Posted on 06/28/2006 5:52:02 AM PDT by wagglebee
OTTAWA, June 27, 2006 (LifeSiteNews.com) - In a press conference at the Ottawa Hospital today, doctors announced the first-ever non-heart beating organ donation (NHBD) procedure preformed in Canada.
The procedure, also known as donation after cardiac death (DCD), typically involves a person who requires a ventilator and, although he has measurable brain function, is determined to have no hope of recovery. The doctors then remove ventilation from the patient and wait for the heart to stop beating. If the heart stops for five minutes, death is pronounced and the organs are harvested by another surgical team.
One of the major ethical problems with the procedure is that there are cases where the heart has recommenced beating and circulation after five minutes of stoppage; another is that the stoppage of the heart is caused by the removal of the ventilator.
Organ donation by "brain death" remains controversial after 30 years of the procedure being practiced, but DCD is even more controversial since there is very little time left for ethical considerations. While with "brain death" organs can be harvested at leisure since machines keep air flowing into the lungs and blood circulating, with DCD the stoppage of the heart necessitates very quick harvesting as organs deteriorate without blood flow.
The presentation of Canada's first DCD sounded more like an emotion-laden sales pitch than a medical press conference. The Therien family was on hand to lend support to the organ donation method as their 32-year-old daughter, Sarah Beth, was the first-ever donor in Canada. Sarah's father noted that the family was Roman Catholic and needed to be assured that the procedure was not in violation of the faith. Mr. Therien said that he was assured by hospital staff, "Dr. Kim and his team", that it was not in violation of the Catholic faith.
Those assurances, however, ring hollow. The Catholic Church has not even finally pronounced itself on organ donations by "brain death" let alone the new DCD procedure. In 2003, the Archdiocese of St. Louis condemned the NHBD protocol saying it is "cruel and dangerous and does not meet standards of respect for human life." It called for an immediate moratorium on the practice "until such time as clearer, objective moral standards of determination of death are enacted."
LifeSiteNews.com spoke with Dr. Moira McQueen, President of the Canadian Catholic Bioethics Centre about the matter.
Dr. McQueen told LifeSiteNews.com that waiting only five minutes after cessation of cardiovascular circulation was "frankly . . . not nearly enough." She noted there have been cases of auto-resuscitation after more than five minutes without a heart beat. Even though organs may be harmed by waiting for a sure determination of death, the principal concern is an accurate determination of death, since otherwise the patient is being killed by organ extraction. "The important thing for us is that the person donating has to be dead," explained Dr. McQueen. "The organs are a secondary consideration, that being established first."
Dr. Cameron B. Guest, Chief Medical Officer for Trillium Gift of Life Network, the agency that handles organ donation in conjunction with the hospitals, spoke with LifeSiteNews.com about the controversy over timing. Speaking of auto-resuscitation, he said, "All of the cases that were reported happened in less than a minute."
Dr. Guest, also the Chair of the Organ and Tissue Donation Committee at Sunnybrook and Women's College Health Sciences Centre in Toronto, informed LifeSiteNews.com that Catholic hospitals in Ontario were looking to take on the CDC method.
Dr. Guest conceded however, that "If there were evidence to show that large volumes of patients" were resuscitating after five minutes his team would look into altering their protocols. That concession is not good enough for Catholic hospitals says Dr. John Shea, the medical advisor to Campaign Life Coalition. Where there is a doubt about ending life, Dr. Shea told LifeSiteNews.com, we cannot ethically proceed.
The pro-life movement is opposing CDC for those same reasons.
"The laudable purpose of saving lives does not justify the donation of an organ whose removal could cause the death of a donor," said Jim Hughes, National President of Campaign Life Coalition (CLC). "Harvesting organs just five minutes after the heart stops is just plain frightening. There are cases of people whose hearts have re-started after a longer period of time," he said.
"These situations put the physician in the difficult decision-making position between the care of their patient and balancing that care against the possibility of passing on the patient's organs to someone else," said Mary Ellen Douglas, National Organizer CLC. "The code of the physician is to do no harm and a heart-wrenching decision between two patients places the physician in the role of playing God."
See a short paper by Dr. Shea on NHBD
http://www.lifeissues.net/writers/she/she_21nonheartbeating....
Ping. This one is truly disturbing.
Civilization has markers. . .Canada has just given one up. . .
. . .and we only need to remember. . .Hilllary loves the Canadian Health Plan. . .
DISCUSSION ABOUT:
Controversial Organ Donation Method Begins in Canada - Organs Extracted 5 Minutes after Heart Stops
If the Culture of Death is allowed to continue, we will see the day when harvesting organs is the actual cause of death.
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I really do not see why... Not being a Catholic, I frankly couldn't care less about what the RCC says about this or any other subject... And I will gladly put an addendum in my living will to use this procedure if I am on a ventilator to harvest my organs...
It happens already, every chance the human chop shops get. Ever since the Death Cult (meeting in committee at Harvard in the late 1960s) defined some comatose conditions as "brain death," living patients have been carved up for their organs. It is a huge advantage for the carvers to retrieve organs as the heart still beats, so that the organs don't spoil. That was the whole point of redefining death -- to get organs for transplantation. Under the old definition of death, known and agreed by everyone everywhere, all body systems stop. Then you can't take the organs because they too die and begin to putrefy.
Personally I think any one who keeps someone on a ventilator to keep them alive when it has been shown that the other organs will die with out the ventilator is somewhat an unethical person. Personally I hope I don't end up like this.
Every man has his appointed time to die, and delaying it isn't going to make any difference to what God has ordain for those on earth, or for when the individual makes it to the Judgement seat of God. God at the beginning of time has already determine every mans fate. Man has got to learn to face his fate at the end of his life, and take it like a man.
So you think that if a child falls into a swimming pool and their heart stops for 5 minutes that the paramedics should start butchering them for organs rather than trying to restart the heart?!
I have very specific medical directives for what is to happen with me and exactly who is allowed to make decisions and under what conditions.
On a humorous side, Any body with a heart and lungs that would fail when the plug is pulled probably doesn't have any organs worth scavengening. The rest of the organs are probably wore out to.
Even though that box may be checked off, the heir still has to sign a consent for the harvest. Hospitals really C their A on this matter. The notion of a K-Mart for parts is farfetched.
Again, you are extrapolating ... But I will say that if it is determined that the child has no hope of recovery by doctors (and this isn't paramedic) and this child will be on a ventilator, I for one will give permission to harvest the organs...
I must say for an institution responsible for millions of death, the RCC and its minions put their nose were it isn't wanted...
Thank you, T'wit.
I've been trying to educate folks on this fact for 10 years now.
Organs from dead people are useless. They need organs from people who have been decalred dead through word craft, not through physical fact.
Pinz
Well, since you don't come into this with any obvious bias or agenda...
Lots of money in that racket. Doctors are under a lot of pressure to procure organs for donation, and there have been a lot of cases of "not dead yet". Which is why I no longer sign as a donor.
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