Oh great finally the whole Shiavo things looks to be ending and NOW
we'll be fitting on pulling the tube from the pope NEXT...when will it
end!!!!!

<g>

Adam H


On Wed, 30 Mar 2005 19:26:06 -0700, Dana <[EMAIL PROTECTED]> wrote:
> http://www.kansascity.com/mld/kansascity/news/world/11270248.htm
> 
> Posted on Wed, Mar. 30, 2005
> 
> Pope getting some nutrition through tube, Vatican says
> 
> BY LIZ SLY
> 
> Chicago Tribune
> 
> ROME - (KRT) - Pope John Paul II is receiving added nutrition through
> a tube in his nose, the Vatican announced Wednesday, acknowledging for
> the first time that the pontiff's recovery from throat surgery has
> been slow.
> 
> The pope, who is breathing through a tube in his throat, was fitted
> with the feeding tube after widespread reports that he has been having
> difficulty swallowing food.
> 
> The announcement came two hours after the pope made another brief
> appearance at the window of his apartment, during which he struggled,
> but failed, to speak to pilgrims gathered in St. Peter's Square for
> his regular weekly audience.
> 
> Just as he did Easter Sunday, the pope tried to speak, but all he
> managed was a few rasping grunts before a hand pulled his microphone
> away. He also appeared to have difficulty controlling his movements -
> his head lolled and his neck twitched.
> 
> But he managed to make the sign of the cross to bless the crowd, while
> a bishop read the customary greeting in several languages.
> 
> The Vatican didn't say when the tube was inserted, but there was no
> sign of it during his four-minute appearance at the study window.
> Medical experts said a nasal feeding tube, which would typically
> remain in place between meals, would have been visible had it been
> present.
> 
> This latest twist to the saga of the 84-year old pope's health
> problems brought closer the possibility that the Vatican may one day
> have to grapple with the dilemmas posed by a permanently incapacitated
> pontiff. Although the Vatican said the pope spoke before he left the
> hospital March 13, he has not spoken publicly since.
> 
> The Vatican portrayed the tube's insertion as another step toward his
> recuperation from the tracheostomy performed two weeks ago to
> alleviate breathing difficulties he experienced after coming down with
> influenza. "To improve the calorie intake and encourage a complete
> recovery of strength, feeding has begun through the positioning of a
> nasal gastric probe," said the statement issued by the pope's
> spokesman, Joaquin Navarro Valls.
> 
> The communique was less upbeat than previous ones, however, and for
> the first time the Vatican used the word "slow" in reference to the
> pope's recuperation.
> 
> The pontiff is continuing his "slow and progressive convalescence,"
> Valls said. "He spends many hours of the day in his armchair, he
> celebrates Mass in his private chapel and he has working contact with
> his collaborators."
> 
> The statement also said that all the pope's public engagements for the
> coming weeks have been "suspended."
> 
> It was the first time the Vatican has reported on the pope's health in
> about three weeks, and the silence has fueled speculation that his
> recovery has lagged.
> 
> The Italian daily Corriere della Sera reported Monday that the pope
> would soon be readmitted to the hospital to have a feeding tube
> inserted into his stomach.
> 
> A similar tube was used to feed Terri Schiavo of Florida, before it
> was removed. Schiavo is dying slowly of dehydration and starvation.
> 
> The Vatican has spoken forcefully against the withdrawal of Schiavo's
> food and water, and the pontiff has been clear on the broader subject,
> saying that feeding tubes constitute a "proportionate" and
> "obligatory" means of keeping otherwise disabled patients alive.
> 
> In a speech last year at an international conference on treatments for
> patients such as Schiavo, the pope said: "I should like particularly
> to underline how the administration of water and food, even when
> provided by artificial means, always represents a natural means of
> preserving life, not a medical act. Its use, furthermore, should be
> considered, in principle, ordinary and proportionate, and as such
> morally obligatory."
> 
> In the pope's case, the nasal feeding tube is a less invasive
> procedure than the one used in the abdominal application and is
> usually intended to be temporary. A plastic tube is inserted through
> the nose, down the esophagus and into the stomach, enabling processed
> food to be delivered directly to the stomach, medical experts said.
> 
> The tube is uncomfortable, but it does not prevent movement. Given
> that the pope's mobility is already restricted by Parkinson's disease,
> the tube is unlikely to significantly impede his activity, said Gianni
> Pezzoli, a neurologist who heads the Italian Parkinson's Association
> in Milan.
> 
> "The fact you have the tube does not tie you to the bed. You are able
> to move around. The little tube is often blocked on the nose with a
> piece of tape," he said. "Besides, the fact is that the pope is no
> longer very agile in any case."
> 
> Whether the pope will recover his ability to eat normally will depend
> in part on the causes of his swallowing difficulties. If they are
> linked solely to his recent throat operation, the extra nourishment
> may help him recover his strength and aid the healing process.
> 
> But if his swallowing difficulties are caused by the muscle
> degeneration associated with Parkinson's disease, he may never be able
> to eat properly again, medical experts said.
> 
> Pezzoli said he suspects muscle degeneration is involved.
> 
> "It is clear that the decision to apply the tube is also due to the
> fact that the pope is suffering from neurological difficulties that
> affect his deglutition (swallowing), as a consequence of the Parkinson
> disease he is suffering from," he said.
> 
> If that is the case, it may soon become necessary to perform the more
> drastic procedure of inserting a tube directly into his stomach,
> because the nasal tube will, over time, cause ulceration and infection
> in the stomach and the esophagus, said Luisa Riccardi, a
> gastroenterologist at Perugia Hospital.
> 
> Normally, a nasal tube can be left in place 7 to 10 days, after which
> it can be replaced if there are no complications. But in the case of
> weakened patients with muscle degeneration, such as the pope, a nasal
> feeding tube is often inserted as a prelude to the more drastic
> stomach operation, called a percutaneous endoscopic gastrostomy, she
> said.
> 
> Riccardi suspects doctors have prescribed a period of nasal feeding to
> help build the pope's strength in preparation for the stomach
> operation.
> 
> The stomach tube also wouldn't confine the pope to bed. "It is a more
> practical, efficient and suitable feeding system in the long term,"
> Pezzoli said. But it is also, usually, irreversible.
> 
> "Whoever has this procedure performed, it is for a permanent purpose,"
> he said. "It is rarely reversible."
> 
> ---
> 
> (Alessandra Maggiorani contributed to this report.)
> 
> ---
> 
> (c) 2005, Chicago Tribune.
> 
> 

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