Humane Health Care International

Articles from Vol. 12, No. 4, November

Answering the Strike Call
In Ontario at least, a desperate profession finds itself forced into "job action"--strategies of withholding professional services to embarrass government, with an announced deadline of November 1, 1996. We have come to recognize that, politically,...
Decision-Making by Default: Experiences of Physicians and Nurses with Dying Patients in Intensive Care
The purpose of this qualitative research study was to understand the experience of doctors and nurses while working with dying patients in the intensive care unit (ICU). Data was collected through individual taped and transcribed interviews with eight...
Hearing Margaret Estok
Recently in a commentary entitled: "Listen: Two Voices (HHCI 1996; 12:1, pp. 14-15), Kay Toombs, a philosopher who has lived with multiple sclerosis for 23 years, spoke about the two distinct "voices" in the medical encounter: the "voice of medicine...
Hearing Margaret Estok: A Foreword
In March 1993, Margaret Estok had an ultrasound that identified an adnexal mass. On April 15, 1993, she had a laparotomy that found a Stage III, epithelial ovarian carcinoma. Then her uterine tubes and ovaries were removed and samples were taken to...
Hearing Margaret Estok: An Afterword
Most of the 13,000 women who die annually from car cinoma of the ovary may share many of the feelings that Margaret Estok expresses in "I'm Dying to Tell You My Experiences with Ovarian Cancer"(p 185 to 190), but only a few have understood, questioned...
I'm Dying to Tell You: My Experiences with Ovarian Cancer
With the recurrence and progression of my ovarian cancer, I have a sense of urgency to tell my story. Call it part of the unfinished business I have to deal with in the time that remains to me. I think it is also the right time to tackle this project,...
In Honour of Daniel Callahan: A Medieval Disputation on Bioethics
The General Meeting of the Hastings Center was held on June 7th and 8th, 1996 in Tarrytown, New York to honor Daniel Callahan, the Co-Founder and President of the Center, who retired from its Presidency on Sept. 1, 1996. During the meeting, which was...
Moral Basis of Health Care
It is a simple fact: what we believe does matter in everything we do and say--even in everything we think. Our beliefs are central to how we define ourselves. What I believe interprets me to myself, tells you exactly who I am, and what you can count...
Neuroscientist Looks at the Foundation of Ethics, Part 2: From the Ethical Intention to Moral Values and Laws
The Ethical Intention Knowing how the human brain "makes" moral judgments is not sufficient to understand the origins of moral rules and to analyze the foundations used by different cultural traditions to establish a rational theory of good and...
New Moral Framework for Health Care Reform
The pages of Humane Health Care International reflect a compassion and a caring attitude toward patients, their families and society, that are not often found in our relationships with the formal health-care system in industrial nations. It is time...
Organ Donation by Psychiatric Patients: A Case Report
Abstract Organ donation by an individual with a psychiatric diagnosis presents a number of ethical issues. This paper notes that particular attention must be paid to mental competence, consent, and guardianship, when making any decision about organ...
Should Every Woman Be Screened for Ovarian Cancer?
Ovarian cancer is the most deadly gynecologic malignancy in North America; it kills more women each year than cancers of the cervix and uterus combined. Its cause is unknown. There are approximately 22,000 new cases and over 13,000 deaths from ovarian...