In 1973, Dax Cowart and his father went to view some property near their Texas home. They parked their car in a dry creek bed. This was not uncommon as, in parts of the desert areas in Texas, there aren’t roads, or only some dirt roads. After surveying the land, the men returned to their vehicle. They were unable to get their vehicle started so they started working on its spark plugs. As chance would have it, under the creek bed was a faulty gas line. A spark from the accelerator resulted in an explosion that left Dax Cowart’s father dead.
Sixty-seven per cent of Dax’s body sustained second- and third-degree burns. Prior to this he was a healthy young jet pilot and amateur rodeo performer. Crawling from the scene of the accident he was, by chance, seen by a ranger. He begged him to shoot him. When emergency paramedics arrived he again made this request. Dax’s prognosis for survival was approximately 20%, but his potential quality of life was deeply compromised. He repeatedly requested to die and these requests were all denied.
He unsuccessfully attempted suicide by, for example, trying to crawl out of his hospital bed in an attempt to throw himself down the staircase. He was grossly infected by the time he left the hospital and hoped that he would die from sepsis. He didn’t. Against his will, he underwent 232 days of treatment in Parkland Memorial Hospital in Dallas. The types of treatment available at that time we might consider as quite “barbaric”. Immersion in tanks of saline, continuous debridement and medications now considered inappropriate were then the best known way to manage such extensive burn injuries.
Once the classificatory system is in operation, and the policies arestated, a computer programme will help automation by working out the inventory levels, order quantity and order date. This is followed by two chapters which are case studies related to the samesubject by Dr A.V. Srinivasan, ‘Hospital Stores Organisation and Pharmacy’ and‘Selective Systems of Materials Management in a Hospital—Case ...
Also, at that time, there was a great fear that hospitals might inadvertently be producing “drug addicts”, so analgesia was kept at a minimum. At the time of his hospital admission, Dax was in a critical condition and his mother was appointed as his proxy decision maker. So her wishes concerning his care were honored. Dax’s mother held strong religious beliefs concerning life’s beginning and end solely to be the will of God. So to even consider her son’s request to die was an enigma to her.
Later, and despite the fact that he was deemed competent, his repeated refusal of treatment and requests to die were consistently declined. The accident left him blind and gravely disfigured, with only partial use of his fingers. He later became a millionaire as a result of an out-of-court settlement with the gas company. Dax graduated from law school in 1986. He also became a regular speaker for the Society for the Right to Die. His argument remains that his physicians had been morally wrong to treat him against his wishes. He maintains that he should have been accorded the right to die.