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Ethics Discussion Otter Ai

The document discusses the complexities of understanding patients and making treatment decisions for them. It notes that a patient's identity and needs can change over time based on their situations. Advanced directives may not fully capture this as the patient and their family's needs may evolve. The document advocates treating the patient based on their current acute needs and from the heart, rather than being limited by rules or liability concerns. It also discusses issues with inequities in healthcare access and the need to provide more affordable alternative treatment options like Chinese medicine to underserved groups.

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Grigori Chulaki
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0% found this document useful (0 votes)
201 views6 pages

Ethics Discussion Otter Ai

The document discusses the complexities of understanding patients and making treatment decisions for them. It notes that a patient's identity and needs can change over time based on their situations. Advanced directives may not fully capture this as the patient and their family's needs may evolve. The document advocates treating the patient based on their current acute needs and from the heart, rather than being limited by rules or liability concerns. It also discusses issues with inequities in healthcare access and the need to provide more affordable alternative treatment options like Chinese medicine to underserved groups.

Uploaded by

Grigori Chulaki
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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away I understand, to haunt me of a patient is her or his right to choose for

themselves.

Providing all the information and resources I can as my role as a practitioner to


help the patient make informed decisions.

The anecdotes that were brought up in Charles Foster's talk

are interesting

in the sense that the identity of a person

and their decision

come to a crossroads at a specific time and place.

A person changes

every day, based on the situations at play.

How can we identify the patient in front of us?

If all we're looking for is disease

and emotional disruption?

Do we really know this patient?

How can we be so sure that their decisions

and their actions

line up with who they really are.

An example of this is an advanced directive,

advanced directive that doesn't take into consideration evolving needs.

Certainly, on two dimensional paper, it seems to say what the criteria asked of it.
But the family may disagree

was so the patient may disagree. And without consulting it as best we can. And
keeping in mind, the best interest of the family.

A legal fiction

or medical fiction,

whether it be the sum of a medical record,

or a will,

does not necessarily equate

to the essence that must be respected, whether it be preserved or put out of its
misery.

Chinese medicine and differentiates people by the summation of all of their


symptoms,
and objective signs that they're presenting with at any given moment.

The Constitution may come into play.

However,

at any given moment,

TCM honors the acute presentation

and tries to treat it in real time.

This is why it is important for Chinese medicine practitioners to

come from the heart and trust in

a supernatural timing

that is not blinded by ethics

or fear, greed

or simply

plausible deniability.

It does not have to look good, only on paper. I have to disagree with anyone that
says this.

Though, respectfully.

If I'm to be the right practitioner, I must trust that the universe brings me the
right patience.

I have to trust that not only my logic, but my intuition comes into

play in treating them.

I have to trust that pen and paper and

taciturn lips may not be able to tell me accurately.

What the soul and essence of a patient is pleading for is waiting for

his allowing to blossom.

I believe people

can be black swans can be

outliers can be

exceptions to the rule and break the mold.

I don't believe that there is a normal presentation and I welcome scenic routes and
detours.

I also believe that a medical crisis can change the way a person identifies
themselves and their purpose.

And all of this

is why they may choose to forego the quote unquote white man's medicine

and instead come to traditional and energy healthcare modalities.

legality and medicine are far from

aligned in their views, legality and medicine

are not mutually exclusive. Though.

When it comes to law, the way the legal fiction has evolved over the centuries.

It is clear that although certain specialties

It is clear that although certain specialties into lope into the realm of medicine,
and medicine likes to borrow from law because we live in a litigious society.

Something we have to consider is that medicine

exists in a realm beyond two dimensional patented languages such as legally is.

In fact, medicine lives beyond Western medicines, biomedical jargon.

It is so immensely complex that no amount of language or syntax can contain its


vastness.

When understanding the

delicate nature

that the two professions and disciplines tread together in their precarious dance,

it is incredibly clear that much collateral damage has been suffered at the hands
of non liability

or limited liability that hospitals and hospitalists hide behind

of their so called corporate veil.

There is something to be said

for meeting a patient where they are as a man or woman.

This is something I believe that Western medicine

in their racketeering, profiteering

operation.

I believe that the profiteering and racketeering operation that the western medical
and legal cabals have

in perpetrating
through no less than organized crime for centuries, if not longer.

is one of the contributing factors to the incredibly high androgenic injury rate
contributing to death that

we now know is at least

third place

are

the most badly reason Americans are dying today.

Now more than ever, we see

legal protections and human rights suspended in times of emergency that don't add
up that are

acted upon in the haste.

new segment.

Medical inequity is an incredibly passionate topic of mine.

Since I worked in the health care field,

specifically with elders

and disenfranchised stratas of society,

as well as recipients of

so called

Bennett benefits.

My

area of expertise for a while

was Medicaid. In Colorado,

I must say that it has changed a lot recently.

Since I have slowly tapered my activities in the field over the last five years,

I have come to realize that

Medicaid as we know it in Colorado, is vastly different from Medicaid in other


states. Certainly it is not in the last place. Certainly, it has its benefits its
upsides. However, it is curious to note that in the past two years, my grandmother
has gone from living with my mother

to a

to an independent living facility.

And she receives Medicaid but with a certain waiver


does not seem to exist in this area.

She can go to several medical appointments which are not covered by insurance and
pay out of pocket and in return

her rent at her home

subtract whatever the sum is.

But she went to an appointment.

So let's say that she can go to enough medical appointments, including homeopaths
and osteopaths.

To cover her entire and

this is not medical inequity is I like to see it

from the perspective of the other people that I've seen in her situation, she is
the

outlier and Black Swan.

I have experienced some cases where I believe that there have been

benefits provided.

In some cases, Medicaid and other welfare program recipients are provided for
reasonably well,

so long as they have

family that can keep up to date with the different eligibilities that they may
have. And so long as family has the ability to go to bat for their family members.

This is all fine and dandy but in practice, it doesn't work most of the time. A lot
of home bound chronically ill, debilitating debilitated people in disenfranchised
areas

do not have family that they can call upon.

Perhaps it is there, and a daughter, or niece or a brother maybe living near


walking distance even.

But the system relies upon quite a bit else to go right before a lot of people
receive

quality, compassionate care, which is not simply milking insurance.

One of the biggest issues I see with Chinese medicine is how expensive it is,
especially in this area.

My vision has always been to provide care to those who cannot afford it

with the understanding that there is an equal exchange of value. So the patient
receives a deserving quality of care, which they can fully integrate and digest and
feel nurtured with

these are a couple of ways of looking at it.


In terms of educating the public about modalities that may be more effective and
equitable in any given situation.

Their mileage may vary.

But they should be aware of and have access to Chinese medicine, and complementary
alternative medicine modalities.

This isn't always the case, because most people

that don't have the money to have tried it themselves or don't have a close family
member or friend, who have received it and could refer them by word of mouth, do
not know about acupuncture at all. And what they do know maybe actually about dry
needling because it was offered them or someone close to them covered by insurance
and it wasn't cost prohibitive.

I was very curious to me that

education is so limited for the elderly, for whom it may not have been

common knowledge and a so called generational divide.

Additionally, there is not a clear way to provide education without giving it away
for free for people that

don't have money for it.

Certain

within the Denver Housing Authority, I have struck up relationships and

nurtured relationships over years with management and

social work contacts.

My goal has always been to provide education about alternative medicine, as well as
to connect the community with resources especially when

schools like CST cm provide free treatments for veterans for an entire month out of
the year. For a time I was actively campaigning for Denver, to seek that kind of
treatment, especially if it didn't break the bank of someone who couldn't otherwise
have afforded it.

Thankfully, there are grants and angel investors and other financial instruments,

especially one forms of self sustaining ministry, which aims to offer this type of
work and education in a single package.

This is absolutely doable. And we have a responsibility to team up even for an hour
a week

among our profession, provide the outreach and the resources to those otherwise
would not be able to afford an average of 100 or more dollars per session.

Transcribed by https://otter.ai

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