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property he owned at Millwood in Clarke County was to go to his friend, Homer Jenkins.
Jenkins also reported that when informed there was no money in the house to pay for food or for Nancy Natt to take the laundry to Front Royal, Dr. Nielson had remarked, “Well, if worse comes to worse, 1 can declare him (Col. Holmes) insane.” In addition, she remembered Nielsen saying that if the nurses and Nancy Natt weren’t paid, the colonel would have to put in a nursing home.
Medical experts for the plaintiffs all testified that encephalopathy, the mental disorder associated with liver disease, is difficult to diagnose and can be present even if the patient appears oriented as to time, place and self, can carry on normal conversation and conduct business affairs. None of the tests developed specifically for diagnosis of encephalopathy were ever administered to the colonel, they noted after examination of his hospital records.
Dr. John Harvey, graduate of Yale and Johns Hopkins who is currently a professor of medicine and expert diagnostician at Georgetown University Hospital, maintained on the basis of a review of Holmes’ hospital records that the colonel’s problems began in 1946 with a heart attack. Holmes from then on exhibited a history of cardio-vascular disease and by 1966, had developed calcium deposits that build up and eventually cause hardening of the arteries. These calcium deposits in the viens leading to the brain cut off the blood supply to the brain when the colonel leaned his head back and were the probable cause of his periodic black-outs, according to Harvey.
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