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the medical conference in Strasbourg. Moreover, if Ms. Mirowski
believed that her health was rapidly declining on September 6,
2001, she would have wanted Ariella Rosengard to remain in the
United States to be close to her sisters.
On September 10, 2001, Ginat Mirowski called her mother at
Johns Hopkins Hospital and noticed that she did not sound like
herself. Later that day, Ginat Mirowski canceled her clinic
appointments for the week and traveled to Johns Hopkins Hospital
to visit her mother.
Unexpectedly, on September 10, 2001, Ms. Mirowski’s condi-
tion deteriorated significantly. At that point, amputation was
recommended by her physician as a means of avoiding further
complications, including possible life-threatening infections.
Ms. Mirowski declined amputation. On September 10, 2001, Ms.
Mirowski began to suffer from multiple system failure and refused
all additional medical treatment. As a result of the signif-
icantly worsening condition of Ms. Mirowski’s foot ulcer and her
decision not to have the infected limb amputated, she developed
sepsis, a severe and often life-threatening illness caused by an
overwhelming infection of the blood stream by toxin-producing
bacteria.
On September 11, 2001, at 8:55 a.m. approximately one day
after the onset of Ms. Mirowski’s development of sepsis, she
died.
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