A New Jersey Superior Court in In the Matter of J.M., P-036-10, decided that J.M., who refused dialysis on religious grounds lacked the capacity to make such a decision. J.M. had been admitted to Valley Hospital and was diagnosed with end-stage kidney disease, hypertension, uremia, anemia and lupus. J.M. had consented to other medical procedures and to resuscitation in the case of emergency, demonstrating a desire to live. However, she refused dialysis stating that she believed Jesus would cure her. She also stated she was afraid of the dialysis machine and believed she would lose income as a result of the time spent on the dialysis machine. The Hospital turned to the court to appoint a special medical guardian after three separate psychiatrists disagreed about whether J.M. was competent to refuse dialysis. The judge appointed a guardian ad litem and appointed an attorney to advocate for J.M.’s wishes. The judge heard testimony regarding the seriousness of J.M.’s condition, as well as testimony that J.M.’s judgment was affected by the buildup of toxins in her system resulting from her kidney failure. The judge ruled that a special medical guardian should be appointed because J.M refused to acknowledge the risk inherent in her refusal of treatment because she denied she would most likely die without dialysis. Additionally, she demonstrated through her other medical choices, such as consenting to blood transfusions and refusing a do not resuscitate order, an unequivocal desire to live. J.M. has since undergone dialysis and has decided against an appeal.