Showing posts with label tetraplegia. Show all posts
Showing posts with label tetraplegia. Show all posts

Wednesday, 31 August 2011

Tragic story of Sophie Tyler demonstrates triumph of hope over adversity

The media today carry the tragic story of a teenager left paralysed from the waist down by a hospital error.

An epidural spinal anaesthetic was wrongly left in place after Sophie Tyler, 17, of Risca, near Newport, had a gall stone operation.

Birmingham Children's Hospital has now apologised and admitted liability and a medical law expert is calling for it to ensure lessons are learned from the devastating error.

The hospital’s admission of liability has left the way open for a full settlement, providing Sophie with financial support for the rest of her life.

You can read the details of the case in the Daily Telegraph, Daily Mail and Independent but I was particularly drawn to this young woman’s testimony which is not atypical of young people who suffer these kinds of horrendous injuries.

According to the BBC her initial reaction was not unsurprisingly one of deep despair:

‘When I first came home I was depressed - I wouldn't get out of bed. I would just lay there wishing it had never happened or wishing they had killed me because I had to live with the reality and the consequences of somebody else’s mistake.’

But now she is speaking of her personal battle and her dreams for the future. She has recovered from her earlier depression, although she still has dark days, and is back at school, although cannot attend full time due to ill health:

‘I still go to school, but everything is a lot harder…The money will provide the support and will mean I can look at living on my own without worrying about my mum being there with the other kids. I can look at going to university rather than living at home.’

The case demonstrates how the overwhelming majority of young people, with the proper support, are able to adapt to devastating injuries and find meaning and purpose in a very different life than that they would have chosen for themselves.

Spinal cord injury is actually not uncommon – about 11,000 new cases occur in the US every year and about 250,000 people are estimated to be living with the condition.

On a population basis we would therefore expect about 2,000 new cases a year in the UK and 50,000 living with the condition at any one time. About half of these would involve the cervical spine, with the strong risk of tetraplegia.

It is not unusual for young people immediately after such an injury to suffer depression or even be suicidal – but these feelings almost always are not permanent.

A 1985 British Medical Journal study of 21 people who were paralysed from the neck down and needed ventilators to help them breathe, found that only one person wished that she had been allowed to die. Two were undecided, but the remaining 18 were pleased to be alive.

In other words the number of people with spinal cord injury wanting to kill themselves is very low indeed as a percentage of all those with the condition.

The Guardian reported in 2009 that amongst over one hundred people who had killed themselves at Dignitas over ten years only two had tetraplegia.

I recently blogged about the inspiring story of Matt Hampson, the Leicester rugby player who suffered tetraplegia after a scrum collapsed, and now runs a charity to raise money to support people who he sees as ‘less fortunate’ than himself.

Such stories of triumph over adversity should get many more media column inches and

I wish Sophie every blessing as she adapts to her new life.

Tuesday, 17 May 2011

Emmerdale distorts facts about assisted suicide in apparent attempt to boost ratings

The problem with television dramas is that they make rare events appear common and so distort public opinion on key issues.

Take for example the chance of surviving a cardiac arrest.

A 1996 study published in the New England Journal of Medicine (‘Cardiopulmonary resuscitation on television. Miracles and misinformation’), for example, showed that survival rates following CPR on television dramas (such as ER and Chicago Hope) were significantly higher than the most optimistic survival rates in the medical literature.

On TV 77% of patients were alive immediately after CPR, but only 40% in real life were. Long term survival after TV CPR was 67% as against 30% in real life.

The researchers concluded that the portrayal of CPR on television could lead the viewing public to have an unrealistic impression of CPR and its chances for success. In other words the programme misrepresented reality.

But a far more serious distortion of the truth involves assisted suicide and the implication that a hugely disproportionate number of people with serious illness or injury wish to kill themselves.

The television soap Emmerdale is currently running one of these misleading storylines.

Pauline Quirke’s character Hazel is involved in an assisted suicide plot after her tetraplegic son Jackson Walsh – who lost the use of his limbs following a horrific road crash in the soap last year – asked her to help him end his life by administering a lethal dose of tablets in his drink.

However, despite ‘Emmerdale’ bosses’ alleged best efforts to deal with the harrowing plot as sensitively as possible, the storyline has been slammed by industry watchdogs for exploiting a serious topic in an attempt to ‘boost ratings’.

Media Watch UK spokesman David Turtle said: “”Emmerdale” has been trying to push the boundaries for some time just to boost ratings. It’s a soap, not a serious discussion about a serious topic.’

The Emmerdale case appears to be based on the tragic story of Daniel James, who suffered tetraplegia following a rugby injury and was helped to take his own life at the Dignitas facility in Zurich in 2008.

Just how representative was this case?

Spinal cord injury is actually not uncommon – about 11,000 new cases occur in the US every year and about 250,000 people are estimated to be living with the condition.

On a population basis we would therefore expect about 2,000 new cases a year in the UK and 50,000 living with the condition at any one time. About half of these would involve the cervical spine, with the strong risk of tetraplegia.

The Guardian reported in 2009 that amongst over one hundred people who had killed themselves at Dignitas over ten years only two had tetraplegia.

A 1985 British Medical Journal study of 21 people who were paralysed from the neck down and needed ventilators to help them breathe, found that only one person wished that she had been allowed to die. Two were undecided, but the remaining 18 were pleased to be alive.

In other words the number of people with spinal cord injury wanting to kill themselves is very low indeed as a percentage of all those with the condition.

It would be good if Emmerdale and television in general reflected this reality better.

Why can’t we have more films and programmes about people like Simon Morris and Andrew Bush who have been helped and supported to come through their spinal injuries to a place where they have found meaning and hope?