Clin Med
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It is widely assumed by the general public that if assisted suicide (AS) or euthanasia (VE) were legalised doctors must be essentially involved in the whole process including prescribing the medication and (in euthanasia) administering it. This paper explores some reasons for this assumption and argues that it flatly contradicts what it means to be a doctor. The paper is thus not mainly concerned with the ethics of AS/VE but rather with the concept of a doctor that has evolved since the time of Hippocrates to current professional guidance reflected in healthcare law. The paper argues that the most common recent argument for AS/VE--that patients have a right to control when and how they die--in fact points to the involvement not of doctors but of legal agencies as decision makers plus technicians as agents.
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Case Reports
Acute aortic dissection with a high D-dimer and pleuritic chest pain in an airline passenger.
D-dimer can be significantly elevated in acute aortic dissection and poses a diagnostic challenge in someone with pleuritic chest pain occurring after a flight. Electrocardiogram abnormalities in isolated acute aortic dissection may mimic other acute cardiovascular conditions.