Introduction to the Ashley Treatment

From Wikipedia (and there are many other sources) …

The Ashley Treatment refers to a controversial set of medical procedures undergone by a Seattle child, “Ashley X”. Ashley, born in 1997, has severe developmental disabilities due to static encephalopathy of unknown etiology; she is, and will remain, at an infant level mentally and physically. The treatment included growth attenuation via estrogen therapy; hysterectomy, bilateral breast bud removal, and appendectomy; see a one slide summary of Ashley’s condition, the treatment and its benefits as prepared by her parents.

The principal purpose of the treatment was to improve Ashley’s quality of life by limiting her growth in size, eliminating menstrual cramps and bleeding, and preventing discomfort from large breasts. The combination of the surgery and the estrogen therapy attracted much public comment and ethical analysis in early 2007, both supportive and condemning. The hospital later admitted that the surgery was illegal and should only have been performed after a court order, a position that is disagreed upon by the attorney of Ashley’s family.

Note that one of the primary doctors involved, the one to perform the hysterectomy on the six year old, committed suicide for unclear reasons. Additionally, the procedure was ruled illegal, the hospital involved has admitted such, and it resulted in violation of Ashley’s constitutional and common law rights.

The following diagram, originally here, was created by Ashley’s father to explain the treatment. From his website:

A one slide summary of the Ashley Treatment, which enumerates key points about Ashley’s condition, main benefits to Ashley and some remarks.

We will look at this, one piece at a time. First, the entire slide:

Slide describing theory behind Ashley Treatment - growth attenuation