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Old Oct 08, 2007, 11:52 AM   #1 (permalink)
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Hurray for medical Ethics.

I want to see how this turns out:

Mother seeks girl's womb removal - CNN.com

Quote:
Mother seeks girl's womb removal

LONDON, England -- A mother is seeking to have the womb of her severely disabled daughter removed to prevent the 15-year-old from feeling the pain and discomfort of menstruation.

Doctors in Britain are now taking legal advice to see if they are permitted to carry out the hysterectomy on Katie Thorpe, who suffers from cerebral palsy.

But a charity campaigning for the disabled said on Monday the move could infringe human rights and would set a "disturbing precedent."

Andy Rickell, executive director of disability charity Scope, told the Press Association: "It is very difficult to see how this kind of invasive surgery, which is not medically necessary and which will be very painful and traumatic, can be in Katie's best interests.

"This case raises fundamental ethical issues about the way our society treats disabled people and the respect we have for disabled people's human and reproductive rights.

"If this enforced sterilization is approved, it will have disturbing implications for young disabled girls across Britain."

Katie's mother Alison Thorpe, who lives in Billericay, southern England, said the operation was in her daughter's best interests.

"First of all, this is not about me. If it was about me, I would have given up caring for Katie a long, long while ago," she told GMTV.

"It is about quality of life and for Katie to not have the associated problems of menstruation adds to her quality of life. It means she can continue with the quality of life we can give her now.

"Katie wouldn't understand menstruation at all. She has no comprehension about what will be happening to her body. All she would feel is the discomfort, the stomach cramps and the headaches, the mood swings, the tears, and wonder what is going on."

Thorpe said an operation would be best for Katie, despite the initial pain it would cause.

She added: "The short-term pain and discomfort we can manage with painkillers. We will be able to manage that pain much better than menstruation once a month, when Katie cannot tell us 'I'm in pain.'"


A couple of questions to consider:

1. Should the girl's mother have the right to make that decision?

2. If she does, is womb removal in the girl's best interests?
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Old Oct 08, 2007, 12:02 PM   #2 (permalink)
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Re: Hurray for medical Ethics.

WTF, KenX! We thought you OD'd.

Yes the mother still has that right.
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Old Oct 08, 2007, 12:09 PM   #3 (permalink)
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Re: Hurray for medical Ethics.

I did, OVER 9000 times. What's up with you man? Shit i don't want to turn this into a chit chat thread since this is vury serius business. I'll make a newbie thread or something.

But anyway, I understand the child with the cerebral palsey (which is serious) getting a hysterictamy and all, but really shouldn't that be a choice of who ever is getting it? This does means no children and all that.
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Old Oct 08, 2007, 12:18 PM   #4 (permalink)
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Re: Hurray for medical Ethics.

What bothers me about it is this part:

Quote:
If it was about me, I would have given up caring for Katie a long, long while ago," she told GMTV.

...

"Katie wouldn't understand menstruation at all. She has no comprehension about what will be happening to her body. All she would feel is the discomfort, the stomach cramps and the headaches, the mood swings, the tears, and wonder what is going on."
This doesn't really sound like caring mother behaviour at all.
I thought Cerebral palsy was a disease of the body, not the mind? How exactly would she not understand menstruation?
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Old Oct 08, 2007, 01:24 PM   #5 (permalink)
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Re: Hurray for medical Ethics.

It's not the parent's right to remove the womb from thier daugher! Cerebal palsy is a physical affliction, if the girl wants to menstrate, let her! That would be like my mom having a doctor cut my penis off so I wouldn't have wet dreams!!!
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Old Oct 08, 2007, 02:30 PM   #6 (permalink)
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Re: Hurray for medical Ethics.

This isn't new. From what I have read before the mother went to two doctors who agreed that it was in the girls best interest. Evidently the young woman is also mentally incapacitated and incapable of making a legal decision. If she was the surgery wouldn't be needed.

I am of two minds on it. I have been to group homes for mentally retarded people and the people who work with them have told me more then once that their biggest problem is non-mentally retarded people seducing them. They are children mentally and they don't even understand what they are doing let alone why they shouldn't. I can understand how something like that could be a blessing. My concern is simply where you draw the line though.
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Old Oct 08, 2007, 02:47 PM   #7 (permalink)
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Re: Hurray for medical Ethics.

Quote:
Originally Posted by Arrianna View Post
This isn't new. From what I have read before the mother went to two doctors who agreed that it was in the girls best interest. Evidently the young woman is also mentally incapacitated and incapable of making a legal decision. If she was the surgery wouldn't be needed.

I am of two minds on it. I have been to group homes for mentally retarded people and the people who work with them have told me more then once that their biggest problem is non-mentally retarded people seducing them. They are children mentally and they don't even understand what they are doing let alone why they shouldn't. I can understand how something like that could be a blessing. My concern is simply where you draw the line though.
it's just a shame that there isn't really any indication in the article about the girl's mental capacity except the mother saying she wouldn't understand.
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Old Oct 08, 2007, 03:48 PM   #8 (permalink)
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Re: Hurray for medical Ethics.

i think it's plain out wrong, i was on the fence for a long time...

but what tipped me over is that the families who are asking for operations are ones who no longer want to care about their child, but don't want to kill them "because they still love them" if it was the girl's best interest, then wouldn't she have to understand what's going on in order to form an opinion?

personally, i think it's the mother's best interest of not dealing with her kid anymore...
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Old Oct 08, 2007, 05:21 PM   #9 (permalink)
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Re: Hurray for medical Ethics.

After Dating someone with CP (A very mild form that left her with limited control of her Legs leaving her in a wheelchair), I researched it, and the more severe forms of it leave the person with the mental faculties of a 3 or 4 year old (or younger, and from what I got from the article, this is the case here) coupled with extreme physical disabilities (Paraplegic and Quadriplegic are quite common, even Total or Partial paralysis is possible). The child will almost defenently be cared for by her mother for her entire life, and won't be having children, and if she had the ability to make that choice, her mother wouldn't be seeking to have this done because her daughter would understand what was happening to her body.

I think its the mothers choice.

And another thing, I don't think the mother is thinking about the other side effect of a Hysterectomy: Early Menopause.
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Old Oct 08, 2007, 06:06 PM   #10 (permalink)
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Re: Hurray for medical Ethics.

Wouldn't it be easier and far less invasive to give the girl a low-dose contraceptive in a way that would limit her periods to only a few a year? As aceman pointed out, a full hysterectomy isn't without it's consequences. And from what I've read, a lot of doctors are advising against hysterectomies in all but the most extreme cases, where there is no other option (for example, uterine or cervical cancer). I think the mother should look at all other possible options before jumping right to a hysterectomy.

Quote:
"Katie wouldn't understand menstruation at all. She has no comprehension about what will be happening to her body. All she would feel is the discomfort, the stomach cramps and the headaches, the mood swings, the tears, and wonder what is going on."
So...she would understand a surgical procedure, with all of the possible side effects and complications? This statement doesn't really make her case.
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Old Oct 09, 2007, 08:42 AM   #11 (permalink)
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Re: Hurray for medical Ethics.

If the mother is truly look at her daughters best interest she should have looked at other options first and used this as a last resort. I also think the mother is being selfish, but she is in her right seeing her daughter is incapable of making decisions for herself.
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