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Man in Vegetative Coma ‘Tells’ Researchers Through Brain Scans He’s Not in Pain

Nov. 14, 2012 11:30pm Liz Klimas

Whether a patient is in pain is an important question for physicians. But for patients in a coma, it’s a question that is not likely to be answered.

Now, a Canadian man in a vegetative coma who hasn’t spoken for 12 years after a car accident “told” researchers he is not in pain.

BBC News reported Scott Routley’s parents saying they thought they’d seen their son attempt communication with his thumb or eyes before, but these sentiments were dismissed by medical staff. Although unclear if these were signs of the 39-year-old trying to communicate, scientists know now that Routley, even though he is still considered in a vegetative state, is aware of his surroundings.

Canadian Man in 12 Year Coma Indicates Through MRI Scans That Hes Not in Pain and Reveals Conscious State

Scott Roultey with his mother. (Image: YouTube screenshot)

British neuroscientist Adrian Owen, who leads the research team at the University of Western Ontario’s Brain and Mind Institute, told the Toronto Star their research with Roultey marks the first time such a patient has been able to answer a question “actually relevant to their clinical care.”

“It became very clear that Scott had some awareness and he could respond in the scanner to the task we asked him to do while he was in there,” Owen said.

The researchers asked Routley to move his arms. Of course he couldn’t, but based on his brain scan while in an MRI, they saw he was imagining himself doing so.

According to the Star, Owen said that although MRI’s are expensive a portable EEG machine could be a cheaper alternative to produce a similar monitoring effect.

Owen described the activity he saw in Routley’s brain as a blob that grew when the patient was told to imagine something and faded when he was told to stop.

Routley was featured in a BBC Panorama program, which followed coma patients in the U.K. and Canada for a year. Watch this BBC clip regarding Routley’s case:

BBC also reported that Canadian patient Steven Graham showed through brain scans that he had new formed memories since his accident. The team asked him if his sister had a daughter, who was born after his accident, and he indicated “yes.”

This new research regarding the conscious state of some patients could raise ethical questions regarding end of life care.

ABC News reported John Connolly, a neuroscientist at McMaster University in Ontario, saying this type of research that leads to patient interaction is a “very big deal” as some patients are denied certain treatment based on conscious state. He said judging patients solely on observed behavior, if they have trouble communicating, needs to end.

(H/T: io9)

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Comments (68)

warloch
Posted on November 15, 2012 at 3:15pm
Thats great but does it trump the fact a brainless man got reelcted president by brainless voters?

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conservativewoman
Posted on November 15, 2012 at 11:14am
Maybe this will save the Terry Schaivo’s of the world. This terrible culture of death keeps telling everyone that we should just let the very sick and injured die, and in fact, likes to kill the unborn by the millions.
This story reminded me of a man I met who once was in a coma from a car accident. While lying in his hospital bed, he said he heard the medical staff trying to convince his family to take him off life-support. He said it frightened him so badly that by the following day, he managed to immerge from his coma.

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- Granny58
  Posted on November 15, 2012 at 11:31am
  I immediately thought of Terri as well. Poor lady, and her parents. They said she was somewhat responsive, would follow a balloon, but nobody would believe them. Sad.
  
  Report this comment
- The Giver
  Posted on November 15, 2012 at 10:10pm
  I thought of Terry too. Doctors are not gods and therefore, trust yourselves when you have an intuition. The parents were right here and it seemed obvious in Terry’s case too. She is in God’s light now, running after the balloon. May God bless caregivers with peace, love, strength and patience.
  Just hope this isn’t used to say that they can confirm a patient’s wish to die. I don’t trust all this attention given to coma patients in countries with socialized medicine. Is it just me?
  
  Report this comment
Lotus503
Posted on November 15, 2012 at 10:44am
Reminds me of the old Star Trek episode (The Menagerie) where Capt. Christopher Pike (Jeffrey Hunter) was testifying in front of a court martial board (one flash yes and two no). Science fiction becomes science fact.

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- TakeDat
  Posted on November 15, 2012 at 3:13pm
  Oh man, lett’n your geek flag fly ! LOL
  
  ……..I knew exactly what your are talking about too. :)
  
  Report this comment
Pocketgeek
Posted on November 15, 2012 at 10:19am
All I want to know is if he knows he voted for Obama. That he lives in Canada is not lost on me, either.

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OniKaze
Posted on November 15, 2012 at 10:14am
I am a firm believer that the Human body CAN do some incredible things, and that some of them, we will never understand. So I don’t believe in ANY form of euthanasia (Except in China and Japan…. Youth-in-Asia and such….)

All joking aside, I had a cat that developed F.I.V. (Feline Aids) and the doctor told us that since he was 13, he would not live much longer, and would suffer so we should put him down… Long story short, we didn’t, and he lived for 9 more years (just died last year) and NEVER experienced ANY suffering.

Same Happened with my uncle. At 30 he was in a car wreck, suffered a coma and brain damage. Doctors told us that he would not have any form of “life” but my family let him recover, and after he awoke, although he was mentally damaged (had the mind of maybe a 12 year old) he lived another 29 years and just died this past Monday due to a heart attack. And while his quality of life went down because of the brain damage, he still lived a decent life.

Point is… NEVER give up on life…. FIGHT until the end… You never know what will happen.

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- Granny58
  Posted on November 15, 2012 at 11:46am
  wonderful comments. thank you.
  
  Report this comment
- Mannamomof4
  Posted on November 15, 2012 at 10:10pm
  My condolences on your family’s loss.
  
  I have a seven year old son who suffered severe brain damage at birth. Only 5% of his brain is actually alive, and yet he smiles, laughs, signs “I love Mommy”, and even jokes with his nurses. It has been the most difficult and most rewarding seven years of my life. The Bible has a verse that says, “For God created the foolish to shame the wise, and the weak to shame the strong.”
  
  Report this comment
- The Giver
  Posted on November 15, 2012 at 10:13pm
  Beautiful.
  
  Report this comment
Spirit-of-76
Posted on November 15, 2012 at 8:32am
Terri Shiavo couldn’t be reached for comment.

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- csehlmeyer
  Posted on November 15, 2012 at 5:48pm
  That is the first person that I thought of when I read this. Many people that wrote her off legally should be more then ashamed now, but I don’t know what is worse then shame?
  
  Report this comment
Smokey_Bojangles
Posted on November 15, 2012 at 7:14am
Liberals haven’t pulled the plugs yet or euthanized him?
That is amazing!

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- Government_Goodies
  Posted on November 15, 2012 at 7:51am
  I was thinking much the same thing. Given the standard liberals have set for people in this situation, I’m shocked that the state hasn’t come in and ordered them to pull the plug.
  
  Report this comment
- WTF
  Posted on November 15, 2012 at 12:24pm
  Now that the Libs know he exists, you’ll see his obituary in a couple of weeks.
  
  Report this comment
Noah_fing-whey
Posted on November 15, 2012 at 6:17am
Oh so this ISN’T a story about Joe Biden after all!!

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- Noah_fing-whey
  Posted on November 15, 2012 at 6:22am
  “He said judging patients solely on observed behavior, if they have trouble communicating, needs to end.”
  
  But then again maybe it is….
  
  Report this comment
RIGHT_WHERE_IT_HURTS
Posted on November 15, 2012 at 5:01am
His attempts to communicate with hie thumb and eyes were dismissed by a medical staff. They made it soooooo easy for themselves, now didn’t they. More educated dummies.STFU and GTFH. Get a job in one of the trades or something.

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- mtnvortex
  Posted on November 15, 2012 at 5:55am
  @Rob
  
  Glenn’s name is spelled with 2 N’s…And his site is so terrible that he is destroying all other internet news sites in the stats. Maybe he should consider spamming comment sections to get the word out.
  
  Report this comment
loneindividual
Posted on November 15, 2012 at 3:20am
Growing up Mormon (I’m now Deist)….I was told that Retards were valiant spirits in the War in Heaven…that they were so valiant…they were born into the world retarded. If they had all their faculties…they would make this world too easy to live in.

In other words….God made them retarded.

Funny…but true.

We all love Retards and get alot of introspection…they are so full of love…it still makes me cry.

(Eugenics is non-existent in Mormonism and has been opposed by Mormons since it took hold in America)

just saying stuff from personal experience and historical knowledge. I had nothing but a positive experience when dealing with retards. (I refuse to call them special needs…they’re just stunted for the time being…they’ll jump way ahead of us in the afterlife….just you see).

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- Matt Marshall
  Posted on November 15, 2012 at 4:02am
  As a life long active Mormon, I have to say your claim about what Mormons at large believe about people special needs is far fetched. I’m not saying some individual Mormon didn’t at some time tell you their opinion on the topic, but this concept your touting on why certain people have special needs is NOT something I have EVER heard over the pulpit in my 36 years of weekly church attendance.
  
  To be frank, you sound like a hater and a troll.
  
  Report this comment
- loneindividual
  Posted on November 15, 2012 at 3:08pm
  Matt Marshall
  
  You should read the churches position on Eugenics then.
  
  Do your homework. I have done mine.
  
  And yes, really, I have heard it from all my bishops.
  
  There is nothing hateful in anything I said. If anything I was praising the Mormons for opposing Abortion when it first came out.
  
  Brigham Young immediately came out against it and all related subjects to it.
  
  Do some reading.
  
  And 36 years? Really? I don’t care how long you’ve been Mormon much less alive. Most Mormons don’t know anything. They are just there for the social life.
  
  Report this comment
ErinLindsey
Posted on November 15, 2012 at 3:12am
My great uncle had a heart attack about 12yrs ago. My aunt (Aunt#1, not a blood relative) was in charge of his Power of Attorney. She left the hospital to go take care of something, and while she was gone, a nurse asked Aunts#2 and #3 about turning off the machines. #2 and #3 were under the impression that because they were blood relatives that they were allowed to make that decision. So they said yes. The nurse told the doctors that permission to turn the machines off was given and didnt follow up on who had the POA. My uncle died while aunt#1 was out.

Make sure you have a will with your express wishes written down, and make sure family knows who is in charge. My uncle had told aunt#1 that he didnt ever want his machines turned off if he was ever in that situation. Hearing that some people are aware while in comas scares the heck out of me now.

My mom was in a coma from West Nile encephalitis this summer (2nd coma for her, 1st was 50yrs ago after an accident) She was never on life support, but we refused to let her go. She’s now recovered and home and in better health than me or my dad. (she doesnt remember the coma. We say that she “slept” thru the summer)

Hope I’m never in a similar situation. Terrified now.

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- TEARS FOR AMERICA
  Posted on November 15, 2012 at 7:54am
  Oh Erin, it is wonderful your Mom was given more time with you…my Mom has also gotten very close to death but she recovered…even though I trust when God takes our loved ones Home, it is still a very personal decision as to when life ends and it should be up to the family and not the State, tragically which is fast becoming our god (heaven help us)…I will never forget the Schiavo case…
  
  http://en.wikipedia.org/wiki/Terri_Schiavo_case
  
  Report this comment
- The Giver
  Posted on November 15, 2012 at 11:35pm
  Erin, do you have so many enemies that they would want to do away with you? Hospitals will always try to save your life. It is important to have a Living Will (free)that is legal in your state and choose a medical power of attorney who you trust to do as you would wish medically. Have it witnessed. Give copies to your doctors and family members. This way, your family won’t have to wonder which way you lean with regards to life support machines, and or just going naturally. Many more scenarios in Living Will. You can also choose to hear Glenn Beck on radio daily : )
  Read Psalm 112:7.
  
  Report this comment
- ErinLindsey
  Posted on November 16, 2012 at 1:53am
  @thegiver
  
  well, I dont exactly count them as enemies, but my two aunts that allowed my uncle’s machines to be turned off…they were the ones who benefited the most from his will. They got most of his money (not sure they knew beforehand that they were beneficiaries)
  
  I would hope that if I were in a similar state, that I wouldnt have the relatives standing over me with a pillow waiting for me to go so they could take the money and go shopping. (thank goodness I’m poor at the moment. No one bothers me for money)
  
  My dad and my aunt#1 are both medical professionals. I know that hospitals will always try to save your life…at least at this point in time. Once Obamacare hits however, I dont think the hospitals will be as caring.
  
  Report this comment
AbrahamsSheepdog
Posted on November 15, 2012 at 2:47am
I spent 4 days in a coma. Wear A Helmet! Cost me $55,000 not to. Sure price is up now. Point of story……God must love crazy aint skeered white boys. And now I get to hangout and watch this loonytoon show. Haha I lived.

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- The Giver
  Posted on November 16, 2012 at 12:11am
  Awesome! Guess you were given a 2nd chance for a reason. Just read last night in the Gospel of John about Lazarus who was dead for four days and Jesus had him get up and he did. Four days.
  
  Report this comment
mamatango
Posted on November 15, 2012 at 2:43am
Does anybody know how Obamacare affects Medicare? Or a Medicare Advantage plan?
Many seniors are freaking out right now…

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- kaydeebeau
  Posted on November 15, 2012 at 5:46am
  There will be no medicare advantage and most seniors will just get an aspirin….Were your senior friends sleeping for the past 4 years when the rest of us were talking about cuts to medicare and death panels?
  
  Report this comment
- Steve28
  Posted on November 15, 2012 at 9:33am
  I hear soon rates will be going up pretty drastically and not sure what cuts will be made to MA, but hear there will be cuts since the Democrats dislike the program. Thing is you have to read the plan to know what is in it and no one got to that page yet, but soon we will find out since the election is over and now all the bad news will be allowed to trickle out. Funny thing about Democrats they feel change is in a vaccuum and people will not adjust how they live and their decisions. You cannot force all people into the same slot.
  
  Report this comment
nancieo31
Posted on November 15, 2012 at 1:40am
What irony. I just watched “Johnny Got His Gun” yesterday. I work in the medical field and have always been taught that the brain is the final frontier. When I ever have contact with anyone that has brain damage I still speak to them as though they are completely aware. My father was in a coma 2 times in one year and while in his condition he did not remember anything I still find it best to treat all humans with complete respect…just as we would if they could speak back to us.

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- SaturdaysWarrior76
  Posted on November 15, 2012 at 7:46am
  @NANCIE031: I love your post, and completely agree with you!
  
  Report this comment
motonovem
Posted on November 15, 2012 at 1:35am
Remember Terry Schiavo!

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- Chet Hempstead
  Posted on November 15, 2012 at 2:16am
  She was lucky she had a husband who was willing to do the right thing. If this poor guy could really think, he would be wishing he was her right now.
  
  Report this comment
- SCHEXbp
  Posted on November 15, 2012 at 2:28am
  What harm would be done IF the parents continued to care for Terry & he just faded out of their lives? His insistence on ending her life seems a little hard-hearted. Let the parents “waste time” caring for her, as long as he does not have to, why does that outcome bother him?
  (Some think the husband was in a hurry to move on with his new girlfriend.)
  
  Report this comment
- Melika
  Posted on November 15, 2012 at 8:42am
  Hey Chet, you’re presuming she wanted to die, which was not established and was unable to be established. That is the problem with these types of cases. Everyone who is healthy says, “If I’m like A,B,or C, I would want to die.” The problem is, when they get to one of those points, they don’t want to die. Most people don’t want to die in spite of their disabilities, which is why, prior to this case, we were a people who erred on the side of life.
  Describing what he did as taking care of his wife prior to moving on to another woman is hardly apt, unless you define “care” as putting a bullet in her head, mafia style. What he did was testify in court that he needed millions of dollars to help with her estimated medical costs for her supposed life span and once he got that money, immediately began proceedings to kill her. That it took so long in the courts doesn’t negate the speed in which he attempted to murder her through legal means.
  
  Report this comment
- Chet Hempstead
  Posted on November 15, 2012 at 4:09pm
  I’m presuming that she didn’t want to die or not want to die because she no longer had a human mind. Ending the life in her remains is part of taking care of his wife prior to moving on. Ending the life in an animated human body by putting a bullet in its head would be preferable to starving it, but unfortunately there are rules against that in a hospital.
  
  Report this comment
RaydocX
Posted on November 15, 2012 at 1:26am
GBIG,
Sorry if you don’t like the ‘garbage’ but to be honest we don’t either… yOUR president’s takeover of health care means government funding of treatment, and there int enough money to do everything for everybody.

HIS plan sets up ‘panel’ including politicians/ bureaucrats… nOT doctors or researchers or ethicists or even actuaries… Bureaucrats to decide what treatments are acceptable for what populations…
The panel doesn’t answer to Congress.

Now, you don’t want to believe its a death panel… Remember when Ocare tax wasn’t a tax?
Remember mammography? National studies in Sweden where there is universal healthcare PrOvEd the benefit of mammography for women starting at 40… Bureaucrats and their pet statisticians decided the cost was too much… Not the benefit, not considering the losses in life family or support, and ignoring that cancer in younger women is more aggressive and needs earlier detection… On their biased claims thousands of women have already not gotten mammograms… Statistically because of their propaganda women have already missed diagnosis until recovery is not possible.

Sadly, Pelosi and her cronies will see to their own health, but you and I will face long waits as docs will retire and there won’t be new docs, low bidder care will rule, care workers will be overworked and underpaid, new technology will not be developed
But smile, thisis what you wanted… Redistribution, government medicine… Garbage

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ericinwisconsin
Posted on November 15, 2012 at 12:52am
In 1996, my wife had a cerebral infarction, snapping the connections between the brain stem and the brain. The doctors told me that she was a vegetable and that I should end her life. I have always considered myself a murder by that one decision. Quite frankly, I feel that I was pressured to do this. Odd how doctors went from “preserve life at all cost” (Karen Ann Quinlan) to “time to pull the plug” (Hassan Rasouli). It was certainly the hardest thing I ever had to do in my life. Now, I’m not so sure it was the right thing. God forgive me.

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- Ghandi was a Republican
  Posted on November 15, 2012 at 2:03am
  Don’t worry about it.. I’ve been there and the once the body is useless it’s time to go. Seriously. Be glad for your time with her and let her go. “she went to a better place” sounds cliche, but you may find out one day that you carry guilt for nothing. Don’t listen to atheists who don’t understand any possibility of a soul. It’s real.. You never hear stories about people who “died” for a short time telling stories about not remembering anything about an out of the body experience. Don’t beat yourself up. Find peace.
  
  Report this comment
- mamatango
  Posted on November 15, 2012 at 2:39am
  To be absent from the body is to be present with the LORD!!! Halleluyah!!!
  
  She is in Paradise with Him.
  
  God Bless You.
  
  Report this comment
- Mannamomof4
  Posted on November 15, 2012 at 10:47pm
  Eric, my heart breaks for you and your loss. I can only come close enough to understanding your pain in that I was asked to make the same decision about my premie son when his brain bled severely shortly after birth. It is easy to say that no one should ever be asked to make that choice about someone they love, but the reality is that it happens far too often. We have to make the best decision we can at the time under extreme stress and pain. I pray that God will give you peace of mind and comfort in your heart. You have asked and He has forgiven. :-) You will see your wife again and will be able to see how happy she is now. As for me, I will go ask my son to see if his guardian angels can pass your love on to your wife. God bless.
  
  Report this comment
- The Giver
  Posted on November 15, 2012 at 11:14pm
  Eric, we trust that doctors are the experts when it comes to medicine. You knew your wife better than anyone else, and from the sound of it you did as the doctors suggested based on the medical information you had to work with. Trust that you did the right thing for your wife. The base of the brain is important for the body to function properly. Not all brain injuries affect the same place in the brain. Release yourself of this burden and release her so she can be at peace. God will or has let you fall in love again. Don’t hold back from loving again.
  
  Report this comment
Stoic one
Posted on November 14, 2012 at 11:59pm
Hey Slim…. will the ‘health panels” allow this?

Sorry thinking aloud..

Bathhouse Barry will tell the Barrycare panels this is NOT allowed.

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- CatB
  Posted on November 15, 2012 at 12:05am
  Exactly … death panel (IPAB) will not allow this.
  
  Report this comment
- GlenBeckisGarbage
  Posted on November 15, 2012 at 12:45am
  Death panels ended up being end of life counseling by a doctor. Can’t believe they have you on so many strings your afraid of your shadow.
  
  Report this comment
- Deuteronomy22
  Posted on November 15, 2012 at 12:48am
  They should ask him if he wants to die or is he happy with the care that keeps him alive. Give him a choice.
  
  Report this comment
- samnjoeysgrama
  Posted on November 15, 2012 at 1:02am
  I don’t think we will have death panels. That would be much too personal. We will just have books with regulations in them saying who gets the care. A panel would have people on it that you could appeal to with evidence. The response will instead be “Check the book. You don’t qualify for care. Too bad. Sorry, rules are rules.” And there will be no appeals.
  
  Report this comment
- Dismayed Veteran
  Posted on November 15, 2012 at 3:31pm
  My mother-in-law lived with us until her passing. In the last month of her life, we had hospice care. Part of that care were two vials of morphine which we could administer for her “comfort”. No instructions on doseage were given. The “wink and nod” is the capability to overdose her and let her die in “comfort”.
  
  In the near future, I suspect morphine will be the only comfort an elderly person is given. No treatment of any kind.
  
  Report this comment
- The Giver
  Posted on November 15, 2012 at 11:57pm
  @DismayedVeteran, don’t know what kind of hospice you wound up with, but Morphine is a controlled substance and instructions are always given. Nurses calculate how often you need another bottle depending on the dosage. Yes, hospice is very flexible, but they do give you dosages to follow.
  I know your point is that it will be the drug of choice. I think Obama prefers Tylenol( generic- acetaminophen is cheaper).
  
  Report this comment
marine249
Posted on November 14, 2012 at 11:55pm
there is hope for obama yet.

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- CatB
  Posted on November 15, 2012 at 12:01am
  Yes .. because he doesn’t have to use Obamacare .. the rest of us …. not so much. How fast will the IPAB want people put down .. when there is a way to see what they are feeling.
  
  Report this comment
Armyduderetired
Posted on November 14, 2012 at 11:55pm
Just you never mind…we got the blue pill for you provided by Obmama’s Mamma Kathleen Sabilus. You just go quietly now…..

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puravida56
Posted on November 14, 2012 at 11:52pm
I can not imagine a worse hell than being in a vegetative state, but still aware of the world around me. To understand language and not be able to respond in any way would be unbearable to me. I would pray for death daily.

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- Ghandi was a Republican
  Posted on November 15, 2012 at 2:06am
  Me too. And just imagine if you got an itch. Torture. Hateful existence.
  
  Report this comment
Darmok and Jalad at Tanagra
Posted on November 14, 2012 at 11:50pm
Come on, he has lived a good life, its time to make room for someone else. Besides, being in a vegatative state I wonder if he dreams of Tomatos and Asparagus?

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- Kaoscontrol
  Posted on November 14, 2012 at 11:58pm
  wow. You’re really a compassionate human being, aren’t you.
  
  Report this comment
- Darmok and Jalad at Tanagra
  Posted on November 15, 2012 at 12:04am
  Agenda 21 Baby. And who doesn’t love Veggie Tales.
  
  Report this comment
- RIGHT_WHERE_IT_HURTS
  Posted on November 15, 2012 at 4:57am
  What a dip.
  
  Report this comment
ronin_6
Posted on November 14, 2012 at 11:45pm
Amazing and hope giving.

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- puravida56
  Posted on November 15, 2012 at 8:45am
  amazing and hope giving? More like terrifying and depressing. My heart goes out to this man. I wish they would ask him a question about taking his own life. If we had any compassion we wouldn’t force him to live in hell.
  
  Report this comment
NEWSTALKER
Posted on November 14, 2012 at 11:42pm
I wonder what kind of pain Terri Schiavo went through…but then again, they would just say that she had a little brain and probably couldnt feel anything…well, just about every animal has a small brain and can feel…On forth with the Death Panels or in other words, ObamaCare……

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- Rockapine
  Posted on November 15, 2012 at 10:11am
  Go ahead and go without liquids of any kind for about three days…see how you feel. The headache, splitting, cracked lips, dry mouth.
  
  The difference is you can end the experiment at any time, and take a drink. She didn’t have that option.
  
  Easy to sit back and quarterback until you really think about the details…
  
  Report this comment
Jeetman
Posted on November 14, 2012 at 11:41pm
This is really cool to see. Unfortunately Obamacare will not allow this. There are much more needy people who need real care. People in this state will have to go without. THANKS OVOMIT!!!!

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- GlenBeckisGarbage
  Posted on November 15, 2012 at 12:44am
  Where do you people get this crap?
  
  Report this comment
- Pontiaku
  Posted on November 15, 2012 at 1:21am
  Jeetman, raise the bar a bit would ya? Geez…
  
  Report this comment

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