“There’s Gold in Them Thar Wombs!”: Cuomo Chases it Down.
via “There’s Gold in Them Thar Wombs!”: Cuomo Chases it Down.
“THEY WISH FOR THEIR BABY TO GO QUICKLY. BUT I KNOW, AS THEY CAN’T, THE UNIQUE HORROR OF WATCHING A CHILD SHRINK AND DIE
Here is an abridged version of one doctor’s anonymous testimony, published in the BMJ under the heading: ‘How it feels to withdraw feeding from newborn babies’.”
The voice on the other end of the phone describes a newborn baby and a lengthy list of unexpected congenital anomalies. I have a growing sense of dread as I listen.
The parents want ‘nothing done’ because they feel that these anomalies are not consistent with a basic human experience. I know that once decisions are made, life support will be withdrawn.
Assuming this baby survives, we will be unable to give feed, and the parents will not want us to use artificial means to do so.
Regrettably, my predictions are correct. I realise as I go to meet the parents that this will be the tenth child for whom I have cared after a decision has been made to forgo medically provided feeding.
A doctor has written a testimony published under the heading: ‘How it feels to withdraw feeding from newborn babies’
The mother fidgets in her chair, unable to make eye contact. She dabs at angry tears, stricken. In a soft voice the father begins to tell me about their life, their other children, and their dashed hopes for this child.
He speculates that the list of proposed surgeries and treatments are unfair and will leave his baby facing a future too full of uncertainty.
Like other parents in this predicament, they are now plagued with a terrible type of wishful thinking that they could never have imagined. They wish for their child to die quickly once the feeding and fluids are stopped.
They wish for pneumonia. They wish for no suffering. They wish for no visible changes to their precious baby.
Their wishes, however, are not consistent with my experience. Survival is often much longer than most physicians think; reflecting on my previous patients, the median time from withdrawal of hydration to death was ten days.
Parents and care teams are unprepared for the sometimes severe changes that they will witness in the child’s physical appearance as severe dehydration ensues.
I try to make these matters clear from the outset so that these parents do not make a decision that they will come to regret. I try to prepare them for the coming collective agony that we will undoubtedly share, regardless of their certainty about their decision.
I know, as they cannot, the unique horror of witnessing a child become smaller and shrunken, as the only route out of a life that has become excruciating to the patient or to the parents who love their baby.
I reflect on how sanitised this experience seems within the literature about making this decision.
As a doctor, I struggle with the emotional burden of accompanying the patient and his or her family through this experience, as much as with the philosophical details of it.
‘Survival is often much longer than most physicians think; reflecting on my previous patients, the median time from withdrawal of hydration to death was ten days’
Debate at the front lines of healthcare about the morality of taking this decision has remained heated, regardless of what ethical and legal guidelines have to offer.
The parents come to feel that the disaster of their situation is intolerable; they can no longer bear witness to the slow demise of their child.
This increases the burden on the care-givers, without parents at the bedside to direct their child’s care.
Despite involvement from the clinical ethics and spiritual care services, the vacuum of direction leads to divisions within the care team.
It is draining to be the most responsible physician. Everyone is looking to me to preside over and support this process.
I am honest with the nurse when I say it is getting more and more difficult to make my legs walk me on to this unit as the days elapse, that examining the baby is an indescribable mixture of compassion, revulsion, and pain.
Some say withdrawing medically provided hydration and nutrition is akin to withdrawing any other form of life support. Maybe, but that is not how it feels. The one thing that helps me a little is the realisation that this process is necessarily difficult. It needs to be.
To acknowledge that a child’s prospects are so dire, so limited, that we will not or cannot provide artificial nutrition is self selecting for the rarity of the situations in which parents and care teams would ever consider it.
Posted by M. Forrest:
http://video.nationalgeographic.com/video/national-geographic-channel/all-videos/ngc-in-the-womb-1/
Four statements seem particularly interesting, but the entire video is worth watching:
“Once within the egg wall, the sperm’s nucleus is drawn toward the egg’s. The two cells gradually and gracefully become one. This is the moment of conception – when an individual’s unique set of DNA is created – a human signature that never existed before and will never be repeated.”
“The mother provides the shelter and the basics – food, water and oxygen. But the real star of the show is the fetus herself – building, dividing, growing according to an intricate set of plans created at the moment of conception.”
“The genes she’s [the girl shown in the womb] inherited already predetermine her looks and much of her character. Whether she’s stubborn or intelligent, a thrill-seeker or good at music and even her vulnerabilities to certain diseases like cancer, schizophrenia and diabetes. The exact course of her life will depend on such things as her friends, family and environment. But at the instant of fertilization, much of her future is predetermined.”
“Where it once seemed that the mental development of a baby began at birth, now it appears that birth could be a relatively insignificant event in developmental terms. She may have to support herself after birth, but as for the process of thinking, learning and remembering, she’s already been hard at it for three months [before birth]. And her brain will continue to grow at the same rate for the next year.”
Read more: http://www.ncregister.com/blog/jimmy-akin/science-proves-the-unborn-are-human-beings#ixzz28uqjFvFE
Terri Schiavo died on March 31st, a week from today. Next week will mark the 5 year anniversary of that murderous action/event, indicating a turning point . Next week also begins Holy Week leading to Easter. It also marks the beginning of Passover, starting Tuesday, March 30th. It is a good time to consider: Are we to value human life by its utility or because God has have placed His life in us? Passover is about God delivering His people from Slavery and setting them/us free for Life. Easter celebrates the victory of Life over Death, Christ’s victory. Terri’s death brings both into focus.
Writes Dr. Daniel Eisenberg, M.D. in The Death of Terri Schiavo: An Epilogue:
Blurring the line between life and death, and between medical data and morality, her death signifies a disturbing turning point for American society.
Terri Schiavo died on March 31, 2005, after lasting 13 days without food or water. Her life and death had a profound impact on the American psyche and brought to the forefront the unresolved debate regarding how we treat severely disabled people and who should be their surrogate decision-makers. There is reason to be disturbed by the role that physicians play in molding public opinion regarding end of life issues, because their expertise is generally in medicine and not ethics.
A letter from a neurologist in complete disagreement with Dr. Eisenberg prompted him to respond:
He (the neurologist) states:
…I find myself in sharp disagreement with Dr. Eisenberg. The article refers to PVS as a “cognitively impaired” condition. In fact, there is no cognition whatsoever in someone who is in a persistent vegetative state. Modern aggressive emergency care developed over the last several decades, has allowed us to resuscitate patients with what would have been terminal hypoxic brain injury (what happened to Terri Schiavo). Unfortunately, the entire brain cortex becomes nonfunctional in these people and we are left with a functioning brainstem that allows for reflex eye movements, facial movements etc. PVS patients can even track a moving object in their field of vision because collicular function of the intact brainstem reflexively guides these eye movements. It is all too easy to imagine sentience in the PVS patient because, as humans, so much of our communication is nonverbal and cued by facial and eye movements.
Dr. Eisenberg responds:
His assessment of the persistent vegetative state is succinct and it is accurate. To the best of our medical understanding, we presume that a person in a persistent vegetative state has no cognition whatsoever. I never gave much credence to those who argued about the rehabilitation potential of Terri Schiavo. Not because I did not believe it to be true (I have no way of knowing), but because it really does not make a difference to outsiders like myself. CT scan results, Glascow Coma Scales, and following balloons are really only of interest to neurologists and family members who need to arrange for the best possible care for the patient.
As a society, what we must concern ourselves with are two questions: What is the significance of being so terribly impaired that there is no cognition and how should such people be treated? It is here that the doctor falls woefully short in his analysis. While I am sure that his credentials are impeccable and his understanding of neurology is excellent, he completely misunderstands the role that physicians should play in society’s evaluation of end of life issues (as we will discuss) and he clearly does not appreciate where medical knowledge ends and morality begins.
Neurologist’s letter continued:
Nevertheless, the activity of our cerebral cortex is what distinguishes our very “humanness”. If the cortex is dead, then the human individual is dead. . . If the cortex is destroyed, personhood ceases. PVS is an abomination of life –in essence a human shaped colony of cells with no sentience — a glorified cell culture. . .Thankfully, I have not seen this irrational preservation of “life” at all costs in this situation since my training in the early 1970’s. . . Patients with PVS and end-stage Alzheimer’s disease routinely have IV’s and feeding tubes removed in the United States every day.
Dr. Eisenberg responds:
The opinions expressed above are very widespread in the medical community today. Variations of these views are espoused by many of the physicians with whom I have discussed this topic. For this reason, they cannot be lightly brushed aside. Please understand that the issue is not autonomy (which is an independent and important issue), but the definition of life. Is the cerebral cortex what makes us human and is it true that “if the cortex is dead, then the human individual is dead”?
Of course not. My physician critic clearly has stepped beyond the bounds of medicine into the realm of philosophy, and that is the problem. As any physician knows, there is neither a state in America nor any sane physician in the world who would declare that someone who is in a persistent vegetative state is dead. If PVS really equals death then why bother pulling the feeding tube? Just bury the patient with the feeding tube still in place! The doctor’s comments are clearly hyperbole, and represent a very insidious type of bias that leads people to equate PVS with death.
People want to feel “good” about the killing they allow whether by deeming a fetus ‘not a real living person’ or a person in a persistent vegetative state ‘as good as dead.’ In matters of morality, the doctor steps beyond the data and expertise of his training to play God. Dr. Eisenberg asks “why the medical knowledge of the physician seem to translate into skill in evaluating the value of life?”
Dr. Eisenberg reminds us:
“The belief that medicine can determine which lives are worth preserving was an intrinsic part of the pre-Nazi German medical establishment (see “Why Medical Ethics“). In the late 1920’s and early 1930’s:
“a number of prominent German academics and medical professionals were espousing the theory of “unworthy life,” a theory which advanced the notion that some lives were simply not worthy of living. . . If Mengele himself (an infamous physician who performed murderous experiments on live concentration camp inmates) became a cold-blooded monster at the height of his Nazi career, he certainly learned at the feet of some of Germany’s most diabolical minds. As a student Mengele attended the lectures of Dr. Ernst Rudin, who posited not only that there were some lives not worth living, but that doctors had a responsibility to destroy such life and remove it from the general population. His prominent views gained the attention of Hitler himself, and Rudin was drafted to assist in composing the Law for the Protection of Heredity Health, which passed in 1933, the same year that the Nazis took complete control of the German government. This unapologetic Social Darwinist contributed to the Nazi decree that called for the sterilization of those demonstrating the following flaws, lest they reproduce and further contaminate the German gene pool: feeblemindedness; schizophrenia; manic depression; epilepsy; hereditary blindness; deafness; physical deformities; Huntington’s disease; and alcoholism.
I ask again: Are we to value human life by its utility or because God has have placed His life in us?
Read more here.
Will God forget? Will lives lost to abortion be as forgotten to God as they are in the halls and votes of Congress? Do they even now cry out from beneath the altar? (see Revelation 6:9-11)
Psalm 10
Lord, why do you stand afar off
and hide yourself in times of distress?
The poor man is devoured by the pride of the wicked:
he is caught in the schemes that others have made.For the wicked man boasts of his heart’s desires;
the covetous blasphemes and spurns the Lord.
In his pride the wicked says: “He will not punish.
There is no God.” Such are his thoughts.His path is ever untroubled;
your judgment is far from his mind.
His enemies regard him with contempt.
He thinks: “Never shall I falter;
misfortune shall never be my lot.”His mouth is full of cursing, guile, oppression,
mischief and deceit under his tongue.
He lies in wait among the reeds;
the innocent he murders in secret.His eyes are on the watch for the helpless man.
He lurks in hiding like a lion in his lair;
he lurks in hiding to seize the poor;
he seizes the poor man and drags him away.He crouches, preparing to spring,
and the helpless fall beneath his strength.
He thinks in his heart: “God forgets,
he hides his face, he does not see.”
November is Coming… | Sign the Petition Today!.
Dear Member of Congress:
Your vote isn’t the only one that counts. November is coming and you can’t hide from the voters. Corrupt backroom deals are driving a government takeover of our health care, and I don’t like it. If you vote YES on the health care bill, I will vote NO on you in the next election.