Word: dr
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Dates: during 1990-1999
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...ethical as much as medical. Is it fair to set out on a course of treatment that would involve enormous risk and pain, a year in the hospital at least and a very difficult life thereafter? "Just because you can do something doesn't mean you should," explains Dr. Goldberg. "We have to keep a level head and treat the child as if it were your own. What would you want for your...
...doctors never give up, and at 10:45 a.m., Dr. Rice operates again. This time the news is even worse, and all options are foreclosed. "He essentially had no intestine beyond the stomach," says Dr. Rice. "Doing anything more at this point would just be futile therapy." All they could do was increase the morphine, ease the pain...
...schools. Although the public University of North Carolina receives the bulk of government funding for indigent care in the city, Duke and Durham Regional Hospital together provide 90% of that care. "I don't think they've always gotten the credit for what they do in the community," says Dr. Evelyn D. Schmidt, executive director of Lincoln Community Health Center...
...Dr. Gary Stiles, who runs Duke's Health Systems Network Development program, openly acknowledges that Duke's motives are more than just magnanimity. "We live in a very competitive market here. We either help people and catch them where we can, or we kiss them goodbye." So Duke goes out to Lumberton and Laurinburg, screens patients and transfers the sicker ones back to Duke, where they or their insurers will pay for them to get well. Duke also collaborates with community organizations in other cost-saving joint ventures, such as a child-abuse-prevention center, a teenage-pregnancy-prevention program...
...some hard feelings among Durham Regional's staff physicians. They fear it will destroy Durham Regional's identity as the comfortable community hospital--and cut into their private practices. "The structure [of the partnership] has been developed, but we don't know how it is going to work," says Dr. Stuart Manning, president of the Durham Regional medical staff...