently,</span></span></div>
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<span style="font-size: large;"><span style="font-family: Georgia;">please check </span><a href="http://chrome-on-the-range.blogspot.com/" style="font-family: Georgia;">Chrome on the Range</a><span style="font-family: Georgia;"></span></span></div>
<div style="text-align: center;">
<span style="font-size: large;"><span style="font-family: Georgia;">which continues to be my primary blog.</span></span><br />
<span style="font-size: large;"><span style="font-family: Georgia;"><br /></span></span><span style="font-size: large;"><span style="font-family: Georgia;">Items which would have appeared here,</span></span><br />
<span style="font-size: large;"><span style="font-family: Georgia;">will now be posted there.</span></span></div>
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</span><br />
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<span style="font-size: large;"><b><i style="background-color: white;"><span style="color: #351c75;">Thank you.</span></i></b></span></div>
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</span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-75582535905081451182011-08-29T22:09:00.000-05:002011-08-29T22:09:03.355-05:00FINDING A NEW DOCTOR<span style="font-family: Georgia; font-size: large;">I think I have a great family doctor. </span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">• He takes time and listens.</span><br />
<span style="font-family: Georgia; font-size: large;">• He explains things well.</span><br />
<span style="font-family: Georgia; font-size: large;">• He understands my knowledge of medicine and medical ethics.</span><br />
<span style="font-family: Georgia; font-size: large;">• He understands that I see him as a team-mate on my health care team.</span><br />
<span style="font-family: Georgia; font-size: large;">• He works well with other professionals.</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">But he is making changes.</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">He sees the importance of complementary forms of medicine. It's called a number of this, including "<a href="http://en.wikipedia.org/wiki/Integrative_medicine">Integrative Medicine</a>." Focus is on issues of food and lifestyle, and getting toxins out of one's body. And while there are critics, it seems to me those critics are people who have not studied the process to any degree. Indeed, my doctor treats my conditions with pharmaceuticals that other doctor would use.</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">While this is all good, integrative medicine is what he intends to focus on in the future. He's become a specialist. And while he will continue to help me with some of my concerns, I need to find a new family doctor for everyday aches and pains.</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">I think I'm a bit old having to do this all over again — finding a new family doctor. The ones who are coming out of medical school are younger than my children!</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">I think it's called "living in interesting times."</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">BTW, how good do you think your family doctor is?</span><br />
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</span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-51257771831685397312011-08-25T12:15:00.000-05:002011-08-25T12:15:42.591-05:00MINDING MY MEDS, AGAIN — WITH GOOD NEWS!<span style="font-family: Georgia; font-size: large;">It's been about a year since my last post here. And I've done a another complete meds review with my doctors (yup; two of them).</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">The result is that I think I'm taking fewer, but better, medications. And I am feeling a great deal better. That is because, in part, there are newer medications which are available, which have made a huge difference.</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">Probably the most significant change for me is that I am in much less pain. Living almost painless now. Thanks to the meds. That is a HUGE change for me.</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">The upshot is that I am physically stronger, and my thinking is clearer. I've found a "base" that is solid, from which I think I can do a bit of rebuilding in my life. I don't expect that you will see any major changes any time soon (or at all). But I'm starting to feel the changes. "Starting to."</span><br />
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</span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-24009959190937116482010-08-16T21:39:00.008-05:002010-08-22T16:49:06.472-05:00MINDING MY MEDS (Conclusion)<span style="font-family: Georgia; font-size: large;">I had my appointment with the doctor today. He couldn't find, or think of, any reason why I've had this negative drug interaction. So, he's done the best he can do. </span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">The only possibility is that there is something else going on in me, of which neither not I is aware. It would be, in doctorese, "an additional underlying condition."</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">Or maybe its simply my body, which has something just a little different from usual, and is giving me problems. (You, of course, already know that Bear is "a little different from usual," and will nod your head, knowingly, at the comment.)</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">So, back to my previous combinations of medicines. We'll see how that works out, in a day or two.</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">In the meantime, thanks for your expressions of concern and support.</span><br />
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<span style="font-family: Georgia; font-size: large;">§ § §</span></div><span style="font-family: Georgia; font-size: large;"><i>Addendum</i><br />
</span><br />
<span style="font-family: Georgia; font-size: large;">Nancy, in her <i>Life in the Second Half</i>, has raised some interesting issues about <a href="http://lifeinthesecondhalf.blogspot.com/2010/08/inducing-dementia.html">medications</a>. I encourage you to take a look.</span><br />
<span style="font-family: Georgia; font-size: large;"></span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-50018357431471557332010-08-13T01:15:00.002-05:002010-08-13T01:15:01.047-05:00MINDING MY MEDS<span style="font-family: Georgia; font-size: large;">I think I've gotten to the bottom of why I've been feeling so awfully poorly as of late. A bad drug reaction. Or, more specifically, a bad drug interaction — something I've just started taking isn't getting on with something I've been taking for a while.</span> <br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">I suppose I could blame the doctor or pharmacist for this potentially life-threatening situation. They're supposed to be looking after me! Right?</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">Well, actually, uh, no. Their jobs are to help <b>me</b> look after <b>me</b>. Quite a different story.</span> <br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">If one is going to take the meds, one ought to read up on what one is taking. Our pharmacy actually gives out information on the drugs being dispensed. It makes sense to read the bulletin. It's just that I hadn't remembered one of the details about one of the other pills I've been taking for a while. So, when I suspected a drug mismatch, to the computer and do the research. The problem became immediately obvious. As did the solution. (I understand the priority of the medications, because I understand the priority of the situations the medications are set to overcome; the joy of having a physician who explains things well.)</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">Have you even had a bad drug experience?</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">And what do you think of the notion that each of us is responsible for his/her health, with the assistance of professionals? (Quite different from many peoples' attitudes these days.)</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">I fully realize that we live in an age of "entitlement," in which people take for granted many of the services provided. What are the benefits, and what are the dangers of this sense of entitlement? </span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">I'll be writing more on this, in due course<br />
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</span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-53974971246291139492010-08-11T12:15:00.004-05:002010-08-11T14:54:15.177-05:00SHIFTING PERSPECTIVE<span style="font-family: Georgia; font-size: large;">The purpose of this blog has shifted a bit over time. But I want to keep it focused on issues related to the care of people and animals. (I'm adding animals because I'm increasingly involved in animal care and research issues at the University of Saskatchewan.)</span><br />
<span style="font-family: Georgia; font-size: xx-small;"></span><br />
<span style="font-family: Georgia; font-size: large;">Like developing characters in a novel, one just never quite knows how things will turn out, even when one has something in mind. So, as I've said elsewhere, "Please Bear with me on this adventure."<br />
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</span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-57095661623828823132009-07-09T03:06:00.005-05:002009-07-09T09:06:26.459-05:00The New Flu<span style="font-size:130%;">A new type of Influenza (called A/H1N1; sometimes called, incorrectly, "Swine Flu) is circling the globe. Notes about this form of 'Flu are being kept on my "<a href="http://bears-noting.blogspot.com/">Bears Noting</a>" blog.</span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-61503713805432169652008-03-03T03:13:00.075-06:002010-08-12T03:41:06.015-05:00Robert Latimer's Parole<span style="font-family: georgia; font-size: large;">The following is an essay which appeared, in an edited form and with a different title, as an Op-Ed feature in </span><span style="font-size: large; font-style: italic;">The Western Producer,</span><span style="font-size: large;"> a Canadian newspaper. The occasion was news that Robert had been denied day parole to a halfway house — a decision reversed on appeal to The National Parole Board of Canada.</span><br />
<span style="font-family: georgia; font-size: xx-small;"></span><br />
<span style="font-family: georgia; font-size: large;">The case began with Tracy's death in 1993, and ended in 2001 with Robert's conviction on the charge of second degree murder. That conviction came only after the matter had been to the Supreme Court of Canada — not once, but twice.</span><br />
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<span style="font-family: georgia; font-size: large;"><span style="font-size: large;">--------</span></span><br />
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<div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-size: large; font-weight: bold;">THE SAD FATE OF TWO LATIMERS</span></span></div><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;">by Rob Brown</span><br />
<span style="font-family: georgia; font-size: large;"></span><br />
<span style="font-family: georgia; font-size: large;">Giving effective, ethical, health care to people can be very difficult. That’s particularly true when the only possible results are bad, and people have to pick the “least worst” option.</span><br />
<span style="font-family: georgia; font-size: xx-small;"></span><br />
<span style="font-family: georgia; font-size: large;">So I continued to be haunted by the lives of Tracy Latimer and her dad, Robert. I believe they paid dearly for failures by the medical system, and the justice system.</span><br />
<span style="font-family: georgia;"></span><br />
<span style="font-family: georgia; font-size: large;">When Tracy Latimer was born, some things went terribly wrong. Her brain was deprived of crucial oxygen. She ended up with a mental age somewhere around six months or less. She couldn’t communicate effectively; people usually had to guess what she was thinking or feeling She suffered repeated physical seizures, many times a day. Her body became twisted because of her condition. Doctors, trying to do the “least worst” thing for her, did several surgeries to release muscles and tendons, and put steel rods in her back to straighten it. Through all this, the only pain medication she received was basic acetaminophen (“Tylenol”); it was as effective as trying to stop an elephant with a fly swatter. Anything stronger would have interfered with the medications to control her seizures. Testimony at trial showed she was in extreme, chronic, unrelieved pain. (The only other option might have been a medicated coma, which would leave her permanently unconscious.)</span><br />
</span><br />
<div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">Medical people “"played God"’ with Tracy’s life; they did the best they could in a losing battle. Yet I believe they failed Tracy Latimer.</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">In Canada, parents are expected to care for their children. In any other circumstance, had Robert Latimer allowed Tracy to be in as much pain as she was, he could have been charged with child neglect or child abuse. Being a conscientious and loving parent, Robert Latimer did what he thought he needed to do. He acted to ended his daughter’'s pain.</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">Ironically, in Europe this situation might be handled so much more effectively, according to a recent tv program. (It even showed a man taking a dose of terminal medication.)</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">Because of his actions, Robert Latimer was changed with murder. At the trial, the jury didn'’t receive information members requested about the punishment for a second degree murder conviction. (Normally, people making decisions need to consider the consequences of their actions; that is true in the process of ethical decision-making but not true for juries.)</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">The matter came to The Supreme Court of Canada. Courts have to balance the facts and the law. Written judgement from the Court shows that key facts were apparently missed. A suggestion that there might have been another or better way to cope with Tracy’s pain flew in the face of the evidence presented at trial by her surgeon.</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">When Robert applied for early parole, he was denied. He was told he had not developed “sufficient insight and understanding” of his action. With respect, it’s the Parole Board panel which seems to lack “insight and understanding.” Once again, the legal system failed Robert Latimer.</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">Indeed, Canada’'s Parliament has continued to lack “insight and understanding,” and lack courage, in handling this matter of extreme pain. Meanwhile, there have been a number of cases of pain-ending action by individuals. Robert is in prison for murder. — Other provinces and courts have handled situations very differently. In one case, a person was not even tried in court. In another, a person was convicted of manslaughter, and the judge suspended sentencing.</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><span style="font-family: georgia; font-size: large;">Until the law comes to a clearer understanding of these circumstances, I fear we may see more Robert Latimers.</span><br />
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<br />
<div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">In addition, I made many of these same points on the afternoon of March 2, 2008, in conversation with Rex Murphy on "Cross Country Checkup," Canada's national talk show on CBC Radio 1. The key additional point I made on radio was to say that I thought the representatives of the disabled had really missed a key opportunity here. While Tracy was a member of the group "people with disabilities" she was also, more importantly, a member of the group "children in extreme pain." Others in that group would include, for example, a girl who is "able-bodied" but who is suffering from metastatic bone cancer. (Because of the peculiarities of that form of cancer, it is very difficult to treat the pain people experience when they have it.) I noted that disability groups could have made common cause with the cancer societies, in saying to government and medical people, "we need better ways of caring for children in extreme pain."</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;"><br />
</span></span></span></span></span></div><div style="font-family: Georgia,"Times New Roman",serif;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">In reply to Rex's last question, I said that I didn't think we had really learned anything from this 15 year experience. If anything, people are entrenched in solid positions, and there isn't much dialogue. My concern is that we need to get past those fixed positions, or nothing will change. And lack of change will not be good for anyone.</span></span></span></span></span></div><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: large;"><span style="font-family: georgia; font-size: xx-small;"><span style="font-size: large;">--------</span></span></span></span><br />
<span style="font-family: georgia; font-size: large;">No matter how we look at this, the death of Tracy Latimer was a terrible event.</span><br />
<span style="font-family: georgia; font-size: large;"></span><br />
<span style="font-family: georgia; font-size: large;">The unanswered questions:</span><br />
<span style="font-family: georgia; font-size: xx-small;"></span><br />
<span style="font-family: georgia; font-size: large;">1. How do we help people deal with their debilitating and degrading pain?</span><br />
<span style="font-family: georgia; font-size: xx-small;"></span><br />
<span style="font-family: georgia; font-size: large;">2. What can we do to make sure there are no more Tracy Latimers?</span><br />
<span style="font-family: georgia; font-size: large;"></span><br />
<span style="font-family: georgia; font-size: large;">Any suggestions about how we might reach a national consensus on this issue?</span><br />
<span style="font-family: georgia; font-size: large;"></span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.comtag:blogger.com,1999:blog-452279280051567375.post-40945529967941244212007-11-01T02:14:00.025-05:002010-08-12T02:55:29.969-05:00Pandemic, Vaccine, and Kids<span style="font-family:Georgia; font-size: large;"><br />
Given the potential for an Avian Influenza pandemic, the allocation of "scarce" resources becomes a major ethical issue for the medical community.</span><br />
<span style="font-family:Georgia; font-size: xx-small;"></span><br />
<span style="font-family:Georgia; font-size: large;">Simply put: if/when a vaccine is available to give effective protection against H5N1 flu, who should get it first? And who last?</span><br />
<span style="font-family:Georgia; font-size: xx-small;"></span><br />
<span style="font-family:Georgia; font-size: large;">I've encountered a couple of schools of thought on one aspect of this.</span><br />
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<span style="font-family:Georgia; font-size: large;">One is that key personnel (like "front-line" medical staff) should get the vaccine first, and children should be among the last (if at all). That is based on the concepts of both non-maleficence/public safety, in terms of limiting the spread of the disease, and reciprocity, in terms of supporting medical personnel who take significant risks to treat flu victims. The argument about children seems to be a matter of beneficence of some sort; is an adult better able to care for a two year old child, or a two year old child care for an adult? (Plus, if you vaccinate a child before the parents, you could end up with a lot of orphans in a pandemic.)</span><br />
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<span style="font-family:Georgia; font-size: large;">But, more recently, another thought from the world of annual 'flus. If you vaccinate the children, they are less likely to bring the flu home from school (school kids being a primary "spreaders" of most/all communicable diseases). One could then argue, on the bases of public safety and non-maleficence, that you should inoculate children early in the process, rather than later.</span><br />
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<span style="font-family:Georgia; font-size: large;">Put yourself in the position of someone who has to decide about avian 'flu shots? Do you recommend that children be vaccinated earlier or later? Why?</span>Rob-bearhttp://www.blogger.com/profile/00171692478879522588noreply@blogger.com