Life, Death, and Legislation: The Adriana Smith Story

In this episode of The Double Scrub, Dr. Radhika Sharma and Dr. Scott Curtis unpack the heartbreaking and controversial case of Adriana Smith, a Georgia woman declared brain dead in February 2025—yet kept on life support due to the state’s interpretation of its abortion laws. The case has raised urgent questions about patient autonomy and how far legislation can reach into private, deeply human medical decisions.

Through thoughtful discussion, the hosts explore the ethical implications of forcing the continuation of a non-viable pregnancy after brain death, the psychological toll on families, and what this case means for clinicians working under increasingly restrictive reproductive laws. They reflect on the real-world consequences of legislation that fails to center compassion, clinical judgment, and bodily autonomy—and why healthcare providers must continue to advocate for dignity in care, even in the face of political pressure.

This episode is a raw and necessary look at the collision of law, life, and medicine—and a reminder of why patient-centered care matters now more than ever.