Monday, December 30, 2013

Court blocks hospital from disconnecting Jahi McMath from life support

<p>(CNN) -- [Breaking news update at 7:56 p.m. Monday]

A judge has extended a temporary restraining order in the case of 13-year-old Jahi McMath. The move means the hospital is now not permitted to disconnect the girl from life support until January 7.

[Original story, posted at 7:28 p.m. Monday]Jahi McMath's family asks court to block hospital from disconnecting life support

They thought the tonsil surgery would help her. She feared she'd never wake up.

Now, a 13-year-old girl once known for smiling, giggling and dropping off her sister every day at kindergarten lies motionless in a California hospital bed, hooked up to machines that doctors say are the only thing keeping her heart beating.

There have been days of prayers and protests for Jahi McMath. There was a fierce court battle as a devastated family fought to keep her on life support and doctors argued she had already died. The case drew national attention and fueled debate.

Doctors and a judge have declared her brain dead and said there's no chance Jahi will come back to life.

Family works to move brain dead teen

Family members say they're hoping for a miracle as a deadline looms. A judge has said the hospital can disconnect the machines after 5 p.m. (8 p.m. ET) Monday.

Just about an hour before that deadline, the girl's family told reporters they have located a facility in New York willing to take Jahi. The hospital, however, will not allow them to move her, said Jahi's uncle, Omari Sealey.

So attorneys for the family are filing a new complaint in federal court requesting a temporary restraining order and an injunction to prevent the hospital from disconnecting Jahi from life support, he said.

They are also requesting an extension of the order already in place and filing an appeal with California appellate courts.

"We are hopeful that one of these actions will forestall the hospital's rush to extinguish Jahi's chance at life," Sealey said.

It's unclear what will happen next.

But one thing is certain, an official told reporters on Monday.

"There are no winners in this very tragic case," Children's Hospital Oakland spokesman Sam Singer said.

Bleeding, cardiac arrest and brain death

Family members say the 8th grader was alert and talking after doctors removed her tonsils, adenoids and extra sinus tissue in a surgery earlier this month.

Doctors had recommended the surgery to treat pediatric obstructive sleep apnea, a condition which made her stop breathing in her sleep and caused other medical problems.

Before the surgery, Jahi said she was worried that she would never wake up, according to her uncle. She seemed fine after the surgery, but asked for a Popsicle because her throat hurt.

It wasn't long before something went terribly wrong.

In the intensive care unit, the girl began bleeding profusely -- an image her mother told CNN would be forever seared in her mind.

According to family members, Jahi went into cardiac arrest. Days later, she was declared brain dead.

Hospital officials have said privacy laws prevent them from discussing details of the case.

In court documents and public comments, they've maintained that there's no doubt that McMath is brain dead, describing the condition as irreversible. An independent doctor and a judge supported that conclusion last week.

"No amount of prayer, no amount of hope, no amount of any type of medical procedure will bring her back," Singer said Monday. "The medical situation here in this case is that Jahi McMath died several weeks ago."

Family raises money, searches for answers

But Jahi's family members maintain that they're hoping for a miracle and want to transfer the girl from Children's Hospital Oakland to another facility.

Jahi's family told CNN affiliate KGO that it spent Sunday working the phones, trying to line up another option.

"We are optimistic but are feeling ever anxious as the deadline of 5:00 on Monday approaches," family members said in a statement Saturday provided to KGO.

"We are working every minute to preserve our rights and Jahi's existence," the family said.

Media reports suggest one treatment location option has fallen through. The attorney representing Jahi's family has not responded to requests from CNN for comment on the matter.

So far the family has raised more than $25,000 on GoFundMe.com to move her. According to the site, more than 700 people have donated money in three days.

When 'life support' is really 'death support'

"To our knowledge, they (the family) do not have a facility to move the body to," Singer told reporters earlier Monday.

Asked by reporters what the hospital would do at 5 p.m. Monday, Singer declined to comment.

"The court has said at 5 p.m. today that the hospital will be allowed to unplug the ventilator, which is the only thing that is keeping Jahi McMath's heart beating," he said.

Medical ethicists, meanwhile, say the high-profile case fuels a misperception: that "brain death" is somehow not as final as cardiac death, even though, by definition, it is. The case is "giving the impression that dead people can come back to life," Arthur Caplan, director of the Division of Medical Ethics at NYU Langone Medical Center, told CNN last week

CNN has obtained a copy of a medical report, contained in a court filing, that lays out in extensive detail the testing that supports the hospital's conclusion that McMath has no hope of recovery.

The report was prepared by Dr. Paul Fisher, Chief of Pediatric Neurology at Stanford University, who was appointed by Alameda Superior Court Judge Evelio Grillo to examine the girl and report his findings to the court.

Fisher found that the girl's pupils were fully dilated and unresponsive to light and that she did not respond to a variety of intense stimuli.

His report also says McMath showed no sign of breathing on her own when a ventilator was removed: "Patient failed apnea test." While the family has referred to Jahi's heart beating, the report says it is only beating because of the mechanical ventilator.

In addition, an imaging test showed no blood flow to Jahi's brain, while another showed no sign of electrical activity.

Fisher's conclusion: "Overall, unfortunate circumstances in 13-year-old with known, irreversible brain injury and now complete absence of cerebral function and complete absence of brainstem function, child meets all criteria for brain death, by professional societies and state of California."

Family criticizes hospital

Jahi's family has criticized the hospital's handling of the matter, accusing doctors of pressuring them to disconnect life support.

"We wish to acknowledge that Jahi's case, and our stance regarding her right to life, and her mother's right to make decisions regarding her child, has stirred a vibrant, sometimes polarizing, national debate. This was never our intention," the family's statement said. "We have our strong religious convictions and set of beliefs and we believe that, in this country, a parent has the right to make decisions concerning the existence of their child: not a doctor who looks only at lines on a paper, or reads the cold black and white words on a law that says 'brain dead' and definitely not a doctor who runs the facility that caused the brain death in the first place."

Singer, the hospital spokesman, described the situation Monday as tragic "by every measure of the word."

"There has been some limited conversation between the hospital's attorney and the family's attorney, but that's a privileged communication and I have no update on behalf of the hospital at this moment," he said, "other than to say our hearts, our sympathy, go out to this family and the young woman's body on the respirator at this hospital."

When routine surgeries go wrong

CNN's Mayra Cuevas, Cristy Lenz, Janet DiGiacomo, Elizabeth Landau, Dana Ford, Dan Simon, Michael Martinez and Carma Hassan contributed to this report.

Tuesday, December 17, 2013

Girls Basketball: Old Mill hangs on for fourth straight win

<old navy locationsp>Posted:

Posted in High school sports, Game story, High school on Tuesday, December 17, 2013 8:44 pm.

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Monday, December 2, 2013

DxO's distortion-correcting ViewPoint app now supports Nikon D610 DSLR, Coolpix P7800 compact

<Nikon D5300 Dealsp>by Mike Tomkins

If you're shooting with the Nikon D610 digital SLR or Coolpix P7800 premium compact, and you want to tame the distortion and perspective issues in your photos, there's good news from French software company DxO Labs. They've just updated DxO ViewPoint, their tool for correcting various common image defects, and it now supports both cameras.

DxO ViewPoint 2.1.1 is available immediately, and just like previous releases, it can function either standalone or as a plugin for Adobe Photoshop, Photoshop Elements, or Photoshop Lightroom, as well as for Apple Aperture. ViewPoint can fix barrel, pincushion, or fisheye lens distortion, volume deformation from wide-angle lenses, and complex perspective problems. It can also straighten horizons, and crop your images automatically to account for the corrections you've made.

The Nikon D610 started shipping last October in the US market. It's a lightly-upgraded variant of the D600 with improved burst shooting rate and a fix for the oil-on-sensor problem of its predecessor. In our just-posted review, we described it as a "fantastic, budget-conscious, full-frame camera that's packed with features and produces outstanding image quality". Read our Nikon D610 review if you're interested in learning more.

The Nikon P7800, meanwhile, hit stores in September 2013. The company's latest flagship, small-sensor enthusiast compact has a new electronic viewfinder, updated LCD monitor, Wi-Fi wireless networking connectivity, and a reconfigured body design. We've not yet finalized our Nikon P7800 review, but if you click the link, you'll find plenty more details and sample photos shot with the camera.

As for DxO ViewPoint 2, it too was launched last September. It's priced at around US$80 / €80 / £60. Special pricing of US$50 / €50 / £40 runs through Christmas day. All customers who've purchased the original Viewpoint since August 1st 2013 receive the current release free of charge. A one-month fully-functional trial can be found on the DxO website.


Source: Imaging-resource