Thursday 17 May 2012

Liverpool Care Pathway – A Matter Of Life Or Death


Edgar Allen Poe, creator of the macabre, became obsessed - or took advantage of a wave of obsession at the time to cultivate his popularity as an author - with catalepsy, a condition which mimics actual death. The condition may convince a doctor, apparently, to pronounce the victim dead.

Today, the LCP permits the doctor to pronounce the victim as dying even whilst there is every sign of life. What would Poe have made of that? What macabre tale of horror would his pen have conjured..?

There is Always Hope

The METRO of July 4, 2006 reported:







































The same story from WorldNetDaily:


MATTERS OF LIFE AND DEATH

BRAIN REWIRED ITSELF IN COMA MIRACLE

New study of man who spent
19 years in 'vegetative state'


In a new medical study sure to remind the world of the debate surrounding the forced dehydration death of Terri Schiavo, researchers found the injured brain of a man in a “vegetative state” for 19 years rewired itself, permitting him to renew communication with his loved ones.

The findings by Nicholas Schiff and his colleagues at Weill Medical College at Cornell University suggest the human brain shows far greater potential for recovery and regeneration then ever before suspected.
In 1984, 19-year-old Terry Wallis was thrown from his pick-up truck in an accident near his Massachusetts home. He was not found until 24 hours later, in a coma with massive brain injuries.
Within a few weeks he had stabilized in what was alternately characterized as a “minimally conscious state” or a “permanent vegetative state.” Most doctors saw little hope he would ever improve.
And he didn’t – for 19 years. Then, in 2003, he started to speak.
Over a three-day period, Wallis regained the ability to move and communicate, and started getting to know his 20-year-old daughter, only 1 year old at the time of the accident. Wallis awoke believing Ronald Reagan was still president.
To find out what was happening in Wallis’s brain, Schiff and other researchers used a new brain imaging technique called diffusion tensor imaging. The system tracks water molecules, revealing the brain’s white matter tracts – like a wiring diagram. They combined this with more traditional PET scanning, to show which brain areas were active.
The team’s findings suggest Wallis’ brain had gradually developed new pathways and unusual anatomical structures to re-establish functional connections, compensating for the normal brain pathways lost in the accident.
They found that new axons – the branches that connect neurons together – seemed to have grown, establishing new working brain circuits. In short, his brain had rewired itself.
Wallis was frequently classified as being in a permanent vegetative state. Though his family, like Schiavo’s, fought for a re-evaluation after seeing many promising signs that he was trying to communicate, their requests were turned down.
Wallis, now 42, still needs help eating and cannot walk, but his speech continues to improve and he can count to 25 without interruption.
Wallis’ sudden recovery happened three years ago at a rehabilitation center in Mountain View, Ark.
Wallis’ father said his son is now able to make jokes.
“That was something he wasn’t able to do early in his recovery,” Jerry Wallis said. “He now seems almost exactly like his old self. And he very often tells us how glad he is to be alive.”

And what would Poe have made of that..?

The Village Voice reported this:

Terri Schiavo: Judicial Murder

Her crime was being disabled, voiceless, and at the disposal of our media


For all the world to see, a 41-year-old woman, who has committed no crime, will die of dehydration and starvation in the longest public execution in American history.
She is not brain-dead or comatose, and breathes naturally on her own. Although brain-damaged, she is not in a persistent vegetative state, according to an increasing number of radiologists and neurologists.
Among many other violations of her due process rights, Terri Schiavo has never been allowed by the primary judge in her case—Florida Circuit Judge George Greer, whose conclusions have been robotically upheld by all the courts above him—to have her own lawyer represent her.
Greer has declared Terri Schiavo to be in a persistent vegetative state, but he has never gone to see her. His eyesight is very poor, but surely he could have visited her along with another member of his staff. Unlike people in a persistent vegetative state, Terri Schiavo is indeed responsive beyond mere reflexes.
While lawyers and judges have engaged in a minuet of death, the American Civil Liberties Union, which would be passionately criticizing state court decisions and demanding due process if Terri were a convict on death row, has shamefully served as co-counsel for her husband, Michael Schiavo, in his insistent desire to have her die.
Months ago, in discussing this case with ACLU executive director Anthony Romero, and later reading ACLU statements, I saw no sign that this bastion of the Bill of Rights has ever examined the facts concerning the egregious conflicts of interest of her husband and guardian Michael Schiavo, who has been living with another woman for years, with whom he has two children, and has violated a long list of his legal responsibilities as her guardian, some of them directly preventing her chances for improvement. Judge Greer has ignored all of them.
In February, Florida's Department of Children and Families presented Judge Greer with a 34-page document listing charges of neglect, abuse, and exploitation of Terri by her husband, with a request for 60 days to fully investigate the charges. Judge Greer, soon to remove Terri's feeding tube for the third time, rejected the 60-day extension. (The media have ignored these charges, and much of what follows in this article.)
Michael Schiavo, who says he loves and continues to be devoted to Terri, has provided no therapy or rehabilitation for his wife (the legal one) since 1993. He did have her tested for a time, but stopped all testing in 1993. He insists she once told him she didn't want to survive by artificial means, but he didn't mention her alleged wishes for years after her brain damage, while saying he would care for her for the rest of his life.
Terri Schiavo has never had an MRI or a PET scan, nor a thorough neurological examination. Republican Senate leader Bill Frist, a specialist in heart-lung transplant surgery, has, as The New York Times reported on March 23, "certified [in his practice] that patients were brain dead so that their organs could be transplanted." He is not just "playing doctor" on this case.
During a speech on the Senate floor on March 17, Frist, speaking of Judge Greer's denial of a request for new testing and examinations of Terri, said reasonably, "I would think you would want a complete neurological exam" before determining she must die.
Frist added: "The attorneys for Terri's parents have submitted 33 affidavits from doctors and other medical professionals,all of whom say that Terri should be re-evaluated."
In death penalty cases, defense counsel for retarded and otherwise mentally disabled clients submit extensive medical tests. Ignoring the absence of complete neurological exams, supporters of the deadly decisions by Judge Greer and the trail of appellate jurists keep reminding us how extensive the litigation in this case has been—19 judges in six courts is the mantra. And more have been added. So too in many death penalty cases, but increasingly, close to execution, inmates have been saved by DNA.
As David Gibbs, the lawyer for Terri's parents, has pointed out, there has been a manifest need for a new federal, Fourteenth Amendment review of the case because Terri's death sentence has been based on seven years of "fatally flawed" state court findings—all based on the invincible neglect of elementary due process by Judge George Greer.
I will be returning to the legacy of Terri Schiavo in the weeks ahead because there will certainly be long-term reverberations from this case and its fracturing of the rule of law in the Florida courts and then the federal courts—as well as the disgracefully ignorant coverage of the case by the great majority of the media, including such pillars of the trade as The New York TimesThe Washington PostThe Miami Herald, and the Los Angeles Timesas they copied each other's misinformation, like Terri Schiavo being "in a persistent vegetative state."
Do you know that nearly every major disability rights organization in the country has filed a legal brief in support of Terri's right to live?
But before I go back to other Liberty Beats—the CIA's torture renditions and the whitewashing of the landmark ACLU and Human Rights First's lawsuit against Donald Rumsfeld for his accountability in the widespread abuse of detainees, including evidence of torture—I must correct the media and various "qualified experts" on how a person dies of dehydration if he or she is sentient, as Terri Schiavo demonstrably is.
On March 15's Nightline, in an appallingly one-sided, distorted account of the Schiavo case, Terri's husband, Michael—who'd like to marry the woman he's now living with—said that once Terri's feeding tube is removed at his insistent command, Terri "will drift off into a nice little sleep and eventually pass on and be with God."
As an atheist, I cannot speak to what he describes as his abandoned wife's ultimate destination, but I can tell how Wesley Smith (consultant to the Center for Bioethics and Culture)—whom I often consult on these bitterly controversial cases because of his carefully researched books and articles—describes death by dehydration.
In his book Forced Exit (Times Books), Wesley quotes neurologist William Burke: "A conscious person would feel it [dehydration] just as you and I would. . . . Their skin cracks, their tongue cracks, their lips crack. They may have nosebleeds because of the drying of the mucous membranes, and heaving and vomiting might ensue because of the drying out of the stomach lining.
"They feel the pangs of hunger and thirst. Imagine going one day without a glass of water! . . . It is an extremely agonizing death."
On March 23, outside the hospice where Terri Schiavo was growing steadily weaker, her mother, Mary, said to the courts and to anyone who would listen and maybe somehow save her daughter:
"Please stop this cruelty!"
While this cruelty was going on in the hospice, Michael Schiavo's serpentine lawyer,George Felos, said to one and all: "Terri is stable, peaceful, and calm. . . . She looked beautiful."
During the March 21 hearing before FederalJudge James D. Whittemore, who was soon to be another accomplice in the dehydration of Terri, the relentless Mr. Felos, anticipating the end of the deathwatch, said to the judge:
"Yes, life is sacred, but so is liberty, your honor, especially in this country."
It would be useless, but nonetheless, I would like to inform George Felos that, as Supreme Court Justice William O. Douglas said: "The history of liberty is the history of due process"—fundamental fairness.
Contrary to what you've read and seen in most of the media, due process has been lethally absent in Terri Schiavo's long merciless journey through the American court system.
"As to legal concerns," writes William Anderson—a senior psychiatrist at Massachusetts General Hospital and a lecturer at Harvard University—"a guardian may refuse any medical treatment, but drinking water is not such a procedure. It is not within the power of a guardian to withhold, and not in the power of a rational court to prohibit."
Ralph Nader agrees. In a statement on March 24, he and Wesley Smith (author of, among other books, Culture of Death: The Assault of Medical Ethics in America) said: "The court is imposing process over justice. After the first trial [before Judge Greer], much evidence has been produced that should allow for a new trial—which was the point of the hasty federal legislation.
"If this were a death penalty case, this evidence would demand reconsideration. Yet, an innocent, disabled woman is receiving less justice. . . . This case is rife with doubt. Justice demands that Terri be permitted to live." (Emphasis added.)
But the polls around the country cried out that a considerable majority of Americans wanted her to die without Congress butting in.
A March 20 ABC poll showed that 60 percent of the 501 adults consulted opposed the ultimately unsuccessful federal legislation, and only 35 percent approved. Moreover, 70 percent felt strongly that it was wrong for Congress to get into such personal, private matters—and interfere with what some advocates of euthanasia call "death with dignity." (So much for the Fourteenth Amendment's guarantee of due process and equal protection of the laws.)
But, as Cathy Cleaver Ruse of the Secretariat for Pro-Life Activities of the United States Conference of Catholic Bishops pointed out:
"The poll [questions] say she's 'on life support,' which is not true [since all she needs is water], and that she has 'no consciousness,' which her family and dozens of doctors dispute in sworn affidavits."
Many readers of this column are pro-choice, pro-abortion rights. But what choice did Terri Schiavo have under our vaunted rule of law—which the president is eagerly trying to export to the rest of the world? She had not left a living will or a durable power of attorney, and so could not speak for herself. But the American system of justice would not slake her thirst as she, on television, was dying in front of us all.
What kind of a nation are we becoming? The CIA outsources torture—in violation of American and international law—in the name of the freedoms we are fighting to protect against terrorism. And we have watched as this woman, whose only crime is that she is disabled, is tortured to death by judges, all the way to the Supreme Court.
And keep in mind from the Ralph Nader-Wesley Smith report: "The courts . . . have [also] ordered that no attempts be made to provide her water or food by mouth. Terri swallows her own saliva. Spoon feeding is not medical treatment. This outrageous order proves that the courts are not merely permitting medical treatment to be withheld, they have ordered her to be made dead."
In this country, even condemned serial killers are not executed in this way.
The article claims the president is "eagerly trying to export the rule of law to the rest of the world." The president is also trying to import the protocols of the LCP and, by all accounts of this report, has succeeded!
The article claims that "in this country, even condemned serial killers are not executed in this way." In Scotland, according to the Daily Record,
A DRUG given to US Death Row prisoners is being used on dying old folk in Scotland's hospitals.
Medics use the sedative midazolam as part of a highlycontroversial "pathway to death" care plan for people judged by doctors to be in the last hours of their lives.
But patients' leaders warned yesterday that the widespread use of the Liverpool Care Pathway (LCP) in Scotland's NHS is robbing pensioners of the chance of life.
The macabre is become reality and truth is truly more the stuff of any horror that Poe could ever have conjured.




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