In this new, startlingly original book, John D. Lantos weaves a
compelling story that captures the dilemmas of modern medical
practice. The Lazarus Case: Life-and-Death Issues in Neonatal
Intensive Care begins with a fictional malpractice case-an amalgam
of typical cases in which Lantos appeared as an expert witness-and
uses it as the framework for addressing the ethical issues
surrounding neonatal intensive care. Lantos draws on his experience
in neonatal medicine, pediatrics, and medical ethics to explore
multiple ethical dilemmas through one poignant representative
situation. In Lantos's model case, a doctor decides to stop
resuscitation of a premature infant, a tiny "preemie" who seems
past reasonable care. The baby survives with severe neurological
defects and the parents sue the doctor, alleging that stopping
treatment was negligent. From this case, Lantos considers our moral
obligations to critically ill babies, the meaning of negligence,
and the sorts of social structures that shape the moral consciences
of doctors. Each chapter begins with Lantos deposing in the
conference room of the plaintiffs' lawyers. The questions put to
Lantos throughout the deposition spark an engrossing retelling of
his personal experiences with premature babies, as well as his
thoughtful discussions of ethics, morality, history, and medical
statistics. Sprinkled throughout the book are references to
fictional works by Camus, Dostoevsky, Shakespeare, Twain, and
others. Lantos uses these literary examples to further illustrate
the ambiguities, misunderstandings, responsibilities, and evasions
that plague our decisions regarding life and death, medical care
and medical education, and ultimately the cost and value of
preserving the lives of the most vulnerable among us.
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