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↵ i I use this term for convenience, while agreeing with the authors’ clarification that patients who satisfy the standard diagnostic tests for brain death can retain some hypothalamic function (p 10). I believe that the persistence of some hypothalamic regulation of sodium and osmolarity is compatible with my own rationale for the validity of the neurological standard of death.
↵ ii Despite its shortcomings, I use this term for the sake of convenience to refer to what remains of a human organism (or of what used to be a human organism) after brain death.
↵ iii I make no claims regarding the sufficiency or reliability of current diagnostic tests for brain death. Particularly in light of the recent story of Jahi McMath, I am inclined to think that, at least when dealing with juvenile cases, standard diagnostic protocols may be insufficiently rigorous.
↵ iv Here I use the word ‘brain’ as shorthand for the entire central nervous system.
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.
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