Wednesday, March 30, 2005

Joe Scarborough's interview with Dr. Ronald Cranford

From mediamatters.org

Neurologist Cranford confronted Scarborough, MSNBC daytime anchor: "[Y]ou're asking me if a CAT scan was done? How could you possibly be so stupid?"

On the March 28 edition of MSNBC's Scarborough Country, host Joe Scarborough interviewed Dr. Ronald Cranford, one of the two neurologists selected by Michael Schiavo to examine Terri Schiavo pursuant to an October 2001 appellate court mandate. As part of that duty, Cranford "reviewed her medical records and personally conducted a neurological examination of Mrs. Schiavo," according to the June 2003 Florida appeals court review of that hearing.

Following is the transcript of the interview:

SCARBOROUGH: Now, the question on everybody's mind tonight is this: How is Terri Schiavo doing? You know, it's been 10 days. She is starting her 11th day now without food and water. Let's go back to Pinellas Park [Florida], where Lisa Daniels [MSNBC daytime anchor] is standing by -- Lisa.

DANIELS: Well, Joe, at this point, we are going to delve into the medical aspect of the story. I want to bring in Dr. Ronald Cranford. He's a neurologist at Hennepin Medical Center in Minneapolis. And, Doctor, before we continue, I want our viewers to understand what your role was in the legal case. I understand that Michael Schiavo and his team asked you to examine his wife. Is that correct?

CRANFORD: Yes. Yes, they did.

DANIELS: And from my understanding, I just want to be accurate, you examined Terri Schiavo for about 45 minutes. Is that right?

CRANFORD: I think 42 minutes, but 45 is fine, sure.

DANIELS: All right. Well, we want to be accurate here. What was your conclusion at the end of --

[crosstalk]

CRANFORD: Wait a minute. You are not accurate on a lot of things here. You're saying a lot of -- she's not starving to death. Do you understand that? She is dehydrating to death.

DANIELS: Well, why do you say that? Tell us how you came to that conclusion?

[crosstalk]

CRANFORD: Can I tell you why? Because I have done this 25 to 50 times. I don't know how many times Joe has done it, but I've done it 25 to 50 times in similar situations. And they die within 10 to 14 days.

Nancy Cruzan did not die in six days [as guest Patrick Mahoney of the Christian Defense Coalition suggested earlier in the program]. She died in 11 days, 11.5 hours. And Terri Schiavo will die within 10 to 14 days. And they are dying of dehydration, not starvation. And that's just a lie. And Joe doesn't have any idea what he is talking about. And you don't have any idea what you're talking about.

DANIELS: Well --

CRANFORD: I have been at the bedside of these patients. I know what they die from. I've seen them die. And this is all bogus. It's all just a bunch of crap that you are saying. It's totally wrong.

DANIELS: Well, with all due respect, Doctor, it sounds like you think that you know what you are talking about, so let's ask you about that.

CRANFORD: Sure.

DANIELS: Are you 100 percent correct in your opinion that Terri Schiavo is in a persistent vegetative state? Do you agree with that?

CRANFORD: I am 105 percent sure she is in a vegetative state. And the autopsy will show severe irreversible brain damage to the higher centers, yes.

DANIELS: Why are you so sure, Doctor?

CRANFORD: Because I examined her. The court-appointed guardian examined her. Four neurologists at the hospital where she was has said she's carried a diagnosis of vegetative state for 12 years. Every neurologist that examined her, except for Dr. [William] Hammesfahr [a neurologist selected by Terri Schiavo's parents], who is a charlatan, has said she is in vegetative state. That's what the court found. Just because you don't like --

[crosstalk]

DANIELS: Doctor, was a CAT scan -- Doctor, your critics would ask you, was a CAT scan used? Was an MRI taken? Were any of these tests taken?

CRANFORD: You don't know the answer to that? The CAT scan was done in 1996, 2002. We spent a lot of time in court showing the irreversible -- you don't have copies of those CAT scans? How can you say that?

The CAT scans are out there, distributed to other people. You have got to look at the facts. The CAT scan is out there. It shows severe atrophy of the brain. The autopsy is going to show severe atrophy of the brain. And you're asking me if a CAT scan was done? How could you possibly be so stupid?

SCARBOROUGH: Wait. Wait. Wait. Wait a second.

[crosstalk]

SCARBOROUGH: Hold on a second, if I can interrupt here.

CRANFORD: Go ahead. Joe, interrupt me.

SCARBOROUGH: Why don't you go ahead and tell the rest of the story there? Why don't you tell us that the radiologist that looked at the two CAT scans said she showed improvement in 2002 over 1996? You know, you seem so sure of yourself. The Associated Press reported yesterday --

CRANFORD: Joe, the judge didn't believe him.

SCARBOROUGH: Hold on a second. Hold on a second. You're so sure of yourself -- respond to this. AP had a report yesterday. They said seven doctors have looked at her. Four said she was in persistent vegetative state. You were one of them, hired by Michael Schiavo to do that. There were three others that looked at her that disagreed. How can you be so absolutely sure that everybody that agrees with you is 100 percent accurate and everybody on the other side is a charlatan?

CRANFORD: Joe, Judge -- Judge [George W.] Greer disallowed, didn't believe what [Dr. William] Maxfield [a doctor selected by Terri Schiavo's parents] said. You got your numbers wrong. There were eight neurologists saw her. Seven of the eight said she was in a vegetative state. Only one said she wasn't.

SCARBOROUGH: I am quoting an Associated Press report from yesterday.

CRANFORD: Joe, you've got to get your facts straight.

SCARBOROUGH: I have got my facts straight.

CRANFORD: Get your facts straight. You've got your facts way off.

SCARBOROUGH: Why don't we talk about -- hold on a second.

CRANFORD: Go ahead.

SCARBOROUGH: You talked about a 1996 scan.

CRANFORD: No, 2002, 2002.

SCARBOROUGH: Let's talk about it. A radiologist told the court that the 2002 scan actually showed improvement over the 1996 scan. Is that inaccurate? Did the AP report that wrong?

CRANFORD: Absolutely. Maxfield said it was improved. And Judge Greer didn't buy it because the others said it wasn't improved. It was probably worse than it was before.

SCARBOROUGH: Is he a charlatan also?

CRANFORD: Yes. Maxfield is an HBO [hyperbaric oxygen], vasodilator -- look it up, Joe. See what vasodilator does. See what hyperbaric oxygen, see in these cases, and you tell me they are not charlatans. Just because you don't agree with me -- I don't call everybody a charlatan. I'm not calling [Dr. Richard] Cheshire [who has argued that Terri Schiavo is not in a persistent vegetative state] a charlatan. I think he's a reputable neurologist. I think he examined her, he interviewed her. So, just because I disagree, I don't call them charlatans. But you have got your facts so far off that it's unbelievable, Joe. You don't have any idea what you are talking about. You've never been at the bedside of these patients. And this will come out in the next three to five years about this condition and starvation.

SCARBOROUGH: You were there 42 minutes, Doctor.

CRANFORD: Yes, I was.

SCARBOROUGH: You are only one doctor that's been there. And somehow, in your 42 minutes of observing her, you have all the answers and everybody that disagrees is dead wrong, I guess.

CRANFORD: No, that's just a -- you know what? You've gotta see what Judge Greer said. You've gotta see what the appeals court said. If you read that, Joe, you will understand why the judge decided the way he did.

SCARBOROUGH: All right.

CRANFORD: He didn't believe Hammesfahr. He didn't believe Maxfield. And it's not starvation. And Nancy Cruzan did not die in six days. She died in 11 days and 11.5 hours, 11 days and 11.5 hours.

SCARBOROUGH: All right.

CRANFORD: OK?

SCARBOROUGH: Thank you, Doctor.

CRANFORD: My pleasure.

SCARBOROUGH: You know what? This is the disappointing thing. You try to have a conversation. You try to talk about what is going on. And I found this as an attorney, too. I have been attorneys for plaintiffs. I have been attorneys for defendants. And what I always find out is, there are certain doctors -- I am not claiming that this doctor is a charlatan. I don't know his body of work. I am not claiming that he is a hired gun.

But too many doctors out there can be bought off by attorneys on either side. And then they come out, instead of telling you the facts, you get into debate like you are talking to an attorney. It is very, very disappointing.

I want to apologize to Lisa for interrupting her, but the thing is, Lisa was getting attacked because of what I said. I think that is unfair.