An equally significant aspect of why the path of a pediatrician is more beneficial than neonatologists is that pediatricians have a wide variation of career advancements unlike neonatologists. For more than 25 years I worked as a specialist in neonatology, the intensive medical care of newborn babies. Over very low birth weight babies pass through the unit per year. This defeats the entire purpose of using the graph in the first place. After hour work is compulsory as this is often when the most competence is obtained. At the same time, the pendulum may also swing the other way. There are 75 beds at Groote Schuur which service both inborn and outborn babies.

Almost all aspects of neonatal care will be encountered. Clearly such values — in fact, values in general that are centered on some discriminatory and abstract ideal that loses sight of what it is to be human — are ethically unacceptable. How does one’s sense of hope change when all appears hopeless? It could include happy events like discharging a baby after a long hospitalization , sad ones like helping a baby pass on , or anything in between. As to society’s values, here too one must be careful, as history shows only to well.

The Anatomy of Hope: Clearly such values — in fact, values in general that are centered on some discriminatory and abstract ideal that loses sight of what it is to be human — are ethically unacceptable. Students will analyse the epidemiology of the centres at which they practise healthcare and will analyse the healthcare needs of the region, then plan ways in which to apply the knowledge they have gained in the diploma programme to such settings.

There are clear advantages and disadvantages of online. The terms of resubmission of the assignment will be at the discretion of the convener. The above case illustrates this only too well. Kahneman D, Tversky A.

essay on neonatologist

Therefore, to define futility — and hope — solely in terms of parental values may well punish the child for the fact of having been born to these particular parents because other parents, whose values are more in tune with societal values at large, would characterize hope and futility differently. It means that the neonatologist owes it to the infant not to use standards that physicians would not normally use for other persons, and not to let parental decision-making be guided by a false hope that would require a miracle for its realization.


Category: Neonatology

In the high-pressure world neonatologlst neonatology where every case is a crisis and failure to effect a cure is a constant reality, meaning can often be found only in advancing the boundaries of what is currently possible or in improving a modality beyond its present limits.

However, even here one should not lose sight of the fact that the neonate is a living being, and a living human being at that.

This, of course, raises the question of whether it is ever ethically appropriate to raise parental hopes — or even to leave parents with the belief that there is any reason to have any hope at all — when medical intervention is futile, and when the only thing that will happen is that for a short period of time the newborn will be neonatoloyist to life.

That goal, in turn, is important only because of the values that are associated with it. However, since you desire my Sentiments upon the Subject, taking it for granted you think with me, that most of our Nurses are got into a wrong Method, I will endeavour, in as few Words as possible, to tell you what I think a right.

The Life Of A NICU Doctor

The neonatologist therefore experiences an almost automatic impulse to assuage the parents’ suffering because that is good therapy. Although, neonatologist works to keep premature underdeveloped babies alive right after birth and receives a greater salary, I believe the pediatric essat is a better career path.

There are situations in the NICU in which hope is appropriate, but there are also situations in which hope should play no role, and where the language of hope is not only misplaced but also morally reprehensible.


From the neonate’s perspective here-and-now, nothing is futile because neonates have no values. Tversky A, Kahneman D. In a more-or-less obvious sense, it is still reasonable to say that all living beings have a fundamental value of freedom from pain and suffering, and that it would violate this fundamental value to save a neonate whose sole prognosis was nsonatologist a life of irremediable pain and suffering.

This article has been cited by other articles in PMC.

essay on neonatologist

There are 75 beds at Groote Schuur which service both inborn and outborn babies. Fortunately the highs outweigh the lows, and we are frequently able to give sick babies amazing outcomes.

essay on neonatologist

How People Prevail in the Face of Illness. Oxford University Press; Our group has neonatologjst special focus on the use of non-invasive brain monitoring techniques, including near infrared spectroscopy and magnetic resonance spectroscopy.

Russell Sage Foundation; What is ethically important about trust, and what is central to hope in the neonatal setting, is not the psychological attitude of trusting itself but what grounds that trust — what justifies it. J Gen Intern Med.

Infants with anencephaly as organ sources: When does a person begin? While we are experts in our specialties, they are experts on their babies. Finally, candidates are exposed to research method study design and biostatistical analysis.

In that way, its life will have made a positive impact, the tragedy notwithstanding, and its legacy will live on by helping another person. Neonatal, intensive Care Unit nicu each year.