Medical Ethicist Abbott, MD walks us through her perspectives on myriad ethical quandaries including: How to approach discordance between a patient's written wishes and a family member who says do the opposite, the ethics of operating on demented patients who have an acute life threatening critical illness, a case of a young man with an unsurvivable brain bleed and whether or not to extubate him before the family enters the resus room, strategies to skillfully guide families through withdrawal of life support, and the real consequences of restrictive hospital visitation policies.
Guest Bio: Dr. Jean Abbott is a medical ethicist and faculty at the Center for Bioethics and Humanities and Core Faculty, Master of Science in Palliative Care, University of Colorado Health Sciences Center. She is also Professor Emerita University of Colorado School of Medicine, and 30 year veteran of the emergency department. Not part of her CV but germane to this show...she was my attending when I was a resident in the 1990s and had a profound impact on who I became as a physician. Irreverent, quick witted, and a tireless patient advocate, she is one of the finest physicians I have ever known.
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For full show notes of this episode and all sorts of other goodies, visit our podcast website
We discuss:
Kicking The Can Down The Road | How to break up with deciding not to decide
How to Create a Team in 10 Seconds | Why time is not linear and every second not worth the same
Thinking Outside Your Retirement Account | working harder vs creating value
Phantasia Kataleptike | The secret skill of Stoicism
Making the trade | How to know when it's time to change careers
Default Mode Network vs. Task Positive Network | How our brains balance mind wandering and focused attention
Moral Injury | The crossroads of conscience
117. From Chaos to Control | Taming the tempest of task saturation
116. Resistance | How to crack inertia
115. Zero Warning | Scott Weingart on frameworks for no-notice critical patients
114. An Insider’s Guide to Medical Malpractice | Why the US system is so peculiar and how to navigate the morass
113. Understanding Healthy (and Unhealthy) Relationship Dynamics
112. Pizza doesn’t work | An evidence-based intervention that reduced physician burnout and increased job satisfaction
111. Does Private Equity Belong in Medicine?
110. A Strategy Mid-Shift Overwhelm | Conquer the deluge and get home on time
109. Is Your Identity Holding You Back?
108. How To Not Argue With Reality | The paradox of accepting the present moment, even when seems really sh*tty
107. The Power of Lightly Held Beliefs | Bitcoin enemas, cold exposure, and the law of speedy gains
106. The Drama Triangle | Rewriting the script for conflict and broken communication
105. How Do You Decide When to Say Yes or No | Steps to develop a heuristic for decision making
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