The now unbearably sad saga of Terri Schiavo is of necessity spinning off collateral damage. This time the victim is
William P. Cheshire, MD, a board-certified neurologist and associate professor of neurology at the Mayo College of Medicine in Jacksonville, FL. He is also a neurology consultant at the Mayo Clinic, and a volunteer advisor to the Florida Department of Children and Families. In that capacity, he made as much of an examination as he was allowed of Terri Schiavo, and
concluded that the court-approved diagnosis of PVS was quite possibly mistaken, and that further examination was indicated.
Poor Dr. Cheshire is also associated with the
Center for Bioethics and Human Dignity. And it gets worse. Not only does he openly admit he's a Christian (but only an Episcopalian — Assemblies of God would have been
so much more alarming), he's an adjunct at
Trinity University! This are, apparently, extremely suspicious connections for a man of science — so suspicious that there must be something fishy going on here.
Now, I'm not surprised when readers of left-wing hysteric
Markos Moulitsas Zúniga castigate Dr. Cheshire as "Jeb's tame MD" and a "right-wing nut." I'm not even surprised when the New York Times publishes
an unflattering article that quotes duelling neurologists who are offended that another doctor with an apparent pro-life agenda has dared to step on their turf when they haven't even
heard of him, and quotes the flakiest line of a seven-page affidavit while ignoring pages of carefully argued medical analysis. (Note to Dr. Cranford from a former
UMSPH Gopher: in a pissing contest between Mayo and the Hennepin County Medical Center, I wouldn't be so sure you're going to emerge as the BSD. Especially when
your own vita is long on the medical ethics of offing infants and old folks and short on actual, you know, neurology.)
But it really, really disappointed me to see
this bit of snobbish bigotry from
Elizabeth Whelan, president of the
American Council on Science and Health. Mainly it disappointed me because I know Dr. Whelan. I'm sure she wouldn't remember me, but I remember her very well. We were both members of a coalition of free market organizations that collaborated for several months in the run-up to the 1990 Earth Day media blowout, when I was the Director of Environmental and Science Policy at the
Competitive Enterprise Institute. I later spent some intense working time with her mentor,
Edith Efron. I admired Ms. Efron a great deal, and she had nothing but the highest praise for both the analytic quality and the practical applicability of Dr. Whelan's work.
I moved on from policy wonk work, and spent ten years as a public health researcher, split between the
Regenstrief Institute and the
University of Minnesota School of Public Health. I had always assumed that should we cross paths in the future, unlikely as that might be, I would find Dr. Whelan the same fair-minded and intellectually rigorous person I remembered from back then. But I discover I was wrong. For she writes:
As it turns out, Dr. Cheshire is not "renowned" as a neurologist — his limited publications focus on areas including headache pain and his opposition to stem cell research.
I'm not sure what it takes to be a 'renowned' neurologist, but he is indisputably a board-certified neurologist who is employed — not only to treat patients but to teach future physicians — at one of the most respected medical institutions in the world. A PubMed search turns up
34 medical journal articles, which do indeed include a good many on trigeminal neuralgia (so easy to dismiss as 'headache') and a few on bioethics, but also Parkisonism, syncope, myasthenia gravis, hypotensive akathisia, spinal cord infarction, and reflex sympathetic dystrophy. Unlike the 'renowned' Dr. Cranford, who spends most of his ink fretting about how his patients die, Dr. Cheshire seems to spend some time considering how his patients might manage to live a little longer.
Dr. Cheshire never conducted a physical examination of Ms. Schiavo, nor did he do neurological tests.
That is true. It is also true that he did not examine Mrs. Schaivo because neither he nor anyone else may do so, by order of her guardian and the judge overseeing the case. However he does, in his affidavit, explain exactly what tests he would run, were he permitted, why, and what he would conclude based on the results.
Dr. Cheshire is director of biotech ethics at the Center for Bioethics and Human Dignity, a nonprofit group founded by "more than a dozen leading Christian bioethicists." Everyone is free to be guided by a personal agenda — and it is clear that Dr. Cheshire has his.
Well now, here we come to the nub of it. Dr. Cheshire has an opinion about the ethical propriety of embryonic stem cell research (an opinion at odds with the
opinion of Dr. Whelan, but you had probably already guessed that). Moreover, his opinion on the ethics of embryonic stem cell research is, by his own admission, informed by his Christian faith. Therefore: his analysis of Terri Schiavo's condition must be a fake, motivated by his religion, not his science.
Dr. Whelan, I have news for you. We all have personal agendas. Those of us who value honesty admit this upfront about ourselves, and do our best to discover and transmit the truth anyway, even if it sometimes collides with our deeply-held beliefs. Those of us who value charity do our fellows the honor of assumimg that the best of our own behavior is no better than the worst of theirs.
It makes no difference to me if Terri Schiavo is or is not in a persistent vegetative state. My faith informs me that her life is no less precious, no less worth living than mine. So it really doesn't matter to me whether Dr. Cheshire is right or not. Which means I can be reasonably confident that my personal agenda is not the reason I still feel like saying: Dr. Whelan, you're full of crap.
Update:
Ramesh Ponnuru agrees!