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The Gifts of Jahi
Townhall.com ^ | January 1, 2014 | Michelle Malkin

Posted on 01/01/2014 4:23:26 AM PST by Kaslin

New Year's Day should be a time of fresh beginnings and forward motion. But for the family of 13-year-old Jahi McMath, the holiday season has been suspended in a cloud of unfathomable pain and suffering: A routine tonsillectomy gone wrong. A beautiful child declared "brain dead." Lawyers, TV cameras, tears.

The McMaths are fighting for life. On Monday, they won a court order that prevents Children's Hospital of Oakland from pulling the plug on Jahi until Jan. 7. Her relatives have been attacked as "publicity hounds" for doing everything possible to raise awareness about the young girl's tragic case. They've been criticized as troublemakers for challenging powerful hospital officials. They've been labeled "selfish" and ignorant because they are praying for a miracle.

Why, many observers ask, don't they just "accept reality" and let go?

As the mother of a 13-year-old girl, I would have done everything Jahi's mom has done to this point. Everything. Here's reality: Children's Hospital faces serious malpractice questions about its care of Jahi. Hospital execs have a glaring conflict of interest in wielding power over her life support. According to relatives, medical officials callously referred to Jahi as "dead, dead, dead" and dismissed the child as a "body."

The McMath family refused to be rushed or pushed around. They demanded respect for their loved one. I say more power to them.

There are plenty of reasons to question the medical establishment's handling of catastrophic cases involving brain injury and "brain death." In 2008, doctors were dead certain that 21-year-old Zack Dunlop was legally deceased after a horrible ATV accident. Tests showed there was no blood flow to his brain. His hospital issued a death notice. Authorities prepared to harvest his organs. But family members were not convinced. A cousin who happened to be a nurse tested Zack's reflexes on his own one last time as the hospital swooped in. The "brain dead" "body" responded. Forty-eight days later, the supposedly impossible happened: "Brain dead" Zack Dunlop walked out of the hospital and lived to tell about his miraculous recovery on the Today Show.

The immense pressure Jahi's family faces to give up and give in reminded me of another child written off by medical and government officials: Haleigh Poutre. She's the miracle child who was nearly beaten to death by her barbaric stepfather. Hooked to a ventilator in a comatose state, she was then nearly condemned to death by Massachusetts medical experts and the state's criminally negligent child welfare bureaucracy, which hastily declared her to be in a hopeless vegetative state and wanted to pull the plug on her life.

The "experts" were wrong. Haleigh breathed on her own; a caring team of therapists nursed her back to health. Soon, she was brushing her hair and feeding herself. She lived to testify against her abusive stepfather, now behind bars. Her survival is a stark warning against blind, yielding trust in Big Nanny and Big Medicine.

We don't know what God has planned for Jahi. But I do know this: America has become a throwaway culture where everything and everyone -- from utensils to diapers to cameras to babies -- is disposable. Elites sneer at the sanctity of life. The Terri Schiavo case brought out the worst, most dehumanizing impulses of American medical ethics debates. And from the attacks I've seen on the McMath family, little has changed.

Schiavo's brother, Bobby, knows exactly how it feels to battle the culture of death and medical expediency. His group, Terri's Network, and other pro-life organizations are trying to help with Jahi's transfer to a long-term care facility. In the meantime, Jahi's plight serves as a teachable moment for those with ears, eyes and hearts open. This is a gift. "Families and individuals must make themselves aware of what so-called 'brain death' is and what it is not," Schindler advises. "Additionally, families and individuals must educate themselves regarding their rights as patients, the advance documentation that must be completed prior to any medical procedure as well as how to ensure best any patient's rights."

Jahi's story should also prompt family discussions about living wills, durable powers of attorney, "do not resuscitate" orders, revocable trusts and advance directives. It's never too early to broach these uncomfortable matters of life and death.

I want to thank Naila Winkfield and the McMath family for not "letting go" so easily. Their plight is every parent's worst nightmare. Their fight reaches beyond ideology, race, and class. The united front of the family and the public testaments of their faith in God are gifts. The Instagram image of Naila clasping her daughter's hand at her hospital bedside -- the hope, the desperation, the abiding love -- is universal. At the start of 2014, the greatest gift of Jahi is her transcendent reminder that all life is precious. Let it not be taken for granted.


TOPICS: Culture/Society; Editorial
KEYWORDS: acultureoflife; jahi; jahimcmath; lifesupport; tonsillectomy

1 posted on 01/01/2014 4:23:27 AM PST by Kaslin
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To: Kaslin

They are free to do what they want. They are hoping for a miracle that will not occur.

And I know this sounds cold, but who will pick up this tab?

I pray for this little girl.


2 posted on 01/01/2014 4:44:38 AM PST by Vermont Lt (If you want to keep your dignity, you can keep it. Period........ Just kidding, you can't keep it.)
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To: Kaslin

Prayers for this child and her parents. May G-d protect them.


3 posted on 01/01/2014 4:45:33 AM PST by MestaMachine (My caps work. You gotta earn them.)
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To: Vermont Lt

The hospital caused it. The hospital should pay for it.


4 posted on 01/01/2014 4:48:43 AM PST by MestaMachine (My caps work. You gotta earn them.)
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To: MestaMachine

Oh, I am sure they will. Yes, early in the morning I hadn’t thought that through. You are correct.

Doesn’t change the fact that this little girl ain’t coming back.


5 posted on 01/01/2014 5:10:44 AM PST by Vermont Lt (If you want to keep your dignity, you can keep it. Period........ Just kidding, you can't keep it.)
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To: Kaslin

FTA: “A routine tonsillectomy gone wrong.”

Usually, I’m in full agreement with Michelle. In this instance, she proceeds to write an article based on a flimsy and medically imprecise statement that does not cover the actual procedure. The child had sleep apnea and was having her entire nasal and throat passage re-formed in order to accommodate her weight issues (see photo in another post.) This is way more involved than “a routine tonsillectomy.”


6 posted on 01/01/2014 5:52:45 AM PST by T-Bird45 (It feels like the seventies, and it shouldn't.)
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To: T-Bird45
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.)

http://www.nbcbayarea.com/news/local/Judge-Orders-Oakland-Hospital-to-Keep-Jahi-McMath-on-Life-Support-236808851.html

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.

http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/

http://www.webmd.com/sleep-disorders/sleep-apnea/sleep-apnea

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

7 posted on 01/01/2014 6:15:26 AM PST by MD Expat in PA
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To: T-Bird45

That’s the first I’ve heard that she had sleep apnea.....actually I have NEVER heard ANY DETAILS about what happened.


8 posted on 01/01/2014 7:41:03 AM PST by Ann Archy (Abortion......the Human Sacrifice to the god of Convenience.)
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To: MestaMachine

pay for what? to continue what?

The family has not found a single MD or creditable facility in the US that will accept this child’s vent-oxygenated corpse - only some quack faith healer in NY who used to be a hairdresser...Not One! What does that tell us?

Now problem is, the coroner has already pronounced her dead! So corpse transfer protocols apply

Sure the hospital will be sued and they will pay for medical claims, but all medical opinion is that this child is a corpse. A judge and ambulance chasing lawyer and emotion are preventing the family getting the counseling they need to let her go


9 posted on 01/01/2014 8:30:11 AM PST by silverleaf (Age takes a toll: Please have exact change)
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To: silverleaf

silverleaf, I have been pronounced dead more than once. (Some people might think I still am.) But here I am. There seems to be a particular coldness about this that just gets my hackles up.
No one knows what the human brain is capable of. ‘Miracles’ have happened before. This little girl is someone’s beloved child, not just a number.


10 posted on 01/01/2014 10:32:29 AM PST by MestaMachine (My caps work. You gotta earn them.)
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To: MestaMachine

oh I know, I have lost and buried a child

however

when not a SINGLE hospice facilty in California or in this country is willing to take this case

and not a single US neurosurgeon or neurologist is willing to testify there is hope for any recovery (even a limited one) ... you have to suspect that they investigated and determined that this child is dead. Her organs are probably rotting. They claim the hospital is not providing nutrition and the child is dwindling. A cadaver can be hydrated and ventilated for some period of time, but cannot digest food. The parents mistake warm skin and the hiss of air forced into her lungs, for life

I understand loss. and probably also their deep deep denial since they are being enabled by some judge. But from what is being reported, there is OVERWHELMING silence from ANY medical professional or care facility - They (and the judges and lawyer) need to face what others HAVE faced


11 posted on 01/01/2014 10:59:48 AM PST by silverleaf (Age takes a toll: Please have exact change)
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To: silverleaf

My heartfelt condolences to you. I am extremely sorry for your loss. Being a parent, you never want to give up hope and I think if it was my child I would exhaust every last gasp to try and save the most loved person in my life. I can’t condemn them for this. The whole thing is just too sad for words.


12 posted on 01/01/2014 11:51:03 AM PST by MestaMachine (My caps work. You gotta earn them.)
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To: Vermont Lt

Did you read the accounts in the above OP of those who DID come back?

“A cousin who happened to be a nurse tested Zack’s reflexes on his own one last time as the hospital swooped in. The “brain dead” “body” responded. Forty-eight days later, the supposedly impossible happened: “Brain dead” Zack Dunlop walked out of the hospital and lived to tell about his miraculous recovery on the Today Show.”

and more stories in the article, and if you search the internet, you can find more.


13 posted on 01/01/2014 11:21:08 PM PST by Sun (Pray that God sends us good leaders. Please say a prayer now.)
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To: silverleaf
Yes, they haven't found a facility, because of what the hospital is doing. Doctors usually protect other doctors. And as you put it, not all medical opinion says this child is a corpse. By the way, the standard on these things has changed over the last 20 years to suit the left wing opinion.

You sound like a total Obama-brownnosing lackey.

14 posted on 01/02/2014 12:55:10 AM PST by nickcarraway
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To: silverleaf

How come some facilities were willing to take her, until pressure was exerted on them? This hospital is not impartial, since they are trying to cover up and save money.


15 posted on 01/02/2014 12:56:51 AM PST by nickcarraway
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To: silverleaf; MestaMachine
You conveniently, ignored the fact MestaMachine has been declared dead more than once. That must make you mad that he's still able to post on Free Republic after medical there was no hope for his recovery. You should do something against the judge the enabled his family to claim he's still alive. Galling isn't it?
16 posted on 01/02/2014 12:59:48 AM PST by nickcarraway
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To: nickcarraway

I just don’t happen to believe the hospital and doctors are bad guys, here, and that every doctor and hospital in the US is wanting to pull the plug because they are all in on an attempted malpractice coverup. If there have been doctors and hospitals who disagreed with the pronouncement of death in this case, or any “pressure” , I haven’t read anything about it. Been mostly following the case on Mail Online, a Brit news source with no AMA/obamacare agenda

in addition to losing a child, had a family member become an organ donor after brain death several years ago, and don’t think the family doesn’t still agonize over that decision

how about some anger management here
Obama brown nose? Really? Is that the worst you can do to someone who disagrees with your analysis?

I’m done


17 posted on 01/02/2014 4:49:05 AM PST by silverleaf (Age takes a toll: Please have exact change)
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To: Sun

Each of those stories have issues that are not brought out in the stories.

Miracles are wonderful.

This kid is, unfortunately, dead. It is horrible. And it’s not fair. But it’s also not fair to this girl to hold on for the parents sake.


18 posted on 01/02/2014 5:28:18 AM PST by Vermont Lt (If you want to keep your dignity, you can keep it. Period........ Just kidding, you can't keep it.)
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To: nickcarraway
not all medical opinion says this child is a corpse.

Every doctor who has actually examined Jahi has concluded that she is irreversibly brain dead, --doctors both attached to the hospital and independent of it.

19 posted on 01/02/2014 9:50:11 AM PST by Drew68
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To: Drew68

Gee, what a surprise, since the hospital cherry picker who could see her and pressured everyone who wanted to be involved. So now that we have Obamacare, all U.S. citizens are property of the government, and the hospitals they command?


20 posted on 01/02/2014 1:21:02 PM PST by nickcarraway
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To: MD Expat in PA

How do you know that, unless the hospital violated her HIPAA rights?


21 posted on 01/02/2014 1:22:10 PM PST by nickcarraway
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To: nickcarraway
How do you know that, unless the hospital violated her HIPAA rights?

I only posted what has been reported in the link I provided and what has also been stated by some other news outlets – that this was not just a routine tonsillectomy (not that any surgery is routine), but that the tonsillectomy was just one of several surgical procedures performed that day. Also post-op, rather than being kept for a short time in a recovery room and then sent to her hospital room, she was sent to ICU as would be normal for someone like Jahi who was morbidly obese (and perhaps had other underlying health conditions) and had just undergone such major surgery.

As to whether any of this information violated HIPAA, I don’t know for sure. The family and their lawyer have made a lot of statements, the hospital’s lawyer also, at least before the family filed a restraining order preventing the hospital and doctors from saying pretty much anything except what’s been disclosed in court. Since the court as far as I know, hasn’t put a gag order in place, any information that is part of court filings and procedures would, I believe be a matter of public record and not covered by HIPAA.

My point is that many in the MSM have often reported and repeated that this was a routine tonsillectomy which it certainly wasn’t.

22 posted on 01/02/2014 3:01:42 PM PST by MD Expat in PA
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To: MD Expat in PA
Again, you don't know that, you selectively repeat things that support the hospital and ignore anything else?

Let's be honest here, would you ever, under any circumstance, say something which criticized a hospital?

23 posted on 01/02/2014 6:22:59 PM PST by nickcarraway
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To: nickcarraway
Again, you don't know that, you selectively repeat things that support the hospital and ignore anything else? Let's be honest here, would you ever, under any circumstance, say something which criticized a hospital?

What am I ignoring and what makes you think I would never under any circumstance, say something which criticized a hospital? If you are assuming that I am a doctor because of my screen name and therefore am sticking up for my “kind”, you are wrong. The MD is “Maryland” not “Medical Doctor” if that is what you were thinking.

However, I don’t and neither do you know if the doctors and or the hospital staff are at fault for the girl’s death. According to what the family and their attorney says; when Jahi started bleeding heavily, they were told the bleeding was “normal” and the nurses didn’t do anything at first or until it was too late it is alleged. If that is true, then the hospital should be sued and her family compensated for a wrongful death and I contrary to what you seem to assume, would support that outcome.

According to this, it sounds to me as though in the ICU, her severe bleeding was not promptly addressed:

http://www.contracostatimes.com/news/ci_24819771/document-appeal-describes-jahi-mcmaths-post-surgical-bleeding

However also understand that just because someone dies after surgery, that doesn’t necessarily mean the doctors and the hospital screwed up. And again, this was not just a routine tonsillectomy. She also had her adenoids removed; her uvula reduced and had nasal surgery for a deviated septum, all in an effort to alleviate her severe sleep apnea. I’m sorry you think those facts are “selective” or only in support of the hospital. But those are the facts.

Any one of those surgeries has risks of complications, namely profuse bleeding (look it up for yourself if you don’t believe me). And sometimes patients have unexpected complications; some patients don’t react well to anesthesia, their blood doesn’t clot normally, a blood clot breaks loose and a hemorrhage occurs, or the stress of surgery causes a heart attack; consider that even though she was young, Jahi was morbidly obese and we don’t know anything about her medical history or any underlying conditions she might have had. She didn’t die directly from blood loss BTW – she died from a massive heart attack. However, hypovolemic shock, i.e. severe blood loss can cause a heart attack and very well might have in this case, however we don’t know if by the time Jahi was given blood, if it wasn’t already too late to save her or if the heart attack was the result of blood loss, how much blood loss there really was or if the heart attack was coincidental to the bleeding. FWIW I had a tonsillectomy when I was 18 and yes, there was a lot of post-op blood which lasted for days. It was nasty and disturbing but it was “normal”. And bleeding from the nose and mouth after also having a uvula reduced and nasal surgery would not be uncommon or abnormal. Of course copious amounts of blood, i.e. hemorrhaging, gushing blood would not be normal and if that was ignored and not responded to as a medical emergency, then yes, the hospital would IMO be a fault.

But sometimes, in rare cases the doctors and nurses do everything right by the book and the patient still dies. That is why, when you or I consent to having surgery, even “minor” outpatient surgery or even a tooth extraction, we sign a release form, one that lists all the possible risks and complications, including the risk of death.

Then this is this from a court document:

In the document, the family's attorney, Christopher Dolan, says "originally the surgery was uneventful and (Jahi) awoke from sedation in the recovery room speaking with her mother ... (and) asking for a popsicle."

The girl was brought to the intensive care unit, where her mother was told that caregivers would fix her IV, the document states. After 25-45 minutes, her mother found her sitting up in bed and bleeding from the mouth.

Another request for help from Jahi's family brought a larger container to collect blood, and, later, a suction device. Jahi's grandmother, herself a nurse, "made multiple requests, and then a loud demand, for a doctor."

Consider this “inconvenient” tidbit. Why was Jahi “speaking” to her mother and asking for a popsicle in the recovery room right after she came to? I would think that considering the surgery she just had, that she and her mother would have been given instructions, just as I was just for a tonsillectomy, not to attempt to speak and not to eat or drink anything for the first 12-24-hours. Did her mother give her a popsicle? Did she or the grandmother encourage her to speak? Did they overreact and get Jahi overly excited and afraid when they saw her bleeding? Was the initial amount of bleeding normal, but exasperated by perhaps the mother or grandmother who is a nurse but what kind of nurse; an RN, LPN or a nurses aid, got carried away with the suctioning and dislodged a blood clot and made matters worse?

Of course this is conjecture without all the facts in evidence, but if we are going to conjecture and jump to the conclusion that the hospital killed the poor girl, then it is also fair to conjecture and at least ask questions about the family’s actions. No?

But no matter what happened and why and how, Jahi is very sadly dead. She isn’t in a coma or in a PVS, her brain ceases to function on any level, there are no signs of any electrical activity in any part of her brain, even the brain stem, and there is no blood flow, her pupils are fixed and dilated, she does not breath on her own without the artificial respirator and all this has been confirmed by multiple tests performed by at least 3 neurologists over the course of several weeks. Her heart continues to beat, her body still feels warm to the touch, her muscles sometimes jerk and spasm but that does not mean she is alive.

Q: Is there any scientific basis for the family's belief that the girl is responding to the family, is aware of her surroundings, or could recover?

A: No, according to Nancy Berlinger, a bioethicist with The Hastings Center, a nonpartisan research institute devoted to health and medical issues.

"One of the things very confusing about cases like this is that the patient looks alive, the heart is beating, the body has a normal color ... the body feels warm," Berlinger said. "What is going on now is the maintenance of function by mechanical means."

Children's Hospital spokesman Sam Singer said Jahi's family also could be mistaking the movements they say she has made to an involuntary muscle reflex sometimes seen in brain-dead patients that doctors call the "Lazarus effect."

Q: How long can a person who is brain dead survive?

A: It's hard to know because in most cases families agree to suspend mechanical means of support, but it's safe to assume that a ventilator will not keep a patient's heart beating indefinitely, according to J. Randall Curtis, a professor of medicine and an intensive-care unit doctor at the University of Washington. The brain stem, the part that controls breathing, is no longer functioning in a brain-dead person. Although a ventilator can keep the heart and lungs working for a while, the organs will eventually shut down without input from the brain, Curtis said. Ventilated patients also are at risk of infection, he said.

"People's hearts have continued beating for a month sometimes, with the ventilator, but no one has ever been documented to be brain dead and come back from it," Curtis said.

http://www.npr.org/templates/story/story.php?storyId=258709291

24 posted on 01/03/2014 5:24:26 AM PST by MD Expat in PA
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