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That may be one reasons so many physicians die in aircraft "accidents". They think that are too smart to screw up.

No I didn't. My statements imply that I have superior knowledge about certain medical conditions than my patients. (I do, no kidding). I'm also very good at explaining things to patients. Where did I imply that? Who said that physicians possess superior knowledge or skill in every endeavor...

No grudge, ever. When patients are discharged against medical advice I always tell them the best way to get the treatment if they change their mind and tell them we will not hold their previous refusal against them. I provide pre-discharge education, provide all prescriptions, offer a follow up...

True. I would like to elaborate on a few points. It is the physician's job to obtain and document informed consent or informed refusal. The physician must determine if the patient (or the person authorized to make medical decisions on behalf of the patient) has the capacity to understand the...

Think positive? OK, I'll try but I'm used to looking at things from a worst case scenario perspective to keep bad things from sneaking by.

Not sure what you mean by that. There are a lot of useful but potentially deadly things out there that we don't want to ban. Think airplane for starters.

What do you mean by that? Those of us who have used propofol think of it as a useful tool with specific benefits and risks. We are just trying to provide a counterpoint to those who claim that propofol is a bad drug. You should appreciate that we are willing to take the time to share our...

:nono: If you have the luxury of freshly roasted beans don't torture them with a blade. You will get better grind size and consistency with a burr grinder. The Gaggia MDF or Rancilio Rocky grinders both do a great job. http://www.wholelattelove.com/categories/grinders?brand=Gaggia...

What is "An Atrib"? I suspect this should be afib which is short for atrial fibrillation. Propofol is commonly used in procedures where we shock people who have afib in an attempt to get them back in the normal rhythm so it's definitely not contraindicated for patients with this arrhythmia I...

You think her attorney would have done that by now. Another possibility is that the daughter really wants to be treated but does not want her mom to know.

By the way, propofol is great stuff if you know how to use it but very dangerous if you don't. Ask Michael Jackson. I leave that stuff to the anesthesiologists.

Tell it to the judge.

What is your evidence of bias? She has a lethal disease with an 85% cure rate with treatment. The mom is clearly out of touch with reality.

Children do not have the right of self determination. I believe that the judge could have allowed the woman the ability to refuse treatment but elected not to do so. The judge probably thought the mom was nuts and had influenced the daughter sufficiently to be unable to make informed decisions...

That's why it went before the judge.

That's the law and backed up by the judge's decision. If a guy had sex with her the day before she reaches the age of consent he could go to prison even if she begged for it. There are plenty of examples of things that are permissible or forbidden depending on the calendar or clock.

She is not legally an adult. Her mom does not believe in chemotherapy. It would be fine if her mother refused treatment for the same disease but I'm not convinced that the daughter understands the consequences. Contrary to the mother's beliefs she has a near certainty of death without treatment...

That was not my meaning but I still fixed it for ya. The improved version seems a little awkward.

Start with a call to your Congressman/woman and Senator. It seems that people want to hold me accountable.

I agree that non-physician medical personnel often have valuable inside information on the quality of docs.