miercuri, ianuarie 27, 2010

Un pic de medicină

Moartea lui Michael Jackson a devenit subiect didactic.
De pildă, conform unui articol din www.7est.ro este vorba despre cursurile ţinute la UMF Iaşi (acolo se scrie că moartea a devenit material didactic, de parcă ei pot s-o pipăie pe ea, pe moarte):
Cum ar reactiona Dr. House intr-o situatie limita a unui pacient care se sufoca? Unde au gresit, daca au gresit, medicii in cazul mortii megastarului Michael Jackson? Grea misiune, mai ales daca inca nu esti doctor, ci doar student al UMF Iasi. Ei bine, mai nou, medicinistii au ocazia sa studieze, la cursurile de medicina de urgenta, reactiile in diverse cazuri dificile, inclusiv din seriale TV cunoscute. Medicul Diana Cimpoesu a avut ideea de a aduce cazuri-limita in propriile sali de curs. "Cei care au realizat serialele au avut consultanti foarte buni. Merg de material didactic", spune doctorul Diana Cimpoesu, sefa SMURD Iasi.

Moartea lui Michael
Studentii medicinisti studiaza, plini de transpiratie, cauzele mortii megastarului Michael Jackson. Dintr-un motiv cat se poate de simplu. Trebuie sa stabileasca daca cantaretul putea fi salvat de medicii care l-au primit la spital, daca au procedat corect si daca se descurcau in fata unei situatii de acel fel. Profesorul care le tine cursuri de medicina de urgenta, Diana Cimpoesu, vrea sa vada o sclipire la unul dintre ei, acel ceva care sa-i recomande un candidat bun pentru un post la UPU si SMURD. "In cursurile din acest an, vorbim despre o situatie celebra de resuscitare, moartea cantaretului Michael Jackson. Din experienta, am observat ca un curs interactiv, in care este prezentat un caz celebru, ii face foarte atenti pe studenti. In plus, trebuie sa gaseasca si ei propriile solutii de rezolvare a diverselor cazuri de urgente medicale", afirma Diana Cimpoesu. "Ideea este interesanta, mai ales daca nu stim decat simptomele declarate de pacienti sau observate de medicii, fara a sti finalul povestii. Este o metoda inedita de a studia si aprofunda resuscitarea sau medicina de urgenta", precizeaza Cristina, studenta la UMF Iasi in anul IV.

Pe de altă parte, există analize ale medicilor americani privind moartea lui Michael Jackson:
Michael Jackson: Murder, Money, Medicine and Mayhem
By Boyce Watkins, PhD on Aug 24th 2009 10:07PM

I was as shocked as anyone to see that Michael Jackson's death was ruled a homicide by the coroner. While we all figured out that the drugs killed him, an accidental overdose is certainly not the same as negligence on the part of a physician. It turns out that Dr. Conrad Murray, Michael Jackson's physician, may have displayed a deadly combination of both unethical behavior and serious incompetence. At least that's how things are shaping up.

There is the broader issue of money. We all know that Michael Jackson paid Dr. Murray $150,000 per month to get him the drugs he needed. That's a lot of money to turn down, so even if we are disgusted by what Murray did, most of us can understand the temptation. There is also the added fact that Michael Jackson, a larger than life celebrity, is begging you for drugs that are available with the stroke of a pen. That would make anyone do a double-take.

There is a clear risk/return trade-off here, in which Murray was being asked to do something illegal in exchange for a great deal of money. Some of us can understand how a doctor with money problems might be tempted to take some extra cash to give away access to his stash of dope. After all, Jackson was the one asking for the drugs, so should he be held responsible for any of these outcomes?"No," says Dr. Elaina George, an Otolaryngologist out of Atlanta. Dr. George argues that Jackson was not the one to blame for his untimely death. She explains that physicians have an oath to "not do harm" to their patients and that by giving Jackson such a deadly combination of drugs, Dr. Murray violated that oath."'Michael Jackson did not have a chance' was my first thought when I read the report that just came out about what caused his untimely and tragic death," says Dr. George, who generally serves as an advocate for other physicians. "I was unprepared for the absolute disregard for the first tenant of the doctors' Hippocratic Oath – 'First do no harm.'

"It is quite possible that Dr. Murray's financial problems may have played a role in his decision to allegedly break the law in treating Jackson. His house was in foreclosure, he was deeply in debt and he'd declared bankruptcy in the past. He'd also accumulated $435,000 in unpaid legal judgments over the last three years. On the outside, Dr. Murray appeared to be successful, but on the inside, he was in as much financial pain as Michael Jackson was in physical pain. In this regard, Dr. Murray was like many other Americans who don't earn enough to keep up with their lavish lifestyles.

There are some who would argue that this entire scenario was driven by addiction: Jackson's addiction to drugs, and Dr. Murray's addiction to money. In the end, Jackson got death and Dr. Murray is going to get prison time. The story ends sadly for everyone.
Eu aştept, cu răbdare, şi părerea doamnei dr. Jan Garavaglia ("Dr. G") - părere care, din câte văd, încă nu a apărut. Înţeleg că nici la ei doctorii nu se calcă pe bătături, totuşi, poporul dornic de amănunte cred că a depus o sumă mare de cerereri, drept pentru care avem şanse să vedem într-un viitor oarecare şi analiza domniei sale.

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