Euthanasia and Terri Schiavo
What did Terri experience during death by dehydration?

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Process of death by dehydration:
There is a consensus that Interrupting a person's supply of food and liquids
causes death by dehydration within about 15 days. There have been very rare
cases where a patient survived into their the start of their fourth week. Terri
died after 12 days. Lack of fluid causes the kidneys to produce less
urine. Eventually, they completely stop filtering toxins from the body.
Deborah Volker, an assistant professor of nursing at the University of Texas has
written extensively on end-of-life issues. She explained that toxins build up in
the body. The body's chemical balances involving potassium, sodium and calcium etc. are
disrupted. This disrupts the electrical system that triggers the action of
muscles, including the heart. Eventually the heart stops beating, and the
patient dies. 1
Physicians and religious organizations have
expressed conflicting beliefs about the symptoms that Terri would experience
during death by dehydration. It appears that at least some individuals or groups
are knowingly misrepresenting the facts. 
Beliefs of physicians:
Medical and religious information sources disagree about the symptoms which Terri Schiavo
felt as she continued to be deprived of liquid:
 | Dr. Linda Emanuel, founder of the Education for Physicians in
End-of-Life Care Project at Northwestern University said: "From
the data that is available, it is not a horrific thing at all," She said
that since Terri Schiavo is in a persistent vegetative state, she is "probably
not experiencing anything at all subjectively." She would have no
discomfort. 1 |
 | Dr. Sean Morrison, a professor of geriatrics and palliative care at
Mount Sinai School of Medicine in New York said: "They generally slip
into a peaceful coma. It's very quiet, it's very dignified -- it's very
gentle." 1 |
 | Kenneth Goodman, director of bioethics at the
University of Miami School of Medicine and a co-director of the
Florida Bioethics Network said that the "removal of feeding tubes is
a common practice." He said that there is no pain involved in dying of
dehydration and/or starvation.: "Soon after nourishment is denied to the
brain, it begins producing chemicals that act as a natural anesthetic. She
is not going to feel a thing. The artificial pain medication that Schiavo
will receive is to make sure that if there is [pain], it is adequately
handled." 1 |
 | However, at least one physician disagrees. He appears to believe that
Terri is conscious and felt pain, even though her brain's higher
functions had ceased functioning:. According to Dr. Lieberman,
at UCLA Medical Center, Terri was expected to suffer tremendously. He said: "When
the body is starved it has to 'eat itself' in order to provide energy to
continue vital functions. Weight loss can reach 50%, meaning Terri will
become a living skeleton. Eventually, her heart and lungs will fail – unless
she is first overcome by infection due to compromised immunity. Total
starvation is generally fatal in 8-12 weeks. By denying Terri water as well,
she would die sooner – perhaps within 2 weeks, after anxiety, seizures,
falling blood pressure, confusion and coma. Two weeks is a long time to
suffer." 2 |

Beliefs of conservative Protestant groups:
Conservative Protestant groups generally teach that death by
dehydration is extremely painful and gruesome. They seem to assume that
Terri Schiavo was capable of feeling pain and would be given no pain medication or other treatments to avoid
any discomfort that she might have felt during the process of dying:
 | Operation Rescue, a fundamentalist
Christian group which opposes equal rights for gays and access to abortion,
described death by starvation as "horrible." They write: "The
moment her feeding tube is removed, Terri Schiavo will begin a long, slow,
painful death by starvation and dehydration. WE NEED YOUR HELP NOW to rescue
Terri from her cruel executioners. They’ve already tried to kill her once
before, and she fought to stay alive. But this may be the last chance Terri
gets.....Medical experts all agree that death by starvation
and dehydration is perhaps the most painful, the most tortuous, and the most
agonizing way to die. Let’s face it: The human body must have water
and nutrition! Just try going for one day without ANY food or liquids—and
see how you feel. You won’t like it!" 3 |
 | The Family Research Council said that: "Death from
dehydration and starvation is a brutal and gruesome form of death. The
tongue and lips crack and bleed. The eyes recede into their orbits. The
skin becomes so sensitive it peels off upon firm contact. The lining of
the nose can crack and bleed. Dried brain cells can cause convulsions.
There is nothing necessarily dignified about dying from the slow and
torturous process of being starved to death."
4 |
 | Dr. David Stevens. executive director of the
conservative Christian Medical and Dental Associations said that initial effects
of the lack of hydration will include extreme thirst, nausea, and cramping. Her
skin will dry out and become wrinkled as fluids are drawn from the skin to hydrate the
organs. He said: "She's likely to become dizzy and begin to have cramping
in her arms and legs. That's because her electrolytes – her sodium,
potassium, and other electrolytes in her blood – start getting out of whack
because of lack of fluids....She'll see decreased secretions. If she tries
to cry, she won't be able to make tears very well, if at all. Her mouth will
become dry and saliva thick. You can have cracking of the (mucous membranes)
of the mouth and lips as they dry out. People often get headaches, then
(become) lethargic and finally go into coma. It actually can cause seizures.
As it progressively gets worse, what happens (are) the physical signs. Her
blood pressure will drop, her heart rate will pick up. She'll actually,
ultimately go into shock. You just don't have enough fluid to keep your
blood pressure up, and it drops so low, and that sometimes can be a terminal
event, or an arrhythmia of her heart. Her blood will get thicker. Sometimes,
people who are severely dehydrated will actually have strokes just because
the blood gets so thick that it clots. It's not a pretty picture....If they
sedate her, she could be semi-conscious or unconscious while this is going
on. It's not a very pleasant experience, unlike what the Hemlock Society and
other groups try to make you believe." 5 |

References used:
- John Schwartz, "Experts: Schiavo would die peacefully. Medical
authorities say pulling feeding tube would lead to death by dehydration,"
The New York Times, 2005-MAR-21, at:
http://www.indystar.com/
- Michael Wright, "Terri Schiavo: Starvation & Dehydration Not a Pretty
Picture," NewsReleaeWire, 2005-MAR-15, at:
http://www.expertclick.com/
- "Voice for Terri: Pro-life leaders working together to save Terri
Schiavo," Operation Rescue, at:
http://www.operationrescue.org/
- John Stemberger, "The Terri Schiavo Controversy - Facts, Myths and
Christian Perspectives," Family Research Council, undated, at:
http://www.frc.org/
- Jeff Johnson, "Christian Medical Expert Disputes Secular Views in
Schiavo Case," LifeWay, at:
http://www.lifeway.com/


Copyright © 2005 by Ontario Consultants on Religious
Tolerance
Originally posted: 2005-MAR-21
Latest update: 2005-MAR-31
Author: B.A. Robinson

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