Playing Dress Up

Playing Dress Up
Brenna wearing Mama's hat.

Saturday, September 27, 2014

Letter to Idaho Congressional Delegation. Please feel free to use and personalize as an example to send to your own senators and representatives. Post any communications to their online web sites as that creates an automatic legal record. Thanks. Pam

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As a mother who understands the pain a parent feels when something critical happens to a child and as someone who cares about protecting the life of the innocent, I urge you to please join me in my fight for equality of treatment for those who suffer a hypoxic-anoxic injury (HAI) to the brain.
For the past two years, I have been working with Senator Crapo’s staff regarding the lack of research for patients suffering from HAI. My twenty-seven year old daughter suffered a medically unexplained HAI in May 2010. She fought hard to recover for 16 months in a health care system that has increasingly over the past 30 years become cold toward her type of diagnosis. What happened to her could happen in any family.
Her treatment, or lack thereof, was based on an outdated diagnostic definition of persistent vegetative state (PVS), dating back to 1972. What I learned in the process is that few, if any, of the medical professionals who worked with her over the next 16 months were knowledgeable about the recovery of the brain following HAI. Yet, they make daily decisions on the critical decision of who lives and who dies.  None of those who worked with Brenna knew any more about rehabilitation of the brain than I did at the time of her injury. By the time I had spent a month by her side, researching every possible avenue, I believe my knowledge of what the brain could do to heal far exceeded theirs. This is not arrogance on my part. This is the truth I faced.
Daily I am in contact with hundreds of families around the world who are working through recovery of HAI. They are my inspiration to move forward after the loss of my daughter October 1, 2011.
Recently, I began researching the ugly term “persistent vegetative state”.  The term is long overdue for retirement from our vocabulary. I have seen miracles of healing after a family heard this diagnosis.  
Please read the attached letter I sent to Senator Crapo regarding PVS and help me make changes in how our society views and rehabilitates those who suffer a DX of PVS or HAI.
The families I reach daily would like to see the term” persistent vegetative state” permanently retired. As we no longer use “retarded” in DX of human beings, so must we end this usage of PVS.
And, please help me in my fight to include HAI into the CDC requirements for data collection. As things stand, HAI patients are being denied care, therapy, and durable medical equipment, based on lack of data collection.  I am including a list of known causes of HAI.
Lack of data = lack of funding = lack of research = reduced therapeutic opportunities.

I plan to be in Washington, D.C. when the new session begins, ready to work on these issues with any staff members you can assign.
We are all a breath away from being in the health crisis that faced my daughter.
Sincerely yours: 
Pamela G. Blaxton-Dowd
Brenna’s Mom , Founder, Director
Brenna’s Hope Foundation
PO Box 5002
Twin Falls, ID 83303-5002



Enclosure: Known causes of hypoxic-anoxic injuries to the brain

Brenna’s Hope Foundation supports legislation to include, at a minimum, these causes of hypoxic-anoxic injuries (HAI) to the brain to new legislation that requires the Center for Disease Control and the National Institute of Health to begin collecting data that may lead to research for the rehabilitation and recovery of patients suffering HAI. This data collection to be included in current criteria as used for collecting information on TBI at point of admission to emergency rooms and hospitals.

Known causes of hypoxic-anoxic injuries to the brain

Accidental prescription overdose

Asthma attacks

Heat exposure

Heart attacks

Low air pressure

Near drowning

Pressure to chest that cuts off oxygen

Sudden cardiac arrests

Toxic exposures

            Carbon monoxide

Chemical

            Smoke

Seizures

Suicide attempts

Surgical complications
 

Thursday, September 25, 2014

Letter/Senator Crapo re: PVS misdiagnosis







 

        Brenna’s Hope Foundation
          PO Box 5002
          Twin Falls, ID 83303-5002
 
           Founder, Director: Pamela G.
           Blaxton-Dowd


The Honorable Mike Crapo
United States Senate
239 Dirksen Office Building
Washington, D. C. 20510-1205
Dear Senator Crapo:
After reading the New England Journal of Medicine 1994 report, Medical Aspects of the Persistent Vegetative State[1], I am saddened by the lack of follow-up by the medical research community for this devastating diagnosis. Much of the background information is based on information that is at least 30 years old now, and the original definition of PVS originates in 1972. The DX of PVS is dehumanizing and robs a person of their individual dignity. It is past time to retire this DX from our vocabulary.
Scrolling through the article to the “Future Directions”, I am not surprised to see that no further articles appear in the NEJM, updating this medically dehumanizing DX with new research.
 “Although investigators have learned much about the persistent vegetative state over the past two decades, several areas deserve additional study.”[2]  This report indicated a need for more studies and research.  One can only ask. Where are those research projects? If any of these projects were ever undertaken, where are the results?
§  In the area of epidemiology, improved data on the incidence, prevalence, and natural history of the persistent vegetative state would be available if health authorities recorded such a state in patients, in addition to its underlying cause.
§  More careful clinical studies of individual patients could provide data to determine which clinical findings are critical for the diagnosis of a persistent vegetative state.
§  Future PET studies should measure regional cerebral blood flow or glucose metabolism in response to visual, auditory, and somatosensory stimulation, to determine whether depressed cortical regions in patients in a persistent vegetative state can be activated by peripheral sensory stimuli.
§  A confirmation of the absence of evoked activity on the PET scan would help defend the assertion that patients in a persistent vegetative state are completely unaware and insensate21.
§  Single-photon-emission computed tomography (SPECT) may be used to study changes in blood flow. SPECT findings generally parallel PET findings, but SPECT units are less expensive and more widely available.
§  Finally, studies should include larger numbers of patients in a persistent vegetative state to establish clinical predictors of recovery of consciousness, other neurologic functions, and survival based on age, cause of the vegetative state, and other comorbid factors.
§  Outcome studies should determine the degree of disability in patients with a late recovery of consciousness. Studies of children with developmental disorders causing a persistent vegetative state may show how they differ from patients in a vegetative state as a result of injuries or degenerative or metabolic disorders.[3] 
A current, published report by researchers at the Owens lab at the University of Western Ontario indicates that patients DX with PVS responded to outside stimuli when patients DX with PVS viewed the Alfred Hitchcock movie Coma.[4]  This affirms a study reported in 1996 by the British Journal of Medicine[5] that 43% of patients were misdiagnosed and can achieve a better level of recovery than previously expected.
I urge Congress to pursue legislation that would rectify this lack of PVS research, directing the Center for Disease Control to begin collecting data on diagnoses of PVS. Many of these patients suffer from hypoxic-anoxic injury (HAI) to the brain and are currently being ignored by the CDC for data collection and research.
Sincerely:
Pamela G. Blaxton-Dowd
Brenna’s Mom , Founder, Director
Brenna’s Hope Foundation
PO Box 5002
Twin Falls, ID 83303-5002