Thursday, June 27, 2013

Falls into coma in USA, wakes up in Poland





New Jersey man falls into coma, wakes up in Poland



In March, Jacinto Rodrieguez found himself deported to Mexico after falling unconscious in an Iowa hospital. 
Here is a scary story: you sought treatment in another country far away from home and something went awry during your surgery and you went into a coma and when you woke up you are in a different country, not necessarily yours, surrounded by unfamiliar faces who might or might not be friendly. You thought it was just a nightmare until you realize it was not.
Sixty-nine-year-old Wladyslaw Haniszewski had lived in the U.S. for about 30 years. But when the New Jersey resident fell into a coma he awoke to find himself in his native country of Poland .

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The New York Daily News reports that Haniszewski fell victim to a growing phenomenon in which uninsured immigrants are deported by U.S. hospitals that do not want to get stuck paying for their treatment.
“Imagine being carted around like a sack of potatoes," said Polish Consul General Ewa Junczyk-Ziomecka, who argues that Haniszewski was placed on a chartered flight while still unconscious, never giving his consent to being shipped to a hospital in a country he had not lived in for decades.


The practice of medical repatriation has reportedly become increasingly common. One immigration advocacy group told The Associated Press in April that it has documented at least 800 cases of individuals being deported from hospitals without consent over the past six years in at least 15 states. However, the actual number is believed to be much higher because of the significant number of cases that go unreported.

"It really is a Catch-22 for us," Dr. Mark Purtle, vice president of Medical Affairs for Iowa Health System, said at the time. "This is the area that the federal government, the state, everybody says we're not paying for the undocumented."
There is an ongoing debate over the legality and morality of medical repatriation.





Under U.S. law, hospitals are required to gain patient consent, from either the individual directly or an immediate family member, before having the individual deported. The federal government is not directly involved in the cases and does not pay for the cost of deportation. In April, "Colbert Report" host Stephen Colbert weighed in on the controversy, saying sarcastically, "It's totally unregulated, so hospitals avoid all the red tape usually involved in shipping the unconscious."Haniszewski has reportedly fallen on hard times in recent years. Friends tell the Daily News that he recently lost his apartment and job, and was forced to relocate to a shelter.

The Robert Wood Johnson University Hospital in New Brunswick is defending its actions, saying it took the necessary precautions before placing Haniszewski on an outbound flight.

“The individual was informed regarding his discharge plan and care,” said hospital spokesman Peter Haigney. “As the hospital's understanding of the facts differs from the published reports, we are conducting a thorough review of the procedures and communications surrounding this gentleman's care.”
However, Junczyk-Ziomecka contests the theory that Haniszewski consented to the move or was even informed of the decision. After all, he was still in a coma when he arrived in Poland and even now is unable to verbally communicate with hospital staff. He’s also estranged from his two daughters, who live in Poland.
"He can smile from time to time, but he is unable to communicate," Junczyk-Ziomecka told the Daily News.

“It’s an incredibly disturbing case,” Lori Nessel, director of the Center for Social Justice at Seton Hall University School of Law, told the Daily News. “This kind of action seems clearly illegal and also not ethical, but it’s hard to bring a legal action.”







Tuesday, June 11, 2013

Zombies: 'Walking Corpse Syndrome'




Warm Bodies: Man Describes Life With 'Walking Corpse Syndrome'



A man's account of living with Cotard's syndrome offers a chilling look at a rare condition that has patients convinced they're zombies.

The man, identified only as Graham in an interview with New Scientist, said he awoke from a suicide attempt feeling as though his brain were dead.
"I just felt like my brain didn't exist anymore," Graham told the magazine, recalling his bizarre state of consciousness after surviving an attempt to electrocute himself in his bathtub. "I kept on telling the doctors that the tablets weren't going to do me any good, because I didn't have a brain. I'd fried it in the bath."


Graham was diagnosed with Cotard's syndrome, a mysterious psychiatric condition marked by "the fixed and unshakable belief that one has lost organs, blood or body parts" or has no soul, according to a definition in the journal Neurology.
"I lost my sense of smell and taste. I didn't need to eat, or speak or do anything," Graham told New Scientist. "I ended up spending time in the graveyard because that was the closest I could get to death."
What little is known about Cotard's syndrome has come from rare case reports dating back to 1882. But Graham's recent diagnosis gave doctors an opportunity to look inside the brain of a Cotard's patient.
What they found was extraordinary.
"I've been analyzing PET scans for 15 years, and I've never seen anyone who was on his feet, who was interacting with people, with such an abnormal scan result," Dr. Steven Laureys of the University of Liège in Belgium, who consulted on Graham's case, told New Scientist. "Graham's brain function resembles that of someone during anesthesia or sleep. Seeing this pattern in someone who is awake is quite unique to my knowledge."
So while Graham's brain was intact, his brain activity looked like that of someone in a coma.
"It seems plausible that the reduced metabolism was giving him this altered experience of the world, and affecting his ability to reason about it," Laureys said.
Graham said he struggled to find pleasure in life, calling the fact that he didn't actually die "a nightmare."
"I just felt really damn low," he said, recalling his desire to lurk in graveyards. "I just felt I might as well stay there. It was the closest I could get to death. The police would come and get me, though, and take me back home."
But over time, with the help of therapy and medication, Graham said he managed to shake his zombie-like state.
"I don't feel that brain-dead anymore," he told New Scientist. "Things just feel a bit bizarre sometimes."
"I'm not afraid of death," Graham added."But that's not to do with what happened - we're all going to die sometime. I'm just lucky to be alive now."