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Persistent vegetative state misdiagnosed 40% of time; patient slated for Schiavo-style death awakens
AAPS ^ | 07.15.07

Posted on 07/17/2007 5:29:02 PM PDT by Coleus

According to a study by the Coma Science Group of the University of Liège, Belgium, up to half the patients in an acute vegetative state regain some level of consciousness. Results of the study are also consistent with previous studies showing that at least 40% of patients deemed to be in a persistent vegetative state are misdiagnosed. “The study showed how very hard it is to disentangle the minimally conscious state from the vegetative state,” says Dr. Steven Laureys. And in cases that health workers diagnosed as minimally conscious, 10% were actually communicating functionally.

Comparing past studies on this issue shows that the level of misdiagnosis has not decreased in the past 15 years.

The results “should give great pause to those who advocate not supplying or quickly removing life support for people with traumatic head injury,” writes Wesley J. Smith, an attorney for the International Task Force on Euthanasia and Assisted Suicide. Moreover “when family members claim that they detect signs of consciousness in their ‘unconscious’ loved ones, doctors should be less quick to assert that they are merely seeing ‘what they want to see.’” Finally, “people ought to consider this problem when determining in an advance medical directive to have themselves dehydrated to death if they become permanently incapacitated” (North Country Gazette 6/21/07).

Researchers are seeking “markers that tell us whether we should increase our therapeutic efforts.” Patients who pass the initial functional magnetic resonance imaging (fMRI) could be followed up with electroencephalography (EEG) (Nature 2007:446:355). "Of course, what really needs to be done is to reject the motion that people with severe brain injuries are somehow less ‘human’ or are not ‘persons.’ Unless and until we do that, people in these devastated states will not be safe,” Smith continues. www.wesleyjsmith.com/blog

In Arizona, Jesse Ramirez, Jr., became responsive about a month after a car crash that left him in a coma, and a week after food and water were restored. He had been five days without hydration or nutrition when his wife made the decision to disconnect his feeding tube. His parents and siblings filed a lawsuit to have the tube re-connected, and a guardian appointed by the court. Ramirez was nearly dehydrated to death without lawful authority. Arizona statute reads that “a surrogate who is not the patient’s agent or guardian shall not make decisions to withdraw the artificial administration of food or fluid.” Ramirez’s wife, with whom he had a “tumultuous” relationship, did not have power of attorney.  Ramirez is now able to answer yes-or-no questions, nod his head, give a thumbs-up sign, and sit in a chair (Arizona Republic 6/27/07).

Additional information:



TOPICS: Culture/Society; Government; US: Arizona
KEYWORDS: aaps; ama; amermedassociation; belgium; vegetativestate

1 posted on 07/17/2007 5:29:05 PM PDT by Coleus
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To: 8mmMauser; 2ndMostConservativeBrdMember; afraidfortherepublic; Alas; al_c; american colleen; ...

.


2 posted on 07/17/2007 5:31:15 PM PDT by Coleus (Pro Deo et Patria)
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To: Coleus
Thanks for the ping.. be it faith in God or faith in science or faith in time, people need more faith and less giving up...

I know some may disagree, that we should ‘let them go’, but I personally believe in fight until you can’t fight...

..but that’s just my opinion.

3 posted on 07/17/2007 5:33:30 PM PDT by mnehring (Virtus Junxit Mors Non Separabit)
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To: Coleus
I note that this is mixing apples and oranges to give a misconception. The new data (the Belgian study it mentions) aren't for PVS...they are just rehashing the old studies. The new info is for acute vegetative state patients.

No surprise in it...but why do people feel compelled to distort facts to try to argue their points, rather than adjust views to match the facts?

4 posted on 07/17/2007 5:37:23 PM PDT by Gondring (I'll give up my right to die when hell freezes over my dead body!)
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To: mnehrling
be it faith in God or faith in science or faith in time, people need more faith and less giving up...

Agreed.

As for myself, I have no intention of giving up. I will fight for individuals to decide their own fates. I will fight to maintain respect for each person as someone with his own personal preferences, not just a statistical "life." I will fight to protect the right to live or die, as endowed by our Creator.

5 posted on 07/17/2007 5:43:16 PM PDT by Gondring (I'll give up my right to die when hell freezes over my dead body!)
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To: mnehrling
I know some may disagree, that we should ‘let them go’...

"Let them go" is one thing, but denying them food and water IMO is NOT letting them go; it's "helping" them along to their final destination. MAYBE a step up from putting a pillow over the face.

6 posted on 07/17/2007 5:49:54 PM PDT by penowa
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To: floriduh voter

Terri Ping


7 posted on 07/17/2007 6:01:01 PM PDT by Halls (check out my profile and it will explain everything!(Vote for someone who will seal our borders!))
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To: penowa
I was trying to be nice, but your post reflects how I feel..
8 posted on 07/17/2007 6:01:52 PM PDT by mnehring (Virtus Junxit Mors Non Separabit)
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Vegetative State

 
9 posted on 07/17/2007 6:04:12 PM PDT by Coleus (Pro Deo et Patria)
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To: juliej; Tabi Katz

ping


10 posted on 07/17/2007 6:09:22 PM PDT by firebrand
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To: trussell

ping!


11 posted on 07/17/2007 7:07:58 PM PDT by MountainFlower (There but by the grace of God go I.)
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To: Coleus
According to a study by the Coma Science Group of the University of Liège, Belgium, up to half the patients in an acute vegetative state regain some level of consciousness. Results of the study are also consistent with previous studies showing that at least 40% of patients deemed to be in a persistent vegetative state are misdiagnosed. “The study showed how very hard it is to disentangle the minimally conscious state from the vegetative state,” says Dr. Steven Laureys. And in cases that health workers diagnosed as minimally conscious, 10% were actually communicating functionally.

But the pro-death crowd won't let facts get in the way. They'll just decide for themselves that no one would want to live like that so the person unable to express their own wishes must feel that way, too. They then have no choice and will simply be murdered to harvest their organs.

12 posted on 07/17/2007 7:14:58 PM PDT by metmom (Welfare was never meant to be a career choice.)
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To: Coleus

bookmark


13 posted on 07/17/2007 11:44:43 PM PDT by secretagent
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To: Coleus
Pinged from Terri Dailies

8mm


14 posted on 07/18/2007 4:31:50 AM PDT by 8mmMauser (Jezu ufam tobie...Jesus I trust in Thee)
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To: firebrand

Yes, Michael Schiavo still runs around the country preaching his poison.


15 posted on 07/18/2007 5:41:07 AM PDT by juliej (vote gop)
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To: Coleus
Good article:

But why can't we here in the USA, namely in Florida, simply go by the American Medical Association's guidlines?

From the AMA Policy Guidlines:

E-2.037 Medical Futility in End-of-Life Care

16 posted on 07/18/2007 2:07:28 PM PDT by BedRock ("A country that doesn't enforce it's laws will live in chaos, & will cease to exist.")
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To: All

Another reason to “err” on the side of life.


17 posted on 07/18/2007 3:57:28 PM PDT by Sun (Duncan Hunter: pro-life/borders, understands Red China threat! http://www.gohunter08.com/Home.aspx)
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