bobbi Kristina`s Family to Make Decisions about Her Care
PINSKY: She is going to be a vegetable. Let us just call it what it is. That is what is going to happen here and there is nothing any of us can do about it.</s>DR. BILL LLOYD, SURGEON AND PATHOLOGIST: The family wants to support the child and allow her to stay alive and everybody else seems to be ready to throw in the towel.</s>BARNETT: It is just about her life for this family.</s>PINSKY: I am not wishing that she should die. I am not wishing that at all. I am saying that she should be getting the appropriate level of care for the condition, the reality of this condition.</s>PINSKY: Back with the story you are tweeting about most tonight. Bobbi Kristina Brown on ventilate, life support in an ICU for 39 days with no meaningful brain function. Spirit still with me along now Karamo, social worker; Brooke Nichol, Registered Nurse from Savingfaceaustin.com. For almost six weeks, Bobbi Kristina Brown has been unresponsive after a near death, a near full drowning. Brain is swollen and crushed and diffusely nonfunctional to the point that she does not breathe, does not swallow, does not have reflexes for almost 40 days. After that period of time, it does not come back. It just does not. This is not a situation there. Brooke, you are an R.N. There are a comas and there are a comas. And, some comas have a zero probability of meaningful recovery. Some have an almost zero and if people want to fight through an almost zero. I get that, but this is zero. And, how do we get people to come to terms with that?</s>BROOKE NICHOL, REGISTERED NURSE ON SAVINGFACEAUSTIN.COM: You know, it is going to be up to the health care providers and the family to finally make a decision. And, you know, I cannot imagine how hard it is going to be to make that decision. But in the ICU, life support is meant for acute care. They can go to a long-term acute care facility --</s>PINSKY: Yes.</s>NICHOL: -- if they are going to still take time to decide on what kind of care she needs.</s>PINSKY: Yes. That is right.</s>NICHOL: ICU mentality is to save lives.</s>PINSKY: Brooke, this has been my point from the beginning. She is so unstable that they cannot move her out of the ICU, which by the way, prognostically is absolutely horrible after 40 days. I mean that is a death sentence if that is true.</s>NICHOL: Yes.</s>PINSKY: Or are they unwilling to take a risk of stepping her down as you are suggesting. In some way, you deal with in the ICU every day, I am sure you have seen this a million times.</s>NICHOL: Yes. Yes, you can go to a step-down unit and still be on life support. I mean it is not a matter of not being able to move them in this condition. I mean I just --</s>PINSKY: Well, maybe she cannot be, though. Maybe she is so unstable that she cannot be for some reason, we are not aware of. I mean it is weird that she is still at the most intensive level of care available as though it would be too dangerous for her to move out, which is hard to imagine, right?</s>NICHOL: Yes. Very hard to imagine. I mean, you know, it is -- with all the technology we have today, it is not hard to be transferred.</s>PINSKY: Yes.</s>NICHOL: Even if she is this unstable. I do not believe so.</s>PINSKY: This has been my question all along. Why at this level of care, unless the family is in such massive denial, massive denial or insisting on such special care.</s>NICHOL: Right.</s>PINSKY: Karamo, people when they get special care, get terrible care. There is a reason the standard of care is the standard, it is because it is the best. When people insist on V.I.P. or special care, they are going to get something substandard.</s>KARAMO BROWN, SOCIAL WORKER: I agree with you. I mean if you are looking at this --</s>NICHOL: I agree.</s>BROWN: If you are looking at this family, such as with Bobby Brown and the Brown family and the Houston family, not to say that they are bad people but there is a little ego attached, and they think that they can save her. We saw this with Whitney Houston. We saw that they denied and did not like look at where her real issues were, and now we are seeing this again. Unfortunately, what needs to happen is that the health care workers, the social workers there, people need to probably start going to like their pastors and other people that can helpfully convince them of what is really going on, because right now they are in a delusional state.</s>PINSKY: Yes. And, the boyfriend --</s>NICHOL: I agree. I agree.</s>PINSKY: Thank you, Brooke. You are, again -- we, all three of us, Karamo, I am sure you have consulted in ICU. I have walked in to intensive care unit almost every day in my professional life for 15 years. Brooke, you have served in there. We see this stuff. It is one of the dirty little secrets of ICUs. As Brooke said, it is meant for life-saving interventions in the moment. If it gets dragged out, it was not intended for that and the prognosis is horrible. Now, back to Nick Gordon and all this business. He agreed to join his mother for an interview with Dr. Phil, but it turned to what is apparently was an intervention, when it became clear that Nick was really in trouble. Take a look at this.</s>DR. PHILLIP "PHIL" MCGRAW, HOST OF DR. PHIL SHOW/FORMER PSYCHOLOGIST: Your son left to his own devices he will be dead inside a week.</s>UNIDENTIFIED MALE ANNOUNCER: Bobbi Kristina`s boyfriend.</s>DR. PHIL: He seems to be unraveling in a really bad way.</s>MICHELLE GORDON, NICK GORDON`S MOTHER: He is going to kill himself for all of this. He is trying to kill himself.</s>UNIDENTIFIED MALE ANNOUNCER: Now --</s>NICK GORDON, BOBBI KRISTINA BROWN`S BOYFRIEND: Mommy! I am so sorry for everything.</s>UNIDENTIFIED MALE ANNOUNCER: Nick Gordon.</s>GORDON: I miss Krissy and Whitney so much. I want them back.</s>UNIDENTIFIED MALE ANNOUNCER: The exclusive interview.</s>GORDON: I hate Bobby Brown.</s>DR. PHIL: You have been drinking a lot, though right.</s>UNIDENTIFIED MALE ANNOUNCER: That turns --</s>DR. PHIL: You got to man up.</s>GORDON: Do not tell me to man up.</s>DR. PHIL: I just did.</s>UNIDENTIFIED MALE ANNOUNCER: Into an intervention.</s>DR. PHIL: I want you to go straight to rehab.</s>GORDON: I am done with the interview. I am done. I am done.</s>PINSKY: Phil described this interview as volatile. He described this kid as in enormous amount of guilt and pain and clearly in an altered state of consciousness, of course not sober. And, Spirit, I know I have a hard time believing what we are looking at there was all alcohol. It look like more than -- at least alcohol and pills.</s>CLANTON: Yes.</s>PINSKY: And, then what is he -- what is he doing? What is he thinking? All that histrionics and that excessive emotionality, just to what? Deflect against people seeing how wasted he is?</s>CLANTON: Well, you have to remember, though, Dr. Drew, that life attracts like. And, so, if you think about the history of the past, unfortunately, of the lifestyle that Bobbi Kristina has come out of, what would you imagine that her current partners would look like? I mean this is the manifestation of what she is most comfortable with. And, so, yes, you know, for him it is just a breakdown. It is a being confronted by all of these emotions. He sees his mother, probably one of the few people that he can be transparent with, and he loses it, unfortunately.</s>PINSKY: I do not buy any of it. I am sorry, Spirit. Maybe, I seem hard. I think it is all a reason to obfuscate and continue using. And, now the mother is involved suddenly. This is the same woman that handed him over at age 12.</s>CLANTON: Right.</s>PINSKY: We got answers -- We got questions. And later, the gym controversy that has erupted after a woman says a man used the ladies` locker room. We will get into that after this.