Thousands of Families Facing Similar Decisions
By Thomas H. Maugh II, Times Staff Writer
At any one time, as many as 35,000 Americans — up to 10,000 of them children — are in a persistent vegetative state similar to that of Terri Schiavo, medical experts said Friday....
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A persistent vegetative state is..."sort of like being in an awake coma," said Dr. David A. Goldstein of the Keck School of Medicine at USC. Patients' eyes are open, they have sleep-wake cycles, and it often appears that they are interacting with visitors, which makes it hard on families.
The brains of such patients are functioning only at a very rudimentary level, said Dr. Kenneth V. Iserson of the University of Arizona Health Sciences Center in Tucson. They cannot feel pain, express themselves or receive communication. They may have grimaces or smiles or other facial movements that look like they are reflecting emotions, but "there really isn't a significant relationship with the outside world," Goldstein said.
And the longer the state persists, "the less likely they are to come out of it," Keane added. Schiavo has been in this condition for 15 years "and it is very, very unlikely she would wake up," he said.
Now that Schiavo's feeding tube has been removed, changes in her condition will be slow to occur and barely perceptible at first...."This is not a cruel procedure," Goldstein said. "It is unlikely that
will feel pain in any way that we as sapient people will identify. Many family members think it is a very comforting procedure … because this is not the way we think we want to live."
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