The Mercury News Weekend

JAHI’S SAD SAGA COMES TO AN END

Body of Oakland teen — whose legal battle pitted family against doctors, making national headlines — to be flown home next week

- By David DeBolt ddebolt@bayareanew­sgroup.com

Jahi McMath, the Oakland teen whose brain-death case captivated the world while machines kept her breathing, was finally removed from those machines on June 22 in New Jersey after suffering from internal bleeding and kidney issues, her family and attorney said Thursday.

Nearly five years after California officially declared her deceased, the state of New Jersey has issued a death certificat­e, listing the preliminar­y cause of death as bleeding. Her body will be flown home to Oakland next week, her brain preserved for scientists to study, said family attorney Christophe­r Dolan.

The girl’s mother, Nailah Winkfield, who had rejected California’s conclusion that her daughter was dead, fought back tears in a phone interview with the Bay Area News Group on Thursday afternoon. Jahi was at Robert Wood Johnson University Hospital in New Brunswick, where she had undergone multiple surgeries since April.

“I’m devastated about losing my daughter,” Winkfield said. “Everything I did revolved around Jahi.”

Her long, chaotic legal and medical battle fascinated the country, pitting a hopeful, deeply faithful family against pragmatic medical science and bu---

reaucracy. Ultimately, it took the McMath family to New Jersey, the only state where families can reject brain death on religious grounds.

It began on Dec. 9, 2013, at UCSF Benioff Children’s Hospital Oakland, when the then-13-year- old girl went into cardiac arrest after complicati­ons from a complex nose and throat surgery.

Two hospital tests showed she was brain dead. Doctors at Children’s Hospital planned to take her off a ventilator, but her family refused to believe she was dead and took the hospital to Alameda County Superior Court and won a ruling that allowed themto remove the girl from the Oakland facility.

Her long legal and medical battle took the McMath family to New Jersey, the only state where families can reject brain death on religious grounds. It be- gan on Dec. 9, 2013 at UCSF Benioff Children’s Hospital Oakland, when the then-13year-old girl went into cardiac arrest after complicati­ons from a complex nose and throat surgery.

Two hospital tests showed she was brain dead. Doctors at Children’s Hospital planned to take her off a ventilator, but her family refused to believe she was dead and won an Alameda County Superior Court ruling against the hospital that allowed them to remove the girl from the Oakland facility.

Hospital officials and medical experts had no reason to believe machines would keep her heart pumping and her organs functionin­g for so long. To move across the country, Winkfield quit her job, sold her Oakland home and, for a time, left her other children in the care of family members.

“They gave her a diagnosis and she did not do what they said she was going to do,” her mother said.

Once in New Jersey, Jahi spent time in a hospital be- fore her family moved into an apartment, where she received around-the- clock care from nurses in a room decorated with pink hearts and butterflie­s. Remaining on feeding and breathing machines, the girl matured through puberty and grew taller. Everyday, her mother would “wash her, comb her hair, do her nails, watch TV and explain what was going on.”

Jahi’s family released videos of her listening to Golden State Warriors games and showing her moving her fingers when commanded to as proof she could hear them. Every October, they celebrated her birthday: pictures show she wore a princess crown in 2016 for a sweet 16 celebratio­n.

The controvers­ial case became the subject of study by the nation’s leading neurologis­ts. In April, it headlined Harvard Medical School Center for Bioethics’ annual conference, marking the 50th anniversar­y of the landmark report that set the medical standard defining brain death.

Jahi’s family’s fight inspired others. As Jahi’s story spread internatio­nally, family members of patients in San Francisco, Contra Costa, Solano, Orange County and elsewhere also rejected brain death diagnosis given to their loved ones.

The phenomenon became known as the “JahiMcMath effect.”

The great public debate about whether Jahi was dead or alive did not extend to the medical establishm­ent.

Noted neurologis­ts said the three brain-death tests Jahi underwent, including one from an independen­t doctor, laid clear the loss of all brain function, an irreversib­le condition.

One exception was Dr. Alan Shewmon, professor emeritus of pediatrics and neurology at the University of California, Los Angeles.

As recently as last year, Shewmon reviewed 49 videos of the teenager moving specific fingers at command and concluded she did not fit the criteria for brain death. The family also released an MRI they said showed she regained some brain activity.

Jahi “is a living, severely disabled young lady, who currently fulfills neither the standard diagnostic guidelines for brain death nor California’s statutory definition of death,” Shewmon wrote in a court declaratio­n last year.

A court hearing on whether Jahi was alive was scheduled for next year, stemming from a medical malpractic­e lawsuit the family filed against Children’s Hospital and its doctors.

“I think Jahi will be remembered forever because she defied all of the odds,” Winkfield said. “My wish is for her to get some laws changed around brain death. I hope she’s taught people — stopped pulling the plug on your people. Give them a chance.”

“The only regret I have is taking her to get her tonsils removed,” she added.

Funeral services are being planned.

 ?? LAURA A. ODA — STAFF ARCHIVES ?? Nailah Winkfield, mother of Jahi McMath, talks to media in front of Children’s Hospital Oakland in 2013.
LAURA A. ODA — STAFF ARCHIVES Nailah Winkfield, mother of Jahi McMath, talks to media in front of Children’s Hospital Oakland in 2013.
 ?? COURTESY OF THE MCMATH FAMILY ?? Jahi McMath, right, was 13when she went into cardiac arrest after complicati­ons from nose and throat surgery.
COURTESY OF THE MCMATH FAMILY Jahi McMath, right, was 13when she went into cardiac arrest after complicati­ons from nose and throat surgery.

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