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LiberalElite

(14,691 posts)
Fri Jan 3, 2014, 06:47 PM Jan 2014

Death Certificate Issued For Jahi McMath Even As Doctor Lined Up To Insert Breathing, Feeding Tubes

Source: CBS

OAKLAND (CBS SF) — The Alameda County Coroner issued a death certificate Friday for Jahi McMath, a 13 year old teen left brain dead after a tonsillectomy on December 9th, despite the family’s efforts to keep her on a ventilator and move her to a care facility out of state.

The family has also lined up an anonymous doctor willing to insert the necessary feeding and breathing tubes to allow the transfer of McMath out of Children’s Hospital of Oakland.

In complying with conditions set in a Friday court hearing, the coroner has verbally agreed, but not yet officially signed off on the transfer of the body to her family. That would be a final step allowing the family to take over all medical decisions.

At a hearing Friday morning in Alameda County Superior Court, Children’s Hospital attorney Douglas Straus said the two sides have reached a stipulation for the “possible removal” of Jahi McMath to another facility if certain conditions are met.

Read more: http://sanfrancisco.cbslocal.com/2014/01/03/death-certificate-issued-for-jahi-mcmath-even-as-doctor-lined-up-to-insert-breathing-feeding-tubes/



I'm just about out of comments at this point.
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Death Certificate Issued For Jahi McMath Even As Doctor Lined Up To Insert Breathing, Feeding Tubes (Original Post) LiberalElite Jan 2014 OP
I hope the family finds peace. uppityperson Jan 2014 #1
What a world - then there's Texas who won't allow a pregnant woman off life support... FloriTexan Jan 2014 #2
Yes. One difference of course - LiberalElite Jan 2014 #3
Reminds me of the Bene Tleilax atreides1 Jan 2014 #53
You win the Best Obscure DU Reference of the Week Award, sir. Codeine Jan 2014 #74
The difference is this kid is 13 years old. herding cats Jan 2014 #4
I don't think that a brain dead 13 year old needs anything like that. LisaL Jan 2014 #16
I think you misunderstood me. herding cats Jan 2014 #26
While i don't disagree with the sentiment Egnever Jan 2014 #18
Yes, one of the main concerns in the brain dead woman's case appears to be is that LisaL Jan 2014 #20
Yea it's a very tough call for me Egnever Jan 2014 #25
I've wondered if this case will lead to a change to removal of life support forms herding cats Jan 2014 #33
It wouldn't matter in TX even if the woman had her wishes in writing. LisaL Jan 2014 #41
I'm not so sure about that. herding cats Jan 2014 #43
Doctors say they have no choice but to keep her on life support. LisaL Jan 2014 #44
The catch appears to be the intention of the law was to cover the terminally or irreversibly ill. herding cats Jan 2014 #47
Either the husband or the mother of the woman could go to court if there is an LisaL Jan 2014 #48
In the article I linked to the husband said today he's not ruling out legal action. herding cats Jan 2014 #50
Well they better act soon if they are serious, since if they wait the fetus will become viable and LisaL Jan 2014 #52
There is no viable life there. The fetus would die with the mother, pnwmom Jan 2014 #37
Potential vialbe life is the fetus. LisaL Jan 2014 #39
But the woman is dead, so she doesn't have a life that legally pnwmom Jan 2014 #49
What if the situation was different and the family did want the hospital do everything possible LisaL Jan 2014 #54
I think the family should be able to stand in and give consent pnwmom Jan 2014 #60
If the woman is brain dead and therefore isn't considered a patient, LisaL Jan 2014 #73
Whiskey Tango Foxtrot. AtheistCrusader Jan 2014 #7
This seems to be a case of CYA on the hospitals part. Egnever Jan 2014 #24
Sure. I was referring to the legislature that penned that law. AtheistCrusader Jan 2014 #27
A dead woman doesn't have a life to sustain. n/t pnwmom Jan 2014 #38
The fetus is alive. It has a hearbeat. LisaL Jan 2014 #42
That doesn't matter, unless they can deliver the fetus and hook it up pnwmom Jan 2014 #51
Another couple of months and fetus might be able to survive on its own. LisaL Jan 2014 #56
So? It isn't viable NOW. I think the decision should be up to the family, pnwmom Jan 2014 #57
But if she is dead, why should the decision be up to the family? LisaL Jan 2014 #58
The 13 year old isn't pregnant. pnwmom Jan 2014 #61
This poor family. herding cats Jan 2014 #5
I doubt any California licensed doctor cosmicone Jan 2014 #6
The Terri Schiavo Foundation LiberalElite Jan 2014 #8
DING DING DING! Cosmicone, you're our grand prize winner! rocktivity Jan 2014 #59
Actually, the hospital seems to have clean hands in this. cosmicone Jan 2014 #62
Where did you get this information if the hospital cannot release it? nt abelenkpe Jan 2014 #64
Here cosmicone Jan 2014 #70
The Rumor Mill and ITS' not the facts.... LovingA2andMI Jan 2014 #66
it's HIPAA Skittles Jan 2014 #80
So sad for the family. 840high Jan 2014 #9
Never heard about a death certificate for a person on a respirator before, is this something new? Tx4obama Jan 2014 #10
I don't know why the LiberalElite Jan 2014 #11
She was hooked to a ventillator before it was discovered that she is brain dead. LisaL Jan 2014 #15
normally ventilation is discontinued once brain death has been certified - but this is not a normal Douglas Carpenter Jan 2014 #12
But ventilation has not been discontinued - so I do not see how they could issue 'death certificate' Tx4obama Jan 2014 #14
Ventillation has not been discontinued because family went to court and got the judge to LisaL Jan 2014 #17
But that is my point. Since ventilation has not been discontinued yet it's weird the coroner Tx4obama Jan 2014 #21
She is medically dead. No problem with the death certificate. cosmicone Jan 2014 #31
I don't see how cardiac death is more determinant of death than brain death. People are genuinely Douglas Carpenter Jan 2014 #19
Well, I posted my original question because... Tx4obama Jan 2014 #23
Organ donors remain on life support after brain death in order to keep their organs viable. Bette Noir Jan 2014 #67
For hours. Not weeks and months. nt riderinthestorm Jan 2014 #75
I don't believe LiberalElite Jan 2014 #22
The hopsital needs to bring in a whole herd of grief counselors... AtheistCrusader Jan 2014 #28
absolutely nt LiberalElite Jan 2014 #29
"body that is still producing urine etc - is not a corpse" hue Jan 2014 #30
so, the ventilator's operations LiberalElite Jan 2014 #34
The ventilator supplies oxygen but the heart pumps oxygenated blood to the finger tips & toes. hue Jan 2014 #40
Yes, I understand that she's LiberalElite Jan 2014 #45
What is sad is if they had consented, she may have been able to save several other children's lives davidpdx Jan 2014 #71
This is the bottom line: Scairp Jan 2014 #46
Message auto-removed Name removed Jan 2014 #13
What caused this tragic situation in the first place, MD error, etc?.... Hawaii Hiker Jan 2014 #32
The media keeps describing the surgery LiberalElite Jan 2014 #35
The media keep copying from each other and swallowing the press releases Retrograde Jan 2014 #55
It wasn't a "very routine surgery". Liberal Veteran Jan 2014 #36
Fascinating case, almost Frankensteinian Nonhlanhla Jan 2014 #63
Dear Goddess, someone please help that family come to terms ... Myrina Jan 2014 #65
Agree ReRe Jan 2014 #77
The first job I had after I got my nursing license Bette Noir Jan 2014 #68
Terri Schiavo, Part II blkmusclmachine Jan 2014 #69
One huge difference Nonhlanhla Jan 2014 #72
So...who is footing the bill for this corpse medical science project? FarPoint Jan 2014 #76
It is a Science Project warrant46 Jan 2014 #78
At some point she's going to smell dead. LeftyMom Jan 2014 #79
I've thought the same thing. Mz Pip Jan 2014 #81
Who gets a tonsillectomy anymore let alone gets such serious complications? yurbud Jan 2014 #82

LiberalElite

(14,691 posts)
3. Yes. One difference of course -
Fri Jan 3, 2014, 06:57 PM
Jan 2014

it isn't about her as a person - she's just being used as an incubator for the fetus.

atreides1

(16,079 posts)
53. Reminds me of the Bene Tleilax
Fri Jan 3, 2014, 09:26 PM
Jan 2014

An axlotl tank is essentially a brain-dead woman whose womb is used as a tank to create gholas. The Bene Tleilax's use of their women in this capacity explains why no one has ever seen a Tleilaxu female.

herding cats

(19,564 posts)
4. The difference is this kid is 13 years old.
Fri Jan 3, 2014, 07:01 PM
Jan 2014

All that sweet 'new baby' smell Republican politicians feed on has worn off by then. At that age they actually need stuff like education, healthcare and other various social services. Which shifts them clearly into the "pull yourself up by your bootstraps" column.

herding cats

(19,564 posts)
26. I think you misunderstood me.
Fri Jan 3, 2014, 08:04 PM
Jan 2014

I was reflecting on how the very same people who support laws prohibiting the parents right to choose in the case in Texas, support the defunding of educational and social programs for children once they're born. That was all my mind was trying to express.

 

Egnever

(21,506 posts)
18. While i don't disagree with the sentiment
Fri Jan 3, 2014, 07:51 PM
Jan 2014

This 13 year old is dead.

I feel for the family I cant imagine how hard it is for them. But the child is gone.

In the texas case there is still life there.I think the decision is much more complicated. Even the Husband who wants her to be let go is conflicted about it.

Erick Munoz described his personal conflict as the father of a 14-month-old boy who wanted another child, but as a medical professional who didn't know if the fetus could survive or how much it had suffered.

LisaL

(44,973 posts)
20. Yes, one of the main concerns in the brain dead woman's case appears to be is that
Fri Jan 3, 2014, 07:53 PM
Jan 2014

fetus might be in poor shape and not healthy. But it's still too young to run the tests.

 

Egnever

(21,506 posts)
25. Yea it's a very tough call for me
Fri Jan 3, 2014, 08:03 PM
Jan 2014

According to this article while extremely rare this is not unique.

http://www.khou.com/news/national/238647891.html

Marlise Munoz's case appears to be rare. A 2010 article in the journal BMC Medicine found 30 cases of brain-dead pregnant women over about 30 years. Of 19 reported results, the journal found 12 in which a viable child was born and had post-birth data for two years on only six of them — all of whom developed normally, according to the journal.

herding cats

(19,564 posts)
33. I've wondered if this case will lead to a change to removal of life support forms
Fri Jan 3, 2014, 08:15 PM
Jan 2014

My understanding is the husband was trying to carryout his wife's wishes not to be kept alive via artificial support. Which is something some people feel very deeply about. I won't pass judgment on the husband, whatever his decision is, because I'm not in his situation and have no clue of what his wife's wishes may be. However, I've wondered if a person who feels very strongly about not being sustained by a machine could add something to their request which would cover them to be removed during the early stages of a pregnancy when an abortion would have still been their legal right?

I probably shouldn't even be wondering about something like that in a topic like this, I apologize if it's offensive.

LisaL

(44,973 posts)
41. It wouldn't matter in TX even if the woman had her wishes in writing.
Fri Jan 3, 2014, 08:43 PM
Jan 2014

Since the law specifially forbids taking pregnant women off life support.

herding cats

(19,564 posts)
43. I'm not so sure about that.
Fri Jan 3, 2014, 09:02 PM
Jan 2014

The law in Texas wasn't intended to be applied to a person who was pronounced brain dead, according to what I've read. It appears this could possibly be another case of Texas' legislature having written a law poorly, and now it's falling into question if it applies in this situation. With an additional layer to protect the hospital a future case like this could possibly be avoided.

But three experts interviewed by The Associated Press, including two who helped draft the law, said a brain-dead patient's case wouldn't be covered by the law.

"This patient is neither terminally nor irreversibly ill," said Dr. Robert Fine, clinical director of the office of clinical ethics and palliative care for Baylor Health Care System. "Under Texas law, this patient is legally dead."

John Peter Smith Hospital in Fort Worth is pointing to a provision of the Texas Advance Directives Act that reads: "A person may not withdraw or withhold life-sustaining treatment under this subchapter from a pregnant patient."

Tom Mayo, a Southern Methodist University law professor, said he did not believe the law applied in this case. He said the hospital would not have absolute immunity from a civil or criminal case if it went outside the subchapter referenced by the law, but noted that "most medical decisions" are made without immunity.
http://www.chron.com/news/texas/article/Pregnant-brain-dead-Texas-woman-kept-alive-5111934.php?cmpid=htx


What I am sure of is I wouldn't want to be in the husband's position. The family is suffering and will continue to bear the loss of their loved one no matter how this situation resolves.

LisaL

(44,973 posts)
44. Doctors say they have no choice but to keep her on life support.
Fri Jan 3, 2014, 09:05 PM
Jan 2014

I suppose the law could be somewhat open to interpretation, but if she wasn't brain dead, she wouldn't need to be on life support to begin with.

herding cats

(19,564 posts)
47. The catch appears to be the intention of the law was to cover the terminally or irreversibly ill.
Fri Jan 3, 2014, 09:13 PM
Jan 2014

Both of which situations could require a person to be put on artificial life support. Not someone who was pronounced brain dead, which in Texas is considered legally dead.

I've no idea how this will ultimately end, but it's not as cut and dried as it appeared to have been when it was first being reported. Or, so it would appear if we're to believe the two people in my linked excerpt above who helped draft the law.

LisaL

(44,973 posts)
48. Either the husband or the mother of the woman could go to court if there is an
Fri Jan 3, 2014, 09:17 PM
Jan 2014

ambiguity in the law. But they haven't.

herding cats

(19,564 posts)
50. In the article I linked to the husband said today he's not ruling out legal action.
Fri Jan 3, 2014, 09:22 PM
Jan 2014
While not ruling out legal action, Erick Munoz said Friday that he was more concerned about letting others know about his family's ordeal and possibly pushing for a change to state law to clarify it.

"If anything good is to come of this, we want to inform people," Munoz said.


All of this is still a very fresh loss for the family. Hopefully they'll take some time to grieve and process what they're going through before they decide on proceeding with legal action or not.

LisaL

(44,973 posts)
52. Well they better act soon if they are serious, since if they wait the fetus will become viable and
Fri Jan 3, 2014, 09:25 PM
Jan 2014

able to survive on its own soon.

pnwmom

(108,978 posts)
37. There is no viable life there. The fetus would die with the mother,
Fri Jan 3, 2014, 08:38 PM
Jan 2014

if they took her off life support -- which the family is united in wanting.

The father is not conflicted at all about the decision. He DID want another child, but not this way.

LisaL

(44,973 posts)
39. Potential vialbe life is the fetus.
Fri Jan 3, 2014, 08:42 PM
Jan 2014

Since TX law prohibits taking pregnant women off life support, nobody is going to take this woman off life support. So the fetus isn't going to die unless the mother's heart stops before fetus can be safely removed.

pnwmom

(108,978 posts)
49. But the woman is dead, so she doesn't have a life that legally
Fri Jan 3, 2014, 09:19 PM
Jan 2014

requires "life-sustaining" measures.

It would be different if this woman were in a coma -- then the law would apply to her. No one then could decide to take her off life support.

But she's not in a coma -- she's dead. She's not a "pregnant patient" because she's not a patient at all. She's a corpse hooked up to machines. And the machines aren't life-sustaining; they're death-prolonging.

LisaL

(44,973 posts)
54. What if the situation was different and the family did want the hospital do everything possible
Fri Jan 3, 2014, 09:26 PM
Jan 2014

to save the fetus? I've seen situations were this was the case. The woman is dead but she can potentially produce a viable fetus. But if she is dead then the hospital should have a right to turn off life support regardless? Since she is no longer the patient?

pnwmom

(108,978 posts)
60. I think the family should be able to stand in and give consent
Fri Jan 3, 2014, 09:38 PM
Jan 2014

for the pregnancy to be maintained or not -- just as the woman would have been able to decide if she were alive. It shouldn't be up to the hospital or the government.

The difference between this case and the California girl is the fetus, which may be capable of life. But it should be up to the family whether this woman is used as an incubator to continue the development of the fetus, not the hospital.

LisaL

(44,973 posts)
73. If the woman is brain dead and therefore isn't considered a patient,
Sat Jan 4, 2014, 01:16 PM
Jan 2014

I could easily envision a situation where family wants pregnancy to continue but hospital says since the woman is legally dead we will just turn life support off.
In this particular case of brain dead woman the family doesn't want her to be on life support, but in just a short time fetus will actually be viable and able to survive on his/her own. So far they haven't gone to courts. If they are serious about wanting life support off, I wonder why.

AtheistCrusader

(33,982 posts)
7. Whiskey Tango Foxtrot.
Fri Jan 3, 2014, 07:06 PM
Jan 2014

The forced-birthers strike from beyond the fucking grave even...

Forced, FORCED, beyond death, to bear a child, like a farm animal or something. Worse, a child that is probably in similar condition, due to lack of oxygen...

 

Egnever

(21,506 posts)
24. This seems to be a case of CYA on the hospitals part.
Fri Jan 3, 2014, 08:01 PM
Jan 2014

According to this article. The law does say you cant withhold or withdraw life support though from a pregnant person.

http://www.khou.com/news/national/238647891.html


"We are following the law of the state of Texas," Labbe said. "This is not a difficult decision for us. We are following the law."

But three experts interviewed by The Associated Press, including two who helped draft the law, said a brain-dead patient's case wouldn't be covered by the law.

"This patient is neither terminally nor irreversibly ill," said Dr. Robert Fine, clinical director of the office of clinical ethics and palliative care for Baylor Health Care System. "Under Texas law, this patient is legally dead."

Marlise Munoz's case appears to be rare. A 2010 article in the journal BMC Medicine found 30 cases of brain-dead pregnant women over about 30 years. Of 19 reported results, the journal found 12 in which a viable child was born and had post-birth data for two years on only six of them — all of whom developed normally, according to the journal.

John Peter Smith Hospital in Fort Worth is pointing to a provision of the Texas Advance Directives Act that reads: "A person may not withdraw or withhold life-sustaining treatment under this subchapter from a pregnant patient."

AtheistCrusader

(33,982 posts)
27. Sure. I was referring to the legislature that penned that law.
Fri Jan 3, 2014, 08:05 PM
Jan 2014

Granted, I haven't read the law yet, but I tend to assume the hospital has, based on their compliance.

LisaL

(44,973 posts)
42. The fetus is alive. It has a hearbeat.
Fri Jan 3, 2014, 08:46 PM
Jan 2014

Otherwise they would have been able to turn off her vent.

pnwmom

(108,978 posts)
51. That doesn't matter, unless they can deliver the fetus and hook it up
Fri Jan 3, 2014, 09:25 PM
Jan 2014

to its own life support system.

The corpse of the woman shouldn't be used as an incubator of a non-viable fetus that couldn't survive on its own, against all the wishes of the family.

LisaL

(44,973 posts)
56. Another couple of months and fetus might be able to survive on its own.
Fri Jan 3, 2014, 09:31 PM
Jan 2014

I am curious if you think hospital should have a right to turn off life support from a pregnant brain dead woman if family wants the hospital to save the fetus? Since the woman is brain dead she isn't a patient, and per your argument there is no viable life there.

pnwmom

(108,978 posts)
57. So? It isn't viable NOW. I think the decision should be up to the family,
Fri Jan 3, 2014, 09:34 PM
Jan 2014

just as -- if she were alive -- the decision to continue the pregnancy would be up to the woman.

But just as a side note . . . even the Catholic Church would have no problem with this body being taken off life supports, whether it has a living fetus inside or not.

LisaL

(44,973 posts)
58. But if she is dead, why should the decision be up to the family?
Fri Jan 3, 2014, 09:36 PM
Jan 2014

In McMath family, the child is dead and hospital wants to turn off life support because the child is dead. Despite what family wants. Why should it be different with a pregnant but brain dead woman. She is dead, so turn off life support regardless of what family wants?

pnwmom

(108,978 posts)
61. The 13 year old isn't pregnant.
Fri Jan 3, 2014, 09:43 PM
Jan 2014

In the Texas case, there is, as you said, a potential viable life. It should be up to that family -- standing in for the mother -- to decide whether that potential viable life receives support in the form of keeping the mother's corpse hooked up to machines. Not the state.

But the 13 year old is dead, and there is no potentially viable fetus to consider in her case. There is no point in keeping her corpse hooked up to machines.

herding cats

(19,564 posts)
5. This poor family.
Fri Jan 3, 2014, 07:02 PM
Jan 2014

I cannot imagine being in their situation. It's every parents worst nightmare to lose a child, and to lose one like this would make it even more unbearable.

 

cosmicone

(11,014 posts)
6. I doubt any California licensed doctor
Fri Jan 3, 2014, 07:05 PM
Jan 2014

would agree to perform a tracheotomy and a gastrotomy on a dead person. The medical board would come down on such a doctor like a ton of bricks.

The family and the lawyer probably found a former butcher or mortician to do the procedures.

Anything to keep Jahi appearing like she is alive and in a coma until the malpractice trial to earn jury's sympathy and increase the damage award.

This is beyond grief/religion/belief at this point -- it seems just too well-orchestrated.

rocktivity

(44,576 posts)
59. DING DING DING! Cosmicone, you're our grand prize winner!
Fri Jan 3, 2014, 09:38 PM
Jan 2014

Last edited Tue Jun 16, 2020, 10:16 PM - Edit history (2)

I doubt any California licensed doctor would agree to perform a tracheotomy and a gastrotomy on a dead person. The medical board would come down on such a doctor like a ton of bricks...

This is beyond grief/religion/belief at this point -- it seems just too well-orchestrated.

Yes, it was well-orchestrated -- by the hospital; they ran a misdirection play.

While everyone was fussing about inserting tubes, they kept their eyes on the real prize, and obtained tangible, official certification of Jahi's death from the coroner. Now no doctor, medical facility (or judge!) can gamble their credibility on advocating for a corpse. And as for the malpractice suit, the family's behavior has moved into the realm of undermining their own credibility, endangering themselves as coming across as irrational grifters.


rocktivity
 

cosmicone

(11,014 posts)
62. Actually, the hospital seems to have clean hands in this.
Fri Jan 3, 2014, 10:15 PM
Jan 2014

1. Jahi did not have a simple tonsillectomy but had massive adenoid and lymphoid tissue removal from the nasopharynx and the lateral turbinates in the nose plus a UPPP (uvulopalatopharyngoplasty) -- so it was an extremely complicated and high risk surgery -- not something simple as family led the media to believe.

2. Jahi had a genetic bleeding disorder which the family did not disclose to the physicians treating her.

3. Jahi was asked to not speak during the recovery phase and not have any visitors beyond the immediate family. Instead, the family paraded dozens of relatives to her bedside and encouraged her to talk with them.

Unfortunately, the hospital cannot give this info out due to HIPAA -- so the family and their lawyer went unanswered, trying to poison the jury pool. It seriously backfired in my opinion. A malpractice plaintiff who withholds serious and relevant info from physicians and contributes to a serious complication can be kicked out of a court on a summary judgment.

LovingA2andMI

(7,006 posts)
66. The Rumor Mill and ITS' not the facts....
Sat Jan 4, 2014, 12:56 AM
Jan 2014

So it's amazing to me folks continue to do the "Bidding" of Oakland Children's Hospital since HIPPA laws PREVENT this information from being published by the medical facility in the first place. #SMH

LiberalElite

(14,691 posts)
11. I don't know why the
Fri Jan 3, 2014, 07:19 PM
Jan 2014

hospital hooked her up to the respirator. As I understand it, she can't breathe on her own because she's dead, and several physicians including 3 retained by the family, have confirmed this.

Douglas Carpenter

(20,226 posts)
12. normally ventilation is discontinued once brain death has been certified - but this is not a normal
Fri Jan 3, 2014, 07:23 PM
Jan 2014

case given the potential liability of the hospital is a possible major malpractice suit coupled with the insistence of the family on continuing artificial life support and ventilation of the corpse well after death has occurred

Tx4obama

(36,974 posts)
14. But ventilation has not been discontinued - so I do not see how they could issue 'death certificate'
Fri Jan 3, 2014, 07:40 PM
Jan 2014

... until she is actually/fully/totally (not sure what word to use here) dead.

A body that is still producing urine etc - is not a corpse.

LisaL

(44,973 posts)
17. Ventillation has not been discontinued because family went to court and got the judge to
Fri Jan 3, 2014, 07:47 PM
Jan 2014

rule that hospital can not discontinue ventillation.
Otherwise it would have been.

Tx4obama

(36,974 posts)
21. But that is my point. Since ventilation has not been discontinued yet it's weird the coroner
Fri Jan 3, 2014, 07:53 PM
Jan 2014

... was able to issue a death certificate BEFORE there is a full death/corpse.

 

cosmicone

(11,014 posts)
31. She is medically dead. No problem with the death certificate.
Fri Jan 3, 2014, 08:12 PM
Jan 2014

The heart doesn't have to stop for someone to be dead. Her respiration is continuing because of a machine and would stop the second the plug is pulled. Stopping her respiration and heart won't make her any more dead than she already is.

Douglas Carpenter

(20,226 posts)
19. I don't see how cardiac death is more determinant of death than brain death. People are genuinely
Fri Jan 3, 2014, 07:52 PM
Jan 2014

revived from cardiac arrest- During many forms of cardiac surgery - the heart is bypassed - None of this is possible with the brain. There simply is no more debate in the medical field about brain death being death. There might be a few quacks who argue the point - but in 33 years of working with ventilated patients I have never heard of any debate on the matter - not even from the most raving "born again washed in the blood of the lamb fundamentalist Christian" or devote Muslim or cynical atheist - there is no debate outside of a lunatic fringe that I certainly have ever heard of until recently

Tx4obama

(36,974 posts)
23. Well, I posted my original question because...
Fri Jan 3, 2014, 07:58 PM
Jan 2014

... I wanted to know if a death certificate has ever been issued before for a a person still ON a respirator.

That was all I was curious about.

I'm not taking sides in the actual issue.



LiberalElite

(14,691 posts)
22. I don't believe
Fri Jan 3, 2014, 07:57 PM
Jan 2014

she's being given any nourishment - and if she's dead why would they? It's all too surreal for me. The mother has complained that the hospital is "starving" her daughter.

AtheistCrusader

(33,982 posts)
28. The hopsital needs to bring in a whole herd of grief counselors...
Fri Jan 3, 2014, 08:08 PM
Jan 2014

Need to get the Schaivo foundation assholes the hell out of the picture too.

hue

(4,949 posts)
30. "body that is still producing urine etc - is not a corpse"
Fri Jan 3, 2014, 08:10 PM
Jan 2014

Kidneys without a body continue to make urine. During kidney transplants a kidney may be removed and transported many miles, sometimes from one country to another before being implanted in the recipient. The functioning cells continue to function as if they were in a body. Hence the donated kidney is quite healthy en route and after transplant.

The same is true for transplanted hearts. Cardiac cells have the ability to generate a heartbeat with electrical stimulation independent of the brain, automaticity. http://www.phschool.com/science/biology_place/biocoach/cardio1/electrical.html

That is why hearts also keep beating while being transported for transplant.

http://medcitynews.com/2013/11/transmedics-organ-care-system-way-cooler-cooler-transporting-live-organs-video/

The ventilator is simply a machine that pumps air into the Patient's lungs. It can allow the Patient to take breaths on their own but it also can be in full control of the work of breathing if the Patient is brain dead.

LiberalElite

(14,691 posts)
34. so, the ventilator's operations
Fri Jan 3, 2014, 08:16 PM
Jan 2014

is what allows the mother to claim her daughter is still warm to the touch?

hue

(4,949 posts)
40. The ventilator supplies oxygen but the heart pumps oxygenated blood to the finger tips & toes.
Fri Jan 3, 2014, 08:43 PM
Jan 2014

This helps to keep the Patient warm. Jahi's heart may yet be healthy--enough to be transplanted into someone who needs a healthy heart.

Jahi's brain is not alive. The brain cells start to fall apart and have no function resulting in a gelatinous mass which ancient Egyptians used to suck out with a type of straw through the nose (through the bottom of the skull during the process of mummification).

LiberalElite

(14,691 posts)
45. Yes, I understand that she's
Fri Jan 3, 2014, 09:09 PM
Jan 2014

dead but the mother apparently believes she's alive because of that machine-generated warmth.

davidpdx

(22,000 posts)
71. What is sad is if they had consented, she may have been able to save several other children's lives
Sat Jan 4, 2014, 08:21 AM
Jan 2014

by organ donation if they are in good condition. The kidneys and the heart are probably needed for transplants.

Scairp

(2,749 posts)
46. This is the bottom line:
Fri Jan 3, 2014, 09:13 PM
Jan 2014

When a neurologist says your dead, then your dead. No brain function is death. I don't see why this is so hard for these people to understand. I have kids too and I could never go through this, no matter how hard it would be to let go. Keeping her body breathing against it's will is not life.

Response to Tx4obama (Reply #10)

Hawaii Hiker

(3,166 posts)
32. What caused this tragic situation in the first place, MD error, etc?....
Fri Jan 3, 2014, 08:13 PM
Jan 2014

She had a very routine surgery, you don't die from that....I think some MD and/or someone else on the surgical team seriously screwed up....I hope the family sues the hospital...

I can speak with some experience on having to turn off the machines on a loved one....2 yrs ago, my mom suffered a PE, which led to a cardiac arrest...Took 14.5 minutes for ER staff to revive her...At that point, she was basically brain dead, only had very limited brain stem function remaining....The one MD said to me first 72 hrs after a cardiac arrest are most crucial, if no improvement after that time, probably wont be any....So after 4 days, based on what couple MD's said, along w/what i know what mom would have wanted, she was taken off life support and died peacefully shortly thereafter...


LiberalElite

(14,691 posts)
35. The media keeps describing the surgery
Fri Jan 3, 2014, 08:21 PM
Jan 2014

as a "routine tonsillectomy" but there was more involved. They also removed adenoids and extra sinus tissue to treat pediatric obstructive sleep apnea. Her mother said Jahi before surgery was afraid she wouldn't wake up. However, she did awake from the surgery and asked for an ice pop for her sore throat. At some time thereafter the bleeding started.

Retrograde

(10,137 posts)
55. The media keep copying from each other and swallowing the press releases
Fri Jan 3, 2014, 09:30 PM
Jan 2014

that the family's lawyer puts out. The hospital is prevented from commenting on Jahi's surgery by HIPAA. Thus, only one side of the story is being propagated. There have been rumors and accusations flying about on various Bay Area boards, some of which seem plausible, some of which seem wildly speculative: it seems to be getting more and more bizarre.

Liberal Veteran

(22,239 posts)
36. It wasn't a "very routine surgery".
Fri Jan 3, 2014, 08:29 PM
Jan 2014

She underwent the procedure for sleep apnea. The surgery included tonsillectomy, uvulopalatopharyngoplasty (UPPP), and removal of nasal turbinates.

A lot of the media outlets have described this as a tonsillectomy gone wrong, but as usual, there is more to the story.

Nonhlanhla

(2,074 posts)
63. Fascinating case, almost Frankensteinian
Fri Jan 3, 2014, 10:16 PM
Jan 2014

The novel Frankenstein was written against the backdrop of scientific interest in reviving dead bodies with the use of electricity. Some rather bizarre experiments were done and claims were made of bodies being revived, all bogus of course. Fascinating though. This story has made me think of that. This poor distraught family has now been keeping their dead daughter's body on a machine for 3 weeks, but the fact is that she is dead and will never wake up. This is not a coma. Her body is already decomposing from what I understand, although the ventilator is slowing down the process.

I linked this in another thread, but I link it here again. I have found it to be very informative (although I suppose the info should be taken with the proverbial grain of salt as well).
http://sprocket-trials.blogspot.com/2014/01/jahis-legacy.html

Myrina

(12,296 posts)
65. Dear Goddess, someone please help that family come to terms ...
Fri Jan 3, 2014, 11:16 PM
Jan 2014

... with the fact that their daughter is gone.

There may be a (somewhat) living body in that bed, but the person that inhabited it is long gone.


ReRe

(10,597 posts)
77. Agree
Sat Jan 4, 2014, 08:30 PM
Jan 2014

Do I need to have this written into my Living Will? "If I am brain dead, pull the plug!" It is is so sad when people won't let their loved ones go when it's time. Not to mention expensive. I will be glad when they get the child out of that hospital, since that is what the family wants.

Bette Noir

(3,581 posts)
68. The first job I had after I got my nursing license
Sat Jan 4, 2014, 02:32 AM
Jan 2014

was on the ventilator ward of a small hospital. Most of our patients were there due to illness or accident. Some lived a long time; some a short time. Some recovered fully; some died.

One was virtually (but not completely) brain dead due to an error in his care following a routine surgery. When I started working there, it was almost 20 years after the medical malpractice that ended his life, for most meanings of the word "life." His heart was still beating when I stopped working there two years later, but his fingertips were beginning to turn black, usually seen as a sign of impending cardiac death. His wife was working to have the hospital insert a pacemaker, to keep his heart beating.

Nonhlanhla

(2,074 posts)
72. One huge difference
Sat Jan 4, 2014, 09:03 AM
Jan 2014

Teri Shiavo was in a persistent vegetative state. This child is not in a persistent vegetative state or coma. She is DEAD. Her brain stem is dead, her organs are already slowly decomposing despite the ventilator. She is absolutely dead.

FarPoint

(12,396 posts)
76. So...who is footing the bill for this corpse medical science project?
Sat Jan 4, 2014, 08:09 PM
Jan 2014

I imagine it will be the family.....but then, maybe there are donors....

LeftyMom

(49,212 posts)
79. At some point she's going to smell dead.
Sat Jan 4, 2014, 11:18 PM
Jan 2014

My understanding is that the respiration and circulation are slowing down that process, but that room's got to be getting ripe at this point.

Mz Pip

(27,445 posts)
81. I've thought the same thing.
Sun Jan 5, 2014, 02:06 AM
Jan 2014

Just keeping the heart beating can't possible be enough to keep the other organs viable.

This sets a really creepy precedent. People who don't believe in science, who believe in miracles, in divine intervention, will start demanding their loved ones be kept in some weird lifeless state while they wait for God to intervene.

I feel really sorry for the family because there have been just enough people to go along with this to keep this fiasco going. Recovering from this charade will be very hard.

yurbud

(39,405 posts)
82. Who gets a tonsillectomy anymore let alone gets such serious complications?
Sun Jan 5, 2014, 12:55 PM
Jan 2014

What went so horribly wrong with her surgery?

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