Update: Jahi McMath being kept at New Jersey hospital (2714 hits)
Jahi McMath: Experts say New Jersey ' best destination' for brain-dead patients
Jahi McMath, the Oakland girl who was declared brain dead after a trio of nose and throat surgeries last December, is being kept at St. Peter's Children's Hospital in New Brunswick, New Jersey, television station KPIX reported late Wednesday.
Jahi, 13, was declared brain dead after a series of operations to remove her tonsils and tissue from her nose and throat in December at UCSF Benioff Children's Hospital Oakland. She continued to receive feeding and breathing support after the diagnosis as her family engaged hospital officials in a legal battle to keep the girl on organ support.
The news comes after months of speculation about the girl's whereabouts; in January, the family won a court order allowing them to take her out of Children's Hospital, but did not say where she was transferred. The Alameda County Coroner's Office even issued a death certificate for Jahi before allowing her body to be released from Children's Hospital Oakland, on the condition that once her organs shut down, the family would have to notify the coroner.
KPIX reported that she is receiving round-the-clock care and has responded to commands, moving specific parts of her body when asked.
Attorney Christopher Dolan, who represents Jahi's family, would not comment on her location. In a statement to Bay Area News Group, he said that "Jahi's physical condition is much better than when she was at Children's Hospital," adding that predictions that her organs would shut down and her heart would cease pumping had not come to pass.
"I have seen Jahi and none of what Children's (Hospital) said would happen to her as inevitable physical death has occurred. I have seen much more movement in Jahi, response to her mother's touch and voice and what appears to be movement in response to voice command.
"But I am not a doctor and there may be explanations for this dramatic difference in her presentation. What I can tell you is that what Children's Hospital said would definitely occur, regardless of treatment, had not occurred. ... Six months have passed and CHO's prophecy has failed to manifest.
"Treating Jahi as a living being had led to her physical condition stabilizing and then improving. The family continues to pray for improvement and expects that additional tests will be preformed to determine if she no longer meets the controversial definition of brain death.
St. Peter's Children's Hospital is part of the nonprofit St. Peter's Healthcare System and affiliated with the Catholic Church. New Jersey may have been chosen because of a 1991 state law that gives patients and their families the right to reject a medical diagnosis of brain death on medical grounds and decide whether to continue organ support. http://www.mercurynews.com/ci_25992852/jah...
If Jahi McMath is in fact at a New Jersey hospital, as one TV news station reported this week, the 13-year-old Oakland girl would be in the "best destination" for a patient declared brain-dead, a medical expert said Thursday.
The move from the Golden State to the Garden State would be a logical one, according to Arthur Caplan, director of the division of medical ethics at New York University's School of Medicine. While California law allows for reasonable accommodations for brain-dead patients to be made -- usually giving time for family to arrive to say goodbye -- New Jersey goes a step further.
It is the only state in the U.S., Caplan said, with a law requiring hospitals to accommodate brain-dead patients who belong to a religion that does not accept the diagnosis as a final verdict for death.
And it appears Jahi's case could be the first to test the law, though it is not clear if it would satisfy it, he said.
"As far as I've been able to tell, no one knows if anyone has ever used it," said Caplan, who has followed Jahi's case and researched the 1991 law. "You'd probably have to show you belong to a church that doesn't accept brain death or a religious group. But all that said, New Jersey ... is the best destination."
Six months after Jahi was declared brain-dead, KPIX reported Wednesday that she is at St. Peter's Children's Hospital in New Brunswick, New Jersey. Successful court battles and crafty negotiating on the part of the family's attorney, Christopher Dolan, allowed the family to take the unusual step of moving Jahi out of UCSF Benioff Children's Hospital Oakland, where she had the original surgery to remove her tonsils and other tissue from her nose and mouth.
The teen left the hospital in an ambulance on Jan. 5, and her whereabouts were not made public until Wednesday. Dolan declined to confirm if Jahi is located there, as did a hospital spokesman. In a statement to this newspaper Wednesday evening, Dolan said Jahi's condition has improved since leaving Oakland.
"I have seen much more movement in Jahi, response to her mother's touch and voice and what appears to be movement in response to voice command," Dolan said. "But I am not a doctor and there may be explanations for this dramatic difference in her presentation."
Dolan said the family might ask for a fourth test to determine if she has brain activity. The first three -- including one by an independent physician -- found that Jahi had no brain function.
Wade Smith, director of the neuroscience intensive care unit at UCSF, said it possible for brain-dead patients to have muscle spasms, but not to respond to commands. Smith said he knows of no recorded cases of a brain-dead patient recovering brain function.
"If there is response to stimulation that is not reflexive and that was validated by a neurologist with expertise than I think it's a very important case to document and show the rest of the world," Smith said. "I would be very interested in seeing the results of that evaluation. Short of that, I would be skeptical that the claims are accurate."
