Tag Archives: ethics

An Episode of Questionable Things

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 May the Slap Chop save us all.

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Photo by Danielle Scott

As medical science progresses, it not only answers questions but generates even more.  Listener Tyler pointed out a study (now on hold) that proposes to withhold the current standard of care for victims of penetrating trauma to try something else, and he wondered what we thought of the ethics involved.  Co-hosts Nick Lind, Kyle Kinder, Madeline Slater, and Justin Hababag are here to help unwind these and other questions.  For instance, we explore how far medicine has come in its quest for answers by looking to the past, and what does My Pillow (as-seen-on-tv) have to do with the opioid crisis? Puzzled, we explore the possibilities for how as-seen-on-tv products could help with other public health efforts.  Could the Comfort Wipe wipe out ebola?  We visit with (a) President Donald Trump (soundboard) to find out.

This Week in Medical News

We still don’t know how a pillow can help with opioid addiction, but perhaps we’re seeing the first glimmers of a turn-around in that particular public health crisis.

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What are favorite as-seen-on-tv products, and have you used any to eliminate a public health issue? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Do all three!

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Nebraska has questions.

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Jennifer Andersen, a sociology PhD student at the University of Nebraska-Lincoln, teaches a course called Sociology of Health and Health Care.  She reached out to us to propose that her students would send in questions for us as an extra credit assignment, which was a great idea we jumped on because it meant Dave would barely have to prepare for this show…I mean, it’d be a great education opportunity for her students’ young, fertile minds.

Ahem. Aaanyhow, her students really stepped up with some great topics for Aline Sandouk, Aditi Patel, and new co-hosts Kelsey Anderson and Jacob Chrestenson.  So come along with us as we dive into questions like, have you ever had to do something in med school that wasn’t ethical,  is it better to come to medical school with an open mind about your eventual career, and what’s it like working with different attendings all the time? They’ve got answers to all these queries and a lot more.

We Want to Hear From You

What do you want us to talk about on a future show?   Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Do all three!

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Self-Doubt and Riding the Ethical Railroad

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Photo by SMU Central University Libraries
One of our podcasting goals is to encourage others to create their own shows, especially medical learners.  So John Pienta, Irisa Mahaparn, Adam Erwood, and Erin Pazaski were pleased to hear from listener Terel, who got it and launched a podcast of her own!  Go, Terel!  Although perhaps she and her fellow pre-meds should (not) consider the path taken by another undergrad, who decided to skip all the pesky applying and test taking and just declare herself a medical student so she could jump right in and start seeing patients.  On the other hand, if you worked hard getting your MD, and made all the sacrifices medical education requires, then getting married to your degree may be something to think about.   As often happens to medical students, Irisa confesses she’s having to learn what to think about herself when she doesn’t get tippy-top grades in her classes…and she worries that if she had to help someone give birth on a train, surely no one aboard would survive.  And Dave offers his co-hosts some practice at answering health questions they might really hear someday, which he pulled from the saddest place on the internet: Yahoo! Answers.  Listeners, share your thoughts with us each week.  Call us at 347-SHORTCT any time, and email theshortcoats@gmail.com.

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Careless (and Repulsive) Whispers

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Photo by Yogesh Mhatre

Fresh from winter break, Kaci McCleary, Tony Rosenberg, Mark Moubarek, and new co-host Teneme Konne bring us up to date on their activities during their time off.  We hear from co-host Amy Young as she sends in her (surprising?) thoughts on the Grand Canyon.  Meanwhile, the good old mesentery might get a well deserved promotion, from fatty membrane that gets in the way during abdominal surgery but conveniently holds your spleen to full blown organ…so long as you’re an Irish researcher.  Sadly, recent extra-legal efforts to replace fatally flawed mitochondria in human ova with healthy ones might prove to be worthless (and worse).  France declares everyone an organ donor, unless you opt out (you jerk).  And Dave takes everyone on a tour of the murky world of autonomous sensory meridian response on YouTube.  Will we jump on the ASMR bandwagon, or wipe the warm condensation off our ears and sit this one out?

Listeners, share your thoughts with us each week.  Call us at 347-SHORTCT any time, and see our Facebook page for a question to consider every Monday.

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How will you deal with a preceptor’s bad behavior?

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Ms. Jones, here’s your female viagra prescription. Now, it has serious side effects, but if it kills you at least you’ll go happy. Photo by dayblakelydonaldson

The Annals of Internal Medicine published an editorial from a medical educator admitting and highlighting the fact that there are objectionable people in medicine, and showing how the hierarchical nature of medicine leads otherwise well-meaning students to play along with racism, sexism, and harassment.   One can argue that no-one should ever play along, but in order to not be taken off guard by those who have control over your life, you must have a plan for bad behavior.  Corbin Weaver and newbies Tony Rosenberg, Nicole Westergaard, and Emily White toss around some ideas.

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The Case of the Foolish Anesthesiologist

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Go ahead, doc. I’m listening. Photo by James Cridland

Lisa Wehr, Kaci McCleary, Aline Sandouk, and John Pienta discuss the anesthesiologist whose patient accidentally caught her on tape insulting, defaming, and generally being a jerk about him. Obviously, this crosses a line, but there is a lot of gallows humor in medicine. Are doctors at risk for having their ‘private conversations’ recorded and being used against them, even in the operating room? And John, reacting to a scenario in an ethics small group session, suggests that it might be a valid thing to ignore legality in favor of doing the right thing, and his classmates were not happy.

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The opinions expressed in this feed and podcast are not those of the University of Iowa or the Roy J. and Lucille A. Carver College of Medicine; nor do they reflect the views of anyone other than the people who expressed them.  If you have feedback on anything you hear on the show, positive or not, let us know.

Miles of Smiles

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Guatemalan balloon animals are just as therapeutic as US ones. Photo by David Janssen. Used with permission.

Fourth-year students David Janssen and Lindsey Knake recently arrived home to Iowa from Guatemala, where, along with anesthesiologist David Swanson, they participated in the Miles of Smiles Team (MOST) cleft palate repair medical mission.  Team leader and former UI otolaryngologist Dr. John Canady joined us to discuss what it’s like to do a ‘short term’ medical mission each year for more than 10 years in a country where the needs are great and the resources aren’t.

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