Literature DB >> 27833198

A philosophical assessment of TK's autopsy report: Implications for the debate over the brain death criteria.

Nicanor Pier Giorgio Austriaco1.   

Abstract

In recent years, there has been increasing evidence that the totally brain-dead patient is able to continue to live and to maintain some integrated functions, albeit with the necessary assistance of mechanical ventilation. Several years ago, the autopsy report of a totally brain-dead patient named TK who was kept on life support for nearly twenty years was published in the Journal of Child Neurology. He remains the individual kept on life support the longest after suffering total brain failure. In this essay, I argue that the clinical data described in the autopsy report demonstrate that TK's long-term survival after total brain failure supports the claim acknowledged by the President's Council on Bioethics that the brain-dead patient retains his bodily integrity. As such, he is not dead. He is still a living, though severely disabled, human organism, a human person made in the image and likeness of God. LAY
SUMMARY: Traditionally, the presence or absence of bodily integration has been used to definitively discern the presence or absence of life in the human being where decomposition of the body is the surest sign of death. The autopsy report of a patient named TK who was brain-dead for nearly twenty years demonstrates that brain-dead patients retain their bodily integrity. As such, TK and other brain-dead patients are not dead. They are living, though severely disabled, human organisms, who are human persons made in the image and likeness of God.

Entities:  

Keywords:  Bodily integrity; Brain Death; Neurological criteria; TK

Year:  2016        PMID: 27833198      PMCID: PMC5102206          DOI: 10.1080/00243639.2016.1164936

Source DB:  PubMed          Journal:  Linacre Q        ISSN: 0024-3639


  13 in total

Review 1.  Spinal shock and brain death': somatic pathophysiological equivalence and implications for the integrative-unity rationale.

Authors:  D A Shewmon
Journal:  Spinal Cord       Date:  1999-05       Impact factor: 2.772

2.  The brain and somatic integration: insights into the standard biological rationale for equating "brain death" with death.

Authors:  A D Shewmon
Journal:  J Med Philos       Date:  2001-10

3.  Recovery from "brain death": a neurologist's apologia.

Authors:  D Alan Shewmon
Journal:  Linacre Q       Date:  1997-02

4.  Address to the International Congress on Transplants.

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Journal:  Natl Cathol Bioeth Q       Date:  2001

5.  Production of pluripotent stem cells by oocyte-assisted reprogramming: joint statement with signatories.

Authors:  Hadley Arkes; Nicanor Pier Giorgio Austriaco; Thomas Berg; E Christian Brugger; Nigel M de S Cameron; Joseph Capizzi; Maureen L Condic; Samuel B Condic; Kevin T FitzGerald; Kevin Flannery; Edward J Furton; Robert P George; Timothy George; Alfonso Gomez-Lobo; Germain Grisez; Markus Grompe; John M Haas; Robert Hamerton-Kelly; John Collins Harvey; Paul J Hoehner; William B Hurlbut; John F Kilner; Patrick Lee; William E May; Gonzalo Miranda; C Ben Mitchell; John J Myers; Chris Oleson; Tad Pacholczyk; Peter F Ryan; William L Saunders; David Stevens; Stuart W Swetland; M Edward Whelan; Thomas Williams
Journal:  Natl Cathol Bioeth Q       Date:  2005

6.  Neural control of the immune system.

Authors:  Eva Sundman; Peder S Olofsson
Journal:  Adv Physiol Educ       Date:  2014-06       Impact factor: 2.288

7.  On the definition and criterion of death.

Authors:  J L Bernat; C M Culver; B Gert
Journal:  Ann Intern Med       Date:  1981-03       Impact factor: 25.391

8.  Whither brain death?

Authors:  James L Bernat
Journal:  Am J Bioeth       Date:  2014       Impact factor: 11.229

9.  Chronic "brain death": meta-analysis and conceptual consequences.

Authors:  D A Shewmon
Journal:  Neurology       Date:  1998-12       Impact factor: 9.910

Review 10.  One life ends, another begins: Management of a brain-dead pregnant mother-A systematic review-.

Authors:  Majid Esmaeilzadeh; Christine Dictus; Elham Kayvanpour; Farbod Sedaghat-Hamedani; Michael Eichbaum; Stefan Hofer; Guido Engelmann; Hamidreza Fonouni; Mohammad Golriz; Jan Schmidt; Andreas Unterberg; Arianeb Mehrabi; Rezvan Ahmadi
Journal:  BMC Med       Date:  2010-11-18       Impact factor: 8.775

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2.  Evolution of the Criteria of "Brain Death": A Critical Analysis Based on Scientific Realism and Christian Anthropology.

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Journal:  Linacre Q       Date:  2019-09-09

3.  Humility before New Scientific Evidence: We No Longer Have Moral Certainty that "Brain Death" Is True Death.

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