Cleaveland: Donald Klinefelter was a teacher, navigator

Cleaveland: Donald Klinefelter was a teacher, navigator

November 14th, 2017 by Dr. Clif Cleaveland in Life Entertainment

Dr. Clif Cleaveland

Dr. Clif Cleaveland

Photo by Contributed Photo /Times Free Press.

Donald Klinefelter, who died on Oct. 10, fulfilled many public roles as university professor, church leader, counselor, public lecturer and medical ethicist. No matter the setting or situation, he increased our knowledge and lifted our spirits.

My contacts with Don ranged from brief conversations in hospital and UTC hallways to chance encounters in grocery stores or at swimming pools. Lengthier chats could occur anywhere. Short or long, each meeting always improved my outlook for the rest of the day. Don never seemed in a hurry. The person with whom he might be talking was his principal concern at that moment.

Our most sustained contacts took place in relation to Don's engagement with medical ethics. His scholarly background was in philosophy, which inspired his research and informed the various classes he taught at his university. He repeatedly reached beyond the academic environment to teach health-care providers, especially physicians, about the ethical dimensions of health care. His classroom had no walls.

Medical school curricula include numerous lectures and seminars on the latest innovations in diagnosis and therapy. In some respects, the ever-expanding scientific content of clinical medicine is easier because of the objective data that inform decisions and actions. A problem in treating diabetes can be researched online, experts can be consulted and therapy modified as more information is gathered.

Lectures in medical ethics are sprinkled through the four-year curriculum. At graduation, medical students take an ethical oath of one sort or another. Another oath may be administered later by professional societies.

In contrast to biomedical science, medical ethics deal with less objective and more complex situations. In his lectures at medical conferences and grand rounds, Don defined for his audiences how ethical principles of autonomy, justice and kindness should apply to the care of sick and injured people. His style of lecturing was no less personal than a one-on-one encounter.

I worked with Don on the ethics committee at Erlanger hospital. Don was a mainstay. I was a shorter-term member. The committee had representatives from law, clergy and clinical medicine, as well as other community representatives. Don with his scholarly background in medical ethics was our navigator. He had a wealth of theoretical and practical information at his command that could be applied to unique problems presented to the committee.

We met at short notice when conflicts or uncertainty arose regarding the ethical aspects of a patient's care. Family members might have conflicting concerns about the care of a loved one who was comatose after a severe stroke. One group would favor continued intensive care, while the other wanted comfort care only. A patient might decline treatment that his family believed he should have. Religious differences among family members might lead to conflict.

Don could clarify the most complex issue. Always the teacher, he infused our committee's discussions with clarity and compassion. Often, there was no right or wrong answer in a dispute. Fatigue, misunderstanding and stress among a patient's loved ones could lead to hurt feelings and decisional paralysis.

Under Don's leadership, our committee could sort through conflicts and return the focus to the care of the patient. What course of action would contribute to his comfort and well-being? Our committee could not issue directives, but we could offer a fresh analysis or approach to the problem at hand. Sometimes, we simply created an interval in which tempers might subside or hurt feelings heal.

Don interpreted medical ethics as the striving for peace and understanding in clinical medicine. Patients and their care-givers were the beneficiaries of his gentle guidance.

Contact Clif Cleaveland at ccleaveland@timesfreepress.com.

Getting Started/Comments Policy

Getting started

  1. 1. If you frequently comment on news websites then you may already have a Disqus account. If so, click the "Login" button at the top right of the comment widget and choose whether you'd rather log in with Facebook, Twitter, Google, or a Disqus account.
  2. 2. If you've forgotten your password, Disqus will email you a link that will allow you to create a new one. Easy!
  3. 3. If you're not a member yet, Disqus will go ahead and register you. It's seamless and takes about 10 seconds.
  4. 4. To register, either go through the login process or just click in the box that says "join the discussion," type your comment, and either choose a social media platform to log you in or create a Disqus account with your email address.
  5. 5. If you use Twitter, Facebook or Google to log in, you will need to stay logged into that platform in order to comment. If you create a Disqus account instead, you'll need to remember your Disqus password. Either way, you can change your display name if you'd rather not show off your real name.
  6. 6. Don't be a huge jerk or do anything illegal, and you'll be fine.

Chattanooga Times Free Press Comments Policy

The Chattanooga Times Free Press web sites include interactive areas in which users can express opinions and share ideas and information. We cannot and do not monitor all of the material submitted to the website. Additionally, we do not control, and are not responsible for, content submitted by users. By using the web sites, you may be exposed to content that you may find offensive, indecent, inaccurate, misleading, or otherwise objectionable. You agree that you must evaluate, and bear all risks associated with, the use of the Times Free Press web sites and any content on the Times Free Press web sites, including, but not limited to, whether you should rely on such content. Notwithstanding the foregoing, you acknowledge that we shall have the right (but not the obligation) to review any content that you have submitted to the Times Free Press, and to reject, delete, disable, or remove any content that we determine, in our sole discretion, (a) does not comply with the terms and conditions of this agreement; (b) might violate any law, infringe upon the rights of third parties, or subject us to liability for any reason; or (c) might adversely affect our public image, reputation or goodwill. Moreover, we reserve the right to reject, delete, disable, or remove any content at any time, for the reasons set forth above, for any other reason, or for no reason. If you believe that any content on any of the Times Free Press websites infringes upon any copyrights that you own, please contact us pursuant to the procedures outlined in the Digital Millennium Copyright Act (Title 17 U.S.C. § 512) at the following address:

Copyright Agent
The Chattanooga Times Free Press
400 East 11th Street
Chattanooga, TN 37403
Phone: 423-757-6315
Email: webeditor@timesfreepress.com