Schiavo Autopsy Finds Severe Brain Damage, Blindness
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LARGO, Fla. – An autopsy on Theresa Schiavo backed her husband’s contention that she was in a persistent vegetative state, finding that she had massive and irreversible brain damage and was blind, the medical examiner’s office said yesterday. It also found no evidence that she was strangled or otherwise abused.
But what caused her collapse 15 years ago remained a mystery. The autopsy and postmortem investigation found no proof that she had an eating disorder, as was suspected at the time, the Pinellas-Pasco medical examiner, Jon Thogmartin, said.
Autopsy results on the 41-year-old brain-damaged woman were made public yesterday, more than two months after her death on March 31 ended a right-to-die battle between her husband and parents that engulfed the courts, Congress, and the White House, and divided the country.
Her parents cling to their belief that her condition could have improved, in spite of the autopsy report, their lawyer said. She died from dehydration, Dr. Thogmartin said. He said she did not appear to have suffered a heart attack and there was no evidence that she was given harmful drugs or other substances prior to her death.
He said that after her feeding tube was removed, she would not have been able to eat or drink if she had been given food by mouth, as her parents requested.
“Removal of her feeding tube would have resulted in her death whether she was fed or hydrated by mouth or not,” Dr. Thogmartin told reporters. He also said she was blind, because the “vision centers of her brain were dead,” and that her brain was about half of its expected size when she died 13 days following the feeding tube’s removal.
Michael Schiavo said his wife never would have wanted to be kept alive in what court-appointed doctors concluded was a persistent vegetative state with no hope of recovery. Her parents, Bob and Mary Schindler, doubted she had any such end-of-life wishes and disputed that she was in a vegetative state.
Regardless of the autopsy findings, the Schindlers continue to believe their daughter was not in a persistent vegetative state, their lawyer, David Gibbs III, said after Dr. Thogmartin’s report. He said they plan to discuss the autopsy with other medical experts and may take some unspecified legal action.
“We are, at this point, examining every option, and no decisions have been made,” Mr. Gibbs said.
Mr. Schiavo’s attorney, George Felos, said his client “was pleased to hear the hard science and evidence of those findings.” “It’s a hard fact, it’s a scientific fact that Terri Schiavo was blind,” Mr. Felos said. He said Mr. Schiavo plans to release autopsy photographs of her shrunken brain in the near future.
In Washington, White House press secretary, Scott McClellan, said that the autopsy results did not change the president’s position on the case.
“Our thoughts and prayers remain with her family and friends,” Mr. Mc-Clellan said. “The president was deeply saddened by this case.”
The medical examiner’s conclusions countered a videotape released by the Schindlers of Schiavo in her hospice bed. The video showed Schiavo appearing to turn toward her mother’s voice and smile, moaning and laughing. Her head moved up and down and she seemed to follow the progress of a brightly colored Mickey Mouse balloon.
They believed her condition could improve with therapy.
However, doctors said her reactions were automatic responses and not evidence of thought or consciousness, and Dr. Thogmartin’s report went further.
“The brain weighed 615 grams, roughly half of the expected weight of a human brain,” he said. “This damage was irreversible, and no amount of therapy or treatment would have regenerated the massive loss of neurons.”
Dr. Thogmartin said the autopsy report was based on 274 external and internal body images, and an exhaustive review of Schiavo’s medical records, police reports, and social services agency records.
He said hospital records of her 1990 collapse showed she had a diminished potassium level in her blood. But he said that did not prove she had an eating disorder, because the emergency treatment she received at the time could have affected the potassium level.
Testimony in a 1992 civil trial indicated that she probably was suffering from an eating disorder that led to a severe chemical imbalance.
Over the years, the Schindlers had sought independent investigation of their daughter’s condition and what caused it. Abuse complaints to state social workers were ruled unfounded and the Pinellas state attorney’s office did not turn up evidence of abuse.
During the seven-year legal battle, federal and state courts repeatedly rejected extraordinary attempts at intervention by Florida lawmakers, Governor Bush, Congress, and President Bush on behalf of her parents.