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Editorial: Haleigh Poutre, ‘Persistent Vegetative States’ and Compassion
By Deacon Keith Fournier
11/26/2008

Catholic Online (www.catholic.org)

Haleigh was diagnosed in what is routinely called “PVS”, a “Persistent Vegetative State”. She now communicates through hand signals and a computer keyboard.

Haleigh was being given food and water through a feeding and hydration tube. A year later, the Massachusetts Department of Social Services filed a legal motion to remove it. They cited the medical finding of “PVS”.
Haleigh was being given food and water through a feeding and hydration tube. A year later, the Massachusetts Department of Social Services filed a legal motion to remove it. They cited the medical finding of “PVS”.
CHESAPEAKE, Va. (Catholic Online) - Haleigh Poutre was born on February 24, 1994 and adopted by her maternal aunt Holli and Jason Strickland in 2001. In September 2005 she was admitted to the hospital with life threatening brain injuries. Her brain was bleeding. Violent trauma to her head had caused a sheared brain stem. The treating physicians said the results of the beating she had endured constituted "irreparable damage". Haleigh was diagnosed in what is now routinely called “PVS”, an acronym for a “Persistent Vegetative State”. Those who are so diagnosed were once simply referred to as being in a “coma”.

The injuries were allegedly inflicted upon Haleigh by a baseball bat wielded by her own stepfather. The Department of Social Services obtained legal custody of Haleigh once these allegations surfaced. However, her story went from bad to worse. After all of this horror, the authorities later found Holli Strickland, the stepmother, dead, alongside Haleigh’s dead grandmother. It appeared to be a murder/suicide.

Haleigh was being given food and water through a feeding and hydration tube. A year later, the Massachusetts Department of Social Services filed a legal motion to remove it. They cited the medical finding of “PVS”. Her stepfather then sued to prevent the removal of the assistance. There was speculation in some sources that he did this to avoid criminal charges for murder. The Massachusetts Supreme Judicial Court held that the assistance could be removed in a controversial ruling.

One day after the ruling, Haleigh surprised all of her caregivers by breathing without the need for assistance and showing signs of communication. The court order was rescinded and the medical team continued to care for Haleigh. That was in 2006. Now, two years later, Haleigh may be called as a witness in the retrial of her stepfather’s case. He is on trial for assault and battery on a child with a dangerous weapon. Haleigh continues to recover. She now communicates through hand signals and a computer keyboard. She loves to brush her hair.

The diagnosis of “PVS” is the subject of increasing scrutiny by some medical professionals and concerned moral theologians. One study from the British Medical Journal found that 43% of those so diagnosed were actually misdiagnosed. Among that number some had been in this “PVS state” for over a year. The context within which such end of life decisions are being made should cause all Pro-Life persons deep concern. This is a culture that fails to respect human life as a primary good and human relationships as constitutive of human being.

The word compassion in its etymology means “to suffer with”. We have little tolerance for suffering these days. We also have bought the lie of a culture of death, a counterfeit notion of human freedom that is founded upon autonomy and production as the greatest value. The increased diagnosis of “PVS” and the resulting growth in State sponsored interventions to stop giving food and water to people in medical need is frightening. Haleigh Poutre’s story demonstrates that it demands serious review.

I have friends whose adult son celebrated St. Patrick's Day dinner with his family several years ago. The celebration involved a bit of libation. Between midnight and one in the afternoon of the next day, while asleep on his back, the young man vomited into his lungs causing oxygen deprivation to the cerebral cortex of his brain. By the time he was found and taken by ambulance at the hospital he had suffered a serious heart attack and renal failure. He had also developed double-pneumonia. His parents were told that he was in an irreversible coma. The Emergency room physicians spoke these words: "we are so sorry to tell you that this is gravely serious...."

Brain scans and other diagnostic tests showed that he had suffered grave damage to his cerebral cortex, the area which affects cognition; thinking, language, and memory. The Doctors told his grieving, frightened parents that this damage was severe and irreversible. Further, that a feeding tube would only needlessly “…prolong his agony.” This young mans parents are faithful Catholic Christians. They prayed and reached out for moral, pastoral and theological advice. Then, against the advice of doctors, they insisted that a feeding tube be inserted into their sons’ stomach. The ongoing dialogue between the doctors and the parents was painful but not unusual, at least in such dire circumstances. They were told he would never come out of the coma or, in the alternative, that, if he did, he would return as a “vegetable or worse, something horrific".

The situation did not quickly improve. Though remaining in a coma, his sons’ pneumonia began to clear. His parents, consistent with the teaching of the Catholic Church, removed what they were advised actually were extraordinary means of life support. However, they still insisted, ...


Comments
Here in Pakistan one persistent vegetative state patient is now improved as fully conscious.He is now fully aware of happening.he responds by smile or laugh after seeing or listening.It transpires that many of the patients called PVS may be actually conscious like this patient Jawad Pasha but could not express themselves. Brain injury needs a revival of study.
Zooba Jeen | 12/26/2008
More information on comotose state and stigmata please. thanks
adriana | 12/21/2008
Deacon Keith -

As the reporter for the diocesan newspaper where this case occurred, I appreciate and agree with the basic points you made in this editorial.

However,I must point out some critical errors you reported which made this sound like another Terri Schiavo case. In fact, the situation was much, much worse.

Haleigh Poutre was never diagnosed with PVS; primarily because the state of Massachusetts never waited long enough for her allegedly irreparable state to be "persistent."
Haleigh was injured on September 11,2005, apparently by her stepmother. The just concluded trial of her stepfather (her stepmother committed suicide shortly after the events in question) never really concluded whether she was hurt by a baseball bat, a push down the stairs, or other means.

I think this point is critical because when she was taken to Baystate Medical Center, she was declared to be in a "semi-comotose state." In serious condition certainly, but hardly in a state where he probable recovery was considered nearly unlikely.

Within days of the event (not a year later), the state took custody of Haleigh, and went to court to remove her life support. Court documents later unsealed revealed that the two principal doctors supervising her care were divided in their opinions: One believed that she would never recover, so withdrawal of life support could be justified. The other testified that while he agreed that his colleague's diagnosis was probably correct, it was far to early to move towards ending her life.

Despite the second doctor's opinion, the local judge gave the state the power to end her life. At this point, a courageous pro-life lawyer in Springfield entered the case on behalf of the stepfather; not to keep him from avoiding an accomplice to attempted murder charge, but to protect Haleigh's interest.

It went all the way to the Massachusetts Supreme Court, which upheld the lower court decision. Days after that decision was issued, Haleigh began showing signs of recovery.

This case was not about PVS at all. It was about an overzealous state agency which believed this it alone had to power to act in loco parentis. Considering that this agency, the then-Department of Social Services, was the same agency that misdiagnosed Haleigh's long-standing abuse as self-inflicted, even people who are not pro-life in Massachusetts now see that the state needed to reform the way these cases are handled to avoid a terrible conflict of interest.

Whatever one thought of the Terri Schiavo case, I think all could agree that it was a case of a woman who spent years in a condition that rendered her basically uncommunicative. I realize that some pro-lifers clung to the hope that Terri was able to understand her visitors, or even that she might have "woken up" in a meaningful way. But the church and others wanted to protect her right to life just as she was.

Little Haleigh was the victim of something even worse than what happened in Florida. Here in western Massachusetts, a media frenzy caused by the circumstances of her injury. The daily newspaper here praised the decision to remove life support from "the girl who will never give up" as an "act of mercy."

The courts, private social services providers, state agencies and many medical professionals responsible for her care acted unprofessionally, if not immorally by jumping to conclusion about how she was injured and how she might or might not recover.

Haleigh's case should send a chill across the pro-life community. At least Terri Schiavo had the benefit of a spirited moral debate about her fate. Here, little Haleigh was only saved by the delaying action of one lawyer, and the will of God which hastened her recovery.
Fr Bill Pomerleau
Staff reporter
Catholic Observer
Springfield, Mass.
Fr Bill Pomerleau | 12/1/2008
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