Literature DB >> 10390682

Abandonment of terminally ill patients in the Byzantine era. An ancient tradition?

J Lascaratos1, E Poulakou-Rebelakou, S Marketos.   

Abstract

Our research on the texts of the Byzantine historians and chroniclers revealed an apparently curious phenomenon, namely, the abandonment of terminally ill emperors by their physicians when the latter realised that they could not offer any further treatment. This attitude tallies with the mentality of the ancient Greek physicians, who even in Hippocratic times thought the treatment and care of the terminally ill to be a challenge to nature and hubris to the gods. Nevertheless, it is a very curious attitude in the light of the concepts of the Christian Byzantine physicians who, according to the doctrines of the Christian religion, should have been imbued with the spirit of philanthropy and love for their fellowmen. The meticulous analysis of three examples of abandonment of Byzantine emperors, and especially that of Alexius I Comnenus, by their physicians reveals that this custom, following ancient pagan ethics, in those times took on a ritualised form without any significant or real content.

Entities:  

Keywords:  Bioethics and Professional Ethics; Byzantium; Death and Euthanasia; Middle Ages

Mesh:

Year:  1999        PMID: 10390682      PMCID: PMC479219          DOI: 10.1136/jme.25.3.254

Source DB:  PubMed          Journal:  J Med Ethics        ISSN: 0306-6800            Impact factor:   2.903


  5 in total

1.  Einige Beiträge zur Geschichte der Krebskrankheit in Byzanz (die Aerzte-der Kaiser-die Prinzessin).

Authors:  J Körbler
Journal:  Janus       Date:  1971

2.  [PHYSICIAN AND PATIENT FROM THE VIEWPOINT OF ANTIQUITY AND EARLY CHRISTIANITY].

Authors:  H SCHADEWALDT
Journal:  Med Klin       Date:  1964-01-24

3.  The "Justinianic" plague.

Authors:  P Allen
Journal:  Byzantion       Date:  1979

4.  End-of-life decisions and the law.

Authors:  S McLean
Journal:  J Med Ethics       Date:  1996-10       Impact factor: 2.903

5.  The fatal disease of the Byzantine Emperor Andronicus III Palaeologus (1328-1341 AD).

Authors:  J Lascaratos; S Marketos
Journal:  J R Soc Med       Date:  1997-02       Impact factor: 5.344

  5 in total
  3 in total

1.  Medically Inappropriate or Futile Treatment: Deliberation and Justification.

Authors:  Cheryl J Misak; Douglas B White; Robert D Truog
Journal:  J Med Philos       Date:  2015-12-17

Review 2.  When is medical treatment futile? A guide for students, residents, and physicians.

Authors:  Deborah L Kasman
Journal:  J Gen Intern Med       Date:  2004-10       Impact factor: 5.128

3.  Extracorporeal membrane oxygenation as bridge-to-decision in acute heart failure due to systemic light-chain amyloidosis.

Authors:  Jennifer Mancio Silva; Ricardo Fontes-Carvalho; Dília Valente; Cristiana Almeida; Antonio José Cruz; David Tente; Henrique Coelho; Marco Oliveira; Aníbal Albuquerque; Vasco Gama Ribeiro
Journal:  Am J Case Rep       Date:  2015-03-24
  3 in total

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