One of the most challenging issues of the 21st century is the impending separation of sex (in bed) and reproduction (under the microscope) as a result of recent advances in contraception and assisted reproduction. Many of the ethical and societal issues associated with these new reproductive technologies, notably intracytoplasmic sperm injection (ICSI), are raised in an unusual format -- namely in dialogic form -- which is both entertaining and pedagogically informative.

"Phoning Home is a collection of entertaining and thought-provoking essays featuring the author's quirky family, his Jewish heritage, and his New York City upbringing. Jacob M. Appel's recollections and insights, informed and filtered by his advanced degrees in medicine, law, and ethics, not only inspire nostalgic feelings but also offer insight into contemporary medical and ethical issues. At times sardonic and at others self-deprecating, Appel lays bare the most private aspects of his emotional life. "We'd just visited my grandaunt in Miami Beach, the last time we would ever see her. I had my two travel companions, Fat and Thin, securely buckled into the backseat of my mother's foul-tempered Dodge Dart," writes Appel of his family vacation with his two favorite rubber cat toys. Shortly thereafter Fat and Thin were lost forever--beginning, when Appel was just six years old, what he calls his "private apocalypse." Both erudite and full-hearted, Appel recounts storylines ranging from a bout of unrequited love gone awry to the poignant romance of his grandparents. We learn of the crank phone calls he made to his own family, the conspicuous absence of Jell-O at his grandaunt's house, and family secrets long believed buried. The stories capture the author's distinctive voice--a blend of a physician's compassion and an ethicist's constant questioning. "--

A gripping exploration of the legal and ethical dilemmas in neonatal intensive care—a truly original work. Chosen as an Outstanding Academic Titles in 2003 by Choice Magazine In this new, startlingly original book, John D. Lantos weaves a compelling story that captures the dilemmas of modern medical practice. The Lazarus Case: Life-and-Death Issues in Neonatal Intensive Care begins with a fictional malpractice case—an amalgam of typical cases in which Lantos appeared as an expert witness—and uses it as the framework for addressing the ethical issues surrounding neonatal intensive care. Lantos draws on his experience in neonatal medicine, pediatrics, and medical ethics to explore multiple ethical dilemmas through one poignant representative situation. In Lantos's model case, a doctor decides to stop resuscitation of a premature infant, a tiny "preemie" who seems past reasonable care. The baby survives with severe neurological defects and the parents sue the doctor, alleging that stopping treatment was negligent. From this case, Lantos considers our moral obligations to critically ill babies, the meaning of negligence, and the sorts of social structures that shape the moral consciences of doctors. Each chapter begins with Lantos deposing in the conference room of the plaintiffs' lawyers. The questions put to Lantos throughout the deposition spark an engrossing retelling of his personal experiences with premature babies, as well as his thoughtful discussions of ethics, morality, history, and medical statistics. Sprinkled throughout the book are references to fictional works by Camus, Dostoevsky, Shakespeare, Twain, and others. Lantos uses these literary examples to further illustrate the ambiguities, misunderstandings, responsibilities, and evasions that plague our decisions regarding life and death, medical care and medical education, and ultimately the cost and value of preserving the lives of the most vulnerable among us.