Call me paranoid, call me distrustful in the extreme of the medical profession, but after reading the story below, I will not have the “organ removal at death” box ticked. As well, I have developed something of an anxiety about having a general anaesthetic, going under, but remaining conscious and going through the pain. Rare, sure, but it made me anxious nonetheless.
https://www.youtube.com/watch?v=8WpoqaZjoNY
“July 9, 2013— -- It was exactly midnight when Colleen Burns eerily opened her eyes and looked at the operating lights above her, shocking doctors who believed she was dead and were about to remove her organs and donate them to patients on the transplant waiting list.
The Syracuse Post-Standard unearthed a report from the U.S. Department of Health and Human Services that chronicled the series of errors that led to the near-organ removal on a living patient at St. Joseph's Hospital Health Center in Syracuse, N.Y., in 2009.
"The patient did not suffer a cardiopulmonary arrest (as documented) and did not have irreversible brain damage," the HHS report concluded. "The patient did not meet criteria for withdrawal of care."
According to the report, doctors had inaccurately diagnosed Burns with irreversible brain damage and ignored nurses who'd noticed signs that Burns was improving: She curled her toes when touched, flared her nostrils and moved her mouth and tongue. She was also breathing on her own even though she was on a respirator.
Burns was initially found unresponsive and surrounded by empty bottles of Xanax, Benadryl, a muscle relaxant and an anti-inflammatory drug on Oct.16, 2009, according to the report. She was hypothermic and had a weak pulse, but she was alive.
In the St. Josephs emergency room, doctors performed toxicology tests and determined Burns was suffering from a multidrug overdose, according to the report. She was unresponsive and put on a ventilator.
Poison control specialists recommended using activated charcoal to stop Burns' body from absorbing the drugs, but it never happened, according to the report. Doctors couldn't get the tubes into her body. As a result, the HHS report concluded, it's possible Burns continued to absorb the pills she'd ingested, but doctors never did more toxicology testing to find out.
Soon, Burns was having seizures, but subsequent head CT scans on Oct. 17 and Oct. 18 appeared normal.
Still, the EEG brain scans indicated "poor prognosis" on Oct. 18, so doctors planned to "wait and see" whether Burns would improve over the next few days, they told HHS investigators in August 2010, according to the report. That same day, however, doctors told the family that Burns' brain damage was irreversible and that she'd undergone "cardiorespiratory arrest."
The family made the decision to take Burns off life support and donate her organs the next day.
Although Burns opened her eyes at the last minute, saving herself from the organ harvest procedure, she committed suicide in 2011 at age 41. The family never sued, and family members told the Syracuse Post-Standard that Burns was too depressed to be upset about what happened to her at St. Joseph's.
Hospital officials eventually concluded it's possible that the drugs resulted in the unresponsive state doctors mistook for irreversible brain damage, according to the HHS document.
Drug overdoses can mimic brain death, but American Academy of Neurology guidelines should keep doctors from failing to recognize the difference, said Dr. Eelco Wijdicks, a member of the American Academy of Neurology who was the senior author on its list of guidelines for determining brain death. Wijdicks did not treat Burns and said he could not comment on her case.
The hospital determined that it had followed protocols, according to its reviews sent to the state Department of Health. HHS disagreed, and said the investigation of Burns' near death was inadequate. St. Joseph's didn't conduct a review until the state Department of Health asked it to nearly five months after the near-organ removal.
"It consisted of a one-page document that was labeled 'File Notes:… (Patient A),'" HHS officials wrote of the St. Joseph's review. "The document contained a reference to 'perception differences' but lacked any analysis or resolution of the issue."
Still, the nightmare is "exceedingly rare," Wijdicks said. The American Academy of Neurology guidelines consist of about 25 tests for doctors to perform to be absolutely sure a patient won't get better, he said.
"When that is done, there should be no errors made," Wijdicks said.
St. Joseph's CEO Kathryn Ruscitto released a statement as a result of the Post-Standard story, saying that the hospital is not discussing the case at the family's request.
"Things are never as simple as one newspaper article might make them seem," she said.
Ruscitto said the hospital had made changes over the past four years and continued to improve.
"St. Joseph's provides compassionate care to more than 2,000 people every day throughout our system," she said. "Anytime something doesn't go right, we take it extremely seriously."
I received this as an email, from somewhere on Facebook.
“What are you giving up when you check the donor box on your license? Your organs, of course – but also much more. You’re also giving up your right to informed consent. Doctors don’t have to tell you or your relatives what they will do to your body during an organ harvest operation because you’ll be dead, with NO legal rights.
Organ Donors are Alive when their Organs are Harvested
Prior to 1968 a person was declared dead only after their breathing and heart stopped for a determinate period of time.
The current terminology "Brain Death" was unheard of.
When surgeons realized they had the capability of taking organs from one seemingly “close to death” person and implanting them into another person to keep the recipient alive longer, a "Pandora’s Box" was opened.
In the beginning, through trial and error, they discovered it was not possible to perform this "miraculous" surgery with organs taken from someone truly dead, even if the donor was without circulation for merely a few minutes, because organ damage occurs within a very brief time after circulation stops.
To justify their experimental procedures it was necessary for them to come up with a solution which is how the term "BrainDeath" was contrived.
Much is being done to get your organs.
For an organ to be suitable for transplantation it must be healthy and it must come from a living person.
Once DBD (Donation After Brain Death) or DCD (Donation After Cardiac Death) has been verified and permission extracted from distraught family members (in cases where relatives cannot be located the government often now makes the determination on our behalf) the "organ donor" undergoes hours, sometimes days, of torturous treatment utilized to protect and preserve the body-container of "spare parts!"
The "organ donor" is forced to endure the excruciating painful and ongoing chemical treatment in preparation for organ excising.
Literally the "donor" is now an organ warehouse and used for the sole purpose of organ preservation until a compatible recipient can be located.
Donation after circulatory death (DCD) can be performed on neurologically intact donors who do not fulfill neurologic or brain death criteria before circulatory arrest. This commentary focuses on the most controversial donor-related issues anticipated from mandatory implementation of DCD for imminent or cardiac death in hospitals across the USA.
The truth of the horrific treatment and DEATH OF THE "DONOR"
Organ removal is performed while the patient is given only a paralyzing agent but no anesthetic!
Multi-organ excision, on the average, takes three to four hours of operating during which time the heart is beating, the blood pressure is normal and respiration is occurring albeit the patient is on a ventilator. Each organ is cut out until finally the beating heart is stopped, a moment before removal.
It is well documented the heart rate and blood pressure go up when the incision is made. This is the very response the anesthesiologist often observes in everyday surgery when the anesthetic is insufficient. But, as stated below, organ donors are not anesthetized.
There are growing numbers of protesters among nurses and anesthesiologists, who react strongly to the movements of the supposed "corpse." These movements are sometimes so violent it makes it impossible to continue the taking of organs. Resulting from their personal experiences and attestations, many in the medical profession have removed themselves from this program altogether.”