{"id":994,"date":"2011-03-12T15:58:59","date_gmt":"2011-03-12T14:58:59","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/medical-ethics\/?p=994"},"modified":"2011-03-12T15:58:59","modified_gmt":"2011-03-12T14:58:59","slug":"a-new-standard-for-medics-perfection","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/2011\/03\/12\/a-new-standard-for-medics-perfection\/","title":{"rendered":"A New Standard for Medics: Perfection"},"content":{"rendered":"<p>Lord knows why, but I keep going back to Secondhand Smoke, the pro-life, global-warmin&#8217;-denyin&#8217;, public-healthcare-hatin&#8217;, intelligent-design-lovin&#8217;, \u00a0<em>Daily-Mail<\/em>-quotin&#8217; blog written by Discovery Institute affiliated lawyer Wesley Smith. \u00a0I try to stay away, but like a child peeping between his fingers while hiding his eyes, I&#8217;m just fascinated by it.<\/p>\n<p>A recent post concerns a Kiwi woman whose doctors r<a href=\"http:\/\/www.foxnews.com\/health\/2011\/03\/07\/teen-returns-home-2-months-hospital-turns-life-support\/print\">emoved her life-support machine<\/a> in the belief that it was futile. \u00a0This was contrary to the wishes of her parents, who are acupuncturists who &#8220;had drawn on specialist acupuncture and traditional Chinese medicine practitioners for support during the critical period when life support was withdrawn&#8221;. \u00a0She survived.<\/p>\n<p>In Smith&#8217;s telling of the story, the doctors &#8220;forced&#8221; the patient off the machine &#8211; which, to be honest, can&#8217;t have been all that hard given that she was unconscious. \u00a0He goes on:<\/p>\n<blockquote><p>This is a warning.\u00a0 Doctors don\u2019t know everything.\u00a0 Hospitals are not always right.<\/p><\/blockquote>\n<p>Well, yeah. \u00a0But that doesn&#8217;t mean that they oughtn&#8217;t to have made the decision that they made. \u00a0Isn&#8217;t it obvious that medics don&#8217;t have perfect foresight? \u00a0Isn&#8217;t it obvious that there&#8217;s always going to be the odd (very odd) recoveries from miserable situations? \u00a0That doesn&#8217;t mean that it&#8217;s illegitimate to make decisions about futility, or that it&#8217;s illegitimate to act on them. \u00a0It doesn&#8217;t mean that it&#8217;s wrong to make decisions based on medical judgement. \u00a0Couldn&#8217;t we equally well say that recovery was evidence that the life-support machine wasn&#8217;t necessary anyway, and ought to have been withdrawn a lot sooner (and perhaps not used at all)? \u00a0After all, if you&#8217;re going to play on medical fallibility, you can&#8217;t pick and choose between mistakes.<\/p>\n<p>Is Smith saying that it&#8217;s always impermissible to remove treatment based on judgement short of godlike omniscience? \u00a0Strange.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lord knows why, but I keep going back to Secondhand Smoke, the pro-life, global-warmin&#8217;-denyin&#8217;, public-healthcare-hatin&#8217;, intelligent-design-lovin&#8217;, \u00a0Daily-Mail-quotin&#8217; blog written by Discovery Institute affiliated lawyer Wesley Smith. \u00a0I try to stay away, but like a child peeping between his fingers while hiding his eyes, I&#8217;m just fascinated by it. A recent post concerns a Kiwi woman [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/medical-ethics\/2011\/03\/12\/a-new-standard-for-medics-perfection\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1240,968,591,1241],"tags":[],"class_list":["post-994","post","type-post","status-publish","format-standard","hentry","category-blogosphere","category-clinical-ethics","category-life-and-death","category-tinfoil-hat"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/posts\/994","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/comments?post=994"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/posts\/994\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/media?parent=994"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/categories?post=994"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/medical-ethics\/wp-json\/wp\/v2\/tags?post=994"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}