Futility and rationing in liver retransplantation: When and how can we say no?

When do we stop, and how do we do it? Medical futility and withdrawal of care.

Dr Hinshaw: Welcome to the general session entitled “When Do We Stop, and How Do We Do It? Medical Futility and Withdrawal of Care.” This symposium is one of an ongoing series of symposia focused on palliative care organized by the Work Group for Surgical Palliative Care, jointly sponsored by the College and the Robert Wood Johnson Foundation. We are fortunate to be able to make this a highly i...

Refusing life-sustaining treatment: can we just say no?

Can we just say NO to sickle cell anemia?

History of Discovery How We Learned to Say NO

What seest thou else In the dark backward and abysm of time —William Shakespeare First, there was Robert Furchgott.1 He simply and brilliantly demonstrated that endothelial cells play a pivotal role in relaxations evoked by acetylcholine in isolated arteries, and do so by activating muscarinic receptors of these cells. Actually, the quest for the understanding of the mechanism(s) underlying the...

How can we enhance the value of laboratory tests?

Today, the pressures on the healthcare systems for the controlling of the costs are extreme and all sectors try to demonstrate the value of their services by justifying the activities and expenditures so the value can be describe in terms like quality, efficiency, effectiveness, patient satisfaction, cost effectiveness .The value of the lab testing is generally directed to their costs and the c...