Tuesday, January 27, 2009
The rights and wrongs of child plastic surgery
I've always been horrified by babies who even have their ears pierced, so I expected to be self-righteously certain about the cases in the new Hastings Center Report on cosmetic procedures for children (mostly subscription-only, unfortunately). In fact, it raised a lot of fascinating, unanswerable questions. For example, if many Asians choose to have blepharoplasty to widen their eyes, is it more wrong for a white adoptive father to elect the surgery for his adopted Asian daughter?
Or what's the right course of action when a young child identifies with the opposite gender, or even more complicated, has ambiguous genitalia? Medical intervention could likely make life easier for them, but not if their gender identification changed at a later date.
The issue also revisits the case of Ashley, the profoundly disabled girl whose parents requested surgery and therapy to prevent her from going through puberty. Although this is cited as "most controversial case" in the field, it actually seems the easiest to answer. The writing experts all seemed to agree, too, that no argument about messing with nature or Ashley's sovereignty could outweigh the expected positive effects on her and her parents' well-being.
Makes deciding whether to let your 17-year-old get a nose job seem easy.
Labels: ethics
ACP Internist hosted Grand Rounds on June 16, wrapping up the best of the medical blogosphere. Click here for the complete wrap-up.
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American Journal of Medicine
Also known as the Green Journal, the American Journal of Medicine publishes original clinical articles of interest to physicians in internal medicine and its subspecialities, both in academia and community-based practice.
Clinical Correlations
A collaborative medical blog started by Neil Shapiro, ACP Member, associate program director at New York University Medical Center's internal medicine residency program. Faculty, residents and students contribute case studies, mystery quizzes, news, commentary and more.
db's Medical Rants
Robert M. Centor, FACP, contributes short essays contemplating medicine and the health care system.
Everything Health
EverythingHealth is designed to address the rapid changes in science, medicine, health and healing in the 21st Century.
Getting Better with Dr. Val
Getting Better is the continuation of Dr. Val Jones' previous blog at Revolution Health. It is devoted to helping people understand health issues from a balanced, scientifically sound perspective.
HealthHombre
A roundup of health policy news drawn from a database of hundreds of Web sites.
Interact MD
Michael Benjamin, ACP member, doesn't accept industry money so he can create an independent, clinician-reviewed space on the Internet for physicians to report and comment on the medical news of the day.
Kevin, MD
The alter ego of Kevin Pho, ACP Member, is the closest thing to royalty in the medical blog world.
LSUHSC-S Medical Library Evidence Alert
Major guidelines, systematic reviews, meta-analyses and/or major reviews by national and international organizations.
PLoS Blog
The Public Library of Science's open access materials include a blog.
White Coat Rants
One of the most popular anonymous blogs written by a doctor.

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