[tri-med] update on Annie
- From: Barbara Farlow <b_farlow@xxxxxxxxxxx>
- To: tri med lists <tri-med@xxxxxxxxxxxxx>
- Date: Sat, 8 Nov 2008 22:04:36 +0000
Hello
It has been a while since I provided everyone with an update on my situation
with Annie.
As a brief summary, Annie died in Aug 2005 at the age of 80 days within 24
hours of arrival at one of the best hospitals in Canada.
During that time, a DNR was entered in the record without informed consent, two
lethal quantities were signed out of the narcotic cabinet (20mg Morphine and
100mcg Fentanyl) without a physician's order and the final medication report is
inexplicably missing. A nurse gave a supplemental dose of cloral hydrate with
no doctor's order that was shown as administered just before the medication
report disappeared. Annie was perfusing well, with stable hemodynamics and a
SAT rate of 97% one hour before death at which time the records stopped.
The intensivist told us Annie needed a surgery that she would not survive.
However, this is doubtful as there was no diagnostic testing. When I asked this
physician what his diagnostic basis was, he smiled and said, "experience."
The Coroner and his Pediatric Committee determined that the care was
"inappropriate" but said the narcotics were accounted for. When we asked where
the narcotics went to the Deputy Chief Coroner responded, "I don't need to tell
you that". We appealed for an inquest with letters from disabilty groups
representing tens of thousands of people, but the answer was "NO" with no
justification.
We do not know how/why Annie died or could not be helped. She had tri 13 with
no Holoprosencephaly. Her cardiac problem was minor and not expected to require
surgery. All other organs were fine. Her carbon dioxide levels became critical
on the 5th day but they were repeated ignored as they grew worse and worse
until Annie died. We have no idea of the cause. There was no autopsy and the
Coroner declared that the cause of death was "complications of trisomy 13".
Recently, the Privacy Commission refused to make an order for the hospital to
do a search for the missing medication report (it is a direct-entry electronic
record) The adjudicator said that the hospital did a "reasonable" search
because they checked the system twice. The fact is that electronic records
cannot be erased. He did not say what they searched or where they searched.
It would seem that the whole system in Canada, when it comes to children with
disabilities, is a bit of a joke (and that is a nice word). Annie was not brain
dead and she was not on life support. The fact that these things happened to
her effectively put thousands of vulnerable lives at risk.
Next is Human Rights mediation in December. The UN's High Commissioner's office
is following the case since we met with a human rights officer in Geneva in
July 2007.
I am continuing to do public speaking and this month our National Association
for people with developmental disabilities (CACL) is having a panel at their
conference called "genetic justice." I have been invited to be on it.
I have heard that a little one with trisomy 18 had successful cardiac surgery
in another part of Canada recently, but for the most part, it would seem that
our system covertly withholds appropriate treatment. I wish I had known that.
If we had known that our hospital has internal policies regarding the
withholding, withdrawal and terminal sedation of certain children, we would
have just taken Annie home from the hospital. In Ontario. infants with apnea
due to a pre-existing condition, are not evel allowed to have an apnea/cardio
respiratory monitor.
This whole situation has been devasting to us. If life-saving treatment was not
in the best interests for Annie, then the doctors should have said so. The
lied, again and again, telling us that they were doing everything as they would
for another child. It is rather bizarre because we thought we had a very good
relationship with them.
In Canada, doctors can do these things because there is no legal protection for
children. Their lives are worth so little compared to the cost of a lawyer that
only a fool wouild litigate. Nonetheless, we do have a lawsuit.
I hope that the US does not go to a public health care system.
Barb (Annie's Mom)
www.anniefarlow.com
_________________________________________________________________
Building ___ooOOoo__ Rainbows
www.trisomyonline.org
Families Helping Families On-line
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