Terri exam info from 6/90 & 3&6/91
===BEGIN 6/27/90 physical exam, pg 1/3
Physical Examination -- 6 - 27 - 90
*patient is awake, eyes are open
*easily startled to her name or when bedrail fell down
*no respiratory distress, breathing easily
*pupils are equal and reactive
*just short focusing attention, does not track, keeps her head to the position on the right
*significant amount of tone in the head and neck.
*reflex and voluntary movement of her mouth in a chewing reflex
*T-tube in place & working properly
*severe hypertonicity of all four extremities; plantar flexor contractures, some shoulder limitation
*“again, tone is quite significant in all four extremities and difficult to achieve range of motion of the left hip and knee while she is in a supine position.”
*pt is awake
*she does give eye contact to family members
*she will close her eyes to any threatening response around her face and blink appropriately
*tracking is inconsistent
*no verbal output during this exam but it has been reported by husband and other family members and therapists over at College Harbor.
*no voluntary movement on command
*responds to painful stimulation. . . cont on next page . . . [there is no next page]
===END 6/27/90 physical exam
===Begin Treatment plan pg 2/3
Treatment Plan Review from Mediplex rehab, Bradenton, 1/29/91
*PT 3 X wk due to decreased range of motion in legs.
OT [occupational therapy] modified splints, will look at __ on lap tray.
*Will check at head rest also
Cognitive/Communication:
*no significant changes.
*Vocalizing when prone in P.T. [physical therapy]
*Occasionally will say "STOP" to nursing during procedures.
*to TR [recreation?] groups. More relaxed to therapists voice, touch (habituation)
===END Treatment plan
===BEGIN therapy notes, pg 3/3 PDF
3-15-91 Monthly summary ---
Ms. Schiavo was readministered the sensory stimulation assessment measure on March 13, 1991. The results show a slight increase in a few response areas.
Terry’s [sic] eye-opening responses and motor responses (which increased two points) are now both her strongest response output category. However, the vocalization response modality increased two points also. Terry’s tactile response remained her best sensory input category, as it increased 3 points, the other 4 response categories remained at about the same level.
These slight increases may be a result of the time change. The original test was administered at 8:00 a.m. right after she got up and the second test was given at 4:00 p.m.
Terry’s ocular cranial nerve function was assessed and the results indicated that her pupil sizes were large, she had a very sluggish response to light, the consensual light reflex was present but she had an abnormal response to accommodation, tracking, and a blink reflex. These responses are very similar to last month’s administration.
Overall her general responsivess score increased slightly from 19 to 23, but remains at a __ Level II.
These scores indicate a need for a sensory stimulation program and this is being developed. In addition, the SS_M will be readministered in one month. [signed -- a nice caring person]
3 - 28 - 91 Weekly note: Pt. was seen by psych [psychology? rather than psychiatry, I’m guessing] in the sensory stim program 1 X [one time], program started 3-25-91. The goal was to increase her localized responses to sensory modalities. Her best response was to almond extract (olfactory), otherwise she only responded by opening her eyes briefly.
Summarizing across the interdisciplinary team results show similar findings. In addition, the most response increases was to tactile stimulation. Tx [treatment] plan will be continued. [signed -- nice person helping Terri 12 yrs ago]
===END
Prayerfully submitted in hopes that this will help dear Terri, who is on my mind and heart, and her loving family -- hugs to you all. With prayers also that those planning evil against Terri might have their minds and hearts changed -- God is able. But even if He does not . . .
her pupil sizes were large,
Were they large partly due to a drug reaction?
When Terri is examined neurologically, I hope they take blood samples from her to see what drugs actually are in her system. ,(i.e., I hope they don't rely on her medical charts, to determine what is (supposedly) in her blood stream.)
If she is doped-up she might be more sluggish than she would otherwise be.
What is the difference between an injury to the brain which has affected her whole body, and a drug acting on her brain, which is affecting her whole body?
I don't understand why, but I got a small check in the mail, when they did that. (small life insurancepolicy, held for only a few years).
Maybe someone with a large insurance policy or one held for a long time (Terri) would have gotten a large check. This article does not really explain what I mean, I've just put it here as a reference.
Business Week:CAN YOU BELIEVE IN THESE CONVERSIONS?
Do you have a life insurance policy or annuity issued by Prudential Life Insurance Co.? The huge mutual insurer recently announced plans to go public, and policyholders--who own the company--can only hope that they will be as fortunate as those at Allmerica Financial. They were awarded stock when the Worcester (Mass.)-based insurer shed its mutual status and did an initial public offering in October, 1995. Since then, Allmerica shares have tripled, netting investors an average annualized return of 57.4%.