Do No Harm

Hello my Zebras and Spoonies! Thanks for coming and hanging out with me today, I’m glad that you are here. Today I’m going to be talking about medical ethics, specifically “Do No Harm.”

Of all the Hippocratic writings the Oath, in spite of its shortness, is perhaps the most interesting to the general reader and also to the modern medical person. The idea of not doing the patient harm is within the Oath, but the phrase “Do No Harm” is not. Whatever its origin, it is a landmark in the ethics of medicine. It is a declaration that the purpose of medical knowledge is solely for healing. The Oath is the oldest known written work that speaks to Biomedical Ethics. And the idea that it expresses is still at the center of all bio-ethical debates today.

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Medical Autonomy

Hello my Zebras and Spoonies! Thanks for coming and hanging out with me today, I’m glad that you are here. Today I am going to be talking about Medical Autonomy and some of the ethical complexities that come with it.

Expressing respect for patients’ autonomy means acknowledging that patients who have decision-making capacity have the right to make decisions regarding their care, even when their decisions contradict their clinicians’ recommendations.

AMA Journal of Ethics
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Consent for the Pelvic Examination

Hello my zebras and spoonies! Thanks for coming and hanging out with me today. I’m glad that you’re here.

But today, I’m gonna be talking about something that is potentially a trigger for people. I’m going to be talking about trauma stuff and we’re going to be talking about rape. So if these are things that are sensitive to you, you might want to go hang out somewhere else for a while. But otherwise, let’s get into it.

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Mandatory Covid Vaccination

Mandatory vaccination for a small portion of the population (regardless of which portion) will not achieve herd immunity and thus will not achieve the effect of protecting the public while it is infringing in medical autonomy; something that healthcare professionals do not acquiesce as part of our profession. If mandatory vaccination is required for public safety then why is it not being mandated for all people? A grocery clerk is a higher vector (an organism that transmits a disease or parasite from one animal to another) risk then myself given the number of customers they serve in a day compared to the 5 patients I have in a shift. Yet, the clerk is not mandated. Why is that? Either mandate the vaccine for everyone because it’s that important or don’t mandate it at all because this selection of a small group achieves little.

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Do No Harm VS Personal Autonomy

The ethical idea of “do no harm” is one most of us have heard and attribute to the Hippocratic Oath. Medical providers don’t actually abide by this at all, rather something more along the line of “let the benifits always out weight the risks.” Because the truth is that medical providers cause their patients harm all the time. There is no course of treatment (even choosing not to treat) that does not come with some level of risk for a negative out come. It becomes the job of the medical provider to help the patient to weigh the risk vs benefits for various treatment options.

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Prevelence

Let me present you with some startling statistics.

Postural Orthostatic Tachycardia Syndrome (POTS) occurs in about ten percent of the population. This disease occurs at the same rate as Diabetes Mellitus (DM).

On average, a patient sees seven doctors before they are diagnosed with POTS. This means they get an incorrect diagnosis seven times before receiving the correct diagnosis. While many patients with DM go undiagnosed for a long period due to mild or no symptoms, they usually only see a single doctor to get the correct diagnosis.

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