Author Topic: Family Fighting Hospital Not to Kill Jahi McMath Wants Second Opinion From Neurologist  (Read 1563 times)

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Offline happyg

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by Steven Ertelt
The intensity of the battle over a 13-year-old girl, declared “brain-dead” following a routine tonsillectomy performed last week ratcheted up several notches today as the attorney for the girl’s family said he would ask a judge to bring in an outside neurologist to examine Jahi McMath.

The Oakland Tribune reported that Attorney Christopher Dolan will also “request that the court order the hospital keep Jahi on life support, release medical records and give her a feeding tube.” While submitting paperwork at the Alameda County Superior Court’s probate division in Berkeley, Dolan said Children’s Hospital Oakland had been “stonewalling” the family, according to a story written by reporters Natalie Neysa Alund, David DeBolt, and Kristin J. Bender

For its part, the hospital asked that the family allow them to discuss the young girl’s case openly. In a statement Chief of Pediatrics David Durand said, “We implore the family to allow the hospital to openly discuss what has occurred and to give us the necessary legal permission — which it has been withholding — that would bring clarity, and we believe, some measure of closure and deeper understanding of this medical case.”

Dolan responded the hospital has not asked his permission to speak to the media about Jahi, at least not since he was retained. “If they asked the family to speak to the media prior to me being hired — that I don’t know,” the Oakland Tribune reported. “But since they’ve had a lawyer they never asked my clients … and we’ve been in closed-door meetings with Durand and other hospital officials.”



The Tribune story said the hospital has retained a lawyer.

Friday’s developments followed a meeting Thursday night between Dolan, the family, and hospital officials. Alund, DeBolt, and Bender reported

“Dolan and family members met with hospital officials Thursday evening to request that Jahi be kept on a ventilator at least until after the holidays, a request administrators would not agree to honor. Jahi was declared brain-dead on Dec. 12, after complications from a Dec. 9 tonsil surgery.

“Family members also said they had asked the hospital for permission to bring their own doctors to examine the girl; administrators denied that request, saying again that the girl was dead, and there would be no reason to do so.”

As reported in NRL News Today on Wednesday (“Hospital agrees not to take girl off of life-support, following cease-and-desist order, next step unclear”), tonsillectomies are one of the most common surgeries performed. The December 9, surgery, recommended to address the girl’s sleep apnea and other problems, initially appeared to have gone well.
<a href="http://www.youtube.com/watch?feature=player_embedded&amp;v=78Nb7bypu0E" target="_blank" class="aeva_link bbc_link new_win">http://www.youtube.com/watch?feature=player_embedded&amp;v=78Nb7bypu0E</a>

http://www.lifenews.com/2013/12/20/family-fighting-hospital-not-to-kill-jahi-mcmath-wants-second-opinion-from-neurologist/

Offline Atomic Cow

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Get a second opinion, and if she's truly brain dead, turn off life support.  If only the machines are keeping her heart and lungs working, then she's already dead and nature will take its course almost immediately.

I pray I am never in this position, either as the family member having to make the decision, or the person someone must make it about, but I would not leave them hooked to machines forever nor would I want that for myself.
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Offline Rapunzel

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Get a second opinion, and if she's truly brain dead, turn off life support.  If only the machines are keeping her heart and lungs working, then she's already dead and nature will take its course almost immediately.

I pray I am never in this position, either as the family member having to make the decision, or the person someone must make it about, but I would not leave them hooked to machines forever nor would I want that for myself.

I had to agree to have George taken off life support.  I knew his feelings on the matter so it was a fairly straight-forward decision for me to make.  We did have his father on life support for two months after bypass surgery and the family all wanted George to make the decision, he did not want to make it and finally he said he would decide the next day - they called us that morning to say he had passed so no one in the family had to make the decision.
“The time is now near at hand which must probably determine, whether Americans are to be, Freemen, or Slaves.” G Washington July 2, 1776

Offline Rapunzel

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http://www.theblaze.com/stories/2013/12/20/judge-orders-calif-hospital-not-to-pull-plug-on-teen-after-state-overruled-familys-wishes-to-keep-her-alive/

Judge Orders Calif. Hospital Not to Pull Plug on Teen After State Overruled Family’s Wishes to Keep Her Alive
Dec. 20, 2013 8:28pm

OAKLAND, Calif. (AP) — A judge on Friday ordered a California hospital to keep a girl declared brain dead on life support following what was supposed to be a routine tonsillectomy.

The ruling by Superior Court Judge Evelio Grillo came as both sides in the case agreed to get together and chose a neurologist to further examine 13-year-old Jahi McMath and determine her condition. Another hearing was set for Monday.

Nailah Winkfield, center, mother of 13-year-old Jahi McMath, places her hands to her face before a courtroom hearing regarding McMath, Friday, Dec. 20, 2013, in Oakland, Calif. McMath remains on life support at Children’s Hospital Oakland nearly a week after doctors declared her brain dead, following a supposedly routine tonsillectomy. (AP Photo/Ben Margot)

The girl’s family sought the court order to keep Jahi on a ventilator while the second opinion is sought. They left the courtroom without commenting.

The family says doctors at Children’s Hospital Oakland wanted to disconnect life support after Jahi was declared brain dead on Dec. 12.

After her daughter underwent a supposedly routine tonsillectomy and was moved to a recovery room, Nailah Winkfield began to fear something was going horribly wrong.

Jahi was sitting up in bed, her hospital gown bloody, and holding a pink cup full of blood.

“Is this normal?” Winkfield repeatedly asked nurses.

With her family and hospital staff trying to help and comfort her, Jahi kept bleeding profusely for the next few hours then went into cardiac arrest, her mother said.

Hospital officials said they couldn’t discuss the case because the family hasn’t given them permission to do so.

In a statement late Thursday, Dr. David Durand, the hospital’s pediatrics chief, wrote of Jahi’s case: “We are unable – without the family’s permission – to talk about the medical procedure, background or any of the details that are a part of this tragedy.

“We implore the family to allow the hospital to openly discuss what has occurred and to give us the necessary legal permission – which it has been withholding – that would bring clarity, and we believe, some measure of closure and deeper understanding of this medical case,” the doctor added.

In an interview at Children’s Hospital Oakland on Thursday night, Winkfield described the nightmarish turn of events after her daughter underwent tonsil removal surgery to help with her sleep apnea.

She said that even before the surgery, her daughter had expressed fears that she wouldn’t wake up after the operation. To everyone’s relief, she appeared alert, was talking and even ate a Popsicle afterward.

But about a half-hour later, shortly after the girl was taken to the intensive care unit, she began bleeding from her mouth and nose despite efforts by hospital staff and her family.

While the bleeding continued, Jahi wrote her mother notes. In one, the girl asked to have her nose wiped because she felt it running. Her mother said she didn’t want to scare her daughter by saying it was blood.

Family members said there were containers of Jahi’s blood in the room, and hospital staff members were providing transfusions to counteract the blood loss.

“I don’t know what a tonsillectomy is supposed to look like after you have it, but that blood was un-normal for anything,” Winkfield said.
Judge Orders Calif. Hospital Not to Pull Plug on Teen After State Overruled Familys Wishes to Keep Her Alive

Nailah Winkfield, mother of 13-year-old Jahi McMath, cries before a courtroom hearing regarding McMath, Friday, Dec. 20, 2013, in Oakland, Calif. McMath remains on life support at Children’s Hospital Oakland nearly a week after doctors declared her brain dead, following a supposedly routine tonsillectomy. (AP Photo/Ben Margot)

The family said hospital officials told them in a meeting Thursday that they want to take the girl off life support quickly.

“I just looked at the doctor to his face and I told him you better not touch her,” Winkfield recalled.

Hospitals do a barrage of sophisticated tests to determine brain death, said Dr. Cristobal Barrios, an associate professor and a trauma and critical care surgeon at the University of California, Irvine. He is not involved in Jahi’s care and spoke about general hospital protocols.

The tests include touching a patient’s cornea to elicit a blink, moving a breathing tube to stimulate a gag reflex, tickling the back of the throat to bring on a cough, and applying pressure or pain.

If the patient fails to respond to all of those tests, doctors remove the breathing tube for a few minutes. If there is any brain activity, the patient should begin breathing within a few minutes, he said.

In some cases, doctors will also draw a blood sample, add radioactive tags and re-inject it into the body to track where it flows. If the blood doesn’t flow to the brain, Barrios said, there is no brain activity.

Generally, two teams of specialists must run the tests and determine independently that the patient is brain dead, he said. At UC Irvine, those evaluations must take place 12 hours apart if the patient is a child.

Barrios said it’s not unusual for family members to resist a diagnosis of brain death.

While the hospital is not obligated to keep life support going after that diagnosis, Barrios has left brain dead patients hooked up for up to five days while family members move toward acceptance, he said.

“I understand why sometimes for families it’s devastating and confusing,” he said.
“The time is now near at hand which must probably determine, whether Americans are to be, Freemen, or Slaves.” G Washington July 2, 1776

Offline Rapunzel

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I am wondering why they didn't take her back to surgery when she was bleeding so profusely.
“The time is now near at hand which must probably determine, whether Americans are to be, Freemen, or Slaves.” G Washington July 2, 1776

Offline Oceander

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Quote
*  *  *

After her daughter underwent a supposedly routine tonsillectomy and was moved to a recovery room, Nailah Winkfield began to fear something was going horribly wrong.

Jahi was sitting up in bed, her hospital gown bloody, and holding a pink cup full of blood.

“Is this normal?” Winkfield repeatedly asked nurses.

With her family and hospital staff trying to help and comfort her, Jahi kept bleeding profusely for the next few hours then went into cardiac arrest, her mother said.

Hospital officials said they couldn’t discuss the case because the family hasn’t given them permission to do so.

*  *  *

But about a half-hour later, shortly after the girl was taken to the intensive care unit, she began bleeding from her mouth and nose despite efforts by hospital staff and her family.

While the bleeding continued, Jahi wrote her mother notes. In one, the girl asked to have her nose wiped because she felt it running. Her mother said she didn’t want to scare her daughter by saying it was blood.

Family members said there were containers of Jahi’s blood in the room, and hospital staff members were providing transfusions to counteract the blood loss.

“I don’t know what a tonsillectomy is supposed to look like after you have it, but that blood was un-normal for anything,” Winkfield said.

*  *  *

The hospital should stop torturing these poor parents and stop arguing about testing this poor child for her state of aliveness and should start figuring out how much it's going to have to pay to settle for the blatant malpractice and reckless negligence of its staff; so should the doctors who performed the operation.

Offline sinkspur

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Wonder why the family won't agree to allow the hospital to discuss the case?
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Offline flowers

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http://www.foxnews.com/health/2013/12/20/family-teen-declared-brain-dead-wants-to-keep-her-on-life-support-through/?intcmp=latestnews

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OAKLAND, Calif. –  A judge on Friday ordered a California hospital to keep a girl declared brain dead on life support following what was supposed to be a routine tonsillectomy.

The ruling by Superior Court Judge Evelio Grillo came as both sides in the case agreed to get together and chose a neurologist to further examine 13-year-old Jahi McMath and determine her condition. The judge scheduled a hearing Monday to appoint a physician.

The girl's family sought the court order to keep Jahi on a ventilator while another opinion is sought. They left the courtroom without commenting.

The family says doctors at Children's Hospital Oakland wanted to disconnect life support after Jahi was declared brain dead on Dec. 12.

After her daughter underwent a supposedly routine tonsillectomy and was moved to a recovery room, Nailah Winkfield began to fear something was going horribly wrong.

Jahi was sitting up in bed, her hospital gown bloody, and holding a pink cup full of blood.

"Is this normal?" Winkfield repeatedly asked nurses.

With her family and hospital staff trying to help and comfort her, Jahi kept bleeding profusely for the next few hours then went into cardiac arrest, her mother said.

Hospital officials said they couldn't discuss the case because the family hasn't given them permission to do so.

In a statement late Thursday, Dr. David Durand, the hospital's pediatrics chief, wrote of Jahi's case: "We are unable — without the family's permission — to talk about the medical procedure, background or any of the details that are a part of this tragedy."

In an interview at Children's Hospital Oakland on Thursday night, Winkfield described the nightmarish turn of events after her daughter underwent tonsil removal surgery to help with her sleep apnea.


Online truth_seeker

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Two separate issues:

1. Is the patient "legally" dead? (a family member stated they wished her to remain alive, for one last Christmas)

2. Was malpractice involved, by physicians, nurses, other hospital technicians, etc.

Offline EC

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Two separate issues:

1. Is the patient "legally" dead? (a family member stated they wished her to remain alive, for one last Christmas)

2. Was malpractice involved, by physicians, nurses, other hospital technicians, etc.

1. All reports confirm her as brain dead and being kept viable on life support. Counts as pretty dead in my book.

2. We'll need wait and see. While I'd suspect malpractice (from the details so far provided), even the simplest of operations can go horribly wrong in an instant. Bear in mind the hospital does not have the family's permission to speak about the case, so we are getting one side only.
« Last Edit: December 21, 2013, 02:50:34 PM by EC »
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Online truth_seeker

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1. All reports confirm her as brain dead and being kept viable on life support. Counts as pretty dead in my book.

2. We'll need wait and see. While I'd suspect malpractice (from the details so far provided), even the simplest of operations can go horribly wrong in an instant. Bear in mind the hospital does not have the family's permission to speak about the case, so we are getting one side only.
No disagreements.

Offline flowers

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I am wondering why they didn't take her back to surgery when she was bleeding so profusely.
That is what I want to know too.


Offline Rapunzel

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That is what I want to know too.


Bleeding post tonsillectomy is very rare in the USA (1 - 3%) --  "normally" bleeding - if it occurs is secondary bleeding and happens 5 - 10 days after the surgery - not while the patient is still in hospital recovery mode.  The main reason for secondary bleeding is dehydration and excessive activity  - and this should not have been applicable in this case. 

Interesting the odds for hemorrhage are increased in the UK 2 - 5% vs 1 - 3% USA.

http://entsho.com/post-tonsillectomy-bleed/

    In the UK overall, post-tonsillectomy haemorrhage occurs in 2-5% of patients and represents the most common serious complication for a common operation

    It is therefore taken very seriously by ENT surgeons

    While the majority of post-tonsillectomy bleeds are self-limiting, a significant minority need return to theatre urgently for control of the haemorrhage

    Whilst extremely rare, sudden severe haemorrhage is known to occur and can result in death

Who to admit

ALL patients who complain of fresh bleeding from the throat, whether or not this has stopped when the patient presents, MUST be admitted for 24 hours’ observation.

A small, self-limiting bleed may often be a prelude to a larger bleed (a 'heralding bleed') within the next 24 hours. 

Assessment and recognition

    Bleeding can occur in the first 24 hours following the operation (primary), or later (secondary); patients with secondary bleeds frequently present between five and nine days after their procedure

    The cause of secondary post-tonsillectomy bleeding is not clear - there may be infection of the post-op sloughy material in the tonsillar fossa

    Some evidence suggests that the rate of secondary haemorrhage may be related to the technique used (eg cold-steel dissection versus coblation)

    Note that some patients will find it difficult to cope with post-tonsillectomy pain and that this is distinct from post-tonsillectomy bleeding

Immediate and overnight management

    Airway first – sit the patient up and encourage them to spit blood into a bowl
    Suction should be available if needed
    An atmosphere of calm helps – the patient is usually very distressed if they are actively bleeding
    Insert large-bore IV access and send blood for FBC, coagulation screen and group-and-save (urgent crossmatch if the bleeding is severe or the patient is unstable)
    Do not delay in calling for a paediatrician or paediatric anesthetist if you cannot secure IV access in a child
    Frequent haemodynamic observations
    Nil by mouth
    Active IV fluid resuscitation
    IV analgesia
    Ice pack on the back of the patient’s neck
    Tranexamic acid – this is also not directly evidence-based, but is given IV by some to decrease bleeding
    If not heavily bleeding: hydrogen peroxide gargles – this is made up from a 3% solution diluted in three parts of water before being given to the patient to gargle.  It can stop a slow bleed and may prevent re-bleeding (not evidence-based)

Keep the patient nil-by-mouth until assessed by a senior ENT surgeon, even if the bleeding has recently stopped.

 If the patient continues to bleed, or starts to bleed following admission:

    Contact the on-call ENT registrar +/- the on-call anaesthetic registrar
    Alert emergency theatre that the patient may need an urgent arrest of post-tonsillectomy bleed


If the bleed is very slow and the patient is stable, it may be possible to observe the patient for a period of time with hydrogen peroxide gargles and ice packs.

If the bleeding is continuous or heavy, the patient will need to go to the operating theatre as soon as possible. This is a more controlled environment where the patient has a secure, definitive airway and you have definitive means to stop the bleeding.

If the bleeding is severe and the patient is awaiting transfer to theatre:

    Consider applying topical adrenaline to the bleeding point to slow the rate of haemorrhage temporarily. Soak a dental roll or gauze with 1:10,000 adrenaline and apply it to the bleeding point with Magill’s forceps. This may not be possible if the patient has a strong gag reflex. Make sure the patient's head is tilted to the side to minimise the chance of an inhaled foreign body.

    If you are confident you can localise the bleeding, and the patient is tolerant, it is possible to cauterise a bleeding point with silver nitrate, with local anaesthetic (Xylocaine) spray for analgesia. This is technique of desperation described by some - do not delay transfer to theatre in order to try silver nitrate cautery.

    If inexperienced or unsure, seek senior help rather than attempting the above on your own. What the patient really needs is to go to the operating theatre.

 
Further management

Patients should have regular hydrogen peroxide gargles and be monitored closely for bleeding.

They should remain nil-by-mouth until review by a senior ENT surgeon and a plan made. Frequently, water and diet will be gently reintroduced.

After 24 hours without further haemorrhage, the risk of recurrence is lower. Patients are usually discharged at this point.  All patients should be reviewed by a senior before discharge, and advised to return if there is any more bleeding.

 

Useful links:

National Prospective Tonsillectomy Audit 2003-4, Royal College of Surgeons of England and BAO-HNS
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Offline Rapunzel

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The biggest question remains - why was she not returned immediately to the operating room.   
“The time is now near at hand which must probably determine, whether Americans are to be, Freemen, or Slaves.” G Washington July 2, 1776

Offline Rapunzel

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http://ent.about.com/od/livingwithentdisorders/f/Is-Bleeding-After-A-Tonsillectomy-An-Emergency.htm

Is Bleeding After a Tonsillectomy an Emergency?

By Kristin Hayes, R.N.

Updated July 19, 2010

Reviewed by a board-certified health professional. See About.com's Medical Review Board.

Question: Is Bleeding After a Tonsillectomy an Emergency?

Answer: Bleeding after a tonsillectomy is considered an emergency due to the close proximity of major arteries to the tonsils. Many people have their tonsils out every day in the United States and most do just fine, however, bleeding after tonsillectomies have caused serious complications including death. In response to a blog I wrote about a child who died from post-operative bleeding after a tonsillectomy I received this terrifying comment:

Quote
". . . I read this while looking on the internet. My 2 year old died the same way. . .hers was the lingual artery, a branch of the carotid. There was nothing I could do to stop the blood… I was helpless. People do need to understand that while this is a rare complication, it can happen."


Tonsillectomies are some of the most common surgeries in the world and while rare, bleeding after a tonsillectomy should be taken seriously.
“The time is now near at hand which must probably determine, whether Americans are to be, Freemen, or Slaves.” G Washington July 2, 1776

Offline happyg

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I had my tonsils taken out when I was seven years old. I bled a lot, so they put me at the foot of the bed, and raised it so that I lay at a 30 degree angle. I don't recall any emergency care, and left the hospital two days later.

Offline flowers

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The biggest question remains - why was she not returned immediately to the operating room.
exactly!


Offline flowers

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2nd opinion ordered for teen declared brain dead

http://hosted.ap.org/dynamic/stories/U/US_TONSILLECTOMY_BRAIN_DEAD_GIRL?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2013-12-23-14-24-20

Quote
OAKLAND, Calif. (AP) -- A California judge has ordered a second medical evaluation to determine whether a girl on life support following tonsil surgery is brain dead.

The order by Alameda County Superior Court Judge Evelio Grillo calls for 13-year-old Jahi McMath to be examined by Paul Graham Fisher, the chief of child neurology at Stanford University School of Medicine. The examination is expected to occur later on Monday.

Doctors at Children's Hospital in Oakland, where Jahi is on life support, have concluded she is brain dead. But Jahi's family disputes that.

They also want a third evaluation by Paul Byrne, a pediatric professor at the University of Toledo.

The judge is expected to take that request up at a hearing scheduled for Tuesday.

Jahi's family says the girl bled profusely after a routine tonsillectomy and then went into cardiac arrest before being declared brain dead on Dec. 12.




I hope she isn't brain dead. I think she is though from what I have read.


Offline flowers

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Teen ordered off life support; family can appeal

http://www.cnsnews.com/news/article/teen-ordered-life-support-family-can-appeal

Quote
OAKLAND, Calif. (AP) — A judge on Tuesday ordered that a 13-year-old Northern California girl declared brain dead after suffering complications following a tonsillectomy be taken off life support.

But Alameda County Superior Court Judge Evelio Grillo gave Jahi McMath's family until 5 p.m. Dec. 30 to file an appeal. She will stay on life support until then.

Grillo issued the order after a Stanford doctor testified that Jahi is brain dead. Dr. Paul Graham Fisher's evaluation was the second to reach that conclusion.

Children's Hospital of Oakland, where Jahi is hospitalized, has asked that the girl be taken off life support after doctors there also concluded she was brain dead.

Her family has said it believes she is still alive and that the hospital should not remove her from the ventilator without its permission.

Hospital lawyers disagree.

"Because Ms. McMath is dead, practically and legally, there is no course of medical treatment to continue or discontinue; there is nothing to which the family's consent is applicable," the hospital said in a court filing on Tuesday.

Fisher first provided his opinion to Grillo behind closed doors Tuesday morning. Fisher briefly provided his conclusions in open court that Jahi has no brain activity. Fisher left court without taking questions.

Dr. Robin Shanahan, a Children's Hospital doctor, was next called to testify in the judge's chambers.

Grillo has previously ordered Jahi to remain on life support until Dec. 30, or until further order from the court.

Jahi was declared brain dead after experiencing complications following a tonsillectomy at Children's Hospital.

The judge on Monday had called for Jahi to be independently examined by Fisher, the chief of child neurology at Stanford University School of Medicine.

On Dec. 12, doctors concluded the girl was brain dead and since then have wanted to remove her from life support. Jahi's family wants to keep her hooked up to a respirator and eventually have her moved to another facili


Offline flowers

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In a phone interview, Byrne said he could not comment in detail because he had not seen any of Jahi's medical records. But the fact that her ventilator is still functioning properly is a sign that she is alive, he said.

"The ventilator won't work on a corpse," he said. "In a corpse, the ventilator pushes the air in, but it won't come out. Just the living person pushes the air out."

bold type mine. Is this a true statement? also we learn this..
Quote
Durand said Jahi's surgery was "very complex," not simply a tonsillectomy.
it wasn't a simple tonsillectomy


Offline EC

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bold type mine. Is this a true statement?

As anyone who has messed about with lungs in biology knows, it is BS. As long as they stay moist, the lungs will contract automatically. No nerves needed, the elastic fibers force them to do so.
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Offline flowers

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As anyone who has messed about with lungs in biology knows, it is BS. As long as they stay moist, the lungs will contract automatically. No nerves needed, the elastic fibers force them to do so.
thanks


Offline flowers

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Lawyer charts legal moves in brain-dead girl case

http://hosted.ap.org/dynamic/stories/U/US_TONSILLECTOMY_BRAIN_DEAD_GIRL?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2013-12-27-14-19-08

Quote
OAKLAND, Calif. (AP) -- A California lawyer said Friday that he is prepared to go to federal court to force a hospital to insert breathing and feeding tubes into a girl who was declared brain dead after complications from a tonsillectomy.

Christopher Dolan told The Associated Press that he is drafting a civil rights lawsuit alleging that Children's Hospital Oakland's refusal to perform the procedures that would allow 13-year-old Jahi McMath to be transferred to a long-term care facility violates her family's religious, due process rights and privacy rights.

"The hospital seems to feel that only it can make decisions and in that sense, you have, I have and everyone has the right to privacy over our health care," Dolan said. "It touches on some very significant issues, namely, who controls the decisions when you are dead or alive."

The legal maneuver would need to be taken quickly. A state court judge this week gave Jahi's mother, Nailah Winkfield, until 5 p.m. Monday to appeal his decision to allow the hospital to take her daughter off life support.

A possible compromise surfaced Thursday when Dolan and the girl's relatives said they had found a nursing home that was willing to keep caring for Jahi even though two doctors have described her condition as irreversible. To be eligible for


Offline EC

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I find myself grieving for the parents. The hardest thing you ever get asked to do in life is let someone go. Matters not if they are 8 or 80, it hurts like hell and your first instinct is always to hope.
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This story really touched home with me...my grandson..when he was 6yo hemorrhaged five days after his tonsillectomy. He was staying with me so I could take care of him..he woke up in my bed coughing and then ran to the bathroom throwing up blood...I called 911 and had an ambulance here in just a few minutes.....the Doctor in the ER told me that 5-7 days after a tonsillectomy is the most dangerous.

This story breaks my heart..

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