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jackson hospital in south miami Facts vs. media fictions about Terri's actual condition
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Yer ass is lookin' mighty red from where I stand. More than we needed to know, Glenn. That the _title_ to a song, or are you confusing me with someone else.
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jackson hospital in south miami Facts vs. media fictions about Terri's actual condition
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*** POSSIBLE ACTION STEPS *** Michael sues the arse off fuckwits like yourself who maliciously libel him on Usenet and elsewhere.
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jackson hospital in south miami Facts vs. media fictions about Terri's actual condition
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Report of Neurologist William-Hammesfahr-MD-09-12-02, _link_ed to from http://www.hospicepatients.org/terri-schindler-schiavo-docs-_link_s-pag... and specifically at http://www.hospicepatients.org/william-hammesfahr-md-09-12-02-report-... I inserted about 3 periods, and changed a comma into a period. What I underlined while reading this appears in these extracts: September 12, 2002 .... Her admission laboratory studies showed low potassium level, markedly elevated glucose level, and a normal toxic screen without evidence of diet pills or amphetamines. The abnormal potassium level and sugar level were found on admission to the Emergency Room and were successfully corrected by the hospital staff over the next several days. The patient had a difficult hospital course with the development of poorly controlled seizures and prolonged coma state requiring, for a time, ventilator support. However, the staff noted improvement, and it was recommended by several physicians that she be discharged to an intensive rehabilitation center. She was eventually transferred to Mediplex in Bradenton for intensive rehabilitation. She was poorly responsive. However, after a brain stimulator was placed in 11/90, the staff started to report greater interactions of the patient with her environment, including intermittently apparently following commands, turning her head to voice, tracking visually, etc. This pattern continued even after discharge to a nursing home, although her course from that time on included multiple medical problems including recurrent urinary tract infections and hospitalizations, at times with severely low episodes of blood pressure due to a lack of treatment of urinary tract infections ordered by the husband and subsequent urinary sepsis requiring hospitalization. + All three physicians stated that it is visually apparent that Ms Schiavo is able to swallow and, in fact, does swallow her own saliva. The patient continued with no physical therapy, communication or speech therapy, or routine medical screening evaluations and treatment such as dental care, mammography, gynecological exams or pap smears during this time. In May 2002, access to the patient was allowed for two physicians appointed by the family. At that time, my observation of Terri Schiavo in person occurred, having previously viewed videotape that was first shown at her first trial. .... On September 3, I spent from approximately 11AM until 4PM with Ms. Schiavo, returning the next day to also observe .... Her mother then entered the room, coming toward her and speaking her name. The daughter immediately showed awareness of the presence of her mother, looking for her, then finding her visually when the mother was approximately 8 inches from her face. She then smiled and made sounds. Her father also entered the room with further apparent recognition by the daughter. The first part of this exam included observing her interactions with her mother and her father. Here she clearly was aware of them and attempted to interact with them: the sounds, facial _expression_s, and searching out and tracking them. There are several previous reports by medical personnel and others of her responding to live piano music. Accordingly, I asked the mother to bring a tape of piano music. Two separate pieces were listened to. The first she appeared aware of the sound, but would not sing or interact significantly. The second she did interact making sounds with the music. She stopped making these sounds, when the music stopped. During this time, she would move her head and track her head and eyes to the sound of music, or her mother's voice. I started my exam first on her right side, introducing myself and then examined her contracted right arm, the goal being to get a blood pressure, as neurological abilities are very sensitive to blood pressure. 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 _expression_s would change. At times during and immediately after this part of the exam, she would also appear to voluntarily move her right upper extremity. .... 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. 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. .... arrhythmia is intermittent. .... time did not allow me the same degree of effort on her right upper extremity .... about the ankles, she is 4/4 and I could obtain no improvement in the range of motion. .... Spasticity generally is due to neurological injuries, and is aggravated by lack of physical therapy and muscle stretching. .... In spasticity, that relaxation of opposing muscles does not occur. .... 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 _b_link__ 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 ... read more »
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jackson hospital in south miami Facts vs. media fictions about Terri's actual condition
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Report of Guardian Ad Litem Jay Wolfson 12-2003 re Terri Schiavo, _link_ed to from http://www.hospicepatients.org/terri-schindler-schiavo-docs-_link_s-pag... and specifically at http://www.hospicepatients.org/jay-wolfson-guardian-ad-litem-report-1... What I underlined while reading this appears in these extracts: It is the additional recommendation of the GAL [Guardian Ad Litem] that as long as controversy and an adversarial legal relationship exist in Theresa's case, a Guardian Ad Litem should be appointed to represent her exclusive interests. This is in no way intended to detract from or impugn the role of Theresa's existing Guardian, Michael Schiavo. = Hypothesis I Theresa, though profoundly disabled, with massive loss of cognitive function, maintains some cognitive capacity that has not been fully recognized. She is aware of aspects of her environment, though she requires great effort and energy to respond in the smallest way. She is capable of some interactive capacity, and can be brought, through therapy, to receive oral nutrition and hydration and possibly to enjoy other interactive competencies. If she could speak to us, assume that Theresa would ask to be maintained and cared for under these circumstances. Hypothesis II Same as above, except Theresa's cognitive functions cannot improve, she will not be able to take oral nutrition and hydration, and she will not display any interactive or cognitive functions beyond what she has over the past 13 years. She can be maintained and cared for through an indefinite period of time. If she could speak to us, assume that Theresa would ask to be maintained and cared for under these circumstances, or in the alternative, assume that Theresa would ask not to be maintained under these circumstances. Hypothesis III Theresa's exclusive awareness for 13 years, to the extent she may be aware of anything, is the equivalent of fear and perpetual horror. She is unable to hear, see, speak or interact, and unable to die, but she is not locked in . If she could speak to us Theresa would ask to be released from this condition and allowed to die. Hypothesis IV Same as I and/or II above, except the litigation surrounding Theresa continues, resulting in years of more of the same process that has been experienced to date, including orders and actions to remove her feeding tube and orders and actions to replace her feeding tube, multiple additional times. If Theresa could speak to us, she would claim to be the victim of cruel and unusual punishment, protected by the U.S. Constitution. = the exhaustion of monies in a trust fund derived from a medical malpractice economic damages award; = Merriam-Webster defines = Value is defined as = If the Guardian Ad Litem's recommendations are neither feasible nor valuable ? to and on behalf of Theresa Schiavo, then they fail in their purpose. For them to be feasible and valuable, they must be capable of being done in a manner that affords relative and intrinsic worth for Theresa; not for her husband; not for her parents and siblings; not for the Governor or the Legislature. = About three years later, without the apparent knowledge of her parents, Theresa and Michael sought assistance in becoming pregnant through an obstetrician who specialized in fertility services. For over a year, Theresa and Michael received fertility services and counseling in order to enhance their strongly held desire to have a child. = slipped into a coma. She was intubated, ventilated and trached, meaning that she was given life saving medical technological interventions, without which she surely would have died that day. The cause of the cardiac arrest was adduced to a dramatically reduced potassium level in Theresa's body. Sodium and potassium maintain a vital, chemical balance in the human body that helps define the electrolyte levels. The cause of the imbalance was not clearly identified, but may be _link_ed, in theory, to her drinking 10-15 glasses of iced tea each day. While no formal proof emerged, the medical records note that the combination of aggressive weight loss, diet control and excessive hydration raised questions about Theresa suffering from Bulimia, an eating disorder, more common among women than men, in which purging through vomiting, laxatives and other methods of diet control becomes obsessive. = On 12 May 1990, following extensive testing, therapy and observation, she was discharged to the College Park skilled care and rehabilitation facility. Forty-nine days later, she was transferred again to Bayfront Hospital for additional, aggressive rehabilitation efforts. In September of 1990, she was brought home, but following only three weeks, she was returned to the College Park facility because the family was overwhelmed by Terry's care needs. = Michael Schiavo, on Theresa's and his own behalf, initiated a medical malpractice lawsuit against the obstetrician who had been overseeing Theresa's fertility therapy. In 1993, the malpractice action concluded in Theresa and Michael's favor, resulting in a two element award: More than $750,000 in economic damages for Theresa, and a loss of consortium award (non economic damages) of $300,000 to Michael. The court established a trust fund for Theresa's financial award, with SouthTrust Bank as the Guardian and an independent trustee. This fund was meticulously managed and accounted for and Michael Schiavo had no control over its use. There is no evidence in the record of the trust administration documents of any mismanagement of Theresa's estate, and the records on this matter are excellently maintained. After the malpractice case judgment, evidence of disaffection between the Schindlers and Michael Schiavo openly emerged for the first time. The Schindlers petitioned the court to remove Michael as Guardian. They made allegations that he was not caring for Theresa, and that his behavior was disruptive to Theresa's treatment and condition. Proceedings concluded that there was no basis for the removal of Michael as Guardian Further, it was determined that he had been very aggressive and attentive in his care of Theresa. His demanding concern for her well being and meticulous care by the nursing home earned him the characterization by the administrator as a nursing home administrator's nightmare . It is notable that through more than thirteen years after Theresa's collapse, she has never had a bedsore. [incorrect: nurse testimony] = elected not to treat the infection and simultaneously imposed a do not resuscitate order should Theresa experience cardiac arrest. When the nursing facility initiated an intervention to challenge this decision, Michael cancelled the orders. Following the incident involving the infection, Theresa was transferred to another skilled nursing facility. Michael's decision not to treat was _base_d upon discussions and consultation with Theresa's doctor, and was predicated on his reasoned belief that there was no longer any hope for Theresa's recovery. [sounds wrong/ incorrect] = It took Michael a long time to consider the prospect of getting on with his life ? something he was actively encouraged to do by the Schindlers, long before enmity tore them apart. He was even encouraged by the Schindlers to date, and introduced his in-law family to women he was dating. But this was just prior to the malpractice case ending. As part of the first challenge to Michael's Guardianship, the court appointed John H. Pecarek as Guardian Ad Litem to determine if there had been any abuse by Michael Schiavo. His report, issued 1 March 1994, found no inappropriate actions and indicated that Michael had been very attentive to Theresa. After two more years of legal contention, the Schindlers action against Michael was dismissed with prejudice. Efforts to remove Michael as Guardian were attempted in subsequent years, without success. Hostilities increased and the Schindlers and Michael Schiavo did not communicate directly. By June of 1996, the court had to order that copies of medical reports be shared with the Schindlers and that all health care providers be permitted to discuss Theresa's condition with the Schindlers ? something Michael had temporarily precluded. In 1997, six years after Theresa's tragic collapse, Michael elected to initiate an action to withdraw artificial life support from Theresa. More than a year later, in May of 1998, the first petition to discontinue life support was entered. The court appointed Richard Pearse, Esq., to serve as Guardian Ad Litem to review the request for withdrawal, a standard procedure. = In response to Mr. Pearse's report, Michael Schiavo filed a Suggestion of Bias against Mr. Pearse. This document notes that Mr. Pearse failed to mention in his report that Michael Schiavo had earlier, formally offered to divest himself entirely of his financial interest in the guardianship estate. The criticism continues to note that Mr. Pearse's concern about abuse of inheritance potential was directly solely at Michael, not at the Schindlers in the event they might become the heirs and also choose to terminate artificial life support. Further, significant chronological deficits and factual errors are noted, detracting from and prejudicing the _object_ive credibility of Mr. Pearse's report. = On 11 February 2000, consequent to hearings and the presentation of competent evidence, Judge Greer ordered the removal of Theresa's artificial life support. = The hearings and testimony before the trial court leading to the decision to discontinue artificial life support included admitted hearsay from Theresa's brother-in-law (Michael Schiavo's brother) and his wife (Michael's Schiavo's sister-in-law) along with testimony from Michael. The testimony of these parties referenced specific conversations in which ... read more »
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jackson hospital in south miami Facts vs. media fictions about Terri's actual condition
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usually fall on the evolutionist side of the fence. Perhaps a little knowledge can be a dangerous thing ... A little learning is a dangerous thing; Drink deep, or taste not the Pierian spring: There shallow draughts intoxicate the brain, And drinking largely sobers us again. Pope: Essay on Criticism. Part ii. Lines 15-18 <http://www.readbookonline.net/readOnLine/607/
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jackson hospital in south miami Facts vs. media fictions about Terri's actual condition
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28 August 2003 affidavit of C. Johnson re: about 1993 At http://www.hospicepatients.org/terri-schindler-schiavo-docs-_link_s-pag... the PDF Affidavit of C Johnson 08-28-03 STATE OF FLORIDA COUNTY OF PINELLAS _AFFIDAVIT _ BEFORE ME the undersigned authority personally appeared [first name whited out] JOHNSON who being first duly sworn deposes and says: 1. My name is [first name whited out] Johnson, I am over the age of 18 years and make this statement on personal information. 2. I used to work at Sabal Palms nursing home in Largo, for a period of about two years. I actually was employed by a nursing agency and was placed at Sabal Palms as a Certified Nursing Assistant (CNA). I believe the events related here occurred in about 1993. 3. During this assignment I took care of Terri Schiavo several times. The first time I saw her, my duties were being explained to me by the nurse on duty. Terri Schiavo was lying in bed. Another patient, also a young woman about the same age and in the same condition, was sitting up in a chair, with a drink cup and straw in front of her. 4. I asked why Terri was not up in a chair, too. I learned, as part of my training, that there was a family dispute and that the husband, as guardian, wanted no rehabilitation for Terry. This surprised me, as I did not think a guardian could go against a doctor's orders like that, but I was assured that a guardian could and that this guardian had gone against Terri's doctor's orders. 5. No one was allowed to just go in and see Terri. Michael had a visitors list. We all knew that we would lose our jobs if we did not do exactly what Michael said to do. 6. I remember seeing Michael Schiavo only once the entire time I worked at Sabal Palms, but we were all aware that Terri was not to be given any kind of rehabilitative help, per his instructions. Once, I wanted to put a cloth in Tern's hand to keep her hand from closing in on itself, but I was not permitted to do this, as Michael Schiavo considered that to be a form of rehabilitation. 7. This entire experience made me look hard at nursing homes. After about two years, I quit this job, because I was so disillusioned with the way Terri was treated. Someone somewhere along the way should have reported this. FURTHER AFFIANT SAYETH NAUGHT. [first name signature whited out] [signature of last name] Sworn to and subscribed before me this 28 day of August, 2003, by [first name whited out] Johnson who produced a Florida drivers license as identification. [notary signature] Notary Public My commission expires: [notary stamp]
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