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    can swallow She is partially blind She is probably aphasic and has a degree of receptive aphasia She can feel pain Turns head from noxious stimuli Dr Hammesfahr stated in his report In the spring of 2000 three physicians including Dr Jay Carpenter who is a former Chief of Medicine at Morton Plant Hospital filed affidavits after observing Ms Schiavo All three physicians stated that it is visually apparent that Ms Schiavo is able to swallow and in fact does swallow her own saliva http www chninternational com dr w hammesfahr comprehensive report 02 html FACT Terri was not in a terminal condition she was not dying The fact she had brain damage cognitive impairment did not mean it would progressively lead to death It is widely disputed by medical experts which included neurologists that she was in a Persistent vegetative state PVS most agree she was in a minimally conscious state MCS Terri breathed on her own Terri could swallow her own saliva and was able to enjoy jello and ice cubes Terri deserved the full range of treatment that is given other patients who are not terminal WHO IS MICHAEL SCHIAVO He is Terri s husband which he vowed to remain in sickness and in health While Terri is alive Michael announces he has a finance named Jodi who bore him two children The obitituary of Michael Schiavo s father published by Philadelphia Inquire includes this Michael R and his fiancee Jodi of FL April 18 2002 Cheryl Ford RN spokesperson for the Schindlers said when Michael openly admitted that he was engaged to another woman attention and focus should have moved to having him immediately removed as Guardian and a divorce should have been filed in a court other than Greer s http www fight4terri blogspot com In Michael Schiavo s court appearance he made absolutely no mention of Terri not wanting to live as he would repeatedly say like this with tubes Nov 1992 Michael wins malpractice suit that accused doctors of misdiagnosing his wife jury awards more than more than 700 000 for her care Michael receives an additional 300 000 Some have accused Michael of committing 2 counts of perjury and insurance fraud by promising to provide care and therapy for his wife in exchange for the court award of 1 2 million dollars in 1993 http www fight4terri blogspot com February 1993 Michael Schiavo denied rehabilitation treatment for Terri Makes no mention of Terri not wanting to be kept alive on artificial life support Feb 14 1993 Bob and Mary Schindler have a falling out with Michael over the malpractice suit money and Terri s care 1995 Michael Schiavo has lived with a girlfriend Jodi Centonze with whom he has two children for several years now yet Michael remains legally married to Terri as well as her legal guardian Still no mention of Terri not wanting to be kept alive on artificial life support In 1997 Michael petitioned the court to have Terri s feeding tube removed claiming that when Terri was in her early twenties she stated that she would not want to be kept alive on artificial life support Michael Schiavo told the court he and Terri had talked about life support when her grandmother was in a nursing home unconscious for weeks and on a ventilator He testified that Terri had said If I ever have to be a burden to anybody I don t want to live like that Mary and Robert Schindler s lawyer David Gibbs mentioned this very interesting bit of information to Larry King during an interview regarding Terri telling Michael I would not want to be kept artificially alive And Larry interesting when she made that comment if it was made but he says it was made that was against Florida law at that time You could not withhold basic food and water in 1990 when that comment was allegedly made So what he s asking everyone to believe is that she made a comment I would want to be killed even in violation of Florida law And I really think a 25 year old isn t thinking about being starved to death and making a casual comment David Gibbs Such critical evidence was again disallowed by Judge Greer in fact it was not even considered by the legally blind judge FACT VS TERRI SCHIAVO DOCTORS Due to space the following 10 paragraphs have been edited and condensed For complete content in its entirety see Facts Versus Michael Schiavo By Cheryl Ford RN Fight4Terri aol com from which this is taken from During the months from May of 1990 to January 1991 the following independent doctors made notes to confirm Terri was improving Drs Newhart Baras Thacker and Alcazaran Their remarks include The brain cells that control body function were not as seriously affected as initially diagnosed Started to show some vocalization where she will say no and occasionally has some voluntary movement on command of eyes and mouth as reported by husband and mother Moaning type vocalizations initially no sign of excess secretions requiring frequent suctioning intermittently swallows probably swallows her saliva without any trouble some improvement in range of motion Turns head from noxious stimuli Noted increased alertness turns head toward voice turns head from tactile stimulation Sucking and rooting response to olfactory stimulation Spontaneously vocalized Good cough Some visual tracking FACT Physical Therapy Notes From January 1991 to January 1992 Alert throughout treatment session responds to pain moaning turns head from noxious stimuli and Patient has made significant gains since admission in all areas of range of motion and Patient appeared to focus on several pictures of family for 10 seconds appeared to slightly track to left each session but inconsistent Quick startle response to all auditory stimuli occasionally moves head from tactile stimuli Psychology notes by Patti Shook Terri s eye opening responses were her strongest Terri s tactile responses were her best with other four modalities only 1 to 2 points behind This level of functioning is appropriate for a sensory stimulation program Then Speech Language notes Occasionally responds to request to verbalize swallow and move arms Therapeutic notes Laura Mizell Patient has displayed an increase in eye opening since last 30 day summary Patient responses to auditory stimulation are at the point that they are almost auditorily defensive During recent outings rugby games kept eyes closed to and from game beach visit she was more aroused March to mid summer http www fight4terri blogspot com Michael Schiavo said Any doctor that gave me a glimmer of hope that some new treatment or therapy would work was given free reign with Terri I would do anything to make her well http www fight4terri blogspot com FACT 3 26 1991 Nurses Notes Terri s side rail on her bed found down after Michael left When told about it he replied that that was their job http www fight4terri blogspot com Michael Schiavo I took Terri to California I stayed with her while doctors performed an experimental procedure to implant electrodes in her brain to stimulate its function I spent months working with her hopeful of a cure Months later the doctors told me the electrodes were not working FACT She underwent surgery performed by Dr Yoshio Hosobuchi of the University of California at San Francisco in December to implant a stimulator in her brain The brain stimulator implant was a success said her husband Mike Mrs Schiavo is slowly emerging from the coma at the Mediplex Medical Center a neurological care center in Bradenton he said She will undergo at least a year of speech occupational and physical therapy St Petersburg Times Feb 17 1991 http www fight4terri blogspot com FACT November of 1992 Terri was awarded 1 4 million in a malpractice settlement so to be able to receive all the therapy and medical attention she would need Michael Schiavo as Guardian maintained total control over her settlement A few months after Michael received the money he began denying Terri rehabilitative care and posted a Do Not Resuscitate Order on Terri s chart Cheryl Ford RN http www fight4terri blogspot com FACT 1993 Carolyn Johnson Affidavit No therapy per husbands orders Dr s orders over ridden Patient kept in isolation no stimulation http www fight4terri blogspot com FACT April 1995 July 1996 Carla Sauer RN Affidavit Michael orders no rehab No range of motion no nothing Patient alert and oriented spoke regularly MOMMA MOMMY HELP ME Carla says Every time I made a positive entry about any responsiveness of Terri s someone would remove it after my shift ended Michael always demanded to see her chart as soon as he arrived and would take it in her room with him I documented Terri s rehab potential well writing whole pages about Terri s responsiveness but they would always be deleted by the next time I saw her chart The reason I wrote so much was that everybody else seemed to be afraid to make positive entries for fear of their jobs but I felt very strongly that a nurses job was to accurately record everything we see and hear that bears on a patients condition and their family I upheld the Nurses Practice Act and if it cost me my job I was willing to accept that Throughout my time at Palm Gardens Michael Schiavo was focused on Terri s death Michael would say When is she going to die Has she died yet and When is that bitch gonna die These statements were common knowledge at Palm Gardens as he would make them casually in passing without regard even for who he was talking to as long as it was a staff member Other statements which I recall him making include Can t anything be done to accelerate her death won t she ever die When she wouldn t die Michael would be furious When Michael visited Terri he always came alone and always had the door closed and locked while he was with Terri He would typically be there about twenty minutes or so When he left Terri would be trembling crying hysterically and would be very pale and have cold sweats It looked to me like Terri was having a hypoglycemic reaction so I d check her blood sugar The glucometer reading would be so low it was below the range where it would register an actual number reading I would put dextrose in Terri s mouth to counteract it This happened about five times on my shift as I recall Normally Terri s blood sugar levels were very stable due to the uniformity of her diet through tube feeding It is medically possible that Michael injected Terri with Regular insulin which is very fast acting but I don t have any way of knowing for sure When Ms Iyer reported her suspicions to the police and the police asked questions she was terminated Regarding any money that Michael Schiavo hoped to get Ms Iyer had this statement Any time Terri would be sick like with a UTI urinary tract infection or fluid buildup in her lungs colds or pneumonia Michael would be visibly excited thrilled even hoping that she would die He would say something like Hallelujah You ve made my day He would call me as I was the nurse supervisor on the floor and ask for every little detail about her temperature blood pressure etc and would call back frequently asking if she was dead yet He would blurt out I m going to be rich and would talk about all the things he would buy when Terri died which included a new car a new boat and going to Europe among other things http www fight4terri blogspot com FACT MARCH 1997 SUMMER 1997 Heidi Law CNA Affidavit I know that Terri did not receive routine physical therapy or any kind of therapy I was personally aware of orders for rehabilitation that were not being carried out Even though they were ordered Michael would stop them Patient did not like the taste of the teeth cleaning swabs or mouthwash Did like the smell and feel of her lotion Liked to have her hair combed Did not like being tucked in She would suck on ice chips and swallow ice water orange juice or apple juice in her washcloth to give her something nice to taste which made her happy On three or four occasions I personally fed Terri small amounts of Jello which she was able to swallow and enjoyed immensely http www fight4terri blogspot com Dr William P Cheshire a frequent lecturer and an associate professor of neurology at the Mayo Clinic College of Medicine in Jacksonville stated Terri is likely in a minimally conscious state Minimally conscious patients have awareness In his affidavit Cheshire argued that Schiavo smiles in response to the voices of her parents and the sound of piano music and occasionally laughs when someone says something funny In October 2003 Terri suffered for 7 days while being starved to death before the Governor of Florida was able to issue an executive order on October 22 2003 introducing Terri s Bill An order was then sent by the Governor for all health care personnel and medical facilities caring for Terri to immediately reinsert Terri s feeding tube Terri s feeding tube was reinserted after 7 days of no food and water WHY WOULDN T MICHAEL SCHIAVO RELINQUISH HIS GUARDIANSHIP A 750K medical fund that Terri acquired via a medical malpractice lawsuit is payable to her inheritor when she dies Terri never signed a will The inheritor is her husband HOW THE MEDIA REPORTED TERRI S CONDITION The Los Angelas Times and other like minded media in its typical hyperbole fashion painted a grim and hopeless picture of Terri Terri Schiavo suffered a heart attack Feb 25 1990 because of a potassium imbalance brought on by an eating disorder The heart attack cut off oxygen to her brain leaving her severely impaired Although she could breathe on her own she could not eat or drink TERRI S LAST DAYS March 26 2005 Bobby Schindler stood in front of the cameras visibly shaken said It s sick it s heinous I assure you she is not dying painlessly Bobby stressed that s the most absurd thing that Terri is looking peaceful dying peacefully bring in the cameras to prove how Terri really looks Among a few other reasons I believe Michael Schiavo wanted Terri cremated so no one could see her how emaciated she became WHO WERE SOME OF HER SUPPORTERS Terri s support was universal Her supporters came from all walks of life Nearly every disability group opposed Michael Schiavo s order The Vatican made statements on behalf of her life She had the support of nurses doctors lawyers religious leaders lay teachers students police and every anti euthanasia and pro life organization and even those in the media The support for her family is on going A month later and the media is still reporting on Terri Schindler Schiavo Law makers are proposing bills to ensure that no other person in Terri s condition will ever have their feeding tube removed to make them die a slow and tortuous cruel death WHAT ELSE WAS TERRI WAS DENIED Michael Schiavo repeatedly denied Terri her own legal counsel therapy and the right to present herself to the court in person After 2002 The family was not permitted to photograph or video her Terri was denied being cared for by those who loved her most her parents and siblings Who can forget Terri s mother tearfully begging Michael and Jodi you have your own children please please give my child back to me Michael Schiavo has also prevented Terri from undergoing a barium swallow test a procedure necessary to ascertain the consistency of foods able to be taken by mouth He denied her proper dental care He refused to allow her certain music He would not allow her to go outdoors to be in the sun He kept police in her room strangers for fear someone might give her some comfort care as she lay dying WHERE TERRI LIVED DIED The past 5 years Terri lived in a Hospice A Hospice is meant for short term care only where those who are seriously ill go to live their final days usually 6 months or less WHAT KIND OF FACILITY TERRI NEEDED In 1990 it was recommended by several physicians that she be discharged to an intensive rehabilitation center to be given needed physical therapy communication or speech therapy routine medical screening evaluations and treatment such as dental care mammography gynecological exams and pap smears Instead Terri was transported to a nursing home where all therapy or rehabilitation efforts were denied There she was confined to a bed According to several doctors if rehabilitation treatment would have been allowed it would have significantly improved her chances of recovery WHAT CAUSED TERRI S DEATH Moral corruption Callousness and unyielding merciless barbarianism But the autopsy will show Terri died due to dehydration and starvation the fact is considering the lack of therapy she ought to have received she was very healthy before her feeding tube was removed and according to a number of physicians who examined her she could well have lived another 50 years DID TERRI SCHIAVO HAVE TO DIE Of course we all must die but Terri s life could have been saved by compassion sans greed and sans immoral judgment Others argue had Terri signed an Advance Directive or Living Will she may well be alive today That is far too simple Terri deserved life She deserved mercy At the very least she deserved to have her day in court AUTOPSY One source says Terri was found to have a fractured cervical spine and fractured femur and other traumatic injuries If Terri had died that night in 1990 odds are Michael Schiavo would

    Original URL path: http://www.chninternational.com/chn_help_my_child_is_being_murdered_05.html (2016-02-17)
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  • Comment
    She looked at me and would track me with voluntary facial and upper torso movements I later moved to the left arm and attempted to release contractures there In order to get significant relaxation of the arm to a degree necessary to obtain a blood pressure I worked for approximately 35 minutes to release the contractures enough to get arm extension to approximately 140 degrees During this time the patient would track the mother or the father depending on who was interacting with her Interestingly she appeared to respond to her mother or father by tone of voice At one time after working on her arm for approximately 20 minutes and no further extension of the elbow was to be had the father walked up and started speaking reassuringly to his daughter The elbow immediately extended approximately another 20 degrees This was during a time period that I had been talking with Ms Schiavo and the music was also running Yet with neither the addition of the music nor my voice did the elbow extend With the father coming to his daughter and speaking she immediately extended the arm further At other times he would speak more sharply to her and she would immediately tighten and appear to lose her spot of visual focusing and her expressions would change At times during and immediately after this part of the exam she would also appear to voluntarily move her right upper extremity Multiple takes of her blood pressure were taken and there were several readings of error During the reading of her blood pressure I also palpated the median artery at the wrist In general the systolic readings on the blood pressure cuff correlated well with the wrist palpations Thus the systolic readings are probably fairly accurate although the diastolic readings cannot be independently confirmed Three readings were successfully obtained 96 65 pulses of 70 107 78 pulse of 72 and 101 71 pulse of 70 The pulse was erratic by both machine and palpation The blood pressure errors occurred due to spasticity in the arm being evaluated A general physical exam was also performed although pelvic breast rectal fundoscopic sinus and ear exams were not performed Technical difficulties prevented the fundoscopic exam from being performed The general physical examination and the neurological examination tended to be performed in an extremity by extremity fashion as her cooperation was best by focusing on specific regions and then not coming back to those regions at a later time Moving rapidly and from side to side tended to result in apparent confusion and stress in the patient manifested by increased tone and less facial interactions eye contact and less accessibility to her limbs due to the increased tone causing contractures to redevelop The general facial exam was significant for acne probably due to a chronic stress induced steroid responses No bruits were identified Cranial nerves were intact and the patient was able to swallow and handle all secretions The neck exam was abnormal emphasis added She had severe limitation of range of motion in the flexion and to a lesser degree in extension Indeed I was able to pick up her entire torso and head and neck area with pressure on the back of her neck in the suboccipital region These findings of cervical spasm and limitation of range of motion are consistent with a neck injury No bruits were identified Lung exam showed scattered wheezes in the right lung fields No rhonchi or rales were identified Cardiac exam was normal to my exam Interestingly the significant arrhythmias identified by the electronic cuff as well as my palpation of her wrist exam was not identified during this cardiac portion of the exam suggesting the arrhythmia is intermittent Abdominal exam showed good GI sounds throughout and was non tender No masses or aneurysms were palpated Extremities exam showed severe contractures in all four extremities On the left upper extremity she initially showed 4 4 on the Allen s spasticity scale about the wrist fingers and the elbow However with approximately 40 minutes of massage and release the exam in this upper extremity showed spasticity on the Allen s scale and at times later in the exam would show 2 4 on the Allen s exam The right upper extremity also showed 4 4 on the Allen s scale and also improved with efforts at muscular tension release However time did not allow me the same degree of effort on her right upper extremity and thus I am unsure of the degree of relaxation available in this area In the lower extremities she has 2 4 about the hips and the knees meaning full range of motion but spasticity still present However about the ankles she is 4 4 and I could obtain no improvement in the range of motion With levels of 3 4 and 4 4 spasticity it is frequently difficult to determine the degree of voluntary control if any a patient has over an extremity The internal spasticity and stiffness of the limb makes gauging voluntary efforts very difficult Efforts that may be easily seen or felt in a patient with no spasticity may be completely missed or only able to be identified from sophisticated testing in a patient with 3 4 or 4 4 levels of spasticity Spasticity generally is due to neurological injuries and is aggravated by lack of physical therapy and muscle stretching To understand spasticity it is important to understand what is normal with muscle activity In a normal person a leg arm or other part of the body moves because a muscle contracts and moves a nearby bone However muscles exist on both the front and the back of joints When the muscles in the front of the joint move the bone moves forward When the muscles on the back of the joint move the bone moves backwards If the bone is your arm then when the biceps contracts the arm bends When the triceps contracts the arms straightens Another characteristic of normal is that when one set of muscles contracts the opposite muscles relax Thus when the biceps contracts the triceps relaxes and vice versa In spasticity that relaxation of opposing muscles does not occur Thus even if the biceps tries to contract to move a muscle the opposing contractures of the triceps prevents motion In severe cases like Ms Schiavo the contractures of the opposing muscles may be so severe that voluntary motion appears very weak or non existent In fact in some of her muscle groups the severity of the contractures has grown so severe that even an outsider cannot move the joint The Allen s scale is a 0 4 scale with 0 as normal or no spasticity The scale is as follows 0 Normal no spasticity 1 Slight spasticity palpated by the physician but full range of motion of a joint 2 Moderate spasticity but full range of motion Here the examiner may be allowed to use a great deal of his own muscle contraction to straighten a joint If the joint can be straightened to its full range of motion this is a 2 3 Severe spasticity but some motion can be identified Full range of motion does not exist 4 Severe spasticity no range of motion Pulses in these extremities were symmetrical Skin was intact in these areas The patient wore a diaper and this was not removed for the exam Back exam was carried out and there were no evident areas of tenderness masses or other abnormalities seen The first two hours of the exam focusing on cognitive awareness of her surroundings was carried out in a chair The last one hour on videotape was carried out in her bed In neither position did she have difficulty handling any saliva or secretions Only briefly for a few minutes at a time did she appear to tire and lose the ability to respond track or interact with her surroundings She had no tube feedings or water during the entire time of the exam Alertness The patient was alert throughout essentially the entire exam Responsiveness The patient would immediately respond to sound tone of voice and to touch and pain With respect to responding to those around her she had limited responsiveness to me personally until approximately 45 minutes into the exam She started to look at me against her traditional right gaze preference about the same time that we started getting significant relaxation in her contracted left arm the arm that had been contracted for several years She appeared to identify the sound of my voice with the relaxation of the arm From that point she would generally look toward the sound of my voice when heard attempt to find me visually then track the sound of my voice in its movements or track me if I was within approximately one foot of her eyes Prior to that time she did not track me or try to locate me visually When playing music she had a clear preference to the specific sound track played and would listen to piano music but change levels of listening depending on the track played Her attention to the music would not wander during the track she preferred She would pick out her mother s voice or her father s voice separate from the music or other voices or sounds in the room and re fix her gaze to those people She would tend not to blink when watching those people She ignored her husband s loud foot tapping that went on for approximately five minutes at one point She also ignored his voice and did not try to seek him out visually when he would at times interject comments during the exam or immediately afterwards During various portions of the exam she would be moved or have her position readjusted She continued to handle her saliva during this time never being observed to choke on her saliva Following Commands At various times during the exam I asked her to close her eyes or open her eyes widely look towards her mother or look towards me At times she appeared to properly follow these commands Interestingly some of the commands such as close your eyes open your eyes etc she tended to do several minutes after I gave her the command to do so She had a delay in her processing of the action However when praised for the action she would then continue to do the action repetitively for up to approximately 5 minutes As we had moved on to other areas of the exam at times she was continuing to do the previous command then at inappropriate times since the focus of the exam had changed During different portions of the exam I would ask her to squeeze my hand on command or in the lower extremities to pick up her right lower leg to command The upper extremities are contracted and weak She appeared to squeeze my hand and then relax her grip in the upper right extremity possibly in the upper left extremity I am unsure if she was doing it to verbal command or in response to body language however it was voluntary activity and not reflex In the lower extremities she showed these same abilities marked on the right and to a lesser degree on the left voluntary control over the ankles could not be determined due to the severity of the contractures there However in the right lower extremity I again gave verbal commands but also noted that she would oppose activity voluntarily Thus moving a hand against a thigh would elicit an equal and opposite reaction from her She would gauge the degree of pressure and counteract it equally This is not a reflexive movement With respect to her lower leg we were able to clearly show that on videotape I had her push her lower leg against my hand my hand was on the top of her leg Removing my hand suddenly allowed her leg to suddenly continue voluntarily rising up and be seen on videotape We had her do this repetitively on videotape Her right lower leg is quite strong Other areas are either not as strong or have such high spasticity brought on by neglect that voluntary activities are able to be felt but difficult to show large degree of motion that are represented on videotape so well The voluntary control is there but does not show up well on videotape as the range that the motion goes through is less Cranial Nerve Exam Cranial nerve function is present and appears normal in all groups tested The fundoscopic exam and ophthalmic nerve function could not be tested directly She tracks well and voluntarily She does not exhibit Doll s Eye motion an abnormality seen in coma patients whose eyes move back and forth like a doll s when their head is moved Coma patients cannot direct their gaze to specific things and maintain their gaze on those things regardless of head motion or motion of the object She can do these things She appears to see things best at approximately the 8 12 inch area She was best able to track large reflective objects like aluminum balloons or sparkling lights for which a focal length limitation is not an issue This is a patient who has very poor language abilities Her interactions with the world as well as her ability to convey thought will depend in large part on her visual abilities and limitations Thus a complete opthamological exam and evoked potential exam needs to be performed This needs to be performed in comfortable situation and the patient needs to be comfortable with the examiner and the examinations I would estimate that at least one day should be allotted for the exam and should be carried out her in room Sensory Exam The patient was tested to light touch pressure and sharp touch and pain in all four extremities and on her face The pain portion in the extremities was conducted by pinching the nail beds of her hands and feet She clearly feels pain as the videotapes show On the face noxious stimulation including cotton swab up the nose and gag sensation and papillary touch with cotton evidenced a pain response These were more than just reflexes as she appeared to be annoyed by these painful responses long after they had stopped and would not smile at me again for the rest of the day She certainly feels pressure as was discussed earlier and opposes pressure with voluntary motor activity When using a sharp piece of wood which she found uncomfortable and going over her entire body except diapered areas and breast areas we found that sensation is present everywhere Sensation on the right side as evidenced by moaning or tightening up muscles or withdrawal and was more prevalent than on the left We found that she had two sensory levels The first is the side to side asymmetry where she feels more on the right than the left The second is a major increase in pain approximately C4 and cephalic to the head This is consistent with a spinal injury and spinal cord injury near this level Motor Exam As discussed earlier it is difficult to measure motor strength on the classical scales The classical motor strength scale is a 0 5 scale and is described as patient s voluntary motor strength score normal which is represented as a 5 Thus a person with no voluntary motion would be 0 5 and a person with normal voluntary motion is a 5 5 Normal motor strength requires relaxation of the muscles around the muscle being tested Thus if grip squeeze is being tested the muscles that straighten the fingers must relax in order to have a good squeeze Ifthose muscles don t relax they tend to keep the fingers straight and thus give a weaker squeeze than if they did relax When the muscles near the area being tested don t relax that is called spasticity and makes the exam less accurate At times the spasticity is so severe that a muscle tested may not be strong enough to overcome the opposing muscles and no evidence of voluntary muscle movement is seen even though there is in fact voluntary control over those muscles This is the problem that we have with Ms Schiavo She clearly has voluntary control that is good control over her facial musculature Formal testing of those cranial nerves showed no weakness or facial asymmetry In the upper and lower arms however the spasticity is severe She at times would voluntarily move her right arm hand complex against gravity which is considered a strength of 3 5 or greater by convention When squeezing my hand and relaxing on the right side she had approximately a 2 3 5 but range of activity was severely limited by spasticity On the left side it appeared weaker In the upper extremities she would oppose pressure on her or try to move her arms with approximately 3 5 but not to command probably due to the aphasia The right side was stronger than the left The leg motion on the right was generally approximately 2 3 5 in all groups except around the ankle However when opposing my hand in the lower leg she was 3 4 5 and the voluntary action caught on videotape was clearly a strong 3 5 or better On the left side the strength appeared to be more of a 2 5 range in all groups but due to the difficulty of the exam may actually have been stronger than this The convention of the 0 5 scales for testing voluntary motor strength is as follows 0 No voluntary movement 1 Trace movement able to be felt 2 Movement of an extremity if gravity is removed Thus if movement of a leg occurs in a bed while a patient is

    Original URL path: http://www.chninternational.com/dr._w_hammesfahr_comprehensive_report_02.html (2016-02-17)
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  • Commentary by Cheryl Eckstein re
    moment she heard her mom and dad s voice We saw and heard her respond with laughter to her dad s jokes In one clip I noticed her eyes fluttering much faster as her mother drew closer to kiss her on the cheek We saw the depth of love from her siblings who kept their poise in spite of their private pain Talk about presumption Williams opined Do you think she would want to be stripped of all dignity during the last moments of her life Terri lost her life not her dignity All that which gives dignity its meaning was lost on George Felos Dr Cranford Michael Schiavo and Judge Greer Somehow these men managed to seal Terri s fate and we became witnesses of this most illicit denouement The beloved Pope John Paul II loved and used the media to his advantage Right up and onto his death through to his funeral so many of us were given the chance to witness the love and devotion of millions that many held for this great man We heard stories that otherwise would have been missed by the press or overlooked by us I agree there are definitely places where the media does not belong However I don t believe this was one of them Sunday April 17 2005 Terri Schiavo and the Tabloidization of the Media Armstrong Williams Saturday April 9 2005 I believe that life is sacred regardless of whether you are comatose or cognizant I believe God has a plan I also believe that helping terminal patients means spending time with them and treating their pain It doesn t mean removing their feeding tube It doesn t mean actively facilitating their death That s not helping a patient it s murdering a patient So I believe the Terri Schiavo case is important What I don t believe is that anything was accomplished by beaming her image out on 24 hour newscasts and effectively stripping the final few days of her life of any dignity Like hyenas circling around pre killed carrion the media swept in mounting a 24 hour death watch They camped out at the hospital mounted cameras in her hospital room and intruded upon her final few days This isn t news its tabloid media and it s remarkably successful in reducing great national issues into trivial dimensions This trend toward tabloidization started with the cable network explosion in the 90s Overnight the television market splintered Competition became brutal as fledging networks vied for the viewing public s attention The question became how to distinguish your network from the competition The answer came from media mogul Rupert Murdoch who used his Fox television station to belch out one enormous orgy of tawdry and titillating television morsels His populist model proved wildly successful Soon others followed suit until shocking and salacious imagery became the dominant mode of expression on TV We ve now reached a point where this tendency toward tabloid media has infected even our

    Original URL path: http://www.chninternational.com/Commentary_by_CECKSTEIN_re_tabloids.html (2016-02-17)
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  • More News Surrounding Terri
    her in their adopted state of Florida But her husband Michael Schiavo ordered her cremation and said her ashes would be buried in his family s plot in Pennsylvania the state where Terri Schiavo grew up and where the couple met Michael Schiavo has not said when his memorial service will be held but he is under a court order to notify the parents of his plans Schiavo s attorney George Felos did not return a call Tuesday seeking comment The 41 year old brain damaged woman died Thursday after a long bitter legal battle between her husband and parents Court appointed doctors said she was in a persistent vegetative state and Michael Schiavo said his wife would not want to be kept alive artificially Her parents doubted she had such end of life wishes and disputed she was in a persistent vegetative state The dramatic case reached all the way to Congress the U S Supreme Court the Vatican and White House in recent weeks as the Schindlers tried to block the court order that allowed Michael Schiavo to remove the feeding tube The Schindlers had asked a judge to allow her body to remain intact and have her buried in Florida so they can visit the grave But a judge refused to intervene Terri Schiavo was 26 when her heart stopped beating temporarily in 1990 causing monumental brain damage Doctors later attributed it to a chemical imbalance possibly brought on by an eating disorder Copyright 2005 The Associated Press All rights reserved This material may not be published broadcast rewritten or redistributed Copyright 2005 ABC News Internet Ventures http abcnews go com US print id 644721 15 years ago Terri Schiavo s last hope By HEDDY MURPHEY Published March 24 2005 To date The St Petersburg Times has published about 500 articles about Terri Schiavo The first one appeared almost 15 years ago on Nov 15 1990 At the time the city of St Pete Beach was still called St Petersburg Beach and Michael Schiavo and Terri s parents were still speaking to one another Here is the story exactly as it was published MIKE WILSON assistant managing editor Newsfeatures ST PETERSBURG BEACH Mike Schiavo vividly remembers the morning of Feb 25 Usually a late sleeper Schiavo awakened suddenly about 5 a m and started to get out of bed For some strange reason that day I was just taking the covers off and then she hit the floor he said Schiavo s 26 year old wife Terri had suddenly and as yet inexplicably suffered a loss of potassium in her body that caused her heart to stop beating She was rushed to the hospital She has been in a coma ever since Efforts to bring Mrs Schiavo out of her coma have become a community crusade The city of St Petersburg Beach passed a resolution Tuesday declaring Feb 17 1991 as Terri Schiavo Day On that day volunteers plan to conduct a huge beach party to raise money to help pay for an experimental operation that according to Dr David Baras medical director of Bayfront Rehabilitation Center is Mrs Schiavo s last hope The prognosis is poor Fair at best without any further treatment Baras said This surgery is brand new It s experimental It s sort of like our last chance Members of the Vina Del Mar Civic Association also have asked city officials if they can name one of the new dune walkovers in Mrs Schiavo s honor They hope to raise money by having people buy individual planks on the walkover to be engraved with either their own name or the name of someone they wish to honor The operation will be performed by Dr Yoshio Hosobuchi of the University of California at San Francisco later this month According to Mrs Schiavo s family expenses for the trip to California operation and subsequent rehabilitation will cost at least 100 000 Mary Schindler Mrs Schiavo s mother said the family is being permitted to make an initial down payment for the procedure and pay the balance as they can Mrs Schiavo is being cared for at College Harbor nursing facility Schiavo and Mrs Schindler said they tried to care for her at home but because Mrs Schiavo has a tube in her stomach and is catheterized they found the task too much for them to handle They visit her daily The fight to bring Terri out of her coma also is being fought in the legal arena Schiavo recently filed his second lawsuit against the Prudential Insurance Co of America Mrs Schiavo worked for Prudential and was insured by the company Schiavo s first lawsuit over benefits was settled in July Among other things the latest suit filed Monday contends that Mrs Schiavo is entitled to long term nursing care Prudential has taken the position that family should take care of those needs after a week of training We don t think that meets terms of the contract said Roland Lamb Schiavo s attorney Mrs Schiavo s family is paying about 3 000 a month for her care at College Harbor Schiavo said Jeff Kovalesky director of group operations with Prudential said Wednesday he was not aware of the latest suit and declined to comment further He said the terms of the earlier settlement prevent both parties from discussing Mrs Schiavo s condition or benefits publicly Lamb said Prudential will not help pay the cost of Mrs Schiavo s upcoming surgery because it is experimental Dr Raj Narayan associate professor of neurosurgery at Baylor College of Medicine said he is familiar with Hosobuchi s work and confirmed the experimental nature of the proposed surgery There has been very little done with it in the U S Most of the experience has been in Japan and Europe he said The procedure has been performed on 120 patients worldwide he said Thirty percent showed some improvement he said adding that the operation is considered risky Narayan chairman

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  • Killed by Euphemisms
    not close to dying For death to arrive she would have to be killed And for that to happen the use of words like starvation and dehydration would have to be discouraged Those words might after all have reminded us that what was done to Schiavo would be criminal if done to an animal and provoke cries of torture and cruel and unusual punishment if done to a convicted capital murderer And killed of course was totally verboten Schiavo was being removed from life support not denied basic sustenance The phrase persistent vegetative state had to be repeated constantly never mind that basic tests were never performed to establish this diagnosis and such diagnoses have a very high error rate and treated as though it meant brain death We were told that her choice to die was being honored although the evidence that she had at age 26 given any considered thought to her own mortality and potential incapacity was thin and highly suspect its lone source being a husband who incongruously proclaimed his solemn fidelity to this purported wish of Terri even as he started up a new family denied Terri basic care and insisted on denying her heartbroken parents their desire to care for their child The charade here was not performed to protect Terri Schiavo s dignity but to increase the public s comfort with the devaluation of life So it was that Michael Schiavo s lawyer the euthanasia enthusiast George Felos sketched for the media which was naturally not permitted to observe Terri s deteriorating condition a rosy portrait of Terri s extremis radiantly beautiful soothed by soft music and the comfort of a stuffed animal Next time it will be easier It always is The scene of course was not set for her By Felos

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  • New Page 1
    don t fit in Teachers with public opinions like that don t fit in Cooper Dowda said she was also called a religious wacko on more than one occasion even though she only mentioned her religious beliefs in passing during the interview The principal various teachers my supervisor aides paraprofessionals everyone was saying Teachers aren t allowed to have opinions especially about Terri Schiavo and especially if you re already a seminary grad uate Cooper Dowda alleged And I m thinking Wow I thought this was America The situation went from bad to worse Cooper Dowda claimed when several copies of a booklet she had written detailing the similarities between her experience and that of Terri Schindler Schiavo appeared on campus At age 30 the teacher contracted a severe case of lupus that left her unable to speak and with very little control over her motor functions She listened helplessly as doctors incorrectly diagnosed her as being in a Persistent Vegetative State the same condition some physicians believe afflicts Terri and described her chances for recovery as hopeless I could hear all that Cooper Dowda recalled It took a huge effort to finally communicate I m in here And I barely survived Though she could not speak Cooper Dowda would use her finger to write the word no in the air when doctors discussed removing her life support Those same doctors diagnosed her attempts to communicate as seizure activity and sedated her According to Cooper Dowda the harder she tried to communicate with her caretakers the more heavily she was sedated The curiosity of one nurse saved Cooper Dowda s life she said She refused to believe that the systematic pattern of tapping and blinking and moving and moaning was not communication Cooper Dowda recalled So when I went to Terri Schiavo s October 2002 hearing I saw the videos for the first time and I was writing about it and I thought That could have been me and then I thought Oh it was me That nurse put ink on the incapacitated woman s fingertip Cooper Dowda was then able to write the letter y for the word yes and n for no proving that the doctors had been wrong about her condition Since then Cooper Dowda has completed a second master s degree and given birth to a son who is about to enter college She told CNSNews com that after 25 years of teaching at private schools she finally realized her dream of working with disabled students in a public school system She began work at Bay Point Middle School on Aug 1 But after the television interview and the unexpected arrival of her writing about Terri Schiavo s case appeared on campus Cooper Dowda said it became almost impossible to do the job she so loved After that I couldn t get the most accepted basic support like needed room supplies memos about meetings campus police help when any of my kids needed to be removed

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  • Nat Hentoff It
    lives and useless eaters in the summer of 1939 pre dating their full scale organization of the Holocaust in which they killed 6 million Jews Emphasis added The more than 200 000 worthless lives terminated by the Nazis before the Holocaust included few Jews Most of those killed were other Germans considered unfit to be included in the master race Among the defendants at the Nuremberg trials of Nazi leaders and their primary accomplices in the mass murder were German doctors who had gone along with the official policy of euthanasia An American doctor Leo Alexander who spoke German had interviewed the German physician defendants before the trials and then served as an expert on the American staff at Nuremberg In an article in the July 14 1949 New England Journal of Medicine Dr Alexander warned that the Nazis crimes against humanity had started from small beginnings merely a subtle shift in emphasis in the basic attitude of the physicians It started with the acceptance basic in the euthanasia movement that there is such a thing as life not worthy to be lived That shift in emphasis among physicians said Dr Alexander could happen here in America Actually the devaluing of apparent imperfect life had begun years before in the United States Various academics in and out of the medical profession had successfully advocated and instituted a eugenics movement the perfecting of future generations of Americans by deciding who depending on their hereditary genes would be allowed to have children The unfit would no longer be permitted to reproduce These American eugenicists provided German proponents of a master race with inspiration As Robert Jay Lifton wrote in his invaluable book The Nazi Doctors Basic Books A rising interest in eugenics in America had led by 1920 to the enactment of laws in twenty five states providing for compulsory sterilization of the criminally insane and other people considered genetically inferior Emphasis added Paying attention in Germany Heinrich Himmler one of Hitler s executioners said the Nazis were like the plant breeding specialist who when he wants to breed a pure new strain goes over the field to cull the unwanted plants Under the Nazis there were eugenics courts to decide who could have children In the United States Supreme Court Buck v Bell 1927 Justice Oliver Wendell Holmes ruling that 18 year old Carrie Buck should be involuntarily sterilized famously wrote If instead of waiting to execute degenerate offspring for crime or to let them starve for their imbecility society can prevent those who are manifestly unfit from continuing of their kind Three generations of imbeciles are enough Only Justice Pierce Butler dissented In this country the eugenics movement lost its cachet for a time because the Nazis had gone from sterilization of the disabled to herding the religiously racially and politically unfit into gas chambers But there has been an American revival of eugenics in certain elite circles A few years ago an archconservative who had talked with some of

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  • Editor
    which is illegal in America but not in the Netherlands where morphine is the drug of choice for overdose Says Seidler Surely effective doses of morphine would have brought this sorry saga to a more hasty end Dr Seidler had no problem uttering his disappointment Alas the doctors treating Terri will be probably scrutinised intensively and no opioids will be allowed Dr Seidler is wrong again when he says Terri is brain dead even the physicians who favored the removal of her tube agree she is definitely not brain dead brain damaged yes Finally he adds this chilling nihilistic remark As one senior nurse put it We treat them too well They go on and on for years causing untold suffering for their families Dr Seidler s attitude reminds me of Michael Schiavo s lawyer George Felos who is every bit a morally recusant as Seidler Be careful who you pick to be your primary care physician warns Eckstein Source Re Fact is Terri is so healthy the only way to end her life is to refuse her food and water Rapid Responses Raymond C Seidler bmj com 26 Mar 2005 The BMJ s article President Bush and Congress intervene in right to die case solicited a number of response s most spoke compassionately and offer a good read The URL for the other RAPID RESPONSES letters http bmj bmjjournals com cgi eletters 330 7493 687 a 101447 Fact is Terri is so healthy the only way to end her life is to refuse her food and water 25 March 2005 Cheryl Eckstein CEO Compassionate Healthcare Network 11563 Bailey Cres Surrey BC Canada v3v2v4 Send response to journal Re Fact is Terri is so healthy the only way to end her life is to refuse her food and water As

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