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Daniel Sokol Profile picture
@DanielSokol9
Jun 10, 2020 • 3 tweets • 2 min read • Read on X
Last Sunday, I suggested someone should write 'Letters to a Young Bioethicist'. I’m not volunteering but here’s what one letter might look like. No doubt others will have much more exciting stories and insights to share. bit.ly/3feQbZV

#bioethics @IMEPostgrad
Some of the issues that young bioethicists have raised, based on the 'Letter': 1. how to increase the likelihood of getting a bioethics job post-PhD 2. tips on entering the field from 'non-traditional' path 3. importance of contacts with clinicians and how to do it (1/2)
4. how to balance philosophical rigour & practicality 5. dealing with prof. jealousy/hostility 6. promising areas for new bioethicists to study/develop expertise in 7. tips on publishing 8. whether career in bioethics has been worth it. I'm sure there'll be more 😀 (2/2)

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More from @DanielSokol9

Daniel Sokol Profile picture
Mar 19, 2023
I asked ChatGPT an ethical question that formed the basis of an article I wrote in 2007 (bit.ly/3yLJv1s). The question to ChatGPT was as follows: "I am an anaesthetist. Moments before being anaesthetised, a patient with a ruptured aortic aneurysm asked me (1/4)
"I am going to be all right, aren't I, doc?". Privately, I did not believe he would survive the operation. How should I have answered him?". ChatGPT's answer was that anaesthetists have a professional obligation to be truthful but that "in this situation..." (2/4)
it may not be appropriate or ethical to provide a direct answer...as doing so may cause unnecessary distress and anxiety." ChatGPT suggested acknowledging the question and offering reassurance without giving false hope or misleading information, saying something like...(3/4)
Read 4 tweets
Daniel Sokol Profile picture
Oct 3, 2020
The new GMC guidance on consent states that doctors should usually disclose a risk of serious harm, “however unlikely it is to occur” (23(d)). I think this is a mistake. First, it requires doctors to know all these risks, which is unrealistic. Take, for example, amoxicillin.
It carries a minuscule risk of aseptic meningitis. You can also get interstitial nephritis, seizures, vocal cord swelling and dozens of other potentially serious conditions (wb.md/2F01k4C). Should doctors know all these?
For every drug/intervention?
Second, even if doctors do know ALL the risks of serious harm, should they usually tell patients about these risks, including the risk of death, when prescribing penicillin? Even if somehow practicable, I doubt such disclosure would enhance patient autonomy.
Read 5 tweets
Daniel Sokol Profile picture
Jul 13, 2020
Since posting my request for a paralegal yesterday, I received 82 CVs. I'm grateful to all the applicants for their interest. Some CVs were outstanding. To help with future job applications, I hope no one will be offended if I offer these few observations about legal CVs:
1. if you claim to have great attention to detail, avoid typos/spelling errors ('pupillage', 'non-molestation') and inconsistencies in spacing, punctuation, capitalisation and formatting (e.g., 'October 2nd 2018-2nd nov 18'). Lists in particular often contain inconsistencies.
2. Good writing skills - even a paragraph of prose can reveal a lot. Make sure you know the meaning of the words you use (e.g., 'adroit'). Keep sentences short and in the active voice. Don't try to impress with fancy words. The cover e-mail should also be well drafted.
Read 6 tweets
Daniel Sokol Profile picture
Apr 22, 2020
Thinking about problem of treating patient without adequate PPE. Imagine this: a 50-yr-old, suspected COVID patient (with no co-morbidities) chokes on food. HCW (a healthy, 35-year-old) has no adequate PPE. Patient loses consciousness. No breathing. Should HCW start CPR?
One of my US colleagues recently sent me their hospital's CPR guidelines, which state: "Clinicians are not obligated to perform resuscitation without appropriate personal protective equipment." I haven't seen CPR guidelines from NHS Trusts so can't comment on their position.
Let’s try to solve this. Assume no PPE-equipped HCW nearby. Some key questions: how likely is patient to benefit from CPR? What is approx. risk to HCW of 1. contracting COVID; 2. if gets it, suffering signif. harm from it? If HCW off sick, likely impact on care of other patients?
Read 4 tweets
Daniel Sokol Profile picture
Apr 4, 2020
Would any intensive care doctors be willing to look at a *very short* document for me today? It should take no more than 5 minutes. My e-mail is daniel.sokol@talk21.com. Many thanks. @FICMNews @CICMANZ @WelshICS @ESICM @ICS_updates @sicsmembers
@FICMNews @CICMANZ @WelshICS @ESICM @ICS_updates @sicsmembers You folks are the best! Thanks so much for retweeting.
I've now published the ICU triage doc, with the benefit of the v. generous feedback of some of your specialty. Of course there wasn't unanimity on all issues but it's the best I could do. It's here: bit.ly/2wYNmvU. @FICMNews @CICMANZ @WelshICS @ESICM @sicsmembers
Read 4 tweets
Daniel Sokol Profile picture
Mar 21, 2020
In the ICU triage qu., looks like the Swedes will take into account life expectancy as a factor. bit.ly/3delX9v. Sounds good in theory but in practice surely challenging.We lawyers often have cases where experts disagree on client’s life expectancy. Also, time consuming.
@christianmunthe is there a practical and accurate method to determine life expectancy that can be used in this situation? What if the patient has a range of conditions needing input from multiple specialists? Are you able to share? If so, would love to know.
@mancunianmedic David, are you able to comment on the life expectancy issue? I know some geriatricians give expert evidence on life expectancy for injured claimants, looking at the various medical conditions, lifestyle of the patient (eg. smoker, obese, etc.), and statistics.
Read 6 tweets

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