Terri Schiavo case

The Terri Schiavo case was a series of court and legislative actions in the United States from 1998 to 2005, regarding the care of Theresa Marie Schiavo (née Schindler) (/ˈʃaɪvoʊ/; December 3, 1963 – March 31, 2005), a woman in an irreversible permanent vegetative state. Schiavo's husband and legal guardian argued that Schiavo would not have wanted prolonged artificial life support without the prospect of recovery, and, in 1998, he elected to remove her feeding tube. Schiavo's parents disputed her husband's assertions and challenged Schiavo's medical diagnosis, arguing in favor of continuing artificial nutrition and hydration. The highly publicized and prolonged series of legal challenges presented by her parents, which ultimately involved state and federal politicians up to the level of George W. Bush, the then U.S. president, caused a seven-year delay (until 2005) before Schiavo's feeding tube was ultimately removed.

On February 25, 1990, at age 26, Schiavo went into cardiac arrest at her home in St. Petersburg, Florida. She was resuscitated, but had severe brain damage due to oxygen deprivation and was left comatose. After two and a half months without improvement, her diagnosis was changed to that of a persistent vegetative state. For the next two years, doctors attempted occupational therapy, speech therapy, physical therapy and other experimental therapy, hoping to return her to a state of awareness, without success. In 1998, Schiavo's husband Michael Schiavo petitioned the Sixth Circuit Court of Florida to remove her feeding tube pursuant to Florida law. He was opposed by Terri's parents, Robert and Mary Schindler. The court determined that Schiavo would not have wished to continue life-prolonging measures, and on April 24, 2001, her feeding tube was removed for the first time, only to be reinserted several days later. On February 25, 2005, a Pinellas County judge again ordered the removal of Terri Schiavo's feeding tube. Several appeals and federal government intervention followed, which included Bush returning to Washington, D.C., to sign legislation moving the case to the federal courts. After appeals through the federal court system that upheld the original decision to remove the feeding tube, staff at the Pinellas Park hospice facility disconnected the feeding tube on March 18, 2005, and Schiavo died on March 31, 2005.

The Schiavo case involved 14 appeals and numerous legal motions, petitions, and hearings in the Florida courts; five suits in federal district court; extensive political intervention at the levels of the Florida state legislature, Governor Jeb Bush, the U.S. Congress, and President George W. Bush; and four denials of certiorari from the Supreme Court of the United States. The case also spurred highly visible activism from the United States pro-life movement, the right-to-die movement, and disability rights groups. Since Schiavo's death, both her husband and her family have written books on their sides of the case, and both have also been involved in activism over related issues.

Terri Schiavo was born Theresa Marie Schindler to Mary (born 1941) and Robert Schindler (1937–2009) on December 3, 1963, in Lower Moreland Township, Montgomery County, Pennsylvania, a suburb of Philadelphia. She was the oldest of three children. Her mother reported that, as a child, Schiavo would spend hours in her bedroom arranging her collection of stuffed animals. As a teen, she enjoyed listening to John Denver and reading Danielle Steel romances. She attended Bucks County Community College, where she met Michael Schiavo in 1982. The two began dating and married on November 10, 1984. They moved to Florida in 1986, following her parents. Michael worked as a restaurant manager, while Terri took up a bookkeeping job with an insurance company. She had naturally dark hair, but dyed it blonde.

In the early morning of February 25, 1990, Schiavo collapsed in a hallway of her St. Petersburg, Florida apartment. Firefighters and paramedics, arriving in response to her husband Michael's 9-1-1 call, found her face-down and unconscious. She was not breathing and had no pulse. They attempted to resuscitate her and she was transported to the Humana Northside Hospital. Paramedics had her intubated and ventilated.

The cause of Schiavo's collapse was determined to be cardiac arrest. Her medical chart contained a note that "she apparently has been trying to keep her weight down with dieting by herself, drinking liquids most of the time during the day and drinking about 10–15 glasses of iced tea." Upon admission to the hospital, she was noted as suffering from hypokalemia (low potassium levels): her serum potassium level was an abnormally low 2.0 mEq/L (the normal range for adults is 3.5–5.0 mEq/L). Her sodium and calcium levels were normal. Electrolyte imbalance is often caused by drinking excessive fluids, and a serious consequence of hypokalemia can be heart rhythm abnormalities, including sudden arrhythmia death syndrome. Schiavo was eventually switched from being fed by a nasogastric feeding tube to a percutaneous endoscopic gastrostomy (PEG) feeding tube. Garcia J. DeSousa, a board-certified neurologist in St. Petersburg, Florida, who had previously treated Schiavo, cared for her during her initial admission to Humana Northside; both he and Victor Gambone, an internist and Schiavo family physician, independently made the diagnosis of persistent vegetative state within approximately one year after her sudden cardiac arrest.

From 1990 to 1993, Michael Schiavo and the Schindlers (Terri Schiavo's parents) enjoyed an amicable relationship, with the Schindlers allowing Michael to live rent-free in their condominium for several months.

In November 1990, Michael Schiavo took Terri to the University of California, San Francisco, for experimental nerve stimulation with a thalamic stimulator. The treatment took several months and was unsuccessful. He returned to Florida with her in January 1991 and admitted her as an inpatient to the Mediplex Rehabilitation Center in Bradenton, Florida. On July 19, 1991, Schiavo was transferred to the Sabal Palms Skilled Care Facility, where she received neurological testing and regular speech and occupational therapy until 1994. In mid-1993, Michael Schiavo requested a do not resuscitate order for her after she contracted a urinary tract infection.