The Good Doctor: A Father, a Son, and the Evolution of Medical Ethics

Author: Lerner, Barron H.

Color: Black

Edition: 1

Number Of Pages: 240

Details:

The story of two doctors, a father and son, who practiced in very different times and the evolution of the ethics that profoundly influence health care   As a practicing physician and longtime member of his hospital’s ethics committee, Dr. Barron Lerner thought he had heard it all. But in the mid-1990s, his father, an infectious diseases physician, told him a stunning story: he had physically placed his body over an end-stage patient who had stopped breathing, preventing his colleagues from performing cardiopulmonary resuscitation, even though CPR was the ethically and legally accepted thing to do. Over the next few years, the senior Dr. Lerner tried to speed the deaths of his seriously ill mother and mother-in-law to spare them further suffering.    These stories angered and alarmed the younger Dr. Lerner—an internist, historian of medicine, and bioethicist—who had rejected physician-based paternalism in favor of informed consent and patient autonomy. The Good Doctor is a fascinating and moving account of how Dr. Lerner came to terms with two very different images of his father: a revered clinician, teacher, and researcher who always put his patients first, but also a physician willing to “play God,” opposing the very revolution in patients' rights that his son was studying and teaching to his own medical students. But the elder Dr. Lerner’s journals, which he had kept for decades, showed the son how the father’s outdated paternalism had grown out of a fierce devotion to patient-centered medicine, which was rapidly disappearing. And they raised questions: Are paternalistic doctors just relics, or should their expertise be used to overrule patients and families that make ill-advised choices? Does the growing use of personalized medicine—in which specific interventions may be best for specific patients—change the calculus between autonomy and paternalism? And how can we best use technologies that were invented to save lives but now too often prolong death? In an era of high-technology medicine, spiraling costs, and health-care reform, these questions could not be more relevant.        As his father slowly died of Parkinson’s disease, Barron Lerner faced these questions both personally and professionally. He found himself being pulled into his dad’s medical care, even though he had criticized his father for making medical decisions for his relatives. Did playing God—at least in some situations—actually make sense? Did doctors sometimes “know best”?   A timely and compelling story of one family’s engagement with medicine over the last half century, The Good Doctor is an important book for those who treat illness—and those who struggle to overcome it. From Booklist The private and professional lives of two doctors—father and son—are bared in this memoir of a medical family. The younger Dr. Lerner, an internist-historian-ethicist, reminisces and reflects on his father’s extreme devotion to the care of patients. The elder Lerner, an infectious-disease specialist, is portrayed as an old-school, benevolent MD with a take-charge approach. Dad is a practitioner of medical paternalism. Son stands up for patient autonomy. But while reading his father’s personal journals years later, the younger Lerner becomes aware of the congruity between parenting and doctoring: “knowing when to insist on something and knowing when to let go.” He wonders if contemporary medicine has become “too democratized.” Ethical issues—medical futility, informed consent, rationing of medical resources, truth telling, medical errors, and overreliance on testing and technology—are depicted as complex and often controversial. Despite their differing perspectives and generational gap, these two doctors are in complete agreement about the paramount importance of the physician-patient relationship and the necessity of humanism in the medical profession. --Tony Miksanek

Reviews:

“Exquisitely insightful...  The Good Doctor poses a fund...

EAN: 9780807033401

Release Date: 13-05-2014

Languages: English

Item Note: Readable book with typical wear and small creases. Part of cover is torn. Has a remainder mark. Hardcover Used - Good 20141st Edition

Item Condition: UsedGood

Binding: Hardcover