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To: Cboldt
"There is more. The general sense I get from reading the deposition is that this doctor is unable to conclude how Terri obtained her injuries, but that the totality injuries is not consistent with a falling down incident, or with CPR, or with being manipulated by physical therapists, or due to bone weakening - skeletal rearrangement due to being bedridden for a year."

Sorry, but I studied this deposition thoroughly, as well as the other court docs, and have a decent medical background personally.

Walker himself says in the depo that the ribs and vertebra are consistent with CPR and her fall to the floor. He also had to study up on the HO thing the night before, and when asked about it, he admitted her other doctors (who said her joint problems were due to HO) would know better than he did.

As for the bruised femur, if you read the other physicians' replies to the hysterical codebluelog doctor when he said this looked like trauma, well, it's no wonder he was deleting a few. They made him look stupid, and said it was all consistent. They figure her knee/femur hit the bathtub or toilet.

I wrote my page about it, and had 3 other doctors look at it before I put it up, and they all said it was 100% correct and consistent.
337 posted on 04/17/2005 11:57:49 AM PDT by Trinity_Tx (9/9/2000) I'd rather be uncertain in my pursuit of truth than certain in my defense of a falsehood)
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To: Trinity_Tx
Two of the latest physicians interpretations I just grabbed real quick - just 2 of the many, and they agree with the 3 other physicians I had look at my page and the full deposition:


I think it's better to go to the horse's mouth if possible. Here's what I got from reading radiologist Walker's deposition several days ago.

Radiologist did not see the patient.
Injuries were not considered life-threatening enough to notify the referring physician (Carnahan).
No evidence of blow to the head.
Use of words "trauma" and "traumatic" is based in part on the type of patient typically referred by Carnahan and on the instruction to "evaluate for trauma".
Right ventral femur injury is consistent with falling against a piece of furniture.(1)
Minor L1 fracture is possible from falling to the floor.

Drs. Alcazaren and Carnahan, both of whom had direct contact with the patient and the latter having ordered the bone scan, did not corroborate the view that the patient had a "history of trauma", specifically abuse. Certainly the defendants in the 1992 malpractice case would have liked to deflect the blame for Mrs. Schiavo's fate onto an abusive husband, but they were not able to do so.

I just don't see a case for abuse here.

(1) According to the police report, she was found with her feet in the bathroom. If she had just emptied her bowels or vomited, she could have done a Valsalva's maneuver which precipitated the cardiac arrest and subsequent collapse. The injury to the front of her thigh could have been from falling against the toilet or bathtub rim, for example, assuming it occured at time of cardiac arrest and not subsequently or previously.

Posted by: mod ervador


More on the Bone Scan: ( I am a board-cert. radiologist, and a neuroradiologist) I just read the deposition of the radiologist who interp. the scan. He mentions multiple bilat. ribs, L 1, which was xrayed, Bilat SIJ, knees(I think-unclear), ankles and periosteal reaction R femur.I mentioned previously the lit on eating disorders/osteoporosis and fractures. The ribs may be due to the resuscitation. The bilat joints--SIJ's, knees(?), ankles-unusual in abuse.Common in metabolic disorders. I can think of two: a formerly starving person who is now adequately nourished (feeding tube).Then there would be increased joint activity, bilateral and diffuse. Also now adequately nourished but with disuse osteoporosis due to immobility, making the (natural) joint activity stand out. Periosteal reaction could be trauma, also reflecting healing insufficiency fracture. Children get diffuse periosteal reaction when the grow fast. Re the K+ 'imbalance'--remember that Mrs. S had a very LOW K, not just an 'imbalance'. It is virtually impossible for a well young woman to have low K,unless she is vomiting and drinking quantities of water or-iced tea. Then it could happen.

Posted by: Kate Killebrew, MD
|
338 posted on 04/17/2005 12:22:13 PM PDT by Trinity_Tx (9/9/2000) I'd rather be uncertain in my pursuit of truth than certain in my defense of a falsehood)
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To: Trinity_Tx
Cboldt: this doctor is unable to conclude how Terri obtained her injuries, but that the totality injuries is not consistent with ...

As for the bruised femur, if you read the other physicians' replies ...

http://home.comcast.net/~trinity_tx/attacktheory.htm <-- Your page
... 3 other doctors look at it before I put it up, and they all said it was 100% correct and consistent.

Here is what your webpage says about the bonescan deposition ...

First, remember that a bone scan is very non-specific - it only shows where there is calcium uptake more or less.

Also remember that the radiologist said he calls any discontinuity of bony substance a "fracture". He had never laid eyes on Terri Schiavo, or knew what her condition was, or why the scan was ordered.

Here is what was described in the deposition:

The rest of the so-called "fractures" were deemed by her attending physicians, who specialize in such matters, to be joint problems common among bedridden patients undergoing therapy. Her doctors ordered the bone scan because of this, and treated the hot joints.

Her right knee was stiff within the first 8 days - look at the bottom of the discharge summary - they x-rayed it on 3-5-90, and it showed no bony problems.

She also had a neck x-ray right off, and it showed nothing but the spastic rigidity mentioned above.

Not making any judgement. Just putting the information here for others' convenience of reading.
339 posted on 04/17/2005 12:23:35 PM PDT by Cboldt
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