The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.
The rationale for policy intervention to reduce obesity rates appears compelling. Justification for intervening in the case of children is particularly strong, and precedent suggests that society will more readily accept appropriate restrictions to youth behavior.
A discussion of the ethical issues raised by a patient’s request for off-label, prophylactic bariatric surgery to prevent diabetes mellitus type 2 (DM type 2).
A discussion of the ethical issues raised by a patient’s request for off-label, prophylactic bariatric surgery to prevent diabetes mellitus type 2 (DM type 2).
A breastfed infant in a high weight-for-length percentile is not necessarily at greater risk for future health problems than a leaner infant; a physician would be justified in advocating for such a child to receive insurance coverage.
During disasters and mass casualties, point-of-care ultrasound makes it possible to diagnose thoraco-abdominal injuries rapidly and accurately, offers a tool for procedure guidance, and has streamlined patient triage.
Art therapy is an effective tool for working with both adults and children coping with trauma because it bypasses the disconnection trauma can cause between memories of the event and the verbal regions of the brain. Recently, it has been used to treat children affected by large-scale disaster events.
John Broach, MD, MPH, Mary-Elise Manuell, MD, MA, and Andrew Milsten, MD, MA
CEEPET’s mission is to provide competency-based emergency preparedness education and training, using an all-hazards approach, to staff members of hospitals, community health centers, long term care facilities, and emergency medical service providers.
Residents can be better prepared to treat patients who are obese by understanding that care as an expression of the core principles of professionalism: responsibility, self-regulation, patient-centered care, and teamwork.