This was online today
Jahi McMathx
http://www.dailymail.co.uk/news/art...iac-arrest-family-continues-insist-alive.html
Jahi McMathx
http://www.dailymail.co.uk/news/art...iac-arrest-family-continues-insist-alive.html
I hate to use this as a platform for my soapbox, but this isn't unusual in the US to keep brain dead, comatose, patients on life support alive for years. Most figures estimate that 17-21% of Medicare spending is used keeping patients alive on ventilators in ltacs (long term extended care facilities). No other country in the world does this, and physicians don't offer the trach/peg/vent/possible dialysis combos as options as they do here. They offer comfort care & end of life support, which is normally more realistic and kind. Many doctors have entire practices that revolve around these types of patients and running ltacs...they'll never embrace the "comfort" approach.
I hate to use this as a platform for my soapbox, but this isn't unusual in the US to keep brain dead, comatose, patients on life support alive for years. Most figures estimate that 17-21% of Medicare spending is used keeping patients alive on ventilators in ltacs (long term extended care facilities). No other country in the world does this, and physicians don't offer the trach/peg/vent/possible dialysis combos as options as they do here. They offer comfort care & end of life support, which is normally more realistic and kind. Many doctors have entire practices that revolve around these types of patients and running ltacs...they'll never embrace the "comfort" approach.
Jahi didn't need surgery, she needed to lose a lot of weight.
I hate to use this as a platform for my soapbox, but this isn't unusual in the US to keep brain dead, comatose, patients on life support alive for years. Most figures estimate that 17-21% of Medicare spending is used keeping patients alive on ventilators in ltacs (long term extended care facilities). No other country in the world does this, and physicians don't offer the trach/peg/vent/possible dialysis combos as options as they do here. They offer comfort care & end of life support, which is normally more realistic and kind. Many doctors have entire practices that revolve around these types of patients and running ltacs...they'll never embrace the "comfort" approach.
qJahi is dead, and keeping her body "alive" serves no purpose. But there are absolutely individuals who have some or many of the interventions you describe trach, peg, vent, and dialysis, who are alive and interactive. There are people who live for years, and have meaningful lives with these interventions.
I'm not going to get into a discussion about end of life, because I don't want the points and it is a political and religious/moral issue. But I think it's important to note that the issue with Jahi is that she is dead. Choosing to remove life sustaining support from someone who is alive is a different decision than the one that Jahi's family has faced.
q
Which is why I specified comatose. For every one interactive t/p/v patient I see with *any* quality of life, there are 12 more similar to them only comatose or very close to it. Many have families that aren't involved, only to tell us, "Do everything to sustain life!" Yet we never, ever see these caring individuals at the bedside, or even get phone calls inquiring about their condition. I've had many begging to die over their trach...and all we can do is medicated & sedate. I currently have one literally rotting from the inside out -t/p/v/d - no legs & bedsores to the bone from his mid back to upper thighs. We got him in that shape from the ltac, and we gotta keep him alive so his family that doesn't work can collect his pension check (which they freely admit to everyone). His bill alone is costing taxpayers over 2 million a year...and there are thousands more like him.
This is absolutely disgusting!!
q
Which is why I specified comatose. For every one interactive t/p/v patient I see with *any* quality of life, there are 12 more similar to them only comatose or very close to it. Many have families that aren't involved, only to tell us, "Do everything to sustain life!" Yet we never, ever see these caring individuals at the bedside, or even get phone calls inquiring about their condition. I've had many begging to die over their trach...and all we can do is medicated & sedate. I currently have one literally rotting from the inside out -t/p/v/d - no legs & bedsores to the bone from his mid back to upper thighs. We got him in that shape from the ltac, and we gotta keep him alive so his family that doesn't work can collect his pension check (which they freely admit to everyone). His bill alone is costing taxpayers over 2 million a year...and there are thousands more like him.
Your comatose patients beg?