Physician Assistant Quotes

The adult was Eric "Rusty" Everett, thirty-seven, a physician's assistant working with Dr. Ron Haskell, whom Rusty often thought of as The Wonderful Wizard of Oz. Because, Rusty would have explained, he so often remains behind the curtain while I do the work.

A Boy was bathing in a river and got out of his depth, and was in great danger of being drowned. A man who was passing along a road heard his cries for help, and went to the riverside and began to scold him for being so careless as to get into deep water, but made no attempt to help him. “Oh, sir,” cried the Boy, “please help me first and scold me afterwards.” Give assistance, not advice, in a crisis. THE QUACK FROG Once upon a time a Frog came forth from his home in the marshes and proclaimed to all the world that he was a learned physician, skilled in drugs and able to cure all diseases. Among the crowd was a Fox, who called out, “You a doctor! Why, how can you set up to heal others when you cannot even cure your own lame legs and blotched and wrinkled skin?” Physician, heal thyself.

The proper response to religious opposition to choice or love or death can be reduced to a series of bumper stickers: Don't approve of abortion? Don't have one. Don't approve of gay marriage? Don't have one. Don't approve of physician-assisted suicide? For Christ's sake, don't have one. But don't tell me I can't have one - each and every one - because it offends your God.

But Carol Gill says that it is differential treatment—disability discrimination—to try to prevent most suicides while facilitating the suicides of ill and disabled people. The social science literature suggests that the public in general, and physicians in particular, tend to underestimate the quality of life of disabled people, compared with our own assessments of our lives. The case for assisted suicide rests on stereotypes that our lives are inherently so bad that it is entirely rational if we want to die.

Physician’s assistant.

There’s pushback on the legislative front as well. In 2013, California passed the nation’s only law that year to expand abortion access: Nurses and some other health professionals (midwives, nurse practitioners, and physician assistants) are now permitted to perform first-trimester nonsurgical abortions.30 (This is what can happen when a state is controlled by Democrats.)

Nothing about our pain takes Jesus by surprise. He is fully aware and fully in control. He knows how to bring our stories– knit together with God’s story as the true story– to a happy ending.

A Boy was bathing in a river and got out of his depth, and was in great danger of being drowned. A man who was passing along a road heard his cries for help, and went to the riverside and began to scold him for being so careless as to get into deep water, but made no attempt to help him. “Oh, sir,” cried the Boy, “please help me first and scold me afterwards.” Give assistance, not advice, in a crisis. THE QUACK FROG Once upon a time a Frog came forth from his home in the marshes and proclaimed to all the world that he was a learned physician, skilled in drugs and able to cure all diseases.

Legal, regulated voluntary euthanasia and physician-assisted suicide have far less potential for abuse, and when they are available, there is no need to make it easy for people to find out how to kill themselves.

We filled out emergency 'next-of-kin notification' forms and were issued metal dog tags attached to a chain to be worn around the neck. Legal officers assisted each of us in drafting a last will and testament and power of attorney." (Page 135)

Companies spend billions on marketing and public relations campaigns to gain public trust. They award themselves “Best Hospital” prizes by measuring outcomes like “patient experience”—as if a visit to the hospital were a trip to Disney World instead of a life or death endeavor.

All told, approximately 100,000 people were examined in the days and weeks after the accident, 18,000 of whom required hospitalisation. It took the combined efforts of 1,200 doctors, 900 nurses, 3,000 physicians’ assistants and 700 medical students working in shifts to provide round the clock care.185

His assistants left him pretty well alone, apart from attending to his dressings, for not only was he a dangerous patient, stubborn, dogged and even violent if attempted to be dosed according to any system but his own, but he was also their superior in naval and in medical rank, being a physician and the author of highly-esteemed works on seamen's diseases, an officer much caressed by the Sick and Hurt Board: furthermore he was no more consistent than other men and in spite of his liberal principles and his dislike of constituted authority he was capable of petulant tyranny when confronted with a slimedraught early in the morning.

It was a testament, perhaps, to the lack of sexual education in Tikany that Rin didn’t learn about menstruation until that morning. Over the next fifteen minutes, the physician’s assistant explained in detail the changes going on in Rin’s body, pointing to various places on the diagram and making some very vivid gestures with her hands.

The Heiligenstadt Testament" Oh! ye who think or declare me to be hostile, morose, and misanthropical, how unjust you are, and how little you know the secret cause of what appears thus to you! My heart and mind were ever from childhood prone to the most tender feelings of affection, and I was always disposed to accomplish something great. But you must remember that six years ago I was attacked by an incurable malady, aggravated by unskillful physicians, deluded from year to year, too, by the hope of relief, and at length forced to the conviction of a lasting affliction (the cure of which may go on for years, and perhaps after all prove impracticable). Born with a passionate and excitable temperament, keenly susceptible to the pleasures of society, I was yet obliged early in life to isolate myself, and to pass my existence in solitude. If I at any time resolved to surmount all this, oh! how cruelly was I again repelled by the experience, sadder than ever, of my defective hearing! — and yet I found it impossible to say to others: Speak louder; shout! for I am deaf! Alas! how could I proclaim the deficiency of a sense which ought to have been more perfect with me than with other men, — a sense which I once possessed in the highest perfection, to an extent, indeed, that few of my profession ever enjoyed! Alas, I cannot do this! Forgive me therefore when you see me withdraw from you with whom I would so gladly mingle. My misfortune is doubly severe from causing me to be misunderstood. No longer can I enjoy recreation in social intercourse, refined conversation, or mutual outpourings of thought. Completely isolated, I only enter society when compelled to do so. I must live like art exile. In company I am assailed by the most painful apprehensions, from the dread of being exposed to the risk of my condition being observed. It was the same during the last six months I spent in the country. My intelligent physician recommended me to spare my hearing as much as possible, which was quite in accordance with my present disposition, though sometimes, tempted by my natural inclination for society, I allowed myself to be beguiled into it. But what humiliation when any one beside me heard a flute in the far distance, while I heard nothing, or when others heard a shepherd singing, and I still heard nothing! Such things brought me to the verge of desperation, and well-nigh caused me to put an end to my life. Art! art alone deterred me. Ah! how could I possibly quit the world before bringing forth all that I felt it was my vocation to produce? And thus I spared this miserable life — so utterly miserable that any sudden change may reduce me at any moment from my best condition into the worst. It is decreed that I must now choose Patience for my guide! This I have done. I hope the resolve will not fail me, steadfastly to persevere till it may please the inexorable Fates to cut the thread of my life. Perhaps I may get better, perhaps not. I am prepared for either. Constrained to become a philosopher in my twenty-eighth year! This is no slight trial, and more severe on an artist than on any one else. God looks into my heart, He searches it, and knows that love for man and feelings of benevolence have their abode there! Oh! ye who may one day read this, think that you have done me injustice, and let any one similarly afflicted be consoled, by finding one like himself, who, in defiance of all the obstacles of Nature, has done all in his power to be included in the ranks of estimable artists and men. My brothers Carl and [Johann], as soon as I am no more, if Professor Schmidt be still alive, beg him in my name to describe my malady, and to add these pages to the analysis of my disease, that at least, so far as possible, the world may be reconciled to me after my death. I also hereby declare you both heirs of my small fortune (if so it may be called). Share it fairly, agree together and assist each other. You know that any

As we spoke more, he told me about a physician-assisted suicide support group he and his sister had joined, for those at the end of their lives and their loved ones. So many in the group were fighting for the right to die with dignity. Healthy eating wasn’t going to save his sister’s life, and neither of them wanted her to suffer any longer than she had to. I knew then that I wanted, very deeply, to give a voice to the people of that support group.

The tribal differences that erupt into public controversy typically concern sex (e.g., gay marriage, gays in the military, the sex lives of public officials) and death at the margins of life (e.g., abortion, physician-assisted suicide, the use of embryonic stem cells in research). That such issues are moral issues is surely not arbitrary. Sex and death are the gas pedals and brakes of tribal growth. (Gay sex and abortion, for example, are both alternatives to reproduction.)

I became expert at making myself invisible. I could linger two hours over a coffee, four over a meal, and hardly be noticed by the waitress. Though the janitors in Commons rousted me every night at closing time, I doubt they ever realized they spoke to the same boy twice. Sunday afternoons, my cloak of invisibility around my shoulders, I would sit in the infirmary for sometimes six hours at a time, placidly reading copies of Yankee magazine ('Clamming on Cuttyhunk') or Reader's Digest (Ten Ways to Help That Aching Back!'), my presence unremarked by receptionist, physician, and fellow sufferer alike. But, like the Invisible Man in H. G. Wells, I discovered that my gift had its price, which took the form of, in my case as in his, a sort of mental darkness. It seemed that people failed to meet my eye, made as if to walk through me; my superstitions began to transform themselves into something like mania. I became convinced that it was only a matter of time before one of the rickety iron steps that led to my room gave and I would fall and break my neck or, worse, a leg; I'd freeze or starve before Leo would assist me. Because one day, when I'd climbed the stairs successfully and without fear, I'd had an old Brian Eno song running through my head ('In New Delhi, 'And Hong Kong,' They all know that it won't be long...'), I now had to sing it to myself each trip up or down the stairs. And each time I crossed the footbridge over the river, twice a day, I had to stop and scoop around in the coffee-colored snow at the road's edge until I found a decent-sized rock. I would then lean over the icy railing and drop it into the rapid current that bubbled over the speckled dinosaur eggs of granite which made up its bed - a gift to the river-god, maybe, for safe crossing, or perhaps some attempt to prove to it that I, though invisible, did exist. The water ran so shallow and clear in places that sometimes I heard the dropped stone click as it hit the bed. Both hands on the icy rail, staring down at the water as it dashed white against the boulders, boiled thinly over the polished stones, I wondered what it would be like to fall and break my head open on one of those bright rocks: a wicked crack, a sudden limpness, then veins of red marbling the glassy water. If I threw myself off, I thought, who would find me in all that white silence? Might the river beat me downstream over the rocks until it spat me out in the quiet waters, down behind the dye factory, where some lady would catch me in the beam of her headlights when she pulled out of the parking lot at five in the afternoon? Or would I, like the pieces of Leo's mandolin, lodge stubbornly in some quiet place behind a boulder and wait, my clothes washing about me, for spring?

(It should be noted that Elwin Heslege, who’d been assisting the family as a physician, reported seeing some improvement in Fitz’s temperament with the use of what he calls an “Emotional Support Stuffed Animal.” Elwin gifted Fitz with a sparkly stuffed red dragon, which he instructed Fitz to call Mr. Snuggles, and recommended that Fitz try hugging Mr. Snuggles whenever he was upset, or if he couldn’t sleep. Numerous reports indicate that Fitz still has Mr. Snuggles in his possession and finds a great deal of solace and comfort from his stuffed dragon.)

When Devlin returned to the Police Camp early the next morning Anna Wetherell was still unconscious; her head had lolled sideways, and her mouth was slightly agape. There was a bluish-purple bruise upon her temple, and her cheekbone was painfully swollen: had she fallen, or had she been struck? Devlin had no time to investigate, however, or to press the gaoler for more information on the circumstances of the girl’s arrest: it transpired that a man had died during the night, and Devlin was requested to accompany the physician to the Arahura Valley to assist in the collection of the dead man’s remains—and perhaps also to say a prayer or two over his body. The dead man’s name, Shepard informed him, was Crosbie Wells.

Basic elements of human care underpin how we regard and respond to others—our ethics as people become sicker and more physically dependent: Shelter from the elements. A caring society metaphorically says to the frail or dying person, “We will keep you warm and dry.” Help with personal hygiene. The community reassures the person who is too frail to care for himself or herself, “We will keep you clean.” Assistance with elimination. Family or, on behalf of society, clinicians (typically nurses or nurse aides), say, “We will help you with your bowels and bladder function.” Provision of food and drink. We can say, “We will always offer you something to eat and drink—and help you to do it.” Keeping company. Society can say to people who are dying, especially those who are “unbefriended,” “We will be with you. You will not have to go through this time in your life entirely alone.” Alleviating suffering. Certainly today, society can say, “We will do whatever we can, with as much skill and expertise as available, to lessen your discomfort.” Yet it is only this final element that is dependent on clinical expertise.

In March, at HHS’s request, several large pharmaceutical companies—Novartis, Bayer, Sanofi, and others—donated their inventory, a total of 63 million doses of hydroxychloroquine and 2 million of chloroquine, to the Strategic National Stockpile, managed by BARDA, an agency under the DHHS Assistant Secretary for Preparedness and Response.56 BARDA’s Director, Dr. Rick Bright, later claimed the chloroquine drugs were deadly, and he needed to protect the American public from them.57 Bright colluded with FDA to restrict use of the donated pills to hospitalized patients. FDA publicized the authorization using language that led most physicians to believe that prescribing the drug for any purpose was off-limits. But at the beginning of June, based on clinical trials that intentionally gave unreasonably high doses to hospitalized patients and failed to start the drug until too late, FDA took the unprecedented step of revoking HCQ’s emergency authorization,58 rendering that enormous stockpile of valuable pills off limits to Americans while conveniently indemnifying the pharmaceutical companies for their inventory losses by allowing them a tax break for the donations. After widespread use of the drug for 65 years, without warning, FDA somehow felt the need to send out an alert on June 15, 2020 that HCQ is dangerous, and that it required a level of monitoring only available at hospitals.59 In a bit of twisted logic, Federal officials continued to encourage doctors to use the suddenly-dangerous drug without restriction for lupus, rheumatoid arthritis, Lyme and malaria. Just not for COVID. With the encouragement of Dr. Fauci and other HHS officials, many states simultaneously imposed restrictions on HCQ’s use.

According to the modern view, the good life is the satisfaction of any pleasure or desire that someone freely and autonomously chooses for himself or herself. The successful person is the individual who has a life of pleasure and can obtain enough consumer goods to satisfy his or her desires. Freedom is the right to do what I want, not the power to do what I by nature ought to. Community gives way to individualism with the result that narcissism — an inordinate sense of self-love and self-centered involvement — is an accurate description of many people’s lives. If I am free to create my own moral universe and version of the good life, and there is no right or wrong answer to what I should create, then morality — indeed, everything — ultimately exists to make me happy. When a person considers abortion or physician-assisted suicide, the person’s individual rights are all that matter. Questions about virtue or one’s duty to the broader community simply do not arise.

Have the child suck on a frozen treat to decrease taste sensation before administration.

The average time of death after stopping eating and drinking is about seven days, though 8 percent lived for more than two weeks. The last days of life were rated as peaceful, with low levels of pain and suffering, even more so than a physician-assisted death.6680 Most hospice workers said they would consider VSED themselves should they become terminally ill.

Yet from the standpoint of justice, this approach has serious limitations and pitfalls. Just as physicians take basic human anatomy as given when treating patients, policymakers working within the medical model treat the background structure of society as given and focus only on alleviating the burdens of the disadvantaged. When it comes to the ghetto poor, this generally means attempting to integrate them into an existing social system rather than viewing their unwillingness to fully cooperate as a sign that the system itself needs fundamental reform. In short, features of society that could and should be altered often get little scrutiny. This is the prob lem of status quo bias. In addition, the technocratic reasoning of the medical model marginalizes the po liti cal agency of those it aims to help. The ghetto poor are regarded as passive victims in need of assistance rather than as potential allies in what should be a collective effort to secure justice for all.

I was amazed at how expensive economists thought doctors were. They instituted many economic maneuvers—de-skilling medicine onto nurses and physician assistants; computerizing medical decision-making; substituting algorithms for thinking—because they assumed that doctors were such expensive commodities. And yet doctors were not expensive, at least, not the doctors I knew. We cost no more than the nurses, the middle managers, and the information technicians, alas. Adding up all the time I spent with Mrs. Muller, the cost of her accurate diagnosis was about the same as one MRI scan, wholesale. Economists did the same thing with the other remedies of premodern medicine—good food, quiet surroundings, and the little things—treating them as expensive luxuries and cutting them out of their calculations. At Laguna Honda, for instance, while most patients were on fifteen or even twenty daily medications, many of which they didn’t need, the budget for a patient’s daily meals had been pared down to seven dollars, which could supply only the basics. I began to wonder: Had economists ever applied their standard of evidence-based medicine to their own economic assumptions? Under what conditions, with which patients and which diseases was it cost-effective to trade good food, clean surroundings, and doctor time for medications, tests, and procedures? Especially ones that patients didn’t need? Although Mrs. Muller was an impressive example of Laguna Honda’s Slow Medicine, she wasn’t the only one. Almost every patient I admitted had incorrect or outmoded diagnoses and was taking medications for them, too. Medications that required regular blood tests; caused side effects that necessitated still more medications; and put the patient at risk for adverse reactions. Typically my patients came in taking fifteen to twenty-five medications, of which they ended up needing, usually, only six or seven. And medications, even the cheapest, were expensive. Adding in the cost of side effects, lab tests, adverse reactions, and the time pharmacists, doctors, and nurses needed to prepare, order, and administer them, each medication cost something like six or seven dollars a day. So Laguna Honda’s Slow Medicine, to the extent that it led to discontinuing ten or twelve unnecessary medications, was more efficient than efficient health care by at least seventy dollars per day. I

We all love Salvador," I said. "That's not the issue." "Then what is the issue?" "He's a distraction," I said. "He's not a distraction," Sylvie said. "He's helping." "He's too handsome to help. Did you see that mussed-up ponytail just now?" "Can I just remind you that the master's he's getting is to become a physician's assistant? He's a medical professional." "Not yet he isn't.

In recitation, you invoke Ya Ahad, the infinite dot or singularity, and pair it with Ya Samad, the infinite circle that expands eternally. Invoking them as a pair will assist in bringing you true balance in life. As-Samad is connected with the word samdah, which means castle or citadel. It conveys the sense that the ground on which you stand is infinite.

VA/DoD Clinical Practice Guideline for the Management of Post-Traumatic Stress—released by the Department of Veterans Affairs and Department of Defense in 2010.

The Importance of Bookkeeping Services for Doctors Managing the financial side of a medical practice can be challenging for doctors, as they are often focused on providing quality patient care. However, maintaining accurate financial records is essential for the success of any healthcare practice. Bookkeeping services tailored specifically for doctors help ensure that their financial transactions are organized, compliant, and manageable, allowing them to focus on what they do best—caring for patients. Why Doctors Need Specialized Bookkeeping Services Doctors face unique financial complexities, such as billing for medical services, managing insurance claims, handling payroll for staff, and keeping track of medical supplies and equipment. Additionally, they must ensure compliance with healthcare regulations and tax laws. Professional bookkeeping services designed for doctors take these unique needs into account, helping physicians streamline their financial operations. As a result, they can avoid errors, reduce administrative burdens, and improve cash flow. Accurate Billing and Cash Flow Management One of the key challenges doctors face is managing billing and cash flow. With a constant flow of patients and complex insurance claims, maintaining an accurate record of all transactions is essential. Bookkeeping services ensure that billing is handled efficiently, minimizing delays in receiving payments. This service also helps manage insurance claims, reducing errors that could lead to delayed reimbursements. By keeping track of revenue and expenses, bookkeepers ensure that doctors maintain a healthy cash flow. Tax Compliance and Planning Doctors often qualify for specific tax deductions related to medical equipment, staff salaries, and office expenses. However, navigating the complexities of healthcare tax regulations can be difficult. Bookkeeping services help doctors stay compliant by keeping their financial records organized and accurate, making it easier to file taxes and take advantage of available deductions. Additionally, bookkeepers can assist in planning for tax obligations throughout the year, ensuring that there are no surprises during tax season. Financial Reporting for Growth Bookkeeping services also provide doctors with valuable financial reports that offer insights into their practice’s performance. By analyzing income, expenses, and cash flow trends, doctors can make more informed decisions about expanding services, hiring staff, or investing in new equipment. These reports give a clear picture of the financial health of the practice, enabling better long-term planning. In conclusion, specialized bookkeeping services for doctors are essential for maintaining accurate financial records, ensuring tax compliance, and improving cash flow. By outsourcing bookkeeping tasks, doctors can focus more on patient care while gaining peace of mind that their financials are in order.

method. An example I like to use is sugar. Hold a sugar cube in your nondominant hand and press firmly against it with your dominant hand. This is a processed, refined staple in most diets that rarely, if ever, is met with strong resistance. Your body is capable of determining the nutritional energy you need to maintain a balance, if you allow it to communicate with you. It can also convey the areas of the internal body that might require the assistance of a physician. To determine the efficiency or deficiency of your internal organs, you may use the same process. Call out your organs in sequence: liver, gallbladder, heart, small intestine, spleen, stomach, lung, large intestine, kidney, and bladder.

The parasympathetic nervous system performs seven regulatory functions that have particular relevance to drugs. Specifically, stimulation of appropriate parasympathetic nerves causes the following: • Slowing of heart rate • Increased gastric secretion • Emptying of the bladder • Emptying of the bowel • Focusing the eye for near vision • Constricting the pupil • Contracting bronchial smooth muscle

The rise of independently practicing non-physician practitioners has everything to do with money, politics, and control—and nothing to do with better patient care.

Preclinical and clinical trials of new drugs cannot detect all of the ADRs that a drug may be able to cause. In fact, about 50% of all new drugs have serious ADRs that are not revealed during phase 1 and phase 3 trials.

Subdermal Etonogestrel Implants A subdermal system (Nexplanon) for delivery of etonogestrel is available for long-term reversible contraception. As shown in Table 51.1, Nexplanon is among the most effective contraceptives available. Description Nexplanon consists of a single 4-cm rod that contains 68 mg of etonogestrel, a synthetic progestin. The rod is implanted subdermally in the groove between the biceps and triceps in the nondominant arm. Etonogestrel then diffuses slowly and continuously, providing blood levels sufficient for contraception for 3 years, after which the rod is removed. If continued contraception is desired, a new rod is implanted. While currently FDA approved for 3 years, recent studies have shown that Nexplanon continues to be effective for up to 5 years post insertion. Mechanism of Action Etonogestrel suppresses ovulation and thickens cervical mucus. In addition, it causes the endometrium to become involuted and hence hostile to implantation.

Muscle X Pump 2400 The supplement creatine could help you. A creatine supplement can assist you in training harder and longer, and will help build muscle in combination with the right diet. Consult a physician before using supplements to ensure safety.

Legal You will learn that there are restrictions placed upon you in some areas. These restrictions are for your own protection. You will be prohibited from administering medications, recording sponge counts, or carrying out direct physician’s orders regarding treatment of a patient out of your scope of practice. As soon as you overstep your limitations and boundaries and perform any of these actions, you are placing yourself in legal jeopardy. Whether functioning under the supervision of a surgeon or a registered nurse, a CST is always part of the surgical team and you must carry out your responsibilities within the scope of your practice. Never try to do a task that does not fall within that realm. All counts are significant and have important legal ramifications. When performing a count, it is crucial to ensure that the count is correct for the patient’s well-being. When you are scrubbed, you count sponges while the registered nurse observes and records the count. At any given time during a surgical procedure, the CST may request a sponge, and possibly a sharps count to take place. If you are assisting the circulating nurse in a nonsterile role, you may assist with the counts as long as the nurse verifies it. In this scenario, the nurse is legally acting as the surgeon’s agent. It is the responsibility of the registered nurse to obtain the required medications for a case. The CST draws the drugs into syringes and mixes drugs when scrubbed; during this process, the proper sequence of medication verification and labeling must occur. In any phase of your responsibilities, there are possible grounds for legal breaches. Shortcuts may cause a patient to suffer tragic complications, even loss of life. Negligence must be avoided. Both as an employed CST and as a student, you carry the responsibility to do no harm. If you should become discouraged in your role or begin to feel this responsibility is overwhelming, it could simply mean that you need a change; it isn’t always the other team players or the place of employment that are at

In the last several years, he and his wife, Ekaterina Malievskaia, a Russian-born physician, have devoted their considerable energy and resources to winning approval for psilocybin-assisted therapy in the European Union.

Our research shows that specialists’ time is often an order of magnitude (10 times) more costly than their assistants’ time. It makes no sense to have physicians and senior nurses perform tasks that could be done just as well by far less expensive personnel.

The top social needs physicians noted were fitness (75 percent of respondents), nutritional food (64 percent), employment assistance (52 percent), education (49 percent), and housing (43 percent). Physicians we

It is frighteningly naive to assume that when our guide to medical practice is "doing what the patient wants," we will escape the imposition of the physician's values on the clinical encounter. Personal values can he sequestered in the question not asked, or the gentle challenge not posed, when both should have been.12

It seems that part of the moral constitution of a doctor is a commitment not to intend the death of a patient, and to protect them from harm.

It is significant that the major world religions having studied the problem of unrelieved suffering for over 2000 years, have independently concluded that there is no justification for euthanasia or PAS. There

To withdraw life-prolonging treatments when these are no longer of benefit to the patient is to recognise the limits of a doctor's power, allowing the dying person to die as a consequence of their underlying disease. This is clinically, ethically and legally different from deliberately ending life as in euthanasia or PAS." Arguments

There is a tendency today to turn moral issues into amoral ones, to argue that many of the decisions and choices we make are merely personal choices that lie outside the ethical purview. For example, in the current debate about euthanasia or physician-assisted suicide, some argue that this is not a moral issue but simply a matter of controlling one’s life. Ethical questions need not be raised.

It's a huge hole in the ground. No reported casualties. Not humanoids, anyway. Did vampires die?" Karzac lifted the boiling kettle off the flame and poured hot water over tea leaves in both cups. "A few," I said, watching him calmly make tea. He set a cup in front of me and we both waited for it to steep. "The bad ones," I continued when Karzac didn't say anything. "I got the rest out." "And how many was that?" "More than five hundred, I think." Karzac is a good physician, even if he is a little on the curmudgeonly side. "Are you well? Do you need assistance?" he asked, doing his best to give me a visual once over without appearing too obvious about it. "I'm okay," I said, sipping my tea. "There were a few broken bones among the others, but there were enough vamps there that had experience with that, so the injured vampires were taken care of. They'll heal with a good sleep." "How did you get that many out?" "By turning them to mist.

In regard to duties, if we all agreed that every one has a duty not to hasten death, then we could properly conclude it is wrong to hasten death regardless of the consequences. And we could properly conclude that it is wrong to assist such a death. But we do not all agree. Some of us believe our duty is to relieve human suffering or to allow freedom of human choice and that aid in dying is consistent with that duty.

SIDDHARTHA MUKHERJEE is a cancer physician and researcher. He is an assistant professor of medicine at Columbia University and a staff physician at Columbia University Medical Center.

In the Netherlands, where euthanasia was legalized in 2002, some legislators have argued that the law should go even further, so that all people above a certain threshold age can receive a physician-assisted death, even if they aren’t suffering at all. In 2016, the country’s health minister, Edith Schippers, proposed a measure that would have allowed elderly people with “a well-considered opinion that their life is complete” to qualify. This, she said in a statement to parliament, would help “older people who do not have the possibility to continue life in a meaningful way, who are struggling with the loss of independence and reduced mobility, and who have a sense of loneliness, partly because of the loss of loved ones, and who are burdened by general fatigue, deterioration, and loss of personal dignity.

Within a year of retirement, Dad showed the early signs of dementia. By 2017, his symptoms were declared mid-stage by his family physician. It's a sad truth, but ultimately, we don't choose the course of our lives.

The Sayanim: Mossad’s International Volunteers by Michael Ellmer April 16, 2021 In the Hebrew language, Sayanim translates to mean “helpers” or “assistants”. In the Mossad, the Sayanim are a volunteer network of Jews across the world who are loyal to the nation of Israel and willing to help the agency in their global mission. According to a comparative study of HUMINT in counterterrorism between Israel and France, Amy Kirchheimer writes that Israel has “the challenge of collecting intelligence on a vast array of targets with a comparatively small number of intelligence officers, and the Sayanim network helped the Mossad Katsas (case officers) somewhat lessen this problem.” According to Gordon Thomas in his book Gideon’s Spies: Mossad’s Secret Warriors, the Sayanim were a creation of Mier Amit, the Chief Director of the Mossad from 1963-1968. Thomas writes, “Each Sayan was an example of historical cohesiveness of the world Jewish community. Regardless of allegiance to his or her country, in the final analysis, a Sayan would recognize a greater loyalty: the mystical one to Israel, and a need to help protect it from its enemies”. The loyalty of the Sayanim is what fuels their mission and none reside on a Mossad payroll. The flexibility and diversity in their roles give the Mossad a unique operational capability with increased protection from detection and a way to avoid budget restraints or accountability. Most Sayanim fulfil various roles that can themselves be used to support Mossad operations. For example, Thomas writes, “A car Sayan, running a rental agency, provided a Katsa with a vehicle without the usual documentation. A letting agency Sayan offered accommodation. A bank Sayan might unlock funds outside normal hours. A Sayan physician would give medical assistance – treating a bullet wound for example – without informing the authorities”.

EXIT’s justification was that until a law permitting voluntary euthanasia was passed (which would place responsibility to help primarily on physi­cians), people had no alternative but to take their dying into their own hands.

How did you come to live in Amsterdam?” I ask her. “Did you study there?” She twists a strand of hair around her fingers, staring out over the rail and across the water. “No, I studied medicine in Algiers, then earned my doctoral degree in Italy. Then spent several years as a ship’s surgeon because I couldn’t find professional work on the continent.” She squints, counting the years backward in her head. “Then I was hired to assist at the Hortus Medicus—the botanical garden in Amsterdam that cultivates medicinal plants from around the world. They’re funded by the university, and most of the physicians do at least some of their training there. I started teaching as a substitute when the male professors were traveling or unwell, and eventually they gave me my own classes and let me do my own research.” “Do you speak Dutch?” I ask. She nods. “And Italian. And Arabic, and some of the Berber dialects, though not fluently.” “And you’re a doctor,” I say, trying to make it a statement rather than a question though the concept still seems outlandish, not because women don’t have the capacity for medical professions, but because I’ve simply never heard of any reaching such a recognized level of achievement. “A real doctor.” She gives me a half smile. “Improbable as it may seem, I am.” “Felicity Primrose Montague!” I exclaim. Monty throws back his head and laughs. Felicity rolls her eyes. “Oh good, now there are two of you.” “You’re incredible,” I say to her. She looks down at her hands, color rising in her cheeks. “That’s very kind, thank you.” “You are!” I say. “You’re a doctor! And a professor! At a university!” “It really is bloody impressive, Fel,” Monty adds. “And a pirate!” I say. “You’re like an adventure-novel heroine! I wish I could introduce you to my fiancée. She’d go mad over you.” “Is she interested in medicine or piracy?” Felicity asks. “Neither in particular,” I say. “But she’s very interested in women who cast off societal expectations and work for change despite the men who endeavor to stand in their way.

We get paid much more to keep someone on dialysis than to keep them off of it. If we don’t achieve dialysis metrics—like avoiding dialysis catheters or providing a certain dose of dialysis—known to best result in long-term benefits, we are financially penalized. But create a fistula in a little old lady that usually requires interventions to make it work and keep it working and make her stay on the dialysis machine as long as it takes for the numbers to look right, then essentially get a bonus. If we see an in-center hemodialysis patient four times in a month, we stand to make 50 percent more money than if we only saw her once. And the nephrologist really only has to see the patient once each month—if a physician assistant sees the patient the other times, we still get paid. We would have to document a comprehensive medical history and examination over the better part of an hour with a patient returning to clinic twice to see the same money—and good luck trying to justify why that was clinically necessary to do. The second, third, and fourth in-center hemodialysis patient visits can be more like drive-bys—a simple documentation that we (or the physician assistant) “saw” the patient, with no notation of time required. Private insurance companies and the Medicare ESRD program pay top dollar for dialysis care, not clinic visits. It’s profitable to build another dialysis center, but we haven’t figured out how to build comprehensive outpatient palliative care services.

In fact, in 2011, research found that “US nursing staff, including medical assistants, spent 20.6 hours per physician per week interacting with health plans,” costing $82,975 per physician annually.50 And this is

In fact, in 2011, research found that “US nursing staff, including medical assistants, spent 20.6 hours per physician per week interacting with health plans,” costing $82,975 per physician annually.50

12. So then, he that is left without chastisement is so left by the Divine judgment, and God is long-suffering towards some sinners, not without reason, but because it will be good for them, having regard to the immortality of the soul and eternal life, that they be not too soon assisted in the attainment of salvation, but be slowly brought thereto after they have had experience of much evil. For as physicians, though they might quickly cure a man, will adopt the opposite of remedial measures whenever they suspect lurking mischief, because by so doing they mean to make the cure more permanent, and think it better to keep the patient for a long time in feverishness and sickness, so that he may make a sounder recovery, than that he should soon seem to pick up strength, but suffer a relapse, and the too hasty cure prove to be only temporary: so God also, knowing the secrets of the heart and having foreknowledge of the future, in His long-suffering perhaps lets things take their course, and by means of outward circumstances draws forth the secret evil, in order to cleanse him, who through neglect, has harboured the seeds of sin; so that a man having vomited them when they have come to the surface, even if he be far gone in wickedness, may afterwards find strength when he has been cleansed from his wickness and been renewed. For God governs the souls of men, not, if I may so speak, according to the scale of an earthly life of fifty years, but by the measure of eternity; for He has made the intellectual nature incorruptible and akin to Himself; and the rational soul is not debarred of healing, as if this present life were all.

Death will come for us all and yet medicine still sees it as a defeat. No wonder that legal physician-assisted suicide has caused such an uproar within medical circles. Research has shown that even in jurisdictions where it is legal, confusion about its ethics, processes and procedures abound. Why? Because physician-assisted suicide allies the doctor with their enemy, namely death. Health professionals generally don’t seem to have the training and skills to assist in the dying process and most don’t appear to want them. Research has shown a strong connection between the death attitudes of health professionals and the quality of end-of-life care that they provide. For example, nurses low in death acceptance tend to have negative attitudes towards end-of-life care and cultivate poorer relationships with terminal patients. Death anxiety among healthcare providers negatively affects their attitudes towards family members of the dying. Further, death anxiety has been shown to stop relevant health professionals from initiating discussions about advance care directives. This, of course, makes it extremely difficult to ensure that the wishes of the dying are adhered to when the moment comes.

Fortunately for the cause of science and of humanity, we had as Governor-General of Cuba at that time General Leonard Wood, of the United States Army. General Wood had been educated as a physician, and had a very proper idea of the great advantages which would accrue to the world if we could establish the fact that yellow fever was conveyed by the mosquito, and his medical training made him a very competent judge as to the steps necessary to establish such fact. General Wood during the whole course of the investigations took the greatest interest in the experiments, and assisted the Board in every way he could.

The tribal differences that erupt into public controversy typically concern sex (e.g., gay marriage, gays in the military, the sex lives of public officials) and death at the margins of life (e.g., abortion, physician-assisted suicide, the use of embryonic stem cells in research).

Chapter 15 Grace One morning, after an uneventful sojourn at the bath house. The ward received a rare visit from the Physician Superintendent. He walked into the day room accompanied by the charge nurse just as me and Art were preparing the patients for lunch. “Do you say Grace before meals?” inquired the Superintendent of the charge. “Yes Sir.” The charge was well aware of the hospital rules and snapped almost to attention in reply. His response was true. Our charge, being a stickler for the rule book of the institution, always insisted on saying grace. The order was; “Stand behind your chairs.” Usually bellowed by the deputy although Art and I occasionally got the chance. The seventy odd patients milling round in the dining gallery would stand behind their chairs in absolute silence. Years of institutional living had taught them that meals would only be served after a period of absolute silence, followed by grace. The charge, not leaving his chair, would open his office door and poking his head out would call. “For whayouare aboutorecieve maythelor mayoutruly thankful.” To which the patients would dutifully chorus “Amen” and sit down to eat. On this day the “Big Chief” was present and Art and I could tell things were going to be different. “Stand behind your chairs.” Was said. Nothing happened.—Louder, “Stand behind your chairs.” Nothing.—Art bellowed “Stand behind your chairs.” The effect was electric and the mass moved into its lunchtime position of silence standing behind their chairs in the dining room. The charge had slipped into his long white nursing coat. He was going to assist with lunch. He moved away from the side of the Physician Superintendent and stood in the centre of the dining room. There he adopted a posture which he adjudged spiritually appropriate. Hands clasped in front of him, eyes lowered, he bowed his head. Not wishing to get on the wrong side of our boss. Art and I stood one either side of him and followed suit. Absolute silence reigned. Before the charge could proceed any further with this charade the ward kitchen door opened to reveal Benny and Jimmy. They were two long standing ward worker patients who’s job it was to prepare the plates on the servery ready for the meal. Patients assisting with serving meals was against the “rules” and Benny realising that the Superintendent was present blurted out. “For Christ’s sake shut that bloody door.” Seventy nine patients solemnly responded with “Amen.” and promptly sat down in eager anticipation of their dinner. “I see.” said the Physician Superintendent and walked poker faced from the dining room with the red faced charge trailing in his wake. We never said Grace again after that.

There is no simple way to determine when and where to get help. Many factors come into play, including the child’s age, family’s financial status, insurance, knowledge of resources, religious affiliation, availability of services in community, and so on. Parents may seek outside assistance for their adopted child when other factors such as a divorce, job loss, or other stresses compound the family needs. Parents are generally in the best position to determine when to get help, but advice from relatives, family physicians, teachers, and others in a position to know the family should be carefully considered. Services for children with special needs are provided by a variety of professionals. A physician—pediatrician or the family practitioner—is usually the place to begin. Families may be referred to a neurologist for a thorough assessment and diagnosis of neurological functioning (related to cognitive or learning disabilities, seizure disorders or other central nervous system problems). For specific communication difficulties, families may consult with a speech and language therapist, while a physical therapist would develop a treatment plan to enhance motor development. A rehabilitation technologist or an occupational therapist prescribes adaptive aids or activities of daily living. Early childhood educators specializing in working with children with special needs may be called a variety of titles, including Head Start teachers, early childhood special education teacher, or early childhood specialist.

Despite all this bad news, there is real-world evidence that groups do confront bullies as a group—and it works! A shining example is the “Code Pink” technique used by surgical nurses. These highly skilled professionals are often berated and belittled by pompous surgeons, both men and women. In some hospitals, whenever a bullying surgeon steps over the line into mistreatment, “Code Pink” is called by the targeted nurse. Immediately, supportive nurses form a circle around the physician. Together, they declare their unwillingness to assist that person with current and future patients, if an apology is not given with a promise to behave in a civil manner. The interdependent nature of surgery makes the surgeon powerless without the help of the team in the operating room. All work stops and the physician is accountable for her or his bullying. It is the physician who is responsible for the patient’s life. “Code Pink” is the group displaying its power to the bully, demanding cooperation instead of controlling games.

Khubilai’s capital in China, Khanbalikh (also known as Ta-tu or Dadu), was symbolic of the way Mongol rulers amalgamated the diverse cultures, beliefs, and skills of their domains. In it were built a shrine for Confucians, an altar with Mongolian soil and grass from the steppes, and buildings of significant Chinese architectural influence. As historian Morris Rossabi points out, Khubilai “sought the assistance of Persian astronomers and physicians, Tibetan Buddhist monks” and “Central Asian [Muslim] soldiers.” One can only imagine it must have been a city of grand cosmopolitan dimensions.

In places that allow physicians to write lethal prescriptions—countries like the Netherlands, Belgium, and Switzerland and states like Oregon, Washington, and Vermont—they can do so only for terminally ill adults who face unbearable suffering, who make repeated requests on separate occasions, who are certified not to be acting out of depression or other mental illness, and who have a second physician confirming they meet the criteria. Nonetheless, the larger culture invariably determines how such authority is employed. In the Netherlands, for instance, the system has existed for decades, faced no serious opposition, and significantly grown in use. But the fact that, by 2012, one in thirty-five Dutch people sought assisted suicide at their death is not a measure of success. It is a measure of failure. Our ultimate goal, after all, is not a good death but a good life to the very end. The Dutch have been slower than others to develop palliative care programs that might provide for it. One reason, perhaps, is that their system of assisted death may have reinforced beliefs that reducing suffering and improving lives through other means is not feasible when one becomes debilitated or seriously ill.

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【V信83113305】：Franklin Pierce University is a private institution located in Rindge, New Hampshire, offering a distinctive blend of liberal arts and professional programs. Founded in 1962, it provides a personalized educational experience with small class sizes and a strong focus on student-faculty interaction. The university is known for its robust health science programs, particularly in nursing and physician assistant studies, as well as its business and education degrees. Beyond its main campus, FPU extends its reach through multiple graduate and professional centers across the state. Emphasizing experiential learning and community engagement, the university prepares students for successful careers and responsible citizenship, fostering a close-knit academic community in the scenic setting of New England.，富兰克林皮尔斯大学文凭FPU毕业证学历认证方法, 学历文凭认证FPU毕业证-富兰克林皮尔斯大学毕业证如何办理, FPU富兰克林皮尔斯大学毕业证最快且放心办理渠道, FPU毕业证和学位证办理流程, 硕士文凭定制FPU富兰克林皮尔斯大学毕业证书, 如何获取富兰克林皮尔斯大学FPU毕业证本科学位证书, 专业办理Franklin Pierce University富兰克林皮尔斯大学成绩单高质学位证书服务, FPU毕业证最简单办理流程, FPU毕业证最新版本推荐最快办理富兰克林皮尔斯大学文凭成绩单

【V信83113305】：Samuel Merritt University is a private university in Oakland, California, renowned for its exclusive focus on health sciences. Founded in 1909, it has built a strong reputation for producing highly skilled and compassionate healthcare professionals. The university offers a range of accredited programs in nursing, occupational therapy, physical therapy, and physician assistant studies. Its curriculum emphasizes hands-on, experiential learning, preparing students for immediate impact in clinical settings. With a mission centered on community engagement and diversity, Samuel Merritt University is committed to addressing healthcare disparities and improving patient outcomes. Its graduates are known for their clinical excellence and dedication to serving communities across the state and beyond.，【V信83113305】安全办理-塞缪尔梅里特学院文凭SMU毕业证学历认证,原版塞缪尔梅里特学院毕业证书办理流程,高端烫金工艺塞缪尔梅里特学院毕业证成绩单制作,硕士塞缪尔梅里特学院文凭定制SMU毕业证书,最爱-美国-SMU毕业证书样板,硕士-SMU毕业证塞缪尔梅里特学院毕业证办理,高端塞缪尔梅里特学院毕业证办理流程,原价-塞缪尔梅里特学院毕业证官方成绩单学历认证,最新塞缪尔梅里特学院毕业证成功案例,塞缪尔梅里特学院毕业证成绩单-高端定制SMU毕业证

【V信83113305】：Massachusetts General Hospital Institute of Health Professions (MGH IHP) is a premier graduate school in Boston dedicated to advancing healthcare education. Renowned for its rigorous academic programs and innovative research, the institute prepares future leaders in nursing, physical therapy, speech-language pathology, and physician assistant studies. Rooted in the legacy of Massachusetts General Hospital, it offers students unparalleled clinical training opportunities within a world-class medical environment. The curriculum emphasizes interdisciplinary collaboration, evidence-based practice, and leadership skills, ensuring graduates are equipped to meet evolving healthcare challenges. Committed to excellence and inclusivity, MGH IHP fosters a dynamic learning community that drives progress in patient care and health outcomes locally and globally.，【V信83113305】没-麻省综合医院健康职业学院毕业证书MIOHP挂科了怎么补救,MIOHP-diploma安全可靠购买麻省综合医院健康职业学院毕业证,网络办理MIOHP毕业证-麻省综合医院健康职业学院毕业证书-学位证书,加急办MIOHP麻省综合医院健康职业学院文凭学位证书成绩单gpa修改,MIOHP麻省综合医院健康职业学院毕业证认证PDF成绩单,MIOHP麻省综合医院健康职业学院-pdf电子毕业证,最安全购买MIOHP麻省综合医院健康职业学院毕业证方法,666办理MIOHP麻省综合医院健康职业学院毕业证最佳渠道

【V信83113305】：Massachusetts College of Pharmacy and Health Sciences (MCPHS) stands as a premier institution dedicated to healthcare education. Founded in 1823, it is the oldest university in Boston and has a long-standing reputation for excellence in the life sciences. The university specializes in a wide array of programs, including pharmacy, nursing, physician assistant studies, dentistry, and optometry. With campuses located in Boston, Worcester, and Manchester, MCPHS offers a dynamic, interprofessional learning environment. Its strong emphasis on experiential learning, cutting-edge research, and clinical practice ensures graduates are exceptionally well-prepared to become leaders and innovators in the ever-evolving healthcare landscape.，【V信83113305】安全办理-麻省药科与健康科学大学文凭MU毕业证学历认证,原版MU毕业证书办理流程,高端烫金工艺MU毕业证成绩单制作,硕士麻省药科与健康科学大学文凭定制MU毕业证书,最爱-美国-MU毕业证书样板,硕士-MU毕业证麻省药科与健康科学大学毕业证办理,高端MU毕业证办理流程,原价-MU毕业证官方成绩单学历认证,最新MU毕业证成功案例,麻省药科与健康科学大学毕业证成绩单-高端定制MU毕业证

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【V信83113305】：Samuel Merritt University is a premier private university in Oakland, California, renowned for its exclusive focus on educating health care professionals. Founded in 1909, it has built a strong reputation for excellence in nursing, occupational therapy, physical therapy, and physician assistant programs. The university emphasizes a hands-on, experiential learning model, integrating rigorous academics with extensive clinical practice from the very start. This approach ensures its graduates are not only highly skilled but also exceptionally prepared to meet the complex demands of the modern healthcare environment. Deeply committed to community service and diversity, Samuel Merritt University is dedicated to developing compassionate and competent leaders who are ready to improve health outcomes and advance the future of patient care.，【V信83113305】1分钟获取塞缪尔梅里特学院毕业证最佳办理渠道,加急塞缪尔梅里特学院毕业证SMU毕业证书办理多少钱,网上补办塞缪尔梅里特学院毕业证成绩单多少钱,百分百放心原版复刻塞缪尔梅里特学院SMU毕业证书,网上制作SMU毕业证-塞缪尔梅里特学院毕业证书-留信学历认证放心渠道,SMU毕业证书塞缪尔梅里特学院毕业证诚信办理,SMU毕业证办理多少钱又安全,塞缪尔梅里特学院毕业证最简单办理流程,塞缪尔梅里特学院毕业证最放心办理渠道,SMU成绩单塞缪尔梅里特学院毕业证快速办理方式

【V信83113305】：Massachusetts College of Pharmacy and Health Sciences (MCPHS) is a prestigious private institution dedicated to the health sciences, founded in 1823 in Boston. As one of the oldest and largest colleges of its kind in the United States, MCPHS offers a focused education in pharmacy, nursing, physician assistant studies, dentistry, and a wide range of other health-related disciplines. The university operates across three primary campuses in Boston, Worcester, and Manchester, providing students with diverse clinical experiences in a hub of medical innovation. Renowned for its high graduate employment rates and rigorous academic programs, MCPHS excels in integrating professional preparation with hands-on learning. It is a leader in shaping the next generation of healthcare professionals.，【V信83113305】做今年新版MCOPAHS毕业证,制作美国文凭MCOPAHS毕业证,高端定制MCOPAHS毕业证留信认证,高端原版MCOPAHS毕业证办理流程,在线办理MCOPAHS毕业证offer外壳皮,在线办理MCOPAHS毕业证本科硕士成绩单方法,如何办理MCOPAHS毕业证一比一定制,快速办理MCOPAHS毕业证如何放心,硕士博士学历MCOPAHS毕业证-马萨诸塞药学与健康科学学院毕业证书-真实copy原件,办理美国-MCOPAHS毕业证书马萨诸塞药学与健康科学学院毕业证