K_Z
Verified Anesthetist
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- Nov 8, 2010
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Let's just say - that this mystery facility DOES take possession of this child's body as it exists today- without a tracheostomy or gastrostomy tube. (See my earlier post which explains these procedures.)
She would be transported with a standard endotracheal tube (breathing tube inserted in the mouth, down into the lungs) and ng/nj feeding tube (inserted through the nose into the stomach or small bowel).
If the endotracheal (breathing or 'ET') tube becomes dislodged, only a physician (or paramedic in the field) can replace it 99% of the time. If no physician is available (which would be the case 99% of the time at a long-term care facility) - does the facility call 9-1-1 for emergent transport? What ER is going to replace an ET tube in a brain dead patient?
I have NEVER heard of a long-term care facility that would accept a patient with an ET tube. A tracheostomy is required for admission to these facilities for the exact reason that there is usually no in-house MD 24/7.
I don't even know what to think any longer about this case. It is so frustrating to only get information filtered through the family - and not the objective facts.
Excellent post, Nicemaryjean.
To add to your insights, what if Jahi's body develops pneumonia? Will she be re-admitted to an acute care facility? What if her body develops an ileus? Cardiac dysrhythmias? What about when her kidneys fail? Find a facility to place an AV shunt and take her body to hemodialysis 3 days a week? Find a facility to place an abdominal catheter for peritoneal dialysis? Marches and demonstrations for ECMO? A Facebook rally for a march to demand an LVAD? (left ventricular assist device-- partial artificial heart)
Where does it end? What exactly is the end game?
I get that the family is angry and in denial. I get that they're heartbroken. I get that they want to inflict maximum pain and suffering on the hospital, and Dolan in particular.
I see the stages of grief playing out. I just wonder how long, and what it will take, for the family to get to acceptance. And how much multi-layer damage will be done in the time it takes for them to get to acceptance. This is really a psychosocial disaster of vast proportions.
And I'm very concerned that the publicity of this case will create the momentum for similar cases in the near future.
This is not about respecting faith and religious beliefs any longer, IMO. And it is most definitely, IMO, not about civil rights.