Wednesday, December 10, 2014

The Effects of the Brain Death Diseases

There are many causes that lead to clinical death, which are accident injuries and brain tumor. I remember my sister when she had a tumor. At the first, they eradicated her uterus and after five months the tumor came back. My sister had chemotherapy for one year. Before one month of her death, she had a brain death and that is how tumors lead to brain death. Another example, if someone had a disaster like accident, it will lead to clinical death.


A lot of terrifying accidents cause severe injuries in some organs in the human bodies such as the brain, the heart and etc. if one of these organs got affected of severe injuries, they will not function properly and when this happens the organs will be disordered and so the person will inter in a brain death condition. One of these causes is when the heart beats in irregular rhythm. In this case, the blood circulation begins to pump a little blood and that makes heartbeat less than normal. In the beginning of clinical death, human loses consciousness for a few seconds and also the brain stops for 20 to 40 seconds. In this case, the brain will lose its function and the brain death will happen. So, certainly, there is a positive side, and there are negative effects to deal with at the same time in this disease.


One of the effects of clinical death is the patients look dead but at in the same time they are alive. They can’t even move from their beds to walk into the bathrooms. These people are also near to death because they need someone to feed them because they can’t feed themselves. Patients live by the medical devices and once the doctor disconnect the medical devices, the patients immediately will die.


Mohammed Al Qassim
Tarut, Saudi Arabia
According to Brigham and Women’s Hospital, the patients don’t sense anything around them including the pain. If the patient’s family or friends visit them, they will not know or sense who’s exist inside the room. The patients look like they’re breathing because of the ventilator machine and their skin still warm to the touch. The only difference  between them and normal people is that they breathe via machine and brain dead person cannot maintain their body temperature, so the body is still kept warm. When my sister entered in brain death condition, it was a difficult station for me because she was like a mother for me and saying her in this station is something completely beyond difficult. I couldn’t even do anything for her accept prying and holding her hands perhaps came a miracle moment and felt my warm hand.


Another effect to consider for brain death is the emotional aspect for family. They feel like they are losing their beloved ones and they can’t help them to recover. Moreover, a patient’s family will be thinking about their patients all the time because they don’t know if they’re going to be recovered or not. They always sit at the hospital taking care of their patient and waiting for the doctor and nurses. Their families will be busy searching for information about clinical death looking for the best hospitals abroad for their patient’s case. They will also be tired mentally and physically whether thinking or going back and forth to the hospital to see their patient. It is hard for the family to wait for a miracle because they will be waiting for long time and they don’t even know if this miracle will happen or not. Miracles are difficult to happen in the real life.  
One benefit when these patients are allowed to die is the availability of their organs. According to Jennifer Heisler, a surgery expert, the most popular type of donation is organ donation after brain death. The patient becomes eligible for donation when they are declared brain dead. Also, when the patient is taken to the surgery room, their heart is still beating and breathing by the ventilator supporter and only their brain is not functioning but the rest of their organs are functioning properly. Donations after brain death allow transplants of many different organs such as the heart, kidneys, lungs and etc. This type of donation allows a family member or friend to donate an organ to people who need it.     
I believe that patient’s families should consider euthanasia not only as a human right, but also as medical treatment because it gives patients the chance to die peacefully. Euthanasia is a human right for every single person who suffers from a disease which leads to clinical death. It is a freedom choice and everybody in this life has the right to do whatever they want and this is applied on euthanasia too. It is a way of helping or freeing patients from their hard and hopeless condition. No one would ask for death unless they were so desperate, and no cure to relieve them but death. Even in some cases, patients are kept alive on life support without the patient’s choice because the patients are completely incapable of doing or saying what they want. Patients suffer a lot during their disease journey and so they deserve to die peacefully after a long journey of torture and treatments.    
To sum up, brain death is a very difficult issue because therapists didn’t find solution for brain death. This disease affects patient’s family and put them in difficult station of fear of losing the spirit of those they love.         
References


1) SHEWMON, D. (2009). Brain Death: Can It Be Resuscitated?. Hastings Center Report, 39(2), 18-24

2) Dhanwate, A. (2014). Brainstem death: A comprehensive review in Indian perspective. Indian Journal Of Critical Care Medicine, 18(9), 596-605. doi:10.4103/0972-5229.140151

3) Tawil, I., Brown, L. H., Comfort, D., Crandall, C. S., West, S. D., Rolistin, A. D., & ... Marinaro, J.
(2014). Family Presence During Brain Death Evaluation: A Randomized Controlled Trial. Critical Care Medicine, 42(4), 934-942. doi:10.1097CCM.0000000000000102

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