Dr.michael.benjamin

Revision as of 11:35, 9 December 2007

Latest revision as of 17:55, 5 April 2022

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:''Theresa Marie "Terri" Schiavo (December 3, 1963 – March 31, 2005) was a woman from St. Petersburg, Florida whose unusual medical and family circumstances and attendant legal battles fueled intense media attention and led to several high-profile court decisions and involvement by prominent politicians and interest groups.''

Note the vague "unusual medical and family circumstances" rather than saying that she was profoundly brain damaged. This compromise was due to the influence of right-to-lifers (really, what they are is anti-euthanasia, but I do not might using that term because they are also anti-abortion-rights). I supposed the stable result of Wikipedia is supposed to be "a compromise", but most people trying to read this were put off right from the start. See [Wikipedia:Peer review/Terri Schiavo]] for some of the feedback. I still say that the complex intermingling of non-notable (1998-2002) legal/medical discovery and wrangling could be quickly summarized and the reader would lose little of the crux of the matter so long as a decent prognosis was presented. If you think about it, when the reader asks "how does this apply to my family?", the "new information" is almost all legal. By that I mean, the reader is going to learn little about how to avoid this sort of cardiac arrest in a family member by reading this story. If a family member does suffer profound brain damage, then the typical American hospital team will be able to reliably inform the relatives when there is little hope of recovery. Where this article comes into play is after the medical damage is done and the family is faced with the legal issue of life-support termination. Then it becomes a legal, social and perhaps religious issue. Well, at least the introduction now is easier to understand and covers only the high-priority issues. If you look back though the talk pages, you will see that a lot of wrangling between the right-to-lifers and others was over minute wording. Note how the wording is still that she had "a diagnosis of persistent vegetative state" rather than bold stating simply that she was in "a persistent vegetative state". The difference is that the former focuses on the physician and that latter focus on the patient. The reason to do that is to insert doubt in the mind of the reader about the diagnosis. The same goes for the focus on Michael Schiavo. If you read "Silent Witness", you will see that the author, [[Mark Fuhrman]] is persistently trying to suggest that Michael Schiavo violently caused his wife's cardiac arrest. You will find that same level of logic in the EM story: focus on the male in insinuate that he is to blame. In both cases, we will never know for sure, but we do ask the courts to resolve the matter. In Schiavo's case, there was a seven year delay in carrying out his will. In Foretich's (EM's husband) case, he also went through many years of trying to clear his name. Both succeeded in the end, but the U.S. Congress changed the law in both cases when the existing law would have resolved the matter adequately. Well, Morgan case is different because she fled the jurisdiction, but I think that the lesson to take away from both cases is that the legislature should be discouraged from attempting to resolve ongoing court cases via new legislation. I am bolding assuming that you have no religious agenda on these matters and can separate the medical and legal aspects well. So in the end, here at Wikipedia, the TS story was, in some ways, held hostage by the right-to-lifers and the EM story croaked because of a lack of popularity. But both are notable and deserve to be done with balance (NPOV, if you will) and with clear, well-written prose. But first, you have to figure out priorities. Both are complicated enough were they can be written NPOV but still be unbalanced in terms of what facts and factual details are included. If they are written by committee (as that former first sentence was), then you will just end up with a bunch of clauses rather than a coherent narrative.--[[User:Laughitup2|Laughitup2]] ([[User talk:Laughitup2|talk]]) 09:42, 9 December 2007 (UTC)

::Thanks for that thoughtful response. I personally believe in euthanasia, but I think it's good that an article is edited in a way that is sensitive to the "other side." I think the introduction strikes a decent tone, and I agree that there were certainly unusual family and medical circumstances that ignited a storm of media and society interest. I think the episode is a good way to get people talking about end-of-life, but it's not necessarily a resource for people searching for the right answer for their particular end-of-life issue, as you propose. Also, "persistent vegetative state" is not a really solid diagnosis for anything in my mind, because it deals with a [[syndrome]], not an [[etiology]]. Anytime we describe a medical condition by its manifestations only (arthritis) rather than the etiologic agent (pneumococcal pneumonia, for example), we are dealing with an uncertain entity. You are entitled to think that the TS article is better without the legalistic details; I think that's part of what makes the whole story so fascinating. As a doctor, I feel validated that the system worked to uphold the sanctity of my professional assessment. Let no legal body regulate my practice. The details of the story then are confirmation that the courts will generally uphold my medical judgement, though the legislature or executive bodies may try to modify that. HTH.--[[User:Dr.michael.benjamin|Dr.michael.benjamin]] ([[User talk:Dr.michael.benjamin#top|talk]]) 02:43, 13 December 2007 (UTC)

:::The etiology is fine to aim for if you are looking to cure the patient, but in this case, recurrent cardiac arrest never seemed to be a danger once she was under hospital care. With the brain damage already fact, much of the politics then devolves into a blame game. Some point to Schiavo's bulimia and potassium deficit, suggesting that the cardiac arrest episode was primarily due to the her own dieting and erratic water intake and therefor her own fault. Others, such as Furhman, insinuate that some unsubstantiated notion of an action on Michael's part in the form of domestic violence caused the cardiac arrest. Much of the political drama is derived from this blame game, especially since successfully pinning the blame on the husband would not only represent a form of justice that would be satisfying to some observers in its own right, but because it would almost certainly strip him of his authority, which would then devolve to the parents, thus dramatically "saving the victim". It is ironic that the malpractice settlement, while seeming to support the bulimia etiology, did not properly resolve any matters of fact; it only resolved matters of the money.--[[Special:Contributions/75.37.14.196|75.37.14.196]] ([[User talk:75.37.14.196|talk]]) 09:45, 21 January 2008 (UTC)

== TTP ==

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*http://www.anatomy.wisc.edu/courses/gross/

--[[User:Laughitup2|Laughitup2]] ([[User talk:Laughitup2|talk]]) 11:35, 9 December 2007 (UTC)

== Allopathy and its Difference with Modern Scientific Medicine : Request to join the discussion ==

I came across your userpage and thought that I could try to involve you into the discussion regarding my attempts to radically modify the article on [[Allopathic medicine]] where my edit as available at [http://en.wikipedia.org/w/index.php?title=Allopathic_medicine&oldid=384249567 this link], had been reverted. The discussion is available at the [http://en.wikipedia.org/wiki/Talk:Allopathic_medicine#Allopathy_and_its_Difference_with_Modern_Scientific_Medicine respective talk page]. I had referenced my edits so that the information that might not be known to many, can be verified. I would like a healthy discussion to be re-initiated in order to improve the article. I would be glad if you show your experienced intervention/involvement.

<span style="font-family:Segoe script;">[[User:Diptanshu.D|'''<span style="color:#ff0000;">D</span><span style="color:#ff6600;">ip</span><span style="color:#009900;">ta</span><span style="color:#0000ff;">ns</span><span style="color:#6600cc;">hu</span>''']][[User talk:Diptanshu.D|^Talk]]</span> 14:41, 23 December 2010 (UTC)

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There has previously been some resistance against translation into certain languages with strong Wikipedia presence, such as [[dutch language|Dutch]], [[polish language|Polish]], and [[Swedish language|Swedish]]. <br>What was found is that thre is hardly any negative opinion about the the project itself; and any such critique has focused on the ways that articles have being integrated. For an article to be usefully translated into a target-Wiki it needs to be properly Wiki-linked, carry proper citations and use the formatting of the chosen target language as well as being properly proof-read. Certain large Wikis such as the Polish and Dutch Wikis have strong traditions of medical content, with their own editorial system, own templates and different ideas about what constitutes a good medical article. For example, there are not [[:en:WP:MEDRS|MEDRS]] ([[:pl:Wikipedia:Wiarygodne źródła (artykuły o tematyce medycznej)|''Polish'']],[[:de:Wikipedia:Redaktion Medizin/Leitlinien|''German'']],[[:ro:Wikipedia:Surse de încredere (medicină)|''Romanian'']],[[:fa:ویکی‌پدیا:شناخت_منابع_معتبر_(پزشکی)|''Persian'']]) guidelines present on other Wikis, and some Wikis have a stronger background of country-specific content.

*Swedish<br>Translation into Swedish has been difficult in part because of the amount of free, high quality sources out there already: [https://www.1177.se/ patient info], [http://www.internetmedicin.se/ for professionals]. The same can be said for English, but has really given us all the more reason to try and create an unbiased and free encyclopedia of medical content. We want Wikipedia to act as an alternative to commercial sources, and preferably a really good one at that.<br>Through extensive collaborative work and by respecting links and Sweden specific content the last unintegrated Swedish translation went live in May.

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*Arabic<br>The Arabic Wikipedia community has been informed of the efforts to integrate content through both the general talk-page as well as through one of the major Arabic Wikipedia facebook-groups: [https://www.facebook.com/groups/213774545487276/ مجتمع ويكيبيديا العربي], something that has been heralded with great enthusiasm.

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*Medical editor census - Medical editors on different Wikis have been without proper means of communication. A preliminary list of projects is available ''[[:meta:Wiki Project Med#Related Wikiprojects|here]]''.

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