Saturday, October 31, 2009

What do u think of terminating the life of a patient with brain stem death?

U know that comatosed patients with 4th degree coma(brain stem death) will never regain their concousness as they lost their higher respiratory functioning center, so they will stay on the ventilator for the rest of their lives, so in our country we have the right to terminate their lives by switching off the ventilators(life support devices) or deprivation of the cardiac muscle support( dopamine, adrenaline) , but after the consent of their family i.e if their family asked to as they cannot afford for the expenses of the ICU stay..Now this issue is out confusing me as it is lately stired it up again in our country for organ donations issue from the clinically dead donors

Help me the pricking of conscience is killing me .. almost all the doctors r with this idea and consider them almost dead but Am i a doctor but not doctor minded? .. Am i wrong or right?
Answer:
You did not wrote the age of the patient, if he has crossed senior citizen level than its ok to terminate the life if it is living on life supporting measures alone %26 even if the family is capable for expenses towards ICU! Other wise as general medical practitioner because i witnessed at few occasions, I do believe in miracle to happen but within six month time and if no signs of any small improvement is noticed/seen within this time than there is no point to continue life like that as every one knows it is a brain DEATH!! Do consider that by keeping this patient alive only on life supporting system you are helping him or doing worse to him! Its a Total wastage of your %26 of all concerned valuable time,
Money, drugs, and what not? Deviate your thoughts and keep busy doing other work and forget this patient! Believe me by terminating the life of this particular patient you are doing a good favor to his soul to have a waiting another life of next birth! His soul will bless you! Today it鈥檚 a MOTHERS DAY and here I am shouting at the top of my lungs that if this had been the case of my own mother I surely would have done what I wrote here! BELIEVE THAT LIFE IS A GAME OF CHANCE AND CHOICE! TRUTH REMAINS TRUTH AND IT MUST BE TOLD EVEN IF IT HURTS! SO THIS IS THE TRUTH! Truth is GOD! You and Me %26 all Doctors should always be practical and not so sensitive because they have to take so many decisions in against the nature %26 human made laws! THERE ARE FEW COUNTRY IN WHICH THIS MERCY KILLING EUSTHANIA IS LEGALLY ACCEPTED LAWFULLY.IN FUTURE THIS SURELY BE THE RULE THROUGHT OUT THE WORLD OF COURSE WITH FULL PROOF LAW TOWARDS THE VERDICT TO BE MADE! All country should pass a law to have organ donations in such a cases with the consent of the nearest family memebers !!Actually all persons those who want this to be done than before anything happens to them they should give verdict for their organ to be donated in a case of their BRAIN death for transplantaion to make other human life to live happily !God bless you! DO GOOD BE GOOD AND KEEP SAMAMTA! i AM ALWAYS YouRsmE
there are not enough organ donors for the need and Drs. will ask you to do it=It is still your right to do what you will with a loved one once they are dead
I think that if you are having a machine breathe for you and your brain is dead to where your body cannot function normally you should not be on any life support machines to live because technically you should be dead. It is not fair to you or your family to keep on living when really your in a comatose state.
this is a tough question even for those of us in the medical field. we debate it all the time. i do believe that decision to take a person off of life support has to be a personel decision. you need to discuss with your spouse...family...have it written down ...something to let medical people know what you want...i was fortunate that my parents made this decision and talked to all of their children and we all knew what they wanted and we had to honor their requests. we have to remember it isn't always what we choose for ourselves but what our loved one wants.Discuss organ donation with your family.don't let them make a decsion at that difficult time...sign your license if here in USA and become a donor...that way everyone knows your wishes.DON'T LET YOUR GRIEVING FAMILY MAKE THAT DECISION..you make it now and tell them of your wishes...assign someone you know who will carry out your wishes your medical power of attorney now..don't wait on this stuff and think you have years to decide..accidents happen every day.and families face this every day.make it a little easier...let them know what you want..
i recently worked with a fellow who was in a coma for many years...as we weaned him off some of his meds he became more alert and now trach is removed and he talkes...eats and is alert and oriented now...miracles do happen.which makes these decisions even harder to make for all of us...

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