<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662024000300603</article-id>
<article-id pub-id-type="doi">10.36105/mye.2024v35n3.01</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La historia de Maya Kowalski: no hacer el mal]]></article-title>
<article-title xml:lang="en"><![CDATA[Maya Kowalski&#8217;s Story: do no harm]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Merino]]></surname>
<given-names><![CDATA[Jimena Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Elefante Rosa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>35</volume>
<numero>3</numero>
<fpage>603</fpage>
<lpage>639</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662024000300603&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662024000300603&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662024000300603&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El Hospital Johns Hopkins fue condenado a pagar 261 millones de dólares a la familia Kowalski (1) tras una demanda que revela fallos éticos y sistémicos en la atención médica. La historia sigue a Maya, diagnosticada con Síndrome de dolor regional complejo (SDRC). El tratamiento con ketamina se convierte en una tragedia cuando malentendidos llevan a acusaciones falsas contra la madre. Maya es separada de sus padres, enfrentando consecuencias devastadoras. Este caso destaca el &#8220;gaslighting médico&#8221;. La falta de comunicación, responsabilidad institucional, la mala relación médico-paciente y no maleficencia, contribuyeron a esta tragedia y plantea preguntas éticas sobre el uso de tratamientos experimentales. La historia subraya la importancia de una relación médico-paciente basada en la confianza y la empatía, así como la necesidad de formación ética continua para los profesionales de la salud. La bioética debe ser fundamental en la atención médica para evitar tragedias como la de la familia Kowalski.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Johns Hopkins Hospital was ordered to pay $261 million to the Kowalski family (1) following a lawsuit revealing ethical and systemic failures in medical care. The story follows Maya, diagnosed with complex regional pain syndrome (CRPS). Ketamine treatment turns into tragedy when misunderstandings lead to false accusations against the mother. Maya is separated from her parents, facing devastating consequences. This case highlights medical gaslighting. Lack of communication, institutional accountability, poor patient-physician relationships and non-maleficence contributed to this tragedy and raises ethical questions about the use of experimental treatments. The story underscores the importance of a doctor-patient relationship based on trust and empathy, as well as the need for ongoing ethical training for health professionals. Bioethics must be fundamental in medical care to avoid tragedies such as that of the Kowalski family.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[gaslighting]]></kwd>
<kwd lng="es"><![CDATA[no maleficencia]]></kwd>
<kwd lng="es"><![CDATA[malapraxis]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="en"><![CDATA[gaslighting]]></kwd>
<kwd lng="en"><![CDATA[non-maleficence]]></kwd>
<kwd lng="en"><![CDATA[malpractice]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
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<page-range>1-5</page-range></nlm-citation>
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<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernadá]]></surname>
<given-names><![CDATA[M]]></given-names>
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<name>
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<given-names><![CDATA[M.]]></given-names>
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<article-title xml:lang=""><![CDATA[Planificación avanzada del cuidado y adecuación del esfuerzo terapéutico en pediatría. Fundamento y procedimiento]]></article-title>
<source><![CDATA[Archivos de Pediatría del Uruguay]]></source>
<year>2022</year>
<volume>93</volume>
<numero>1</numero>
<issue>1</issue>
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