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The ethics of MD-reporter involvement in Haiti



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Jan 24, 2010 09:50 AM

The ethics of MD-reporter involvement in Haiti


Physician-ethicist Steve Miles, MD, of the University of Minnesota Center for Bioethics:

"The reporters who have been practicing well-televised drive-by medical care in Haiti are demonstrating an appalling abuse of medical and journalistic ethics." He feels the decisions on what to broadcast are based on what presents itself as a "telegenic case."

"When you're the only specialist -- or even doctor -- around for miles, treating victims of wars and natural disasters you come across is the natural human inclination.

But where these episodes start to worry me is when networks start making their doctors' heroics into the story, and then pound viewers with clips repeatedly. That's what all the networks are doing now. What I'm not in favor of is the reporter becoming the story, and the episode turning into marketing. It smacks of all kinds of exploitation, and it throws independence and skepticism into serious question."

One example is CNN's Sanjay Gupta treating an injured infant. The camera never leaves Gupta's face.
ERROR: If you can see this, then YouTube is down or you don't have Flash installed. View this video at YouTube

http://www.youtube.com/watch?v=yAEQrjfEBic

http://www.healthnewsreview.org/blog...-in-haiti.html

http://blogs.wsj.com/health/2010/01/...cine-in-haiti/


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10 Comments
No. 1
Old Jan 24, 2010, 12:32 PM

Default Re: The ethics of MD-reporter involvement in Haiti
Well . . first of all the camera does leave "Gupta's face". Many times. And when he first gets to the baby he says "turn that off" looking at the camera man. Then he focuses on the baby and probably doesn't notice that the camera man kept rolling.

He later talks to the camera but after he assessed the baby.

I'm not sure how this makes me feel - seems like the writer of the article is sensationalizing it a bit.

steph
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No. 2
from oramar
Old Jan 24, 2010, 01:18 PM

Default Re: The ethics of MD-reporter involvement in Haiti
They do need to take care however. The potential for abuse is obviously. This doesn't strike me as one of those times.
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No. 3
Old Jan 24, 2010, 01:29 PM

Default Re: The ethics of MD-reporter involvement in Haiti
Are doctors generally a catty bunch? Here's one doctor's assessment of Gupta's skills: (from the comments section in the last link)

Dr. R. Onin wrote:

Every little bit helps I guess but in the video Sanjay Gupta looks like a med student examining his first neonate. He doesn’t seem able or comfortable when trying to open the baby’s eyes — almost like he’s afraid. He does a very cursory neurological exam and what he does he does out of order. And he doesn’t even check the baby’s vital signs. This is all basic stuff that a 3rd year med student could do better.

Additionally, he says the baby has “a laceration under the skull.” What?!? That is not even anatomically possible. How is Gupta not familiar with even basic medical terminology and anatomy? Also, when Gupta decides there’s no fracture, he declares the child fine forgetting that trauma to the soft skull of an infant can be accompanied by dangerous bleeding under the skull even without a fracture. Finally, he looks like he’s never applied a head dressing before — something a full-time neurosurgical doctor or nurse could do with his or her eyes closed.
Ouch!
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No. 4
Old Jan 24, 2010, 06:34 PM

Default Re: The ethics of MD-reporter involvement in Haiti
I'm glad somebody finally said it.
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No. 5
Old Jan 24, 2010, 09:44 PM

Default Re: The ethics of MD-reporter involvement in Haiti
Originally Posted by SharonH, RN View Post
I'm glad somebody finally said it.
Said what?

And in reply to the "catty" stuff . . .I noticed Dr. Gupta's remark about the lac under the skull too - I wondered about that . . was he just nervous with the camera on? And I thought about internal bleeding too.

My initial remarks were strictly for the comment that the camera never left the doc's face (which it did) and that I heard him say "turn that off".

I think the writer is sensationalizing it - but I also think the camera needed to be turned off.

steph
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No. 6
Old Jan 24, 2010, 11:16 PM

Default Re: The ethics of MD-reporter involvement in Haiti
Originally Posted by Spidey's mom View Post
My initial remarks were strictly for the comment that the camera never left the doc's face (which it did) and that I heard him say "turn that off".

steph
I listened again with headphones. You can see Gupta feeling around for something with his right hand, then hands whatever it is to the cameraperson saying "turn this on, please".
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No. 7
Old Jan 25, 2010, 09:49 AM

Default Re: The ethics of MD-reporter involvement in Haiti
Originally Posted by Anxious Patient View Post
I listened again with headphones. You can see Gupta feeling around for something with his right hand, then hands whatever it is to the cameraperson saying "turn this on, please".
You are right! I stand corrected.



steph
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No. 8
from StNeotser
Old Jan 25, 2010, 10:06 AM
Updated Jan 25, 2010 at 10:13 AM by StNeotser

Default Re: The ethics of MD-reporter involvement in Haiti
In addition to what's already been said, I remember seeing this on CNN and when he began bandaging some lesser being (probably a nurse or paramedic) finished the bandaging properly. You never saw their face properly. Which is a very typical portrayal of the doctor/nurse thing in the media isn't it?
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No. 9
Old Jan 25, 2010, 10:33 AM

Default Re: The ethics of MD-reporter involvement in Haiti
Thank you, Steph. I also agree that the camera should have been turned off, but maybe patient privacy is suspended during times of crisis. One TV clip I saw showed a young woman in labor outside in the rubble being assisted by medical people, and the camera zoomed right into her anguished face as she delivered. I couldn't believe it. Can you imagine such disrespect happening during a catastrophe in a 1st world country and then shown on the 6 o'clock news.
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