Katrina A. Bramstedt, PhD and Francis L. Delmonico, MD
Transplant centers cannot regulate how people establish relationships, but when a donor-recipient pair comes together through Internet solicitation, the center must assess the donor’s motivations carefully.
The case of Johnson v Kokemoor illuminates the conflict between patients’ right to informed consent and clinicians’ need to learn through practice, a conflict that possibly could be resolved through greater transparency about clinicians’ experience or experience-dependent medical fees.
Although there are valid reasons to suspend do-not-resuscitate (DNR) orders during surgery, the decision to do so should be discussed with patients and should take into account their goals and objectives.
AMA J Ethics. 2015;17(3):229-235. doi:
10.1001/journalofethics.2015.17.3.nlit1-1503
Extensive resources are required for its implementation, but there is a strong case that bar-code medication-verification technology should be a required practice for demonstrating "meaningful use" of health information technology under the American Recovery and Reinvestment Act.
This case invites us to think about the real and potential risks that surgeons pose to patients. The risk of HIV acquisition from an infected surgeon appears much lower than the risk of nosocomial bacterial infections, even those with lethal potential.