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Thread: Texas Hospital keeping pregnant dead lady on life support[W:315]

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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by reinoe View Post
    "Law"
    Touche.

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    Re: Texas Hospital keeping pregnant dead lady on life support[W:315]

    Quote Originally Posted by CanadaJohn View Post
    Personally, not being a religious person, I think anything we as human beings can do to save or better the lives of our fellow humans should be encouraged. I see nothing ethically, morally, or civilly wrong with harvesting the organs, where possible, of those people who have died. Although I've registered for such and informed my family of such, had I not done so I'd be perfectly comfortable with harvesting being the default position and only when specific written instructions from the person who died are available and valid would harvesting not take place.
    I admire your consistency on the issue and I do agree with an opt-out mentality to organ harvesting. I personally have no problem with how my body is used after death. But a lot of people are advocating certain women should not have that right, whilst getting uncomfortable that they should advocate having that right stripped from them too.

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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by year2late View Post
    That is the main issue for me. The woman's dead body is maintained against the will of her next of kin and family. The law seems to talk about life sustaining measures being withdrawn. The are (OF COURSE) speaking to the pregnant dead woman. But you cannot sustain her life she is DEAD.
    There seems to be a lot of inconsistency in people's knowledge of what brain death is and is not.

    Brain death is permanent and lethal pathophysiology - there is no coming back from it because we can't repair brain damage - dead neurons are dead. The body can't regenerate them, no medicine, no gene therapy, no possibility of transplant for reasons that should be obvious given what the brain is and does, nothing is going to fix it. Because of this, brain death is death.

    And yet, what you have said is also false. You said you can't sustain life because of brain death - well, you can't repair that brain, certainly. You can artificially keep that body pumping blood and oxygen and nutrition for a very long time. Normally, you wouldn't, but in this case there's a quite logical and reasonable goal on a relatively short timetable.

    If the family wanted to fight for keeping her body supported to maintain the pregnancy, that would be another issue.
    Most do, which is why there wouldn't be any issue, we would just be proceeding business as usual, like every other time this happens.

    It's only because we have some people here having a crazy, repugnant impulse... one that will hopefully be abandoned... that this is even a story.

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    Re: Texas Hospital keeping pregnant dead lady on life support

    In this case I fault the TX lesislature and not the hospital. The hospital is in between a rock and a hard place. The lesislature needs to update this law in reguards to such things as DNR and pregnancies.

    Quote Originally Posted by lizzie View Post
    The woman had an advance medical directive stating that she did not want life support or cpr.
    Since most DNR's don't note the odd thing linke pregnancy I can see the hospital erroring on the side of caution towards the law. This is a clear example of why all women's DNR's need to clearly state whether or not there should be an exception for if they are pregnant. Ladies go update your DNR's now!
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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by maquiscat View Post
    In this case I fault the TX lesislature and not the hospital. The hospital is in between a rock and a hard place. The lesislature needs to update this law in reguards to such things as DNR and pregnancies.
    A DNR has no effect for the duration of pregnancy.

    Since most DNR's don't note the odd thing linke pregnancy I can see the hospital erroring on the side of caution towards the law. This is a clear example of why all women's DNR's need to clearly state whether or not there should be an exception for if they are pregnant. Ladies go update your DNR's now!
    a) No DNR in this case, just the next of kin saying they probably would have wanted one.
    b) See above, even with a DNR in place, it would have no effect for the duration of pregnancy. The DNR would have specifically pointed this out before signing it.

    Which makes sense... It appears, of course, that what a legally valid DNR looks like varies quite a bit from state to state, certainly from nation to nation.

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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by scatt View Post
    The law.
    Quote Originally Posted by TheNextEra View Post
    So in other words, you can't quote the exact law. Got it.
    His arguement through this whole thread has been 'it's the law'. And all the time not really knowing which specific law.

    I think any 'scatt' posts can safely be ignored.

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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by maquiscat View Post
    In this case I fault the TX lesislature and not the hospital. The hospital is in between a rock and a hard place. The lesislature needs to update this law in reguards to such things as DNR and pregnancies.
    I don't want to fault anybody. This is an extraordinary case. Perhaps citizens and legislators need to look at the existing laws and update them; we will see. In the meantime, the hospital has expressed confidence that it is following existing law.

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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by JayDubya View Post
    A DNR has no effect for the duration of pregnancy.
    When the law was written, DNR's were not that common or known about, if I am reading the story correctly. Therefore they would not have taken DNR's into account. If the law specifically said, "This law superceeds all DNR orders" then we can say that for sure. Right now, if it is law that a DNR has to be followed, we have potentially conflicting laws and either the court or the lesislature needs to fix this.

    a) No DNR in this case, just the next of kin saying they probably would have wanted one.
    b) See above, even with a DNR in place, it would have no effect for the duration of pregnancy. The DNR would have specifically pointed this out before signing it.

    Which makes sense... It appears, of course, that what a legally valid DNR looks like varies quite a bit from state to state, certainly from nation to nation.
    Even without one in this woman's case (for which I double down on not faulting the hospital for playing it safe legally), this case highlights the need for women to be exceptionally clear in their DNR's and for the various laws to update, in either direction, in clear language how a pregnancy affects DNR's.
    Bi, Poly, Switch. I'm not indecisive, I'm greedy!

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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by JayDubya View Post
    There seems to be a lot of inconsistency in people's knowledge of what brain death is and is not.

    Brain death is permanent and lethal pathophysiology - there is no coming back from it because we can't repair brain damage - dead neurons are dead. The body can't regenerate them, no medicine, no gene therapy, no possibility of transplant for reasons that should be obvious given what the brain is and does, nothing is going to fix it. Because of this, brain death is death.

    And yet, what you have said is also false. You said you can't sustain life because of brain death - well, you can't repair that brain, certainly. You can artificially keep that body pumping blood and oxygen and nutrition for a very long time. Normally, you wouldn't, but in this case there's a quite logical and reasonable goal on a relatively short timetable.
    There simply is not a lot of research done on brain dead patients being supported more than a few hours. Because, well, it's unethical. There's a lot more to it than the brain not merely functioning. Regulation of blood flow to the gut is compromised. If she's being fed intravenously, intestinal autolysis is likely to take place in a couple of weeks. Sepsis is a risk. Muscle wasting and degradation. Abdominal fistulation.
    From the case of Jahi, who is on a feeding tube.
    she passed some stool that was clinically consistent with defecation of the tissues lining the bowel (i.e., her body is sloughing her gut).
    Tissue beneath the skin (subcutaneous and muscle) are showing gradual signs of deterioration including changes in skin "turgor" (elasticity) and increase in muscle contraction (due to loss of nervous sytem regulation).
    does not exhibit airway protective reflexes such as cough
    http://media.nbcbayarea.com/documents/HeidiFlori.pdf


    And what is the timetable?

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    Re: Texas Hospital keeping pregnant dead lady on life support

    Quote Originally Posted by rjay View Post
    Shocking?
    You do not know which law it is?

    Quote Originally Posted by year2late View Post
    And since you have not provided the law that indicates that dead people may be forced to stay on machines against the expressed demands of the next of kin, you have given us your answer
    The law the hospital is using to keep her on life-supporting machines.

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