End of life. Do we need a test?

Well, there is no convincing evidence of this, and mainstream science does not accept that consciousness exists independent of the brain. Indeed, your above statement is the sort of wooly non-science that leads to the likes of Schiavo rotting away in a hospital bed with her cortex liquified - hey, after all, maybe her consciousness currently resides, hidden, in her liver?

The medical profession absolutely cannot afford the type of self-indulgent nonsense that’s inherent in your statement. Be aware that if you believe Schaivo should be kept alive because her ‘spirit’ exists still, then you are working well off the page - and you risk commiting acts of great cruelty (or stupidity) as a consequence.

What they believe is utterly irrelevant.

Cite? Well-executed science please, not Interweb Wobble.

There is considerable evidence that NDEs and out of body experiences (OBEs) are no more than physiological epiphenomena - e.g., check out the work of Sue Blackmore who basically left psi research behind when she concluded that psi phenomena did not exist. (Which is a bit like spending 25 years as a swimmer, before finally discovering that you’ve actually been crawling across a parking lot).

TV documentaries and a DVD, eh? How about some peer-reviewed journal articles in the mainstream science press?

‘It’ is not becoming more positive for the spiritual. Until actual tests and quality research say otherwise, the spiritual remains a muddy backwater of science.

Well dude, if you can demonstrate the existence of consciousness sans cerebral cortex, then you have a shot at a Nobel.

It is true that no matter how good the research, most scientists will not accept life after death, but it really doesn’t matter what they think.

I have only a small amount of time right now so I will show you this link to start.

http://www.newscientist.com/article.ns?id=dn1693

Susan Blankmore has left the ranks of skeptic and now admits life may continue after death. I can’t give you the exact link now, but one of the skeptical sites has a goodby letter written to her.

There is research published in the Lancet that cover s NDEs. Go there and search near death experiences. You are far behind dude on your homework.

I don’t know that not getting around to making a living will counts as just “hoping for the best.” When your spouse is your clearly defined next of kin and legally authorized to make decisions if you’re incapacitated, and that person has been clearly informed of what you would want, why would a reasonable person assume that anyone would interfere in said spouse’s following your wishes? It’s not like your parents have any legal rights to make decisions for you.

What, the relatives you got handed through the luck of the draw, instead of the one person you freely, willingly, and with full knowlege of what you were doing endowed with that responsibility? I’m not sure you can even legally make someone else your next of kin if you’re married and your spouse is mentally competent. In any case, leaving the decision in the hands of relatives other than your spouse would certainly require some sort of legal documentation. If we assume Terri wouldn’t want life support withdrawn because she didn’t leave legal documentation to that effect, don’t we also have to assume that she didn’t want her parents to make her medical decisions because she didn’t leave legal documentation to that effect? Especially in light of the fact that she did indeed leave Michael Schiavo with legal documentation allowing him to make her medical decisions, i.e. a marriage certificate?

I think a big part of why people aren’t debating what you originally had in mind is because it’s not really all that clear what, exactly, it is that you’re asking. I’m still not sure if you’re asking when it becomes appropriate to withdraw care and who should get to make that decision, or if you’re asking if/when someone stops being a person, or what, really.

If it’s when we should withdraw care, I’d have to say that’s when the patient wants it withdrawn. If the patient isn’t capable of giving the okay to withdraw care, it’s when the next of kin or proxy determines that it’s appropriate, whether because of what the patient would have wanted or grave prognosis, financial concerns, etc. (Hey, if you didn’t want somebody to turn of your vent because of the expense, you should have chosen your next of kin or health care proxy a bit more carefully.) Who should have the power to withdraw care? Well, the patient, obviously, and anyone who the patient has legally designated as having the authority to make decisions for them. Beyond that it becomes rather a matter for debate.

If it’s when someone’s personhood ends, I don’t think you’re likely to find a concensus on that, ever, anymore than you’re likely to find a concensus on when personhood begins.

As for the contentions that we can’t pull the tube because someday a miracle might cause Terri Schiavo to recover, I have to think that if whatever higher power is out there wants Terri Shiavo to live, there’s been plenty of time over the last 15 years, and there’s still several days left. If there’s a stroke of divine intervention and Terri hops up out bed asking what’s for lunch, nobody can prevent her from feeding herself. Since there has been no such stroke of divine intervention, it seems safe to conclude that the creative powers do not, in fact, have a vested interest in keeping this woman’s body alive.

It doesn’t? We’re talking about medical science here. Or we were trying to.

Well the first test would be “Has the part of your brain that controls your higher functions been replaced with fluid?”

If yes, then they should be allowed to die, and saying “allowed to die” is a bit dishonest. This poor woman died 15 years ago, the parents just wont accept that.

God’s teeth! Has someone smote you upside the head with a crystal pyramid? Scientists will accept life after death - when there is evidence for same. That’s how science works (for a further example, see debate: Earth, flat versus round).

And as for ‘it really doesn’t matter what they think’ … well, I suppose you are at liberty to ignore all neuroscience that doesn’t fit with your worldview and take solace in ignorance.

I suspect you did not read this, because it does not support the existence of life after death. What the study found was that the frequency of report of NDEs was unrelated to various factors such as time of unconsciousness prior to revival, presence of intubation, duration of myocardial infarction, and so on. In other words, in their population, you could not predict whether someone had an NDE or not based on various ‘conventional’ parameters that are supposed to be associated with NDEs.

Indeed, a reply in the Lancet to van Lommel et al.'s article by John Evans at the Dept. of Anaesthetics, John Radcliffe Hospital (Oxford) suggested:

“These episodes of recovery of consciousness are invariably attributed to an insufficient supply of anaesthetic, for various reasons, and are not generally associated with hypoxia. They occur despite the fact that patients have received a cocktail of potent, centrally acting drugs–specific general anaesthetic agents, opioids (eg, fentanyl), benzodiazopines, and other psychotropic drugs (eg, droperidol)–given with the object of preventing consciousness. Many of van Lommel and colleagues’ patients received a similar cocktail of drugs during resuscitation. I suggest that their patients’ near-death experiences were simply an episode of consciousness modulated by drugs, hypoxia, hypercarbia, or other physiological stressors.”

A further commentary in the Lancet by French (v358, i9298, p2010), states:

"van Lommel and colleagues’ report raises the possibility of a new potential artefact in such studies. It seems that at least some NDEs may be the result of false memories, of the mind trying to retrospectively “fill in the gap” after a period of cortical inactivity. The investigators report that, at the 2-year follow-up, four of 37 patients contacted to act as controls (ie, people who had not initially reported an NDE) reported that they had had one. Although these patients represent fewer than 1% of the total sample, they represent over 10% of the 37 patients interviewed with a view to acting as controls. If this subsample is at all representative, it implies that around 30 patients from the sample of 282 who initially denied an NDE would, if they had survived for another 2 years, be claiming that they had had one. (…)

Recent psychological studies have shown conclusively that simply imagining that one has had experiences that had in fact never been encountered will lead to the development of false memories for those experiences.(5-7) Interestingly, susceptibility to false memories correlates with tendency to dissociate,(8,9) which in turn correlates with the tendency to report NDEs. "

For Susan - a typo, insult, or memory Blank?

Well, her own website (linked to in my previous message) does not appear to support this contention. For example (dated Nov 2000):

“Come to think of it, I feel slightly sad. It was just over thirty years ago that I had the dramatic out-of-body experience that convinced me of the reality of psychic phenomena and launched me on a crusade to show those closed-minded scientists that consciousness could reach beyond the body and that death was not the end. Just a few years of careful experiments changed all that. I found no psychic phenomena - only wishful thinking, self-deception, experimental error and, occasionally, fraud. I became a sceptic.”

and from here:

“I am no longer doing research on out-of-body and near-death experiences, parapsychology, and alien abductions, but see below for publications on these topics.”

Of course, her web site may be out of date although the home page has been updated this year.

Indeed there is. I’ve read some of it (see above for examples). None that I have seen gives clear support for the existence of NDEs other than as epiphenomena.

AFAIC, there is far more support that the brain is driving any NDE, and that it is not at all necessary to invoke voices from beyond the grave. For example, Britton & Bootzin (2004; PubMed investigated temporal lobe function in the light of NDEs, noting (from their abstract):

"We investigated temporal lobe functioning in individuals who reported having transcendental “near-death experiences” during life-threatening events. These individuals were found to have more temporal lobe epileptiform electroencephalographic activity than control subjects and also reported significantly more temporal lobe epileptic symptoms. (…)

These results suggest that altered temporal lobe functioning may be involved in the near-death experience and that individuals who have had such experiences are physiologically distinct from the general population."

Now, you could argue that NDEs alter brain function rather than NDEs being an outpouching of brain activity - an argument taken from the blunt side of Occam’s razor, but I’ve no doubt many people are happy to be covered in illogical razor nicks.

Back to Schiavo: As I said, there is no evidence that there is a consciouness or spirit that exists independent of the cerebral cortex. So far you have provided no evidence to the contrary. Schiavo’s consciousness has joined the choir invisible, in chorus with your grasp of scientific method.

Your answer was expected, so if you can’t find anything to interest you in the link below, don’t bother to read further.

http://www.aleroy.com/FAQz18.htm

A quote by Susan Blackmore and the link to the whole letter.

http://www.skepticalinvestigations.org/anomalistics/skeptic_research.htm
It is immoral to kill Terri by starving her to death.

Don’t call me.

Since her “radio receiver” is broken and her consciousness can no longer be played by that machine, are you merely objecting to the manner of the radio’s demise? Would it be better if the broken radio were unplugged in another manner besides starvation/dehydration?

Is it immoral just to kill Terry Schiavo by starving her to death or anyone? My mother had colon cancer. Toward the end of her life, she could not feed herself because it was impossible for her to gain any nutrition or process any food.

We could give her fluids intravenously, but all this allowed her to do was to be a little bit more comfortable for about a week or two. Eventually her organs started to shut down, she became less lucid. Eventually, my family and I (in consultation with the hospice nurse we were working with) decided to remove the IV from my mother in order to hasten her death.

Would this situation be considered any worse than what the Schiavo case? I just wonder since this form of death is not all that uncommon among cancer patients.

There is a huge difference between your mother and Terri. Your mother was dying, Terri was not dying. I think you acted correctly for your mother. Terri is being murdered by the court system and will probably become a martyr for the religious right.

Absolutely, her death by starvation is cruel and unusual punishment for someone who committed no crime. I suggested a more normal method above. The husband has a new common law wife and children, Terri is just unfinished business. The courts have no compassion, this is a very sad event in the history of America.

That’s one way to look at it. Another is that it’s immoral to hook someone up to machines for years to no benefit to them and deny them the dignity of a uncomplicated death because you can’t accept that they’re never going to become conscious again.

(bolding mine, of course)

OK, I’ve lurked long enough on these replies so I’ll start here. (Multiple posts coming.)

First, Marley23, you’re one of the closest to hit on my main argument. This isn’t about Terri, it’s about anyone in her condition, with enough brain function to survive so long as water and nutrition are provided. You may not agree with my position, but you’re helping me better word it. Thanks.

Again, you’re helping me clear it up. If I can find the money to renew, I’m sure I’ll have enough to treat you. :slight_smile:

This thread is supposed to be a general debate of those on life support, but I forgot there weren’t enough Schiavo threads for everyone to debate their personal feelings. I suck at picking forums. :rolleyes:

Ahh, now we get to the heart of my debate question. Let me settle in a bit so I can hopefully clarify why I have a problem with this whole fiasco. May I reaffirm a few things? OK.

  1. I think Terri would be best served by dying.

  2. In her condition, I’d want any of my family member’s to be let go.

  3. THIS ISN"T ABOUT ONLY TERRI SCHIAVO!

That said, let’s try to get back to what I was asking.

A spouse, as far as I know, is the next of kin in every state unless it can be shown that the spouse is negligent. Let’s not debate that Mike is negligent. There are moral ways to slam him, but that’s NOT the point is this thread.

Now, the easiest way out of the Schiavo case, AND ALL OTHERS (the point of this debate) is to have a living will. Yes, without one you are “hoping for the best.” As this case shows.

It seems in this case there are quite a few people testifying what she said. It appears she only told Michael and maybe 2 other people that she wanted to “have the plug pulled.” Maybe she did. Let me state again.

LET ME STATE AGAIN!

She may very well have said this to him and 2 other people.(From what I’ve seen in my smackdown in another post).
Keep in mind these are the one’s that are fighting for her to die.

And nobody else was told about it.

What the fight, as I see it, is the right for her to have a feeding tube. And that’s now based on what a judge says.
The main thing pissing me off is that lawsuits set precedence. This is giving a judge the power to decide your life or death based on which family member is more convincing.

Let me ask this. Say you and your spouse/S.O. have signed a blood-pact saying neither one of you would be left on life-support. During a ski trip the car goes off the road killing one and leaving the other in a coma, should the feeding tube be inserted?

If it’s inserted, how long should it remain as long as that’s the only thing keeping you alive?

This precedent doesn’t give you a choice. It’s up to the judge to determine when you should die.

If you visited the nursing homes across America you would find hundreds like Terri. Do you really want the government to decide who dies. I don’t.

Do you want doctors to say your life has no quality, and therefore you should die. Especially went the doctors don’t even have a good definition of consciousness.

Dying decisions should be left to a higher intelligence. If you don’t believe in a higher intelligence, dying will be left to the higher intelligence that you don’t believe in.

Roger Penrose, eminent physicist and winner of the prestigious Wolf Prize, states in his book “The Emperor’s New Mind” that “we don’t have a good definition of consciousness because we don’t know what it is.”

I don’t believe this is entirely accurate. There’s an established hierarchy of which family members have control in such cases (I think it usually goes spouse, adult children, parents, siblings); this hierarchy is only rejected if there’s a compelling reason to do so.

The judges in this case aren’t rejecting that hierarchy, so rather than setting precedent, they’re reinforcing existing precedent. They’ll only set precedent if they find a novel reason to reject that hierarchy, and give Schiavo’s parents control instead of giving it to her widower.

Daniel

Perhaps a gradual overdose of morphine then?

Is death by starvation any more or less than humane or pleasant of a way die than any other? Death is rarely pleasant for anyone.

I found much to amuse me, at least. Example:

“In sleep, there are three levels: the first is staying in the body and rehashing physical events. At this level you dream about your job and other problems of the physical. In the second, you leave your body and travel to many places and do things that may be unfamiliar to you. When you wake up you may feel tired from all the activity of your travels. In the third level, you go home, deep into the spiritual. You won’t remember anything when you wake up, and you may be disoriented for a few seconds, not knowing where you are, or what time or place you are in. After this level of sleep you will feel rested and refreshed.”

So that’s why I’m tired of a morning - I’ve been off running marathons in The Spirit World.

Lekatt you are really quite confused. First, why the bizarre requoting of my entire post. Second, did you not notice that your URL does not link to the whole letter. On the other hand, I provided a link in one of my other replies that does show the whole letter (on Blackmore’s website), plus the link to SB’s homepage. Not to mention the fact that the one quote you provided was taken out of context.

Next, you claim that research in the Lancet supports life after death, or otherwise the existence of something beyond the bounds of our brain. Yet when I point out the untruth in your statemenst, you quickly sidestep, giving the humorous link above as a rejoinder.

You mean our hot date is off?

Anyway, this hijack is over from my side.