Young Man Denied Heart Transplant Because He's Autistic

Page 3 of 4 [ 56 posts ]  Go to page Previous  1, 2, 3, 4  Next

Tuttle
Veteran
Veteran

User avatar

Joined: 26 Mar 2006
Gender: Female
Posts: 3,088
Location: Massachusetts

10 Aug 2012, 7:45 am

The way I read the "violence" was much more the the "his meltdowns involve throwing things instead of screaming" than anything else. I saw nothing that implied that this would suggest he'd need to be restrained for a majority of the time - I just saw that he had meltdowns and that people don't understand what meltdowns are.



AardvarkGoodSwimmer
Veteran
Veteran

User avatar

Joined: 26 Apr 2009
Age: 63
Gender: Male
Posts: 7,665
Location: Houston, Texas

10 Aug 2012, 12:23 pm

Quote:
http://blogs.babble.com/strollerderby/2 ... -autistic/

'“He can’t even list all his medications,” Karen says the doctor told her.

'“I told her, I can’t even list all his medications. He takes 19 medications. I carry a list.”

'“The doctor was more interested in the fact that he could not name all his medications and the Princess Peach doll he carries for comfort, than the fact that he has never smoked or drank alcohol,” Karen wrote in the petition letter. “Where will the discrimination end?”'

This seems to be the prime emotional reaction on the part of the doctor, that Paul isn't "smart" (at least not in a way she's familiar with). Not realizing that Paul has a family backing him up, and he has other strengths going for him such that he doesn't drink or smoke.

And taking it a step deeper, the doctor did not find Paul a satisfying person to interview and read way too much into this. In a similar way, the DSM-4 for Autism has a big middle paragraph where they are essentially saying, 'This person is not a satisfying person to interview.' (For this and other reasons, I am not all that impressed with either DSM-4 or -5.)

The clear better alternative is, 'Okay, that wasn't the greatest interview. That's one data point. Now, what other information do we have.'



AardvarkGoodSwimmer
Veteran
Veteran

User avatar

Joined: 26 Apr 2009
Age: 63
Gender: Male
Posts: 7,665
Location: Houston, Texas

10 Aug 2012, 12:34 pm

Verdandi wrote:
. . . and there are alternative medications to steroids that would not affect his behavior as steroids do.

such as possibly the following :D
Quote:
http://blogs.babble.com/strollerderby/2 ... -autistic/

"The letter from Penn Medicine does not address whether different immunosuppressants, such as FK 506 (Tacrolimus) could be considered instead of corticosteroids."



TheSunAlsoRises
Veteran
Veteran

User avatar

Joined: 1 Dec 2011
Gender: Male
Posts: 1,039

10 Aug 2012, 9:39 pm

AardvarkGoodSwimmer wrote:
Quote:
http://blogs.babble.com/strollerderby/2 ... -autistic/

'“He can’t even list all his medications,” Karen says the doctor told her.

'“I told her, I can’t even list all his medications. He takes 19 medications. I carry a list.”

'“The doctor was more interested in the fact that he could not name all his medications and the Princess Peach doll he carries for comfort, than the fact that he has never smoked or drank alcohol,” Karen wrote in the petition letter. “Where will the discrimination end?”'

This seems to be the prime emotional reaction on the part of the doctor, that Paul isn't "smart" (at least not in a way she's familiar with). Not realizing that Paul has a family backing him up, and he has other strengths going for him such that he doesn't drink or smoke.

And taking it a step deeper, the doctor did not find Paul a satisfying person to interview and read way too much into this. In a similar way, the DSM-4 for Autism has a big middle paragraph where they are essentially saying, 'This person is not a satisfying person to interview.' (For this and other reasons, I am not all that impressed with either DSM-4 or -5.)

The clear better alternative is, 'Okay, that wasn't the greatest interview. That's one data point. Now, what other information do we have.'


There seems to be concern whether he has the cognitive abilities to cope with the transplant itself and manage self- care. As a consequence, alternative avenues involving steroids and other medication were NOT pursued.

The heart transplant can be done with alternatives to steriod use and 24 hour managed care.

I have faith that someone in the medical community will step forward and look at this young man's case and put him on a donor's list.

TheSunAlsoRises



Nonperson
Veteran
Veteran

User avatar

Joined: 12 Jun 2012
Age: 47
Gender: Female
Posts: 1,258

11 Aug 2012, 3:39 pm

The only thing that surprises me anymore is that some of us are still surprised by this sort of thing.

We are not fully human in their eyes. Maybe we're actually not fully human. I'm not so sure I want to be human - horrible creatures.



CyborgUprising
Veteran
Veteran

User avatar

Joined: 16 Jun 2012
Age: 38
Gender: Male
Posts: 2,963
Location: auf der Fahrt durch Niemandsland

11 Aug 2012, 8:52 pm

invisiblesilent wrote:
CyborgUprising wrote:
In their eyes, the doctors are basically saying "why give a perfectly-functioning heart to a subhuman ret*d when we can find a promising young normie athlete?" Let's not beat around the bush, Doctors. This is the same program of eugenics and "cleansing" Adolf Hitler promoted, yet you take an oath not to do any harm. How will you answer that, Doctor? There is also discrimination regarding ethnicity when it comes to transplants as well. The American Journal of Kidney Diseases published a report indicating that members of the African-American/black community were over 30% more likely to not receive a transplanted kidney.


I'd be interested to see the report. Again, on face value that statistic is horrifying. I'm curious to know if there are some mitigating factors such as, for example, higher rates of obesity or alcoholism amongst the African-American community (I'm not saying I believe this is the case - this is pure speculation). If it were the case that more black people are fat or smokers or something and this were the primary reason that fewer of them got transplants - due to potential complications - then that would be more understandable.

Obviously it is abhorrent if it is the case that all of these factors were considered and it was still proven that an institutional bias exists which prevents black people from getting organs.


It could probably be found via a Google search or OhioLink search. The study only included African-Americans as a minority, but I'd like to know how Arabs, Hispanics, and Asians fare in transplant statistics in the United States. A global analysis would also be quite interesting. I'll be looking to see if one has been done.



AardvarkGoodSwimmer
Veteran
Veteran

User avatar

Joined: 26 Apr 2009
Age: 63
Gender: Male
Posts: 7,665
Location: Houston, Texas

13 Aug 2012, 3:46 pm

theWanderer wrote:
invisiblesilent wrote:
I totally sympathise with your point but the fact that you have a strong enough moral sense to consider these things in such depth suggests to me that, despite how twisted this kind of thing appears, you would still make the right decision and donate your organs for the benefit of somebody else.

The next time somebody tells me that I shouldn't be so cynical and that the world isn't such a bad place after all I will tell them about this story.


Yes, you're right. I don't see any reason patients should suffer for their doctors' crimes. But it does seem to me that decisions such as this will probably cause at least a few people to refuse to donate. And there are decent odds that the number of potential organs lost due to this decision is larger than the number that would be "wasted" on people with autism - or any other "defect" - who need transplants.

Since the decision is indefensible to begin with, and in addition, the one excuse propping it up is the scarcity of organs for transplant, I think that's a very relevant consideration. (I don't think you'd argue with that, by the way, just pointing it out for anyone reading this thread.)

I think this is an excellent point which we can build on. That the family considering donating the heart of a loved one who has just passed away more likely prefers a process that is, shall we say, an open-hearted process which is accepting of persons, and not some process where we harshly judge people.



AardvarkGoodSwimmer
Veteran
Veteran

User avatar

Joined: 26 Apr 2009
Age: 63
Gender: Male
Posts: 7,665
Location: Houston, Texas

13 Aug 2012, 8:45 pm

TheSunAlsoRises wrote:
. . . I have faith that someone in the medical community will step forward and look at this young man's case and put him on a donor's list.

And I think this is how Paul and his family will win, the combination of publicity and giving a new institution a fresh start.

And hopefully it will be in time and hopefully it will work. And then Paul can write another book or whatever other activities he wishes to engage in.



asdmommie
Tufted Titmouse
Tufted Titmouse

User avatar

Joined: 3 Jul 2011
Gender: Female
Posts: 46

14 Aug 2012, 11:49 pm

"We are not fully human in their eyes. Maybe we're actually not fully human. I'm not so sure I want to be human - horrible creatures"

AMEN!! !

I have thought that many times myself being on the spectrum, being married to an Aspie, and our precious miracle daughter with autism.

This saddens and scares me for my child and other children's future on the spectrum. ASD is linked to so many other diseases that have hardly been tapped into or acknowledged whatsover by traditional medicine.... with the rise in autism and the other diseases that are linked to them.... can't even think what the world will be like in another 40 years. I have a feeling donor recipients on the spectrum and the so called "criteria" will be shifting radically in the medical world as the education world shifted to allow inclusion instead of institutionalizing our children from 40 years ago. Lets hope so. Laws need to be put in place to protect people with ASD.



Magneto
Veteran
Veteran

User avatar

Joined: 12 Jun 2009
Gender: Female
Posts: 2,086
Location: Blighty

15 Aug 2012, 2:58 pm

I'm not going to say what priority he should be on the transplant list without seeing all the relevant information, but I will say he should be on it. Hearts for transplant are rare things.

Out of interest, how many people die each year whose hearts could be used for transplants, compared to the number of people who need heart transplants every year? The heart of someone who's died from obesity related problems is unlikely to be suitable, as is one from someone who's died due to age... as medical technology improves, the heart supply is going to decrease anyway, so we're either going to have to get used to having to decide who to let die, or find a way to increase the supply of hearts. The latter we could do by either increasing capital punishment and stripping the bodies, or better than that, improving our xenotransplantation abilities...



nonneurotypical
Yellow-bellied Woodpecker
Yellow-bellied Woodpecker

User avatar

Joined: 9 Aug 2009
Age: 56
Gender: Male
Posts: 60
Location: From the US, but in the UK

15 Aug 2012, 6:55 pm

This story has been picked up by the Philadelphia Inquirer and ABC News. Read the story on philly.com here:
http://articles.philly.com/2012-08-14/n ... transplant
Read the story on abcnews.go.com here:
http://abcnews.go.com/Health/autistic-m ... Cw196DvyWV


_________________
I started a blog cataloging news about Asperger syndrome at www.45P13.com


AardvarkGoodSwimmer
Veteran
Veteran

User avatar

Joined: 26 Apr 2009
Age: 63
Gender: Male
Posts: 7,665
Location: Houston, Texas

16 Aug 2012, 2:13 pm

Does anyone remember Barney Clark and his artificial heart? (which I think worked for a number of days and then the guy didn't make it)



AardvarkGoodSwimmer
Veteran
Veteran

User avatar

Joined: 26 Apr 2009
Age: 63
Gender: Male
Posts: 7,665
Location: Houston, Texas

16 Aug 2012, 2:24 pm

http://abcnews.go.com/Health/autistic-m ... d=17006152

Thanks for letting us know about the abc article, but looking at it, I don't think it's not very good. It mainly just seems to trot some of the usual stereotypes. I guess it could be worse, but it could also be a heck of a lot better.



Last edited by AardvarkGoodSwimmer on 16 Aug 2012, 2:28 pm, edited 1 time in total.

ProfessorX
Veteran
Veteran

User avatar

Joined: 8 Feb 2007
Age: 53
Gender: Male
Posts: 16,795

16 Aug 2012, 2:27 pm

I don't think any person even if they are autistic should be denied a heart transplant as, that sounds totally absurd.
I'm not sure what are the exact criteria for such but, even if someone is autistic that should not rule himself/herself out of such a decision..



Curiotical
Veteran
Veteran

User avatar

Joined: 20 Jul 2012
Age: 40
Gender: Female
Posts: 577
Location: California

16 Aug 2012, 3:21 pm

This is absolutely disgusting. Those doctors should be arrested and charged with a discriminatory hate crime. Sometimes I think Neurotypicals are just scumbags. :evil: :evil: :evil:



AardvarkGoodSwimmer
Veteran
Veteran

User avatar

Joined: 26 Apr 2009
Age: 63
Gender: Male
Posts: 7,665
Location: Houston, Texas

16 Aug 2012, 3:34 pm

I think Paul and his family will eventually win and he'll get on the transplant list. And I think this is how it will happen:

Quote:
http://blogs.babble.com/strollerderby/2 ... -autistic/

“ . . However, a Mayo Clinic representative said the facility would be happy to see Paul for a second opinion if he and his family are interested.

“Karen is in the process of having Paul’s records transferred to the Mayo Clinic to begin the evaluation process anew. . ”

Getting overall publicity, and then going to a new institution who isn't entrenched with having to justify a previous decision.