But in spite of the lack of advanced testing, such as an MRI, attorney
George Felos has claimed that Terri's cerebral cortex has "liquefied,"
and doctors for Michael Schiavo have claimed, on the basis of the CT
scans, that parts of Terri's cerebral cortex "have been replaced by
fluid." The problem with such contentions is that the available
evidence can't support them. Dr. Zabiega explained that "a CT scan
can't resolve the kind of detail needed" to make such a pronouncement:
"A CT scan is like a blurry photograph." Dr. William Bell, a professor
of neurology at Wake Forest University Medical School, agrees: "A CT
scan doesn't give much detail. In order to see it on a CT, you have to
have massive damage." Is it possible that Terri has that sort of
"massive" brain damage? According to Dr. Bell, that isn't likely.
Sometimes, he said, even patients who are PVS have a "normal or near
normal" MRI.

http://www.nationalreview.com/comment/johansen200503160848.asp

.... Terri's diagnosis was arrived at without the benefit of testing
that most neurologists would consider standard for diagnosing PVS. One
such test is MRI (Magnetic Resonance Imaging). MRI is widely used
today, even for ailments as simple as knee injuries — but Terri has
never had one. Michael has repeatedly refused to consent to one. The
neurologists I have spoken to have reacted with shock upon learning
this fact. One such neurologist is Dr. Peter Morin. He is a researcher
specializing in degenerative brain diseases, and has both an M.D. and
a Ph.D. in biochemistry from Boston University.

In the course of my conversation with Dr. Morin, he made reference to
the standard use of MRI and PET (Positron Emission Tomography) scans
to diagnose the extent of brain injuries. He seemed to assume that
these had been done for Terri. I stopped him and told him that these
tests have never been done for her; that Michael had refused them.

There was a moment of dead silence. 

"That's criminal," he said, and then asked, in a tone of utter
incredulity: "How can he continue as guardian? People are deliberating
over this woman's life and death and there's been no MRI or PET?" He
drew a reasonable conclusion: "These people [Michael Schiavo, George
Felos, and Judge Greer] don't want the information."

Dr. Morin explained that he would feel obligated to obtain the
information in these tests before making a diagnosis with life and
death consequences. I told him that CT (Computer-Aided Tomography)
scans had been done, and were partly the basis for the finding of PVS.
The doctor retorted, "Spare no expense, eh?" I asked him to explain
the comment; he said that a CT scan is a much less expensive test than
an MRI, but it "only gives you a tenth of the information an MRI
does." He added, "A CT scan is useful only in pretty severe cases,
such as trauma, and also during the few days after an anoxic (lack of
oxygen) brain injury. It's useful in an emergency-room setting. But if
the question is ischemic injury [brain damage caused by lack of
blood/oxygen to part of the brain] you want an MRI and PET. For
subsequent evaluation of brain injury, the CT is pretty useless unless
there has been a massive stroke."

Other neurologists have concurred with Dr. Morin's opinion. Dr. Thomas
Zabiega, who trained at the University of Chicago, said, "Any
neurologist who is objective would say 'Yes'" to the question, "Should
Terri be given an MRI?"


On Mon, 21 Mar 2005 14:04:16 -0600, Gruss Gott  wrote:
> > Brian wrote:
> > Does it matter?
> >
> > Most people on the other side of this issue see NO circumstances where life
> > saving measures can or should be removed, whether she's seen 1 neurologist
> > or 1000.
> >
> 
> A female neurologist that examined her just said on NPR that, "most of
> her cerebral cotex has been replaced by spinal fluid so there's just
> no thinking person left there."
> 
>

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