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thursday, september 2, 2010 3:23 pm zst

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Cait's Oz: Terri's cerebral cortex has NOT been replaced with spinal fluid

We're being misled about what CAT scans can and can't tell us, according to Katrina Maguire: Judgment on Judges

Ridiculous legal reasoning and demonstrated ignorance of facts is the reason Congress had to intervene in the Schiavo case. Consider this.

2003 opinion of the Second District Court of the State of Florida;

Over the span of this last decade, Theresa's brain has deteriorated because of the lack of oxygen it suffered at the time of the heart attack. By mid 1996, the CAT scans of her brain showed a severely abnormal structure. At this point, much of her cerebral cortex is simply gone and has been replaced by cerebral spinal fluid. Medicine cannot cure this condition. Unless an act of God, a true miracle, were to recreate her brain, Theresa will always remain in an unconscious, reflexive state, totally dependent upon others to feed her and care for her most private needs (emphasis added).


The medical evidence is that Terri did not have a heart attack. Her enzymes were not elevated as they would have been in that event.

CAT Scans may have shown an abnormal brain structure but they did not show that "much of her cerebral cortex is simply gone and has been replaced by cerebral spinal fluid." That is because CT scans are very limited when it comes to imaging the cerebellum.

And what about this?

"Also, she clearly does not consistently respond to her mother."


What are we to make of this statement? That she does respond, albeit inconsistently? Their Honors need a refresher course in logic and clear thinking because it is plain that if she responds to her mother at any time then she is clearly not in a permanent vegetative state.

The court finds that based on the credible evidence, cognitive function would manifest itself in a constant response to stimuli.


How wrong and how dangerous is this reasoning? There is absolutely nothing to suggest that cognitive function would manifest in a constant response to stimuli. There could be all kinds of medical reasons why response is not constant. I've already discussed Locked In Syndrome in a previous post.

Based on their reasoning in this case the judges of the Second District Court have no reason to be judges.

Posted by evariste on Mar 20, 2005 12:08 pm

20 comments, latest by murbella at 8:24 pm 3/20

#1 texanista at 12:27 pm on Mar 20, 2005

What else can be done now? Are there people swarming the hospice unit?!?!?!?!?!?! US Marshalls should already be there with a medical team.

#2 Dances With Typos at 12:39 pm on Mar 20, 2005

Texanista - They should have been there, with a medical team, on Friday, before the tube was pulled. Judge Greer, Michael Schiavo, and any medical personnel involved in the removal should be up on federal charges, right now.

I cannot imagine the anguish of Terri's family.
Thank G-D I can't imagine the pain and anguish of Terri herself.

#3 FloridaHeat at 2:02 pm on Mar 20, 2005

Excuse me for being obvious, but Michael Schiavo sued and won on the basis of medical incompetance when Terri's doctors did not diagnose the enzyme inbalance, blamed on an eating disorder, that caused a heart attack that starved her brain of oxygen. If indeed "The medical evidence is that Terri did not have a heart attack. Her enzymes were not elevated as they would have been in that event." then can't the malpractice insurance agency that paid the money sue and get it back -- with interest?

#4 evariste at 2:08 pm on Mar 20, 2005

I was wondering why they don't, FloridaHeat.

#5 murbella at 2:47 pm on Mar 20, 2005

look for your self.

Terri CAT scan
http://www.miami.edu/ethics2/schiavo/CT%20scan.png

normal brain
http://www.stjohn.org/healthinfolib/images/si55551310.jpg

#6 evariste at 3:31 pm on Mar 20, 2005

Yeah murbella. Funny how even in the CAT scan you can clearly see her frontal lobes are there, isn't it?

#7 jlfintx at 3:50 pm on Mar 20, 2005

Ev, before I take the time to read those cat scans, what is there? Is this a plea from the wrong side or the right side?

(from my point of view anyway)

#8 evariste at 3:54 pm on Mar 20, 2005

I suspect the misguided side, jlfintx.

#9 jlfintx at 3:55 pm on Mar 20, 2005

Another thing is how much of our brain has to exist before we have no use of it? Isn't it a fact that most of us use very little of what is actually there?

Also, who can say what the chances of rehabilitation are since this scumbag has not allowed any therapy for 12 years?

#10 jlfintx at 3:56 pm on Mar 20, 2005

Maybe misguided is a proper term, but just the same, wrong.

#11 murbella at 6:24 pm on Mar 20, 2005

try this argument then.
IF terri is "minimally conscious" as some have said, and has voluntary control over eye movement and other muscle groups, why has no one taught her a gestural protocol in 16 years? like blink twice for yes or look right for yes?
Why try to teach her to repeat sentences when this would be much more effective?

#12 evariste at 6:40 pm on Mar 20, 2005

murbella-for one thing, Michael Schiavo forbids it. For another: she can say yes or no, why is it necessary to teach her some blinking protocol? They do that for completely paralyzed, locked-in people, which Terri is not. She simply is disabled and part of her disability is her speech impediment caused by her stroke; she still says a few words and has even learned new ones. Here's a link about Terri's vocabulary.

#13 Lyana at 6:42 pm on Mar 20, 2005

murbella, think of it this way. If Terri is verbally expressive (and her family and caregivers say that she is), why blink?

#14 murbella at 7:04 pm on Mar 20, 2005

If terri can speak, then why didn't this guy, Dr William Hammesfahr, mention it when he reported on his 10-12 hour evaluation of terri in his testimony at an October 24 2003 press conference? Wouldn't that have gotten people up in arms?
I respectfully offer that a nurse is not a neurologist, and unhappily, terri parents' evaluations are colored by extreme hope.

#15 evariste at 7:16 pm on Mar 20, 2005

murbella, so basically your point is that Hammesfahr didn't mention it, which proves she doesn't speak? Hammesfahr's mandate was to find out whether she had the potential to improve.
Complete Report of Dr. William Hammesfahr

Communication: She can communicate. She needs a Speech Therapist, Speech Pathologist, and a communications expert to evaluate how to best communicate with her and to allow her to communicate and for others to communicate with her. Also, a treatment plan for how to develop better communication needs to be done.

#16 Lyana at 7:22 pm on Mar 20, 2005

You don't have to be a neurologist to be able to hear and understand that a person is communicating... And as for a mother - how many mothers have you seen who can clearly understand the squeeks of their toddler when it would be absolute gibberish to anyone else?

And what would it have mattered? People are watching videos of Terri and still maintaing that her movements are involuntary and somehow staged.

Here's Dr William Hammesfahr's report - decide for yourself.

#17 Lyana at 7:23 pm on Mar 20, 2005

Dang it, evariste! I knew I should have refreshed one more time! :-)

#18 evariste at 7:25 pm on Mar 20, 2005

Thanks, Lyana. murbella, I have no idea why you're so apparently hostile to the idea that Terri's in there, but she's in there.

#19 evariste at 7:26 pm on Mar 20, 2005

Lyana, LOL!

#20 murbella at 8:24 pm on Mar 20, 2005

Thank you, that was interesting. Yet Judge Greer ruled that these reccommendations did not meet the test of Schiavo III for merit.
Without even seeing her myself, i know that an intact brainstem should guarantee ability to swallow.

This is a patient who has very poor language abilities.

That is why gestural protocol should have been taught. then terri can say herself if she wants to live or die. It would yield much quicker results than speech therapy. You could do it in minutes, if she has control over facial muscle groups. I suspect she does not have reliable, consistent control, like the lag time described in the article, and that would be why they have not done it. Or possibly she cannot understand abstract concepts like life and death any longer.

No, i don't believe the "whole" terri is in there. but terri-the-lesser has a right to live, if she wants to. How do you prove that? Her guardian has stated that she desired not to be kept alive. i guess i think the terri that said that is gone now.

And that's my bias-- 16 years of what terri has gone through is my most horrific nightmare. i reject it. obscene. it is half-life, not life. And this whole thing may enable my family to hang onto me as a flesh puppet someday when i'd rather be gone, because of involving congress. So i am not un-biased.

Still, the point of attack seems to be that Michael Schiavo is an unfit guardian and terri is not in a PVS. Is congress the answer? is a federal judge going to decide differently than the 19 other judges associated with this case?

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