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Alfie Evans case

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486:. Other than a post on social media, no evidence of mouth-to-mouth ever being performed has ever been made public. Alfie's father stated to the media the next morning that Alfie had been breathing unassisted since shortly after life-support had been withdrawn, and that life-support should be reinstated. The evening of the same day, Mr Justice Hayden rejected the parents' appeal for permission to fly their son to a hospital in Italy. The judge concluded how previously he had come, "the consensus of every doctor from every country who had ever evaluated Alfie's condition, to the inevitable conclusion (following 7 days of evidence) that Alfie's brain had been so corroded by his Neurodegenerative Brain Disorder that there was simply no prospect of recovery. By the time I requested the updated MRI scan in February, the signal intensity was so bright that it revealed a brain that had been almost entirely wiped out. In simple terms the brain consisted only of water and CSF. All that could be offered by the Bambino Gesu Hospital in Rome was an alternative palliative care plan." According to the 358: 151: 1730:, Neutral Citation Number: EWHC 953 (Fam), Case No: FD17P00694, Paragraph 14 (High Court of Justice, Family Division 24/04/2018) ("A statement had been prepared bearing the now instantly recognisable hallmark of Mr. Pavel Stroilov, a law student and case worker for Christian Legal Centre (CLC), who yesterday encouraged F to seek to issue a Private Prosecution alleging murder against some of the doctors at Alder Hey. It was properly rejected by the District Judge."), 254:, who stated his "sincere hope that everything necessary may be done in order to continue compassionately accompanying little Alfie Evans, and that the deep suffering of his parents may be heard." He restated his support after the removal of life support, saying "Moved by the prayers and immense solidarity shown little Alfie Evans, I renew my appeal that the suffering of his parents may be heard and that their desire to seek new forms of treatment may be granted." Cardinal 607: 465:
2018. The justices wrote, "Alfie looks like a normal baby, but the unanimous opinion of the doctors who have examined him and the scans of his brain is that almost all of his brain has been destroyed. No-one knows why. But that it has happened and is continuing to happen cannot be denied. there is no hope of his ever getting better." The European Court of Human Rights again determined their appeal on these grounds to be inadmissible.
277:, defended the Hospital's decision, stating that the Church "says very clearly we do not have a moral obligation to continue a severe therapy when it’s having no effect, while the church’s catechism also teaches that palliative care, which isn’t a denial of help, can be an act of mercy". Nichols also criticized those who “used the situation for political aims”. The Cardinal's position received strong criticism, and Conservative MP 724: 635: 754: 696: 665: 579: 548: 747: 689: 658: 572: 541: 162:. He was found to be functioning in a range appropriate for a 6-week to 2-month-old infant. On 14 December 2016, Alfie was admitted to Alder Hey Accident and Emergency Department with a history of coughing, high temperature, and a reported episode of rhythmic jerking of his jaw and all four limbs. On 15 December, he showed sudden unprovoked movements compatible with 201:", and the report warned that "with similar stimulations related to the transportation and flight, those seizures might induce further damage to the brain, the whole procedure of transportation at risk." Alfie remained in Alder Hey Hospital for the duration of 2017, with no improvement in his condition. At the end of the year, the hospital applied to have 499:
but was rejected by a district judge. On 26 April, Tom Evans issued a statement, thanking supporters and staff at Alder Hey Hospital. He stated the family wished to "form a relationship, build a bridge and walk across it" with the hospital where their son has been treated and work with the treating
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Alfie's father said that Alfie was wrongly "detained" at Alder Hey. Mr Justice Hayden dismissed that complaint, and appeal judges upheld his decision. On 17 April 2018 Tom Evans and Kate James asked the Supreme Court to consider their case again. Their application to appeal was refused on 20 April
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In a High Court judgement of 11 April 2018, the judge remarked that "by the end of February the connective pathways within the white matter of the brain which facilitate rudimentary sensation â€” hearing, touch, taste and sight, had been obliterated. They were no longer even identifiable on the
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in London. Alder Hey claimed that continuing life-support treatment would not be in the best interests of Alfie and sought declaration that it "is not lawful that such treatment continue". Lawyers acting on the hospital's behalf further claimed that further treatment for Alfie would be "unkind and
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launched an investigation into "instances of verbal abuse and acts of intimidation" with judges raising concerns about threatening conduct by protesters towards hospital staff. Alfie's parents apologised, saying they did not intend to "harm or cause conflict or upset". Merseyside Police Chief
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Alfie Evans' case drew significant public attention in the United Kingdom and overseas, with his parents establishing "Alfie's Army", an online campaign group dedicated to seeking further treatment and opposing the withdrawal of life support. Supporters established a petition on
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The case concerned the family's argument that prevention of Alfie's transfer from Alder Hey Hospital constituted deprivation of liberty and a violation of Article 5 (right to liberty and security) of the European Convention on Human Rights. The decision resulted in a
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upheld the earlier ruling of the High Court. They stated that the High Court judge was "meticulous and thorough", and that medical evidence showed Alfie was "deeply comatose" and "to all intents and purposes unaware of his surroundings". The parents applied to the
1118:"It is my sincere hope that everything necessary may be done in order to continue compassionately accompanying little Alfie Evans, and that the deep suffering of his parents may be heard. I am praying for Alfie, for his family and for all who are involved" 141:
The ventilatory support was removed on 23 April 2018 following a series of unsuccessful appeals from Alfie's family. Alfie continued to breathe naturally for five days after the removal of his breathing tube. He died at 2:30 a.m. on 28 April 2018.
185:. In September 2017, Italian doctors from Bambino GesĂą Hospital produced an assessment report on the possibility of transferring Alfie to Italy. According to their report on the case, they could offer prolonged ventilator support, with a surgical 429:(CSF)." The court observed that the medical consensus, including of doctors asked to testify by the parents, was that Alfie had a fatal and untreatable condition, but they differed over the best course of action concerning his end-of-life care. 33: 1257:"Alfie Evans must be saved! His brave little body has proved again that the miracle of life can be stronger than death. Perhaps all that's needed is some good will on the part of decision makers. Alfie, we pray for you and your recovery!" 481:
On 23 April, it was reported that Alfie's life support had been withdrawn. Alfie continued to breathe after the removal of his breathing tube, although his parents gave conflicting reports, at one time claiming they needed to perform
174:. A further EEG was taken in January 2017 and "was markedly different, showing attenuation with little in the way of reactive response for protracted periods of time. Changes only really occurred when Alfie had an epileptic seizure." 508:
Alfie died at 2:30 a.m. on 28 April 2018. Later that day his father, Tom Evans, released a statement on Facebook announcing his death: "My gladiator lay down his shield and gained his wings... absolutely heartbroken."
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from a degenerative neurological condition that medics had not been able definitively to identify. The parents denied this, with Alfie's father claiming that his son "looks him in the eye" and "wants help".
1141:"Moved by the prayers and immense solidarity shown little Alfie Evans, I renew my appeal that the suffering of his parents may be heard and that their desire to seek new forms of treatment may be granted" 226:. Alfie's parents claimed a parental right to make decisions about their son's care, arguing that the hospital itself should not be able to make care-decisions for their son without their consent. 2469: 2413: 1608: 495:
Alfie's father sought to issue a private prosecution alleging "conspiracy to murder" against several staff members at Alder Hey. A statement had been prepared by Pavel Stroilov of the
492:, Alfie's father told reporters later that evening that the court had said it could set aside three judges that evening to hear his case again. On 25 April, the appeal was rejected. 1712: 222:
to allow Alfie Evans to be transferred to a hospital of his parents' choice. His parents also approached Dr. Michio Hirano, a US-based neurologist who had offered treatment in the
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taken in February 2018 revealed that " brain entirely beyond recovery" and that "the brain was now only able to generate seizure" with "progressive destruction of the
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was "unkind and inhumane", and not in the child's best interests. Alfie's parents, Kate James and Thomas Evans, contested the application.
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Inspector Chris Gibson released a statement regarding social media posts regarding the Alder Hey Hospital and Alfie Evans's situation: "
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Large protests emerged outside Alder Hey Hospital on 12 April after his family insisted on their right to take him home. On 16 April,
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to withdraw parental rights from Alfie's parents and to withdraw treatment by ventilation. The case was heard in public in the
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MRI scan". The High Court backed an end-of-life care plan drawn up by medical specialists attached to Alfie Evans's case.
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The High Court ruled in favour of the hospital on 20 February 2018. In his judgement, the High Court judge stated that an
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In November 2016, at six months of age, Alfie Evans was reviewed at the general pediatric outpatient clinic at
1177:"Alfie Evans: card. Parolin, "incomprensibile il rifiuto di permettere che fosse portato in Italia" | AgenSIR" 178: 2458: 2401: 2168: 1612: 2219: 496: 436:
concluded that "I am satisfied that continued ventilatory support is no longer in Alfie's best interest".
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inhumane". A doctor treating Alfie stated that there was "no hope" for the child, and that he was in a
1308: 1260: 1144: 1121: 1458:"Evans & Anor v Alder Hey Children's NHS Foundation Trust & Ors [2018] EWCA Civ 805" 328:
also expressed his support. On 23 April, Alfie was granted Italian citizenship under the request of
2453: 2279: 2202: 426: 266:, criticized the decision to refuse the transfer of Evans to Italy, calling it "uncomprehensible". 2423: 2366: 2309: 2148: 795:"Alfie Evans's father threatened private murder prosecution against doctors treating the toddler" 154:
Alder Hey Children's Hospital, where Alfie Evans was treated from December 2016 until his death.
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Alfie Evans latest: Parents say they had to keep him alive using mouth to mouth resuscitation
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deficiency. The medical team and the child's parents disagreed about whether to maintain his
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Alder Hey Children's NHS Foundation Trust v. Mr Thomas Evans, Ms Kate James and Alfie Evans
1404:"Alder Hey Children's NHS Foundation Trust v Evans & Ors [2018] EWHC 818 (Fam)" 2396: 2381: 2249: 2239: 2138: 2063: 1351:"Permission to appeal determination in the matter of Alfie Evans â€” The Supreme Court" 820: 309:
that Catholic Bishops of England and Wales had clarified their position to the Holy See.
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and threatening behaviour will be investigated and, where necessary, will be acted upon."
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Alfie Evans's father reveals son has been breathing unassisted after life support stops
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Alfie's parents appealed against the decision in late February. On 6 March 2018, the
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on 20 March 2018, which refused permission for another appeal. On 28 March 2018 the
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team on a "plan that provides our boy with the dignity and comfort that he needs".
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of the brain which Dr R interpreted as now appearing almost identical to water and
422: 325: 292: 247: 202: 127: 1987:"Evans & Anor v Alder Hey Children's NHS Foundation Trust & Anor (Rev 1)" 177:
Alfie's parents wished to remove him from Alder Hey and seek further care at the
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ruled the case inadmissible, finding no arguable violation of human rights.
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On 18 April 2018 Alfie's father flew to Rome for a 20-minute meeting with
1609:"Alfie Evans's parents 'giving toddler mouth-to-mouth' to keep him alive" 1196:"Archbishop hits out at 'political aims' of some Alfie Evans campaigners" 992: 967:"Alfie Evans timeline: How one young boy captured the hearts of millions" 880:"Alfie Evans timeline: How one young boy captured the hearts of millions" 263: 1943:"Evans & Anor v Alder Hey Children's NHS Foundation Trust & Ors" 1713:"Alfie Evans' dad tries to prosecute doctors for 'conspiracy to murder'" 926:"Alfie Evans: continuing life support 'inhumane', Liverpool court hears" 2004: 1264: 1148: 1125: 1095:"The Pope's meeting with the father of Alfie Evans â€” Vatican News" 849: 746: 688: 657: 571: 540: 470: 251: 57: 1532:"ECHR finds fresh application from family of Alfie Evans inadmissible" 1433:"Alfie Evans's parents lose latest legal battle at UK's highest court" 2244: 1217:"Archbishop: Vatican has 'greater understanding' of Alfie Evans case" 723: 634: 674:
Death is in Alfie's best interests. Father's hopes are unrealistic.
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said it hoped Alfie would be allowed "immediate transfer to Italy".
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Pidd, Helen; Rawlinson, Kevin; Perraudin, Frances (23 April 2018).
1236:"The Tragic Death of UK Toddler Alfie Evans: Where was the Church?" 1044:"Merseyside Police comment on ongoing issues at Alder Hey hospital" 473:
of at least 200 people taking place outside of Alder Hey hospital.
197:. During assessment, Alfie suffered "epileptic seizures induced by 1771:"Alfie Evans dies after parents lose legal fight for life support" 1379:"ECHR declares application by parents of Alfie Evans inadmissible" 753: 695: 664: 578: 547: 149: 1163:"Pope Francis renews appeal for Alfie Evans â€” Vatican News" 182: 2008: 1584:"Life support has been withdrawn from Alfie Evans, says father" 1830:"Alder Hey Children's NHS Foundation Trust v Evans & Anor" 1687:"Alfie Evans: Appeal court hearing 'extraordinary and tragic'" 824: 1921:"Alder Hey Children's NHS Foundation Trust v Evans & Ors" 1305:"Alder Hey NHS Trust -v- Evans [2018] EWHC 308 (Fam)" 1745:"Alfie Evans's family pledge to 'build bridge' with doctors" 2470:
Greenberg v. Miami Children's Hospital Research Institute
1506:"European court rejects plea from parents of Alfie Evans" 821:"Alfie Evans parents 'feared' they would resent new baby" 281:
stated that "bishops should hang their heads in shame”.
993:"Alfie Evans: When are parents denied the final say?" 893: 891: 889: 114:(9 May 2016 – 28 April 2018), was an infant boy from 2337: 2293: 2177: 2092: 2042: 374: 364: 350: 92: 68: 39: 23: 1797:"Alfie Evans dies after long-running legal battle" 557:Alfie needs palliative care, no hope of survival. 2408:Moore v. Regents of the University of California 130:or to withdraw it, resulting in a legal battle. 1989:. British and Irish Legal Information Institute 1967:. British and Irish Legal Information Institute 1945:. British and Irish Legal Information Institute 1923:. British and Irish Legal Information Institute 1901:. British and Irish Legal Information Institute 1854:. British and Irish Legal Information Institute 1832:. British and Irish Legal Information Institute 1537:. European Court of Human Rights. 23 April 2018 949:"Timeline: The fight to keep Alfie Evans alive" 960: 958: 400:On 19 December 2017, Alder Hey applied to the 2020: 1652:British and Irish Legal Information Institute 1463:British and Irish Legal Information Institute 1409:British and Irish Legal Information Institute 1336:British and Irish Legal Information Institute 1331:"E (A Child), Re [2018] EWCA Civ 550" 8: 2323:Schloendorff v. Society of New York Hospital 965:Graves, Steve; Parry, Josh (28 April 2018). 250:. The case was commented on by the Pope via 2507:Medical controversies in the United Kingdom 898:Justice Anthony Hayden (20 February 2018). 2419:Medical Experimentation on Black Americans 2027: 2013: 2005: 356: 347: 31: 20: 1279:"Alfie Evans granted Italian citizenship" 943: 941: 939: 873: 871: 132:Alder Hey Children's NHS Foundation Trust 2357:Albert Kligman's dermatology experiments 1557:"Alfie protesters try to storm hospital" 516: 170:performed on 16 December 2016 confirmed 2414:Surgery to try to improve mental health 850:"Legal battle toddler Alfie Evans dies" 782: 369:High Court of Justice (Family Division) 844: 842: 788: 786: 7: 1215:Lamb, Christopher (6 October 2018). 386:(High Court), 6 March 2018 134:sought a declaration that continued 1483:Supreme Court of the United Kingdom 1356:Supreme Court of the United Kingdom 451:Supreme Court of the United Kingdom 338:Italian Ministry of Foreign Affairs 1307:. 20 February 2018. Archived from 924:Halliday, Josh (1 February 2018). 316:declined to comment on the issue. 14: 991:Schraer, Rachel (25 April 2018). 613:The Baroness Hale of Richmond (P) 406:Family Division of the High Court 81:(aged 1 year 11 months) 1676:, Liverpool Echo, 24 April 2018. 1194:Sherwood, Harriet (1 May 2018). 793:Sawer, Patrick (25 April 2018). 752: 745: 722: 694: 687: 663: 656: 633: 605: 577: 570: 546: 539: 2502:2018 in United Kingdom case law 2497:2017 in United Kingdom case law 2190:Betancourt v. Trinitas Hospital 1795:Graham, Chris (28 April 2018). 1636:, The Telegraph, 24 April 2018. 1181:Servizio Informazione Religiosa 878:Graves, Steve (28 April 2018). 242:Reactions from religious groups 2517:United Kingdom health case law 2434:Radioactive iodine experiments 1874:"In the Matter of Alfie Evans" 1255:@AndrzejDuda (24 April 2018). 1241:Christian Broadcasting Network 1234:Martin, Mark (30 April 2018). 620:Permission to appeal refused. 455:European Court of Human Rights 284:In October 2018, following an 1: 2377:Guatemala syphilis experiment 1965:"Evans v. the United Kingdom" 1899:"Evans v. the United Kingdom" 1431:Pidd, Helen (20 April 2018). 351:Alder Hey NHS Trust -v- Evans 209:Publicity and public reaction 160:Alder Hey Children's Hospital 62:Alder Hey Children's Hospital 900:"Alder Hey Hospital v Evans" 484:mouth-to-mouth resuscitation 2387:Human radiation experiments 1139:@Pontifex (23 April 2018). 615:The Lord Kerr of Tonaghmore 411:persistent vegetative state 260:Cardinal Secretary of State 2533: 2444:Stanford prison experiment 1116:@Pontifex (4 April 2018). 477:Withdrawal of life support 378:20 February 2018 164:infantile/epileptic spasms 120:neurodegenerative disorder 2346:Abdullahi v. Pfizer, Inc. 2197:Commonwealth v. Twitchell 2054:Betty and George Coumbias 1183:(in Italian). 3 May 2018. 355: 275:Archbishop of Westminster 30: 2464:Willowbrook State School 1048:www.merseyside.police.uk 905:. Royal Court of Justice 617:Lord Wilson of Culworth 324:The President of Poland 236:malicious communications 2459:Tuskegee Syphilis Study 2402:Joseph Gilbert Hamilton 2181:parent/patient/guardian 2179:Medical opinion against 1613:London Evening Standard 122:, later revealed to be 2220:Archie Battersbee case 760:Lord Justice McFarlane 587:Lord Justice McFarlane 497:Christian Legal Centre 199:proprioceptive stimuli 193:, replacing it with a 155: 136:mechanical ventilation 60:, Liverpool, England, 2439:Skid Row Cancer Study 2275:Spiro Nikolouzos case 2260:Joseph Maraachli case 1852:"E (A Child) (Rev 1)" 764:Lord Justice Coulson 732:Appeal inadmissible. 643:Appeal inadmissible. 589:Lord Justice McCombe 269:Conversely, Cardinal 179:Bambino GesĂą Hospital 153: 99:Thomas Evans (father) 2454:Plutonium injections 2036:Medical ethics cases 706:Lord Justice Moylan 513:Summary of judgments 224:case of Charlie Gard 118:with an undiagnosed 87:, Liverpool, England 2280:Aruna Shanbaug case 2203:Mordechai Dov Brody 1801:The Daily Telegraph 1070:"Merseyside Police" 427:cerebrospinal fluid 189:and would remove a 102:Kate James (mother) 2492:2018 controversies 2424:Milgram experiment 2367:Deep sleep therapy 2329:Christiane Völling 2310:Gillick competence 1879:. UK Supreme Court 827:. 3 September 2018 767:Appeal dismissed. 709:Appeal dismissed. 702:Lord Justice Davis 671:Mr Justice Hayden 592:Appeal dismissed. 554:Mr Justice Hayden 220:Alder Hey Hospital 156: 16:2018 UK legal case 2479: 2478: 2230:Tirhas Habtegiris 2225:Charlie Gard case 2159:Karen Ann Quinlan 2079:Piergiorgio Welby 801:. telegraph.co.uk 774: 773: 762:Lady Justice King 704:Lady Justice King 585:Lady Justice King 398: 397: 394:(Court of Appeal) 344:Legal proceedings 330:Brothers of Italy 314:Church of England 231:Merseyside Police 124:GABA-transaminase 112:Alfie James Evans 109: 108: 44:Alfie James Evans 2524: 2512:Medical case law 2305:Ashley Treatment 2295:Informed consent 2265:Jahi McMath case 2215:Alfie Evans case 2209:Lantz v. 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Marion Sims 2389: 2384: 2379: 2374: 2372:Doctors' Trial 2369: 2364: 2359: 2354: 2352:Albert Stevens 2349: 2341: 2339: 2335: 2334: 2332: 2331: 2326: 2319: 2312: 2307: 2301: 2299: 2291: 2290: 2288: 2287: 2282: 2277: 2272: 2267: 2262: 2257: 2252: 2247: 2242: 2237: 2232: 2227: 2222: 2217: 2212: 2205: 2200: 2193: 2185: 2183: 2178: 2175: 2174: 2172: 2171: 2166: 2161: 2156: 2154:Haleigh Poutre 2151: 2146: 2144:Robert Latimer 2141: 2136: 2131: 2129:Eluana Englaro 2126: 2121: 2116: 2111: 2106: 2100: 2098: 2090: 2089: 2087: 2086: 2084:Jack Kevorkian 2081: 2076: 2074:RamĂłn Sampedro 2071: 2066: 2061: 2056: 2050: 2048: 2043: 2040: 2039: 2034: 2032: 2031: 2024: 2017: 2009: 2001: 2000: 1978: 1956: 1934: 1912: 1890: 1865: 1843: 1821: 1787: 1762: 1736: 1718: 1704: 1678: 1666: 1638: 1626: 1600: 1574: 1548: 1523: 1497: 1469: 1449: 1423: 1395: 1370: 1342: 1322: 1296: 1270: 1263:) – via 1247: 1226: 1207: 1186: 1168: 1154: 1147:) – via 1131: 1124:) – via 1108: 1086: 1061: 1035: 1009: 983: 971:Liverpool Echo 954: 935: 916: 885: 867: 838: 812: 781: 780: 778: 775: 772: 771: 768: 765: 758: 737: 736: 733: 730: 728: 714: 713: 710: 707: 700: 679: 678: 675: 672: 669: 648: 647: 644: 641: 639: 625: 624: 621: 618: 611: 597: 596: 593: 590: 583: 562: 561: 558: 555: 552: 531: 530: 527: 524: 521: 514: 511: 505: 502: 489:Liverpool Echo 478: 475: 441: 438: 396: 395: 376: 372: 371: 366: 362: 361: 353: 352: 345: 342: 334:Giorgia Meloni 321: 318: 279:Nadine Dorries 256:Pietro Parolin 243: 240: 210: 207: 205:switched off. 172:hypsarrhythmia 147: 144: 107: 106: 104: 103: 100: 96: 94: 90: 89: 83: 70: 66: 65: 56: 43: 41: 37: 36: 28: 27: 24: 15: 13: 10: 9: 6: 4: 3: 2: 2529: 2518: 2515: 2513: 2510: 2508: 2505: 2503: 2500: 2498: 2495: 2493: 2490: 2489: 2487: 2472: 2471: 2467: 2465: 2462: 2460: 2457: 2455: 2452: 2450: 2447: 2445: 2442: 2440: 2437: 2435: 2432: 2430: 2429:Monster Study 2427: 2425: 2422: 2420: 2417: 2415: 2412: 2410: 2409: 2405: 2403: 2400: 2398: 2395: 2393: 2390: 2388: 2385: 2383: 2380: 2378: 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Index


Toxteth
Alder Hey Children's Hospital
West Derby
Liverpool
neurodegenerative disorder
GABA-transaminase
life support
Alder Hey Children's NHS Foundation Trust
mechanical ventilation

Alder Hey Children's Hospital
infantile/epileptic spasms
EEG
hypsarrhythmia
Bambino GesĂą Hospital
Rome
tracheostomy
nasogastric tube
gastrostomy
proprioceptive stimuli
life support
change.org
Alder Hey Hospital
case of Charlie Gard
Merseyside Police
malicious communications
Pope Francis
Twitter
Pietro Parolin

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