Cathy

Cathy’s 16-year-old brother, Matty, was severely brain injured when he was hit by a car. Emergency interventions and surgery meant Matty survived, but he was left in a permanent vegetative state. He was eventually allowed to die 8 years later, after artificial nutrition and hydration was withdrawn.

Cathy’s brother, Matty, a sporty, academic boy of sixteen, was knocked down by a car when walking back from a night out in 1990. Cathy, herself just 17 at the time, was called to the scene and helped as the ambulance men treated him they told her talk to him, love, keep him with us which she tried to do. Matty was resuscitated and given a craniotomy the surgeon told her father: I’ve saved your son’s life‚. We don’t know yet whether that was the right thing to do. She recalls her father saying: he’s a big lad, he’ll get over a knock like this.

Matty may have been minimally conscious for a short while, but developed epileptic fits and deteriorated, and entered a permanent vegetative state. However, his family were determined that he would recover. They brought him home after nine months in hospital and built a specially adapted bungalow next to the pub they owned, and looked after him there, with a dedicated team of paid carers. Cathy would sing and dance for him, and always, always talk to him for the first four and a half years she was totally convinced that he knew her. Regardless of what professionals thought about Matty’s brain function, the family made a pact that they would always behave as if he could fully understand everything around him. Cathy thinks this was important and respectful in many ways but, in retrospect, she feels may have tricked them into not being able to face the extent of his brain injuries. She also wonders now whether the professionals thought they were just completely misguided in their miracle mindset as they tended to this body shell.

It was not until Cathy went away for three months several years after the accident that, when she returned home, she saw what was going on through different eyes. She came to believe it would be better to allow her brother to die and to bury his body, rather than keep tending to it pointlessly. Eventually the whole family came to this view and they initiated court action to remove artificial nutrition and hydration. Cathy found the whole idea of starving her brother to death deeply disturbing, but thought it was better than keeping him in his current state. Being implicated in initiating the court action, and swearing an affidavit that she wanted her brother to die has left her feeling very guilty like a murderer. Although Matty’s eventual death, after ANH was removed, seemed peaceful, she still when interviewed sixteen years later – feels traumatised by what happened to her brother during the eight years after his accident and the whole process around his death. She is haunted by the question what if he had some minimal awareness? but thinks, if he did, that would have been all the more reason to allow him to die. She just wishes he could have been helped to die sooner, and through terminal sedation, rather than having to go through the process of a court case and put him through ANH withdrawal over thirteen days.

Cathy thinks the professionals involved, and politicians, need to confront the problems created by modern medicines ability to prolong life.

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Cathy says be gentle with yourself and keep channels of communication open within the family.

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Cathy was shocked by the intensity of her grief at her brother’s funeral. She had been so focused on her brother that, after his death, she was left not knowing what to do.

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Cathy is very distressed by the fact her brother took so long to die and is distressed by how he died.

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Cathy was grateful for the kindness of all involved but, sixteen years later, remains very distressed about what happened. She highlights how families can be left feeling very guilty if they are the ones who have to start the discussion about withdrawing

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Cathy was excited to read the National Clinical Guidelines brought out by the Royal College of Physicians in 2013.

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Cathy fought to ensure her brother’s feeding tube was withdrawn, but she also says prisoners on death row get a better death.

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Cathy originally thought her brother continued to survive, because at some level he wanted to be alive. She now sees this rather differently.

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Cathy expresses doubt about the power of doctors and courts to make best interests’ decisions.

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Cathy wished the clinicians had called a best interests meeting instead of having to be the one to start conversation about treatment withdrawal.

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Cathy had written down her own wishes, and would like other family members to record their wishes in writing too.

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Cathy has been left feeling guilty for trying to have a life herself.

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Cathy thinks people label her a bitch’ for enabling her brother to die.

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Cathy’s teenage brother was hit by a car as he walked back from a night out. She rushed to the scene and remembers the ambulance men saying talk to him love, keep him with us.

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Cathy feels responsible for raising the issue of withdrawing her brother’s feeding tube. She believes it was the right decision, but starting the discussion left her feeling like a murderer’

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It was only after shed been away for a while that Cathy realised how difficult the situation at home was with her brother, Matty. Later she found it hard to visit at all not wanting to look into his unseeing eyes.

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Cathy was left hoping for recovery many years after her brother would have been defined as being in a permanent’ vegetative state, (highly unlikely ever to recover consciousness).

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