[T'wit]

You say you have exposed as MISinformation the following:

>> 1. Claims that the bone scan proves Terri Schiavo had fractures
--In fact, the scan shows nuclide accumulations. And if they were fractures, they would only be consistent with a major trauma, such as a high speed deceleration injury.

There was no misinformation. The bone scan didn't "prove" fractures. It did, however, show a pattern of hot spots for which the most likely explanation is healing fractures.

Yes, they would be traumatic. Dr. Walker thought so. The bone bruise indicated could hardly have been caused by anything but blunt force trauma. The posterior rib damage was highly suggestive of abuse. Posterior rib damage is not associated with iatrogenic causes such as resuscitation.

These are among the reasons why this document would have gotten Michael Schiavo's phony malpractice suit thrown out of court. And, it is why the bone scan implicates Michael Schiavo in probable domestic violence.

[retMD]

The bone scan didn't "prove" fractures. It did, however, show a pattern of hot spots for which the most likely explanation is healing fractures. Yes, they would be traumatic. Dr. Walker thought so. The bone bruise indicated could hardly have been caused by anything but blunt force trauma.

In healthy adults, it takes a fair amount of blunt force to cause multiple bilateral rib fractures. A car accident would do that, struggle on the floor would not. I've posted about the very large amounts of energy involved in high speed deceleration accidents, which is what one would need for multiple rib fractures in a healthy adult. I challenge you to show medical information that this could occur in an unarmed domestic struggle between two adults.

The posterior rib damage was highly suggestive of abuse.

Posterior rib fractures are very suggestive of abuse in infants and children. As I've mentioned several times, you can't automatically assume what holds in children is valid in adults.

Posterior rib damage is not associated with iatrogenic causes such as resuscitation.

Actually, Dr. Walker disagreed with you about that in his testimony:

Q Okay. The abnormalities in the multiple bilateral ribs, could that have occurred during an attempt at resuscitation by the paramedics or hospital staff?

A A vigorous resuscitation could do that, yes.

I actually think resuscitation in an adult would be more likely to break ribs anteriorly or laterally, not posteriorly, not at the costovertebral junction. But this is Dr. Walker's opinion.