Electrical




Bailiff: All rise, the honorable Judge James Means presiding over the case of Brown vs. Rowe. You may be seated.

Judge: This is the case of a one Darius Brown versus Jason Rowe in a matter dealing with the harmful effects of Electrocovulusive Therapy. Councilmen, your opening statements please.

Prosecutor: Electroconvulsive Therapy, also known as ECT, is an appalling, not to mention, harmful practice used in mental treatment. This practice is not safe and it does not improve the patientís condition. My client, having experienced these treatments will testify against this unethical practice.

Brandie: Your Honor and ladies and gentlemen of the jury. My client Psychiatrist Rowe is being put on Ď[ trial for his practices of ECT. ECT has been incorporated for many years. It is one of the safest medical procedures involving regular anesthesia and its effectiveness has been proven beyond doubt.

Judge: Prosecution, you may call your witness.

Prosecutor: Your Honor, I call Darius Brown to the stand.

Judge: Do you swear to tell the truth, the whole truth, and nothing but the truth so help you god?

Darius: I do.

Prosecutor: Isnít it true that you had to undergo treatments of ECT?

Darius: Yes and it was bad. They shocked me and I started shaking.

Prosecutor: Were there any adverse effects after you received ECT?

Darius: Yes, its brain damaging. I often have trouble remembering and sometimes I get headaches.

Prosecutor: So what youíre saying is, that ECT is harmful?

Darius: Yes

Brandie: Objection, Prosecutor is leading the witness!

Judge: Sustained, the jury will disregard Mr. Brownís last statement.

Prosecutor: Did ECT improve your medical condition?

Darius: Yes, but only to a small extent and only after altering my brain.

Prosecutor: Thank you, Sir.

Judge: Your witness, Ms. Cohen.

Brandie: Mr. Brown, didnít you just testify that your condition was improved?

Darius: Yes

Brandie: So how can you argue that it is not effective? As with any medication or surgical procedure, sure ECT has adverse effects. What is your major complaint?

Darius: I canít rememberÖÖÖoh, yes itís memory disturbance.

Brandie: So everything is fine? You can breathe, comprehend, and function normally. Perhaps even better than before your treatments. The only problem is a little memory complications? Nothing major right?

Darius: I guess you could say that.

Brandie: No further questions, your Honor.

Judge: You may step down. The defense may call its witness.

Brandie: Your Honor, I call Dr. Rowe to the stand.

Judge: Do you swear to tell the truth, the whole truth and nothing but the truth so help you god?

Travis: I do.

Brandie: Dr. Rowe, arenít you a licensed Psychiatrist?

Travis: Yes, Iíve been practicing for 19 years.

Brandie: Why donít you tell us what exactly ECT is.

Travis: ECT, electroconvulsive therapy is the appliance of electrical current to a patientís brain for only one-half to two seconds, inducing a slight seizure. ECT is used to treat some disorders such as depression, schizophrenia, and obsessive-compulsive disorder.

Brandie: What are some of the side effects that come with ECT?

Travis: Most of the adverse effects come from the seizure or modifying drugs to control the convulsions. Some patients have experienced hypo tension or hypertension, trachyarrhythmias, bradyarrhythmias, or minor fractures. Some patients reported memory complications, confusion or headaches after treatments. Among these memory complications was the major problem.

Brandie: How effective is ECT?

Travis: One study showed that 84 percent of 58 patients improved after receiving ECT compared to standard antidepressants. Overall 78 to 85 percent responded to ECT. It is as effective as antidepressants and works faster and elicits a response in areas where other treatments did not. 78 percent of patients felt that they had improved after ECT. 80 percent would not be hesitant to do it again.

Brandie: It sounds pretty safe and effective to me. Thank you, Dr. Rowe.

Judge: The prosecution may cross-examine.

Prosecutor: Mr.Rowe, you testified about all those side effects. How can you call that safe?

Travis: Those adverse effects are not life threatening. Some of those like hypertension and headaches, we see everyday. In fact these effects can be restrained with modifications. Now medicines are being used to reduce effects like atropine to reduce bradyarrhythmias, and other medications to control convulsions. Also, one-sided electrode treatment on the less dominant side of the brain reduces the amount of tissue being exposed and less memory is impaired.

Prosecutor: Isnít it true that some deaths have occurred using this treatment?

Travis: Like any other surgical procedure, ECT is has