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Upcoming Events in From the Center for Ethics Medical Ethics and Health Policy Conversation Series April 11, 2019 BSLMC Ethics Grand Rounds June 12, 2019 Faith and Healing: Patients, Miracle Language and a Space for Faith in Medicine Medical Decision Making and Behavioral Economics: How You Influence Your Patients 12-1:30 p.m. at Third Coast DAC, 5-6pm More info and register at bcm.edu/ethics/speakerseri es $45 Visit our Website www.bcm.edu/BSLMCethi cs More info

at: bcm.edu/centers/ medical-ethics-andhealth-policy/education/ grand-rounds Conversation Series May 9 , 2019 Raising Consciousness? Minimally Conscious States, Brain Death and our Growing Understanding of Disorders of Consciousness 6:30-8:00 p.m. at Damian's More info and register at bcm.edu/ethics/speakerseri es $65 Send us an Email [email protected] u Remote Audience: Please text any questions for the panel to 832-438-6665 1 Ethics Grand Rounds March 6, 2019 Financial Disclosure For CME credit sign in now using your cell phone: Call: 281.824.3734

Enter Event ID: 65109 Registration is open until 11:00 PM Confidentiality Acknowledgement: This regularly scheduled series (RSS), planned by/presented to the institution's professional staff, is accredited by Baylor College of Medicine (BCM) for AMA PRA Category 1 Credit for physicians. In connection with my participation in this RSS, I understand that I may be exposed to patient information, research participant information, and/or proprietary information (collectively referred to as "Confidential Information"). I agree to keep this information confidential and not to disclose the information to any other person or entity unless in accordance with applicable federal and state laws and the policies and procedures of BCM and/or its affiliated entities. The following are reports of relationships with commercial interests by those individuals who are in the position to control the content of this activity. Relevant Financial Relationships No Financial Relationships Planning Committee Members: Savitri Fedson, MD; Jennifer Blumenthal-Barby, PhD Moderator and Planning Committee Member: Claire Horner, JD, MA Presenters: Ali Candir, MA; David Garvis, PhD; Hansa Medley, MD; Brent Peery, DMin, BCC; Sheldon Rubenfeld, MD 2 Religious and Ethical Perspectives on Withdrawing Artificial Nutrition and Hydration:

An Interfaith Panel Discussion Deacon David Garvis, PhD Catholicism Brent Peery, DMin, BCC Protestantism Sheldon Rubenfeld, MD Judaism Ali Candir, MA Islam Hansa Medley, MD Hinduism Claire Horner, JD, MA Moderator BSLMC Ethics Grand Round Series March 6, 2019 Remote Audience: Please text any questions for the panel to 832-438-6665 3 Case Presentation 68 year old woman with progressive vascular dementia admitted with aspiration pneumonia Intermittently oriented to herself and smiles at her husband Progressive decline with 20 lb weight loss over 3 months Decreased appetite, must be prompted to eat PEG tube recommended to prevent recurrent aspiration

pneumoniae Patient would not want extraordinary interventions, but they never talked about this kind of situation Is it killing her since she could survive a little longer if she had it? Remote Audience: Please text any questions for the panel to 832-438-6665 4 Hindu Perspective Soul Transmigrates Remote Audience: Please text any questions for the panel to 832-438-6665 5 Hindu Perspective Whats your destinati on? Remote Audience: Please text any questions for the panel to 832-438-6665 6 Hindu Perspective REFERENCES FROM HINDUISM 1. 2. 3. 4. 5.

6. 7. 8. 9. Goswami, H. D., A Comprehensive Guide to Bhagavad-gita with Literal Translation (Gainesville, FL: Krishna West, Inc, 2015) Medley, Peter Alan, Servant of Love, The Saintly Life of Kirtida Devi (Badger, CA: Torchlight Publishing, 2007) Prabhupada, A.C. Bhaktivedanta Swami, Bhagavad-gita As It Is (Los Angeles: Bhaktivedanta Book Trust, 1983) Prabhupada, A.C.Bhaktivedanta Swami, Srimad Bhagavatam ( Los Angeles: Bhaktivedanta Book Trust, 1987) Pattinson, Susan RN, CHPN, The Final Journey- Complete Care for Departing Vaisnavas (Badger, CA: Torchlight Publishing, 1995) Swami, B.T., The Beggar IV: Die Before Dying (Washington, D.C: Hari-Nama Press, 2013) Swami, Bhakti Purusottama, The Final Call: Death (Kolkata, INDIA: CDC Printers, 2011) Swami, Giriraj, Lifes Final Exam: Death and Dying from the Vedic Perspective (Badger, CO :Torchlight Publishing,2013) Compiled by Hansa Bhakti Medley MD, [email protected], 713 979 7698 Remote Audience: Please text any questions for the panel to 832-438-6665 7 BSLMC Ethics Consult Service Ethics Questions? Decision making

capacity End of Life Care Limitations of care Facilitate communicatio n between family members and/or physicians Surrogate Decision Making What to do: 1) Call directly: 832.438.6665 Visit our Website 2) Call the page operator at extension 54146 www.bcm.edu/BSLMCethi cs Remote Audience: Please text any questions for the panel to For non urgent questions -send us an Email [email protected] u 8 832-438-6665

Upcoming Events in From the Center for Ethics Medical Ethics and Health Policy Conversation Series April 11, 2019 BSLMC Ethics Grand Rounds June 12, 2019 Faith and Healing: Patients, Miracle Language and a Space for Faith in Medicine Medical Decision Making and Behavioral Economics: How You Influence Your Patients 12-1:30 p.m. at Third Coast DAC, 5-6pm More info and register at bcm.edu/ethics/speakerseri es $45 Visit our Website www.bcm.edu/BSLMCethi cs

More info at: bcm.edu/centers/ medical-ethics-andhealth-policy/education/ grand-rounds Conversation Series May 9 , 2019 Raising Consciousness? Minimally Conscious States, Brain Death and our Growing Understanding of Disorders of Consciousness 6:30-8:00 p.m. at Damian's More info and register at bcm.edu/ethics/speakerseri es $65 Send us an Email [email protected] u Remote Audience: Please text any questions for the panel to 832-438-6665 9 Ethics Grand Rounds March 6, 2019 Financial Disclosure For CME credit sign in now using your cell phone:

Call: 281.824.3734 Enter Event ID: 65109 Registration is open until 11:00 PM Confidentiality Acknowledgement: This regularly scheduled series (RSS), planned by/presented to the institution's professional staff, is accredited by Baylor College of Medicine (BCM) for AMA PRA Category 1 Credit for physicians. In connection with my participation in this RSS, I understand that I may be exposed to patient information, research participant information, and/or proprietary information (collectively referred to as "Confidential Information"). I agree to keep this information confidential and not to disclose the information to any other person or entity unless in accordance with applicable federal and state laws and the policies and procedures of BCM and/or its affiliated entities. The following are reports of relationships with commercial interests by those individuals who are in the position to control the content of this activity. Relevant Financial Relationships No Financial Relationships Planning Committee Members: Savitri Fedson, MD; Jennifer Blumenthal-Barby, PhD Moderator and Planning Committee Member: Claire Horner, JD, MA Presenters: Ali Candir, MA; David Garvis, PhD; Hansa Medley, MD; Brent Peery, DMin, BCC; Sheldon Rubenfeld, MD 10 Religious and Ethical Perspectives on Withdrawing Artificial Nutrition and

Hydration: An Interfaith Panel Discussion Deacon David Garvis, PhD Catholicism Brent Peery, DMin, BCC Protestantism Sheldon Rubenfeld, MD Judaism Ali Candir, MA Islam Hansa Medley, MD Hinduism Claire Horner, JD, MA Moderator BSLMC Ethics Grand Round Series March 6, 2019 Remote Audience: Please text any questions for the panel to 832-438-6665 11

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