82 e-Letters

published between 2009 and 2012

  • Challenges At the Frontlines
    Nancy Lutwak

    At the frontlines, in the emergency department, clinicians face multiple challenges. Each patient sees his situation as unique and quite frightening, although to the clinician, it is commonplace. Therefore, it is paramount for healthcare providers to empathize with each individual. Another challenge for clinicians is having self-insight and viewing each patient in an unbiased manner in order to share meaningful...

    Show More
  • When guideline aren't enough
    Matthew K Jackson

    Dear Editor,

    Muirhead argues that Beauchamp and Childress' principalist approach to ethics is of little practical relevance to the majority of commonly occurring clinical ethical scenarios. Through analysis of three cases which involve conflict between the principles of autonomy and benefice, he demonstrates that many scenarios are well rehearsed with the "correct" answers enshrined in guideline and statute. His pap...

    Show More
  • A better understanding of cycle helmet disadvantages is needed
    Colin F Clarke

    Dear Editor,

    Cycle helmet law for children not justified

    The paper about bicycle helmets and legislation, ‘Liberty or death; don't tread on me’ (1) provides a quite traditional view and assumes helmet legislation may be appropaite for children.

    A recent report, 'Evaluation of New Zealand's bicycle helmet law’(2) provides some data that may assist in considering cycle helmets. The Conclusions stated, ”...

    Show More
  • Ethical Approval has been made mandatory since 2010
    Angel Magar

    Dear Authors,

    Thank you very much for highlighting the importance of ethics in research. When I was at the Kathmandu University Medical Journal (KUMJ), Journal of Nepal Medical Association (JNMA) and Journal of Nepal Health Research Council (JNHRC), authors were required to submit ethical approval letter from 2010. We started advertising and notifying authors of this from 2008.

    I left KUMJ and JNMA in...

    Show More
  • Diagnosing Death - practical vs. philosophical
    Daniel JR Harvey

    Dear Editor,

    Recent attacks on the medical criteria for diagnosing death have, in our opinion, reached such a degree of sophistry that the debate is in danger of becoming irrelevant to doctors and patients alike1 2 .Doctors have a job to do, to diagnose the dead.

    Dying is a process, decay effects different functions and cells of the body at different rates. Doctors must decide at what moment along this pr...

    Show More
  • Death and legal fictions
    David W Evans

    Shah, Truog and Miller(1) argue that current death determination practice for organ procurement purposes does not conform to a scientifically coherent understanding of death and that vital organs are being taken from still-living donors. This has been known to those who read the medical and scientific literature for some time but, as they say, the public has not been informed. Fearing that this information cannot be hidd...

    Show More
  • Conflicts for Jewish patients and physicians
    Irene Campbell-Taylor

    The article by Waltho (1) raises some issues of concern for Jewish patients, and physicians, outside of Israel Canada is a country with a significant mix of races and religions. To the observant Jewish population, the issue of "informed refusal" presents a conflict between what is required of physicians and what religion dictates. My own experience when working in a hospital functioning on strictly observant rules did n...

    Show More
  • Physician role in medical decision making
    Ramon S. Dunkin


    My commentary in Letters to the Editor in the Aug. 2, 2011 issue of the Annals of Internal Medicine reflects very well the results of your study. My comment was primarily related to end of life decisions, but I believe, applies to all patient care decisions. Physicians' failure to make their best recommendations to patients is an all too common deficiency. I hope your publication fosters a much needed...

    Show More
  • A safe ground to take for facebook activity of residents and fellows
    Bing H. Tang, M D, M P H

    A safe ground to take for facebook activity of residents and fellows

    Bing H Tang, MD, MPH

    Research & Ethics

    Danville, California, U S

    I read with interest Facebook activity of residents and fellows and its impact on the doctor-patient relationship (J Med Ethics jme.2010.036293Published Online First: 15 December 2010 doi:10.1136/jme).

    Basically, facebook is a way of maki...

    Show More
  • That "Non-maleficence is not a novel concern" is precisely why it should be discussed more widely
    Simon D Waltho

    Many thanks to Adam J Sher for drawing my (and others') attention to this particular aspect of the IPRA's genesis. Notwithstanding that it renders my own contribution to such debates even more modest than I had at first suspected, to discover that my thoughts echoed (however belatedly!) those of such a respected individual as Rabbi Feinstein is somewhat edifying, and I would hope that most people would rather find their v...

    Show More