Withdrawing Life Sustaining Treatment – Early Withdrawal of Life Sustaining Treatment in Severe Traumatic Brain Injuries, by Bernard W. Freedman JD, MPH

8 years ago Bernard W Freedman, JD, MPH 0
  CDC Statistics Traumatic Brain Injuries On August 29, 2011 the Canadian Medical Association published the findings of a multicenter cohort study evaluating the withdrawal of life-sustaining treatment for patients who had suffered a traumatic brain injury. This study is of particular interest because by the nature of the injury¬† patients cannot make decisions for Read More

Parental Liability for Failure to Seek Care for their Child

9 years ago Bernard W Freedman, JD, MPH 0
  A verdict was rendered yesterday (Feb. 2, 2010) in Oregon City Oregon finding Jeffrey and Marci Beagley, Oregon City’s Followers of Christ Church, guilty of criminally negligent homicide in the death of their 16-year-old son, Neil. Their son died in June 2008 due to a chronic undiagnosed urinary blockage. Neil became significantly ill about Read More

Same Sex Domestic Partners and Medical Decision Makers

9 years ago Bernard W Freedman, JD, MPH 0
  The Senate Judiciary and Public Affairs committee in New Mexico passed (5 to 4) the Domestic Partnership Bill – 800 pages long that gives unmarried same-sex and opposite-sex couples the legal protections and benefits of married couples on issues including medical decision-making. It is anticipated that republicans will oppose.   It must be made Read More

Daniel Hauser – and Medical Confidentiality

10 years ago Bernard W Freedman, JD, MPH 0
I agree with the court’s rulings in the case of Daniel Hauser, highlighted in the media recently. In this case there is as absolute need to continue chemotherapy. It should however be pointed out that the Court ignored Mrs. Hauser’s demand for confidentiality and contributed to this case becoming a spectacle in the media and Read More

Life, for some in Texas, is Cheap

10 years ago Bernard W Freedman, JD, MPH 0
HEALTH AND SAFETY CODE CHAPTER 166.039. PROCEDURE WHEN PERSON HAS NOT EXECUTED OR ISSUED A DIRECTIVE AND IS INCOMPETENT OR INCAPABLE OF COMMUNICATION For the most vulnerable patients, without friends or family, life for some medical patients in Texas, is cheap.  On vague and specious grounds and without proper oversight or transparency, physicians may withdraw Read More

Letting the Conscious But Incompetent, Non Terminally Ill, Patient Die

10 years ago Bernard W Freedman, JD, MPH 0
It must not be too easy to withhold life sustaining treatment from any patient. When it comes to a conscious patient, who is not suffering from a terminal illness, we have to be unquestionably sure we know what we are doing.      A consulting physician contacted me expressing great concern that a 60 year Read More

Autonomy and Abandonment – Legal and Moral Implications

10 years ago Bernard W Freedman, JD, MPH 0
Advance Health Directive: Patient has an advanced health directive, witnessed, notarized and in the format of a legal document done by his attorney, rejecting treatment if he has a terminal condition with the probability of death within a few months; and/or an irreversible condition requiring artificial life support. Patient’s daughter is designated as surrogate. The Read More

Hospital Ethics Committee Failure

11 years ago Bernard W Freedman, JD, MPH 0
The patient, a 98 year old man was suffering from a dissecting aortic aneurysm of 7.5 cm. He was unresponsive and near death. He previously, and with unquestioned capacity, executed an advance health directive indicating that he refused surgery. He also had previously told his physician that he would rather die than to face the Read More