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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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Caffeine_IV has 7 years experience and specializes in LTC, med/surg, hospice.

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You all are giving opinions from a medical perspective. Put yourself in the Mother's shoes.

I believe the mother feels quite guilty. She stated in the article that her daughter was apprehensive about the surgery and felt something would go wrong and she wouldn't wake up. She decided for her to have the surgery and here is where we are. Something went wrong and she isn't waking up. Guilt city for a mother.

The update I read is that they want to transfer her to a facility for long term care but need the hospital to do a trach and PEG.

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

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I believe the mother feels quite guilty. She stated in the article that her daughter was apprehensive about the surgery and felt something would go wrong and she wouldn't wake up. She decided for her to have the surgery and here is where we are. Something went wrong and she isn't waking up. Guilt city for a mother.

The update I read is that they want to transfer her to a facility for long term care but need the hospital to do a trach and PEG.

Here's an article on that, in case anyone is interested: Hospital won't help brain-dead teen Jahi McMath move to nursing home - CBS News

The family's attorney has said he will appeal to Federal court to force the hospital to do surgery for a trach and a PEG.

What I want to know is... what happens if she cardiac arrests while all these court proceedings are in limbo? The hospital is under no legal obligation to attempt resuscitation on a patient who has been declared legally dead.

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Sun0408 has 4 years experience as a ASN, RN and specializes in Trauma Surgical ICU.

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Here's an article on that, in case anyone is interested: Hospital won't help brain-dead teen Jahi McMath move to nursing home - CBS News

The family's attorney has said he will appeal to Federal court to force the hospital to do surgery for a trach and a PEG.

What I want to know is... what happens if she cardiac arrests while all these court proceedings are in limbo? The hospital is under no legal obligation to attempt resuscitation on a patient who has been declared legally dead.

I am confused a little, someone help me here.. I have seen many many pts declared brain dead, awaiting donation etc BUT of all of those, they were on multiple drips to keep a HR/BP..I have yet to see any one of them not on one drip or several to keep the "body" alive. Am I missing something??

How can this girl go to a skilled facility even if she is trached and PEGed, if her body can not maintain a BP or HR??

After all of this, I wonder what type of RN her grandmother is, she at the very least should understand what is happening or will happen.

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And meanwhile, thus continues the inexorable rise in the cost of care which we all pay... for a brain-dead child...

Millions upon millions...

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wtbcrna is a MSN, DNP, CRNA and specializes in Anesthesia.

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And meanwhile, thus continues the inexorable rise in the cost of care which we all pay... for a brain-dead child...

Millions upon millions...

Actually, if the hospital is declared at fault they should have to eat the costs. That is probably one of the reasons they are wanting her off life support ASAP.

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2 Articles; 5,682 Posts; 50,345 Profile Views

Actually, if the hospital is declared at fault they should have to eat the costs. That is probably one of the reasons they are wanting her off life support ASAP.
Regardless of whether it's CHO, Medicare, Medicaid, or private insurance... tens of thousands of dollars per day, and millions of dollars over the coming years... of wasted dollars... for a brain-dead husk.

As you well know, those costs are passed along to all of us...

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Sun0408 has 4 years experience as a ASN, RN and specializes in Trauma Surgical ICU.

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Mom now has a facebook page, they are attempting to raise money to air lift the girl to another facility since insurance will not cover the cost.. Details are not mentioned so I am not sure if this is after a trach and PEG or before or if it is for a skilled home.

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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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Why would insurance continue to pay for a medically and legally dead child's medical charges regardless if it was a case of medical error or unexpected or known risk complication (such as DIC)? Clearly the claim is going to be reviewed by utilization review and at best they will pay until 12/30 or the independent specialists brain death declaration.

Would it not be desecration of a corpse to trach and PEG this child? Would this not impede the medical-legal investigation of the local coroner's office (especially since the coroner was already notified after the first declaration of brain death)? I understand not wanting to lose a child but at some point this family needs to accept reality. It's sad. It's tragic. But if this were my child, once brain death was confirmed I would want him to rest in peace not torture his body.

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

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Mom now has a facebook page, they are attempting to raise money to air lift the girl to another facility since insurance will not cover the cost.. Details are not mentioned so I am not sure if this is after a trach and PEG or before or if it is for a skilled home.

I, being a glutton for punishment, went and looked at the Facebook page and could only shake my head. I understand denial is one of the stages of grief, but it's to the point that this is unhealthy and/or a publicity stunt.

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

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Mom now has a facebook page, they are attempting to raise money to air lift the girl to another facility since insurance will not cover the cost.. Details are not mentioned so I am not sure if this is after a trach and PEG or before or if it is for a skilled home.

And the comments on it are ridiculous. I read about three of them and then couldn't look at it anymore. People who don't understand anything about medicine offering their positions and condemning the hospital for wanting to withdraw support. I have a hard time believing they really found a placement that will accept her. I'm sure the insurance company will not cover the cost of the admission either. And the hospital said they will not trach her or place a PEG. She is dead. They did say they would comply with the request to transfer her body- IF it is legal and the coroner agrees. They also stipulated that the family must tell them where they intend to transfer her and that they will need to contact this place and ensure that they understand what they are accepting. Apparently the family refuses to supply this information.

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wtbcrna is a MSN, DNP, CRNA and specializes in Anesthesia.

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Regardless of whether it's CHO, Medicare, Medicaid, or private insurance... tens of thousands of dollars per day, and millions of dollars over the coming years... of wasted dollars... for a brain-dead husk.

As you well know, those costs are passed along to all of us...

Actually, since this was more than likely a medical error the hospital will be on the hook for medical care for the rest of the child's life. There will probably be an undisclosed settlement at some point that will include a court appointed trust fund for future medical care.

Edited by wtbcrna

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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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Actually' date=' since this was more than likely a medical error the hospital will be on the hook for medical care for the rest of the child's life. There will probably an undisclosed settlement at some point that will include a court appointed trust fund for future medical care.[/quote']

If it turns out to be DIC resulting from pre-existing conditions combined with the trauma of surgery would it still be medical error/malpractice? This is an honest question not mocking as this appears to be more in your area of expertise as a CRNA. Just curious. If the tragedy is a result of known risk rather than negligence or gross error is it still considered malpractice or provider/facility fault?

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