In quarantine situations, the actions of autonomous individuals are restricted to protect the health of the public. Physicians enforcing quarantine should be sympathetic and clear in communicating with those whose activities are being restricted.
Clinical case examines physicians’ duties and risks during an epidemic. Commentaries address physician’s rights vs patients’ rights. Does the duty to treat always override personal or family concerns?
Residency programs should include a system composed of night float teams, wide cross-coverage, and effective communication at the time of patient hand-off in order to maintain an 80-hour work week.
The current Medicare operation—reimbursing medical goods and services to a growing number of people without basing the reimbursement benefit on the actual cost of the services—is unsustainable, but there are some possible remedies.
Guidelines exist for delivery-room treatment for newborns at the margins of viability, and when the rules and limits are reached, parental values are important.
Guidelines exist for delivery-room treatment for newborns at the margins of viability, and when the rules and limits are reached, parental values are important.
When evaluating the developments and complications of a marginally viable premature infant, physicians and parents must work together to decide on treatment that is in the infant’s best interest.