*Update* Brain-dead Canadian on Life Support to Save Fetus

[DiamondSmiles]

Originally Posted by bob351

Pigeon its not a corpse.

I wondered how long this would take to get posted, glad they are keeping the baby alive, pigeon why wouldn't the mother want her baby to survive, fucking retarded.

You could have posted it, bob351!

I do what I can

[Kelseecat65]

Originally Posted by diamondsmiles

You could have posted it, bob351!

I do what I can

I don't think he meant it like it took too long...I think he meant in general.

[DiamondSmiles]

Originally Posted by Kelseecat65

I wish there were some Jahi updates.
In Jahi' s case, there is no reason to keep her heart beating, as she is brain dead.

This is all I found. I did not see or hear about the supposed video. There is no unborn baby/fetus involved in this case, other than the child herself.

Jahi McMath: Is it Safe to Have Tonsil Surgery at Children's Hospital Oakland?

By Matthias Gafni

Contra Costa Times

02/03/2014

Feb 1:

Data Center: Tonsillectomy hemorrhage rates by California hospital

Jan 27:

Jahi McMath video claims to show her feet and toes move

Jan 25:

Jahi McMath: five similar brain death legal cases

Jahi McMath: Could her case change how California determines death?

Jan 10:

Mercury News editorial: Jahi McMath story demonstrates Americans need to talk more about death

Jan 9:

Jahi McMath: Medical experts say organ failure inevitable

Jan 8:

Jahi McMath: Girl given breathing, feeding tubes, attorney says

Jan 7:

Jahi McMath: Streetfighting lawyer takes heat, death threats for brain-dead Oakland girl's family

Jan 6:

Jahi McMath: Family says brain-dead teen's body may be too deteriorated to save

Jahi McMath: Brain-dead girl moved to undisclosed care facility

Jan 5:

Jahi McMath: Brain-dead teen's family moves her from Children's Hospital Oakland

Jahi McMath: Timeline of events in case of brain-dead Oakland teen

Jan 3:

Jahi McMath: Mom can remove brain-dead daughter from hospital, judge rules

Jan 2:

Jahi McMath: Case heads to federal court Friday

Dec 31:

Jahi McMath may be transferred to treatment center in New York

Jahi McMath: Terri Schiavo group secretly leading transfer efforts

Jahi McMath: Hospital fights in court to remove brain-dead girl from ventilator

Dec 30:

Jahi McMath: Judge extends order keeping girl on ventilator

Dec 29:

Jahi McMath: Mom and lawyer say only remaining option for brain-dead girl is a New York care facility

Dec 28:

Jahi McMath: Family, attorney release letter addressing critics

Jahi McMath: Family trying to raise money to get 13 year old airlifted out of state

Dec 27:

Jahi McMath: Hospital open to transferring brain-dead teen but won't perform surgery required by admitting facilities

Jahi McMath: Children's Hospital Oakland agrees to release brain-dead girl to long-term care

Dec 26:

Jahi McMath: Family ready to move brain-dead girl to new facility; hospital may refuse surgery request

Jahi McMath: 2 years ago, a girl wound up severely brain damaged following similar surgery

Herhold: At bottom, the Jahi McMath story is a tale of a mother's guilt

Jahi McMath: Family says they'll move brain-dead girl to another Bay Area facility

Dec 25:

Jahi McMath: Family tries to have normal holiday celebration in hospital waiting room

Dec 24:

Jahi McMath: A mother's undeniable love is lost in divisive battle

Jahi McMath: Judge denies petition to keep girl on ventilator past Dec. 30

Dec 23:

Jahi McMath: Judge extends order to keep brain-dead girl on ventilator

Dec 22:

Oakland: Need for tonsillectomies in question

Dec 21:

Jahi, her mom and 13 days at Children's Hospital Oakland

Jahi McMath: Medicine's ability to keep a heart beating complicates how death is perceived

Oakland: Emotional letter from Jahi McMath's mom to keep daughter 'warm'

Judge grants restraining order keeping brain dead Oakland girl on ventilator through Monday

Dec 20:

Family of Oakland girl on ventilator furious after meeting with hospital officials

Dec 18:

Jahi McMath prayer vigil: 'God knows we want a miracle'

Dec 17:

Document: Order not to remove Jahi McMath from life support

Dec 16:

Oakland: Girl declared brain dead after tonsil surgery may be taken off life support Tuesday

Oakland girl, 13, declared brain-dead after tonsil surgery

Bleeding complications following tonsil surgery are rare at hospitals across the state -- and rarer still at Children's Hospital Oakland, where the medical procedure that left 13 year old, Jahi McMath, brain-dead has sparked debate about pediatric hospital care and the risk of tonsillectomies.

Five years of surgery records for the Oakland facility collected by the state, show that about 1.4 percent of hospitalized tonsillectomy patients bled following the common procedure. That is below the state average for such complications, according to statewide hospital data requested and examined by Bay Area News Group.

Bleed rates for outpatient procedures, considered less serious and where patients do not spend the night, were even lower -- only one instance in 3,100 tonsillectomies performed from 2008 to 2012.

On Dec. 9, Jahi underwent what the Oakland hospital called a, "complicated," surgery, involving not just a tonsillectomy but the removal of other throat and nose tissue to treat the 13 year old's severe sleep apnea. She started bleeding shortly after surgery, eventually going into cardiac arrest and losing total brain function, according to multiple doctor examinations.

Jahi's family thinks the hospital should have done more, and the state Department of Public Health launched an investigation after her mother asserted in court documents and interviews that nurses in the pediatric intensive care unit told her the hemorrhaging was "normal" and left it up to her and Jahi's grandmother to control it. The hospital has said little regarding what may have happened after Jahi's surgery, citing patient confidentiality laws.

Christopher Dolan, the family's attorney, has said a medical malpractice suit is expected, but he declined to comment for this story.

What is clear from the review of state data is that bleeding after tonsillectomy surgeries -- the most common and serious complication -- happens only in a small number of cases.

There were 12,602 inpatient procedures in hospitals statewide from 2008 to 2012, with 1.67 percent experiencing hemorrhaging, according to the Office of Statewide Health Planning and Development, which keeps records of surgery outcomes for 444 facilities across California. The agency provided data to this newspaper specifically geared toward the procedure highlighted by Jahi's tragedy.

Outpatient tonsillectomy bleed rates were 0.15 percent for the 120,349 procedures performed over the five year span.

State records classify a hemorrhage as any bleeding, whether minor or severe. The agency collecting the data stressed that its numbers only show if a patient receives the surgery and what the disposition was, for example death or bleeding. The data does not necessarily establish that the surgery caused the end result. The agency does not have 2013 results available.

Nationwide, tonsillectomies are performed more than 500,000 times a year on children, largely for sleep apnea, and the number of such surgeries is on the rise, according to medical reports. They are the most common procedure performed on youngsters under general anesthesia; however, the procedures have been debated in medical circles since the time that they were done mostly for repeated throat infections.

The Oakland facility tucked up against Highway 24 with a, "One Team, One Goal: 100% Healthy," banner visible to commuters has performed the fourth-most inpatient tonsillectomies in the state over the five years, according to the state data. Dr. David Durand, chief medical officer, said hospitals that treat a lot of children perform a large number of tonsil surgeries and gain expertise, and he's satisfied with the state numbers.

"We are proud of the fact that our (bleeding) rate for tonsillectomies is below the state average," he said in an emailed statement to this newspaper. "As with all surgical procedures, parents need to speak with their child's pediatrician and surgeon before consenting to a tonsillectomy so they understand the indications for the procedure, as well as the anticipated outcome and possible complications."

Children's Hospital Oakland had lower bleed rates than Lucile Packard Children's Hospital, the only similar pediatric-only facility in the Bay Area recorded by the state. Packard experienced postoperative bleeding in 3.47 percent of inpatient cases and 0.23 percent of outpatient cases.

Out of more than 130,000 tonsil surgeries performed statewide over the five year period, 12 patients died, including one at Children's Hospital Oakland in 2008, according to state data. The East Bay hospital said it could not find confirmation of that fatality in its records.

Dr. Reginald Baugh, professor and chief of Otolaryngology-Head and Neck Surgery at the University of Toledo and a leading expert on tonsil surgery, said he would have no concern about sending his own child to the Oakland hospital.

"I would feel very comfortable at Children's Hospital Oakland. There's nothing in those numbers that says there's any problem," he said.

However, Baugh, who led a nationwide committee of physicians that produced first of its kind tonsillectomy guidelines in 2011, cautioned that the state numbers only reveal so much.

"For the most part, those numbers don't have a lot of relevance as far as the quality of care," he said.

For example, the statistics do not break down each individual surgeon's bleed rates and do not include other possible postoperative complications. Specialty hospitals such as Children's Hospital Oakland also receive the tougher cases, which can inflate their rate, Baugh said.

In addition, he said, post-tonsillectomy bleeding has not necessarily been linked to poor medical procedures.

"The cause of secondary bleeding is unclear and presumably occurs without specific provocation and therefore cannot be prevented," he said.

Inpatient tonsillectomies carry a higher risk because they may be combined with other procedures, as in Jahi's case, and may involve patients with additional health issues. For instance, Baugh said, a very young child, or one with a pre-existing medical condition, such as diabetes or asthma, usually is treated on an inpatient basis.

When Baugh was a medical student, a tonsillectomy required a minimum three day hospital stay. As his career progressed, the admission time dropped to a one day stay; by the late 1980s, it was eight hours -- and now it's less than two hours on average, he said.

"The operation has never changed, the patients haven't changed. What has changed is the insurance companies and what they're willing to pay," he said.

A 2011 recommendation in [i]the American Academy of Otolaryngology[i] guidelines report is for individual doctors to annually monitor their bleed rates.

"The purpose of this statement is to encourage self-assessment by clinicians who perform tonsillectomy to determine how their personal rate of hemorrhage compares with expected rates based on audit data and published reports," the report stated.

Durand did not specify if Children's Hospital Oakland surgeons follow this guideline, but he said, "We carefully monitor the outcomes of our tonsillectomy patients, as we monitor the outcomes of all surgical procedures."

1/5 - Photo

Attorney for the family of Jahi McMath, Christopher Dolan, tries to get Jahi's mother, Nailah Winkfield, on the phone as Jahi's uncle Omari Sealey waits for the press conference to begin at the Law Office of Christopher Dolan in San Francisco, Calif., on Monday, Jan. 6, 2014.

[DiamondSmiles]

Originally Posted by Kelseecat65

I don't think he meant it like it took too long...I think he meant in general.

It's cool either way :) I just found it.

[Kelseecat65]

I saw the video...its supposed to show her toes turning due to gangrene..but I could not see anything.

[Pigeon]

Originally Posted by bob351

Pigeon its not a corpse.


I wondered how long this would take to get posted, glad they are keeping the baby alive, pigeon why wouldn't the mother want her baby to survive, fucking retarded.

She's not in a coma. Brain dead = dead.

I don't know what she would have wanted, and no one does. That's the point.

[bob351]

Her cells are alive her body is functioning. She might not be who she was but her body is alive machines or not she is a living incubator.

[Pigeon]

Originally Posted by bob351

Her cells are alive her body is functioning. She might not be who she was but her body is alive machines or not she is a living incubator.

She's a dead incubator. Decomposition of most of the body's cells can be slowed by by keeping the blood pumping. All the cells in her brain are dead and after 7 weeks must have liquefied by now.

[bob351]

If she was dead then she would be rotting and balloon up like every other dead body in the death photos and videos. Her body is alive she is brain dead big difference.

There is no argument here, she is warm she is alive.

[bob351]

This means her organs are still functioning to keep the baby alive, her bones are producing more blood cells to not only sustain both of them but keep immune function up... the body is alive not for long but for a decent amount of time.