Let Lauren Live!

ChristtheKingMaine ^ | May 7, 2008 | Judie Brown

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Sam Golubchuk update...

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From a ground-floor intensive care unit bed at Grace Hospital, a frail 84-year-old man this week has managed to turn the province's healthcare system inside out and lay bare a new front in the end-of-life debate.

How do you treat someone in their final stages of life?

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Three of the unit's critical-care doctors have refused to treat Samuel Golubchuk, saying to do so is an ethical line they won't cross. Two intensive care beds at the city's biggest trauma centre had to be closed so nurses could scramble to Grace to provide him with kidney dialysis.

And one burning question remains -- what is the cost of all this to Golubchuk, our publicly funding medicare system and the professional obligations of our doctors and nurses?

"I hope all of us are able to remember that there is one human being at the centre of this controversy," said one medical source aware of the lengths the system is now going to keep Golubchuk alive. "I do support the position of the doctors who've resigned -- that they should not be 'forced' to provide treatment they feel is unethical and inhumane."

The legal backdrop further complicating this life and death drama is the pending court case, scheduled for September, to determine whether doctors at Grace will be allowed to pull the plug on Golubchuk. Under the current court order, physicians and nurses are legally obligated to do everything in their power to keep Golubchuk alive until that case has been heard.

Everything in their power has included shifting two intensive care nurses with "specialized skills" from Health Sciences Centre to help out at the Grace intensive care unit. Multiple sources who did not want to be identified told the Free Press the nurses were sent to the St. James community hospital so Golubchuk could have dialysis needed to keep him alive. Golubchuk is suffering kidney failure, which means without dialysis his body can't filter out toxins and he will die.

Experts say patients such as Golubchuk, who are in a minimally conscious state, can still feel pain; they can't receive as much pain-relieving medication if they are on dialysis.

One source said the nurses at Grace Hospital didn't have the specialized training to give continuous dialysis to the elderly man. The source also said nurses feel as though they are "flogging" someone who has no hope of getting better and that closing ICU beds could put other critically ill patients in jeopardy.

While Golubchuk's children, Percy Golubchuk and Miriam Geller, maintain their father is aware of what's going on around him, his case has sparked debate about whether a dying person's right to live trumps the increased strain on an already stretched intensive care system.

There are 74 intensive care beds in Winnipeg, and as of Thursday, 16 were available.

On average, it costs the health-care system $2,200 a day to treat a patient in an ICU bed -- that includes the cost of drugs, doctors, nurses and medical supplies, but not other things such as diagnostic and therapeutic costs.

The ICU beds are occupied by the most critically ill patients or those in unstable condition, including people who need post-operative care, pneumonia patients in need of ventilators or trauma patients who have been in serious vehicle collisions or other accidents.

Dr. David Leasa, an ICU physician in London, Ont. and president of the Canadian Critical Care Society, said part of the dilemma that critical-care physicians struggle with is whether or not a person in an ICU bed is taking away care from another patient.

"We have very difficult decisions to make with families as far as how heroic we should be," Leasa said, noting these types of decisions are made every day in ICUs across the country.

"If we are spending lots of resources, there's got to be potential for good outcome. We don't want these decisions to affect access to care for others."

Thirty years ago, when critical-care medicine began to emerge as a specialty, Leasa said, new technologies made it increasingly possible to keep patients in minimally conscious or vegetative states alive for long periods of time -- even if they had little or no hope of recovery.

However, Leasa said, in some cases, invasive treatments and 24-hour nursing care to keep people alive may cause undue harm or suffering.

Patients in vegetative or minimally conscious states can still feel pain, Leasa said, since the brain stem is still fully intact. That means patients can feel every life-saving treatment offered to them, from a breathing tube inserted through a hole made in the neck, a machine that suctions off secretions, catheters and lines inserted into the body to monitor its function, chest compressions and electrical shocks to resuscitate them and wound care to keep infections at bay.

Leasa said doctors also have to scale back pain-relieving drugs for patients on kidney dialysis since their organs can no longer handle the narcotics.

That's why, Leasa said, doctors try to strike a balance between respecting the wishes of patients and their families and what's ultimately best and possible for the patient.

Doctors sometimes need to ask, 'Are we just delaying the process of dying in this patient?'" Leasa said.

"We all have to die at some point."

Family members keeping a vigil at Golubchuk's bedside not only have a different view, but also take issue with how the medical establishment is treating him.

They say their dad knows what's going on but can't express himself.

"They talk about him right in front of him like he doesn't know what's going on," said Miriam Geller, who spends five or six hours a day at her father's bedside with brother, Percy Golubchuk. "It's not pleasant for him."

They question concerns raised by the medical community about how much it costs to care for their dad while the health authority is spending so much money on the legal battle not to keep him alive.

"They're spending all this money on seven lawyers. Who's paying for their lawyers?"

They also say health authority doctors had no right to reveal personal health information to the media about their father's bed sores and "hacking" off his infected flesh.

"Why are they doing it now?" asked Geller. "To get the public's opinion."

She noted how careful health authorities and providers usually are not to violate the Personal Health Information Act.

They said it was a violation of their father's privacy, grossly exaggerated and in very poor taste.

"Hacking off the flesh? The doctor put that like a butcher," said Golubchuk. Geller said the wound-care nurse treats the bed sores her dad wouldn't have if he received proper care.

"There should've been legislation in place years ago saying the doctor doesn't have the final right," said Golubchuk.

Indeed, four years ago, the Law Reform Commission released a report saying the Manitoba health-care system needed to establish clear and uniform guidelines for when and how end-of-life medical care can be withdrawn or withheld.

"The decision-making process must be clear and transparent and must be communicated clearly, not only to the patient and his or her family but also to the public in order to facilitate a broad understanding of how these decisions are made," the commission wrote.

The decision should also include consideration of the patient's personal, cultural or religious background, the report said.

But while the fight over Golubchuk's life and death rages, his children say it should never have come to this.

"He's a World War Two veteran and this how we repay him -- by trying to kill him?" Geller asked. "The doctors don't have a right to cut a person's life short," said her brother

When doctors say no... As Samuel Golubchuk dies bit by bit, how far should the health-care system go to keep him alive?

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Bobby and Suzanne down under...

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THE brother and sister of the late Terri Schiavo spoke in Toowoomba yesterday pushing one issue compassion.

Terri Schiavo was the subject of controversial debate after she suffered a cardio-respiratory arrest in 1990, leaving her in a severely compromised neurological state and reliant on a PEG tube for food.

Her fight for life made world head8lines when her husband Michael was appointed her guardian by the courts.

After years of legal battles with Terri's family, Mr Schiavo ordered the removal of his wife's feeding tube in 2001.

Counter-orders later instructed the PEG to be replaced; however, after a Supreme Court ordered it had to be removed in 2005, Terry Schiavo died following 14 days of severe dehydration.

Her siblings Bobby and Suzanne Schindler were invited to speak by the Queensland Right to Life Toowoomba branch yesterday.

"We're here just basically pushing compassion for people with cognitive disabilities like my sister had," Mr Schindler explained.

"We've got to be caring for these people, not trying to make it legal to kill them."

Mr Schindler said he had been following the assisted suicide debate in Australia and encouraged people to research the issue themselves.

"I don't think people realise just how much this is happening in the world," he said.

"And I'm afraid that it's getting worse. It's like we're losing our sense of compassion.

"I get asked one question all the time 'Who would want to live a life like a vegetable?' but the thing is these people, like my sister, are living and no one else can make the decision to end their lives for them," Mr Schindler explained.

"This debate is happening pretty much everywhere and unfortunately a lot of people don't understand, but we're going to keep pushing it.

"This issue didn't die with my sister."

The Schindlers have created a foundation in memory of their sister to help other families going through similar situations.

They will travel to Sydney to speak tomorrow before heading back to their home in Florida.

Compassion comes first;it can't be legal to kill

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Facts can be but an annoyance when the quest is to kill. Thread by wagglebee.

The June 19, 2008 headline reads “US doctors kill skin cancer with cloned T-cells.” Does this suggest that human cloning of embryonic stem cells has been successful in treating skin cancer? Absolutely not!

The details of the New England Journal of Medicine

report that generated this news coverage reveal that adult stem cells obtained from the patient were used.....

Media Cover Up Adult Stem Cell Research Success With Misleading Terms

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It is getting harder than ever to keep that smily face mask on the atrocity of abortion. Thread by wagglebee.

SAN DIEGO, Calif., June 21 /Christian Newswire/ -- Bertha Bugarin was arrested on Thursday and jailed in San Diego on ten felonies and one misdemeanor for practicing medicine and prescribing drugs without a license. If convicted, she faces nine years in jail.

Bugarin, who has no medical training, owns five abortion mills in Southern California, including one in Chula Vista, a southern suburb of San Diego. She had been posing as a doctor, performing abortions illegally for $500.....

Unlicensed Abortionist Bertha Bugarin Arrested & Jailed After Botched Abortion Victims Come Forward

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[wagglebee]

As Samuel Golubchuk dies bit by bit, how far should the health-care system go to keep him alive?

Um, aren't we ALL dying "bit by bit"? The death vultures seem to believe that everyone is 100% healthy and then one day they start slipping "bit by bit" and that at this point life should be extinguished.

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"I get asked one question all the time 'Who would want to live a life like a vegetable?' but the thing is these people, like my sister, are living and no one else can make the decision to end their lives for them," Mr Schindler explained.

And this is how the deathbots marginalize people.

Who would want to live deaf?
Who would want to live blind?
Who would want to live mute?
Who would want to live black?
Who would want to live as a Gypsy?
Who would want to live as a Jew?

I seem to remember a certain group of Germans asking these very same questions back in the 1940s and reaching the same conclusion that Schiavo, Greer, Felos, et al, did.

Helen Keller achieved more deaf, mute and blind than 99% of the people in the world will ever achieve.

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The pitiful critters imagine themselves in such situation through their myopia and project those warped views onto us all. It is a case where tragedy and comedy almost touch.

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More on Sam Golubchuk...

Grace not amazing.

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Some time in mid-September a Manitoba judge will make what is likely to be a life-or-death decision in the Samuel Golubchuk case.

Golubchuk is a frail, elderly man whose condition while in hospital deteriorated to the point doctors felt there was no hope of recovery. He was placed on life-support last November and his family subsequently took the hospital to court when it sought to withdraw those measures.

Golubchuk's family was granted a temporary injunction last December preventing the hospital from removing him from artificial life-support.

The case involving Golubchuk's care had originally been slated to begin in December. Last week, however, Court of Queen's Bench Justice Marc Monnin agreed with an application by the Grace Hospital to move up the trial date.

The Grace says caring for Golubchuk is taking a toll on staff and already one intensive care specialist has stopped working rotations at the hospital in protest.

At the heart of this matter is the type of emotional end-of-life decision faced by numerous families every year. Have we done enough for our loved one? Should we let them go?

In order to ensure all reasonable attempts at treatment are considered, dying patients are often artificially kept alive when their own systems fail. As well as a duty of care, it is also a kindness to families, giving them a chance to prepare for what will likely happen when artificial supports are withdrawn.

In a hospital situation, indefinite life-support really isn't considered a long-term option. That type of care places tremendous demands on staff and resources and may well be unfair to others.

ETHICS

In December 2007, Arthur Schafer, director of the University of Manitoba's Centre for Professional and Applied Ethics, was asked to comment on the case.

Appearing on Canada AM, Schafer said "families must realize that with a shortage of hospital beds, one person's provision is another person's deprivation."

Schafer also noted that while bodies can be kept alive through artificial means, "the person you are can't be kept alive ... I don't think that's a sensible use of resources and I don't think that the hospitals can accommodate such wishes."

The Golubchuk family, not surprisingly, disagrees.

On their Save Samuel Golubchuk web page, his daughter Miriam states he is currently receiving "basic care" at the hospital, which includes being given food and water and assistance in breathing through the use of a ventilator.

She further says "rather than giving up, the hospital is continuing to fight us for the right to kill our father."

The family has started a petition seeking to demand the hospital cease its case against them and "continue providing treatment for Sam according to their wishes and instructions."

Whether the removal of extraordinary artificial measures of life-support constitutes "killing" someone is a matter of semantics and better left for the courts to decide.

Make no mistake. however. It's a decision sure to have wide-reaching significance.

Most families, my own included, have been or will be faced with this type of heart-wrenching decision. Equating it with killing a loved one just seems wrong.

Wrenching decisions over life and death

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Karen Weber update...

The cheering section for the death teams has begun. You see, folks, Terri died a "dignified" death and Karen Weber should be afforded that wonderful opportunity too without all the resistance that would make this a Schiavo II case! (Here we could insert a YouTube "Leave Britney our death team alone!)

All they are asking is give death a chance.

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One Terri Schiavo case should be more than enough for Florida. One living will should be a priority for each adult Floridian.

Karen Weber of Okeechobee didn't have a living will when she suffered a seizure in November. A living will allows someone to specify medical instructions if she or he becomes incapacitated. As The Post detailed in a story last week, her husband wants to disconnect the feeding tube that has sustained Ms. Weber for the past seven months. Ms. Weber's mother disagrees.

Sound familiar? It should. Terri Schindler Schiavo suffered a seizure in 1990 that left her in a persistent vegetative state, kept alive only by a feeding tube. Ms. Schiavo had no living will. Eight years later, Ms. Schiavo's husband asked the court for permission to have the tube disconnected. The Schindlers fought him, claiming that there was a chance for recovery.

In 2003, after a Pinellas court ruling in favor of Mr. Schiavo had survived 13 appeals, doctors were ready to remove the tube and give Ms. Schiavo a dignified death. But then Gov. Jeb Bush and the Legislature intervened, after pressure from so-called right-to-life groups. Legislators passed, and Gov. Bush signed a bill that made an unconstitutional exception to the state's death-and-dying laws for Ms. Schiavo.

The Florida Supreme Court tossed the law, unanimously. In 2005, when the tube was about to come out again, only a few cool heads in the Florida Senate kept the state from intervening and embarrassing Florida a second time. So, President Bush and Republicans in Congress butted in, demanding a federal court review that, predictably, upheld all the other rulings.

In this case, the courts have not ruled on Ms. Weber's condition. She is paralyzed but breathes on her own. Still, as with Michael Schindler, Raymond Weber believes that his wife would not want her life prolonged artificially. That uncertainty demonstrates yet once more why everyone should get a living will, which can be done at flsenate.gov. Click on the "featured link," Living Will Information.

Critics have noted that sometimes even a living will isn't enough, and that people's attitudes about their care can change. Both points are valid. Neither, though, is a reason to avoid getting this simple document that can avoid so much conflict. Floridians also can contact the state Department of Elder Affairs for all the necessary information.

According to Raymond Weber, he wants to keep this a private matter. So have others. As the Schiavo case showed, Florida's courts can deal with any such conflict that becomes public. Politicians not required.

Schiavo II? Please, no

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As we glance at the two governors, one from Alaska, the other from the opposite side of our country we perceive a few similarities, but we would sure hope for more. Governor Palin, please influence your colleague Governor Minner so she may also do the right thing!

Thanks, Leslie, for the tip.

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This highly attractive, young, charismatic, woman governor certainly knows how to raise her profile.

She wants to drill in ANWR and it's her state!

Allahpundit wonders if she sent the letter at McCain's behest or on her own initiative.

Sarah Palin is one of the three women David Paul Kuhn sees as the three most likely choices for John McCain's running mate if he decides to add a woman to the ticket. Without hesitation, for all the right reasons, I strongly support the draft Sarah Palin for VP movement.

Alaska Gov Palin sends letter to Harry Reid: Start drilling in ANWR

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Governor Minner, please step in...

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From Fr. Pavone...

Thread by Salvation.

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The US bishops have issued a very clear statement on embryonic stem cell research. It does not dwell upon the scientific nuances of the issue, but rather assists the reader to focus on the moral issues involved. The statement is not marked by condemnation, but rather by explanation. It is not a rejection of research or of those who stand to benefit from research, but rather a call to pursue the well being of those very individuals by preserving the moral standards that protect their dignity and that of the rest of us.

The statement reminds us that there is great medical promise in therapy with “adult stem cells,” which “can be obtained without harm to the donor and without any ethical problem.”

On the other hand, if human lives are destroyed for what some argue is the greater good of curing disease, this argument undermines the dignity of the very people for whom it tries to advocate. “The same ethic that justifies taking some lives to help the patient with Parkinson’s or Alzheimer’s disease today can be used to sacrifice that very patient tomorrow, if his or her survival is viewed as disadvantaging other human beings.”

Addressing the doubt some have as to whether embryos really are human, the statement reminds us, “Just as each of us was once an adolescent, a child, a newborn infant, and a child in the womb, each of us was once an embryo.”.........................

Once an Embryo…(U. S. Bishops Issue Statement on Embryonic Stem Cell Research)

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[Dante3]

What a tragic story.

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Samuel Golubchuk R. I. P.

Mr. Golubchuk died. He wasn't killed. The death team failed and their bloodthirst goes unslaked.

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In the end, it wasn't a judge who decided Sam Golubchuk's fate -- time ran out for the 84-year-old and his family who challenged the province's medical community over who gets to determine when someone dies.

Golubchuk died at about 11:30 a.m. Tuesday in his bed at Grace General Hospital, still connected to a life support system.

"He simply died," family lawyer Neil Kravetsky said late Tuesday night.

The legal action launched by Golubchuk's children to prevent doctors from removing their father from life support system had fixated the community and drawn interest across the country.

Golubchuk's children had won a temporary injunction to prevent doctors from removing him from life support and the issue was to be decided in court in September.

Kravetsky said that while Golubchuk's right wasn't sealed by a court ruling, he believed the Second World War veteran won his case just the same.

"No one took him off life support -- God did and that's what they were fighting for," Kravetsky said.

There was no official announcement to mark Golubchuk's death. The Winnipeg Regional Health Authority refused to confirm he had died because his family had instructed it not to release any statement on his condition. His children could not be reached for comment Tuesday night.

However, an e-mail was circulated among members of the Shaarey Zedek synagogue, stating that funeral services would be held at 1:30 p.m. Wednesday, at Chesed Shel Emes, 1023 Main Street.

Kravetsky said hospital officials called the Golubchuk family late Tuesday morning and asked them to come to the Grace, but he died before they arrived.

Golubchuk was in a minimal conscious state, on dialysis and life support to keep him alive. Doctors wanted to remove him from life support last fall but his children -- son Percy Golubchuk and daughter Miriam Giller -- objected, arguing he was aware of what was going on but simply unable to express himself.

Three doctors resigned, refusing to care for Golubchuk, on the grounds they were unnecessarily inflicting pain on an individual so close to death.

"Mr. Golubchuk won," Kravetsky said. "He didn't die because they pulled him off life support. He died when his time had come."

Golubchuk dies, still on life support

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Oh Canada!

It is now summer. Don't be so cold.

As Sam Golubchuk escaped the hands of the killers, the lust continues and the march goes on without relent.

Thanks, Leslie, for the tip.

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I like to think that activists who promote the legalization of euthanasia and assisted suicide are people who have the best of intentions but view life in a different way than I do.

When I attended the World Federation of Right to Die Societies bi-annual conference in Toronto (Sept 2006), I experienced a very different reality.

Many of the people present were directly involved in skirting the law by causing the death of people.

The concern I have for vulnerable people was simply negated and all effective opposition to their ideology was attacked as religious dogmatism.

I have been told that Francine Lalonde is a nice person but when I read Bill C-562 I feel the same type of unrest in my heart as I felt when I attended the Right to Die conference.

The bill legalizes euthanasia and assisted suicide for people who experience physical and mental pain. People who experience mental pain are often among the most socially devalued persons in our culture and yet Lalonde is willing to prescribe death instead of compassionate care for them.

The bill does not define terminal illness. Does it not concern Lalonde that people who receive a terminal diagnosis are often immediately shocked by that information? Many people go through a tempory depression after learning of their medical condition and only after experiencing a supportive environment or a period of acceptance do they once again gain composure.

The bill bases competency on whether or not the person appears to be lucid. Does Lalonde not realize that one is not competent unless they are actually lucid? Many people who experience chronic depression will appear to be lucid when in fact they are not competent to make important decisions.

The bill does not limit euthanasia and assisted suicide to physicians. Lalonde uses the term medical practitioner as defined by provincial law. This term is not limited to physicians only.

I do not like to compare Bill C-562 to the type of advocacy work that is associated with Dr. Philip Nitschke, Australia’s Dr. Death, but Nitschke advocated that Graeme Wylie be allowed to die by euthanasia, even though he had Alzheimer's disease and was incompetent to consent to the act.

Bill C-562 allows for the euthanasia of incompetent people so long as they have made the request in a valid advanced directive. Is Lalonde not concerned that medical practitioners may use this part of her bill to eliminate many of the most expensive patients in our long-term care facilities?

The problem with the “Dying with Dignity” movement is that they claim to be about legalizing euthanasia and assisted suicide for terminally ill people who are suffering uncontrolled pain, but that is only their calling card. In reality they are about the “right to die” becoming recognized as a radical new human right that will be available to everyone, at anytime, for any reason.

Bill C-562 would move Canada very close to that radical social position.

Bill C-562 - What is Francine Lalonde thinking?

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Wrong time, Greenwich Time...

This source may be linked only.

I can only be wary of intentions when advocates hawk a proper-sounding recommendation yet, perpetuate the boldest of the lies and distortions of the far left on this atrocity.

..............The case of Terri Schiavo - who fell, suffered brain damage and lived 15 years in a vegetative state, surviving on a feeding tube before dying in 2005 (her husband and parents waged a court battle over her right to die) - sparked much discussion across the nation about advance directives. Her case, however, didn't get most people to create their own, according to area experts................

Planning Ahead

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North goes south, and just which is the dopiest city??

This is what happens when visionary radio executives pull a schmo out of a hot-dog stand and turn him into a talk-show host. They dumb-down the city's intelligence quotient, narrow its vocabulary to a ninth-grade level and allow insensitivity to reign. Remember the day when he mimicked brain-damaged Terri Schiavo in her final hours? It was typical of North's imbecilic attempts to survive in the morning-drive market, a colossal mistake by Score executives who thought he could talk politics and hard news. Hell, he had enough time earning credibility on sports through the years. Eventually, his product-of-the-streets act was exposed as demeaning to the city, and the listeners tuned him out, opting for a national alternative in America's most parochial sports town.

Mike North, voice of Chicago?

Only if we're the dopiest city in the land, which we're not....

Chicago a better place without North... End of controversial Score host's reign a victory for decency

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A more reasoned pitch of the same product hawked by advocates I mentioned just upthread, still....

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Terri Schiavo is probably the most recognizable example of what court-appointed attorneys called a permanent vegetative state, Schiavo's parents believed she would want to be kept alive.  Her husband disagreed.

After a 15-year legal battle, Schiavo's feeding tube was removed, and she died of dehydration in 2005.

"Could it happen to me? Yes.  Could it happen to you? Yes. And that's why we do these things, because we would have never heard of this case at all if she would have had an advanced directive," Hurley Care Coordinator Diane Welker said.

"Because the whole issue was that her parents believed she wanted one thing and her husband believed she wanted another.".............

Medical and health news from ABC12

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Why is Tiller the Killer called Tiller the Killer? That gang is probably puzzled at the outrage. After all, it is all in a day's work.

Thread by wagglebee.

Wichita, KS, June 24, 2008 (LifeSiteNews.com) - A murder investigation has been opened involving Shelley Sella, a California abortionist employed by George Tiller, who according to a former employee is reported to have intentionally stabbed to death an infant born alive during an abortion at Tiller's Women's Health Care Services abortion clinic in Wichita, Kansas.

On the advice of an attorney, Operation Rescue reported the incident to the Wichita Police Department after a former Tiller employee, Tina Davis, told Troy Newman and Cheryl Sullenger of the stabbing in April. It is believed that the alleged infanticide took place sometime in the past two years......

Former Abortion Clinic Worker Testifies that Live-Born Baby was Stabbed to Death (Tiller)

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When will people start seeing these truths? Thread by wagglebee.

Margaret Sanger is one of the pro-choice movement's iconic figures. She is extolled as a pioneering feminist, health worker, and woman's activist. Her quotes on these subject are treated as scripture. But she was also an outspoken supporter of eugenics, who wanted more children from the fit and sterilization, even segregation, for the unfit.

The infamous Negro Project, which targeted Blacks for contraception and sterilization, was one outcome of this.....

National Pro-Life Student Group Exposing Racism of Abortion Business Founder

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