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In this new, startlingly original book, John D. Lantos weaves a compelling story that captures the dilemmas of modern medical practice. The Lazarus Case: Life-and-Death Issues in Neonatal Intensive Care begins with a fictional malpractice case-an amalgam of typical cases in which Lantos appeared as an expert witness-and uses it as the framework for addressing the ethical issues surrounding neonatal intensive care. Lantos draws on his experience in neonatal medicine, pediatrics, and medical ethics to explore multiple ethical dilemmas through one poignant representative situation. In Lantos's model case, a doctor decides to stop resuscitation of a premature infant, a tiny "preemie" who seems past reasonable care. The baby survives with severe neurological defects and the parents sue the doctor, alleging that stopping treatment was negligent. From this case, Lantos considers our moral obligations to critically ill babies, the meaning of negligence, and the sorts of social structures that shape the moral consciences of doctors. Each chapter begins with Lantos deposing in the conference room of the plaintiffs' lawyers.The questions put to Lantos throughout the deposition spark an engrossing retelling of his personal experiences with premature babies, as well as his thoughtful discussions of ethics, morality, history, and medical statistics. Sprinkled throughout the book are references to fictional works by Camus, Dostoevsky, Shakespeare, Twain, and others. Lantos uses these literary examples to further illustrate the ambiguities, misunderstandings, responsibilities, and evasions that plague our decisions regarding life and death, medical care and medical education, and ultimately the cost and value of preserving the lives of the most vulnerable among us.

Ethics, Medical --- Intensive Care, Neonatal --- Life Support Care --- Malpractice --- Neonatal intensive care --- Physicians --- Legislation & jurisprudence --- Moral and ethical aspects. --- Malpractice. --- neonatale sterfte --- neonatale intensieve zorg --- ethiek (ethische aspecten) --- pasgeborene (zuigeling, neonatus, pasgeboren kind) --- premature geboorte --- mortalité néonatale --- soins néonataux intensifs --- ethique (aspects ethiques) --- nouveau-né --- naissance prématurée --- Medical malpractice --- Medical negligence --- Tort liability of physicians --- Medical laws and legislation --- Defensive medicine --- Moral and ethical aspects

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In this volume, John Lantos weaves a story that captures the dilemmas of modern medical practice. He draws on his experience in neonatal medicine, paediatrics and medical ethics to explore ethical dilemmas through one poignant representative situation.

Neonatal intensive care --- Physicians --- Medical malpractice --- Medical negligence --- Tort liability of physicians --- Malpractice --- Medical laws and legislation --- Defensive medicine --- Moral and ethical aspects. --- Malpractice.

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Professional ethics. Deontology --- Medical law --- Paediatrics --- United States of America

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Examines the interconnected development of four key aspects of neonatal intensive care. The authors present neonatal bioethics as a paradigm of complex societal conversation among physicians, philosophers, policymakers, judges, and legislators that led to responsible societal oversight of a controversial medical innovation. Neonatal intensive care has been one of the most morally controversial areas of medicine during the past thirty years. This study examines the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. The authors assert that a dramatic shift in societal attitudes toward newborns and their medical care was a stimulus for and then a result of developments in the medical care of newborns. They divide their analysis into three eras of neonatal intensive care. The first, characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982, established neonatal care as a legitimate specialty of medical care, separate from the rest of pediatrics and medicine. During this era, legal scholars and moral philosophers debated the relative importance of parental autonomy, clinical prognosis, and children's rights.The second era, beginning with the Baby Doe case (a legal battle that spurred legislation mandating that infants with debilitating birth defects be treated unless the attending physician deems efforts to prolong life "futile"), stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of "futility" and of "inhumane" treatment. In the third era, a consistent set of decision-making criteria and policies was established. These policies were the result of the synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal care. Tracing the field's recent history, notable advances, and considerable challenges yet to be faced, the authors present neonatal bioethics as a paradigm of complex conversation among physicians, philosophers, policy makers, judges, and legislators which has led to responsible societal oversight of a controversial medical innovation.

Neonatal intensive care --- Neonatology --- Intensive Care Units, Neonatal --- History, 20th Century --- Intensive Care, Neonatal --- Moral and ethical aspects --- History --- ethics --- trends --- history --- legislation and jurisprudence --- neonatale intensieve zorg --- soins néonataux intensifs --- History. --- legislation & jurisprudence --- Neonatal pediatrics --- Perinatology --- Newborn infants --- Intensive care, Neonatal --- Intensive care of the newborn --- Newborn intensive care --- Infant health services --- Pediatric intensive care --- Neonatal emergencies --- Hospital care --- Neonatal intensive care - Moral and ethical aspects - United States --- Neonatology - Moral and ethical aspects - United States --- Neonatology - United States - History --- Intensive Care Units, Neonatal - ethics - United States - vase reports --- History, 20th Century - United States - case reports --- Intensive Care Units, Neonatal - trends - United States - case reports --- Intensive Care, Neonatal - ethics - United States - case reports --- Intensive Care, Neonatal - history - United States - case reports --- Intensive Care, Neonatal - legislation and jurisprudence - United States - case reports

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In 'Kidney to Share', Martha Gershun tells the story of her decision to donate a kidney to a stranger. She takes readers through the complex process by which such donors are vetted to ensure that they are physically and psychologically fit to take the risk of a major operation. John D. Lantos, a physician and bioethicist, places Gershun's story in the larger context of the history of kidney transplantation and the ethical controversies that surround living donors. Together, they help readers understand the discoveries that made transplantation relatively safe and effective as well as the legal, ethical, and economic policies that make it feasible.

Donation of organs, tissues, etc. --- Social aspects. --- Moral and ethical aspects. --- Gershun, Martha. --- living organ donation, kidney transplant, how to become a living organ donor, ethics of living organ donation, altruism and organ donation, organ transplantation. --- Organ donors.