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    12/01/2007

    In the Media

    * Our first interview with the media and CNN Health's update article on Ashley's story, March 12th, 2008

    We thank CNN Health for their continued coverage of this story. Following are a few comments that we shared with them on their update article:

    1.      Children’s hospital maintained that the treatment is the right thing for Ashley. Furthermore, lawyers disagree about the legal issue; see the summary of our attorney’s findings in our update of May '07. It will be helpful to point this out for a more balanced representation of this side of the story.

    2.      Arthur Caplan seems to be a minority opinion among ethicists on this issue. There are many ethicists who spoke in support of the treatment in Ashley’s case, including: Norman Fost, Doug Diekema, George Dvorsky, Ben Willfond, Peter Singer, etc., whom we quote on our blog.

    3.      The article portrays a picture where Ashley’s parents seem to be the only ones in support of this treatment. In reality the treatment has broad support among doctors, ethicists, parents, and caregivers. The latter two categories have the direct experience and hence a unique insight. Even the sentiment of the general public is not represented in a balanced way; for example, consider the opinions posted by reader’s of the article itself.

    * "Love, Justice, & Humility: A Bioethicist Meets the 'Pillow Angel' ", a presentation at the Calvin College January Series by Dr. Doug Diekema , January 18th, 2008.

    * "Ethicist in Ashley case answers questions", A CNN Health interview with Dr. Doug Diekema, January 11th, 2007.

    * Following is the conclusion from an article by Peter Singer, professor of bioethics at Princeton University, titled “A Convenient Truth”, published in the New York Times, January 26th 2007:

    “What matters in Ashley’s life is that she should not suffer, and that she should be able to enjoy whatever she is capable of enjoying. … Lofty talk about human dignity should not stand in the way of children like her getting the treatment that is best both for them and their families.”

    * “Pillow Angel Ethics”, Time Magazine, January 7th, 2007 – Includes comments by Seattle Children's Dr. Gunther and Dr. Diekema

    * Excerpts from CNN Larry King Live, January 12th, 2007

    DIEKEMA: … And so we brought this [the Ashley Treatment] to our full ethics committee and had that conversation.

    KING: Was it a vote?

    DIEKEMA: It was not a vote. It was a consensus. There -- I can tell you that there was no one in the room who disagreed with the decision.

    DR. NORMAN FOST, BIOETHICS, UNIVERSITY OF WISCONSIN: I'm amazed at the intensity and extent of the emotion about this, Larry. It strikes me this is an incredibly caring couple who wanted to do what was best with their child. They got a lots of consultation and thought about it very carefully. They used treatments that were not experimental, as people claim. Estrogen has been around for decades, using it to slow down growth has been done before, taking the uterus out of profoundly retarded children to reduce the fears associated with menstruation and reduce the risk of cancer. These are standard things of pretty low risk and they were people who claim that the parents for their convenience, obviously, have not read the father's Web site, which was remarkable. These are good parents that wanted ....

    KING: Doctor, go ahead. I'm sorry.

    FOST: These are good parents who want to care for their child as home as long as possible and have her have as many experiences as she can. If she's smaller and lighter, they can take her more places, she can have a richer life.

    TADA: The challenge is what about the groundwork this is laying for the future eugenics against people with disabilities?

    FOST: This claim of eugenics. Eugenics is about coercive government policy to sterilize people for fear that they would make more retarded children. That's not what's going on here. This is not state action. She did not have her uterus out because of fear of creating retarded children. It was done to help her, not society.

    ...

    * Excerpts from CNN Nancy Grace, January 4th, 2007

    Let`s go to the lines. Betty in Indiana. Hi, Betty.

    UNIDENTIFIED FEMALE: Hi, Nancy.

    GRACE: I understand you have a child with the same condition.

    UNIDENTIFIED FEMALE: Well, it`s very, very similar. She`s extremely disabled. She`ll never walk, talk or feed herself.

    GRACE: What do you think, Betty?

    UNIDENTIFIED FEMALE: To be perfectly honest, I really strongly support the parents` decision in this, and I`ll tell you why. My child is now 13, and started her menstrual cycle at the age 11. And she`s had a really, really tough time every month with these periods -- extreme pain, discomfort, which we have to try to manage. And I realize that normal healthy kids have the same thing. The difference is, with this child, she can`t tell us when it hurts or how it hurts. And we just do our best to position her.

    I`ve had two options with regards to her menstrual cycle, which is, one, to put her on the pill, or number two, to give her Depo-Provera shots on a regular basis, which stops the periods altogether. The reason we`ve opted not to do those is, with the pill, you have blood clot issues in the legs, and with the Depo-Provera, you have bone density loss

    GRACE: Betty in Indiana, stay with us. We`ll be right back.

    (COMMERCIAL BREAK)

    Back to Betty in Indiana. Betty, you have a child with a similar condition. Continue.

    UNIDENTIFIED FEMALE: I do, and she`s 13. And I told you the reasons that we didn`t choose to put her on the pill or Depo-Provera, because when they don`t have much movement, they have chances of blood clots in the legs, which could cause a stroke in these children. And the Depo-Provera is bone density loss issues. And she`s only 11, so her bones are still growing, so that was a critical issue, for breakage. So -- and with regards to the breasts, I will tell you that my child started her period and her breasts have grown. She`s very uncomfortable. It`s a very difficult time sometimes because...

    (COMMERCIAL BREAK)

    * Excerpts from "The humbling true story of why this mother wants her disabled daughter to have her womb removed", October 12th 2007

    ...

    Comparisons have been made between Katie and a nine-year-old American girl called Ashley X, who in 2004 had her womb and breasts removed and was given drugs to stunt her growth. Her parents argued that this would improve her comfort and that having a lighter, smaller body would make it easier to involve her in family activities.

    "I have nothing but sympathy for that family and it is something we would definitely have considered for Katie, but it is too late for her to have the same treatment," says Alison.

    ...

    I leave just as another exhausting, broken night looms.

    Whatever the rights or wrongs of this case - and the moral debate will surely continue to rage - selfish is the very last word you could use to describe Alison Thorpe.

    She simply wants the best for her daughter.

    * Excerpts from "Show some compassion", January 4th 2007

    The decision to suspend the growth of Ashley is not a slide towards eugenics but a solution that is right for her.
    ...
    In the end we must all take a step back and recognise that Ashley is an individual with unique needs. And that surely is the crux of the matter. There is no one size fits all solution to the needs of families like this. It is right that the solution for Ashley was debated by doctors and by an ethics committee. It would be quite wrong if it were implemented on anything other than a case-by-case basis. Ashley's life is as different from Wheelchair Dancer's as it is from mine. She needs her own solution - worked out by the people who care for her and love her. If this intervention will ensure that she has a better life then it is the right thing to do. In the end that is the only standard that can be used. I wish them luck.















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