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Girl Brain Dead after Tonsillectomy

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by EaglesWings21 EaglesWings21 (Member)

EaglesWings21 works as a RN.

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NotReady4PrimeTime has 23 years experience as a RN and works as a RN, CNCCP(C).

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Is there no foreseeable end to this madness?

What exactly is this mother's aim? Is she thinking of her daughter or herself? Even if she truly believes that her daughter is alive, and I can imagine that denial can be that strong, has she once considered the quality of life she is subjecting her daughter to? I just...I can't with this. I seriously cannot believe this is happening.

These questions come up time after time, when families insist on "one more surgery", "one more new drug", "one more opinion". Who are we doing this for? Many times it's definitely NOT the child. I cringe when I hear a physician say, "Well, we haven't tried..." and next thing we know, we're doing it. One of the most disturbing situations I can recall involves a kid s/p MVC (sibling was VSA on scene) who had initially been declared at the scene until an EMT saw respiratory effort. Multiple skull fractures, facial smash, cardiac and pulmonary contusions... There was gray matter leaking from both ears and nose. On max epi and norepi to maintain MBP>60. Because of the mechanism of injury and severe hemodynamic instability, brain death criteria couldn't be examined - cold calorics, doll's eye and apnea test could not be performed. CT angio was suggested but family refused to consent. Time passed. Serum K+ started to rise... so insulin, D25W and Kayexalate were all in use. I came in on a night shift, greeted by a family member who was a first-responder. Asked why we weren't doing dialysis to bring the K+ down. So I explained it as concisely as I knew how. Of course, my answer was not what they wanted to hear. The patient remained on the unit 3 more days after that before a CT angio was finally done and LST was withdrawn. Then there was the patient we were expected to take for walks off the unit despite the trach, vent, pressors, open abdomen and minimal LOC. There are many more where those came from...

I am a deeply religious person but, ironically, it is my understanding of science which deepens my faith in God. These people? I don't even want to touch their fanciful notion of "faith."

It actually ****** me off, not only as a nurse, but as a Christian too. The entire point of a miracle is to bring glory to GOD and no one else. For this to be a true "miracle" in Jahi's case, she would have to be off the vent and be able to regulate her basic body functions on her own. Then, there would be no denying that the miracle came from God and not from an advent of modern science...you know, the very thing this family is thumbing their noses at. It's like they're claiming to have faith and put it in "God's hands" while relying on "man" to bring the miracle they are hoping for into fruition. That just strikes me as backwards.

It really boggles the mind when I hear, "We want to let God decide", followed by, "God wouldn't have provided all this technology if He didn't intend for it to be used to keep Johnny alive". Um. God decided when Johnny's heart stopped the first time. And the second time. And when his kidneys stopped working. And when his lungs stopped working...

Wish this would spread the word of the great job being done at CHO

Maybe somebody should post the link on the various FB and Twitter feeds that relate to Jahi. See how long the link is allowed to stay up.

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FLAlleycat has 30 years experience and works as a ARNP.

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The medical notes I would LOVE to get ahold of are those written after she left the hospital!

I read through the article re Mrs. Woo who, BTW, is still chilling out but at a funeral home now instead of the morgue. The last page offers some insight into such a pathological response.

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wooh works as a RN & Critter Mama.

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It really boggles the mind when I hear, "We want to let God decide", followed by, "God wouldn't have provided all this technology if He didn't intend for it to be used to keep Johnny alive". Um. God decided when Johnny's heart stopped the first time. And the second time. And when his kidneys stopped working. And when his lungs stopped working...

I once volunteered to my coworkers to go to Home Depot and buy a bush and set it on fire outside the patient's room because the mom was waiting for a sign from God. And apparently she'd missed the other hourly signs from God that everyone else had been blinded by.

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Palliative Care, DNP works as a DNP, FNP.

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I truly hope that there was not licensed medical professionals that actually placed tubes. This is a horror movie. I wish they would stop reporting on it. I believe the media attention is simply instigating the family.

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JeanettePNP has 8 years experience as a RN, NP and works as a Pediatric Nurse Practitioner.

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Jan, you need to write a book. Seriously. Ill even pay now for a pre-written copy.

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489 Visitors; 9 Posts

What is wrong with letting the family maintain life support using their own financial means, as they appear to be doing? Jahi is dead, so she is experiencing no discomfort. You can't live forever without a brain. Her death will come and her family will be able to feel they did everything they could to give her the chance to recover. It is no longer about Jahi now, but about her family's needs. Who are you to say what is in their best interest and try to force it down their throats?

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TheCommuter has 10 years experience as a BSN, RN and works as a CRRN, now a case management RN.

1 Follower; 228 Articles; 315,586 Visitors; 27,607 Posts

Her death will come and her family will be able to feel they did everything they could to give her the chance to recover.
Jahi's death already happened. She died on December 12, 2013. She's been deceased for nearly a month, but I suppose the family feels more at ease by keeping the corpse warm until infinity.

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489 Visitors; 9 Posts

I did not realize I needed to clarify "cardiac death" rather than "brain death". I would think the context of the post would make that obvious.

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TheCommuter has 10 years experience as a BSN, RN and works as a CRRN, now a case management RN.

1 Follower; 228 Articles; 315,586 Visitors; 27,607 Posts

I did not realize I needed to clarify "cardiac death" rather than "brain death". I would think the context of the post would make that obvious.
I knew what you intended the first time around.

Brain death? Cardiac death? Whatever. Although cardiac death has not yet taken place (due to machines), her death has already taken place. She is dead, deceased, moribund, whatever one wants to call it. She met her demise last month, and keeping the corpse warm is more about the family's comfort rather than a basis in reality.

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489 Visitors; 9 Posts

and infinity is not an option. When the brain is dead, the body will soon follow, regardless of medical care. Absent high level ICU monitoring/testing/treatment, the timeline will be significantly shortened.

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OrganizedChaos has 10 years experience and works as a LVN.

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What is wrong with letting the family maintain life support using their own financial means' date=' as they appear to be doing? Jahi is dead, so she is experiencing no discomfort. You can't live forever without a brain. Her death will come and her family will be able to feel they did everything they could to give her the chance to recover. It is no longer about Jahi now, but about her family's needs. Who are you to say what is in their best interest and try to force it down their throats?[/quote']

Uh because they have been looking for money & notoriety ever since she passed. The lawyer is not helping the cause. It would be one thing if they couldn't accept her death & took her home. But they have drug this out, in front of the whole world, and have been asking for funds the whole way. It's immoral & unethical!

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