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June 15, 2005

Father Rob on BlogsForTerri: "Will Autopsy Report Make 'Outlandish' Claims?"

Writing at "BlogsForTerri" on the upcoming release of the report on Terri Schiavo's autopsy, Reverend Robert Johansen(Father Rob) predicts the outcome of the report:

As the previous entry reports, the long-awaited autopsy results for Terri Schiavo will be released later today.

Pinellas County Medical Examiner Jon R. Thogmartin will hold a press conference on the autopsy report at 11:00 AM Wednesday.

What the report will conclude is not yet known, but the Schindler family and many supporters of Terri's right to live hope the autopsy will provide clues regarding the cause of the cardiac arrest which led to her anoxic brain injury in 1990. They also hope that the autopsy will provide evidence of the abuse of which they have accused Michael Schiavo.

I am not terribly optimistic that the autopsy will provide evidence of either the cause of Terri's cardiac arrest or any abuse. I think there was simply too much time between Terri's injury(ies) and her death for any such evidence to still be detectable.

What I am most interested to see is whether or not, as Michael Schiavo and his attorney George Felos hope, the M.E. purports to draw any conclusions regarding whether Terri was in a PVS (Persistent Vegetative State).

As many readers will recall, when George Felos announced that Michael would "permit" an autopsy (the matter was later shown to be completely out of his hands), he said that Michael wanted "definitive proof showing the extent of her brain damage".

Of course, as I pointed out back then, an autopsy cannot possibly "prove" whether Terri was PVS or not. Indeed, Dr. Bernardine Healy, a former Director of the National Institutes of Health and medical columnist for U.S. News & World Report, responded to Felos' announcement, in an appearance on MSNBC, by pointing out that an autopsy can tell us nothing about Terri's neurological function. She lamented the surreal reasoning by which Michael would permit an autopsy when Terri was dead, but refused the medical tests that could assess Terri's brain function while she was still alive.

The inability of an autopsy to retrospectively diagnose PVS did not stop some "talking heads" on cable news shows from offering ill-informed speculation. One pathologist, appearing on Greta Van Sustern's "On The Record" (partial transcript), said that though a determination that Terri was PVS could not be made with 100% certainty, nonetheless an autopsy could confirm the extent of Terri's brain damage - her "loss of neurons" - and whether she was in fact in a PVS.

Neurologists react to statements such as the above with incredulity. Dr. Mack Jones, a Florida neurologist I interviewed for my National Review Online article "Starving For a Fair Diagnosis", characterized such claims as among "the most outlandish statement[s] that I have ever heard". He continued, saying:

Autopsy findings cannot diagnose PVS. I expect evidence of severe brain damage consistent with hypoxic - ischemic injury to the cerebrum with subsequent atrophy. These findings nor any other findings have no bearing on the diagnosis of "minimal consciousness" or PVS.

Continue reading "Will Autopsy Report Make 'Outlandish' Claims?"



Posted by Richard at June 15, 2005 10:43 AM






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