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Girl Brain Dead after Tonsillectomy

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EaglesWings21 is a ASN, RN and specializes in Medical Surgical.

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You are reading page 12 of Girl Brain Dead after Tonsillectomy. If you want to start from the beginning Go to First Page.

psu_213 has 6 years experience as a BSN, RN and specializes in Emergency, Telemetry, Transplant.

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I would want to work somewhere where I wouldn't have to risk being accused of being derelict in my care.

Unfortunately, I'm not sure such a place exists. I had a woman in her 70s. Came in to the ER via EMS for a (mild) nosebleed. Nasal clamp was on, not actively bleeding. Waiting for the doctor to come to see her. I was at the nurse's station charting. The pt's daughter comes over to me and says to me "are you just going to sit there while my mother bleeds to death...I didn't know I should have brought my lawyer with me." Even the "simple" cases can cause you be (wrongfully) accused of being derelict.

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LadyFree28 has 10 years experience as a BSN, RN and specializes in Pediatrics, Rehab, Trauma.

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Now the second place in California that had "agreed" to accept her has backed out and a facility in New York is their "only hope". I can't imagine the legal nightmares involved in transporting a corpse- which remains on a ventilator- 3' date='000 miles across the country. CHO has also not agreed (rightfully so) to do surgery for either a trach or a G-tube. And, what of this facility in New York? Children who are not brain dead who require chronic vents, trachs, etc are typically on Medicaid in my state. She's not a resident of New York so won't qualify for its Medicaid and, if she's on California's Medicaid, it likely won't pay for long-term care out of state. I don't think any insurance is going to pay for this case, regardless, though since she was declared dead 3 weeks ago. I sincerely doubt that any of these facilities ever really accepted her- the family probably contacted them with an incomplete story and left out the fact that six different physicians have concluded that she is brain dead and that they have no way to pay for her care. Long term care facilities are not emergency rooms... they do not have to accept anyone who shows up, regardless of their ability to pay. Jahi McMath: New York facility is 'last hope' for girl declared brain dead, family say - U.S. News

The family is out of gas on this one; no money, no transfer...

If it all come out (which I seriously think it will-just much more quieter) with the TRUE cause of death is, and it may be in the hospital's favor...

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The mom has a Go Fund Me campaign to raise 20k, as of this morning she had over 14k in donations. The mother is obviously in extreme and unhealthy denial, I get that. But why has the ENTIRE family including the grandmother who is a nurse, acting so insane?

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LadyFree28 has 10 years experience as a BSN, RN and specializes in Pediatrics, Rehab, Trauma.

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The mom has a Go Fund Me campaign to raise 20k' date=' as of this morning she had over 14k in donations. The mother is obviously in extreme and unhealthy denial, I get that. But why has the ENTIRE family including the grandmother who is a nurse, acting so insane?[/quote']

Mostly guilt that at be soo deep for other reasons that they want to do SOMETHING.

The money will run out....they have no way of sustaining this; the money the need is to pay this lawyer and medical bills; the hospital will be able to cease all "life sustaining" activities soon.

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Rose_Queen is a BSN, MSN, RN and specializes in OR, education.

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My local newspaper just posted a story on the family trying to find somewhere to send her. The comments on it just make me shake my head at how little people know about brain death- someone even posted that if she were brain dead, a ventilator wouldn't do anything, and if she weren't going to the bathroom, then she'd just blow up like a balloon. This just goes to show how badly end of life care education is needed in this country.

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KelRN215 has 10 years experience as a BSN, RN and specializes in Pedi.

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The mom has a Go Fund Me campaign to raise 20k, as of this morning she had over 14k in donations. The mother is obviously in extreme and unhealthy denial, I get that. But why has the ENTIRE family including the grandmother who is a nurse, acting so insane?

The Go Fund Me account has over $18K now. Nowhere is going to accept this body. What happens to all this money, then, when there is no accepting facility at 5PM tomorrow and she is removed from support? I guess then Mom has money for the funeral...

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KelRN215 has 10 years experience as a BSN, RN and specializes in Pedi.

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Also... WOW:

Now, I admit that I do not have vent experience so I don't know what he's talking about when he says "green lines" or "pink lines" but the uncle now believes that a child who's been brain dead for 3 weeks is breathing on her own?

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JustBeachyNurse has 10 years experience as a RN and specializes in Complex pediatrics turned LTC/subacute geriatrics.

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The comments regarding the vent are related to the "I'm not a neurologist but I say brain death does not exist" physician from Canada that insists a respirator would not compensate for a lack of expiration.

Even in brain death there are still some primitive spinal reflexes which appear to be movement. As contractures begin to form there will be movement. Likely she is on a specialized air mattress bed that vibrates/moves to prevent ulcers and that can cause what may be perceived as movement.

When my father died the specialized bed caused the pulse ox to read in the 60% range. The bed movement created artifact that the RN interpreted as an apical hr. The RN was afraid to pronounce. When I finally got my mom out of the room I hooked the pulse ox to the bed rail and unplugged the bed and finally got the nurse to pronounce (facility would not permit the hospice nurse to pronounce. For some reason the new grad RN was afraid to pronounce a cold, blue, hospice patient.) It took 2 hours to get her to agree he was very much gone.

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RainMom has 7 years experience.

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Wow, this story has become the train wreck I can't look away from. The family's FB page is open & the number of uninformed comments re: brain death vs coma/TBI....geesh

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993 Posts; 15,896 Profile Views

The family keeps saying brain injury. Brain injury and brain death are entirely different.

It seems like the family is committing fraud by asking for donations... They are telling people that she is alive, when the little girl is dead and people who have been dead for 3 weeks never come back to life.

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Esme12 is a ASN, BSN, RN and specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

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I wonder what will happen to all the money when they can't find a place to take her.

I'm trying to keep thinking that hey are just crazed with grief...I hope they don't prove me wrong.

What I wouldn't give to peek at that chart.

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Palliative Care, DNP specializes in Family Nurse Practitioner.

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NBC News Update...

Children’s Hospital Oakland continues to support the family of Jahi McMath in this time of grief and loss over her death. We continue to do so despite their lawyer’s criticizing the very hospital that all along has been working hard to be accommodating to this grieving family."

We have been waiting since Friday 12/27--when we were first told by the family lawyer of a potential facility that might accept the body of Jahi--for a call from a physician to discuss with our medical staff what may be necessary to transfer the deceased. Our physicians have yet to receive a single call or message from the facility under consideration.

The letter/email below was sent to Chris Dolan, the McMath family lawyer, at approximately noon today, Dec. 29, by Children’s Hospital Oakland’s attorney Douglas Straus:

Chris,

I learned from your statements to the media that the Southern California sub-acute facility will not accept Jahi McMath’s body because the physicians there do not want to treat a dead body. Children’s Hospital understands that this is a very difficult time for Jahi’s family. Children’s will continue to do what it can do to support the family. In that regard, Children’s position has been consistent:

1. Children’s will be pleased to communicate directly with a physician at any facility that is considering accepting Jahi’s body to make sure Children’s understands the requirements set by that facility for accepting the body and to ensure that the facility understands the current condition of the dead body and what is being done to maintain it under Judge Grillo’s temporary restraining order. Of course, the family’s representatives can observe that communication.

2. Children’s needs to be assured that there is a lawful transportation plan to any facility to which transfer is proposed.

3. If the proposed facility is out-of-state, Children’s needs written assurances from the Coroner that their office will allow the transfer.

To date, there has been no communication from any facility named by you regarding a transfer or requirements for transfer with any of the medical professionals at Children’s. The family has not identified any facility with which Children’s can have this dialogue. Nor have we been provided with a transportation plan or coroner authorization.

As your email and your statements about the facility in the Los Angeles area acknowledge, discussion about performing medical procedures upon a dead body presents unusual and complicated questions. Until there is a definite commitment by a facility to accept Jahi’s body upon specified terms, I don’t think I can tackle those issues. Please let me know if the family is able to identify a facility.”

Doug Straus

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