The Nation’s Largest Clinical Trial Ever. Let’s Roll.

Years ago, as a medical student, I volunteered for select medical experiments. These included vaccine trials for hepatitis B. and meningococcus. I even participated in a vaccine trial for “turista”, traveler’s diarrhea. For the capstone of that trial, I spent the weekend in a clinical research facility and swallowed a solution containing E. coli, the … Read more

Complacency or Crisis?

In America, we seem operate to under two modes – complacency or crisis. Not much in between. Everything’s OK until it’s not. Then we convene after the fact commissions to point fingers and prevent the same problem we missed. Remember the Rogers Commission to analyze the Challenger accident? The 9/11 Commission? Is the COVID-19 Commission … Read more

Pandemic, Elective Care, Urgent Care, and Informed Consent

As I write this, we are reading in the news about potential quarantines and lockdowns. In addition, there’s talk about canceling all elective surgical cases, leaving hospital operating rooms empty so beds will be available to take care of those affected by COVID-19.Have all elective cases been canceled across the US? Well, no. Weirdly enough, … Read more

Family Practitioner Treats Patient for Depression While Sleeping With His Wife on the Side

It is not uncommon for patients to develop romantic feelings for their doctors. Managing these emotions is critical. When these emotions are mismanaged, bad outcomes often result. A family practice doctor was treating a husband and his wife for an assortment of challenges. To make a long story short – the patient’s wife (who was also … Read more

Is Sex with a Patient ALWAYS Unprofessional Conduct?

Most Boards of Medicine take a draconian view towards sex with patients. If a complaint is filed, and the sexual relationship began in the middle of a doctor-patient relationship, discipline likely will ensue. The interpretation is absolute.   With most crimes, guilt/innocence and the penalty are defined by the defendant’s state of mind. Very few things in the … Read more

Seemed Like a Good Idea at the Time

  A patient’s autonomy to make decisions regarding their health is a bedrock axiom of medical ethics. A doctor may disagree with a patient’s course of action, but, it’s their life. Of course, the doctor does not have to be a willing participant in that patient’s case if he disagrees with the patient’s choices. The … Read more

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