دانلود کتاب اخلاق جراحی: تضاد و اختلافات
The Ethics of Surgery: Conflicts and Controversies, 1ed

According to popular belief, technical skill is far more important for surgeons than thoughtful deliberation. Nothing could be further from the truth. Although surgeons must sometimes make decisions rapidly on the basis of incomplete evidence and must respond to unexpected catastrophes in the operating room rapidly, those events are intermittent – most of the time surgeons deliberate on diagnostic problems and thoughtfully manage postoperative care, which is often intellectually challenging.

The relationship of surgeons with their patients is, in a real sense, far more intimate and trusting than that of any other professional, a claim that is supported by the fact that patients surrender their bodies to their surgeons in a state of total helplessness and vulnerability when they undergo anesthesia. Because of that responsibility, no other professional group has a greater sense of dedication to the welfare of their patients than surgeons.

Surgical culture is deeply steeped in ethics, and surgeons confront and resolve ethical dilemmas as much or more than most other professionals, although they often may not recognize the situations they resolve are problems in ethics – they are just part of the daily routine. This book is a compendium of articles from the recent surgical literature that address ethical issues chosen by surgeons because they are controversial and pertinent to the practice of surgery. The reader will not find a great deal of sophisticated dissection of fine philosophical distinctions in these discussions of ethical conflicts and controversies in surgery. Instead, they will discover differing viewpoints from thoughtful essayists, mostly surgeons, whose feet are firmly in contact with the ground and who have extensive experience in the real world of surgery, medicine, and law.

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About the Author

Contents

۱ Ethics Gap in Surgery
۲ Ethics in Cardiothoracic Surgery: A Survey of Surgeons” Views
۳ Deceiving Insurance Companies: New Expression of an Ancient Tradition
۴ Hepatitis C Virus-Infected Resident: End of Residency, End of Career?
۵ Must Surgeons Tell Mitral Valve Repair Candidates About a New Percutaneous Repair Device That Is Only Available Elsewhere?
۶ The Surgeon’s Work in Transition: Should Surgeons Spend More Time Outside the Hospital?
۷ Should Sleep-Deprived Surgeons Be Prohibited from Operating Without Patients’ Consent?
۸ Are Thoracic Surgeons Ethically Obligated to Serve as Expert Witnesses for the Plaintiff?
۹ Should a Jehovah’s Witness Patient Who Faces Imminent Exsanguination Be Transfused?
۱۰ No Heroic Measures: How Soon Is Too Soon to Stop?
۱۱ Should Surgical Errors Always Be Disclosed to the Patient?
۱۲ Another Surgeon’s Error: Must You Tell the Patient?
۱۳ Impending Loss of Insurance Coverage Is an Indication to Proceed with Complex, Expensive Surgery
۱۴ Ethical Obligation of Surgeons to Noncompliant Patients: Can a Surgeon Refuse to Operate on an Intravenous Drug-Abusing Patient with Recurrent Aortic Valve Prosthesis Infection?
۱۵ Surgical Innovation: Too Risky to Remain Unregulated?
۱۶ Who Should Adopt Robotic Surgery and When?
۱۷ Should Access to Transcatheter Aortic Valve Replacement Be Limited to High-Volume Surgical Centers?
۱۸ Should the Use of Transcatheter Aortic Valve Implantation Be Rationed?
۱۹ Heart Donation Without the Dead-Donor Rule
۲۰ Saving Lives Is More Important Than Abstract Moral Concerns: Financial Incentives Should Be Used to Increase Organ Donation
۲۱ Prisoners on Death Row Should Be Accepted as Organ Donors
۲۲ Politely Refuse the Pen and Note Pad: Gifts From Industry to Physicians Harm Patients
۲۳ Should the Financial Link Between Industry and Physician Consultants Be Severed?
۲۴ Full Disclosure— Should Presentations and Publications Include Dollar Amounts and Duration of Surgeon-Industry Relationships?
۲۵ Medical Ethics Collides with Public Policy: LVAD for a Patient With Leukemia
۲۶ Should Coronary Artery Bypass Grafting Be Regionalized?
۲۷ A Clash of Rights: Should Smoking Tobacco Products in Public Places Be Legally Banned?
۲۸ Should a Medical Center Deny Employment to a Physician Because He Smokes Tobacco Products?