National Health Care Decisions Day, Jehovah’s Witnesses & Mature Minors

April 16th is the 4th Annual National Health Care Decisions Day, a day when health-care practitioners reach out and express the importance of having discussions about personal values and treatment preferences, especially in the event of loss of function and end-of-life circumstances. I encourage every adult to complete an advance directive because any adult can fall down and go boom. (Remember: all of the seminal “withdrawal of care” cases involved young women: Karen Ann Quinlan, Nancy Cruzan, and Terri Schiavo were all under 35 when they suffered their respective traumas.)  So here is my pondering for the occasion:

Recently I assisted in a case of a 15-year-old Jehovah’s Witness rushed into the emergency department “bleeding out.” Jehovah’s Witnesses (JWs) regard blood transfusions as a violation that has profound spiritual implications, and accordingly, refuse such transfusions even when such treatments can be life-saving. Supporting JWs in their refusal is an early-learned bioethics lesson as students explore issues of patient autonomy and respecting cultural values. Competent individuals have the right to refuse unwanted medical treatments, even when refusal will lead to death. But this was a 15-year-old.

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Israel Reflections–Negotiation Aikido Israeli-Style

On our very last day in Israel, with the sun shining and after spending an hour on the beach, we forced the students back on the bus to Tel Aviv University to have a joint class with Moty Cristal’s class from the International Master’s in Dispute Resolution program.  If ever I was worried that the students would really resent us, this presented the golden opportunity.  Luckily, Moty was outstanding and here are two student comments about his presentation:

From Mary Ferwarda: It was the last day in an exciting, but very packed and exhausting schedule. We had just come from free time on the beach in Tel Aviv on the most perfect morning — sunshine, light breeze, few crowds — and I, personally, was dreading having to sit inside for yet another lecture.  When we all packed into a room at Tel Aviv University, and the speaker pulled up his Powerpoint, I took a deep breath to pool all of my energy to pay attention.  I should have taken a deep breath to prepare to be blown away.  Mr. Moty Cristal lectured, or rather, preached, his piece on crisis negotiation to a roomful of rapt students and professors.  Combining a pointed wit, quick humor, and a couple of Hollywood movies, Mr. Cristal walked the class through his experience negotiating with Palestinian militants who barricaded themselves in the Church of the Nativity in 2002 to avoid capture by the Israeli Defense Forces (IDF). 

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Please Stop

I recently jested that I would spend some blog time on fashion. Then, on Thursday, the fates decided to jest with me a tad. My hospital has a large summer program for local high school students. The students will basically be assigned a mentor and spend the summer learning from the mentor and going to job-related training sessions. Very internship-y.

Anywho, I got wrangled into providing the “Dress For Success” session. Stop laughing, Jake. It’s in July so I have a while to figure out what I am going to say. However, one thing keeps coming to mind. One “rule” to provide to a future job seeking male. And a way to stymie a growing pet peeve.

Ties = Accent pieces. Dudes, they are not, NOT meant to blend into your shirt like some silken chameleon. ACCENT. 

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