Treatment FAQ

why won't britain let charlie gard gel treatment

by Desmond Treutel Published 2 years ago Updated 2 years ago
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This is because in the UK, in the absence of a parent's consent, a hospital needs a court order if stopping treatment would bring about death. So far, the courts have ruled that Charlie should not be given treatment and that Great Ormond Street Hospital should be allowed to withdraw Charlie's life support.

Full Answer

Should Gosh have given Charlie Gard experimental treatment in January?

It has been argued that Charlie's best interests would have been better served had the experimental treatment been administered at GOSH in January. Prof. Savulescu, in a paper entitled "The Moral of the Case of Charlie Gard: Give Dying Patients Experimental Treatment ...

Does Charlie Gard have'financial interest'in drug he was treating?

^ "Charlie Gard: Professor who offered to help baby has 'financial interest' in drug he was treating him with, says GOSH". The Independent. 25 July 2017. Retrieved 30 July 2017.

What really happened to Charlie Gard?

Few British legal cases in recent years have proved as controversial or emotionally charged as that over the fate of Charlie Gard, the 11-month-old baby who died on Friday after a lengthy battle over his medical treatment.

Why do hospitals refuse to take Charlie Gard?

"Hospitals refuse to take Charlie Gard as relations between his parents and Great Ormond Street plummet". The Telegraph. Retrieved 3 August 2017. ^ "Congressmen to introduce Bill". ^ a b "Pope considers 'giving Charlie Gard a Vatican passport' to overcome rulings preventing treatment in Italy". The Daily Telegraph. 7 July 2017.

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Why was Charlie Gard denied treatment?

They felt that Charlie's quality of life was so poor that “he should not be subject to long term ventilation”. The ethics committee supported the medical team's assessment that Charlie should not have a tracheostomy. There is no cure for MDDS, and no proven treatment for Charlie's severe form of the illness.

What happened with Charlie Gard?

Outcome. On 27 July 2017 Charlie was transferred to a hospice and the next day his mother announced at 6:30 pm that he had died. The mechanical ventilator had been withdrawn; he was given morphine to relieve any pain beforehand, and died within minutes.

Did Charlie Gard's parents have another baby?

The parents of Charlie Gard, who was at the centre of a legal row over his treatment before he died, have said they have been "blessed" by the birth of another son. Oliver Gard was born the day after what would have been Charlie's fourth birthday and has not inherited his brother's rare genetic condition.

Who started Charlies law?

Over the past nine months, Charlie's parents, Connie Yates and Chris Gard, have been working with NHS medical professionals, world-leading ethicists and legal experts to develop draft legislation that will prevent further long and painful conflicts between hospitals and families with sick children.

Could Charlie Gard have been saved?

In their moving statement on Monday, Charlie's parents asserted that had the proposed experimental treatment been initiated earlier in the year, there might have been a chance of him recovering to a point where he may have had a “normal” life.

Is tafida raqeeb still alive?

They had refused to accept the prognosis of British medics who said their little girl would not live long. And two and a half years later, Tafida is still in hospital in Italy defying the gloomy predictions.

Who is Baby Charlie's dad?

Chris Gard, the father of terminally ill baby Charlie Gard, interrupted the U.K.'s High Court of Justice with an outburst directed at a lawyer representing the hospital that's treating his son.

What happened to Charlie Gard's parents?

They said Charlie's condition had worsened to the point where the damage to his muscles was too severe for the treatment to help. After numerous hearings, the couple lost their battle and Charlie passed away in a hospice when he was 11 months old.

What condition did Charlie Gard have?

encephalomyopathic mitochondrial DNA depletion syndrome (MDDS)Charlie was born on 4 August 2016 with an exceptionally rare genetic condition called encephalomyopathic mitochondrial DNA depletion syndrome (MDDS). Although he appeared perfectly healthy when he was born, his health soon began to deteriorate.

Why did Charlie and the Doctor end the fight?

They eventually ended the fight for treatment because "time has run out", admitting that they didn't expect him to live to see his first birthday. 2. Charlie had a rare disease called mitochondrial DNA depletion syndrome Credit: PA:Press Association.

What disease did Charlie the Tot have?

The tot had a disease called mitochondrial DNA depletion syndrome, as both of his parents Connie and Chris were unknowingly carrying the faulty gene. On Friday, July 28, his mum said the little boy had lost his battle with the illness. Doctors at Great Ormond Street Hospital had said Charlie should be allowed to die with dignity ...

How many people signed a petition calling for Charlie to be allowed to travel?

More than 490,000 people signed a petition calling for him to be allowed to travel. July 17 - A US doctor flew into the UK to meet with British medics. Dr Michio Hirano believed he could help Charlie. July 18 - Dr Hirano met doctors at Great Ormond Street.

Why did the Pope give Charlie Gard a passport?

The Pope declared that he wanted to give baby Charlie Gard a Vatican passport to move him to an Italian hospital.

Who are Charlie's parents?

Charlie's parents, Chris Gard and Connie Yates, eventually withdrew their application to take their son to America for an experimental course of treatment. Here is how the heartbreaking story unfolded...

When did Charlie's parents get their end of life?

July 26 - Following a deeply emotional day in the courtroom, a judge gave Charlie's parents until 12.00pm on July 27 to reach an agreement with GOSH on his end-of-life care – failing which he will be transported to a hospice for his final days. July 27 - The 12.00pm deadline for an agreement over Charlie's end -of-life care passed, ...

Did Charlie's parents end their legal fight?

But it was announced on July 24 that Charlie's parents were ending their legal fight and had withdrawn their application from the High Court. Their barrister Grant Armstrong told the court: "This case is now about time. Sadly time has run out.".

What is Charlie's treatment called?

Charlie's parents, Connie Yates and Chris Gard, from Bedfont in west London, wanted Charlie to have an experimental treatment called nucleoside bypass therapy (NBT). The treatment is not invasive and can be added to food.

What is Charlie's condition?

His condition also means he is unable to breathe unaided, which is why he needs to be on a ventilator.

How long is Charlie on the ventilator?

Chris Gard and Connie Yates had applied to the High Court to keep Charlie alive for "a week or so" - longer than originally planned. But a judge ruled that Charlie would be moved to a hospice to spend his final few hours before the ventilator that keeps him alive is switched off.

How much money did Charlie Gard's parents raise?

Charlie's parents had raised more than £1.3m to take him to the US for treatment. The plight of Charlie Gard attracted worldwide attention as a result of the legal fight that pitched his desperate parents against the medical profession.

What happened to Charlie's parents?

Charlie's parents disagreed with the hospital and did not want his life support to be withdrawn, so doctors applied to the High Court for judges to decide Charlie's future. In April, the High Court agreed with the GOSH doctors. Charlie's parents then appealed against the decision, but courts ruled the original decision should stand ...

When will Charlie's parents end their legal fight?

24 July - Charlie's parents say they will end their legal fight for his treatment and let him die. 27 July - A judge rules that Charlie will be moved to a hospice to spend his final hours before the ventilator that keeps him alive is switched off.

Did Professor Hirano have a financial interest in Charlie?

The hospital added it was concerned to hear the professor state in the witness box at the High Court hearing on 13 July that he had a financial interest in some of the treatment he proposed prescribing for Charlie. Professor Hirano said in a statement on 25 July he had "relinquished" that financial interest.

How old was Charlie Gard when he died?

Few British legal cases in recent years have proved as controversial or emotionally charged as that over the fate of Charlie Gard, the 11-month-old baby who died on Friday after a lengthy battle over his medical treatment.

Why did Charlie's parents give him a powder?

The hospital said it was not possible to give Charlie the non-invasive treatment - a powder that could be added to his food - that his parents felt could help him in his battle with mitochondrial depletion syndrome, a condition which causes progressive muscle weakness and brain damage .

What problems did Gosh Hospital face?

One of the problems the hospital faced, particularly as the case developed and the parents received more media attention, was that it simply could not win. While Charlie's parents gave television and newspaper interviews and made pleas on social media, GOSH was left to rely on media statements and court papers to explain its position.

What did Mr. Sokol say about the internet?

Mr Sokol says the influence of the internet was "remarkable". "Through the internet, in particular social media, the family obtained an enormous following, support from influential persons and vast amounts of funding. "The family can find doctors, on the other side of the world, who will support their case.".

Is scientific reasoning stripped of emotion?

Emotion, which is utterly certain, wins in comparison. "However, scientific reasoning cannot be completely stripped of emotion. Perhaps this is an asset we need to cultivate more. Reasoned evidence needs champions to engage the hearts of people.". The story of Charlie Gard.

Is it easier to prove someone is at risk or can be helped by medical treatment?

Of course, proving someone is at risk or can be helped by medical treatment is much easier to do than proving a treatment is no longer in the best interests of a child when the parents disagree. But what was often overlooked in the Charlie Gard case was that it wasn't just the doctors against the parents.

Why was Charlie sent to Gosh?

In October 2016, Charlie was transferred to London's Great Ormond Street Hospital (GOSH), a National Health Service (NHS) children's hospital, because he was failing to thrive and his breathing was shallow.

What was the case of Charlie's death?

At the time of Charlie's death, The Washington Post wrote that the case "became the embodiment of a passionate debate over his right to live or die, his parents' right to choose for their child and whether his doctors had an obligation to intervene in his care".

How many doctors were in the Gosh trial?

The court heard testimony from two doctors and two nurses from GOSH, four doctors from whom GOSH had sought second opinions, from a doctor appointed as expert witness by the parents with the court's permission, and from Hirano by telephone from the US.

What did Gosh discuss with Charlie's parents?

GOSH began discussing with the parents the ending of life support and the provision of palliative care. By this time, relations between the parents and the doctors had deteriorated. One GOSH doctor emailed another: "Parents are spanner in the works. Recent deterioration with worsening seizures means trial is not in his best interests." The email emerged in the subsequent court case; the judge said that he understood the distress it had caused the parents, but that it was important to view the email in the context of notes passed between consultants about Charlie's best interests. The parents disagreed with the doctors at GOSH; they wanted to take him to New York to receive the nucleoside treatment.

What did medical experts say about Hirano?

Medical experts criticised interventions by Hirano and others for raising the parents’ hopes and for causing delays to the process. Genetics expert Robert Winston said "interferences from the Vatican and from Donald Trump" were "extremely unhelpful and very cruel". Winston added: "This child has been dealt with at a hospital which has huge expertise in mitochondrial disease and is being offered a break in a hospital that has never published anything on this disease, as far as I'm aware." Some commentators in the United States argued that Charlie's plight was the result of the UK having a state-run national health service and that the decision to withdraw Charlie's life support was driven by cost. The High Court judge described these comments as "nonsensical", adding that "it was one of the pitfalls of social media that the watching world felt it right to have opinions without knowing the facts of the case". The chairman of GOSH made a statement condemning "thousands of abusive messages", including death threats received by staff at the hospital and harassment of other families in the hospital over the preceding weeks. GOSH asked the Metropolitan Police Service to investigate the abuse. The parents issued a statement condemning harassment of GOSH staff and said they had also received abusive messages. GOSH released a statement criticising Hirano for offering testimony without having physically examined Charlie and without review of the medical records; they also said Hirano had disclosed that he had a financial interest in the treatment very late in the process. Hirano made a statement in response saying that he had relinquished his financial rights in the treatment.

What is the likelihood of a positive effect and benefits to Charlie of the proposed nucleoside therapy?

the likelihood of a positive effect and benefits to Charlie of the proposed nucleoside therapy to be markedly improved compared to the views expressed in court; the likelihood that the proposed nucleoside therapy will cross the blood brain barrier to be significantly enhanced.

When was Charlie scheduled for a tracheostomy?

A committee meeting was scheduled for 13 January, and Charlie was provisionally scheduled for a tracheostomy on 16 January. GOSH invited Hirano to examine him in January, but he did not examine Charlie until July.

How old was Charlie Gard when he died?

British baby Charlie Gard dies at 11 months. LONDON — Charlie Gard, a terminally ill British baby at the center of a high-profile legal fight to take him to the United States for treatment, has died. He was 11 months old. Charlie's mother, Connie Yates, confirmed his death on Friday.

What caused Charlie to not move?

Charlie's condition was little known. Mitochondrial DNA depletion left him unable to move.

What court did Gard and Yates go to?

Yates and Gard took the case all the way to the British Supreme Court and the European Court of Human Rights. Both upheld the High Court's ruling, which to the parents was a brutal and shocking one: Charlie's life-support machines should be turned off. Yet the hospital, backed by British courts, saw it differently.

How much did Great Ormond Street Hospital raise?

Over the next several months, they raised $1.7 million to pay for it. But Great Ormond Street Hospital disagreed and a legal fight erupted because in Britain, unlike is usually the case in the U.S., it is the courts not the patient or family who decide how to proceed when there is a dispute about medical treatment.

Is Charlie the dog healthy?

At birth, Charlie appeared to be healthy. His parents discovered he had a genetic disorder — only diagnosed in an estimated 15 other people — at a few months when he began losing movement in his arms and legs and started having frequent seizures.

Did Yates and Gard take Charlie home?

On Monday, after Hirano told a British judge that he no longer believed Charlie would respond to treatment, Yates and Gard dropped their legal fight to take him abroad. Still, they had one last wish, and that was to take their son home to die.

What is Charlie Gard's condition?

Charlie is unable to move his legs and arms, breathe unaided or hold his eyelids open. He is also deaf, has severe epilepsy and his heart, liver and kidneys are affected. Undoubtedly, both doctors and parents want the best for Charlie.

What does medical professionals disagree with Charlie Gard's parents?

In the case of terminally ill baby Charlie Gard, medical professionals disagree with his parents over what is in his best interests. They want to stop his parents taking him to the US for experimental medical treatment, something they say is futile. And they want to stop providing his life support and allow him to die.

What happened to Mahdi Bacheikh?

In 2006, the parents of a disabled baby boy called Mahdi Bacheikh won their fight against the hospital's request to turn off the ventilator that kept him alive. The 19-month-old had spinal muscular atrophy, was almost totally paralysed and could not breathe unaided, but did not have any sign of brain damage.

Is Charlie in pain?

His parents say they believe that Charlie is "not in pain and suffering" as doctors have claimed, and there is nothing to be lost in trying the experimental therapy. The team at Great Ormond Street has said Charlie is suffering and that that outweighs the "tiny theoretical chance there may be of effective treatment".

Who said parents should not be allowed to make decisions?

Professor of medical ethics at the University of Oxford, Dominic Wilkinson, says: "The principle is that if parents' decisions risk significant harm to their child then they should not be allowed to make those decisions. But the state doesn't intervene every time parents don't make the best decision.". The concept of parental responsibility is set ...

Can Great Ormond Street Hospital withdraw Charlie's life support?

So far, the courts have ruled that Charlie should not be given treatment and that Great Ormond Street Hospital should be allowed to withdraw Charlie's life support. Chris Fairhurst, children's law expert ...

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Overview

The Charlie Gard case was a best interests case in 2017 involving Charles Matthew William "Charlie" Gard (4 August 2016 – 28 July 2017), an infant boy from London, born with mitochondrial DNA depletion syndrome (MDDS), a rare genetic disorder that causes progressive brain damage and muscle failure. MDDS has no treatment and usually causes death in infancy. The case became controversial because the medical team and parents disagreed about whether experimental trea…

Treatment

Charles Matthew William Gard was born on 4 August 2016, at full term and normal weight, to Christopher Gard, a postman, and Constance Yates, a carer for young people with learning difficulties, both of Bedfont, west London. He seemed to develop normally at first, but his parents noticed after a few weeks that he was less able to lift his head, and they took him to his GP. On 2 Octobe…

Reactions

On 30 January 2017, the parents launched an appeal on the crowdfunding website GoFundMe to finance experimental treatment in the United States. Donations had exceeded £1.3 million by the end of April. The publicity campaign was well under way before the legal process had started. At no time during the court process was any criticism levelled at the parents for this campaign and there was no suggestion that the court's powers be used to limit or control this publicity.

Legal proceedings

The court proceedings were under the inherent jurisdiction of the High Court (wardship), conducted within the principles and provisions of the Children Act 1989.
In wardship, the High Court assumes parental rights and responsibilities if an application is made and the court deems the application appropriate. Parents and public bodies have a responsibility to take actions in the best interests of a child. Doctors treat children with the consent of parents; …

Outcome

On 27 July 2017 Charlie was transferred to a hospice and the next day his mother announced at 6:30 pm that he had died. The mechanical ventilator had been withdrawn; he was given morphine to relieve any pain beforehand, and died within minutes.

Issues

Medical experts criticised interventions by Hirano and others for raising the parents' hopes and for causing delays to the process. Genetics expert Robert Winston said "interferences from the Vatican and from Donald Trump" were "extremely unhelpful and very cruel". Winston added: "This child has been dealt with at a hospital which has huge expertise in mitochondrial disease and is being offered a break in a hospital that has never published anything on this disease, as far as I'…

External links

• Charlie's Fight, family website
• Smith-Squire, Alison (parents' media representative). Charlie Gard—a family's real life story in the spotlight, FeatureWorld.
• GOSH's position statement (pdf), hearing on 13 July 2017

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