id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-320634-x7a3k5xu	Salna, Michael	Reply: A problem of “ethic” proportions	2020-08-11		.txt	text/plain	843	52	50	• Life-years gained • Fiduciary duty to patient Emerging data • Other patients life-years lost • Resource utilization REPLY: A PROBLEM OF "ETHIC" PROPORTIONS Reply to the Editor: However, this cost becomes affordable to society when the alternative is almost certainly 100% fatal in a patient with Coronavirus Disease 2019 (COVID 19) and acute respiratory disease syndrome requiring intensive care unit (ICU) care. How could we defer surgical revascularization for patient X seen in the office with his family for the benefit of an unidentified statistic (ie, a patient in the emergency department with worsening COVID acute respiratory disease syndrome)? What proportion of "resource consumption" to "life years gained" is ethically acceptable? To prepare, we must harness the data emerging from this pandemic to advance our surgical triaging skills and develop more robust tools to more objectively work through issues of ethical proportionalities. The rapid transformation of cardiac surgery practice in the COVID-19 pandemic: insights and	./cache/cord-320634-x7a3k5xu.txt	./txt/cord-320634-x7a3k5xu.txt