What do u think of terminating the lives of patients with brian stem death?

Question

U know that comatosed patients with 4th degree coma(brain stem death) will never regain their concousness as they lost their higher respiratory functioning center, so they will stay on the ventilator for the rest of their lives, so in our country we have the right to terminate their lives by switching off the ventilators(life support devices) or deprivation of the cardiac muscle support( dopamine, adrenaline) , but after the consent of their family i.e if their family asked to as they cannot afford for the expenses of the ICU stay.....Now this issue is out confusing me as it is lately stired it up again in our country for organ donations issue from the clinically dead donors

Help me the pricking of conscience is killing me .. almost all the doctors r with this idea and consider them almost dead but i am a doctor with no doctor thinking .. Am i wrong or right?

Brain not "brian" and conciousness
sorry for the typos

No, Vinay u deserve a medal of honour in medcine as u saved the lives of many recepients
the problem lies with me , as i didn't walk through the practical field untill now :)

Answer 1

Anyone who is brain stem dead is dead. I see no reason to make the distinction between brain dead and dead. Our conciousness resides in our brain and once the brain dies, the other organs serve no purpose by functioning.
If you believe that death occurs only when the heart stops beating for good then what do you think of heart transplants where the heart goes on beating in someone else's chest for many years after the donor is buried? Do you think he dies only when the recipient of his heart dies?
I am a transplant surgeon and I have procured organs from many brain dead donors and helped save the lives of many patients by transplanting into them the livers, kidneys and other organs I procured from brain dead donors. Do you think I killed all those donors?
My concience does not trouble me. Should it?