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To: goodwithagun
I'm trying to figure out why they had pictures of her in the hospital BEFORE the surgery.

And the operation was to relieve a sleep apnea problem....not tonsillitis.

I'm betting this kid had a lot of problems.

9 posted on 12/30/2013 5:10:06 PM PST by Sacajaweau
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To: Sacajaweau

Removal of tonsils and adenoids is protocol for childhood sleep apnea. The c-pap mask is not the first option. If the child is overweight (like this poor soul) then the doc should make that the first protocol, followed by the mask. It’s frightening that the medical “profession” goes straight for surgery.

22 posted on 12/30/2013 5:59:20 PM PST by goodwithagun (My gun has killed fewer people than Ted Kennedy's car.)
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To: Sacajaweau
I'm trying to figure out why they had pictures of her in the hospital BEFORE the surgery. And the operation was to relieve a sleep apnea problem....not tonsillitis. I'm betting this kid had a lot of problems.

Contrary to what has been reported and often repeated by the MSM, this was not just a “simple routine tonsillectomy”.

“Doug Straus said this case is not about a “routine” tonsillectomy. He said the surgery was complicated from the beginning, as three procedures were being done simultaneously. The three surgeries, according to court documents, were: an adenotonsillectomy; a uvulopalatopharyngloplasty, or UPPP, which is tissue removal in the throat; and submucous resection of bilateral inferior turbinates, which is nasal obstruction.” (deviated septum, i.e. nasal surgery.)

She evidently had very severe obstructive sleep apnea which was confirmed by a sleep study performed prior to the surgery. She didn’t just have a little trouble sleeping and snored a bit too loudly but would stop breathing all together several times during the night and that cause her not only her to feel lethargic, but also according to what I’ve read caused her to have other problems like not being able to concentrate at school, mood swings and even wetting herself- urinary incontinence is not uncommon in people with severe sleep apnea. And while people who are overweight are more prone to sleep apnea, untreated sleep apnea increases the risk obesity and makes it harder to lose weight gained and also increases the risk of high blood pressure, heart attack, stroke, diabetes and makes heart arrhythmias more likely. Acid reflux is also often a result of sleep apnea. Sleep apnea can be for some people a very serious condition that left untreated, can lead to serious and potentially fatal complications even without surgery. And who knows what conditions this poor girl had other than sleep apnea.

This was not at all a routine or minor surgery. Then again, no surgery is simple or routine and without risks.

So I have to wonder why the family says that Jahi was sitting up and laughing and talking to them and asking her mother for popsicles only an hour so after this very major surgery. I also have to wonder about this statement:

“Sometime after the seemingly uneventful Dec. 9 surgery, Jahi was taken to the ICU and Winkfield said she was told the staff had to fix her ICU. About 45 minutes later, Jahi was brought back to her room and was sitting in bed, bleeding from her mouth.”

“"It was normal," Winkfield said the nursing staff told her.”

“Winkfield then said she asked for a doctor. Instead, she said she was given a bigger container for Jahi to bleed into, and later, a suction device to suction out the "increasing volume of blood," the court request states.”

I have to wonder if 1) the family wasn’t following post op instructions to keep Jahi quite and calm, try to keep her from talking, live alone from laughing and not to feed her anything so soon and 2) if someone, either the mother or grandmother who is said to be a nurse although it is not clear whether she is an RN, LPN or a nurses’ aid, got a bit carried away with the suctioning and exasperated the bleeding or caused a hemorrhage to occur. Then again why would the hospital give a suctioning device to the family to use, unless the grandmother, saying she was a nurse and knew how to use it properly convinced them that she could administer care herself????

I’m not saying that this is what happened but it is possible. Of course it is also possible that the bleeding for whatever reason was way beyond normal and that the staff at the hospital didn’t respond quickly enough or ignored her worsening condition. If that is the case then the hospital would be liable for her death. But that’s not to say that the surgeon was at fault either. That’s not also to say that being obese and perhaps with other underlying conditions, that Jahi didn’t suffer a heart attack coincidental but unrelated to the bleeding.

But we won’t know for now or for a while because all we have is the family’s side of the story because they won’t give permission to the hospital to speak to any of the details of what happened and even obtained a restraining order to keep the hospital from doing so. I’m guessing there will be a malpractice and eventual “wrongful death” suit and that all manner of information will come forward.

FWIW, I had a tonsillectomy when I was 18 years old because of severe tonsillitis, an infection so severe and so chronic, too long gone untreated, that the ENT doctor who finally saw me put me in the hospital the very next day for surgery, saying that the infection was so severe, that he was amazed that I hadn’t succumbed to species – I was just that sick.

But after my surgery which was only a tonsillectomy and removal of my adenoids, my parents and I were given instructions that I should not even attempt to talk or attempt eat or drink anything other than ice chips for the next 24-hours and even after that, for the next day or two, that I should only have fruit juice popsicles and Jello in moderation and try to refrain from talking and stay in bed in a semi-reclined position for the next few days.

But I do very vividly recall that shortly after I came out of recovery and was brought to my room for my overnight stay; that I started shivering severely and shaking uncontrollably, like I was freezing to death, except I was not and did not feel cold. A very quick thinking nurse, an RN realized that I was either going into shock (evidently as this- bleeding is not so unusual for a tonsillectomy, and I had from what I was told, bled a lot) or I was having a bad reaction to the anesthesia, she ran out of my room and very quickly came back with a syringe. She rolled me over and plunged the syringe into my butt and within minutes I stopped shaking and felt fine.

I also remember coughing and spitting up blood, a good bit of it and some bleeding from my nose and feeling blood go down the back of my throat in huge clots for several days after the surgery – it was to say the least, quite uncomfortable. But this is rather normal for this type of surgery although quite disturbing. And I can imagine after seeing a friend go through surgery for and recovery from a deviated septum which also results in a good bit of post-op bleeding, that the combination of these surgeries that Jahi had would result in a good deal of post op bleeding.

And if I understand correctly, throat and nasal surgery often has a potential for bleeding even life threatening bleeding because the surgeon can’t simply suture and put a dressing on it and wait for a external scab to develop; the soft mucus membranes in the throat and nasal cavities can be cauterized but they can’t be sutured and bandaged in the same way that is done in other types of surgeries.

It is very sad and tragic, what happened, but then again, no surgery is without risk. And sadly she’s been confirmed to be brain dead, not by just one neurologist but several including the one appointed by the court and by various means of determining brain death. And there isn’t any chance of waking up from true and properly diagnosed brain death.

One of my great nieces, 5 years old, recently had surgery to put in ear tubes and have her adenoids removed because of chronic ear infections. The ENT also recommended removing her tonsils even though they were not enlarged nor infected. Her mom read up on the risks, especially the potentially fatal bleeding risks associated with tonsillectomies and had a conversation with the ENT several days before the surgery and asked him to explain why he was recommending a tonsillectomy and his best answer was “I might as well since I’m in there - they might have to come out eventually”. My niece countered with “that’s not a good enough reason to remove a healthy organ and increase the risks of complications”, to which the ENT said, “Yes, you’re right, it’s not”.

63 posted on 12/31/2013 3:22:27 PM PST by MD Expat in PA
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