Here we go again :)

http://newsmax.com/archives/ic/2005/6/19/205259.shtml

Dr. Hammesfahr: 
I have had a chance to look at Dr. Nelson's analysis of the brain
tissue, and essentially, as a clinician, these are my thoughts.

The autopsy results confirmed my opinion and Dr. Maxfield's opinions,
that the frontal areas of the brains, the areas that deal with
awareness and cognition were relatively intact. To use Dr. Nelson's
words, "relatively preserved." In fact, the relay areas from the
frontal and front temporal regions of the brain, to the spinal cord
and the brain stem, by way of the basal ganglia, were preserved, thus
the evident responses which she was able to express to her family and
to the clinicians seeing her or viewing her videotape. The Spect scan
confirmed these areas were functional and not scar tissue, and that
was apparently also confirmed on Dr. Nelson's review of the slides.
Dr. Maxfield's estimates of retained brain weight were apparently
accurate, although there may have been some loss of brain weight due
to the last two weeks of dehydration.

Dr. Maxfield and myself both emphasized that she was a woman trapped
in her body, similar to a child with cerebral palsy, and that was
borne out by the autopsy, showing greater injury in the motor and
visual centers of the brain. Obviously, the pathologists comments that
she could not see were not borne out by reality, and thus his
assessment must represent sampling error. The videotapes clearly
showed her seeing, and even Dr. Cranford, for the husband, commented
to her that, when she could see the balloon, she could follow it with
her eyes as per his request.

That she could not swallow was obviously not borne out by the reality
that she was swallowing her saliva, about 1.5 liters per day of
liquid, and the clinical swallowing tests done by Dr. Young and Dr.
Carpenter. Thus, there appears to be some limitations to the clinical
accuracy of an autopsy in evaluating function.

With respect to the issue of trauma, that certainly does not appear to
be answered adequately. Some of the types of trauma that are suspected
were not adequately evaluated in this assessment. Interestingly, both
myself and at least one neurologist for the husband testified to the
presence of neck injuries. The issue of a forensic evaluation for
trauma, is highly specialized. Hence the wish of the family to have
observers which was refused by the examiner.

Ultimately, based on the clinical evidence and the autopsy results, an
aware woman was killed.

s/Dr. W. Hammesfahr

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