Lesson 4
23. Summary: A
Thought Experiment II
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200 Patients with Severe Coronary Artery
Disease
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V
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V
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Comfy Chair:
TV
Catered Meals
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Forced Exercise 24/7
No Sleep
No Food (NPO)
Pain
Electric Shock
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V
Ischemia
Unstable Angina
MI
Death
If they don't die during the experimental week, they
have an event in the next few weeks to months.
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If I applied to the committee on human research
to get institutional review board (IRB) approval to do such a study,
it would be denied on ethical reasons. If, I treat a patient in
this manner for their surgical care, I can send a bill. Just as
it is unethical to do this experiment, it is unethical to have a
patient be stressed, tachycardic, with myocardial ischemia, and
call it post-surgical standard care.
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