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My wife was murdered on the order of Dr. Edward Henry Jordan to cover up medical stupidity. He treated her over the telephone, unseen. He ordered a brain damaging neuroleptic drug in the face of an undiagnosed and untreated hyperglycemia, hypokalemia, and hyponatremia resulting in endocrine crisis and/or metabolic derangement. Looking over the chart it is clear that obtaining a 'no code' status was the next essential step in executing her death. This is an order denying medical intervention in emergency situations. The 'no code' as evidenced in this case by a "Nature Code 0" was ordered by Dr. Jordan, without family knowledge or consent when the patient's condition began to rapidly deteriate. Within a few hours following her transfer to Sudbury my wife was declared as having met with 'brain death criteria'. The diagnosis of brain death depends upon the exclusion of certain conditions without which the diagnosis of brain-death cannot be considered.

For patients suspected to have conditions such as drug intoxication, metabolic derangements and hypothermia, a longer period of observation and persistence of cessation of brain functions despite correction of these abnormalities are needed in order to declare a brain death, such as the absence of reversible conditions capable of mimicking neurological death. Therefore conditions that mimic brain death must first be excluded prior to clinical evaluation for brain death.

Further, drug intoxication is the most common cause of coma of rapid onset which may mimic brain death, no drug toxicology screen was done. All of the commonly used minor tranquilizers are central nervous system depressants very similar to alcohol and barbiturates in their clinical effects. Prochlorperazine intoxication or poisoning can also cause deep physiologic depression that resembles and can mimic brain death.

Metabolic derangement and endocrine crisis can mimic brain death.

More dramatic is the reversible Guillain–Barré syndrome involving all the peripheral and cranial nerves. The progression which can mimic brain death occurs over a period of days, as in this case.

As a safeguard in determining brain death a number of tests need to be carried out every 6 hours and recorded, the physicians performing this determination must not be part of a transplantation team. In some cases, 48 to 72 hours is required to evaluate brain death and a repeat examination with observation up to 24 hours is sometime needed. The length of time between serial examinations to declare brain death varies marginally from 6 to 72 hours.

Metabolic conditions can totally depress brain function and still be compatible with full recovery if appropriate physiologic support is provided. Therefore, it is critical to rule out toxic and metabolic conditions and to confirm no contributing metabolic derangements in any patient meeting criteria for brain death.

http://www.geocities.com/target_injustice/Legacy.HTM

http://www.geocities.com/target_injustice/SpillerFile.HTM

http://www.geocities.com/target_injustice/SpillerFile2.HTM

http://www.freewebs.com/medical_secrets/Endocrine.htm

http://ca.geocities.com/target_nova/AnalgesicFactoid.HTM

http://www.jficm.anzca.edu.au/pdfdocs/Journal/Journal2000/J2000%20(a)%20March/Case2.pdf

http://www.deathreference.com/Bl-Ce/Brain-Death.html

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