The children of a North Texas woman with a severe brain injury are fighting to keep her alive, after a Carrollton hospital ruled it would discontinue life-saving treatments.
And the family's attorneys are waging a legal battle to prove that a Texas statute allowing hospitals to end treatment against the family's will is unconstitutional.
Lacresia Webster and her siblings say their mother, Ruthie Webster, is deeply religious and believes only God should give and take life. While Ruthie Webster has been largely unresponsive since early this summer, when a bad reaction to a kidney dialysis treatment sent her into seizures, her kids say she has shown signs of improvement. The 61-year-old is now breathing without a ventilator.
"My mom spent her life in the church. She always felt like, 'Who are we to decide? God decides,' " Lacresia Webster said Thursday. "If this is the way she's going to be, she's still my mom. I'm not giving up on her."
But documents signed by officials at Regency Hospital of North Dallas, where Ruthie Webster has been since late June, indicate that Mrs. Webster is not expected to recover and that continuing the treatments would be futile.
Mrs. Webster has not been declared brain dead, and hospital officials wouldn't say whether she's in a vegetative state. But family members said she appears to be in a coma: She opens her eyes and moves her feet and hands slightly but doesn't speak.
Last week, the hospital's bioethics committee unanimously decided to end Mrs. Webster's dialysis treatments "for compassionate reasons." In a letter to Mrs. Webster's children, Twila Loudder, the hospital's director of quality management, wrote that Mrs. Webster's physician "has seen no appreciable change in your mother's medical condition."
Kay Peck, the hospital's chief operating officer, acknowledged that the Webster family has disagreed with physicians about whether to discontinue treatments. She declined to comment on the case, citing privacy concerns.
"We've been trying to follow the processes that are in place," she said. "We cannot discuss any of the actions of the ethics committee."
Under Texas' Health and Safety Code, if a physician and a family disagree about whether to continue a patient's care, the decision goes before the hospital's ethics committee. If the ethics committee decides treatment should be ended, the family has 10 days to find another medical facility that will continue caring for the patient.
On Aug. 8, just days after Mrs. Webster's insurance stopped fully covering her long-term care, Regency's ethics committee notified Lacresia Webster that they'd be taking her mother off her dialysis treatments within 10 days, Mrs. Webster's daughter said.
On Wednesday, attorneys working pro bono with the Webster family were granted a temporary restraining order by a judge to keep their mother alive at Regency. The next hearing on Mrs. Webster's treatment is scheduled for Aug. 28 in Bowie County, Mrs. Webster's home.
Meanwhile, the Webster children and their attorneys have filed another lawsuit – against Texas Attorney General Greg Abbott – that challenges the state's end-of-life law as unconstitutional.
"It allows a doctor to completely ignore what I've told them I wanted to do, my living will," said Robert Bennett, the Websters' attorney. "Mrs. Webster was a Baptist. She told her daughters very clearly that God would take her when it's her time to go. This statute violates her freedom of religion."
Mr. Bennett said that so far, Regency has taken great care of Mrs. Webster. All of her bedsores healed, he said. And in letters to family members since the decision to remove Mrs. Webster's treatment, hospital officials offered to help them seek another facility for her. The hospital has informally agreed to cover the costs of the move, Mr. Bennett said.
But for the Webster children, who are considering moving their mother to facilities in Atlanta or Indiana, it's the principle that matters. They don't want to be forced to move their mother. And they certainly don't want anyone outside of the family deciding when it's time to end treatments.
"My mother, she's breathing on her own, just like you and I are today," said Helena Webster Hill, who lives in Atlanta. "As long as she's fighting to live, we believe we ought to stand with her and fight with her."
E-mail eramshaw@dallasnews.com