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" The growing professional disciplines of medical ethics and bioethics have had a profound impact on researchers, bedside doctors, associations of physicians, and government. "
Sherwin B. Nuland
Ethics
Impact
Had
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" Once the notion of depression had begun to dominate the diagnostic armamentarium, it became but a matter of time before patients with relatively mild disorders of mood or anxiety would be entered into it. "
Sherwin B. Nuland
Time
Mood
Matter
" It's unnatural to believe death usually has a beauty and a concordance and is usually a coming together of your life's work. It leads to frustration for the patient. And it leaves grieving families convinced they did something wrong. "
Sherwin B. Nuland
Death
Together
Work
" 'Death with dignity' is our society's expression of the universal yearning to achieve a graceful triumph over the stark and often repugnant finality of life's last sputterings. But the fact is, death is not a confrontation. It is simply an event in the sequence of nature's ongoing rhythms. "
Sherwin B. Nuland
Death
Life
Nature
" Of all the named structures within the abdomen and the chest, those associated with reproduction retained the mysteries of their willful behavior long after others had been solved to the satisfaction of physicians and philosophers. "
Sherwin B. Nuland
Long
Satisfaction
Behavior
" Whether wisely or not, one of the first priorities of the incoming Obama administration was to present a package of healthcare benefits, which, to no one's surprise, produced an uproar in Congress and an assortment of polls declaring that the majority of Americans were opposed to it. "
Sherwin B. Nuland
First
Healthcare
Priorities
" Death belongs to the dying and those who love them. "
Sherwin B. Nuland
Dying
Love
Them
" Only by a frank discussion of the very details of dying can we best deal with those aspects that frighten us the most. It is by knowing the truth... that we rid ourselves of that fear of the terra incognita of death. "
Sherwin B. Nuland
Details
Best
Death
" Only the emerging specialty of psychoanalysis seemed to understand that mental maladies are not fully analogous to physical disease. They resist classification, and might better be known by their symptoms and the individualized sufferings of patients than by assigned names. "
Sherwin B. Nuland
Mental
Better
Only
" Long regarded as central to the contemporary understanding of medical ethics are four principles that must be satisfied in order to fulfill the requirements of moral decision-making. These principles are autonomy, justice, beneficence, and non-maleficence. "
Sherwin B. Nuland
Justice
Medical
Understanding
" Though moral axioms to guide the conduct of the practitioner have existed since the beginnings of the profession of healing, Western doctors are most likely to view the Hippocratic Oath of approximately two-and-a-half millennia ago as the first codified set of statements to which they can look for guidance. "
Sherwin B. Nuland
Healing
Moral
Look
" The dignity we seek in dying must be found in the dignity with which we have lived our lives. "
Sherwin B. Nuland
Lived
Dignity
Dying
" By the time of my ninth birthday, I had become a bit of a socialist, as I am said by conservative colleagues to be to this day. I went on within the next few years to volunteer as an envelope stuffer for the American Labor Party, and my political thinking has not shifted measurably since that time. "
Sherwin B. Nuland
Thinking
Time
Day
" You know, ever since man had any notion that some of his other people, his colleagues, could be different, could be strange, could be severely depressed or what we now recognize as schizophrenia, he was certain that this kind of illness had to come from evil spirits getting into the body. "
Sherwin B. Nuland
Man
Body
Colleagues
" Being someone who had had a very difficult childhood, a very difficult adolescence - it had to do with not quite poverty, but close. It had to do with being brought up in a family where no one spoke English, no one could read or write English. It had to do with death and disease and lots of other things. I was a little prone to depression. "
Sherwin B. Nuland
Family
Depression
Death
" I have not seen much dignity in the process by which we die. The quest to achieve true dignity fails when our bodies fail. "
Sherwin B. Nuland
Process
Die
Achieve
" I was, in the 1960s, in a marriage. To use the word 'bad' would be perhaps the understatement of the year. It was dreadful. "
Sherwin B. Nuland
Bad
Use
Word
" Even putting aside the Judeo-Christian morality upon which the Constitution and our nation's culture are based, the notion of forced euthanasia would contradict the long-held body of medical ethics to which all American doctors must adhere. "
Sherwin B. Nuland
Ethics
Medical
Constitution
" There is, to be sure, sometimes only a small difference between being alert to possible danger and allowing oneself to become terrified to the point of paralysis by seeming or imagined portents. "
Sherwin B. Nuland
Difference
Possible
Sometimes
" I have been following the attempt to initiate or revamp federal involvement in the health of Americans since it was a major topic for my high school debating team in 1947. "
Sherwin B. Nuland
School
Health
High
" Nosology (from the Greek 'nosos,' meaning 'disease,' and 'logos,' referring to 'study') is not a sport for the timid, and certainly not for those so scrupulous about rules and order that they demand consistency in all things. "
Sherwin B. Nuland
Consistency
Study
Rules
" At times, morality can be dismissed as a matter of personal conscience, no matter how widespread its acceptance. Ethics, on the other hand, arises from societal or group commitments to principia of behavior. "
Sherwin B. Nuland
Group
Acceptance
Behavior
" The writings and the recommendations of the earliest medical scientists and the new breed of clinicians between the mid-fifteenth and early seventeenth centuries were based on the supposition that sufficient study and experimentation would elucidate not only the origins of disease, but its treatment as well. "
Sherwin B. Nuland
New
Medical
Disease
" We have had a rewarding relationship, the belly and I. "
Sherwin B. Nuland
Belly
Had
Rewarding
" Too many of the elderly do not have the family or the communal attachments necessary to feel valued; too many are widowed or otherwise alone; too many live in surroundings where they are essentially without the companionship necessary to stimulate a mind in danger of deteriorating. "
Sherwin B. Nuland
Alone
Danger
Family
" Both individual fulfillment and the ecological balance of life on this planet are best served by dying when our inherent biology decrees that we do. "
Sherwin B. Nuland
Our
Dying
Life
" The Scientific Revolution, that remarkable transformation of European thought that occurred between approximately 1550 and 1700, brought with it an ascendancy of the experimental method and the refusal to believe any explanation of natural phenomena that could not be proven to the satisfaction of the empirical observer. "
Sherwin B. Nuland
Revolution
Thought
Believe
" I think when you think of death as being part of the life cycle and recognize that death is an inevitability for our species because the world has to be renewed with each death, then the hope becomes when it is renewed it will be renewed by people on whom I have had some influence for good. "
Sherwin B. Nuland
Good
Think
People
" The good thing that may yet happen during dying is not the possibility of survival when we're beyond that point. The good thing that may yet happen is that our lives will have great meaning for those we leave behind. "
Sherwin B. Nuland
Meaning
Survival
Great
" Our deaths become a part of our lives in the sense that with our deaths we give something to those who are left behind, as we have given our lives to them. "
Sherwin B. Nuland
Become
Left
Sense
" I never had a conscious fear of death, but I did have a conscious fear of sickness. By the time I completed medical school, that fear was gone. "
Sherwin B. Nuland
Medical
Death
Time