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Severely disabled girl 'kept small'
news.com.au ^ | November 02, 2006

Posted on 11/01/2006 4:38:55 PM PST by Piefloater

IN a controversial treatment, doctors in the US have given a severely disabled child drugs to keep her small and 'manageable' for her parents.

In a report published in a medical journal this month, the doctors described a six-year-old girl with profound, irreversible developmental disability who was given high doses of estrogen to permanently halt her growth so that her parents could continue to care for her at home.

The controversial growth-attenuation treatment, which included hysterectomy, was requested by the child's parents and initiated after careful consultation and review by an ethics committee.

In their report in the Archives of Pediatrics and Adolescent Medicine, doctors Daniel F. Gunther and Douglas S. Diekema, both at the University of Washington in Seattle, explained the reasoning behind what they hoped would generate healthy debate.

Dr Gunther is at the Division of Pediatric Endocrinology, and Dr Diekema is at the Centre for Pediatric Bioethics.

Caring for children with profound developmental disabilities could be difficult and demanding, they said.

For children with severe combined neurologic and cognitive impairment who are unable to move without assistance, all the necessities of life – dressing, bathing, transporting – must be provided by caregivers, usually parents, and these tasks become increasing difficult, if not impossible, as the child increases in size.

(Excerpt) Read more at news.com.au ...


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KEYWORDS: moralabsolutes
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To: SoldierDad
Hardly anyone takes the Hippocratic Oath these days. The specific promise you refer to was, "I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone." Obviously that was violated in this case.
101 posted on 11/01/2006 8:32:34 PM PST by T'wit (Due to Original Sin, the lesser of two evils is the only choice we've ever had. Vote GOP!)
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To: T'wit

Yeah, I guess. Please let everyone know who this doctor or doctors are so we can avoid using their services.


102 posted on 11/01/2006 8:38:37 PM PST by SoldierDad (Proud Father of a 10th Mountain Division 2nd BCT Soldier fighting in Mahmudiyah)
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To: Petronski

I have a serious question for those of you who support this. Would you feel the same way if parents applied for this treatment for a quadraplegic child of normal intelligence? The reasoning for such a step would be exactly the same that the child is completely reliant on the parents and the parents would find it increasingly more difficult to care for the child as he grew bigger and might have to bring in outside caretakers to help.

It seems to be perfectly acceptable with everyone mainly because the child is mentally retarded.


103 posted on 11/01/2006 8:45:06 PM PST by Elyse
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To: adiaireton8

The family that I knew had a child just like that, who lived to be 12 years old, until they took him to the hospital because his bowels were not functioning and their efforts to relieve the situation were not working. This had happened many times before, but this time the doctors refused to help, saying that it was time to let him go. The mother had seldom left the house for those eleven of those twelve years, but the family never forgave the doctors. Fortunately for them, the child never grew to normal size, but my neighbors now, have a son that will soon be too big for his mother to lift and care for the way she has. What will she do then?


104 posted on 11/01/2006 8:46:06 PM PST by Eva
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To: SoldierDad
The article refers to "...doctors Daniel F. Gunther and Douglas S. Diekema, both at the University of Washington in Seattle..." I have no idea who they are but their works speak for them.

As a rule of thumb, avoid "bioethicists" or doctors who are even on speaking terms with bioethicists. They are in same business as Drs. Mengele, Cranford and Kevorkian.

105 posted on 11/01/2006 8:51:37 PM PST by T'wit (Due to Original Sin, the lesser of two evils is the only choice we've ever had. Vote GOP!)
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To: Elyse
Small point:

I have a serious question for those of you who support this...

I, Petronski, do NOT support this, so mind your pronouns if you're replying to me.

106 posted on 11/01/2006 8:59:03 PM PST by Petronski (CNN is an insidiously treasonous, enemy propaganda organ.)
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To: Elyse
It seems to be perfectly acceptable with everyone mainly because the child is mentally retarded.

Precisely. You've nailed it. Severely mentally retarded children can have their growth stunted, their organs removed and their limbs removed (so long as it is done painlessly), because they are not going to use them anyway, and they are not going to know that they have been physically altered. People who think like this have equated personhood (and the rights that come with personhood) either with intelligence or with 'quality of life'.

-A8

107 posted on 11/01/2006 9:01:43 PM PST by adiaireton8 ("There is no greater evil one can suffer than to hate reasonable discourse." - Plato, Phaedo 89d)
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To: adiaireton8
What disease, exactly, is this procedure treating? None.

It facilitates the care necessitated by her developmental disabilities, and (WRT hysterectomy) prevents needless pain and hemorrhaging.

The procedure is in fact disabling what *is* functioning, not treating what is not functioning.

Some people have their wisdom teeth taken out, not because they are "not functioning", but because they can cause problems later.

108 posted on 11/01/2006 9:10:00 PM PST by Sloth (The GOP is to DemonRats in politics as Michael Jackson is to Jeffrey Dahmer in babysitting.)
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To: leda

I certainly admire your devotion to this substrata of our society. However, it might appear as a social Dem agenda. Just curious what makes you so devoted?


109 posted on 11/01/2006 11:26:28 PM PST by phantomworker (If you travel far enough, one day you will recognize yourself coming down the road to meet yourself.)
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To: GovernmentShrinker
If your mind was permanently stuck at an infant's cognitive level, you wouldn't care what size you were or why. However, this child sounds likely to be able to perceive the difference between being cared for by loving parents and being put in an institution to be cared for by a revolving cast of shift-workers. That was going to be the choice if she grew to adult size. Aging parents aren't necessarily able to lift a 150 pound person in and out of a super-crib, in and out of the bath, in and out of a car, etc.

**************

You make some good points. I thank God I have not had to make the kind of decisions these parents have.

110 posted on 11/02/2006 5:30:19 AM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: T'wit
That's fortune telling. Doctors are no better at seeing the future than anyone else. Indeed, how many times have we seen patients confound the prognoses of medical specialists? Neither can anyone foretell what new treatments will be available in the future. Medical advances in recent years have been utterly astounding. But it's too late for this child. The doctors have stunted her and sterilized her. They have done irreversible damage to her.

************

I suspect if I were the parents of this child, this would be my reasoning. There is always hope.

Yet they have my sympathy.

111 posted on 11/02/2006 5:34:11 AM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: trisham
>> Yet they have my sympathy.

Yes, of course. But I have no sympathy for the bioethics committee that dreamed up this plan to deform the child. It was they, surely, who made the decision. Mom and Dad would never have thought to do it or would even have known that it was possible.

112 posted on 11/02/2006 6:27:18 AM PST by T'wit (Due to Original Sin, the lesser of two evils is the only choice we've ever had. Vote GOP!)
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To: trisham
You make some good points. I thank God I have not had to make the kind of decisions these parents have.

This really is a heart wrenching story about bioethics. I also thank God I have not had to walk in these parents' shoes. And I admire those people who can devote their lives to caring for them, they are truly saints.

113 posted on 11/02/2006 6:51:34 AM PST by phantomworker (If you travel far enough, one day you will recognize yourself coming down the road to meet yourself.)
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To: Petronski

No, I'm sorry just didn't change it to all. :)


114 posted on 11/02/2006 6:51:46 AM PST by Elyse
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To: adiaireton8

You confuse ethics with usefulness.


115 posted on 11/02/2006 7:13:55 AM PST by Chickensoup (If you don't go to the holy war, the holy war will come to you.)
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To: merry10

And the child in your example. Most deaf people would want to hear if they could. It's not the same.


116 posted on 11/02/2006 7:15:56 AM PST by RockinRight (Maintaining a Republican majority is MORE IMPORTANT than your temper tantrum.)
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To: Elyse

I answered this above -- a child of normal intelligence will mentally age as well as physically age, and thus will have the capacity to consent to medical procedures or withhold consent.

When a person will develop the capacity to consent or withhold on his/her own, the decision should not be made by the family.


117 posted on 11/02/2006 9:48:00 AM PST by cammie
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To: adiaireton8

That's not at all what people are saying, but you have been unable to see what people are saying, so go ahead, stick with your agenda.


118 posted on 11/02/2006 9:49:01 AM PST by cammie
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To: wagglebee
"This is sickening!"

Not as sickening as your conmstant carping and holier than thou arrogance.

119 posted on 11/02/2006 9:54:00 AM PST by verity (Muhammed is a Dirt Bag)
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To: verity

I assume you think the better solution would simply be to kill her?


120 posted on 11/02/2006 9:57:36 AM PST by wagglebee ("We are ready for the greatest achievements in the history of freedom." -- President Bush, 1/20/05)
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