CATEGORIES
Look Who's Linking to PoliBlog:
3cx.org
Absinthe and Cookies
Accidental Verbosity
Admiral Quixote's Roundtable
All Day Permanent Red
All Things Jennifer
Ann Althouse
The American Mind
Arguing with signposts
Arms and influence
The Astute Blogger
Asymmeterical Information
Attaboy
augustus
B-Town Blog Boys
BabyTrollBlog
Backcountry Conservative
Balloon Juice
Bananas and Such Begging to Differ
The Bemusement Park
Benedict
Bewtween the Coasts
Betsy's Page
The Big Picture
BipolarBBSBlog
BIZBLOGGER
bLogicus
Blogs for Bush
The Blog of Daniel Sale
BoiFromTroy
Boots and Sabers
brykMantra
BushBlog
The Bully Pulpit
Cadillac Tight
Caffeinated Musing
California Yankee
Captain's Quarters
Chicago Report
Chicagoland of Confusion
Citizen Smash
Coldheartedtruth
Collected Thoughts
The Command Post
Common Sense and Wonder
Confessions Of A Political Junkie
The Conservative Philosopher
Conservative Revolution
Conservative and Right
Cranial Cavity
The Daily Lemon
Daly Thoughts
DANEgerus Weblog
Dart Frog on a Cactus
Dean's World Dear Free World
Brad DeLong
Democracy Project
DiVERSiONZ
The Disagreeable Conservative Curmudgeon
Down to the Piraeus
Drink this...
Earl's log
Earthly Passions
The Education Wonks
the evangelical outpost
exvigilare
Eye of the Storm
Feste
Filtrat
Firepower Forward
The Flying Space Monkey Chronicles
The Friendly Ghost
FringeBlog
Fruits and Votes
Functional, if not decorative
G-Blog.net
The Galvin Opinion
The Glittering Eye
Haight Speech
Half-Bakered
The Hedgehog Report
Heh. Indeed.
Hellblazer
Hennessy's View
High Desert Skeptic
The Hillary Project
History and Perceptions
Robert Holcomb
I love Jet Noise
Idlewild South
Incommunicado
Independent Thinker
Insults Unpunished
Interested-Participant
Internet Ronin
Ipse Dixit
It Can't Rain All The Time...
The Jay Blog
Jen Speaks
Joefish's Freshwater Blog
John Lemon
johnrpierce.info blog
Judicious Asininity
Jump In, The Water's Fine!
Just On The Other Side
KeepinItReal
A Knight's Blog
The Kudzu Files
LeatherPenguin
Let's Try Freedom
LibertarianJackass.com
Liberty Father
Life and Law
David Limbaugh
LittleBugler
Locke, or Demosthenes?
LostINto
Mad Minerva
Gary Manca
Mark the Pundit
Mediocre but Unexciting
memeorandum
Mental Hiccups
Miller's Time
Mind of Mog
Minorities For Bush
Mr. Hawaii
The Moderate Voice
The Modulator
Much Ado
Mungowitz End
My opinion counts
my thoughts, without the penny charge
My Word
mypetjawa
Naw
Neophyte Pundit
Neutiquam erro
New England Republican
NewsHawk Daily
neWs Round-Up
NixGuy.com
No Pundit Intended
Nobody asked me, but...
Obsidian Wings
Occam's Toothbrush
On the Fritz
On the Third Hand
One Fine Jay
Out of Context
Outside the Beltway
Suman Palit
Parablemania
Passionate America
Brian Patton
Peaktalk
Pelicanpost
Peppermint Patty
Phlegma
John Pierce
PiratesCove
Politicalman
The Politicker
The Politburo Diktat
Political Annotation
Political Blog For The Politically Incorrect
Possumblog
Power Politics
Powerpundit.com
Practical Penumbra
Priorities & Frivolities ProfessorBainbridge.com
Prof. Blogger's Pontifications
Pros and Cons
protein wisdom
PunditFilter
Pundit Heads
QandO
The Queen of All Evil
Quotes, Thoughts, and other Ramblings
Ramblings' Journal
Random Acts of Kindness
Random Nuclear Strikes
Ranting Rationalist
Read My Lips
Reagan Country
Red State Diaries
Jay Reding.com
A Republican's Blog
Resource.full
The Review
Rhett Write
Right Side of the Rainbow
Right Wingin-It
Right Wing News
Right Voices
Rightward Reasonings
riting on the wall
robwestcott
Rooftop Report
RoguePundit
The Sake of Argument
Sailor in the Desert
Scrappleface
Secular Sermons
Sha Ka Ree
Shaking Spears
She Who Will Be Obeyed!
The Skeptician
The Skewed
Slant/Point.
Slobokan's Site O' Schtuff
small dead animals
Sneakeasy's Joint
SoCal Law Blog
A Solo Dialogue
Solomonia
Some Great Reward
Southern Musings
Speed of Thought...
Spin Killer
Matthew J. Stinson
A Stitch in Haste
Stop the ACLU
The Strange Political Road Trip of Jane Q. Public
The Strata-Sphere
Stuff about
Suman Palit
SwimFinsSF
Target Centermass
Templar Pundit
The Temporal Globe
Tex the Pontificator
Texas Native
think about it...
Tiger
Tobacco Road Fogey
Toner Mishap
Tony Talks Tech
The Trimblog
Truth. Quante-fied.
Twenty First Century Republican
Unlocked Wordhoard
Use The Forks!!
Ut Humiliter Opinor
Varifrank
VietPundit
Vista On Current Events
VodkaPundit
Vox Baby
Jeff Vreeland's Blog
Wall of Sleep
Weapons of Mass Discussion
Who Knew?
The Window Manager
Winning Again!
WizBang!
WizBang Tech
The World Around You
The Yin Blog
You Big Mouth, You!
Zygote-Design
Non-Blogs Linking to PoliBlog:
Tuesday, March 22, 2005
A Dispassionate View on Schiavo
By Dr. Steven Taylor @ 9:25 am

Many (in the press, on talk radio, in the blogosphere) have asked for two things in regards to Terri Schiavo: 1) A more dispassionate view (specifically court-appointed and neutral) of the case, and 2) more therapy for Terri.

In regards to the first issue, one can go here (PDF) to see the report of Jay Wolfson, DrPH, JD, Guardian Ad Litem for Theresa Marie Schiavo (1 December 2003) (h/t: Kevin Alyward). Many seem to think that there has been insufficient fact-finding in this case, but if one does some research, one discovers that this is not the case.

And from that report, we get a semi-answer answer to the second:

In late Autumn of 1990, following months of therapy and testing, formal diagnoses of persistent vegetative state with no evidence of improvement, Michael took Theresa to California, where she received an experimental thalamic stimulator implant in her brain. Michael remained in California caring for Theresa during a period of several months and returned to Florida with her in January of 1991. Theresa was transferred to the Mediplex Rehabilitation Center in Brandon, where she received 24 hour skilled care, physical, occupational, speech and recreational therapies.

Despite aggressive therapies, physician and other clinical assessments consistently revealed no functional abilities, only reflexive, rather than cognitive movements, random eye opening, no communication system and little change cognitively or functionally.

On 19 July 1991 Theresa was transferred to the Sable Palms skilled care facility. Periodic neurological exams, regular and aggressive physical, occupational and speech therapy continued through 1994.

Such facts tend to vitiate the argument that if Terri was just given more therapy that she would improve, as well as countering the argument that Michael Schiavo was never interested in his wife’s recovery. While I have my questions about Mr. Schiavo, the bottom line here appears to be that there were several years of therapy that resulted in naught in terms of recovery for Terri.

Dr. Wolfson notes that in 1994 the Schindlers and Michael started to disagree about Terri’s care. The Schindlers attempted to have Michael removed as guardian. The court saw no evidence to remove Schiavo as guardain. Wolfson notes:

Proceedings concluded that there was no basis for the removal of Michael as Guardian Further, it was determined that he had been very aggressive and attentive in his care of Theresa. His demanding concern for her well being and meticulous care by the nursing home earned him the characterization by the administrator as “a nursing home administrator’s nightmare?. It is notable that through more than thirteen years after Theresa’s collapse, she has never had a bedsore.

By 1994, Michael’s attitude and perspective about Theresa’s condition changed. During the previous four years, he had insistently held to the premise that Theresa could recover and the evidence is incontrovertible that he gave his heart and soul to her treatment and care. This was in the face of consistent medical reports indicating that there was little or no likelihood for her improvement.

And here’s an interesting finding in the report:

It took Michael a long time to consider the prospect of getting on with his life – something he was actively encouraged to do by the Schindlers, long before enmity tore them apart. He was even encouraged by the Schindlers to date, and introduced his in-law family to women he was dating. But this was just prior to the malpractice case ending. As part of the first challenge to Michael’s Guardianship, the court appointed

In regards to the decision to remove the feeding tube:

In 1997, six years after Theresa’s tragic collapse, Michael elected to initiate an action to withdraw artificial life support from Theresa. More than a year later, in May of 1998, the first petition to discontinue life support was entered. The court appointed Richard Pearse, Esq., to serve as Guardian Ad Litem to review the request for withdrawal, a standard procedure.

In regards to Dr. Wolfson’s actual observations of Terri:

Terri is a living, breathing human being. When awake, she sometimes groans, makes noises that emulate laughter or crying, and may appear to track movement. But the scientific medical literature and the reports this GAL [Guardian ad litem, i.e., Dr. Wolfson] obtained from highly respected neuro-science researchers indicate that these activities are common and characteristic of persons in a persistent vegetative state.

In the month during which the GAL conducted research, interviews and compiled information, he sought to visit with Theresa as often as possible, sometimes daily, and sometimes, more than once each day. During that time, the GAL was not able to independently determine that there were consistent, repetitive, intentional, reproducible interactive and aware activities. When Theresa’s mother and father were asked to join the GAL, there was no success in eliciting specific responses. Hours of observed video tape recordings of Theresa offer little objective insight about her awareness and interactive behaviors. There are instances where she appears to respond specifically to her mother. But these are not repetitive or consistent. There were instances during the GAL’s visits, when responses seemed possible, but they were not consistent in any way.

This having been said, Theresa has a distinct presence about her. Being with Theresa, holding her hand, looking into her eyes and watching how she is lovingly treated by Michael, her parents and family and the clinical staff at hospice is an emotional experience. It would be easy to detach from her if she were comatose, asleep with her eyes closed and made no noises. This is the confusing thing for the lay person about persistent vegetative states.

Theresa’s neurological tests and CT scans indicate objective measures of the persistent vegetative state. These data indicate that Theresa’s cerebral cortex is principally liquid, having shrunken due to the severe anoxic trauma experienced thirteen years ago. The initial oxygen deprivation caused damage that could not be repaired, and the brain tissue in that area continued to devolve. It is noteworthy to recall that from the time of her collapse, and for more than three years, Theresa did receive active physical, occupational, speech and even recreational therapy.

In regards to further improvemnet:

In recent months, individuals have come forward indicating that there are therapies and treatments and interventions that can literally re-grow Theresa’s functional, cerebral cortex brain tissue, restoring part or all of her functions. There is no scientifically valid, medically recognized evidence that this has been done or is possible, even in rats, according to the president of the American Society for Neuro-Transplantation. It is imaginable that some day such things may be possible; but holding out such promises to families of severely brain injured persons today may be a profound disservice.

[…]

The GAL concludes from the medical records and consultations with medical experts that the scope and weight of the medical information within the file concerning Theresa Schiavo consists of competent, well documented information that she is in a persistent vegetative state with no likelihood of improvement, and that the neurological and speech pathology evidence in the file support the contention that she cannot take oral nutrition or hydration and cannot consciously interact with her environment.

The only hope that the report holds out is that a test could be conducted on her ability to swallow.

The bottom line is that this is not an easy case, and the facts are complex. However, at a minimum is it simply not the case that attempts weren’t made to help her, and that neutral observeres haven’t been involved.

Filed under: Courts/the Judiciary | |Send TrackBack

Hennessy's View linked with Man, Curb Your Wife
The Zero Boss linked with This Post Is Not About Terri Schiavo (UPDATED)
Outside The Beltway linked with Links on Schiavo and Persistent Vegetative State

5 Comments »

  1. Thanks! I learned more from this than from dozens of news articles.

    Comment by Roger — Tuesday, March 22, 2005 @ 11:17 am

  2. Links on Schiavo and Persistent Vegetative State
    Below are links to some excellent resources for helping understand the medical and legal issues involved in the Terri Schiavo case. Most if not all of this has been seen before but judging from the level of the debate surrounding the case, people are …

    Trackback by Outside The Beltway — Tuesday, March 22, 2005 @ 12:09 pm

  3. This Post Is Not About Terri Schiavo (UPDATED)
    In the national mess that is the Terri Schiavo case - amidst all of the hype, the heat, the accusations masquerading as facts - one point keeps coming up over and over again: Michael Schiavo can’t be trusted because he’s turned his back on his marria…

    Trackback by The Zero Boss — Tuesday, March 22, 2005 @ 2:34 pm

  4. Man, Curb Your Wife
    There’s not much to say. Judges have determined, in logical order, the following:

    A. Michael Schiavo is Terri Schiavo’s husband; therefore,
    B. Michael Schiavo is Terri’s legal guardian; therefore,
    C. Michael Schiavo’s desires trump laws of…

    Trackback by Hennessy's View — Tuesday, March 22, 2005 @ 7:57 pm

  5. Even if there is not proof that Teri could be improved with therapy, she should be allowed to be given food and water and not starved to death!!! To keep this from her is still MURDER!!!

    Comment by Cindy Emerick — Wednesday, March 23, 2005 @ 1:44 pm

RSS feed for comments on this post. TrackBack URI

The trackback url for this post is: http://poliblogger.com/wp-trackback.html?p=6535

NOTE: I will delete any TrackBacks that do not actually link and refer to this post.

Leave a comment


Blogroll


Visitors Since 2/15/03
---

PoliBlog is the Host site for:

A TTLB Community

Powered by WordPress