When the Foundations Are Wobbling, Part II

Blog, COVID-19, United States / /

 

Death Certificates and COVID-19

D. Joy Riley, M.D., M.A. Executive Director

One of the tasks assigned to physicians is the completion of death certificates—at least, the portion of death certificates that list cause of death (COD). I learned the importance of accuracy of death certificate completion as a pathology student fellow, an extra year of pathology training in the middle of my medical school career. We were instructed never to use the mechanism of death, such as cardiac or respiratory arrest, as a cause of death. Additionally, the use of terms like “probable” or “suspected” were not allowed. After all, the goal of ...read more

When the Foundations Are Wobbling, Part II Read More »

When the Foundations Are Wobbling, Part I

Blog, United States / /

 

The Denominator of Death Rates

D. Joy Riley, M.D., M.A. Executive Director

How many people in the U.S. have died of SARS-CoV-2 infection, or COVID-19? That is difficult to say, and not for lack of numbers on the website of the Centers for Disease Control and Prevention (CDC). The case fatality rate for a particular disease is, basically, the number of persons dying of a disease, divided by the number of persons who have the disease, and multiplied by 100, to give an answer in terms of percentage:

# persons dying of COVID-19 disease X 100 # persons infected with SARS-CoV-2

How is this complicated? ...read more

When the Foundations Are Wobbling, Part I Read More »

Flourishing in the Midst of Crisis

Blog, United States / /

 

Focus on the “Local”

D. Joy Riley, M.D., M.A. Executive Director

It may seem ironic in this time of coronavirus* epidemic that The Tennessee Center for Bioethics & Culture’s theme for 2020 is Human Flourishing. Of course, the theme was chosen before the populace was on such intimate terms with the infection. The theme was also chosen before tornadoes** struck Middle Tennessee; before we knew we would need a hefty dose of encouragement in 2020. In this month’s post, several Tennesseans are featured. From a pharmacist in western Tennessee to a group of studio singers in Music City, these can help us to ...read more

Flourishing in the Midst of Crisis Read More »

Flourishing . . . In a Time of Debate

Blog, United States / /

Ben Voth, Ph.D., associate professor of corporate communications and public affairs at Southern Methodist University, is also director of debate at SMU. His book, James Farmer, Jr.: The Great Debater (Lanham, MD: Lexington Books, 2017) provides exemplars of debate from the previous century – ones from whom we could learn much today. Voth’s book is not a biography of James Farmer, Jr., but a dissection of how Farmer, reared by his capable parents (his father was both a minister and a professor) and trained by Melvin Tolson at Wiley College, used rhetoric properly fitted to action to change the world. ...read more

Flourishing . . . In a Time of Debate Read More »

COVID-19 in Wuhan: Plea for Help Retracted

Blog, China, United States / /

D. Joy Riley, M.D., M.A. Executive Director

One thing is clear: COVID-19, the newest coronavirus to infect humans, has our attention. Locally, people planning to travel—almost anywhere—are wondering about where to obtain face masks. As of Tuesday of this week, reports the New York Times, the United States had 57 cases, with 40 of those related to the Diamond Princess cruise ship that docked in Japan. The NYT article further reported,

  “We cannot hermetically seal off the United States to a virus,” Alex M. Azar II, the secretary of health and human services, told a Senate panel on Tuesday. “And we need to ...read more

COVID-19 in Wuhan: Plea for Help Retracted Read More »

Our Summer Non-Vacation

Blog, United Kingdom, United States, What People Are Saying / /

D. Joy Riley, M.D., M.A. Executive Director

“What I did on my summer vacation” is an assignment many of us have had to complete in the late Augusts or early Septembers of our lives, when we returned to school after the summer break. Given that Summer 2019 has just ended (although the high temperatures have yet to abate), an update on our activities is in order:

21 June 2019 — First Day of Summer

We hosted “Chicago Meets New York: Dinner and a Movie” at the Center for Bioethics & Human Dignity’s 26th international bioethics conference on the campus of Trinity International University outside ...read more

Our Summer Non-Vacation Read More »

Transgenic Monkeys: Coming to a Lab Near You?

Blog, China, Emerging Technologies, Genomic & Genetics Issues, United States / /

D. Joy Riley, M.D., M.A. Executive Director

The initial draft sequence of the chimpanzee genome was published in September 2005 – in comparison with the human genome. A few months later, geneticist James M. Sikela wrote in PLOS Genetics, “the genes and genetic changes that are responsible for making the human brain what it is and for allowing it to do what it uniquely does, have long been among the most prized jewels of our genome.” In that paper, Sikela considered how one could locate the changes in the genome that account for “human-specific cognitive abilities.” How could one prove that a ...read more

Transgenic Monkeys: Coming to a Lab Near You? Read More »

What Say You?

Blog, United States / /

Update: See the bottom of this post for the National Institutes of Health’s response to our letter. 

An Open Letter to Dr. Francis S. Collins, Director of the National Institutes of Health

D. Joy Riley, M.D., M.A. Executive Director

Francis S. Collins, M.D., Ph.D. Director National Institutes of Health 9000 Rockville Pike Bethesda, Maryland 20892 [email protected]

17 December 2018

Dear Dr. Collins:

The Tennessee Center for Bioethics & Culture lauds the position of the National Institutes of Health (NIH) as evidenced by your concluding statement of 28 November 2018: “NIH does not support the use of gene-editing technologies in human embryos.” As embryonic humans represent the most vulnerable amongst our species, the ...read more

What Say You? Read More »

Crossing a Bright Red Line: Human Embryo Editing

Blog, China / /

D. Joy Riley, M.D., M.A. Executive Director

On Monday of this week, He Jiankui of Southern University of Science and Technology in Shenzhen, China, shocked the scientific world prior to the beginning of a conference on gene editing. Dr. He announced a first: that he had edited the genes of embryos for seven couples undergoing fertility treatments, and that one pregnancy has resulted to date. It should be noted that there is no corroboration of this claim currently: it is an announcement; no scientific paper has been published about it.

Some of the specific claims, published in The Guardian, are as follows:

All of ...read more

Crossing a Bright Red Line: Human Embryo Editing Read More »

What if we call it “Medical Aid in Dying”?

Blog, United States / /

 

A Lesson from History

In the aftermath of WWII, Leo Alexander penned the following as part of an article published in the New England Journal of Medicine:

The Example of Successful Resistance by the Physicians of the Netherlands There is no doubt that in Germany itself the first and most effective step of propaganda within the medical profession was the propaganda barrage against the useless, incurably sick described above. Similar, even more subtle efforts were made in some of the occupied countries. It is to the everlasting honor of the medical profession of Holland that they recognized the earliest and most subtle ...read more

What if we call it “Medical Aid in Dying”? Read More »