Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Daniel Sokol Profile picture
Daniel Sokol
@DanielSokol9
Medical ethicist, clinical negligence barrister, accredited mediator.
Mar 19, 2023 • 4 tweets • 1 min read
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)
Oct 3, 2020 • 5 tweets • 2 min read
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?
Jul 13, 2020 • 6 tweets • 1 min read
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.
Apr 22, 2020 • 4 tweets • 1 min read
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.
Apr 4, 2020 • 4 tweets • 6 min read
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.
Mar 21, 2020 • 6 tweets • 2 min read
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.
Mar 21, 2020 • 4 tweets • 1 min read
1)Does anyone know of a scoring system in use to determine who gets intensive care and who doesn’t?2)Would hospital trusts share their triage policies with the public, despite the rhetoric of transparency? 3)Are groups working out answers to the triage questions independently? Thanks, James. The French have talked of a “patient fragility score”, tailored to covid-19, and the French national ethics committee has referred to “cellules éthiques de soutien” in hospitals to assist doctors on the front line with the actual decisions.Haven’t seen more detail.
Jan 27, 2019 • 5 tweets • 2 min read
A3 (1/5): A disclaimer first: it’s been 10 years or so since I’ve been on a medical school interview panel. I’ve done barrister interviews more recently. #ASKMEDICINE A3 (2/5) First, listen to the question. Don’t make the mistake of hearing a buzzword and going off on your prepared answer. Looks awful.
Then, think. Take a few moments if necessary. #ASKMEDICINE