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Friday, November 30, 2007

14 Year Olds Don't Get to Make Some Decisions

I don't care how "mature" a 14 year olds might think they are they don't get to refuse medical treatment when there is a great chance they can continue to live. They just don't. Don't try and tell that to any of the 14/15 year olds in the car pool this morning. They are so certain in their beliefs and what is right and what is wrong. Well 4 years ago they believed in Santa Clause and the tooth fairy. It it was the parents refusing
the treatment, they would draw and quarter the family and put there pictures on the cover of People Magazine. Congress would be called back into session and new laws would be passed.

We don't let children vote, or drink or drive. We make them get their vaccinations. We drill their teeth and put helmets on them. We make them buckle their seatbelts. We make them go to school, of some sort. We make them brush their teeth and take baths. We make them wear cloths to school and we make them take ALL of their antibiotics. We make them eat, some times healthy food. We make them leave the house and interact with the world. We don't have long discussions with them about drug use and abuse, we just say NO. We tell them they are wrong and in most cases we enforce the rules. If the kids get out of control we send them to counseling. If that does not work they end up at OUTWARD BOUND. Or as the kids now say "He has gone on 'VACATION'".

As anyone that has read this blog knows, kids with leukemia die. Kids that are treated for leukemia sometimes die. Kids that start the treatment and then are not transfused die. The young man that died this week did so of suffocation. The child has a hematocrit that would not have kept a snail in hibernation in the winter alive. He had no oxygen in his system. His red blood count dropped like a rock. His leukemia was really scared of chemo therapy, his bone marrow was on the run. He might have had a really great result.

What really scares me is that now the precedent is set. Kids at 14 during the worst treatment of their lives get to be recalcitrant and just say "NO". I think the judge made the right decision for this child to let him die given his body had been robbed of oxygen for so long but what will it do for the rest of us that have kids that may need treatment.

Remember, it has only been a few years since they believed we could kiss it and make it better. We would not let a child walk into a busy street even though "he accepted what would happen."

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