How dead do you have to be, to be cut open for organs?

http://online.wsj.com/news/articles/SB10001424052970204603004577269910906351598

Not as much as you’d hope.

“”I like my dead people cold, stiff, gray and not breathing,” says Dr. Michael A. DeVita of the University of Pittsburgh Medical Center. “The brain dead are warm, pink and breathing.”

You might also be emitting brainwaves. Most people are surprised to learn that many people who are declared brain dead are never actually tested for higher-brain activity. The 1968 Harvard committee recommended that doctors use electroencephalography (EEG) to make sure the patient has flat brain waves. Today’s tests concentrate on the stalk-like brain stem, in charge of basics such as breathing, sleeping and waking. The EEG would alert doctors if the cortex, the thinking part of your brain, is still active.

But various researchers decided that this test was unnecessary,[sureeee]  so it was eliminated from the mandatory criteria in 1971. They reasoned that, if the brain stem is dead, the higher centers of the brain are also probably dead. [comforting]

But in at least two studies before the 1981 Uniform Determination of Death Act, some “brain-dead” patients were found to be emitting brain waves. One, from the National Institute of Neurological Disorders and Stroke in the 1970s, found that out of 503 patients who met the usual criteria of brain death, 17 showed activity in an EEG.

Even some of the sharpest critics of the brain-death criteria argue that there is no possibility that donors will be in pain during the harvesting of their organs. One, Robert Truog, professor of medical ethics, anesthesia and pediatrics at Harvard Medical School, compared the topic of pain in an organ donor to an argument over “whether it is OK to kick a rock.” [is he on the register?]

But BHCs (beating heart cadavers) —who don’t receive anesthetics during an organ harvest operation—react to the scalpel like inadequately anesthetized live patients, exhibiting high blood pressure and sometimes soaring heart rates. Doctors say these are simply reflexes.

What if there is sound evidence that you are alive after being declared brain dead? In a 1999 article in the peer-reviewed journal Anesthesiology, Gail A. Van Norman, a professor of anesthesiology at the University of Washington, reported a case in which a 30-year-old patient with severe head trauma began breathing spontaneously after being declared brain dead. The physicians said that, because there was no chance of recovery, he could still be considered dead. The harvest proceeded over the objections of the anesthesiologist, who saw the donor move, and then react to the scalpel with hypertension.

Organ transplantation—from procurement of organs to transplant to the first year of postoperative care—is a $20 billion per year business. Recipients of single-organ transplants—heart, intestine, kidney, liver, single and double lung and pancreas—are charged an average $470,000, ranging from $288,000 for a kidney transplant to $1.2 million for an intestine transplant, according to consulting firm Milliman. Neither donors nor their families can be paid for organs.

It is possible that not being a donor on your license can give you more bargaining power. If you leave instructions with your next of kin, they can perhaps negotiate a better deal. Instead of just the usual icewater-in-the-ears, why not ask for a blood-flow study to make sure your cortex is truly out of commission? [brainstem tests in the UK are medieval, and there’s a good chance you could be awake for these < same brainstem that beats the heart btw, but sure, I guess it’s probably dead…]

And how about some anesthetic? Although he doesn’t believe the brain dead feel pain, Dr. Truog has used two light anesthetics, high-dose fentanyl and sufentanil, which won’t harm organs, to quell high blood pressure or heart rate during harvesting operations. “If it were my family,” he said, “I’d request them.”” [big clue, nudge nudge. Translation: They’d be doing that to my relatives over my dead body.]

You see, the agreed-upon Medical Death is both brain and heart, because of trouble establishing one for certain, it’s a fail-safe to prevent premature burial.
As a University of Minnesota bioethicist explains on an embarrassingly 90s style webpage;

However, the definition of death is open and flexible, at least to some degree.
Death might be closer to a process than an instant.
And when we are considering organ-transplantation, it is especially important to have the organs as alive as possible, so that the organs can resume their functions in the body of the recipient.
Death must be declared before any cutting and harvesting begins.
Otherwise, the transplant surgeons might be accused of causing death by removing vital organs.

Let’s review: your heart can be beating (BHC). Your brain can be firing (any part of it, for argument’s sake). You don’t need anesthetic to be cut open on the word of a single doctor pronouncing your ‘death’, who isn’t doing the scalpel cutting. Because you wrote your name on a register, trusting them to ensure you were actually dead first (when the organs are necrotic and useless). Gee! I wonder why the donations rates are so low!

And as psychology goes on, more states of brain ‘awareness’ are discovered in what we used to consider unconscious or, yes, brain dead. The lights are down, but somebody is home.
http://www.livescience.com/39761-brain-activity-deep-coma.html
http://www.livescience.com/14559-brain-losing-consciousness-3d.html
http://www.livescience.com/39812-strange-consciousness-state-in-surgery.html
http://www.sciencedaily.com/releases/2014/06/140609153429.htm
http://www.sciencedaily.com/releases/2013/12/131202082316.htm < this one is interesting “Uniform protocols, standards for determining brain death needed”
http://www.sciencedaily.com/releases/2013/09/130918180246.htm

Trans Slate says sexing a baby for records at birth is abuse

http://www.slate.com/blogs/outward/2014/06/26/infant_gender_assignment_unnecessary_and_potentially_harmful.html

Literally looking and say what is there. They try to make it scary by calling it infant gender assignment. Biological sex isn’t gender. Sex isn’t assigned, you have never been anything else since you existed. Can’t scalpel away every cell in your body.

The metaphor they use can hilariously also be applied to vaccination (peer pressure, side effects)

It ends with:

“Is it better to play the odds, or play it safe? Think carefully. Infant gender assignment might just be Russian roulette with your baby’s life.”

Fearmongering? What fearmongering? There’s no personal agenda here?

I can tell this won’t happen because it interferes with Gov’s desire to acquire personal medical information.
Still fucking annoying though. These people need to be stopped from controlling the lives of others, especially real vulnerable groups like children. It interferes directly with the medical profession on the basis of personal minority belief (but Christianity is meant to be evil) and their ability to do their job. Including save lives.

Imagine the implication. If a child is suffering from a sex-specific ailment, the doctor cannot acknowledge it to treat it. These crazy trans groups enforcing their beliefs on the rest of us will directly cause deaths if they are given their way.