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Husband wants life support removed from unresponsive pregnant wife--thoughts?

  1. Modern Daisy

    grapefruit / 4187 posts

    I don't think there is enough medical information in the article for anyone to really side either way. The author made it sound like the wife was toast but because of state law they have to keep her on life support. I don't know if that's true or if she actually has a chance. And they didn't say anything about the viability of the baby other than they can detect a heartbeat. They have to know more than that, at 11 weeks they were able to see a lot of my baby.

  2. mamimami

    grapefruit / 4120 posts

    @pui: Me too. We have now officially had this conversation!

    @Modern Daisy: I agree, I was thinking the same thing. All the info on the baby's health is coming from the lawyers who want to disconnect. Not to say they are incorrect, but I would like to hear it officially from the hospital and doctors. There has to be a lot of info we're not hearing.

  3. MsLipGloss

    GOLD / pineapple / 12662 posts

    @MrsMcD: I remember that case well (it spanned 15 years!).

  4. Elderberrygin

    kiwi / 689 posts

    One aspect of this case that I don't think is getting clarified enough in the press is that Marlise is not in a permanent vegetative state. She is brain dead. They are essentially pumping blood through a dead body to incubate a baby. I hope the new judge will respect the family's wishes and allow them to have her removed from life support. I feel so terrible for them. It must be unimaginably painful to go through this.

  5. Mae

    papaya / 10343 posts

    Gah… so terrible. I hope they get this sorted out sooner rather than later and the husband is allowed to give her peace

  6. MrsSCB

    pomelo / 5257 posts

    @Elderberrygin: yes, I think that's a very important distinction. I don't like what this case implies about women's bodies -- it's basically suggesting that once there's a fetus in there, the woman carrying it ceases to matter and is basically just a vessel for carrying the child. Her husband AND her family are saying this is expressly against her wishes, and yet it continues.

  7. MsLipGloss

    GOLD / pineapple / 12662 posts

    @MrsSCB: I agree.

  8. yoursilverlining

    eggplant / 11824 posts

    @Modern Daisy: per the follow up article, the fetus has several very severe abnormalities, including "water on the brain".

    @Elderberrygin: yes, I agree that this isn't always being stated clearly enough. She is dead; she is being kept "alive" only to function as an incubator; not for her own life or any chance of her own recovery.

  9. coopsmama

    cantaloupe / 6059 posts

    I can't believe that this whole debacle is still going on. They really need to let this poor woman go completely since she's not there anyways and it seems like any outcome for the child (if it were even to survive birth) would be incredibly poor at best. I feel sickened for her family that they are having to live with this reality. They need closure!

  10. pui

    bananas / 9899 posts

    @yoursilverlining: Where's the follow up article? I think I missed it!

  11. jedeve

    pomegranate / 3643 posts

    This is so sad.

    I hear a lot of people say it is so unfair that the state gets to make the decision and they should respect the family's wishes. To me, I think the assumption would be that it is more in line with a pregnant woman's wishes to let the baby survive. I'm uncomfortable with the idea that the husband gets to decide to pull the plug on her and the baby. If she was alive, he wouldn't have any say on whether or not she got an abortion. I wouldn't want my mom or someone coming in and deciding it was too hard on her to see me on a ventilator and think they should end it. I would hope the state would protect my child. I also wouldn't want others determining whether they thought my baby was in good enough shape to be allowed to live or not.

  12. Mae

    papaya / 10343 posts

    @jedeve: But between the state and her husband--- who would know her wishes better? Especially considering that the state isn't even making a decision, it just has a mandate.

  13. jedeve

    pomegranate / 3643 posts

    @Mae: Well since neither knew her wishes in this instance, I think that you should err on letting the baby live in that case.

  14. yoursilverlining

    eggplant / 11824 posts

    @pui: here you go - warning, the description of the baby's condition is very sad/upsetting. Just FYI.

    http://usnews.nbcnews.com/_news/2014/01/22/22404705-fetus-of-texas-woman-on-life-support-distinctly-abnormal-family-lawyers-say

  15. Mae

    papaya / 10343 posts

    @jedeve: Don't you think that knowing a person, and knowing all the discussions you've had with them, and knowing their preference in similar situations gives you insight into what they would want though? You are never going to know how your spouse would feel in EVERY possible situation-- but I would think that most spouses would have a pretty good idea based on all of those factors.

  16. jedeve

    pomegranate / 3643 posts

    FTR, I think a better legal argument is that the statue shouldn't apply to people who are already dead.

  17. lovehoneybee

    GOLD / wonderful pea / 17697 posts

    Would the fetus even be able to live outside the womb? It just seems so cruel to keep a dead woman's heart beating for months so they can deliver a child that will likely die. Take her off life support, let them die peacefully, and let the family mourn them. I might feel differently if the fetus looked like it was developing normally, or if the mother was just in a coma or PVS, I don't know. This is such a horrifying situation.

    This might be a stupid question, but can't the family just move her to another state that doesn't have this law in place?

  18. MsLipGloss

    GOLD / pineapple / 12662 posts

    @lovehoneybee: I don't know that they could (transfer). They may actually be required to seek a Court order to do so. It would be complicated to get the Hospital to (willingly) release the body given the pending suit.

  19. JoJoGirl

    cantaloupe / 6206 posts

    Ugh this is horrifying. And the article makes a fair point that if the Texas law applies to her, they would need to run pregnancy tests on EVERY braindead woman in the state to determine whether or not to keep her on life suppose as well. Horrifying.

  20. MsLipGloss

    GOLD / pineapple / 12662 posts

    @jedeve: What powers a State has to control a life/body should be limited to greatest degree possible. Affording the State more control than is absolutely necessary is a dangerous, slippery slope . . . the broader and far-reaching impact of increasing that control should be carefully considered. The Terry Schiavo case is an excellent case study regarding State involvement in what should have been a private family matter.

  21. lovehoneybee

    GOLD / wonderful pea / 17697 posts

    @MsLipGloss: That's true. I guess I was thinking about Jahi McMath, who was ultimately released to a coroner and then to her mother, who put her in a private facility...but thinking it through more, not a comparable situation at all.

  22. littlebug

    honeydew / 7504 posts

    I read a while ago that the baby was believed to have issues due to the lack of oxygen to the mother's brain for an unknown period of time. Even back then, I "sided" with the father. Now that there is confirmed severe issues, I definitely agree that it is time to let their bodies go.

    This is definitely a converstaion I need to have with Hubs. We have living wills and he very clearly knows my position (no life-sustaining support if there is no hope for recovery), but I definitely plan to add wording about being brain dead and pregnant in the document now! No one should ever have to make such a horrible decision.

  23. Ree723

    grapefruit / 4819 posts

    This whole situation is deeply upsetting. It is a terrible loss of life that the mother has died (because really, she has) and it is even more disturbing that a state mandate is forcing her to be kept alive to incubate her baby. That should not be the state's role and in a case where a person has made their wishes known, I find it reprehensible that the state can assume they know what's best. Perhaps if the baby was already viable when this tragedy occurred, that may be one thing as they can deliver the baby and hope for the best. But when it is clearly a long way from viability, it is far overstepping the boundary to dictate that a dead woman's body must incubate a fetus until it is viable.

    Aren't we starting down a slippery slope here? Is every woman of child bearing age going to be tested for pregnancy before they can legally be declared dead? I mean a lot of women don't find out until they are five, six, seven etc weeks pregnant, so of course you'd need to make sure the person wasn't in the very early stages of pregnancy before turning off the machines, right? Ugh! This is a decision that should be made by the family and no one else.

    For me personally, if something happened to me whilst in the first half of pregnancy, no, I would not want to be kept alive as an incubator for my child. It would be a tragedy to lose two lives, but if the fetus can't survive outside of me, I don't consider its rights to supersede mine.

  24. psw27

    pomelo / 5220 posts

    What a really tragic situation for everyone involved - the family, the mother, the baby.... But personally, if "someone" had to make a choice about what I wanted for myself and the baby in this scenario, I would much rather prefer my DH do it than a judge who has never met me in my life. I guess this is a lesson to make a very specific DNR order if that is your belief.

    I agree with @mrslipgloss, the state is never going to release the mother. Hence why the family hasn't just checked her out of the hospital and let her pass away at home.

  25. MsLipGloss

    GOLD / pineapple / 12662 posts

    @JoJoGirl: Although it would create an absurd result, under a broader application of the premise you just posted about, wouldn't the State be obligated to determine whether every single female patient is pregnant in the event of their death so that the State would know whether or not they had a legal (statutory) obligation to keep the patient *alive*?

  26. MsLipGloss

    GOLD / pineapple / 12662 posts

    @Ree723: As an aside to your post, it is my understanding that it is the Hospital that is refusing to follow the huband's orders (and that the basis for its refusal is a statute). I don't think the State has intervened at this point.

    But I agree with your post!

  27. Ree723

    grapefruit / 4819 posts

    @MsLipGloss: That's true, I just made the broader jump that if the statute wasn't in place, the hospital would not be able to take the actions they are taking. Just out of curiosity, what would happen if the hospital did remove her from life support, clearly violating Texas law? I'm assuming they're in a position where their hands are tied because of this law, but I could very well be wrong.

  28. Mrs. Tiger

    blogger / pomegranate / 3044 posts

    Just wanted to say I would not want to be used as a dead incubator. If I died I would want the baby delivered, and attended to as a separate person. I don't think we can assume she would have wanted the opposite.

  29. MsLipGloss

    GOLD / pineapple / 12662 posts

    @Ree723: Outside of serious fines and someone looking over the Hospital's shoulder for a while (or their operating license being in jeopardy), I can't think of any . . . ?

    Here is an article that discusses the Texas Directive:

    http://www.latimes.com/opinion/commentary/la-oe-caplan-pope-texas-pregnancy-life-support-20140116,0,3476520.story#axzz2rEgiK7BC

  30. MsLipGloss

    GOLD / pineapple / 12662 posts

    @beaker: In this situation, the baby would not survive delivery. If the mother is dead, the fetus is pre-viability, and the father is saying *pull the plug*, how does the father not get to be the decision-maker in this scenario?

  31. littlebug

    honeydew / 7504 posts

    @psw27: I believe (though someone is free to correct me if I'm wrong) that in order for the family to remove her from the hospital, the hospital has to sign a death certificate. Since the hospital is refusing to let her body "die," the family can't simply take her from the hospital.

    I think this is what happened in the case of that young girl who went to the hospital for a tonsilectomy and, after complications, became brain dead - the hospital would only release her to the continuing care center if the family would allow them to sign a death certificate. Here it's the opposite scenario - the family wants the hospital to sign a death cert and the hospital refuses to do so.

  32. MsLipGloss

    GOLD / pineapple / 12662 posts

    @littlebug: I don't know the technical ins-and-outs of it, but generally speaking, when families disagree with care plans set forth by a medical provider, the family can usually arrange a transfer to a different provider/facility . . . . of course, they would have to sign all sorts of paperwork and acknowledge that the transfer was being done AMA (against medical advice), but it is my understanding that generally, hospitals can't retain corporeal control against a family's wishes.

  33. Mae

    papaya / 10343 posts

    @psw27: totally agree. Unless there is some serious reason to doubt the spouse (like for example if they are legally separated or if there was some allegation that he was abusive and caused the injury) it just seems right to me that the spouse gets to decide. I trust my husband implicitly. I know that he would protect our baby if there was a real chance of her leading a normal life. I would trust him to make that decision for me/us absolutely regardless of whether I had thought to account for this specific circumstance.

  34. jedeve

    pomegranate / 3643 posts

    @MsLipGloss: Also, if you leave against medical advice, insurance often won't pay, I believe. Which would leave the family with a pretty hefty bill.

  35. Ree723

    grapefruit / 4819 posts

    @MsLipGloss: Really good article, I could not agree more! Thanks for sharing!

  36. littlebug

    honeydew / 7504 posts

    @MsLipGloss: In general you're absolutely right. I work in a hospital and patients sign out AMA all the time. I think in the case of a brain-dead patient, though, it is different. The body has to be "released" by the hospital. I know when we have patients who die, the family has to come and sign releases and the hospital has to agree to release the body to whoever comes to claim it.

  37. littlebug

    honeydew / 7504 posts

    @jedeve: That is an urban legend. Never let anyone tell you that if you sign out AMA your insurance won't pay.

  38. MsLipGloss

    GOLD / pineapple / 12662 posts

    @jedeve: I don't know that insurance covers treatment for (legally) dead patients . . .

  39. MsLipGloss

    GOLD / pineapple / 12662 posts

    @littlebug: Yeah, I imagine a *death* changes that procedure and the Hospital's obligations regarding the body (as it becomes property). *augh* What a mess.

  40. blackbird

    wonderful grape / 20453 posts

    I'm also of the opinion that since the woman is dead (the fetus is being kept alive in a dead body. Not a good situation. This baby is not going to do well), the decision defaults to the husband. He gets to decide for his wife and unborn fetus what to do.

    So if this child is born and has 8M worth of medical bills, is he going to have to pay them, when he was advocating for pulling the plug to begin with?

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