At the beginning of the “debate” between Dr. Fost and Dr. Lantos on the Bioethics Channel, the interviewer explained, “Dr. Diekema and Dr. Fost were both involved in the Ashley X case”. Dr. Fost himself put a little distance from the case by saying “what the Seattle team had done” in explaining why “we” the authors wrote the recent AJOB article. But that led me back to one of the questions I have been pondering for a long time: What is the role Dr. Fost has been playing in the Ashley X Case?
Dr. Diekema and Dr. Wilfond had their residency at the University of Wisconsin. Dr. Diekema introduced Dr. Fost as “mentor of mine” at the 2007 bioethics conference of the Seattle Children’s Hospital. Dr. Fost has been one of the guest speakers at the conference for years. He’s been often invited to speak at the hospital seminars, too. So we can easily imagine that he is very close to the hospital (or to the Truman Katz Bioethics Center, at least) and that he must have a strong influence on Dr. Diekema and Dr. Wilfond who are both directors of the bioethics center. But did we know that Dr. Fost was “involved in the Ashley case”? Continue reading →
Visit this bioethics site and go to the Bioethics Channel from the link there. Yes, this debatebetween Dr. Fost and Dr. John Lantos who wrote a critical commentary in AJOB deserves a listen.
Dr. Lantos says court review is absolutely necessary, pointing out three problems of ethics committees in cases like the Ashley case: there’s no transparency, there’s no due process, and there’s no accountability. He says “Nobody knows exactly what went on in that committee meeting.”
In his third anniversary update of January 13, Ashley’s father writes “About dozen parents all over the world who are successful at providing the treatment to their Pillow Angels (boys and girls) are in contact with us.” He also mentions an email from “an attending doctor of a panel on Growth Attenuation at the pediatric conference held in Hawaii in May 2008” that says “when we asked for a show of hands, about half of the room said they had been approached by a family seeking growth attenuation, and about a dozen raised their hands when asked if they had offered it to a family.”
Claire wrote a great post here about this shocking revelation, pointing out that the growth attenuation is being justified for children with far lighter disabilities than Ashley’s for caregivers’ convenience. I appreciate what she has been writing on this issue. I agree with her 100% and share her sorrow at this new information.
Here, I would like to raise a question. Who is “ an attending doctor” who sent the email and reported to Ashley’s father about how the conference had gone?
The American Academy of Pediatrics had an annual meeting in Hawaii May 3-6, 2008. I found the program of May 4 here. The program 4195 titled “The Pillow Baby: Growth and Puberty Attenuation in Children with Profound Developmental Disability” seems to be the panel mentioned by Ashley’s father. Continue reading →
On December 3, 2009, The International Day of Persons with Disabilities, Canada tabled in the House of Commons the United Nations Convention on the Rights of Persons with Disabilities. According to Minister of Defense Peter McKay who tabled the Bill:
The government’s tabling of the Convention on the day the United Nations officially designates the International Day of Persons with Disabilities demonstrates Canada’s strong commitment to removing obstacles and creating opportunities for persons with disabilities.
The government indicated that this was important legislation and that it would work to pass the Bill in time for the Paralympic games in February.This certainly was a lovely dream. Continue reading →
Dr. Heidi Janz received word this morning that she has been selected by the Canadian Disability Studies Association that she has been selected as the recipient of the 2010 Tanis Doe Award for Canadian Disability Study and Culture. This annual award was first given in 2009 and honors activist and scholar Tanis Doe who died in 2004. According to the Canadian Disability Studies Association:
This award honours an individual who dares to “speak the unspeakable” in advancing the study and culture of disability, and who has enriched through research, teaching, or activism, the lives of Canadians with disabilities.
Tanis Doe, a Métis (Ojibway/French Canadian) Deaf woman, who was a wheelchair user in the later part of her short life, received her Doctoral Degree from the University of Alberta, before going on to hold the Ed Roberts Post-Doctoral Resreach fellowship at the University of California- Berkeley, being appointed a Fullbright Scholar in Bioethics at the University of Washington, and teaching at several other universities, including her final post at the University of Victoria. Continue reading →
EDMONTON, Alberta, January 20, 2010 (LifeSiteNews.com) – While Isaac and Rebecka May, the Canadian couple who are fighting for their new-born baby’s life, are awaiting a January 27th judgment on their petition for a 90-day injunction against their hospital’s order to remove their baby Isaiah’s ventilator, some advocates for the disabled are saying that what the May’s are experiencing is shockingly common in Canada. According to Sam Sansalone, father of Katya Sansalone, who was born 8 years ago with full trisomy 13, in Canada “profoundly disabled kids are routinely – and intentionally – not treated with life-saving intervention.” Sansalone serves as co-chair of the Advisory Committee of Family to Family Connections at the Alberta Children’s Hospital, a family-centered care initiative recently launched in Southern Alberta.
He said that “the dynamic that we had to fight became very quickly and firmly entrenched as soon as we had a genetic diagnosis.” “The clear mandate, at least at that time, was that you don’t save these disabled children’s lives,” he continued. “You allow them to die – even though the needed interventions are exactly the same as would routinely and unquestionably be given to quote-unquote normal children.” Katya Sansalone was born with a cardiac condition that is associated with her chromosomal defect. The Sansalones fought hard with their hospital, the Hospital for Sick Children in Toronto, to have them perform the cardiac surgery that Katya needed. The hospital initially refused to do the surgery, he said, but “they didn’t make it look that way.” “Initially they said we had a choice, and then they proceeded with trying to influence that choice by giving us false information about the range of outcomes,” he continued.
Sansalone attributed their success in part to the fact that his wife is a doctor, which helped the family to research Katya’s condition. This research allowed them to be “not so easily fooled by this kind of misinformation.” Sansalone said the hospital “actually tried to hide medical literature from me.” He saw that on one occasion the neonatologist had a key study on a clipboard that actually dispelled myths about Katya’s condition that the hospital had perpetuated, but the doctor held the study out as though it supported their position. “When I tried to read it, the neonatologist doctor actually pulled it away from my view,” he said.
Sansalone believes their experience might have some parallels to what the Mays are now going through with the Stollery Children’s Hospital. “I hear that they were being denied … regular access to the patient chart – reading it and seeing the imaging.” “That is completely illegal, … read the full story at LifeSiteNews.
from the CTV Edmonton website, their story Baby Isaiah gets reprieve as judge asks for more time. Parents petitioning to force a hospital to keep their infant alive. Which country is this? You can read the full story, by Melissa Dominelli, at the link above. It starts:
A city judge has decided she needs more time to consider the arguments in the case of an Alberta family battling Alberta Health Services (AHS) to keep their son on life support. This means that baby Isaiah James May will not be disconnected from his ventilator Wednesday afternoon as originally planned by AHS and the Stollery Children’s Hospital. Madame Justice Michelle Crighton ruled Tuesday morning in an Edmonton courtroom she will come back with her decision on Jan. 27th after hearing from an independent expert in the emotionally-charged issue. The lawyer for the May family wants the hospital and health authority to delay their plans for 90 days. Alberta Health Services told the court they are willing to wait only 30 days. AHS released this statement Tuesday afternoon addressing its part in the court battle. “The medical and ethical discussions for this family and care providers are the most difficult imaginable. Our heartfelt sympathies go out to the family. Our medical, nursing and allied health teams have and will continue to support this family in every way possible. It is appropriate to turn now to the courts for direction.”
Remember Annie Farlow. See also the CBC News Edmonton coverage of the story here.