Biomedical subjects

T P Gonsoulin

Publications and source records attributed to T P Gonsoulin.

3 recordsLinked to original sources

PubMed2001

Cochlear implant/Deaf World dispute: different bottom elephants.

OBJECTIVE: To examine the controversy between the proponents of cochlear implantation in children and the Deaf World opponents with the hope of offering a method for decreasing the acrimony of opposing positions. STUDY DESIGN AND SETTING (METHODS): The opposing arguments will be presented from a review of pertinent literature. The systemic philosophic process of bottom elephant analysis will be elucidated. Contrasting models of power will be described. RESULTS: The application of the bottom elephant analysis of each group's position plus a paradigm shift in the utilization of power offers possibilities for the implementation of mutually respectful dialogue that does not undermine each group's stature. CONCLUSION AND SIGNIFICANCE: Philosophic analysis and paradigm shift could lead to improvement in the interaction of cochlear implant proponents and Deaf World opponents.

Cochlear Implants↗

PubMed1999

Elective surgery and the HIV-positive patient: medical, legal, and ethical issues.

The ethical and legal issues surrounding the healthcare provider's obligation to provide care for patients have been a topic of debate since the beginning of modern medicine. The human immunodeficiency virus (HIV)-positive patient requesting cosmetic or elective surgery provides yet another situation in which the physician's ethical and legal responsibilities for the patient become a topic of debate. The risks involved to the physician and patient are first discussed, and then current ethical theory and legal decisions are reviewed. Finally, some conclusions are attempted from the varied opinions in the literature surrounding this controversial topic.

Elective Surgical Procedures↗

PubMed1997

Ethical issues raised by managed care.

Health care costs have risen steadily for many years as a result of an inflationary reimbursement system, technologic advances, an aging population, and increasing patient expectations. The growth of managed care organizations (MCOs) has accelerated rapidly in recent years as an attempt to control costs. Because MCOs are involved with medicine, a moral enterprise, they enter the ethical arena. In this report several of the ethical issues raised by the attempted union of potentially conflicting systems are explored. The discussion focuses on four sets of relationships: physician-patient, physician-physician, patient-MCO and medicine-MCO as systems. Some remedies for dealing with the conflicts raised are offered.

Disclosure↗