Posted on 06/28/2006 5:52:02 AM PDT by wagglebee
OTTAWA, June 27, 2006 (LifeSiteNews.com) - In a press conference at the Ottawa Hospital today, doctors announced the first-ever non-heart beating organ donation (NHBD) procedure preformed in Canada.
The procedure, also known as donation after cardiac death (DCD), typically involves a person who requires a ventilator and, although he has measurable brain function, is determined to have no hope of recovery. The doctors then remove ventilation from the patient and wait for the heart to stop beating. If the heart stops for five minutes, death is pronounced and the organs are harvested by another surgical team.
One of the major ethical problems with the procedure is that there are cases where the heart has recommenced beating and circulation after five minutes of stoppage; another is that the stoppage of the heart is caused by the removal of the ventilator.
Organ donation by "brain death" remains controversial after 30 years of the procedure being practiced, but DCD is even more controversial since there is very little time left for ethical considerations. While with "brain death" organs can be harvested at leisure since machines keep air flowing into the lungs and blood circulating, with DCD the stoppage of the heart necessitates very quick harvesting as organs deteriorate without blood flow.
The presentation of Canada's first DCD sounded more like an emotion-laden sales pitch than a medical press conference. The Therien family was on hand to lend support to the organ donation method as their 32-year-old daughter, Sarah Beth, was the first-ever donor in Canada. Sarah's father noted that the family was Roman Catholic and needed to be assured that the procedure was not in violation of the faith. Mr. Therien said that he was assured by hospital staff, "Dr. Kim and his team", that it was not in violation of the Catholic faith.
Those assurances, however, ring hollow. The Catholic Church has not even finally pronounced itself on organ donations by "brain death" let alone the new DCD procedure. In 2003, the Archdiocese of St. Louis condemned the NHBD protocol saying it is "cruel and dangerous and does not meet standards of respect for human life." It called for an immediate moratorium on the practice "until such time as clearer, objective moral standards of determination of death are enacted."
LifeSiteNews.com spoke with Dr. Moira McQueen, President of the Canadian Catholic Bioethics Centre about the matter.
Dr. McQueen told LifeSiteNews.com that waiting only five minutes after cessation of cardiovascular circulation was "frankly . . . not nearly enough." She noted there have been cases of auto-resuscitation after more than five minutes without a heart beat. Even though organs may be harmed by waiting for a sure determination of death, the principal concern is an accurate determination of death, since otherwise the patient is being killed by organ extraction. "The important thing for us is that the person donating has to be dead," explained Dr. McQueen. "The organs are a secondary consideration, that being established first."
Dr. Cameron B. Guest, Chief Medical Officer for Trillium Gift of Life Network, the agency that handles organ donation in conjunction with the hospitals, spoke with LifeSiteNews.com about the controversy over timing. Speaking of auto-resuscitation, he said, "All of the cases that were reported happened in less than a minute."
Dr. Guest, also the Chair of the Organ and Tissue Donation Committee at Sunnybrook and Women's College Health Sciences Centre in Toronto, informed LifeSiteNews.com that Catholic hospitals in Ontario were looking to take on the CDC method.
Dr. Guest conceded however, that "If there were evidence to show that large volumes of patients" were resuscitating after five minutes his team would look into altering their protocols. That concession is not good enough for Catholic hospitals says Dr. John Shea, the medical advisor to Campaign Life Coalition. Where there is a doubt about ending life, Dr. Shea told LifeSiteNews.com, we cannot ethically proceed.
The pro-life movement is opposing CDC for those same reasons.
"The laudable purpose of saving lives does not justify the donation of an organ whose removal could cause the death of a donor," said Jim Hughes, National President of Campaign Life Coalition (CLC). "Harvesting organs just five minutes after the heart stops is just plain frightening. There are cases of people whose hearts have re-started after a longer period of time," he said.
"These situations put the physician in the difficult decision-making position between the care of their patient and balancing that care against the possibility of passing on the patient's organs to someone else," said Mary Ellen Douglas, National Organizer CLC. "The code of the physician is to do no harm and a heart-wrenching decision between two patients places the physician in the role of playing God."
See a short paper by Dr. Shea on NHBD
http://www.lifeissues.net/writers/she/she_21nonheartbeating....
You mean you didn't order any of the sculptures? :-)
Nah, I prefer Play Dough.
Reminds me of Larry Niven's SF stories about transplants written back in the 1970s. Anyone remember Jigsaw Man? Or the ARM novellas?
Iow, the patient knows you are cannibalizing him.
This all started out with brain function being the sacred part. If you didn't have that brain function, boy, that was the end of everything and we'd kill you. Now we'll kill you even if you do have brain function. You can use your brain function to watch us do it!
"The Therien family was on hand to lend support to the organ donation method as their 32-year-old daughter, Sarah Beth, was the first-ever donor in Canada. Sarah's father noted that the family was Roman Catholic and needed to be assured that the procedure was not in violation of the faith.
The scariest part is that if this is allowed to continue, we will find ourselves at a point where people will be to afraid to go to the doctor for fear that their condition will be declared terminal and the doctor will simply kill them.
Alama found herself among the zotted.
Sounds like some sort of human sacrifice.
If the brain is still functioning, the person is ALIVE!! Whether he or she has any chance of recovering to society's measure of functionality is beside the point. You don't harvest necessary organs from someone who is still alive.
No. . .but I read 'Coma'; and have never forgotten the 'scare' of it. . .
Roight! Because the childerns and the youtes have the best organs! Maybe people who are truly nonselfish should go ahead and donate their organs while they're still young, instead of waiting to be on a ventilator later in life when the organs are all shot.
I say that's a dirty blood libel. You need to back that up with facts, madam.
Everybody makes money on organ donation except the donor and the donor's family.
Yeah, we have a guy here that killed his dad last week. Demanded they remove all life support and threw a hissy until they took out the feeding tube. Now last night he calls the boss and says he's depressed, falling apart inside, and he needs three weeks off.
I determined I wasn't going to say a word about his father's death to him because if I had I would have said "Hey, I hear your dad died. Congratulations! I know you were pushing for that. We'll have to get together for a beer."
See, that's like saying the rich should pay more taxes. Who gets to decide who's rich? Likewise one man's brain death seems to be another's physical challenge. When do you want to start harvesting the severely retarded?
When it got trapped by our company's Websense filter I thought that was a bad sign.
According to the left, quality of life is determened by your ability to pay taxes but still not have enough money to use tax shelters.
Alama signed up for FR in mid-May, she got zotted today -- oh well, I guess she can go back to her "Lilith" feminazi websites and blame the Catholic Church for her life being so pathetic.
The cure for the high cost of healthcare!
In Nivens's stories, the demand for transplant organs got so big that condemned criminals were broken up for their spare parts. Instead of lethal injection they were anethetized and cut up. Brain discarded, everything else used.
Of course the demand still exceeded the supply, so capital crimes kept dropping to more and more minor crimes -- until even excessive speeding tickets was a trip to the meat locker.
Still, not enough organs were available, so it created a demand for "organleggers", who would grab some schmuck off the street, and break him (or her) down into spare parts.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.