Philosophy 2715F/G Lecture Notes - Lecture 1: Tracheotomy, Modus Ponens, Neurodegeneration

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Joseph maraachli was born on jan. 22, 2010. Infantile subacute necrotizing encephalomyelopathy: rare, inherited neurodegenerative disease, defect of oxidative phosphorylation neurons cannot make atp. Symptoms begin within first year of life: developmental regression, poor muscle tone, decreased control of movement, no curative treatment. Death within several years (2-7 years of life) October 2010: stops breathing in the car. After treatment in the ingersoll hospital transferred to lhsc: ventilated, unable to breathe on his own, unable to feed. Several attempts to wean from ventilator unsuccessful: vegetative state: disorder of consciousness in which the patient is awake but completely unaware of self or environment. 2 components to consciousness: awake vs. unconscious, awareness of environment and self voluntary behaviour. Parents requested tracheotomy (hole in throat to put a breathing tube in; surgical) so that he can be brought home with a portable ventilator. Eight years previously, parents had a daughter zina, who also had leigh"s disease.

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