The gamecock. (Columbia, S.C.) 1908-2006, April 21, 1986, Page 5, Image 5
Spotlight
Monday, April 21, 1986 giiihii
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PhilosopS
with con
Nora Bell's beeper screams for
her attention. She rushes through
the hospital to the awaiting
emergency, where she will help
the physician decide what art;.
? if any ? should be taken.
When Bell joins her colleague
at the patient's bedside, she does
not prescribe drugs, order radical
surtcry or perform resuscitation.
Bell is not a physician, but
Richland Memorial Hospital's
first medical ethicist-in-residencc.
Her job in the county hospital
is unique, and until lately, a
hospital probably would have
been an alien environment for a
philosophy professor.
But her presence alongside
doctors is quite appropriate and
part of a national reaction to
ethical issues arising from advances
in medical technology,
changes in legislation and
ballooning health-care costs tied
to limited resources.
Recognizing the need to teach
? physicians to deal with such
issues, USC's School of Medicine
added the USC philosophv nro
fessor, who specializes in medical
ethics, to its faculty and admissions
committee.
As a faculty and hospital staff
member, Bell gives seminars,
consults with doctors and attends
doctors' rounds among their
patients.
Among the questions under
continuing discussion are the
definition of life, quality of life,
rights of the unborn and allocation
of limited health-care
dollars.
"Doctors already have a good
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but often they don't verbalize
them," Bell says. "I try to raise
their consciousness of other
dimensions. These ethical considerations
may ultimately alter
their medical decisions.
"The medical ethicist is not someone
to say, 'This is what you
should do,' but rather is a sounding
board to work through
moral overtones of the medical
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Bell teaches a philosophy course in addi
decision. Most ethicists don't
claim to have the answers."
Highly publicized cases, like
those of the extended comatose
life of Karen Ann Quinlan and
Baby Doc, the infant whose
parents refused corrective surgery
for life-threatening birth defects,
have demonstrated that medical
emics have been outpaced by
rapid and highly sophisticated
advances in medical technology.
Federal guidelines resulting
from the Baby Doe case call for
the establishment of bioethical
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tion to her work with a hospital
review committees in hospitals,
and Bell is working with Richland
Memorial physicians to develop
such a panel.
Prior to becoming a medical
ethicist-in-residencc at Richland
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the complexities of medical decisionmaking
at Baylor University's
College of Medicine and at
Texas Medical Center in
Houston. She was initiated in this
new role last summer as one of 10
Exxon Fellows in Ethics at
Baylor.
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doctors [
il issues
"Physicians don't have time to
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bombarded from all sides to
make quick decisions ? questions
arc fired at them by family,
residents and nurses," she
explains.
"This doesn't mean physicians
shouldn't analyze the theoretical.
There is great value in rehearsing
options in advance of these situations.
Prior training in clinical
settings better prepares physicians
to make decisions and feel
more comfortable anout their
ultimate actions."
Bell said she was amazed at
how receptive Baylor doctors |
were to having ethicists around,
and she said she received a similar
enthusiastic reception from doctors
at USC's School of Medicine
and at Richland Memorial.
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Robert Mallin and other faculty
members work with Bell to sensitize
students and residents to
ethical aspects of decisionmaking
in handling cases on clinical
rounds.
"Medical philosophy used to
be 'do everything you can to prolong
life,' but medical ethics no
longer is that simple," Mallin
said.
"It is difficult to seperate
medicine and ethics," he said. ~
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The Heat is On
Jason Ringenberg, lead singer for Jas
crowd at the outdoor concert Saturday i
of Carolina Program Union's Spring Flin
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JOSEPH GARNETT/Th? Gamecock
;on and the Scorchers, fires up the
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