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Classic Symptoms An evaluation of the records as a whole, taking into consideration the arteriosclerosis, abnormal EEG and spinal tap, neurogenic bladder, results of the 1973 neurological testing, the liver disfunction and later loss of bowel control, show classic symptoms of a progressive brain disorder. Dr. Harvey concluded. The records confirm, that Col. Holmes had serious mentation problems, arising from senile dementia and-or encephalopothy, he told the jury.
Dr. Robert L. Carruthers from the Medical College of Virginia said patients in the early stages of encephalopothy will appear alternately euphoric or depressed, exhibit difficulty in making decisions, become very untidy and develop slurred speech and disordered sleep patterns. At this stage, patients do not necessarily show physical symptoms, including the characteristic “liver flap” of the hands, Carruthers said.
As the condition progresses, early symptoms will accellerate, then the patient will begin to sleep much of the time and become markedly confused, finally entering a deep coma, the doctor reported.
Dr. Richard Hunter, neurologist from Charlottesville, said he’d studied the colonel’s medical records and documents including weight charts, checks and Holmes’ daily journal before concluding that he suffered from long-term brain disease. Asked under cross examination if any of the doctors who’d treated Col. Holmes had made that same diagnosis, Hunter replied that he thought the physician
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