Brain B is almost totally responsible for his severe case of emphysema. There is a possibility he could have developed emphysema if he didn't smoke, although this is highly unlikely. There is a direct correlation between smoking and emphysema. I do not believe Dr. L has an obligation to continue to see Brian since he is uninsured. If this was not a free clinic and Brian had insurance this would be a different case. However, I do not think Dr. L has an obligation to Brian, since he has repeatedly told him the adverse effects of smoking. Dr. L should not stop care totally, but I think others should come first, especially if Brian just wants to talk. Virtue does require Dr. L's continued availability. Dr. L seems to be a man of high character; working in a free clinic. Therefore, from a virtue standpoint, he should be available to everyone in need. Virtuous acts are not performed because they are self-interested or pleasurable. The doctor may not want to treat Brain, but it is the right thing to do.
1.) Brian B is completely responsible for his severe case of emphysema. Unfortunately, we cannot force a person to quit smoking; doctors can only suggest it. The fact that Brian B did not follow the doctor's suggestion is his own problem. The doctor provided plenty of warning for Brian to stop smoking. 2.) I believe that Dr. L has an obligation to continue to see Brian B. Since he has been on his case for a while, he knows the most about Brian's medical history and personality. However, I feel it would be helpful for Dr. L to partner with another doctor on Brian's case. Perhaps another insight on the situation will help Brian to stop smoking and improve his health. Also, this will make people more available to Brian. I believe this is an act of virtue combined with an act of duty to his job. I feel they need to tell Brian he cannot be seen by a doctor unless he has an appointment. I would offer other support groups or discussion groups in which Brian can talk out his problems. Due to the budget cuts, however, the doctors are probably less available on a daily basis.
1. I think that Brian is totally responsible for his emphysema. He was advised over and over again to stop smoking, and he never listened.
2. I think that Dr. L still has an obligation to continue to see and treat Brian. As medical professional you take an oath to do what you can when you can to help a patient. I do think that the virtue of patience will play a major role in this situation. I think that it would get old having to tell patient over and over again to stop something and the patient not listen. Watching a person not care about his or health would be a hard thing to do. I agree with Brittany about Dr. L working with a partner and offering different forms of treatment such as support groups, etc. to help Brian. Public support groups will help Brian even when doctors aren't available due to the budget cuts.
I would certainly say Brian B. has developed emphysema becasue of smoking, and is therefore responsible. He ignored all advice from his doctor to quit. However, Dr. L may be the only person in Brian's life that he is able to talk to. It is not clear if Brian has family, and I would assume if he is going to see Dr. L that he does not have anyone else to talk to. Obviously, Brian is scared of what will in all likelyhood happen to him. That being death. Ideally, it would be great if there were counselors available to sit and talk with Brian, but with the budget cuts that can not be done. I do think it would be harsh to send Brian on his way even if he comes in just to talk. I also agree with other comments that Dr. L could be assisting a patient that has followed his advice, and honestly who wouldn't want to help, or even talk with someone that has listened to theri professional advice, rather than someone who has not. I do not think virtue requires Dr. L to be available to Brian, but I do feel he has an obligation as a doctor to do so.
I agree with the previous statements in the fact that Brian is almost totally to blame for his disease. He knew that smoking increased the risks greatly and was told by a doctor not to continue to smoke but he disobeyed this statement and now he is ill. I think that the doctor has an obligation to see all of his patients and even though Brian didn't listen to his orders, how many patients really do? The doctor cannot use that against Brian because as a doctor he has to treat everyone equal no matter what they do outside of the office. Virtue does require that he be available for Brian because under virtue, the doctor has to do everything to save a person and not to harm them. Virtue also means to do good in all so ignoring Brian is not for his good. The doctor would have to remain close to Brian for his treatment because he is obligated as a physician.
It seems that everyone is in agreement that Brian is responsible for his disease , and in any case, physically, this would appear to be the case. However, we really are not provided with enough information to both physically and morally blame Brian. What if his family died in sudden car wreck, and now alone in the world, he still smokes every time the thought of them comes up? What if as a child he suffered an abusive, condescending father who smoked like a chimney because it is what real men do? Of course, these don't make it perfectly justifiable to continue smoking, but we can consider differently Brian's motives and the help he should receive. It would be difficult for anyone lacking support to give up the best means of comfort (if this is the case, which we don't know). So maybe a psychiatrist or support group would be helpful.
1. When it comes to who is to blame for Brian's emphysema, the answer is Brian. He partook in a lifestyle choice that he was warned he needed to quit. The Dr. told him repaeted times that he needed to quit or cut back. By ignoring the warnings and information about what smoking can do this puts Brian at fault for his emphysema.
2. As a Dr., Dr. L has a responsibility and an obligation to continue to be available to Brian. A Dr. cannot refuse to see a patient just because a patient is non compliant. Patient's are always going to be noncompliant with treatment to some extent. Virtue requiires Dr. L to continut to be availble to Brian becuase it is the Doctor's duty to do no harm and by not being available for Brian he is doing harm becuase emphysema is a severe disease that often requires medical treatment. Just because Brian is non compiant does not mean that Dr. L can stop seeing him. If Dr.s could refuse to see a patient just because they are non compliant then there would be no patients for them to see because everyone to some extent is non compliant and the fact the Brian did not want to quit smaking does make him non compliant but it also needs to be understood that smoking is an addiction and like any addiction it is hard to quit. So Dr. L should understand that and should continue to be there for Brian. He can, like others have suggested. work with a partner and sometimes have Brian see his partner instead of him and he could also refer Brian to support groups to try and get him to quit smoking now that his emphysema is very severe to try and stop it from getting even worse, but he should for no reason stop being available for Brian to see.
1) I agree that Brian is totally responsible for developing emphysema. Dr. L advices him to stop and informed him of the possible consequences which Brian chose to ignore. No one forced Brian to smoke, and he was aware of the risks which makes him completely responsible.
2) I think that Dr. L still has a obligation to Brian. He has been treating him for years, and he doesn't have any legitimate reason to drop him as a patient. However, I think that Brian should have to schedule an appointment before coming into the clinic because of Dr. L's busy schedule. Also, I think that Virtue still requires Dr. L to be available to Brian. It wouldn't be considered virtuous if he refused to treat a patient just because he didn't listen to your advice. As much as Dr. L wishes he could force his patients to make better choices, it's out of his hands. His job is to give his patients all the information and treat them for illnesses.
1. I think that Brian B is fully responsible for his severe case of emphysema. However, I do realize it is hard to stop a habit after he has done it for so long, but regardless, he is the one to blame. 2. As a medical doctor i think that Dr. L still has an obligation to continue to see Brian B. Maybe not as often as he would have but still should see him. Yes, i think that virtue require he continue to see Brian B.
I think that Brian is 100% responsible for his severe case of emphysema. He ignored doctor’s warnings about what is best for his health and is now in this predicament because he chose to ignore the warnings. The doctor is responsible for informing Brian B about what is best for his health if he is aware of any dangers. It then becomes Brian B’s responsibility/prerogative to handle the information he is given. I think that Dr. L should still be available to Brian B even if Brian B has ignored his condition until now. He still should have the opportunity to seek help. When it comes to the budget cuts at the clinic that is completely out of Dr. C’s control. He is right to ask Brian B to call before he comes in, since there may be more severe patients that the budget must attend to. But to straightforwardly tell Brian B that he will not help him seems wrong, since his services are supposed to be provided for uninsured patients (without limitations). According to virtue, Dr. L should continue to be available to Brian. Virtue states that people do the right thing for the right reason. The actions are non-consequential. Practice the Golden Mean: patience, honesty, kindness, charity, etc. Based upon this, Dr. L should remain available to Brian.
Brain B is almost totally responsible for his severe case of emphysema. There is a possibility he could have developed emphysema if he didn't smoke, although this is highly unlikely. There is a direct correlation between smoking and emphysema. I do not believe Dr. L has an obligation to continue to see Brian since he is uninsured. If this was not a free clinic and Brian had insurance this would be a different case. However, I do not think Dr. L has an obligation to Brian, since he has repeatedly told him the adverse effects of smoking. Dr. L should not stop care totally, but I think others should come first, especially if Brian just wants to talk. Virtue does require Dr. L's continued availability. Dr. L seems to be a man of high character; working in a free clinic. Therefore, from a virtue standpoint, he should be available to everyone in need. Virtuous acts are not performed because they are self-interested or pleasurable. The doctor may not want to treat Brain, but it is the right thing to do.
ReplyDelete1.) Brian B is completely responsible for his severe case of emphysema. Unfortunately, we cannot force a person to quit smoking; doctors can only suggest it. The fact that Brian B did not follow the doctor's suggestion is his own problem. The doctor provided plenty of warning for Brian to stop smoking.
ReplyDelete2.) I believe that Dr. L has an obligation to continue to see Brian B. Since he has been on his case for a while, he knows the most about Brian's medical history and personality. However, I feel it would be helpful for Dr. L to partner with another doctor on Brian's case. Perhaps another insight on the situation will help Brian to stop smoking and improve his health. Also, this will make people more available to Brian. I believe this is an act of virtue combined with an act of duty to his job. I feel they need to tell Brian he cannot be seen by a doctor unless he has an appointment. I would offer other support groups or discussion groups in which Brian can talk out his problems. Due to the budget cuts, however, the doctors are probably less available on a daily basis.
1. I think that Brian is totally responsible for his emphysema. He was advised over and over again to stop smoking, and he never listened.
ReplyDelete2. I think that Dr. L still has an obligation to continue to see and treat Brian. As medical professional you take an oath to do what you can when you can to help a patient. I do think that the virtue of patience will play a major role in this situation. I think that it would get old having to tell patient over and over again to stop something and the patient not listen. Watching a person not care about his or health would be a hard thing to do. I agree with Brittany about Dr. L working with a partner and offering different forms of treatment such as support groups, etc. to help Brian. Public support groups will help Brian even when doctors aren't available due to the budget cuts.
I would certainly say Brian B. has developed emphysema becasue of smoking, and is therefore responsible. He ignored all advice from his doctor to quit. However, Dr. L may be the only person in Brian's life that he is able to talk to. It is not clear if Brian has family, and I would assume if he is going to see Dr. L that he does not have anyone else to talk to. Obviously, Brian is scared of what will in all likelyhood happen to him. That being death. Ideally, it would be great if there were counselors available to sit and talk with Brian, but with the budget cuts that can not be done.
ReplyDeleteI do think it would be harsh to send Brian on his way even if he comes in just to talk. I also agree with other comments that Dr. L could be assisting a patient that has followed his advice, and honestly who wouldn't want to help, or even talk with someone that has listened to theri professional advice, rather than someone who has not. I do not think virtue requires Dr. L to be available to Brian, but I do feel he has an obligation as a doctor to do so.
I agree with the previous statements in the fact that Brian is almost totally to blame for his disease. He knew that smoking increased the risks greatly and was told by a doctor not to continue to smoke but he disobeyed this statement and now he is ill. I think that the doctor has an obligation to see all of his patients and even though Brian didn't listen to his orders, how many patients really do? The doctor cannot use that against Brian because as a doctor he has to treat everyone equal no matter what they do outside of the office. Virtue does require that he be available for Brian because under virtue, the doctor has to do everything to save a person and not to harm them. Virtue also means to do good in all so ignoring Brian is not for his good. The doctor would have to remain close to Brian for his treatment because he is obligated as a physician.
ReplyDeleteIt seems that everyone is in agreement that Brian is responsible for his disease , and in any case, physically, this would appear to be the case. However, we really are not provided with enough information to both physically and morally blame Brian. What if his family died in sudden car wreck, and now alone in the world, he still smokes every time the thought of them comes up? What if as a child he suffered an abusive, condescending father who smoked like a chimney because it is what real men do? Of course, these don't make it perfectly justifiable to continue smoking, but we can consider differently Brian's motives and the help he should receive. It would be difficult for anyone lacking support to give up the best means of comfort (if this is the case, which we don't know). So maybe a psychiatrist or support group would be helpful.
ReplyDelete1. When it comes to who is to blame for Brian's emphysema, the answer is Brian. He partook in a lifestyle choice that he was warned he needed to quit. The Dr. told him repaeted times that he needed to quit or cut back. By ignoring the warnings and information about what smoking can do this puts Brian at fault for his emphysema.
ReplyDelete2. As a Dr., Dr. L has a responsibility and an obligation to continue to be available to Brian. A Dr. cannot refuse to see a patient just because a patient is non compliant. Patient's are always going to be noncompliant with treatment to some extent. Virtue requiires Dr. L to continut to be availble to Brian becuase it is the Doctor's duty to do no harm and by not being available for Brian he is doing harm becuase emphysema is a severe disease that often requires medical treatment. Just because Brian is non compiant does not mean that Dr. L can stop seeing him. If Dr.s could refuse to see a patient just because they are non compliant then there would be no patients for them to see because everyone to some extent is non compliant and the fact the Brian did not want to quit smaking does make him non compliant but it also needs to be understood that smoking is an addiction and like any addiction it is hard to quit. So Dr. L should understand that and should continue to be there for Brian. He can, like others have suggested. work with a partner and sometimes have Brian see his partner instead of him and he could also refer Brian to support groups to try and get him to quit smoking now that his emphysema is very severe to try and stop it from getting even worse, but he should for no reason stop being available for Brian to see.
1) I agree that Brian is totally responsible for developing emphysema. Dr. L advices him to stop and informed him of the possible consequences which Brian chose to ignore. No one forced Brian to smoke, and he was aware of the risks which makes him completely responsible.
ReplyDelete2) I think that Dr. L still has a obligation to Brian. He has been treating him for years, and he doesn't have any legitimate reason to drop him as a patient. However, I think that Brian should have to schedule an appointment before coming into the clinic because of Dr. L's busy schedule. Also, I think that Virtue still requires Dr. L to be available to Brian. It wouldn't be considered virtuous if he refused to treat a patient just because he didn't listen to your advice. As much as Dr. L wishes he could force his patients to make better choices, it's out of his hands. His job is to give his patients all the information and treat them for illnesses.
1. I think that Brian B is fully responsible for his severe case of emphysema. However, I do realize it is hard to stop a habit after he has done it for so long, but regardless, he is the one to blame.
ReplyDelete2. As a medical doctor i think that Dr. L still has an obligation to continue to see Brian B. Maybe not as often as he would have but still should see him. Yes, i think that virtue require he continue to see Brian B.
I think that Brian is 100% responsible for his severe case of emphysema. He ignored doctor’s warnings about what is best for his health and is now in this predicament because he chose to ignore the warnings. The doctor is responsible for informing Brian B about what is best for his health if he is aware of any dangers. It then becomes Brian B’s responsibility/prerogative to handle the information he is given.
ReplyDeleteI think that Dr. L should still be available to Brian B even if Brian B has ignored his condition until now. He still should have the opportunity to seek help. When it comes to the budget cuts at the clinic that is completely out of Dr. C’s control. He is right to ask Brian B to call before he comes in, since there may be more severe patients that the budget must attend to. But to straightforwardly tell Brian B that he will not help him seems wrong, since his services are supposed to be provided for uninsured patients (without limitations).
According to virtue, Dr. L should continue to be available to Brian. Virtue states that people do the right thing for the right reason. The actions are non-consequential. Practice the Golden Mean: patience, honesty, kindness, charity, etc. Based upon this, Dr. L should remain available to Brian.