eLetters

476 e-Letters

  • Private or intimate relations between doctor and patient: is zero tolerance warranted?
    Wolfgang L. Spiegel

    Dear Editor

    Five arguments put forward for a "zero tolerance policy" have been summarised by Cullen, who, we believe, has also hinted at their weaknesses.[1]

    There is the "empirical" claim that sexual contact in the P-P-R is "almost always harmful to the patient". But the evidence in support of this argument consists mainly of case reports and small case series of patients receiving psychotherapy. No represen...

    Show More
  • Response to C. Levyman
    Nereo Zamperetti

    Dear Editor

    the concept of brain death (BD) refers to two different but strictly related conditions: the death of the brain ("the irreversible cessation of all functions of the entire brain, including the brain stem"[1]) and the patient's death certified by neurological criteria.

    In his letter, C. Levyman strongly supports both aspects of the concept. Actually, even if nobody challenges the fact the BD i...

    Show More
  • Response to Marang and Kievit
    David,O.E, Gebhardt

    Dear Editor

    The comments of Marang and Kievit are interesting, but are they relevant?[1]

    I fear not, or at best only in part. The authors have failed to answer the question, which I raised and its implication. Therefore I will try to do this myself.

    1. Are medical doctors required to present medical information to a judge, if there is a likelihood that the information or evidence can be used in cour...

    Show More
  • What do patients value in their hospital care?
    Derek Narendra

    Dear Editor

    In the Journal of Medical Ethics, Joffe et al. recently published an article titled:
    What do patients value in their hospital care? An empirical perspective on autonomy centred bioethic [1]
    This empirical study evaluates whether patients’ willingness to recommend their hospital to others is more strongly associated with their belief that they were treated with...

    Show More
  • The return to the heart definition of death
    Celio Levyman

    Dear Editor

    Since the 50s,with the work of Guillan and Mollaret, there has been a preoccupation with the point of no return in brain activity; these French authors choose the expression “coma depassé”. After the first and ethical heart transplantation in South Africa, performed by the Barnard brothers, the medical world was suddenly thrown into a debate about the definition of death. The Harvard ad hoc Committee was...

    Show More
  • Re: The implications of starvation induced psychological changes for the ethical treatment of hunger
    Shimon Glick

    Dear Editor

    Dr. Fessler discusses in detail the implications of starvation induced psychological changes for the ethical treatment of hunger strikers,[1] but cannot bring himself in his conclusions to deviate from respecting the competent hunger striker's decision to continue to fast until death. This is clearly also the virtually unanimous Western ethical consensus, giving autonomy the priority over life.

    In a...

    Show More
  • Re: Patient organisations should also establish databanks on medical complications
    PJ Marang- van de Mheen

    Dear Editor

    Gebhardt in his brief report pleads for patient organisations to establish databanks on medical complications. Given the references (e.g. to a journalist article by Paans entitled “Medical errors to be kept secret”) and the lack of argumentation, there is substantial danger of misinterpretation of the current situation, which in turn may frustrate the process of increased transparency. We would therefore li...

    Show More
  • Drug companies and clinical trials
    Lin A Sharwood

    Dear Editor

    Arthur Schafer has a good point in regards to the commercialization of IP, but how can anyone agree with such a paranoid and polorazing view of the drug companies. Banning them completely would only create an underground of business transactions. At least with gifts to the Universities we know who and where the money is dispersed and for what.

    It is time the public became more involved in th...

    Show More
  • Canadian ethics review: worse than you think
    Ted Schrecker

    Dear Editor

    JME is to be congratulated for offering the important Olivieri Symposium free of charge on a pre-publication basis. The Olivieri and Healy affairs occurred at one university, in one province. Based on the articles by Arthur Schafer, Gordon DuVal, and Lorraine Ferris and colleagues, non-Canadian readers might underestimate the scope of the crisis confronting research ethics review in Canadian uni...

    Show More
  • In two minds
    Susanne McCabe (Stevens)

    Dear Editor

    Firstly, I have a great deal of admiration for this book, which provides much stimulating and thoughtful debate. As such, the book invites a certain amount of friendly criticism from a non-academic perspective.

    What is significantly missing is any inclusion of the 'service users' authentic voice or information for students on the...

    Show More

Pages