Sun Hudson
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The case of Sun Hudson concerned Wanda Hudson and her infant son, who was allowed to die via removal of his breathing tube, contrary to her wishes.


Chronology

Hudson gave birth to a son with an unknown father on September 25, 2004, at
St. Luke's Episcopal Hospital Baylor St. Luke's Medical Center (BSLMC) is the private adult teaching hospital of Baylor College of Medicine jointly owned with CHI St. Luke's Health. The medical staff at the hospital includes full-time Baylor faculty, as well as community ph ...
in
Houston, Texas Houston (; ) is the most populous city in Texas, the most populous city in the Southern United States, the fourth-most populous city in the United States, and the sixth-most populous city in North America, with a population of 2,304,580 in ...
, with
thanatophoric dysplasia Thanatophoric dysplasia is a severe skeletal disorder characterized by a disproportionately small ribcage, extremely short limbs and folds of extra skin on the arms and legs. Symptoms and signs Infants with this condition have disproportionately ...
, a typically fatal form of
congenital A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities can ...
dwarfism Dwarfism is a condition wherein an organism is exceptionally small, and mostly occurs in the animal kingdom. In humans, it is sometimes defined as an adult height of less than , regardless of sex; the average adult height among people with dw ...
. She was informed that the infant was most likely unable to survive, and should have his breathing tube removed pursuant to Chapter 166 of the Texas Health & Safety Code, the
Advance Directives Act The Texas Advance Directives Act (1999), also known as the Texas Futile Care Law, describes certain provisions that are now Chapter 166 of the Texas Health & Safety Code. Controversy over these provisions mainly centers on Section 166.046, Subsecti ...
. Under this act, a doctor's recommendations to withdraw medical treatment can be followed, after they have been reviewed by the hospital's ethics committee and after 10 days' notice is given to the patient or guardian. Hudson was given 10 days from written notice to find a new facility to accommodate the infant, but was unable to do so.
Texas Children's Hospital Texas Children's Hospital is a nationally ranked, freestanding 973-bed, acute care women's and children's hospital located in Houston, Texas. It is the primary pediatric teaching hospital affiliated with Baylor College of Medicine and is located wit ...
states that it attempted to contact 40 facilities without finding a willing one. Legal delays prevented the removal of the breathing tube, which would have occurred on November 28, 2004, but a judge ruled that the removal of the tube did not require Hudson's agreement. On March 15, 2005, Texas Children's Hospital personnel removed the breathing tube. Official reports state that he was sedated, and
asphyxia Asphyxia or asphyxiation is a condition of deficient supply of oxygen to the body which arises from abnormal breathing. Asphyxia causes generalized hypoxia, which affects primarily the tissues and organs. There are many circumstances that can i ...
ted in under a minute. Hudson disputes this, and told reporters, who were not permitted entrance, "I wanted y'all to see my son for yourself, so you could see he was actually moving around. He was conscious." The hospital lacked confidence in Hudson's mental competence; she was quoted by ''
The Dallas Morning News ''The Dallas Morning News'' is a daily newspaper serving the Dallas–Fort Worth area of Texas, with an average print circulation of 65,369. It was founded on October 1, 1885 by Alfred Horatio Belo as a satellite publication of the ''Galvesto ...
'' as saying that she didn't seek prenatal care "because I trusted in the Sun", which she claimed fathered the baby. She also made similar comments during an interview with Greta Van Susteren.


Bioethics implications

Bioethicists Bioethics is both a field of study and professional practice, interested in ethical issues related to health (primarily focused on the human, but also increasingly includes animal ethics), including those emerging from advances in biology, med ...
note that the case is the first time a U.S. hospital has been allowed to remove life sustaining support contrary to the wishes of the legal guardian and lacking advance directives from the patient themselves. This, the bioethicists claim, makes the issue
precedent A precedent is a principle or rule established in a previous legal case that is either binding on or persuasive for a court or other tribunal when deciding subsequent cases with similar issues or facts. Common-law legal systems place great valu ...
-setting in further cases where it may be applied. Early speculation as to its application was the case of
Spiro Nikolouzos Spiro Nikolouzos (1936 – May 30, 2005) was a Texas man incapacitated from bleeding related to a cerebral shunt, whose care was the subject of an appeal of The Texas Futile Care Law. Nikolouzos was hospitalized on February 10, 2005, at St. Luke ...
. Nikolouzos, however, was accepted at a San Antonio nursing facility on March 21, 2005, where he died of natural causes on May 30.


Comparisons to the Terri Schiavo case

Critics of the federal government's involvement in the
Terri Schiavo case The Terri Schiavo case was a series of court and legislative actions in the United States from 1998 to 2005, regarding the care of Theresa Marie Schiavo (née Schindler) (; December 3, 1963 – March 31, 2005), a woman in an irreversible ...
, which culminated around the same time as the Sun Hudson case, pointed out that the Advance Directives Act was signed into law by
George W. Bush George Walker Bush (born July 6, 1946) is an American politician who served as the 43rd president of the United States from 2001 to 2009. A member of the Republican Party, Bush family, and son of the 41st president George H. W. Bush, he ...
, who was then Governor of Texas. In the Terri Schiavo case, family objections were considered paramount, whereas in the Sun Hudson case, evidence-based medical care was followed instead. However, no extraordinary political measures were taken to save the life of Sun Hudson. The ''
Houston Chronicle The ''Houston Chronicle'' is the largest daily newspaper in Houston, Texas, United States. , it is the third-largest newspaper by Sunday circulation in the United States, behind only ''The New York Times'' and the ''Los Angeles Times''. With it ...
'' quotes John A. Robertson, the Vinson and Elkins chair at the University of Texas School of Law, as saying The Texas law "''allows doctors to stop treatment when ... treating is not going to help at all.... In Florida, the feeding tube will keep Terri alive, so it is not medically futile in that treatment won't work at all.''"


References


External links


Life-Support Stopped for 6-Month-Old in Houston
* ttp://www.capitol.state.tx.us/statutes/docs/HS/content/htm/hs.002.00.000166.00.htm Texas Health & Safety Code, Chapter 166 {{DEFAULTSORT:Sun Hudson Case Medical controversies in the United States 2005 in United States case law 2005 in Texas