"Brain Death" Test Causes Brain Necrosis and Kills Patients: 
Neurologist to Rome Conference

http://www.lifesitenews.com/ldn/2009/feb/09022504.html
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By Hilary White - Rome correspondent

ROME, February 25, 2009 (LifeSiteNews.com) - One of the medical 
world's key diagnostic tools for determining "brain death" 
preliminary to organ retrieval, actually causes the severe brain 
damage it purports to determine, neurologist Dr. Cicero Coimbra told 
attendees at a conference held in Rome last week. With the so-called 
"apnoea test," Coimbra said, brain damaged patients who might be 
recoverable are deprived of oxygen for up to ten minutes, rendering 
the injuries to the brain irreversible.

"Diagnostic protocols for brain death actually induce death in 
patients who could recover to normal life by receiving timely and 
scientifically based therapies," Dr. Coimbra, head of the Neurology 
and Neurosurgery Department at the Federal University of Sao Paulo, 
Brazil, told the participants at the "Signs of Life" conference on 
"brain death."

Addressing an assembly of about 170 physicians, philosophers, 
ethicists, lawyers, students, journalists, and clergy, including two 
Catholic cardinals, Dr. Coimbra said that it is the apnoea test, 
routinely applied to patients who have suffered acute brain injuries, 
that frequently causes "brain necrosis," or permanent and 
irrecoverable brain damage that is accepted as "brain death".

The test is applied in emergency rooms or ICUs, often with an "organ 
procurement agent" standing by to ask relatives for approval for 
organ retrieval. A patient who needs assistance breathing is removed 
from the ventilator for up to ten minutes, cutting off oxygen to the 
brain and slowing the heart rate. If the patient fails to begin 
breathing without assistance after this time, he is declared "brain 
dead" and his organs may be legally removed.

Since the world-wide adoption of the "brain death" criteria, 
developed at Harvard University in 1968, Dr. Coimbra said, "The lives 
of thousands of human beings, including children, adolescents and 
young adults, are lost every year in each country."

The premise of the standard Harvard Criteria for "brain death" is 
that lack of brain function implies absence of blood circulation to 
the brain, which is what causes brain necrosis, or the irreversible 
death of brain cells. But since the definition of the Harvard 
Criteria, he explained, medical scientists have discovered that the 
absence of discernable brain function cited by the criteria is not 
the same as "brain necrosis," or true brain death. In many cases 
where there is no discernable brain activity, patients have recovered 
with appropriate treatment.

Dr. Coimbra cited one study supported by the National Institutes of 
Health in 1975, that found that of 226 comatose patients determined 
to be "brain dead" for at least 48 hours, only 50 percent were later 
found to have "pathological signs of necrosis." 21 percent of the 
patients had no signs of dead brain cells. Even patients who show no 
signs of synaptic activity, a condition of the "brain death" 
diagnosis, are still recoverable at that point.

For patients, he explained, with only less serious brain damage, who 
are submitted to the apnoea test, "the test will cause total necrosis 
of the brain." The apnoea test increases carbon dioxide 
concentrations in the blood. This increases the inter-cranial 
pressure and causes final reduction of the brain circulation.

But, Dr. Coimbra said, the information that the apnoea test causes 
severe, irreversible brain damage, is being suppressed. Even with 
this knowledge of the danger of the apnoea test and the fact that 
some patients who are declared brain dead can and frequently have 
recovered, the legal definition of "brain death" is itself irreversible.

He told the conference of an experience in his clinical practice as a 
neurologist involving a 15 year-old girl with a severe brain trauma. 
She was declared "brain dead" but he treated her with thyroid 
hormones and she began to recover. She started breathing and having 
seizures, he said. "But a 'dead' brain cannot seize. That brain 
cannot express convulsions and she was having convulsions." This 
meant that a diagnosis of "brain death" even according to the Harvard 
Criteria, did not apply.

"And so I went to the doctors in the ICU that, up to that time, were 
denying proper care to that patient under the assumption that she was 
brain dead." One of the attending physicians in the ICU, he relates, 
wrote on the girl's chart that even recovery could not reverse a 
legal definition of "brain death."

The physician wrote the following statement, a photocopy of which was 
shown at the conference: "If the diagnostic criteria for a brain 
death are fulfilled at a certain time, the person is legally dead no 
matter whether those criteria become no longer fulfilled later on."

This incident showed, he said, that medical professionals attending 
patients officially declared "brain dead" "feel at risk" of legal 
action from families.

"That is why there is such a fearful repression when we start talking 
about those subjects in medical forums."

Read related LifeSiteNews.com coverage:

"Brain Death" as Criteria for Organ Donation is a "Deception": Bereaved Mother
<http://www.lifesitenews.com/ldn/2009/feb/09022306.html>http://www.lifesitenews.com/ldn/2009/feb/09022306.html
 


Doctor Says about "Brain Dead" Man Saved from Organ Harvesting - 
"Brain Death is Never Really Death"
<http://www.lifesitenews.com/ldn/2008/mar/08032709.html>http://www.lifesitenews.com/ldn/2008/mar/08032709.html
 


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