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  1.  5
    Phases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19.Joseph J. Fins, Inmaculada de Melo-Martín, C. Ronald MacKenzie, Seth A. Waldman, Mary F. Chisholm, Jennifer E. Hersh, Zachary E. Shapiro, Joan M. Walker, Nicole Meredyth, Nekee Pandya, Douglas S. T. Green, Samantha F. Knowlton, Ezra Gabbay, Debjani Mukherjee & Barrie J. Huberman - 2020 - Journal of Clinical Ethics 31 (3):219-227.
    When the COVID-19 surge hit New York City hospitals, the Division of Medical Ethics at Weill Cornell Medical College, and our affiliated ethics consultation services, faced waves of ethical issues sweeping forward with intensity and urgency. In this article, we describe our experience over an eight-week period (16 March through 10 May 2020), and describe three types of services: clinical ethics consultation (CEC); service practice communications/interventions (SPCI); and organizational ethics advisement (OEA). We tell this narrative through the prism of time, (...)
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  2.  9
    Congee for the Soul.Ezra Gabbay, Joseph J. Fins, John Banja & Taylor Evans - 2021 - Hastings Center Report 51 (1):10-12.
    Provision of adequate nutrition to elderly patients who develop dysphagia after a stroke can be quite challenging, often leading to the placement of a percutaneous entero‐gastrostomy (PEG) tube for nutritional support. This hypothetical case describes the additional challenge of cross‐cultural belief that leads a daughter to provide oral feeding to her mother, an act that the medical team believes is dangerous and the daughter sees as salubrious. In this case, what is the proper balance between patient safety and deference to (...)
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  3.  17
    Off the Charts: Medical documentation and selective redaction in the age of transparency.Matthew William McCarthy, Diego Real de Asua, Ezra Gabbay & Joseph J. Fins - 2018 - Perspectives in Biology and Medicine 61 (1):118-129.
    A 47-year-old woman with a history of anxiety disorder is admitted to the hospital for shortness of breath. On the third day of hospitalization, she asks her physician for a copy of all documents pertaining to her care. What expectation should she have for full disclosure? Are there limits on her access to her medical records and do her physician's concerns about professional privilege matter?The virtues of transparency in medicine have been well described. As proponents of transparency, we favor patient (...)
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  4.  20
    Paternalism and certitude.Shlomo Cohen, Noam Cohen & Ezra Gabbay - 2020 - Bioethics 34 (5):478-482.
    When paternalism is deemed morally justified, weak paternalism—which restricts itself to assisting the target of paternalism realize his own preferences—is the preferred (less problematic) alternative. In determining the appropriateness of weak paternalism, the level of certitude of the paternalist regarding the correctness of her assessment of the true preferences of the one‐paternalized is obviously a crucial factor. Yet in the ethics of paternalism this parameter has escaped systematic treatment. This paper aims to initiate discussion on this indispensable consideration for weak (...)
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