John Timothy Kayiwa joins Ethics Talk to discuss his article, coauthored with Benard Matovu, Michael Mutebi, Charity Angella Nassuna, Leonara Nabatanzi, and Drs Kevin T. Castle, Robert M. Kityo, and Rebekah C. Kading: “How Should a One Health Perspective Promote Cross-Disciplinary Research About Bat-Associated Viruses in Uganda?”
This comic invites readers to consider aesthetic and ethical intersections of how odds might be presented—even exaggerated—to cultivate fear in public health messaging.
AMA J Ethics. 2023;25(8):E643-645. doi:
10.1001/amajethics.2023.643.
This multipaneled comic follows a woman robot preparing for a breast examination. Oil “leakage” recurs in the comic, suggesting its ethical importance in metaphorically representing a patient’s stress responses.
AMA J Ethics. 2023;25(8):E646-650. doi:
10.1001/amajethics.2023.646.
The physician must help patients understand that all options—further testing, surgery, no action—carry risks and benefits. Disclosing the statistical probability of injury and other possible outcomes might help, but it can also hinder the process.
After assessing the reasons for a patient’s unrealistic hopefulness in the face of clear understanding, a clinician may believe that significant harm will come to the patient if he or she does not acknowledge the seriousness of the illness.
One strategy is to determine “triggers” that alert the primary clinician that the patient has a high symptom burden or difficulty coping with the diagnosis, prognosis, or treatment plans and should be offered palliative care services.
If a patient’s feelings become sources of resistance to treatment, clinicians need to know how to address these feelings’ influence on the therapeutic capacity of patient-clinician relationships.
AMA J Ethics. 2017;19(5):436-443. doi:
10.1001/journalofethics.2017.19.5.ecas3-1705.