Some snippets of William Cheshire on Terri Schiavo (Neurologist who Jeb Bush mentioned in PC)

One last thing from that Cheshire affadavit: "The nurses at Woodside Hospice told us that she often has pain with menstrual cramps. Menstrual flow is associated with agitation, repeated or sustained moaning, facial grimmacing, limb posturing, and facial flushing, all of which subside once she is given ibuprofen...." Posted at 08:22 PM

…How medicine and society choose to think about Terri Schiavo will influence what kind of people we will be as we evaluate and respond to the needs of the most vulnerable people among us. When serious doubts exist as to whether a cognitive impaired person is or is not consciously aware, even if these doubts cannot be conclusively resolved, it is better to err on the side of protecting vulnerable life…

…Terri Schiavo demonstrates behaviors in a variety of cognitive domains that call into question the previous neurological diagnosis of persistent vegetative state. Specifically, she has demonstrated behaviors that are context-specific, sustained, and indicative of cerebral cortical processing that, upon careful neurological consideration, would not be expected in a persistent vegetative state.

Based on this evidence, I believe that, within a reasonable degree of medical certainty, there is a greater likelihood that Terri is in a minimally conscious state than a persistent vegetative state. This distinction makes an enormous difference in making ethical decisions on Terri’s behalf. If Terri is sufficiently aware of her surroundings that she can feel pleasure and suffer, if she is capable of understanding to some degree how she is being treated, then in my judgment it would be wrong to bring about her death by withdrawing food and water….

RE: RE: READ IT AND WEEP [K. J. Lopez ]
More from Dr. Cheshire’s affidavit:

There is a remarkable moment in the videotape of the September 3, 2002 examination by Dr. Hannesfahr that seemed to go unnoticed at the time. At 2:44 p.m., Dr. Hammesfahr had just turned Terri onto her right side to examine her back with a painful sharp stimulus (a sharp piece of wood), to which Terri had responded with signs of discomfort. Well after he ceased applying the stimulus and had returned Terri to a comfortable position, he says to her parents, “So we are going to have to roll her over….” Immediately Terri cries. She vocalizes a crying sound, “Ugh, ha, ha, ha,” presses her eyebrows together, and sadly grimaces. It is important to note that, at that moment, no on is touching Terri or causing actual pain. Rather, she appears to comprehend the meaning of Dr. Hammesfahr’s comment and signals her anticipation of pain. This response suggests some degree of language processing and interpretation at the level of the cerebral cortex. It also suggests that she may be aware of pain beyond what could be explained by simple reflex withdrawal.

This neurologist who Jeb Bush mentioned in his press conference earlier today, William Cheshire, says outright that he believes that "it can be ethically permissible to discontinue artificially provided nutrition and hydration for parsons in a permanent vegetative state." But having "met and observed Ms. Schiavo in person" he doesn't believe this should be happening to Terri Schiavo.

He states that "There remain, in fact, huge uncertainties in regard to Terri's true neurological status." She hasn't been fully evaluated by a neurologist for three years, he says, has not had an MRI or a PET. And some of the technology to determine if a patient is in a minimally conscious state has only emerged in the last few years. "New facts have come to light in the last few years that should be weighed in the neurological assessment of Terri Schiavo."

He writes that Terri Schiavo “demonstrates a number of behaviors that I believe cast a reasonable doubt on the prior diagnosis of PVS.” Among these observations, he pinpoints: “Her behavior is frequently context-specific. For example, her facial expression brightens and she smiles in response to the voice of familiar persons such as her parents or her nurses…Several times I witness Terri briefly, albeit inconsistently, laugh in response to a humoroius comment someone in the room had made. I did not see her laugh in the absence of someone else’s laughter.”.. Posted at 06:54 PM

A doctor who has seen Terri Schiavo this month says she seems to be aware of what's going on and appears to feel pain.

This is a partial transcript from "Hannity & Colmes," Mar. 21, 2005, that has been edited for clarity.

Watch "Hannity & Colmes" weeknights at 9 p.m. ET!

SEAN HANNITY, CO-HOST: As we continue on "Hannity and Colmes," I'm Sean Hannity. Right now, we're broadcasting live outside the hospice where Terri Schiavo () is right now. Of course, her feeding tube has not been reinserted as of this point.

Joining us now is Dr. Bill Hammesfahr. And Dr. Hammesfahr, thanks for being with us.

DR. BILL HAMMESFAHR: Thanks for having me.

HANNITY: You were nominated for a Nobel Prize () in medicine?

HAMMESFAHR: Yes.

HANNITY: In 1999? For your work...

HAMMESFAHR: ... in patients like Terri. For brain injury and stroke patients. We discovered how you get these people better, and we did it for 10 years with Medicare. We got evaluated by the state of Florida and we first discovered a technique that works in people like Terri.

HANNITY: This is what I want to talk about. You have spent, unlike Robert Wexler, who was commenting on medical issues this weekend, you spent how many hours with Terri?

HAMMESFAHR: I spent about 10 hours with Terri across three separate occasions, and I spent a lot of time with videotapes, the medical record which is in boxes and boxes and boxes. for about a year. And of course, you know, I spending time interviewing the family and people who actually have seen her. So I've spent a lot of time with her.

HANNITY: Do you believe she is aware, conscious and responsive?

HAMMESFAHR: Terri is completely aware and conscious and responsive. She is like a child with cerebral palsy. We have kids in the Pinellas County school system every day that are much worse than her, that we're educating.

HANNITY: Doctor, wait a minute. I've got to get this straight here.

You were nominated to get a Nobel Peace Prize in this very work. Are you saying that this woman could be rehabilitated?

HAMMESFAHR: Absolutely.

HANNITY: Could she talk one day?

HAMMESFAHR: Yes.

HANNITY: Then how is it possible we're in this position if you have examined her, you were up for a Nobel Prize. I -- this is mind boggling to me.

HAMMESFAHR: I don't understand it myself. You know, this is a -- this is a case of a terrible error that's happened and it's a grievous case.

You know, what struck me about Congress, in the last couple of days is that there we have physicians who examined the videotapes, examined the same evidence I had, examined my records, my evaluation of her, stepped forward and said, this is not a person in a coma. This is not a person in PVS (a persistent vegetative state). We have to stop this.

HANNITY: All right.

HAMMESFAHR: It just goes to show, you do not want your medical care delivered by a judge.

HANNITY: Well, this is what I want to understand. This is your area of expertise that got you nominated for one of the most prestigious awards in medicine, the Nobel Prize.

And you're saying after a thorough examination of 10 hours total with her, and an examination of records and an examination of records and an examination of tapes regarding her, that she could be rehabilitated. What about all of these other people that have said that that's not possible, how can we have disparaging?

HANNITY: It's not all of these other people. There's four people on the other side, who say she can't be rehabilitated. All were paid individuals. Three by George Felos...

HANNITY: ...and you're not paid?

HAMMESFAHR: I was not paid. Now, if you look at the people who are on Terri's side and stepped forward, at last count, two weeks ago, 33 M.D.s, brain injury specialists from around the country, places like UCLA, Tulane, LSU, Boston University --Thirty-three physicians has stepped forward to say that this person can be rehabilitated. She's not in PVS, not in a coma. And the -- Judge Greer ignored this.

ALAN COLMES, CO-HOST: Dr. Hammesfahr, it's Alan Colmes in New York. Thank you for being with us.

One of the other doctors who examined her, and by the way, among those doctors there were those who were not paid, who were independent, who were not on either side. --

Dr. Ron Cranford, who'll be on this show tomorrow night. I want to put up what he said:

He said, "She's vegetative. She's flat out vegetative. There's never been a shread of doubt that she's vegetative, and nothing's going to change that."

"This has been a massive propaganda campaign, which has been very successful, because it deludes the public into thinking she's really there."

Explain to me, as a lay person, what I'm supposed to believe, hearing medical authorities saying what you say and saying what Cranford says?

HAMMESFAHR: Well, I think you need to go and look at the videotape of Dr. Cranford. Dr. Cranford's videotape compliments Terri on following commands. At one point he moves a balloon around in front of her and he again compliments that she is able to see it that she can follow commands.

And I also think that you need to look a little closer. Dr. Cranford's work has been attacked by other medical professionals in peer reviewed journals such as "Lancet." So I think that we to look a little bit deeper at Dr. Cranford.

COLMES: Well, he's going to be here tomorrow night. We'll ask him. But Judge Greer also said that you said you've have treated patients worse off than Mrs. Schiavo but have not produced any case histories. Can you tell us of one?

HAMMESFAHR: Oh, that's not true. That's not true.

COLMES: You didn't produce any evidence?

HAMMESFAHR: Well, the specific request was to produce a videotape of a person exactly like Terri Schiavo. No two patients are exactly alike but, in fact, we have videotapes and we're releasing them tomorrow and have released them previously, if you call my office, you'll get informational videotapes of people much worse than Terri who are better, one of them three months into their treatment is talking.

COLMES: All right. We would love to know of a similar case where somebody got cured. Thank you for being with us.

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