[nicmarlo]

Nuclear Imaging

BONE SCAN
3-5-91

Indication: Evaluate for trauma

Procedure and findings. Multiple gama camera images of the axial [trunk] and proximal appendicular [limbs] skeleton in the anterior [front] and posterior [back] projections were obtained following 2.1 millicuries of technetium 99m HDP.

There are an extensive number of focal abnormal areas of nuclide accumulation of intense type. These include multiple bilateral ribs, the costovertebral [where ribs and vertebra come together] aspects of several of the thoracic [upper] vertebral bodies, the L1 [lower] vertebral body, both sacroliac joints, the distal right femoral diaphysis, both knees and both ankles, the right greater than the left.

Correlative radiographs are obtained of the lumbar spine and of the right femur [leg bone] which reveal compression fracture; minor, superior and plate of L1, and shaggy, irregular periosteal ossification along the distal femoral diaphysis, and metaphysis primarily ventrally. [calcification showing where bones were broken and have healed].

The patient has a history of trauma. Most likely the femoral periosteal reaction reflects a response to a subperiosteal hemorrhage and the activity in L1 correlates perfectly with the compression fracture which is presumably traumatic.

The presumptions is that the other multiple areas of abnormal activity also relate to previous trauma. Additional possibilities would be neoplastic bone disease, widespread disseminated infectious bone disease or multiple bone infarcts from abnormal hemoglobin.

CONCLUSION: Multiple areas of abnormal scintigraphic [actinographic?] accumulation, some of which are radiograph for differential as discussed above.

W. Campbell Walker M.D./mjt
Dictated 3-5-91
Transcribed ?-5-91
Lee Memorial Hospital

[nicmarlo]

Questions raised about Terri's collapse

Celebrated forensic pathologist says 1990 injuries should be investigated
Posted: October 26, 2003
By Sarah Foster

A world-renowned forensic pathologist with over 40 years experience as a medical examiner is challenging the official version of early events in the Terri-Schindler Schiavo case....

Interviewed on the Fox News Channel, Dr. Michael Baden, co-director of the Investigative Unit of New York State Police in Albany and former chief medical examiner for New York City, ruled out potassium imbalance and a heart attack as factors in Terri's mysterious collapse 13 years ago – which left her severely incapacitated and unable to speak – and pointed to head trauma and bone injuries as a more likely cause.

Baden explained to host Greta van Susteren it was unlikely for a woman of Terri's age at the time to have a potassium imbalance, unless she had certain types of diseases, which she didn't have.

"Too little potassium can cause the heart to stop beating properly and lead to lack of blood flow to the brain and death of brain cells by lack of oxygen, but that's very unusual, Greta, extremely unusual," he said.

That Terri's heart was healthy would rule out the likelihood of cardiac arrest, he said.

"The reason she's in the state she's in is because there was a period of time, maybe five minutes or eight minutes, when not enough oxygen was going to her brain," said Baden. "That can happen because the heart stops for 5 or 8 minutes, but she had a healthy heart, from what we can see Baden said he studied a bone scan made in March 1991 at a rehabilitation facility that describes her as having a head injury: "That's why she's there, that's why she's getting a bone scan."

"A head injury can cause, can lead to the vegetative state that Ms. Schiavo is in now," he continued, adding the scan showed evidence of other injuries, bone fractures.....

[Nataku X]

If those fractures were accumulated over the years it'd still cause pain and incapitate her activities. Especially the broken ribs. I can't imagine anyone moving around with a broken vertebate unnoticed.

[The Other Harry]

Regarding your post about Terri's injuries...

I was married to the same woman for 26 years. For much of that time, we had what I would characterize as a difficult, argumetative relationship.

I never once laid a hand on her. I wanted to at times, but I never did. That is not something you do.

Injuries like Terri apparently has/had do not come from falling down stairs or in the bathtub. I have fallen down stairs and done other things. I have fallen off motorcycles, played football, etc. Those sort of injuries require more than that.

IMO, she was battered.