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Anorexic, bulimic woman who fought force-feeding dies at 30

MORRISTOWN, N.J. (AP) — An anorexic and bulimic woman who petitioned a court to refuse force-feeding has died three months after a judge granted her request.

Her court-appointed lawyer, Edward D’Alessandro Jr., said Wednesday that the 30-year-old identified as Ashley G. died Monday at Morristown Medical Center’s palliative care unit.

“This has been an incredibly difficult ordeal for her loving and supportive family,” D’Alessandro said. “I’m happy for my client that she’s at peace, but sorry and sad that despite everything that was done for her by her family and doctors and others, she could not overcome this illness.

“(Her family) spent the better part of 15 years trying to help her.”

Ashley weighed 69 pounds and had been a patient at Greystone Park Psychiatric Hospital in Parsippany since 2014 when she told the court in 2016 that she did not want food or water and would prefer instead to enter palliative care.

The state attorney general’s office argued she was not mentally competent because of chronic depression. It said anorexia was not a terminal condition and asked the court to approve force-feedings, requested by state Department of Human Services. The attorney general’s office said the woman’s depression could be treated using an experimental drug.

Doctors testified that Ashley had been diagnosed with terminal anorexia-nervosa. She told the court she would resist force-feedings, which are administered through a tube inserted through the nose and pushed down the throat.

D’Alessandro said his client’s bone density was comparable to a 92-year-old’s and she would be at risk for injury if restrained.

Judge Paul Armstrong on Nov. 21 determined the woman’s testimony was “forthright, responsive, knowing, intelligent, voluntary, steadfast and credible.” He said Ashley’s parents, doctors, psychiatrists, court-appointed medical guardian and the ethics committee at Morristown Medical Center all supported her decision to refuse force-feedings.

“This decision was made by A.G. with a clear understanding that death was or could be the possible outcome,” the judge said.

Armstrong cited previous landmark cases where patients, their families, physicians, and their institutions were found to be “proper cooperators” in making difficult medical decisions.

As an attorney in the 1970s, Armstrong represented the parents of Karen Ann Quinlan as they fought successfully to have their 21-year-old daughter — who was in a persistent vegetative state after mixing alcohol with Valium at a party — removed from a ventilator so she could die with dignity. She lived nine more years but never came out of her coma.

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