מניעת הריון לאחר מצבי סיכון בהריונות קודמים
שלום רב, אני בת 27, לפני כחודש ילדתי בת בניתוח קיסרי בשל מצוקת עובר (האטה בדופק שהסתברה כחבל טבור סביב צוואר). זהו ניתוח שני ברציפות
My father, shiyichyeh, (79 years old, very obese, history of heart failure, cardiac myopothy, orthostatic hypotension and at least one previous heart attack, along with other medical issues including chronic unsourced anemia, a large inoperable abdominal hernia and widespread arthritis) is currently hospitalized with sepsis and, apparently as a result of that, another heart attack. His last echo 6 weeks ago showed an ejection fraction of 15%. The doctors want him to be a DNR/DNI, as does my (non-observant) sister who is a RN. My father is lucid, communicates well and enjoys living even though he has been bedridden in a nursing home for the last 2 years. He wants to live, but not to be tortured. He would allow any type of resuscitation as long as it had a real chance of success, and again told this to his doctors today. The doctors insist that life after resuscitation for him would be terrible, that he would never get off a ventilator (even though earlier today he successfully got off the bipap they were using to vent him after being on it about 30 hours), that he would most likely need constant sedation to handle the tube to his lungs, etc., and that he would need to move to a non-Jewish nursing facility and be separated from my mother, shtichyeh, (who is living in the same nursing home he is). He is currently getting levo and dopamine to keep his blood pressure at an acceptable level.
What is the halachically correct course to follow here? Should he be a DNR/DNI? Just a DNI? Or should he remain a FULL CODE? How do 'quality of life' / pain issues impact this? We're under tremendous pressure to make this decision immediately and, as you might imagine, all of that pressure is to reclassify him as a DNR/DNI.
Thank You,
If a person who wishes to live and when DNR/DNI is discussed with him he shows that his choice is to continue to live no one in the world has the right to convince him to accept DNR/DNI. His autonomy should be respected along with all of its implications.
שלום רב, אני בת 27, לפני כחודש ילדתי בת בניתוח קיסרי בשל מצוקת עובר (האטה בדופק שהסתברה כחבל טבור סביב צוואר). זהו ניתוח שני ברציפות
צום יוה"כ אני אמא לתינוקת בת 3 חודשים. התינוקת יונקת בלבד. בכדי שיהיה לי מספיק חלב בשבילה אני זקוקה למזון ולשתיה מרובה במהלך היום. מה
פנתה אלי אשה העוברת כימותרפיה (פעם בשלושה שבועות) בעקבות גילוי גידולים ממאירים, כשנתיים אחרי כריתת שדיים על רקע גידולים ממאירים, וטיפול כימותרפי אז. מאן-דהו המליץ
Dear Rabbi, My wife gave birth to our first child last year by (unplanned) Cesarian section. While we have been blessed with a wonderful son,