From my America Out Loud Pulse podcast with Dr. Heidi Klessig – https://www.americaoutloud.news/defining-death-with-heidi-klessig-md/
Historically, people advocated for at least 24 hours between the diagnosis of death and burial in case a mistake was made in the diagnosis. For years physicians searched for a sure sign of death. Some thought putrefaction of tissues was the only sure sign. Ultimately it seemed reasonable to define death as when all spontaneous vital functions ceased permanently. Then came organ transplantation and the whole concept of the moment of death has changed— irreversibly, like death itself.
The advances in medical science have made adherence to medical ethics more essential than ever. Cardio-pulmonary resuscitation (CPR), mechanical ventilation and artificial nutrition were only the beginning. We now are experimenting with pig to human transplants and freshly obtained aborted fetal tissue is being used to create “humanized mice”. We can’t get carried away with the technology and forget the humanity. First and foremost, a patient has the right to self-determination and the physician’s duty is to respect the patient’s decisions and to do no harm to the patient. Incidents where patients were labelled DNR (Do Not Resuscitate) without their (or their family’s) consent are unacceptable.
Unfortunately, along with the innovations that can prolong life and sometimes cure, we have drifted into a utilitarian mindset when considering patient treatment alternatives. Often times, the suggested treatment—or non-treatment—pathway is at odds with the concept of the innate dignity of being a living human being. All involved persons must remember that we are far more than clumps of cells or a collection of body parts for future use.
Also disturbing is the popularity of euthanasia and physician assisted suicide, euphemistically called “medical aid in dying” (MAID). In Canada, assisted suicide has been in effect since 2016. In 2022 medically assisted deaths constituted 4.1 per cent of all deaths in Canada. This was a 30 percent increase from 2021. The patient who partakes need not be terminally ill. According to a BBC news report, social problems like poverty, lack of housing, or extreme loneliness may contribute to the patient’s willingness to request MAID, and this “prompted fears it could be used as a solution for societal challenges.” As of March 17, 2024. Now persons suffering solely from a mental illness will be eligible for MAID.
As there is more and more discussion of scarce medical resources, we have to be vigilant that as physicians we maintain our commitment to respect human life. Marilyn believes death is a separation of body and spirit, but Dr. Singleton must deal with ethics, legal definitions and guidelines.
Today my guest will discuss the past, present, and future of the concept of “brain death.”
Dr. Klessig’s website: https://www.respectforhumanlife.com
Dr. Klessig’s latest book: https://www.respectforhumanlife.com/books
Bio
Dr. Heidi Klessig attended medical school at University of Wisconsin, where she also completed her residency in anesthesiology. She received the American Board of Anesthesiology’s certificate of added qualification in pain management. She was a founding partner of the Pain Clinic of Northwestern Wisconsin and was an instructor for the International Spinal Injection Society. She recently authored The Brain Death Fallacy. Dr. Klessig and Christopher W. Bogosh, RN-BC also maintain a website called Respect for Human Life that deals with issues surrounding organ transplantation
