Doctor Guilt?

Doctor Guilt?
Author: Everett Winslow Lovrien
Publisher: iUniverse
Total Pages: 502
Release: 2010-08
Genre: Biography & Autobiography
ISBN: 145021682X

Brent admired the chimpanzee he sketched at the zoo. He regarded the animal as contemplative. He was unaware that similar animals in the wilds of Africa were the source of a virus that would lead to his death from AIDS. Brent became infected with HIV from the medicine he infused to treat his hemophilia. At six months of age, his parents were alarmed when they discovered bruises on his chest which led to the discovery of hemophilia. From that moment forward, he received frequent intravenous infusions of concentrate to treat recurrent bleeding episodes. Infusions of the medicine relieved pain and suffering from bleeding. His life seemed normal. Unexpectedly, Brent's life changed after the discovery of HIV contamination of the medicine. The medicine was manufactured from the plasma of paid blood donors. Unbeknownst to Brent, the plasma was polluted with HIV. The SIV in chimpanzees changed to become HIV in humans. But the chimpanzees were not the cause of the transfer of SIV in animals to HIV in humans. The change from SIV in animals to HIV in humans was the result of human activity. The change came about with the production of the hepatitis B vaccine. Who was responsible for the pollution of the hemophilia medicine with HIV and hepatitis viruses? Was Brent's death preventable?

The Relationship Doctor's Prescription for Living Beyond Guilt

The Relationship Doctor's Prescription for Living Beyond Guilt
Author: David Hawkins
Publisher: Harvest House Publishers
Total Pages: 113
Release: 2006-09-01
Genre: Religion
ISBN: 0736954392

Dr. David Hawkins explains the difference between real guilt, false guilt, shame, and conviction, bringing these hidden feelings into the light and demonstrating how they can reveal the true causes of emotional pain. He demonstrates that feelings of guilt can come not only from our own poor choices but also from other sources, such as... perfectionism rejection from a family member or friend failure—real or perceived emotional or verbal abuse codependency Readers will be encouraged and inspired to take responsibility for their lives as they discover biblically sound remedies for each of the four kinds of guilt and strategies for avoiding guilt in the future.

What Doctors Feel

What Doctors Feel
Author: Danielle Ofri, MD
Publisher: Beacon Press
Total Pages: 267
Release: 2013-06-04
Genre: Medical
ISBN: 0807073334

“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.

Graduating From Guilt

Graduating From Guilt
Author: Holly Michelle Eckert
Publisher: PuddleDancer Press
Total Pages: 107
Release: 2010-04-01
Genre: Self-Help
ISBN: 1892005891

Through a simple, step-by-step progression, this handbook provides individuals with the means to learn how to quiet their inner critic and to experience forgiveness, self-acceptance, and empowerment. Employing a methodology rooted in the principles of nonviolent communication, the process lays out a path for achieving freedom from toxic and emotionally draining guilt, blame, and shame. Examples of real-world situations enable individuals to visualize how they, like others, can forgive themselves for past mistakes and successfully mend broken relationships.

When We Do Harm

When We Do Harm
Author: Danielle Ofri, MD
Publisher: Beacon Press
Total Pages: 274
Release: 2020-03-23
Genre: Medical
ISBN: 0807037885

Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD’s rich stories and research explore patient safety. Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it’s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there’s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation. Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. While our healthcare system is—and always will be—imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.

The Italian Psychiatric Experience

The Italian Psychiatric Experience
Author: Alessandro De Risio
Publisher: Cambridge Scholars Publishing
Total Pages: 229
Release: 2019-09-17
Genre: Medical
ISBN: 1527540103

The 1978 Italian Psychiatric Reform was welcomed as a significant advancement in the care of the mentally ill, as it involved, for the first time ever, the complete shutdown of psychiatric hospitals in a major Western country. Today, Italian psychiatry is totally different from that of the rest of the world, due to its complete commitment to community care. The transition towards the community model was appraised by many relevant international organisations, such as the World Health Organisation, as a fundamental step towards a better quality of life, well-being and social functioning of persons with mental diseases. This passage wasn’t easy, however, and the closure of Italian psychiatric hospitals was accompanied by notable setbacks in the treatment of the most severely affected persons, who often faced the inadequacy of a ‘crisis management’ system of care rejecting interventions in the long-term. In past decades, pro-reform authors also tended to refuse criticism of such obstacles, due to their extreme commitment towards the principles that inspired their practice. This book provides a much-needed appraisal of the 1970s Italian Psychiatric Reform. With an independent viewpoint, it highlights the often-overlooked shortcomings of the reform, while also presenting a multi-faceted view in contrast with the ‘single-vision’ attitude often adopted in existing studies on this topic.

The Ethics of Medical Involvement in Capital Punishment

The Ethics of Medical Involvement in Capital Punishment
Author: Joseph B.R. Gaie
Publisher: Springer Science & Business Media
Total Pages: 165
Release: 2006-04-11
Genre: Philosophy
ISBN: 1402025394

The morality of capital punishment has been debated for a long time. This however has 1 not resulted in the settlement of the question either way. Philosophers are still divided. In this work I am not addressing the morality of capital punishment per se. My question is different but related. It is this. Whether or not capital punishment is morally right, is it moral or immoral for medical doctors to be involved in the practice? To deal with this question I start off in Chapter One delineating the sort of involvement the medical associations consider to be morally problematic for medical doctors in capital punishment. They make a distinction between what they call 2 “medicalisation” of and “involvement” in capital punishment, and argue that there is a moral distinction between the two. Whilst it is morally acceptable for doctors to be “involved” in capital punishment, according to the medical associations, it is immoral to medicalise the practice. I clarify this position and show what moral issues arise. I then suggest that there should not be a distinction between the two. The medical associations argue that the medicalisation of capital punishment, especially the use by medical doctors of lethal injection to execute condemned prisoners is immoral and therefore should be prohibited, because it involves doctors in doing what is against the aims of medicine.

Brief Mental Health Interventions for the Family Physician

Brief Mental Health Interventions for the Family Physician
Author: Michael V. Bloom
Publisher: Springer Science & Business Media
Total Pages: 306
Release: 2012-12-06
Genre: Medical
ISBN: 146130153X

This is an ideal resource for Family Physicians, providing a "refresher course" of sensible paths toward resolution of common mental health problems. It features an easy-to-read style, and well-focused references. The book summarizes the basic components of brief therapy and reviews how to conduct a brief therapy interview. Each chapter includes an outline, a case example or vignette, and a concise discussion of brief therapy strategies for the disorder.

Fantasy Literature

Fantasy Literature
Author: T.E. Apter
Publisher: Springer
Total Pages: 168
Release: 1982-06-18
Genre: Fiction
ISBN: 1349047104

Rejuvenating Medical Education

Rejuvenating Medical Education
Author: Alan Bleakley
Publisher: Cambridge Scholars Publishing
Total Pages: 325
Release: 2017-08-21
Genre: History
ISBN: 152750073X

Returning to Homer’s Iliad and Odyssey for inspiration, this book uses these epics as a medium through which we might think imaginatively about key issues in contemporary medicine and medical education. These issues include doctors as heroes, and the legacy of heroic medicine in an age of clinical teamwork, collaboration and a more feminine medicine. The authors challenge ingrained habits in medical education, such as the way we characteristically “train” medical students to communicate with patients and colleagues; the reduction of compassion to the “skill” of empathy; the rote recital of the medical history as a “song”; and the new vogue for “resilience” as response to increasing levels of stress and burnout in the profession. A Homeric lens also shows new ways of thinking about translation of medical lingo into patients’ understanding, the relatively high levels of anger and error shown in clinical interactions, and modern phenomena such as “whistleblowing” in the face of unacceptable error or misbehaviour. While exhaustion and burnout are becoming more common in medicine, the authors ask if a more lyrical, rather than epic and tragic stance, might benefit medical work. Drawing on a wealth of experience in the field, the book promotes a new kind of medicine and medical education fit for the 21st century, but envisages these through the ancient lens of Homer’s two epics. In the heroic glory elaborated in the Iliad and the themes of homecoming and hospitality set out in the Odyssey, Homer provides a narrative arc that is a blueprint of modern medicine’s development from a heroic endeavour to a contemporary collaborative provision of hospitality, where the hospital remains true to its name and doctors engage in work of care rather than “fighting” disease with the hospital as battleground.