Kentucky Man Declared Brain Dead Awakens During Organ Donation Procedure

A Kentucky family is urging changes in the organ donation process after their relative, who had been declared brain dead, woke up during a procedure to donate his organs. The case of Anthony Thomas “TJ” Hoover II is now under investigation by state and federal authorities following claims from his family and a former medical worker that he showed signs of life during the procedure.

The Incident

In October 2021, Hoover was admitted to Baptist Health Hospital in Richmond, Kentucky, after suffering a drug overdose. According to his sister, Donna Rhorer, the medical staff informed the family that Hoover had no brain activity or reflexes, leading them to the difficult decision to remove him from life support. They were told that Hoover had given consent to donate his organs, and the hospital began preparing to honor his wishes.

However, as surgeons initiated the organ donation process, Rhorer says Hoover began to show signs of life, such as opening his eyes and tracking movement. Initially, the medical team dismissed these actions as reflexes. But approximately an hour into the surgery, a doctor halted the procedure, telling the family that Hoover “wasn’t ready” and that he had woken up.

Family Raises Concerns

Rhorer was instructed to bring Hoover home to provide comfort care, as his prognosis remained poor. For the past three years, she has been caring for him at home. Despite the challenges, Rhorer believes her brother’s experience exposes significant issues within the organ donation process. She has since spoken out to prevent other families from facing similar situations.

Earlier this year, Rhorer learned additional details from a former employee of the Kentucky Organ Donor Affiliates (KODA). The employee claimed in a letter to a congressional committee that she witnessed Hoover “thrashing” on the operating table and “crying visibly” during the procedure. This account, reported by National Public Radio (NPR) and Kentucky news station WKYT, prompted further investigations.

Response from Medical Institutions

In response to these claims, Baptist Health Hospital issued a statement, asserting that patient safety is its highest priority. The hospital explained that it works closely with patients and their families to ensure the organ donation process follows the patient’s wishes. KODA, which partnered with the hospital for organ donation, denied any wrongdoing. The organization stated it has never collected organs from live patients and maintained that Hoover’s case has been misrepresented.

Investigations and Ethical Concerns

The Kentucky attorney general’s office and a federal agency that oversees organ procurement are currently investigating Hoover’s case. NPR reported that some medical ethics experts are concerned that cases like Hoover’s could damage public trust in the organ donation system, which currently has more than 100,000 people on its waiting list.

Despite these concerns, Rhorer defends her decision to speak publicly, explaining that if sharing her brother’s story can save one life or inspire another family to question the medical system, it will have been worth it. “He made attempts to say, ‘Hey, I’m here,’ but it was kind of ignored,” Rhorer said.

As the investigation continues, Hoover’s family hopes their story will lead to reforms in how brain death is determined and how organ donation procedures are carried out, ensuring that no other family experiences a similar ordeal.