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Schiavo recovery impossible, experts agree
Reuters ^ | 3.21.05

Posted on 03/21/2005 12:53:21 PM PST by ambrose

Schiavo recovery impossible, experts agree

21 Mar 2005 18:02:01 GMT

Source: Reuters

WASHINGTON, March 21 (Reuters) - Terri Schiavo, at the center of an emotional and political storm over whether she should be allowed to die, will almost certainly never recover from her unconscious condition, neurologists agree.

She is in a permanent vegetative state, and no one has ever come back from such a condition, according to the American Academy of Neurology.

"Approximately 10,000 to 25,000 adults and 6,000 to 10,000 children in the United States are diagnosed as being in the persistent vegetative state," the Multi-Society Task Force on Persistent Vegetative State says in its 1995 guidelines on the condition, the latest available.

"Survival beyond 10 years is unusual. The chance for survival of greater than 15 years is approximately 1 in 15,000 to 1 in 75,000," it adds.

While most neurologists agree that recovery is almost impossible, the decision on whether and how long to keep such a patient alive is usually left to the individual doctor and the patient's guardian.

Schiavo has been in the condition, which is far more severe than a coma, since she had a heart attack in 1990 that deprived her brain of oxygen. Under the medical definition, that became a permanent state after a month.

Her husband and legal guardian, Michael Schiavo, has fought to allow her to die and courts have supported him.

The tube was removed on Friday after Florida courts rejected numerous last-ditch legal attempts by the parents, Bob and Mary Schindler, to keep their daughter alive. But early in the hours of Monday morning President George W. Bush signed a bill allowing federal courts to again intervene in the matter.

The Schindlers believe their daughter responds to them and her condition could improve with treatment. Tennessee Sen. Bill Frist, a surgeon and Senate majority leader, has viewed videotapes and agrees.

But Dr. Ronald Cranford, a neurologist and bioethicist at the University of Minnesota Medical School, said reflexes can fool non-specialists.

"To the families and loved ones, and to inexperienced health care professionals, PVS patients often look fairly 'normal,'" Cranford said in a statement.

"Their eyes are open and moving about during the periods of wakefulness that alternate with periods of sleep; there may be spontaneous movements of the arms and legs, and at times these patients appear to smile, grimace, laugh, utter guttural sounds, groan and moan, and manifest other facial expressions and sounds that appear to reflect cognitive functions and emotions, especially in the eyes of the family."

Such patients can even squeeze a hand in response to a caress, Swedish Covenant Hospital in Chicago says in guidance posted on its Internet Web site.

"Sadly, these actions often appear meaningful to hopeful families but are all automatic reflexes -- not movements with a purpose," it reads.

"There are no confirmed reports of anyone fully recovering from a permanent vegetative state lasting more than three months."

This is because in such patients, the cerebral cortex has been destroyed, said Dr. Lawrence Schneiderman, a physician and bioethicist at the University of California, San Diego.

"Four to six minutes of anoxia, lack of oxygen, destroys that completely," Schneiderman wrote in comments posted on the Internet at http://seeingthedifference.berkeley.edu/schneiderman.html.

"The rest of your brain, particularly the brain stem, can survive for fifteen or twenty minutes without oxygen," added Schneiderman, who signed a friend of the court brief in July of last year supporting Michael Schiavo.

"What happens is that that part of the brain, the cerebral cortex, which is us, our personality, who we are, how we think -- our capacity to experience, see, hear, think, emote -- that may be permanently destroyed."

Experts say Terri Schiavo would experience no discomfort if allowed to die, as the part of her brain that experiences pain is unlikely to be functioning.


TOPICS: Culture/Society
KEYWORDS: disabled; medialies; msmlies; schiavo; terri; terrischiavo; terrisnotpvs
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1 posted on 03/21/2005 12:53:21 PM PST by ambrose
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To: ambrose

What would we do without experts?


2 posted on 03/21/2005 12:54:21 PM PST by Snickersnee (Where are we going? And what's with this handbasket?)
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To: ambrose

So all PVS patients should be murdered?


3 posted on 03/21/2005 12:55:13 PM PST by KC_Conspirator (This space outsourced to India)
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To: ambrose
It's impossible that a Down's Syndrome patient will "recover", as well.

I guess if a person is disabled and recovery is impossible we can just kill them.

4 posted on 03/21/2005 12:55:16 PM PST by Dr. Frank fan
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To: Snickersnee
What would we do without experts?

So, you never go to see doctor?

5 posted on 03/21/2005 12:55:24 PM PST by nyg4168
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To: ambrose

Bump


6 posted on 03/21/2005 12:55:39 PM PST by Peach (The Clintons pardoned more terrorists than they ever captured or killed.)
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To: ambrose
Okay, The headline is:
"Recovery Impossible" The text says,"almost certainly".

Is it just me, or does anyone else have a problem with that?

7 posted on 03/21/2005 12:55:47 PM PST by Mad Dawg (My P226 wants to teach you what SIGnify means ...)
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To: ambrose

I had a hard time getting past the 1st paragraph in this piece of propaganda. Joseph Goebbels would be totally proud of this reporter.


8 posted on 03/21/2005 12:55:50 PM PST by 2nd amendment mama ( www.2asisters.org • Self defense is a basic human right!)
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To: KC_Conspirator

Guess that is what they are saying. Why bother keeping alive someone who is going to die anyways! SICK!


9 posted on 03/21/2005 12:56:01 PM PST by Halls
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To: ambrose

This depends upon whose side the experts are on ~~ pro-death or pro-life.


10 posted on 03/21/2005 12:56:01 PM PST by Daisy4
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To: ambrose

Which experts are they talking about? All the experts they could find wandering the street at 2:30 in the morning? What's the requirement for becoming one of these vaunted experts?


11 posted on 03/21/2005 12:56:02 PM PST by Luircin (Conservatives want to turn losers into winners. Liberals want them to feel good about being losers.)
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To: ambrose
Wasn't Sean Hannity going to have some Nobel Prize winner on his show today who disagrees?

If so, looks like Rooters missed an expert...

12 posted on 03/21/2005 12:56:36 PM PST by mewzilla (Has CBS retracted the story yet?)
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To: ambrose

Bravo Sierra


13 posted on 03/21/2005 12:56:59 PM PST by yldstrk (My heros have always been cowboys-Reagan and Bush)
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To: ambrose
Okay, The headline is:
"Recovery Impossible"

The text says:
... almost certainly ...

Is it just me, or does anyone else have a problem with that?

14 posted on 03/21/2005 12:57:11 PM PST by Mad Dawg (My P226 wants to teach you what SIGnify means ...)
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To: ambrose
This is just like Hillarycare--leave it to The Chosen to decide if you should starve your daughter to death, what do YOU know about anything?

I believe that she will not come out of this current state. Neither will thousands of mentally handicapped people. I guess we MUST starve them ,too, because...well, because, that's why. (?)

15 posted on 03/21/2005 12:57:23 PM PST by Darkwolf377 (Agnostic for life)
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To: Halls

I am stunned by the inhumanity of many people. To me, the issue is crytal clear. The woman is still alive and has rights like you and me, but the courts are gong to starve her.


16 posted on 03/21/2005 12:57:48 PM PST by KC_Conspirator (This space outsourced to India)
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To: ambrose

These so called experts have not examined her. They are only going by what the court allows her to be medically defined as. The court only allowed the opinion of the doctors that are paid for by Michael. A new independent evaluation of Terri's medical condition needs to be done.


17 posted on 03/21/2005 12:58:03 PM PST by Jersey Republican Biker Chick (Never play leapfrog with a unicorn!)
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To: ambrose

This depends upon which side the "experts" are on. Pro-life or pro-death.


18 posted on 03/21/2005 12:58:15 PM PST by Daisy4
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To: ambrose
"Survival beyond 10 years is unusual. The chance for survival of greater than 15 years is approximately 1 in 15,000 to 1 in 75,000," it adds.

So she probably is not in PVS, as she has survived more than 10 years.

She wakes up when people talk to her, and she tried to speak on Friday [Rush Limbaugh read letter about this].

The experts sounds like screw ball cases like the Princeton nut case who claims you should be able to murder babies after they are born...

19 posted on 03/21/2005 12:58:26 PM PST by Richard Proute (Richard Prouty of Scituate -- Great, Great, Great Grandson)
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To: ambrose
""Survival beyond 10 years is unusual. The chance for survival of greater than 15 years is approximately 1 in 15,000 to 1 in 75,000," it adds."

Doesn't this go a long way to proving she isn't in a persistent vegetative state? She's already survived 15 years, and while it's certainly possible she is in the 1/15,000 to 1/75,000 group, it would seem more likely that she doesn't belong in that group anyway.
20 posted on 03/21/2005 12:58:32 PM PST by Moral Hazard (I'm an atheist gamer. I don't believe in God Mode.)
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