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 Doctors Remove Brain-Damaged Woman's Feeding Tube


Health & Medicine

By QuickFox (Sweden), Section United States of America
Posted on Fri Mar 18, 2005 at 06:56:07 PM PST

Doctors have removed the feeding tube that has kept a brain-damaged woman alive for 15 years, reports Reuters. Terri Schiavo could take seven to fourteen days to starve to death.

This has been preceded by a furious legal and political battle over her fate in the US state of Florida and on federal level. It may mark the end of a decade-long family feud between her husband and legal guardian, Michael Schiavo, and her devoutly Roman Catholic parents, Bob and Mary Schindler, reports ABC News.

Earlier the same day, republican congressional leaders tried to keep the feeding tube in place by subpoenaing Terri Schiavo to appear before hearings and committees later in the month. This should have granted her protection as a witness in a congressional inquiry -- but Florida judge George Greer rejected the bid.

Rep. Henry Waxman of California, senior Democrat on the Government Reform Committee, called the subpoenas a "flagrant abuse of power" and said they amounted to Congress dictating the medical care Terri Schiavo should receive, reports The Guardian.

"It is absolutely shocking," says George Felos, the attorney representing Terri Schiavo's husband, according to Reuters, "that according to the House of Representatives, any committee member or subcommittee member can issue a subpoena directed to any American forcing them to have medical treatment against their will. Congress itself can't even pass a constitutional law to that effect, [...] I think all Americans should be very alarmed about that."

"Terri Schiavo is alive," said House Majority Leader Tom DeLay, a Texas Republican. She is not 'barely alive.' She is not 'being kept alive.' She is as alive as you or I, and as such we have a moral obligation to protect and defend her from the fate premeditated by the Florida courts."

Republican leaders in the House of Representatives threatened doctors with imprisonment if they carried out the court's instruction, according to The Scotsman.

"Understand there is another point of view, and it's because I believe keeping someone from heaven is the wrong thing to do," said senator Nancy Argenziano, according to Tampa Bay's 10 News.

A court in Florida has ruled that her brain has been robbed of "all but the most instinctive of neurological functions," and that there is no hope that she could regain consciousness. According to the ruling she would not have wanted continued life support. This is based in part on a relative's testimony, that seeing her husband's grandmother kept alive by respirator, she said, "If I ever go like that, just let me go ... I don't want to be kept alive on a machine."

"There is no cognition in this poor woman," says Kenneth Goodman, director of the Bioethics program at the University of Miami, according to VOA News. "There is nothing going on in her poor head. It is a tragedy and it has torn a family apart, but the medical facts are not in dispute among credible physicians. She is in a persistent vegetative state.  The fact of the matter is that her cerebral cortex is full of spinal fluid. She is incapable of experiencing or thinking anything."

Just before her feeding tube was removed, Terri Schiavo tried to tell her parent's attorney Barbara Weller that she wanted to live, claims LifeNews. "If you would just say, 'I want to live,' all of this will be over," Weller told the disabled woman. She said Terri desperately tried to repeat Weller's words: "'I waaaaannt...,' Schiavo allegedly said, in a prolonged yell loud enough that police stationed nearby entered the hospice room.

"She just started yelling, 'I waaaannt, I waaaannt,'" Weller explained.

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Doctors Remove Brain-Damaged Woman's Feeding Tube (none / 0) (#1)
by devildog (USA) on Sun Mar 20, 2005 at 02:35:43 AM PST

FACTS YOU MAY NOT KNOW ABOUT TERRI SCHIAVO'S CASE

Michael Schiavo has authority to make all decisions for Terri Schindler Schiavo because he is her court-appointed guardian, not because he is her husband.
Michael not only seeks to remove Terri's feeding tube. He also continues to deny consent for Terri to take food by mouth, or even to have a swallowing test.
Dr. Ronald Cranford, who testified on behalf of Michael in the case to remove Terri's food and fluids, said that patients like Terri can take food by mouth.
Cranford has said that he would consider spoon-feeding to be "medical treatment."
Cranford has said that spoon-feeding is denied because it "would be totally inconsistent" with what was wanted (e.g. the patient's death).
For more than three years, Michael has refused to allow Terri to be taken outdoors to feel fresh air, sunshine or a cool breeze.
Michael continues to suppress media access to videotapes that clearly show Terri responding to others.
In 1992, Michael filed and won a malpractice case in which a significant award was made for Terri's rehabilitation and therapy. The award was based, in part, on expert testimony that she would live a normal life span.
During the time he was seeking the malpractice award, Michael never indicated that Terri would want to die if she were severely disabled.
Michael has refused to permit any of the money from the malpractice award to be used for Terri's rehabilitation or therapy. Instead, most of the money was used for lawyers Michael hired to help end Terri's life.
Not long after Terri's injury, Michael melted down her wedding and engagement rings to make a ring for himself.
Michael has moved on with his life. He is in a long term intimate relationship with another woman with whom he has two children.
Terri's family -- her parents, her brother and her sister - has begged Michael to let them care for Terri. He has refused.
Terri's family -- her parents, her brother and her sister - has begged Michael to let Terri have a swallowing test. He has refused.
Terri's family -- her parents, her brother and her sister - has begged Michael to give Terri the opportunity to take food by mouth. He has refused.

I know at least in the Usa this is a Hot topic
where do we draw the lines.Who lives and who dies?As a Nurse and having worked with head trauma pts who have come out of comas i have seen with therapy pts can get better.I also find it strange that it was not untill 7 years after she was in a coma that her Husband then stated that she did not want to be kept alive that was her wishes when she was cohearent.I find it strange that for the last 10 years he has been shack up with another women and has a child with her

Grievously incorrect (none / 0) (#2)
by you look like a nail (Canada) on Sun Mar 20, 2005 at 06:29:24 AM PST

Michael Schiavo has authority to make all decisions for Terri Schindler Schiavo because he is her court-appointed guardian, not because he is her husband.

Incorrect; as her husband he has the authority to make these decisions, but further to this he followed Florida law and went to court to have the court decide what his wife's best interests would be.  The court rejected her parent's arguments and ruled that Terri would have wanted what Michael said she wanted.

Michael not only seeks to remove Terri's feeding tube. He also continues to deny consent for Terri to take food by mouth, or even to have a swallowing test.

Incorrect; doctors have already performed swallow tests which indicated she could not take food by mouth, and subsequently a ruling was made that this point was uncontested and further tests would not be made.

For more than three years, Michael has refused to allow Terri to be taken outdoors to feel fresh air, sunshine or a cool breeze.
Michael continues to suppress media access to videotapes that clearly show Terri responding to others.

An awful lot of your arguments are ad hominem attacks on Michael which are completely uncorroborated.  Can you produce any evidence as to the horrible things that he has personally done?  Can you establish that any of these things, if true, have any impact on this case?

As for the responsiveness of Terri, it's been repeatedly and medically confirmed that she is in a permanent non-progressive vegetative state.  The only question under debate by doctors, as opposed to emotionally involved laymen, is whether or not there is any residual activity in her cerebral cortex, or whether that area is also dead.  

She is a vegetable and she isn't going to get better.  'Terri' is long since gone, whatever her body ends up doing.

If you have any facts to which you'd like to point to support your assertions I'd love to see them ('facts' being original source documents from accredited experts, in this case doctors).  This is a very emotional issue for a great many people, but generally speaking I've yet to see a rational justification for continuing this woman's life.  All of the arguments for doing so that I have seen begin with the assumption that life should always be maintained, even in the face of suffering, or in the face of the most pure pointlessness as total cessation of brain activity; these arguments then proceed from that point to heap ad hominem attacks upon the person representing the euthanasia position without presenting a single coherent or factually based argument.  If you can present a better argument for why Terri Schiavo should be kept alive, I would greatly appreciate your efforts.

-- Your Reality Check is in the mail.
[ Parent ]

Yes, Facts And Their Sources Please (none / 0) (#3)
by Arby (Canada) on Sun Mar 20, 2005 at 03:12:34 PM PST

Which isn't to say that folks shouldn't be allowed to have an opinion on this, regardless. This isn't China. But the opinions should be stated as such.

This is a sad situation. I guess there hasn't been much coverage here in Canada, because I've only seen a few references and I didn't really know, initially, who Terri Schiavo was.

It's interesting to me how those who don't believe in the death penalty and who believe that physical life for humans at this time is sacrosanct and must be preserved at all costs are often those who don't have much respect for life and who support murderous wars of aggression by their leaders, who claim to be Christian.

I guess it would help any discussion of life and death, also, if folks could explain what they mean by 'life' and 'death'. We don't all mean the same thing.

Personally, I don't believe in suffering. And I don't believe that Go does either. Self identified Christians - which does not automatically make one a true Christian - most often want to believe what leaders in Christendom (which I have no use for) tell them about hell. Why? Is that because those self identified Christians are themselves cruel and it's just easier to justify your behavior if you can believe that God would create a hell?

I do believe in the death penalty, but I am happy to see it not be practiced as long as we continue to get it wrong. It doesn't end with us anyway. God 'will' sort it out. He is our judge and there is no higher authority. I believe in euthanasia, as well, but again, it's got to be done right.

These Bible teachings that I relate here, and my own conclusions about them, are the things that inform my thinking about life and death, just as Paul wrote at 1Thessalonians 4:13, when he stated to believers like me that "...we do not want you to be ignorant concerning those who are sleeping, that you may not grieve the way the nations do who have no hope." I grieve the death of loved ones, but I don't grieve in the same way. And I can let go, because it doesn't necessarily mean that the loved ones I lose, and will lose, are going away from me forever.

In the Christian Bible - and it's important to note that not only Christians believe in hell - at Jeremiah 7:31, God conveys this message through his prophet: "They have built the high places of Topheth, which is in the valley of the son of Hinnom, in order to burn their sons and their daughters in the fire, a thing that I had not commanded and that had not come up into my heart." And at Ecclesiastes 9:5,6,10, God's inspired message, given through his servant (at this time) King Solomon, was: "For the living are conscious that they will die, But as for the dead, They are conscious of nothing at all."

This is taught by Jehovah's Witnesses, who I was once one of. I don't agree with all that they teach. I believe that there is a soul that survives after death, but not the way that bloody Christendom explains it. The Bible teaches, "For the wages sin pays is death..." -Romans 6:23. But what kind of death? For it is either a special deep sleep, in which, as we've seen, there is no conscious acivity and certainly no suffering, Or it's complete death, body and soul. Jehovah's Witnesses don't believe in a spirit, or insubstantial, soul. I do. Someday we'll know for sure. But I don't see that you can be resurrected if there is no 'you' to be resurrected, and both myself and my former religious associates believe in future resurrection of, as the Bible notes, both the righteous and the (relatively) unrighteous. Some, it seems to me, confuse duplication with resurrection.

I also don't believe that good people who die, at this time, automatically go to heaven - which isn't a problem. When a message was sent by Mary and Martha to Jesus reporting that their brother and Jesus's friend, Lazarus, was sick, Jesus hung back for a few days with his disciples outside of Judea. Finally he told his disciples that Lazarus was resting and he was going there to awake him from his sleep. When his disciples thought that that was strange and said so, Jesus simply stated that Lazarus was dead. When Jesus arrived, Martha expressed disappointment that Jesus didn't arrive sooner, for, she noted, he may have been able to prevent his death. Jesus did in fact tell someone, perhaps the original messenger sent to him by the sisters, in so many words that Lazarus would die and be resurrected. Two things follow here that are instructive. (See John chapter 11)

One, When Jesus responded to Marth with the statement that Lazarus would live again, Martha simply expressed the common belief among Jesus's followers that "I know he will rise in the resurrection on the last day." In other words, Jesus's followers didn't expect expect to die and immediately go to heaven. Two, When Lazarus did die, he didn't describe to others, after being resurrected (as an example for all believers and not because it was time for the two types of resurrection to start) being in some place wonderful.

Later...

*5 trillion $ sit, untaxed, in offshore tax havens, protected by George Bush, while 'leaders' whine that they can't afford social spending.*

Bush signs historic Schiavo bill into law (none / 0) (#4)
by Drog (Canada) on Mon Mar 21, 2005 at 06:13:20 AM PST

Wikinews reports that President Bush approved a historic bill designed to keep brain-damaged Terri Schiavo on life-support, shortly after it was sent to him by the US House of Representatives.

"Today, I signed into law a bill that will allow federal courts to hear a claim by or on behalf of Terri Schiavo for violation of her rights relating to the withholding or withdrawal of food, fluids, or medical treatment necessary to sustain her life," said Bush's written statement.

Bush had been waiting at the White House to sign the bill, after returning early from a vacation at his Texas ranch.

The House passed the bill by a vote of 203-58, shortly after midnight, after a rare Sunday session that was called at 9pm, after Democrats objected to a call for unanimous consent earlier in the day. Although most members had left for the Easter break, 261 of the 435 House members returned for the vote.

Representatives debated the measure in the House from both sides.

Rep. James Sensenbrenner, a Wisconsin Republican, said of previous rulings in Florida that they were, "enforcing a merciless directive to deprive Terri Schiavo of her right to life." He continued that the House should "reinforce the law's commitment to justice and compassion for all Americans, particularly the most vulnerable."

Democrat Robert Wexler of Florida disagreed, saying, "Tonight this Congress is about to commit a travesty. Tonight congressional leaders are poised to appoint this Congress as a judge and a jury."

The US Senate had passed the bill by unanimous consent earlier in the day.

Terri Schiavo has been on life-support for over 15 years, and is currently cared for at a Florida hospice. She is considered by physicians to be in a "permanent vegetative state", while her parents contend that she is not brain damaged, and that there is hope for recovery. Schiavo's feeding tube had been removed on Friday after Florida courts ruled in favor of her husband, Michael Schiavo, who is acting as her legal guardian in the matter. Terri Schiavo's siblings, and her parents, Bob and Mary Schindler, are challenging this decision.

"We are very very thankful to have crossed this bridge," said Suzanne Vitadamo, Terri Schiavo's sister. She continued, "We are hopeful, we are very hopeful, that the federal courts will follow the will of Congress and save my sister's life."

I had to make that decision for my mother (none / 0) (#5)
by Mead (USA) on Mon Mar 21, 2005 at 10:42:04 AM PST

Although it was a lot more clear-cut than Terri's situation, it wasn't any easier a decision to make. She didn't have a living will either.

If you don't have a living will, get one. Spare a loved one from the torment of having to live with a decision that they will never know 100% whether they got right or not and the torment of having to make the decision in the first place.

I've been pointedly avoiding thinking too much about this Schiavo case. I refuse to take sides, there's just too much unknown by us passive viewers.

Interesting perspective (none / 0) (#6)
by you look like a nail (Canada) on Tue Mar 22, 2005 at 06:57:28 AM PST

Juan Cole has an interesting perspective on this subject in an article on his blog.  He makes the point that, regardless of your personal opinion of the merits of this particular case, what the Republican party is doing is dangerous because it is making a private matter into a public and legislative issue because of its impact on public morality and religion.  This is a characteristic of fundamentalist islamic nations and it is a very dangerous road to be on.

Whether or not one agrees with the legal position on this case, the fact remains that a legal position has been arrived upon.  Through rule of law it has been determined that Michael Schiavo has the legal right to allow his wife to die.  Government is now acting to overturn the rule of law in the interest of religion and a nebulous 'public good'.  This is not a good thing.

-- Your Reality Check is in the mail.



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