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While there is life, there is hope

the difference between God and a doctor is that God doesn\'t think he\'s a doctor

Back in 2005 the pro-life movement took a hit when judge after judge decided that an incapacitated woman could be killed by dehydration. At the time, we on the pro-life side were lambasted as some kind of mindless Neoliths who were incapable of understanding even the simplest biological concepts while those in favor of this abomination patted themselves on their all too often white- and black-clothed backs and congratulated themselves on successfully squaring the circle of a previously unsolved ethical conundrum. In short, it was a replay of the arguments over abortion except this involved a helpless woman who was inconvenient to her husband, not a baby who was inconvenient to its mother.

We were right then to fight for the right of the defenseless to not be killed and today the science vindicated our position and especially the position of Terri Schiavo’s parents who claimed they detected lucidity beneath the paralysis.

Today’s Washington Post reports “In ‘vegetative state’ patients, brain scanners show some alert minds”

Many of the patients were labeled with the same grim diagnosis: “vegetative state.” Their head injuries, teams of specialists had concluded, condemned them to a netherworld — alive yet utterly devoid of any awareness of the world around them.

But an international team of scientists decided to try a bold experiment using the latest technology to peek inside the minds of 54 patients to see whether, in fact, they were conscious.

One by one, the men and women were placed inside advanced brain scanners as technicians gave them careful instructions: Imagine you are playing tennis. Imagine you are exploring your home, room by room. For most, the scanner showed nothing.

But, shockingly, for one, then another, and another, and yet two more, the scans flashed exactly like any healthy conscious person’s would. These patients, the images clearly indicated, were living silently in their bodies, their minds apparently active. One man could even flawlessly answer detailed yes-or-no questions about his life before his trauma by activating different parts of his brain.

“It was incredible,” said Adrian M. Owen, a neuroscientist at the Medical Research Council who led the groundbreaking research described in a paper published online Wednesday by the New England Journal of Medicine. “These are patients who are totally unable to perform functions with their bodies — even blink an eye or move an eyebrow — but yet are entirely conscious. It’s quite distressing, really, to realize this.”

Although Owen and other experts stressed that much more research is needed to confirm findings and refine the technology, they said the results could provide profound insight into human consciousness — one of the most daunting scientific mysteries — and lead to ways to better diagnose brain injuries and treat tens of thousands of patients. The technology also offers the tantalizing possibility of being able to finally communicate with some patients and ask, at the very least, whether they are in pain and need relief.

Imagine, indeed.

While I can understand the selfishness of the husband and the addlepated behavior of judges in this case I’ve always been at a loss to understand the callous, if not gleefully anticipatory, behavior of the a substantial number of the medical profession when given the chance to off the helpless. When the Hippocratic Oath’s first rule is “do no harm,” great swaths of the medical profession lined up to sentence Terri Schiavo to a slow death. Yet another parallel this case has with the fight against abortion.

On issue after issue we, as a people, are being inveigled with the idea that we should submit the very important decisions in our lives to the experts. We are supposed to trust Michael Mann and his ilk to reorder our economy to prevent global warming. And we are supposed to rely upon the medical profession as authorities in just about every thing else.

What this study demonstrates is that science is not fixed but rather changes with time. We don’t know if Terri Schiavo was vegetative or conscious and we never will but what we know today is that no one at the time she was killed knew either. Instead selected members of the medical profession decided to support the idea of euthanasia when they had a moral and ethical obligation to oppose the idea. They were abetted in this killing by judges who decided that 5,000 or so years of Judeo-Christian tradition and Western jurisprudence was subordinated to convenience and quackery.

While science may inform our decisions, it is a pathetic society that allows science to order it. That is a society devoid of humanity. For the same reason we should oppose an expert commission to make tax and spending decisions we must demand that life decisions are properly within the purview of the people, not a clique of philosopher kings. In these discussions we must be guided by morality to choose the difficult right of preserving inconvenient life rather than the easy wrong of killing the weak, the defenseless, and eventually the unfortunate and unpopular.

Back to the story.

Finding a way to communicate with brain-damaged patients has long been a goal of neuroscientists. It has also been the subject of literature and films, including the 2007 film “The Diving Bell and the Butterfly,” which told the story of French editor Jean-Dominique Bauby. Bauby, paralyzed in a “locked-in syndrome” by a stroke, could communicate only by blinking his left eye.

But some urged caution, saying that the new technique raised a host of thorny questions.

“If a patient wanted to die, if they were asked, ‘Do you want to die?,’ could they explain themselves adequately?” said Joseph J. Fins, chief of the division of medical ethics at Weill Cornell Medical College. “If they say yes, what does that mean? If this person said yes but meant maybe, or it was ‘sort of yes,’ we may not be able to understand that sort of nuance. You have to be very careful.”

Sure you have to be careful when you ask an ambiguous question. But why doesn’t Dr. Fins recommend the simple solution. Ask “do you want to die of thirst?” or “do you want me to kill you?”, which is what he’s really asking with his nebulous “do you want to die?” question? The reason is obvious. He knows that in most cases a person who is alive clings to life. And while some number of terminally ill people decide to end their lives the overwhelming majority fight tenaciously for every moment of life. Because so long as you are alive there is hope.

COMMENTS

  • gekster

    And this applies to everything

    • http://itsaboutfreedom.proboards.com/index.cgi#general bigalsouth

      What do we do when a terminally ill patient competently expresses their wish to die with dignity? I watched my grandmother suffer for ten days, murmuring “why is it taking so long . . ” (to die). There is a point in a human being’s suffering that no amount of pain medication can address the torment. In my family, there was a consensus from all that prolonging her life was without meaning. In the end, we refused to ask the Doctor for anything other than more pain medication.

      This being said, I am adamantly pro-life. I have no problem reconciling my pro-life beliefs with my experiences with my dying grandmother when we were considering death with dignity. There is no dignity to a decision to abort.

      Thought provoking post Streiff. Thanks.

      • gekster

        At least with your Grandmother (May God Bless Her) she had a say at the end of her days.
        Terri didn’t.

  • penguin2

    While there are many in the health professions who certainly do all they can to save and maintain life, there are also too many who readily say it is over. The devaluing of a human being in our culture drove the death of Terri Schiavo, and is also what causes our society to discard babies as if they were not even alive, let alone worthy of life.

    It seems that there is a war before the forces of good and evil, and thus far, in our great nation, it is appalling that evil has been winning. IMO, when we actively take an innocent life – abortion, euthanasia; we have lost our humanity. It is also the tool by which totalitarian governments take and maintain power.

    The story tonight of this advance in technology is beautiful; I hope it won’t be subverted to ugly purposes.

    • http://www.phxgonline.com phxg

      It’s the tired old Death with Dignity mantra of dying before things get too bad.

      The unfortunate fact is that this type of research will hasten the killing of those with no mental activity under the “they are already gone” argument. As well as those with activity because it’s the humanitarian thing to do; after all, no one wants to live that way.

      Unfortunately, we can detect the problem well before we can deliver a cure.

  • Bartlett

    Well, no, actually it didn’t. Nor did it need to, and if the FMRI results had been opposite to the ones quoted, it wouldn’t have invalidated the pro-life position even a little.

    Here’s the thing. Nobody denied that Mary Schiavo was alive, and that there were serious questions about whether she would have wanted her life to be ended by dehydration and starvation. That was enough for me, and it was enough for a position defending life.

    I’m a physician. (And with respect to your subtitle, I respectfully protest that I’m not the least bit confused about whether or not I created the universe – I’m not, after all, a surgeon. :-)

    It is my business to defend life. I won’t claim moral clarity about every contentious issue in health care, but I’m utterly clear on the issues of euthanasia and physician-assisted suicide. I’m immovably opposed to both, in any guise. It’s not the worth of the life, or whether or not the patient can hear or think, but simply that I took an oath, based on my deepest convictions, to defend life against the inexorable rush of death. I will lose this battle every time, because we aren’t immortal. In fighting the battle, I will hold off the enemy for a while, buying birthdays, and anniversaries, and the joy of living, loving, and being loved. That’s what I do.

    There are times to let go. Times to say that the battle is lost, and that it’s time to stop hurting people in the name of keeping death at bay a bit longer. I’ve been there for patients of all ages, and I know what it means. But it does NOT mean that absent the express wishes of my patient, in a setting of ambiguity and contention, that it is my place to withhold food and water from a helpless woman. No matter what the FMRI says.

    You see, this is speculative, contentious, and very probably incorrect research. At the least it is an extraordinary claim, made first in the media, and it deals with very small sample sizes and very subjective results. It would not surprise me if the science is not repeatable and turns out to be untrue. As a physician I am also a scientist, and I’ve seen too much of this kind of thing – the “cold fusion” of the medical world. So I find the research interesting, and I look forward to the scientific fur flying as people argue about it.

    And perhaps to a secularist, or a jurist, or a sufficiently detached politician, it matters enough to require that an FMRI be done on every “vegetative” patient. And then what? A negative FMRI is a death sentence? Are we really that prepared to walk down the path set by those for whom inconvenience is enough to kill a relative?

    I will never forget sitting by a bedside as a child died of an incurable disease, listening to a recording of him and his father singing “you are my sunshine” in a happier time. I don’t know if that child could hear the song. I don’t care. We didn’t kill him. His last hours were peaceful. We fed him through a tube, and eventually through his veins. We treated his fevers and his pain, even when we weren’t sure he needed it any more. We let go when God took him. And nobody needed an FMRI to tell me whether we held on too long.

  • dwander

    Do anything and everything we can to maintain life? When does the worship of technology and modern medicine take the place of God calling his child home?

    I believe this is an extremely tough choice. Machinery can keep the heart pumping and the lungs going providing circulation of blood through the body. Does that make one alive? How long should that keep going? How is that choice made? How is it determined that there may or may not be some functions remaining in the brain when we can’t even get two doctors to agree?

    I don’t know those answers, but for me, I would rather be allowed to leave this earthly body and go meet my maker without someone making a choice to utilize machinery to keep my body going when I’m not really there.

    • DONTREADONME

      and make sure we pull the plug. Remember, when faced with impending death you will learn what a thirst for life means.

      • dwander

        Could also be interpreted as cowardice by some. I’ve faced death before and will again. By the grace of God, I’m still here and the enemies of my brethren are not.

        And, you are correct about the DNR.

        • http://en.wikipedia.org/wiki/Elizabeth_Jacobson get2djnow

          should mean not forcing others to make the choices you’ve made. There are few things more disgusting than an allegedly “pro-choice” person saying that the decision they’ve made is the only to make. Fine, you’re a DNR, hasta la vista baby, but some people want to be alive, even if it means some level of suffering. It’s a version of man’s inhumanity to man when one person makes the choices for another.

          • dwander

            I don’t want to make that choice for others and I don’t want others to make that choice for me.

            As for pro-abortion, I’m not. I don’t relate these two issues and that is not to say that others will. I believe you can not compare taking a child’s life to an adult making a decision about theirs’.

        • DONTREADONME

          and retired, well that’s all I need to know. You go ahead and chose your death bed I frankly will live for the sake of my family. Some may say your death is selfish to the family you leave behind. I am just saying.

          • DONTREADONME

            instead of having a high risk surgery is an example of a cowards way out and a selfish thing. If you have to wonder, yeah I am still pissed about that event.

          • dwander

            What I find interesting is that you don’t want others to tread on your choices, but you seem willing to tread on others.

            I don’t mind the high risk surgery and do support that. The question isn’t about taking risks, To me it is about when does machines and medicine take over keeping the semblance of life in a shell of a body and when do we let that go?

            Who is to make that decision? I prefer making that for myself instead of being selfish and forcing that decision on others.

        • jk123

          I am aware of “judge not” and so forth. It seems to me that it would be gods plan all the time, and not just some. The murder of an “innocent”, abortion of a child, cancer, aids, he’s calling them home right?Intervention to my understanding would clearly be arbitrary. Is the creator of the wicked wicked, or simply executing(no pun)his plan. Back to the judge not. Some may embrace death while others fear it, one may choose to have the child of her rapist father, and another may not. There are good people, and there are bad people, no in between exists, only interpretation for talking points. Its seems clear to me a woman who decides to have an abortion to save her own life, or a person who would like to marry someone of the same sex, or a parent who decides they do not want their child to be kept alive by machines, differ vastly, based upon those actions, of a man who rapes and murders a child. No in between. I believe we should shoot the murderer, and leave the good people with their god given choice.

    • http://andrightlyso.com/ civil_truth

      so the whole “machinery” issue you raised here has nothing to do with Terri Schiavo. She was denied basic nursing care.

      • penguin2

        Terri was being maintained, she had lived many years, and her sustenance was not based on extraordinary measures, just basic life sustaining ones that had already been in place. The intervention of the state to side with one individual to take Terri’s life will always stand out – and it should – as a moment when when we knowingly and publicly crossed that line as a society.

  • http://www.havearoach.com Lee Hempfling

    Turns out the original posting at The National Ledger no longer exist, but these guys were kind enough to quote some of it http://www.freerepublic.com/focus/f-news/1366930/posts

    And while i’m at it, I wish to claim responsibility for the Apple I-pad .. no really… http://www.thelandofthefree.net/conservativeopinion/2007/04/10/apple-green-the-i-pad/

  • jcincy

    It seems that any new information regarding human development and human life has no impact on the soulless, beings that have no regard for life at any stage. Whether it is in the womb, in a hospital bed, or simply ahead of them in line.

    I find this scripture to be both haunting and revealing at the same time, Romans 1:27-29: “Since they did not think it worthwhile to retain the knowledge of God, He gave them over to a depraved mind, to do what ought not to be done. They have become filled with every kind of wickedness, evil, greed and depravity. They are full of envy, murder, strife, deceit and malice.”

  • Michael Dugas

    as far as our society becoming desensitized to death and violence.
    My religious beliefs and my personal beliefs are such that I know abortion is wrong.
    That being said I am extremely conflicted when it comes to the case
    of Terri Shiavo. I live in the Tampa Bay area and this case was huge here. Politically and legally I am uncomfortable with the government
    inserting itself in a marriage and interfering with families decisions. That’s how you end up with bad law like Roe vs Wade, bad law and bad precedent.
    Also an autopsy done on Terri hurt our cause in general since it proved that this statement is incorrect, “…We don?t know if Terri Schiavo was vegetative or conscious and we never will “, all of the gray matter in her brain had atrophied to a point of non existence.
    Regardless if I agree or not with her husbands decision I would not want to make it the governments decision. Does that make sense?
    The Shiavo case was really tough for me to come to terms with personally. I usually don’t have that problem, at my age my opinions are usually set and my mind made up but this one was hard for me.
    As penguin2 said, the idea of technology that can tell us one way or another sounds wonderful, as long as it is a proven technology. I don’t know if Terri’s parents would have been swayed by such technology. Would I be if it were my child? Would I trust a machine? I don’t know. I guess I have a hard time telling the government to stay out of our private lives except…..

    • aesthete

      I remember one presumably well-intentioned Republican Senator drafting a bill specifically to save Schiavo, and being torn by the desire to help this woman on the one hand, and my desire to keep the Federal Government within Constitutional limits, and outside of what is, after all, a family affair.

      • DONTREADONME

        when this thing was happening I was torn between saving the woman and the possible overreach of the Government. My thought at the time was to release the woman to the parents, but for some stupid reason the husband was hell-bent on letting her go. Death is enternal, what is a few more years of life compared to infinite?

      • tngal

        I think the bill you’re referring to was to save Terri and provide relief for her parents. Frist (R-tn) brought that one up, but I think it got smashed by the SCOTUS. He did some good legislating and was majority leader for a tim. but retired a few years ago to continue doctorin’ and such.

    • penguin2

      being subverted to ugly purposes. Because, just as you bring up Terri’s parents may not have been “swayed by the technology,” I think you and I are and many others, believe that that is not the point. This new found technology can and will be used to not only make decisions about ending life support, but also perhaps to bring pressure to bear on family in making those decisions. Cold, and indifferent bureaucrats and hospital administrators, will already have their eye on the bottom line, it will be about costs.
      As Streiff said:

      we must be guided by morality to choose the difficult right of preserving inconvenient life rather than the easy wrong of killing the weak, the defenseless, and eventually the unfortunate and unpopular.

      Lay people may not realize it, but there are many Terri Schiavo’s in facilities across this nation, some started out in life in a “vegetative state”, some had some disastrous trauma or disease that caused a grievous wounding to the body, and perhaps the mind as well. But we do care for these individuals, when we stop, as we did with Terri, we lose our humanity. If it had been my daughter in Terri’s circumstances, an Angel “lent” to my husband and myself from God, I would have fought like Terri’s parents did.

  • http://en.wikipedia.org/wiki/Elizabeth_Jacobson get2djnow

    have no right to be making these decisions for their patients, but they also should not allow people who have a vested interest in the death of their patients to make these decisions either. Terry Schaivo’s murder by the state at the behest of her husband is a sad episode in the annals of medical history and unfortunately most physicians don’t believe we had a role to play.

    • drljr

      Please look at the real information. Terri had been dead for years. Her body was alive but she was not. Her husband took care of her and until it was clear due to brain scans that showed her brain was effectively gone did he make the hard choice to stop keeping her alive artificially.

  • http://itsaboutfreedom.proboards.com/index.cgi IronDioPriest

    “We were right then to fight for the right of the defenseless to not be killed and today the science vindicated our position and especially the position of Mary Schiavo?s parents who claimed they detected lucidity beneath the paralysis.”

    Terri Schiavo… not Mary Schiavo.

    Jus’ sayin’. Carry on.

    • streiff

      I noticed the error after posting but you’ll note that my subsequent spelling was correct. I plead guilty to failing to edit.

  • Cheryl

    and wrote a diary on it. It flashed by me on twitter and with so many other events happening today, I ignored it.

    What a fasinating discovery.

    I suspect it won’t get much attention, much like the discovery by scientists to advance in stem cell research without distroying an embryo.

    It’s more proof that God never intended for us to play Him.

  • DONTREADONME

    are just some of the most mindboggling equivocations and present a real moral bankruptcy of our society. See this for an example of why I am pissed off http://cc.bingj.com/cache.aspx?q=the+roe+effect+short+film+abortion+glorified&d=4689348436296686&mkt=en-US&setlang=en-US&w=474e58b3,5d2c70a3

    Just classy and fabulous, I know they say he who is without sin cast the first stone, I am going to cast stones at a rate of supressing fire on this girl.. Oh, and karma is a real sob. Unbelievable, these are the people that live in my country? I guess my diatribe resevoir wasn’t emptied.

    • http://www.suvstrategery.blogspot.com SoFiMil

      We certainly don’t want to burden the doctor

      http://www.youtube.com/user/jillstanek#p/u/20/YUkbuhXzbvI

  • JadedByPolitics

    in how I viewed the Democrats because I could NOT believe that America was about to KILL by starvation a woman whose parents would have cared for her to their dying day. The inhumane sick LEFT were like ANIMALS in their desire to KILL HER. It was and is to this day a BLACK MARK on our country!

    My eldest when we have discussed being kept alive against not always says KEEP ME because science will one day wake me up and me I don’t want to be kept on life support but when talking about CHOICE as adults that is was is meant not the KILLING OF INNOCENTS!

    • drljr

      Mary Schaivo’s parents cared for her for a total of 30 days and then put her back in the nursing home. Her husband became a registered nurse and took care of her for 5-10 years hoping she would wake-up. When it because obvious because of real medical evidence he proceeded to take the next step.

      The parents lied and used the media and pro-life movement to further their own refusal to acknowledge the truth. Their daughter was dead and her body was only alive due to artificial medical devices. And they did the same thing to a grandmother or aunt (I don’t remember which). who has specifically said no artificially life support. They force the woman onto life support against her will.

      • drljr

        This is a post from the time period I did about this case.

        There have been claims and counter claims in what has been described as a ?Right to Die? or a ?Right to Live? case. Michael Schiavo and Judge Greer has been accused of murder, abuse and all sorts of other things. All of these claims appear to be being made without any evidence. But what are the real fact? Lets try and review the information that is present in the public domain. I have not seen any of the court records and can only rely on what has been found on the web and reported on the various new channels such as CNN, FOX and MSNBC.

        Some people who read this will say ?why are you qualified?? or ?you can not know?? or some other related type of statement. The qualification are actually quite simply. I can read. I keep up on medical science and science things in general. I also have a decent education and am able to think and reason. I am also able to set aside my prejudices and look at the events. But the simplest is I can think and reason as most people are able to do if they take the time. Now if you have gotten over your anger continue reading.

        We know that Terri Schiavo has a heart attack in 1990. The reports indicate that her heart stop for 5 minutes. The examination of her is reported to indicate that her potassium level was extremely low. And as result of the heart stoppage her brain was deprived of oxygen for 5 minutes. As a result her brain was damaged. Now under certain circumstances a person can survive this type of event without brain damage. The only times I have heard of this happening is people who are ?drowned? in extremely cold water or other extremely cold weather. In Terri Schiavo case the heart attack occurred at room temperature.

        So what do we know at this point? Terri Schiavo had a heart attack that was caused by low potassium levels and resulted in brain damage. But what caused the low potassium levels? From all indication Terri Schiavo ate properly. There have been no reports of any medical reason for her potassium levels to be low. So what are the possible causes? There are two possible causes I can think of ? anorexia and bulimia. Since Terri Schiavo does not appear to have been ?skin and bones? as most people who suffer from anorexia generally become the only other reasonable possibility appears to be bulimia.

        So what is bulimia and what might occur if someone is suffering from this condition? Bulimia is an eating disorder that involves a person who eats food and then forces themselves to vomit up the food just eaten ? i.e. Binge and purge. But what are some of the consequences of this eating disorder? We know that stomach fluid is acidic. In fact, stomach fluid contains hydrochloric acid and a variety of other acids. So what is the consequence of forcing yourself to vomit? The throat will be burned by the acid, damage is know to happen to the teeth and mouth. As any one who has thrown up can relate the chest, neck and other muscles tend to get strained. Every time I have had the dry heaves or thrown up my whole body has hurt. So the throat and esophagus get burned and the mouth gets damaged as well.

        But are there any other consequences? Stomach acid also contains potassium as well. So a person who is bulimic is also going to lose potassium. Under normal circumstances the body recycles bile and other stomach fluids. Terri Schiavo has also been reported to be concerned about her weight. There have been reports that she lost around 100 pounds over a very short amount of time.

        So what can we conclude from this? Just that she may have been suffering from bulimia. Are there any other consequence to the low potassium level? The answer to the question is YES.

        Most people are aware that calcium is needed for strong and healthy bones. But and this is a big but you also need potassium. Both calcium and potassium are needed for healthy bones. The human body also does something else that can damage bones. When it needs minerals for other parts of the body it will take them from the bones. Many woman who might be reading this missive are going to be thinking of a medical condition that primarily effects women. The medical condition is osteoporosis or ?brittle bone disease?. So what other problem would we expect Terri Schiavo to be in danger of? Yes – osteoporosis. There is also at least one other side effects to be bed-ridden as well. When people are sedentary bones also weaken. When a person walks the bones are strengthen by the generation of small electrical currents in the bones. So as a result when a person is bed-ridden this electrical current is no longer generated to strengthen the bones. This effect is also seen in astronauts who have been in outer space for long periods of time.

        Some of you who are taking the time to think about what has been written so far are going to realize a few things related to all of the accusation that are being ?spewed?. But so far we have only discussed some of the problems related to the potassium levels as relates to the heart and bones. Potassium is used in many parts of the body and not having enough in the body is bad. This also includes the brain itself.

        Let’s consider the brain damage. Terri Schiavo’s brain was deprived of oxygen for at least 5 minutes according to the reports. So we have a problem of brain cells dying. There is also a process called necrosis that occurs in the body. When cells in a part of the body start to die they often release chemicals that cause other cells to die. Most people I suspect are familiar with another similar condition called gangrene. I suspect most people associate gangrene with arms and legs and the amputation of arms and legs. But it can occur anywhere in the body. Consider the brain now. It is very difficult to get medications and other items through what is called the ?brain blood barrier?. This barrier is designed to protect the brain. It also means that the toxins produced by necrosis and gangrene are not going to leave the area of the brain and will tend to poison other parts of the brain. How many of you have thrown away rotten food? Rotted food is just like gangrene.

        Now lets consider some of the claims of abuse. People have talked about neck injuries and bone scans showing damage. Each of these things can be associated with and caused by bulimia. In fact based upon the potassium levels I would be surprised if Terri Schiavo did not have multiple bone fractures. She may not have had broken bones but lots of little fractures which are also the hardest type of bone injury to heal. For the record I have broken my lower left leg three times, the left femur once, my wrist once and my back. I have a lot of experience with bones. Also, would not Terri Schiavo’s parents been aware of any abuse? After all Michael and Terri lived with her parents for a period of time.

        If I have not lost you consider this possibility as well. Some of the injuries may have been inadvertently caused by Terri’s parents. Remember, according to the reports that her parents had brought her home from the hospital and they were taking care of her after the heart attack at their home for around 30 days before putting her back in the hospital. They would have been doing doctor proscribed physical therapy. For those of you who are cursing me and accusing me of being lower than a bug stop and consider what has been written. How many times have you tried to do some good and ended up making things worse! And how many times have you wanted to or have you hidden it? Could we be looking at a guilt response in the parents as well? Could they have tried to do some good but did inadvertent harm instead?

        We also have medical explanations for every one of the supposed abuse conditions that people keep claiming need to be investigated. Or at least all of the ones I have heard about. And in fact we have an explanations one of Terri’s friends claimed about Michael Schiavo wanting to know everywhere Terri was. Was it possible he suspected she was suffering from bulimia or another medical problems? After all he was living with her.

        The one item we have not considered is the continuing condition of Terri Schiavo;s brain. Her parents claim and continue to claim that she was getting better. In fact I suspect that there was some initial improvement ? at first. But remember she had potassium deficiency and parts of her brain had been staved of oxygen and would have died. As a result of the cell death toxins and other poisons would be present in the skull. In fact gangrene would be have been occurring. As more sections of her brain died Terri would have continued to lose the ability to think, reason, perceive and react conscientiously to her external environment. Now lets also consider the CAT Scan that was done in 1998. According to the one doctor who examined the CAT Scan he indicated that 80% of Terri Schiavo’s brain was gone. If 80% percent of her brain was gone by 1998 how much of her brain is gone now ? 7 years later?

        So ask yourself honestly ? can Terri Schiavo communicate and is she even aware of what is going on around her. Are we only seeing autonomous reactions such as blinking and random movement. Are we dealing with parents who are unwilling to let go? Now after you have stopped ranting and raving at me consider this additional report as you read the rest of this missive. Terri’s Grandmother is reported to have been forced onto a respirator against her wishes by the Schindler family.

        So what is the difference between a Coma and a Persistent Vegetative State (PVS)? The following analogy may help. Picture a car in which the driver is tied up and the car is in gear and moving. The driver may be aware of what is happening around and in the car but the driver is unable to effect the car. After a while the driver may be able to recover control of the car. A person in a coma can and often do recover. PVS is a different case however. A person who is PVS is not able to recover. The critical areas of the brain that allow a person to perceive, reason and control action are often gone or completely non-functional ? i.e. Dead. Autonomic functions are still running but that is all. Using the car analogy the car is in gear but there is no driver. As long as the car has fuel it will keep running but any place the car ends up is by chance.

        Now we have established some background based on the reported medical conditions the root issue of this ?Right to Die? case, which is what the case is. Again, I have only the publicly reported information to base this missive upon. We know from the reported events that the Schlinder’s have ignored at least one family member’s wish to not be kept alive artificially. That was Terri’s Grandmother. It has been reported that at the funeral Terri stated that she would not want to be kept alive artificially. One person reported that after watching a movie that involved a feeding tube that she stated she would never want to be kept alive as the person was in the movie. What we have being reported here is not hearsay as some people have claimed but direct statements. My understanding of hearsay is when

        ?Becky tells Diane that she heard Robin tell Stephanie … ?

        Diane’s statement to someone about Robin is hearsay. She is reporting what someone else told her. Becky’s statement would be an eyewitness statement. She is reporting first hand information or what she heard directly.

        Now consider what the Judge Greer had to consider. Besides all of the medical evidence he has to balance the statements of all of the parties. In every statement I have heard from the parents and their supporters the statements consist of form of

        ?Terri would never say that? or ?I do not believe ?

        What we have is a statement of opinion. But consider what Michael Schiavo and his supporters have said. Every statement I heard from this side consist of the form

        ?Terri said this at this event? or ?Terri said this while doing this?

        What we have are statements of fact. Which statements would you given more credence to if you were not looking at this specific case. If you are honest you are going to consider the ?statements of fact?. Now add in the earlier event related to the Terri’s Grandmother. This is what Judge Greer had to look at ? statements of fact versus statements of opinion. Image that instead of the statements being related to this specific case the statements were related to someone who had planned to rob someone’s house. Who would you believe? Would it be the people who made a statement of opinion or the people who made a statement of fact. Be honest with yourself. Most people are going to believe the people who made the statement of fact. After all, they are saying they heard the actual words.

        Let’s add the rest of the events that we know about. Until 1993 the Schlinder’s and Michael Schiavo agreed with the treatment Terri was receiving. A break between the two parties occurred. One side indicates it was about money the other about treatment. We also appear to know that Terri’s brain has continued to degrade ? lets use the proper description ? die. So it is reasonable to believe that by 1993 it would be possible that Michael Schiavo and her parents would realize that Terri was no longer recovering but getting worse. So as her husband he would have know certain attitudes she would have had ? mostly likely much more than her parents. Reports indicate they married in 1984. So he decided to follow her prior stated wishes and allow her to die. The parents do not want to give up any hope no matter how slim ? after all Terri’s Grandmother was forced onto a ventilator.

        So who should make the decision. The husband (or wife) or the parents. Judge Greer sided with Michael Schiavo since he is her husband and except under very exceptional circumstances it is always the spouse who normally has the final word when the husband or wife is incapable of making a decision. When we consider the current state of the brain (at least as of 1998 CAT Scan) Terri Schiavo is no longer even capable of being aware of her environment or making decision. It is not possible to grow a brain with our current knowledge. So barring divine intervention by God himself it does not appear to be possible that Terri Schiavo will be able to recover and will eventually die once her ?reptile? brain and brain stem dies.

        To put it another way the person who was Terri Schiavo is dead and her body has been kept alive through a feeding tube. Based upon the knowledge we know of Terri’s medical condition would you want to be kept alive in this state or would you want your family to let go and move on with their life. Are we dealing with parents who are unwilling to accept reality who looking for non-existence evidence or do you think Terri Schiavo will wake up again and be Terri Schiavo. Before you decide take a look at the information that is available on Anorexia, and Bulimia and how they effect the body. Ask yourself this question as well ? are we keeping a person alive or are we keeping a body alive?

  • ModernAgeFan

    This is another example of how little science really knows, when it purports to have absolute infallible knowledge. I really lose patience with anyone that explains to me that the science “is settled”. It would be great if science and society could cloak itself in a little humility and admit that we don’t have all the answers. Maybe that way those people who feel compelled to tell others how to live and what to do would be more understanding, and dare I say it? Tolerant. I hold this belief because I appreciate how imperfect I am.

  • Deskpilot

    my mother is still quite healthy, active, DRIVING member of her family, community, and country. We have had the conversation with her, and she has clearly stated and written out her “No Extraordinary Measures” section of her medical power of attorney.
    Heaven forbid a car accident injures her, normal medical care through to recovery is fine with her. But she has clearly stated that she does not want to be on life support for the being on a life prolonging soap opera.
    She acknowledges that she has fulfilled her role in life by being an exceptional mother, through easy and hard times. She has been an exceptional grandparent to her 9 grandchildren, and as a faithful member of her church, she is ready to answer that call to go home to the Lord on His terms, at at time of His choosing.
    From my earliest years, she has always threatened to live until she’s 99 1/2. I hope and pray that she may, and I will help her get there if that is the Lord’s plan. But when that bell rings, it will not be ignored like a collection agency.

  • mikerazar

    Just check with Peter Singer (vomit) and one of his federally chartered death panels. Why burden mere physicians and clergymen, let alone ignorant, useless dying people with this decision?

  • hfwebster3

    As we have drift further from our creator and closer to scientific thought as our guidepost, we as a society have made some terrible decisions; many of which have meant the loss of millions of innocents who were believed to be “damaged.” At least this time medical science is indeed informing us that they don’t have the corner on knowledge – only our God does. Whether this study is validated or not, is truly not the point. The point is in the absence of a valid patient requested DNR, the only one who can decide is He who gave us life. A very moving, motivational and informative post.

  • dixiedame

    My uncle’s mother-in-law was in a vegetative state for many years in a nursing home. My aunt would visit her often, and though she was totally unresponsive, would wheel her around the premises and talk to her about family and current events. One day her mother “woke up,” and began talking, learned to walk again, and to everyone’s amazement remembered many of the things she was told while vegetative. She said she heard everything that was said within her hearing. She did not have to be brought up-to-date on the family and the world, she already knew.

    This really happened, and is why I grieved for Terry Schaivo when she was murdered by dehydration. For goodness sakes, we are more soliticitous in executing mass murderers, or in putting the family pet out of its misery. And to say she had no cognizance, in light of what I knew happened with my aunt’s mother, was pure arrogance.

    • drljr

      Based upon your description the your uncle’s mother-in-law was in a coma not a vegetative state. There is a difference between the two. The doctor’s misdiagnosed the condition.

  • drljr

    The problem with this article as a comparison to the Mary Schiavo case was that Mary Schiavo was dead. Her brain stem, which runs the autonomic functions, was all that was alive of her brain. The cerebral cortex – that which allows one to see and hear, and the other “upper parts of the brain” were effectively gone – dead. I have a copy of the autopsy report and read it as well. And medical records from several years before showed a similar condition. She had been dead for years and her body was running on automatic.

    The best description I have seen of this case is that Mary Schiavo’s body was like a car that was in gear and roaming all over the place without a driver. A good description of a vegetative state. A coma would be the same car with a driver behind the wheel tied up in such as way they can not control the car.

    The Mary Schiavo case can never be legitimately compared to abortion and most pro-lifers failed to examine the available medical evidence and information. I am pro-life and listened. The parents refused to accept the fact their daughter had died a long time ago and was being kept alive artificially and there was no chance of recovery. Brain scan had already show the lose of brain tissue. If one does want to compare this case to an “abortion” case it would be the ending of a pregnancy where the baby is already dead or the baby has been shown to have no brain. Both things which have occurred in real pregnancies.

    This case shows the ethical issue people have to deal with when artificial means are used to keep a person alive. There is a difference between a person in a coma and a vegetative state. And while the two are similar they are not the same. One indicates the person is effectively dead and the body is being kept alive, the other is that the person is alive but unable to communicate.

    And one item that was not actively reported was that Mary Schiavo’s parents forced doctors to put one of Mary Schiavo’s grandmothers (or older female relative) onto life support after the grandmother specifically refused it. I may have to dig up the details from my files. I followed this case closely since it was an interesting ethnics issue as originally presented.

    • ocleverone
      • drljr

        Yes – I saw the error after the fact. But the post had already been done.