Monday, February 9, 2009

Responsibility

The news story of the Suleman octuplets just keeps on getting better! Since the moment of their birth, I have discovered a new piece of information about the family on a daily basis. And with every new discovery, my thoughts on the matter change. Let me say, in a completely forthright manner (for the first time!), that I am absolutely outraged...I'm just not yet sure about whom I'd like to blame the most! Like I said, with every new discovery, my moral compass swings from one side to the other. At first, I was livid with the "parents" (i.e. Suleman and her "partner"); then, I realized she has no husband and lives with her parents! That made me extremely angry with her, because now she had to raise these 8 children on her own; oops, wait, new story: she has 6 other kids at home from a previous IVF...so she has to care for 14 kids by herself. Wonderful! Then I found out that a team of doctors and nurses had to be trained for several months in preparation for this delivery...great...let's take the hospital labor force and use them all up for one patient alone. That doesn't sound unehtical at all. Now, let's think about the doctor who implanted these 8 embryos into Suleman's uterus. Which medical school gave this guy his degree? How do you implant 8 embryos into the uterus of a woman who is under the age of 35, does not have a partner with whom she could care for the children, has SIX other kids at home, and lives with her parents? The doctor really made me angry....until, the reports said that the doctor did not, in fact, implant 8 embryos, but that they multiplied after implantation, and Suleman decided to forego abortion. So, she CHOSE to keep all 8 (well, at the time, she thought there would be 7). And most recently, I read that she is now asking for millions of dollars to support her mini-village containing 14 children.

The story goes on and on. Frankly, every time I read a new piece on the Suleman octuplets, it feels like self-mutilation. I cringe, I hurt, I want to cry from inside. 14 kids???? I cannot think of a more irresponsible behavior. But like I said, I go back and forth on the most irresponsible individual in all this? The doctor who implanted so many embryos? Nadya...for obvious reasons? The parents of Nadya for their poor education of their daughter on matters of responsibility? Who do you blame? But more importantly, what is going to happen to the future of these 14 innocent kids who had no say in all this? Who is going to explain to them why they never received the attention that most other kids do? And that is NOT an assumption. It's math! One mom with 2 hands, 14 children, and 24 hours in one day: it just doesn't add up!

In conclusion, Nadya just increased our already overpopulated earth by 8 more children, bringing her total to 14. She changed the lives of 14 people, not to mention the downstream effects of her behavior on society as a whole. I'm scared...

Thursday, February 5, 2009

The "L" Word...But The Real Kind!

In relationships, the "L" word marks a milestone. In the younger ages, we tend to throw the word around, as if it has no meaning. But as we mature and hopefully, get wiser, we begin to associate the "L" word with an immense amount of commitment...it comes with responsibilities that we don't want to be held accountable for until we are certain about our partners. Often times, we wait a very long time before we even utter sentences that could be interpreted as love.

But then...the moment we come to terms with ourselves and realize that we have fallen in love, it is often difficult for us to stop thinking about the other person. We wonder where they are, what they're doing, what they like and dislike, what would make them happy or sad, etc. It almost seems as if our behaviors change to satisfy the other person.

I was reading Plato's "Dialogues" last night. In a part of one of the early discussions, Phadrus is the first to express his admiration for Eros. In this speech, he mentions that a man in love would surely not let himself be seen by his beloved (i.e. Eros), beyond all others, performing any shameful behaviors. While I can clearly see the application of this principle to the loving relationships between two individuals, I was more interested in its relevance to the love between a creature and its creator.

As I have perhaps hinted in my previous blogs, I sincerely believe in the existence of a Source more powerful than myself. I don't know what I would call this Source...I like the name Divine...or simply, the Source! Regardless, the semantics are a moot discussion. The salient point is that I believe in a more supreme being, but I also recognize that understanding the nature of this being is well beyond my intelligence (in fact, if I did understand this being, wouldn't we be equals and thus, wouldn't that negate the possibility of its existence?!) Nonetheless, for as long as I have sincerely believed in its presence, I have tried to establish a relationship with him/her/it in the best way I could. I have tried to....love this Source. It's not easy!! It's so much easier to love someone who is tangibly present in your daily life....but over time, I have realized that this Source has effects that permeate my daily experiences and the reality of those experiences could be just as tangible as the apparent presence of this being. And every time that I come face to face with one of these experiences, my admiration, connection....love....for this being grows exponentially. I never really thought about what that love means though....Plato's Dialogues has given me a practical starting point! If you believe in this Supreme being, do you truly love him/her/it? Have you ever thought about a way to assess this love?! Next time you are about to do something, think: "would I do this if he/she/it was here?"!!! Just some food for thought!

Wednesday, February 4, 2009

Ethics and Law...Mutually Exclusive?

I was reading about an interesting court case today: Coombes vs. Florio. In brief, Sacca, a 72-year old cancer patient of Dr. Florio, was prescribed several common drugs that cause drowsiness, dizziness, and should not be used before driving (i.e. oxycodone, hydrocodone, and other sedatives). While Sacca was undergoing cancer treatment, he was advised by Dr. Florio not to drive. However, once the treatment was completed, Dr. Florio informed the patient that he could resume driving (even though Sacca was still receiving prescriptions for the common opioids above). One day, while Sacca was driving, he got into an accident and killed 10-year old Kevin Coombes. It was later concluded that a combination of factors, including Sacca's general health condition, as well as the influence of the drugs, contributed to the accident. Later, the Coombes family sued Sacca.....AND Florio! The case against Sacca is self-explanatory (although Sacca died soon after the case opened and the case was later settled). The allegations against Florio, however, resulted in far more intriguing results. The suit brought against Florio argued that the physician should have informed his patient of the possible side-effects of the prescribed drugs, and Dr. Florio should have forewarned the patient not to drive while under the influence.

The decision for this case was met with controversy and while the lower courts ruled in favor of Florio, the case was later brought to the Supreme Court of Massachusetts where it was again, met with a mixed bag of feelings, which are not the subject of tonight's blog. I'd like to discuss the more salient point here: should a physician be held responsible for his/her patient's behavior? Isn't this similar to asking whether or not the bar tender should be held responsible for a drunken person's behavior after they leave the bar? Or even the host of a party...if I throw a party, serve alcohol, and one of my drunken guests leaves and gets into an accident, should I be held responsible for this guest's behavior? Alternatively, if I'm a fitness trainer who helps a client get into great shape, can I take all the credit for the client's newfound health? In other words, if we are could potentially contribue to a specific decision that a person makes, how large or small of a role do we play in the person's behavior as it relates to us?

My personal opinion: The answer to this question would vary depending on the person asking it: an ethicist or an attorney?! While the law may outline a series of specific guidelines for certain problems, true ethics (the definition of which would, in itself, create a new subject) may point towards an entirely different direction. As critical thinkers, I think that whenever we get at a cross-roads where we have to make a difficult decision that may affect another person, we should be able to assess both the legal and ethical aspects of the decision and their respective consequences. I am not suggesting that one should always make one or the other decision, but merely that we should be AWARE!