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| − | '''Terri Schiavo''' was a woman whose case drew attention to controversy surrounding right to live versus euthanasia perspectives. | + | '''Terri Schiavo''' was a disabled woman forced to die by dehydration over the objections of her parents, her brother and sister, her church, and millions of Americans. Congress passed a special law to prevent her dehydration, but it was unsuccessful as interpreted by federal courts. |
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| − | Schiavo was diagnosed by physicians as being in a permanent vegetative state, but this was disputed by other sources (e.g. Dr. [[Bill Frist]], former [[United States Senate|U.S. Senator]] from [[Tennessee]]). Some argued that, even if the chance was small, it was possible that Schiavo could one day be revived from her comatose state. In 2002, the Second District Court of Appeal requested additional EEG and CAT scans over the objections of her parents which confirmed no measurable brain activity and the presence of severe cerebral atrophy - from which there are no recorded instances of recovery, and from which most doctors considered recovery to be a medical impossibility. Others argued that, whether or not she could be revived, her life should be preserved regardless. | + | Schiavo was diagnosed by physicians as being brain-damaged after her husband reported that she had collapsed in their home early in the morning. Her husband later started a new family with another woman whom he did not marry, instead retaining legal authority over Terri. An attorney prominent in the movement described by some as "pro-death" represented Mr. Schiavo and applied to a probate court for the right to deprive Terri of water until she died. The probate judge ordered that Terri be dehydrated to death, and that anyone attempting to bring her water be arrested. |
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| − | Those in favor of removing her life support, including her husband, argued that Schiavo should be allowed to "die with dignity," rather than being kept alive in her limited state. Schiavo's husband was the main proponent of removing life support, while her parents were extremely vocal to the contrary.
| + | Terri Schiavo was not terminally ill, she was not “end stage,” and she was likely not in a persistent vegetative state. The parents were denied the right to have a comprehensive medical examination of her by independent physicians. Many patients observed to be in a brain-damaged state like Terri's have surprisingly recovered, including several highly publicized cases shortly after Terri died from dehydration. |
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| | ==Legal dispute== | | ==Legal dispute== |
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| | In 2003, a court ordered the removal of Schiavo's feeding tube. This prompted the Florida legislature to pass 'Terri's Law' in under a week, authorizing the personal involvement of Governor Jeb Bush to overrule the finding of the court. The governor immediately ordered the reinsertion of the feeding tube. Terri's Law was lated ruled unconstitutional by the Florida Supreme Court, finding that state and federal constitutions prohibit the interference of the governor or legislature within a specific judicial case. | | In 2003, a court ordered the removal of Schiavo's feeding tube. This prompted the Florida legislature to pass 'Terri's Law' in under a week, authorizing the personal involvement of Governor Jeb Bush to overrule the finding of the court. The governor immediately ordered the reinsertion of the feeding tube. Terri's Law was lated ruled unconstitutional by the Florida Supreme Court, finding that state and federal constitutions prohibit the interference of the governor or legislature within a specific judicial case. |
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| − | Ultimately, a court order upheld the husband's wishes and Schiavo's feeding tube and other life support were removed. This topic and outcome remain highly controversial.
| + | Neither an Act of Congress nor any federal court overturned the probate judge's order that Terri be dehydrated to death. |
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| | + | == Autopsy == |
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| | + | The State and Schiavo's estranged husband refused to allow an independent autopsy, and Schiavo was cremated after her death. The State did perform its own autopsy and reported these results:<ref>http://www.aapsonline.org/nod/newsofday186.htm</ref> |
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| | + | # “Neuropathologic examination alone of the decedent’s brain—or any brain, for that matter—cannot prove or disprove a diagnosis of persistent vegetative state.” |
| | + | # The changes in the cortex were most severe in the occipital lobes, “with relative preservation of the frontal and temporal lobes.” |
| | + | # Oral feedings, based on autopsy findings and past medical records, were “potentially harmful or, at least, extremely dangerous to Mrs. Schiavo’s health and welfare” because of the risk of aspiration. [Better to dehydrate and starve the patient and cause certain death than to risk an aspiration pneumonia?] |
| | + | # The only evidence for an eating disorder was the initial low serum potassium, which could have resulted from the fluid load and epinephrine administered during her resuscitation. |
| | + | # The autopsy showed no signs of remote trauma to neck structures, but with 15 years delay, “even bony anomalies would have likely resolved.” External signs of trauma should have been apparent on her hospital admission just after her collapse. “Subtle trauma related to commotio cordis or nontraumatic asphyxia is also possible,” as are “drugs/toxins not typically detected by hospital toxicologic screening.” |
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| | ==Similar cases== | | ==Similar cases== |
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| | * Spiro Nikolouzos. An American whose life support the hospital wished to end. His family fought this, claiming that the hospital wished to end his life purely because his Medicare coverage was running out. Under the Texas Futile Care Law, signed into law by [[George W. Bush]], then governor, the Texas hospital could legally override the will of a family if given approval by an ethics committee. | | * Spiro Nikolouzos. An American whose life support the hospital wished to end. His family fought this, claiming that the hospital wished to end his life purely because his Medicare coverage was running out. Under the Texas Futile Care Law, signed into law by [[George W. Bush]], then governor, the Texas hospital could legally override the will of a family if given approval by an ethics committee. |
| | *Haleigh Poutre. An American child beaten into a coma by a foster parent whom the Commonwealth of [[Massachusetts]] is attempting to remove from life support.[http://www.boston.com/news/globe/editorial_opinion/oped/articles/2006/01/25/who_failed_haleigh_poutre/] | | *Haleigh Poutre. An American child beaten into a coma by a foster parent whom the Commonwealth of [[Massachusetts]] is attempting to remove from life support.[http://www.boston.com/news/globe/editorial_opinion/oped/articles/2006/01/25/who_failed_haleigh_poutre/] |
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| | + | == References == |
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| | + | <references/> |
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| | [[Category:Women|Schiavo, Terri]] | | [[Category:Women|Schiavo, Terri]] |