Supporting Family Health Care Decisions

Personal Stories

Most New Yorkers are unaware of the law regarding medical decision making for incapacitated patients. This page will tell some of the true stories of patients and families that illustrate the problems.

Sheila Pouliot

Amid legal tangle, woman turns into a living corpse

Buffalo News/Associated Press 3/3/00
SYRACUSE - Sheila Pouliot's withering body is bloated from malnutrition as she lies in her hospital bed. Her muscles are rotting. A doctor says she is being forced to "die by millimeters."

A judge, and the woman's family, say it is time to let Pouliot, 42, die without further efforts to prolong her life. State Attorney General Eliot Spitzer says the state considers the ruling a sanctioning of assisted suicide.

Swayed by testimony and a visit to Pouliot's hospital bed, Onondaga County Judge James Tormey on Wednesday ordered an end to Pouliot's hydration, as recommended by the doctors treating her at University Hospital.

Tormey made a direct plea to state lawyers not to appeal his decision and continue the 2-month-old legal battle over Pouliot's fate. Tormey even challenged Spitzer to come visit Pouliot himself before the state proceeded with an appeal.... go to article

A life ends, but right-to-die case may go on

Buffalo News/Associated Press, 3/9/00
SYRACUSE - Alice Pouliot Blouin had already made the decision to let her sister go. When the end came, though, it was no less difficult.

"You think you are prepared for this, but you're really not," said Blouin. "It was probably the hardest decision I've ever had to make in my life."

It was made that much more difficult by the state, which fought the family over what they said was Sheila Pouliot's right to die with dignity.

The 42-year-old woman, at the center of a legal battle for more than two months, died Monday night in University Hospital, less than 24 hours before an appeals court was to consider whether to continue her hydration treatment.

Pouliot was profoundly mentally and physically disabled since infancy. Her family cared for her at home until she was 20. She was then placed in a developmental home. Shortly before Christmas, she was admitted to the hospital with gastrointestinal bleeding and pneumonia.

Her family went to court in late December to block the hospital - a state health care institution - from providing nutrition or any lifesaving medical procedures to Pouliot so she could die with dignity... Go to Article

Summary prepared by her physician

...By the end of February, Ms. Pouliot had developed massive edema, due to continued hydration in the face of protein malnutrition. She began to develop areas of skin breakdown at the sites of the Fentanyl patches and in the folds of her skin. On behalf of the patient, the guardian petitioned for a change in her treatment plan so intravenous fluids could be discontinued. Her attending physician, the Chair of University Hospital's Ethics Committee, and the Medical Director of University Hospital all argued that hydration in the absence of the ability to provide protein was outside standard medical practice and was causing harm to Ms. Pouliot. University Hospital stated that it would not opposed a court order to discontinue fluids.... Go to Case Summary

Law News Network Article

The Law vs. What's Right
Judge sits by dying woman, invites AG to do the same, then rules her life may end
Michael D. Goldhaber
The National Law Journal, March 27, 2000
"There's the law, and there's what's right," says Justice James Tormey. On the morning of March 1, the judge traveled to Syracuse, N.Y.'s University Hospital to help decide what was right.

He entered Room 524 and gazed at a patient on life support whom the state wished him to keep alive.

Sheila Pouliot, a 42-year-old retarded woman, was curled up in a ball, groaning. Her intestines hadn't worked for three months. The 300 daily calories of sugar water in her hydration line were barely enough to support cardiorespiratory function. For lack of protein, her body was devouring itself, her stomach swelling.... go to article

New York Law Journal Article

Law Sought to Allow Relatives To Make Critical Medical Decisions
Tuesday, March 28, 2000
ALBANY — Against the backdrop of a high-profile Syracuse incident in which an incapacitated woman was kept alive over the objections of her family and physicians, advocates for "substituted judgment" pressed their case at the Capitol yesterday.... go to article


A background paper on the issue of artificial hydration and nutrition is available here


For more Information, E-mail Family Decision Coalition
For questions about website, E-mail Jack Freer