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@Q.MAbrar 3 сағат бұрын
Dear Professor. I am an international student doing my undergrad degree in Human Biosciences (former biochemistry). I am also doing a minor in Gender Studies, and currently I am doing a second year Philosophy course on Health Ethics. Initially when I came to Canada, I did feel very displaced and at different points of university, I felt overwhelmed by my degree time to time. Which is why, my grades have been average. I am working very hard to bring my grades up. However, it was not until last semester (I am in my third year), I got a newfound love for health sciences. And since the last semester, I have been trying my best to make sure I can make a career in Healthcare, and my initial plan has been Health Ethics, or Clinical Ethics. I stumbled upon your video as I was going through one of those nights thinking if I will ever make it in life, or if my career plan will ever take off. I am working towards a Masters in Health Ethics. I am also currently working remotely with a governmental project for people with learning disabilities as a Mentor and a Screener. I want to know if my CGPA don't get up to 3.5 or above out of 4, should I still keep my hopes to work as a Health Ethicist in the future? Are there any advises you would like to give me besides the ones in the video? Thank you for taking the time to read my comment.
@collinr1363 4 күн бұрын
Do you play poker? At a table rn haha
@ValueJudgments 3 күн бұрын
You were watching this video playing poker!? How'd you do?
@collinr1363 3 күн бұрын
@@ValueJudgments Good i play full time mostly online
@edwardmeyers4466 6 күн бұрын
The show is based in New Jersey.
@Jungfrun1 6 күн бұрын
One of the tricky thing about letting a patient in the US discide is that they might just do it because they don't want to drown their family in debt.
@ValueJudgments 6 күн бұрын
I think there are two levels to this. There's a big-picture issue about how medicine should be funded, and, as a Canadian who has seen the U.S. health system up close, it's ridiculous that people have to go bankrupt to stay alive. But the second level is for the individual. If someone were to say, "I'm making this decision because I don't want to drown my family in debt", I don't think the right move is to deny them an assisted death because they care about their family. They should still be able to make their own decisions, even if it's a decision that is only caused by an unjust system. Importantly, very few people in the U.S. actually do cite financial reasons as a factor in having an assisted death. Almost all of them are covered by medicare, so cost isn't usually a factor. In Oregon, it's about five percent of people: www.oregon.gov/oha/PH/PROVIDERPARTNERRESOURCES/EVALUATIONRESEARCH/DEATHWITHDIGNITYACT/Documents/year26.pdf
@kolper6799 8 күн бұрын
One more time It had been proven that House MD is just wont die.
@ValueJudgments 7 күн бұрын
The gift that keeps on giving!
@davidsantiagosantosnino463 9 күн бұрын
Would you recommend to get into bioethics as soon as posible (for example, by getting an MA in bioethics) or is it a good idea to transition from other academic background (for instance, an MA and a Phd in philosophy)? For some people, its probably easier to get an MA (or even a Phd) in their fields (law, medicine, philosophy, etc.) than getting into bioethics graduate programmes.
@ValueJudgments 8 күн бұрын
For someone doing an undergrad, I usually recommend a PhD or a JD/MA. There are people who get clinical ethics jobs with a masters in bioethics, but there aren't many of those jobs and they compete with the PhDs. Someone who does a bioethics dissertation for their PhD is going to have a stronger foundation. The trade off, of course, is that it's a lot more time and you have to really like research, but there's a growing number of PhD programs with good bioethics streams. I think masters in bioethics are good for healthcare professionals or for people who want to do a graduate program that covers a lot of bases without as much commitment as a PhD. The problem is it's often harder to get into a PhD with a masters in bioethics, since those masters programs aren't as academically rigorous. There are lots of options and no single path for clinical ethics, so you can choose your own adventure. The biggest things, as I outline in my "How to Become a Clinical Ethicist" video, are to take lots of ethics courses and start volunteering in a hospital as early as possible.
@jameseglavin4 9 күн бұрын
Really excellent stuff, honestly this whole channel could be just “ethicist reacts” to the prolific House MD channel and it would probably pop off… anyway very enjoyable, thank you for your work and your expertise
@mathmannix 11 күн бұрын
If I were a doctor, I'd say sorry, I don't believe in following "DNR"s, I believe in saving lives. If you don't like that, go to a different doctor.
@thomascampbellthomascampbell 11 күн бұрын
i was shocked to see how little subscribers this channel has with such high quality, well informed and entertaining videos, really great stuff here and i wish you success in your future
@ValueJudgments 11 күн бұрын
Hey thanks! I just started a few months ago.
@Rawnervscope 12 күн бұрын
I understand that it’s this guy’s job to measure Ethics specifically, but this makes me think we’re focusing too much on being fair and ethical, everybody treats, and just like anything too much of it might not be good for society, and I think apart there should be challenges someone who is more like house and meet someone in the middle
@ValueJudgments 11 күн бұрын
Maybe we have different views about ethics! What do you think he should be allowed to do?
@Rawnervscope 11 күн бұрын
@@ValueJudgments You live up to that name 👏 First, I do think your job is very important I wouldn’t say we differ about ethics just was suggesting just like theres a 2 party political system so to an ethical spectrum ? Like I said, I’m not against your ethics as a whole I was reminded of someone close to me being in pain and alleged ethics didnt allow him many options for relief , no history of addiction but treated as such My mother is dealing with the same thing and she’s on a selfless non addicted person I know Thats just my personal examples there are more than matters of pain. Ethics should have a compassionate mother and a struct father maybe🧐
@ValueJudgments 11 күн бұрын
@@Rawnervscope Sorry to hear that. There's definitely a problem now with providers withholding pain relief even when prescribing it is justified. I've also had cases of families wanting to deny fentanyl for their loved one because they're worried about addiction, even though the person is going to die within a week. And there's absolutely an ethics spectrum. I by no means speak for the entire profession in these videos.
@piogodink 12 күн бұрын
Nope youre wrong
@SaguaroBlossom 12 күн бұрын
What's offensive to me is when House says the patient is "a little sad" because of blah blah blah. Sorry, but depression is *FAR* more than being " a little sad," like something people can just snap out of. It may be caused by medical conditions, but as this atheist says, it doesn't matter, as depression doesn't make someone lack capacity. What an insulting case study!
@Valeo1993 12 күн бұрын
House takes place in New Jersey, not Massachusetts 😊. But who watches house for ethics
@blitz4974 12 күн бұрын
what a boring ass dude lol
@GeneralKenobi69420 12 күн бұрын
That guy definitely has a seven figure net worth
@joshuaperry4112 13 күн бұрын
"I am a Doctor of what's right and wrong.", he lisped autistically.
@pseudomastix2916 13 күн бұрын
Hey Eric, as an ethicist, how relevant is the philosophy of Immanuel Kant to modern clinical ethics? As a philosophy student, I have studied Kant's ethical theories and, because I often see medical dramas discuss 'dignity' and 'autonomy' in the context of healthcare and patients, I have always assumed that there might be some connection between Kant's philosophy and modern clinical ethics. Is there any connection? Or does the notions of 'dignity' or 'autonomy' which I often hear about in medical contexts stem from distinct sources other than Kant? Additionally, if I wanted to learn more about clinical ethics, are there any books you'd recommend that I read as a lay person/newcomer to clinical ethics?
@ValueJudgments 13 күн бұрын
It's useful to have an understanding of normative ethics, including Kant, but the details of any particular historical view aren't going to play a main role. Part of the value is just knowing that terms like 'autonomy' and 'dignity' are used in different ways. In my own work, I've gotten more mileage out of Mill, in part because so many people bring up the harm principle. They rarely come up in any direct way, however. If you're interested in bioethics research, then the theory foundation is much more important. Whichever you choose, getting a grasp of deontology, consequentialism, egalitarianism, liberalism, feminism, and other views is worthwhile. I'm going to make a video about books at some point. Here are a couple I like: - www.amazon.com/Medical-Ethics-Law-curriculum-Century/dp/0702075965 - The ASBH bundle: asbh.org/resources/books The actual practice of clinical ethics is hard to get from a book, so it's worthwhile to focus on getting familiar with the theory and case studies.
@pandroidgaxie 15 күн бұрын
Dear Mr. Mathison, I'm interested that performing a rejected treatment is actually battery. I've read posts from women who yelled Stop! Stop! when an office procedure got too painful, but the "professional" kept on going. What's sad is that I doubt a lawyer would take such a case. A woman whose concerns were dismissed by a doctor is likely to get the same reaction from a lawyer. )-: However, I have a different ethical question for you. My elderly uncle's terminal health was well-known by him, his family and his doctors. His death was just a matter of time. Lifelong smoker, emphysema, heart failing, etc. But when he went in the hospital, he plainly told them he did NOT want them to sit back and let him die. He wanted to fight to the end, regardless of how painful it would be. A couple months later, he went to the hospital again. He was perky and sane that night with visitors. The next day he had to be put on a ventilator. No surprise, his damaged lungs were failing. But because he was "fighting the ventilator" they put him in a medical coma. And then the doctors badgered my born-again Christian aunt to "pull the plug" as if he had fallen into a brain damage vegetable-type coma from which he would never awaken. After a week, she gave in. The whole point of putting a ventilated person in a medical coma is so they *don't* breathe on their own, since their body us not cooperating with the ventilator. When the doctor "pulls the plug" ... of COURSE the patient doesn't breathe on his own, you have made sure that he can't. Unless they bring him out of the coma first they are not giving the patient's body a chance. shutting In case this sounds like an isolated case, it isn't. A few years later, another family member went into the ER. He was not elderly, he had no ongoing physical conditions. He just didn't seek medical care in time. It was his colon. He was in complete denial of how much trouble he was in. He still thought he had a choice about whether he would get a colostomy or choosing something else, and wasted another 24 hours in the hospital arguing. His organs started failing. They put him on a ventilator. Still cheerful, still talking. They had to put him in a medical coma due to "fighting the ventilator." And then they told his wife to pull the plug. Sound familiar? Yes, again, he WAS probably going to die. There was so much damage. He developed ARDS. Before this happened, my uncle suffered from lifelong major depression - coping with a colostomy would have been bad enough, coping with the other ongoing medical devices to keep him alive if he survived sepsis would have wiped him out. But he had no idea he was going to die when they put him under. And again, he wasn't in a brain-damage coma, he was in a medically induced coma. Pulling the plug didn't give his body a chance to start breathing. I am not paranoid about a big conspiracy. In Sweden, which became the international right-to-die destination, some citizens suggested that doctors were making convenient decisions for elderly or traumatically ill people who were "going to die anyway." I don't think that's true here. But I do think that the mental attitude towards right-to-die has slipped in the USA. It is the PERSON'S decision. The family can be asked, but if the person is not brain dead, doctors shouldn't be pushing this heart-wrenching decision on families as if it's okay. If the person still has a brain - wake them up and ask them.
@ValueJudgments 14 күн бұрын
I'm sorry to hear that your family has had so many health issues. There's an important medical question about why this might have happened in your family members' cases that a physician is better suited to answer. In the cases I've seen, doctors will only use a medically induced coma to prevent severe brain injury once the other options have failed. The decision happens really fast. "Fighting the ventilator" typically means extreme agitation: the patient suddenly sits upright, her skin starts turning blue, she's sweating and clearly distressed. It's a sign that something is seriously wrong. Since a coma is a last resort, if there's organ failure, reversing the coma either isn't possible-there has been too much brain damage-or too harmful for the patient. The decision about continuing or stopping ventilation is in part an ethical one. They need to be on the ventilator to get oxygen, which is why removing it causes them to die. Again, I'm not sure what happened to your family members, but the most common situation is that a patient is deteriorating so much that the ventilator is no longer benefiting him in a meaningful way. Because of the medical situation and other factors, like pain management, taking them out of the coma isn't possible. I absolutely agree that these are heart-wrenching decisions for a family to make. Even when people believe that removing the ventilator is the best option, making that decision for a loved one can be extremely difficult.
@spoonflaps12 15 күн бұрын
Hoping to see a few more consent episodes about House. There's a small one in Season 7, Episode 19. There's also that subplot in season 5, I think, with Foreman tampering with a drug trial. You should also check out David Shore's more recent series, The Good Doctor, for even more ridiculous consent issues.
@ValueJudgments 14 күн бұрын
Thanks! I'll take a look at those.
@milkgrapes6420 17 күн бұрын
Liking these House MD reviews. Also love the high quality production
@jastintheceooffinanasapost6204 17 күн бұрын
I may end up in a horrible state or not But i will live, the price is only my life
@SurvivenTerry 17 күн бұрын
Most doctors now days just dont care anyways. Wile my dad was dying 2 of his doctors had to skip state due to malpractice. I remember days where doctors would throw everything at the wall to save a life...now its just a part of the ER team if they are having a good night.
@DblOSmith 17 күн бұрын
Funniest thing about this show. Doctors don't run cultures, they don't draw blood, and they damn sure don't do polysomnograms. lol I think the show is based in NJ, BTW. Not Mass.
@ValueJudgments 17 күн бұрын
And they wear masks! I have a correction in the info about the location. I screwed that up!
@mrjakeisnumber2 19 күн бұрын
I have to disagree with your point about it being okay to give a patient a placebo by not specifically naming it, saying something more generic like "Some patients find this beneficial." Even if you're not saying something untrue, it's still misleading. As a patient, if I found out my doctor did this to me, I would feel lied to. Even if the results were beneficial, I would still feel upset that I was effectively tricked into taking fake medicine, and would file a complaint against the doctor and hospital. Although my case may be different since I explicitly don't want placebos
@ValueJudgments 18 күн бұрын
This is definitely a key part of the debate. I say that not using the word 'placebo' *might* be okay and that it depends on one's interpretation of informed consent. As I discuss, the way to address this is to use an open-label placebo. This is a good way of making sure you don't get a placebo you don't want. Thanks for watching!
@Maxten654 20 күн бұрын
I never heard this kind of title or job exist😅😅😊
@kevinwheesysouthward9295 21 күн бұрын
The interaction between House and Forman, discussing Forman going to work with Dr Hamilton is my favorite scene in the entire series. House beautifully describes who he is, what he does, and why he does it.
@Filip-rh8be 23 күн бұрын
In love with this video, please more!!
@PaoloBosi 23 күн бұрын
"They never have aby nurses in the show" is by far the best commentary of the show. Not a bad show, but absolutely an unrealistic one.
@raymac5235 17 күн бұрын
But they do have nurses.
@0g.Ghost.7373 25 күн бұрын
Thank God for doctors like House.
@SARSteam 26 күн бұрын
Sorry, im with House on this one. He saved a life. Patient is an idiot.
@Sinatra021 26 күн бұрын
You look like a coward wouldn't want you as a doctor
@mauriciosaIas 27 күн бұрын
I have an ethics paper due Friday & this gave me a lot of information & insight on what to focus on. Writing a philosophy paper is definitely different compared to any regular English essay. Thanks so much !!
@ValueJudgments 27 күн бұрын
I'm glad you found it helpful!
@kristijankuzman9532 28 күн бұрын
That patient isnt the victim he is just sick man who dont wont to get treatment!
@blacktimhoward4322 Ай бұрын
I know a guy who has 'DNR' tattooed on his left breast and always wondered if that would matter to EMTs or doctors. It's not a legal document obviously but it does show his wishes
@ValueJudgments 29 күн бұрын
I've had a couple cases like this. I'll make a video about it. Stay tuned!
@austinmoyer8026 Ай бұрын
Dr house is a doctor I would want all the doctors now days are pussy
@Ben-jl2rh Ай бұрын
If i had a doctor id have DR House as my personal doctor regardless of Ethics
@Grand_Master_Skywalker 29 күн бұрын
Same here cos he’s the best.
@shanepye7078 Ай бұрын
Wonder what your stance on Informed Consent, Medical Experimentation on Humans and Coercion is? A lot of that went down the past few years in Canada……
@Whovian173 Ай бұрын
12:37 The show is not based in Massachusetts. It's based in New Jersey.
@ValueJudgments Ай бұрын
Thanks. I have a correction in the description.
@Hcube7 Ай бұрын
Tysm for this through analysis!!
@ValueJudgments Ай бұрын
Thanks for watching!
@wolffang489 Ай бұрын
House has offered to help kill at least 3 people.
@pandroidgaxie 15 күн бұрын
The episode with actor Joel Gray was another. He was dying regardless, six months to live. DNR. But he had something new and House wanted to know what it was. House put something in his iv saying it would kill him, but actually he was giving him something to cause a coma. Then he ran tests etc until he found out what it was. WOKE THE PATIENT UP to tell him. And then did an assisted death. Joel Gray won an emmy award.
@smithysforge5309 Ай бұрын
So on the DNR subject. If a doctor was somehow unaware of the DNR and just reacted to the situation and intabated the patient. Would the doctor still be legally liable?
@ValueJudgments Ай бұрын
It's extremely unlikely that this would happen in a hospital. The procedure is to call a code blue, at which point physicians and nurses from the unit would come to the room. They would all know that the patient is DNR. Some hospitals have other signs for staff, like a different coloured bracelet or a sign on the wall. It's possible that a patient could be wandering around the hospital and collapse, so someone nearby begins resuscitation without realizing the patient is DNR. My guess about the law in most places is that beginning resuscitation if you don't know the patient is DNR is legally fine (not legal advice though!). Mistakes are more common on long-term care homes and prisons. Here's a story about staff at a care home failing to resuscitate a resident because they thought she was DNR (it was actually her roommate). The family has sued: www.courant.com/2024/03/27/a-ct-woman-died-in-a-care-center-her-family-says-it-was-due-to-error-in-do-not-resuscitate-order/
@smithysforge5309 Ай бұрын
@ValueJudgments thank you for that amazingly detailed explanation. I worked as a security guard in a hospital for 6 years and was always fascinated by the medical field. But unfortunately, most of my questions like this weren't taken seriously when I asked them. I often was given "that couldn't happen" or "that's a stupid question" with no explanation. So again, thank you for the detailed response explanation and article for reference.
@ValueJudgments Ай бұрын
@@smithysforge5309 That's a tough job. You're a legend for doing that work. I bet you have a lot of stories! I just found this case of basically what you were asking about. A nurse found a patient unresponsive, the code blue team arrived, there was confusion about his code status, so they began resuscitation and he was resuscitated before they confirmed he was DNR. He won $400,000 in a lawsuit. www.physiciansweekly.com/jury-awards-400000-in-wrongful-prolongation-of-life-lawsuit/#:~:text=The%20estate%20of%20Rodney%20Knoepfle,DNI%5D%20during%20a%202016%20hospitalization.
@smithysforge5309 Ай бұрын
@ValueJudgments haha well thank you for saying that, and you're right. I've got quite a few stories, some good, some bad, some head scratchers and some that I still laugh about to this day. This article is a very interesting read. I can honestly say I've always struggled with the concept of lawsuits against doctors or hospitals in these types of situations. Seems there's there's both a fine and hard line when it comes to this. For example, if a guy is driving and gets into a horrible wreck and the EMS crew that shows up just reacts and resuscitated him. But he had a DNR then they could potentially be in danger of a lawsuit. Unfortunately, the legal field of medicine seems to be quite the mine field
@JimCGames Ай бұрын
This guy must’ve thought this was a biography. He must not realize that it’s fictional drama.
@ValueJudgments Ай бұрын
Is that why House won't return my requests for comment!?
@JimCGames Ай бұрын
@@ValueJudgments, oh, I get it… …you think a lot of viewers think it’s real.
@milewesler9592 Ай бұрын
@@JimCGamesit’s more of a analysis of fiction, ya know, a human past time since we first started telling stories. That being said, this man isn’t ethical, he’s just really good at following the legal guidelines. Ethics aren’t the same as laws.
@JimCGames Ай бұрын
@@milewesler9592, “…analysis of fiction…”? Is it? When you say this and that isn’t so? You’re imposing reality onto “fiction”. fiction /fĭk′shən/ noun The category of literature, drama, film, or other creative work whose content is imagined and is not necessarily based on fact. I watch programs all the time and see things that don’t coincide with reality, except when they want it to. For instance, all the millions and millions of retail outlets with cameras and yet crimes go on in these areas and police never have the inclination to look for such videos. Even when they occur inside these establishments, it’s the same thing. Or how about when on NCIS they storm into a building without first obtaining a warrant. They knew where they were going ahead of time, and yet they never sought a warrant. They come upon their destination, immediately arm themselves and start maneuvering around the building ready to rush inside and take down the villain. Yeah, we’re so set on all the details of fiction and these programs persist and nobody bats an eye. Why? Because it’s fiction!
@JimCGames Ай бұрын
@@milewesler9592, it’s an author’s work. If these people are so set on inserting every nuance of reality into fiction, I think they should go write their own screenplays. Fiction doesn’t always work if you go to that extreme because the author is trying to bring about specific scenarios to further the drama within it that can’t otherwise evolve upon such insistence.
@xv1distort Ай бұрын
Can a DNR done under misled/mistaken circumstances be rendered invalid? "I dont want to be resuscitated because ALS over months/years will be horrible to endure" vs got the wrong medication an hour later
@ValueJudgments Ай бұрын
Ethically speaking, sure. Suppose at this point in the episode that the doctors knew for sure that Giles didn't have ALS and that the new treatment was simple, but they accidentally gave him medication that stopped his heart. If fGiles said that he was only requesting the DNR based on his belief that he was likely to die soon, and this turns out to be false, resuscitation could be justified. But House has nothing like that kind of evidence when he resuscitates him. A DNR order is a medical order made by the healthcare provider in charge, but patients can refuse interventions for whatever reason they want. The bar for valid refusal is lower than the bar for informed consent, so Giles could say, "I don't even want to go to the hospital", which is his right. His decision might be uninformed or unjustified, but that wouldn't give doctors the right to treat him against his will. I'm not sure what a lawyer would say about this kind of case. Maybe I can talk LegalEagle into a collaboration one day!
@alflyle9955 Ай бұрын
So is Eric here Pro-choice?
@frugalseverin2282 Ай бұрын
I only remember it being said 1 time but House doesn't want nurses working on his patients, just his doctors.
@ValueJudgments Ай бұрын
Ughhhh.
@midnatwilight2293 8 күн бұрын
Yeah, I think he said he didn't trust them if they weren't part of his team.
@woahdotoah Ай бұрын
this is misleading, you are not stating the 'ethics', you are stating the law. the law isnt always ethical, ethics and morality are different to the law.
@ValueJudgments Ай бұрын
All my points about what he should or shouldn't do are about ethics. Since the law and ethics overlap for DNRs, I include the legal points at no extra charge. Clinical ethicists tell people what the law says in cases where it's clear-cut, but you're right that the law and ethics sometimes come apart. In those cases, I'm clear that my recommendation differs from the law, so they should consult a lawyer and they have to decide what they want to prioritize. Cases like this are pretty rare, but it's somewhat more common for the law to be silent or ambiguous on an issue.
@milewesler9592 Ай бұрын
@@ValueJudgmentsheavy semantic use to avoid the reality. The same concept would fall under the good samaritan act in the case of a attempted suicide. Same moral dillema, but the legal red tape is on your side as opposed to against you. Don’t say they overlap when there are clear lines drawn
@musical_lolu4811 15 күн бұрын
So because he's an ethicist he can't talk about law? So much for categorialism and transdisciplinarity.
@milewesler9592 15 күн бұрын
@@musical_lolu4811 if you can't separate ethics from law than you're not much of a ethicist are you
@realcondition3463 Ай бұрын
useless video ever
@PaperbackWizard Ай бұрын
I think the part about wanting to sign with his hand was more of a pride thing. If you want a really good ethics episode, try "Informed Consent" in Season Three. It covers not just what they do to the patient, but also some things the patient has done.
@ValueJudgments Ай бұрын
Thanks! I'll check it out.
@sandhik1823 Ай бұрын
Hi Prof. Mathison: UofT student really enjoying your work on KZfaq. Would you be interested in covering the Grey's Anatomy episode "Bad Blood" from the ninth season? Interesting but almost classic case of a Jehovah's witness needing a blood transfusion; would love a general discussion of religion conflicting with medical care.
@ValueJudgments Ай бұрын
Sure! Thanks for letting me know!
@missinginaction7foe Ай бұрын
honestly the whole ethics thing is what make house md a better hospital drama that any other show.
@ValueJudgments Ай бұрын
It's definitely another layer!