According to the New York Times, there’s one medical arena in which veterinary medicine reigns supreme relative to its human counterpart: killing humanely. If you haven’t read my previous posts on the subject of human euthanasia and capital punishment killings, let me warn you: I’m armed with deadly opinions on the subject.
Not least because I’m good at death, as most vets with any experience indubitably are. We relish comfortable death with the bittersweet satisfaction of any self-respecting Hemlock Society member—as long as it’s necessary, appropriately accomplished and, above all, humane. We are, after all, higher reasoning-enabled humans—and the recipients of our “bedside beautiful death” are well-loved creatures who deserve nothing less tan the kindest end to their suffering.
Last Sunday’s New York Times article (I know it’s Saturday, but I’ve been busy, OK?), was clear on this point. In discussing the Supreme Court’s refusal to permit capital punishment until it hears a case on the subject in January (it stayed another execution last week), it delves into the murky waters of pain and the so-called, “three drug cocktail."
In case you’ve been hiding under a rock over the past couple of years, let me explain: Executions of death row inmates have been stalled in many states ever since a few of our lethal injection recipients appeared to experience excruciating pain during the procedure. Sure enough, anesthesiologists’ review pointed out the numerous pitfalls of the three drug cocktail our states employ to kill the condemned.
One drug to anesthetize. One drug to paralyze. One drug to stop the heart…and in the darkness bind them. (Sorry, couldn’t resist the Tolkien reference.)
But there’s a problem, Houston. Apparently, the docs and techs our prison system employs are less than schooled in this procedure. And while it takes little more than a trained monkey to start and maintain an IV, it seems that we’ve been deficient in this area. So the drugs don’t get properly delivered in sequence.
Because these drugs are potentially painful if they aren’t properly administered, the recipients have grimaced, screamed, sat up and reported on the drugs’ ineffectiveness, etc.
Going as far as to cite the American Veterinary Medical Association’s recommendations on appropriate euthanasia procedures, the article reports that how we euthanize our nation’s pets is viewed as far more humane than what we’ll ensure for our capital punishment cases. The one drug approach the AVMA deems acceptable is now being considered as a reasonable model for humans (though lots of vets, myself included, use two drugs: one to sedate, one to anesthetize and stop the heart).
It’s a dubious distinction, for sure, having our tactics lauded and used as a model for the killing of humans in the course of meting out punishment. It’s an unsavory parallel, at best. Ultimately, it’s my view that the reference is an insult to the caring way we attend to our pets. And yet it’s an homage to us vets that one of our practices is viewed as so humane relative to how we handle actual humans.
As I’ve often said before, euthanasia is where we vets typically shine—and I’m proud of that. Sure, it seems strange to revel in your deadly glory. But pause to contrast this ability to that of our human counterparts and it’s clear we succeed to excess where our human society fails us.
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For some reason I was having a hard time posting my comment on yesterday's entry (I wasn't ignoring you guys for your criticisms (yes, I know a cube has six sides--silly me). Do any of you have this issue from time to time?
Dr. Patty Khuly November 10th, 2007 11:59:00 AM
Great article, I agree with both of your conclusions. In the UK, a select committee (discussive cross-party groups part of Parliament who try to investigate both sides of an issue) looking into assisted dying (for humans) has been in discussions with the British Veterinary Association, looking at the welfare issues and implications for patient and clinician.
Sian November 10th, 2007 12:02:00 PM
When I heard the NPR report about painful executions, I wondered why the executions weren't using the same type of drugs that vets use. It just seemed absurd that there was a model for humane lethal injection that was used for one species and not another. Several months ago, there was a local radio piece about a shelter director who saw his mother go through a painful and prolonged death, and wished he could give her as dignified an end of life as he gave his animals.
In re: to your posting, yes, I've sometimes posted and not seen my comment appear. I figured my post was not deemed worthy!;-)
lin November 10th, 2007 10:33:00 PM
Lin: I don't censor. Seems I've got a bad bug in my blog.
Dr. Patty Khuly November 11th, 2007 01:37:00 AM
Question,.. in the AVM article itstates that captive bolt is demmed by the AVM to be a satisfactory euthanization procedure...
In what case would this be appropriate (I'm somewhat repelled)..
Jenn November 11th, 2007 06:08:00 AM
Jenn- the captive bolt method is usually reserved for farm animals butchered for meat. As you may imagine it would not be healthy for people (or other animals ) to consume meat contaminated with lethal drugs.
Meghan RAHT November 11th, 2007 12:04:00 PM
Another part of the human lethal-injection debate seems to revolve around the problems of venous access. This baffles me completely. A half-decent anesthesiologist or ER doc can stick a central line into a subclavian, EJ or IJ in about 5 minutes flat (faster if strict aseptic technique wasn't a factor- I mean, what's the point?). Most good surgical PA's can probably do the same, and with a little training and experience my grandmother could do it. What kind of lame-o has to do a venous cut-down anymore? Even on guys with lousy veins, history of IV drug abuse etc. Get a decent line in place, check the placement and you're good to "go".
kate7047 November 11th, 2007 12:30:00 PM
Dr. Patty, yes I do sometimes have problems commenting - I'll write out a paragraph or so comment and "post" but then it never shows up on the page, after several refreshes. Sometimes I will re-write it but most of the time I just tend to let it go... :) Curious what software your blog is running and if there's any known issues with it.
Carissa November 11th, 2007 12:37:00 PM
Carissa: Predictably, I'm clueless on the tech side of this blog. I've heard lots of comment complaints, though. It's getting fixed this week if my tech guys are worth their salt.
Dr. Patty Khuly November 11th, 2007 04:01:00 PM
One part of the problem in California is that members of the medical profession - doctors and nurses - have elected not to assist in the state's lethal injection. At least one of the state courts has stipulated that medically trained personnel must be involved in the administration of the medications.
I am very thankful that my vets can compassionately assist my pets end of life when it is needed. If it were up to those persons who consider their pets "just a cat or dog" I am sure euthanasia wouldn't be a consideration.
Moira November 11th, 2007 08:51:00 PM
I regard humane pet euthasia to be the ultimate and intimate privelege and gift of the veterinary profession. Although as a pet owner, I often feel it is as hard on the professional as the pet owner, I have always thanked the attending veterinarian and given a small token gift in appreciation of the service.
This subject has sadly and unexpectedly derived a different meaning for me, having witnessed my own dog Pocket inhumanely euthanized with a toxic chemical on October 18,2006 here in NH, without informed consent or warning. It is very cruel indeed.
Barbara A. Albright November 22nd, 2007 11:16:00 AM
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