Austin American-Statesman

Parents of ailing baby make plea in U.K. court

They are seeking permission to send British boy to U.S.

- Dan Bilefsky ©2017 New York Times

Charlie Gard’s parents want the 11-month-old with rare condition to get experiment­al treatment.

They couldn’t agree on whether the baby feels pain. They couldn’t agree on how badly his brain has been damaged. They couldn’t even agree on the size of his head.

Lawyers for opposing sides in the case of Charlie Gard, a British infant with a rare genetic disease whose plight has attracted the notice of Pope Francis and President Donald Trump, clashed repeatedly in a London courtroom on Thursday.

Charlie’s parents want to allow him to be treated with an experiment­al therapy pioneered by a neurologis­t in the United States. The London hospital that is treating Charlie and several courts have found that he is suffering, cannot be saved and should be allowed to die with dignity.

Charlie’s parents at one point stormed out of the courtroom, visibly frustrated at the resistance to their bid to keep their son alive.

Justice Nicholas Francis of the High Court — who in April ruled that the hospital could take the baby off life support, and whose ruling has been repeatedly upheld — appeared frustrated at having to revisit the case. He expressed dismay that the two sides could not agree on the size of Charlie’s head — a crucial question, since, medical experts said, brain circumfere­nce can indicate damage to the brain.

The judge heard testimony via video link from a neurologis­t in the United States who has promoted an experiment­al therapy that he believes could help the boy, even though it has never been tried on anyone with the mutation that makes Charlie’s form of the disease — mitochondr­ial DNA depletion syndrome — particular­ly severe.

The judge has barred journalist­s from identifyin­g the neurologis­t, known only in court papers as Dr. I, but New-York-Presbyteri­an Hospital/Columbia University Medical Center went on record last week to say that it was willing to admit Charlie as a patient or send an experiment­al drug to London.

Pressed by Victoria Butler-Cole, a lawyer for the infant’s appointed guardian, the neurologis­t also acknowledg­ed that the disease had no cure. He insisted, however, that the therapy had a small chance of improving the baby’s cognitive function — even though he told the court in April that the boy had suffered significan­t brain damage, and even though he acknowledg­ed that the child’s condition had only worsened since then.

In the United Kingdom, disputes like Charlie’s rarely end up in court, but when they do, it is the courts — not the parents — that have the final say in determinin­g what is in the best interests of the child.

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 ?? CONTRIBUTE­D ?? ABOVE: 11-monthold Charlie Gard has a rare genetic disease called mitochondr­ial DNA depletion syndrome.
CONTRIBUTE­D ABOVE: 11-monthold Charlie Gard has a rare genetic disease called mitochondr­ial DNA depletion syndrome.
 ?? JONATHAN BRADY / PA VIA AP ?? LEFT: Charlie’s parents, Connie Yates and Chris Gard, arrive for a hearing at the Royal Courts of Justice in London on Thursday.
JONATHAN BRADY / PA VIA AP LEFT: Charlie’s parents, Connie Yates and Chris Gard, arrive for a hearing at the Royal Courts of Justice in London on Thursday.

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