Friday, February 16, 2007

Anna Nicole Smith---the plot thickens

The medical blogosphere’s response to the death of Anna Nicole Smith is beginning to read like a virtual CPC. So far myocarditis, serotonin syndrome, cardiomyopathy, congenital heart disease, heritable disorders of connective tissue, pulmonary embolism, WPW, ischemic heart disease, Brugada syndrome and drug overdose and/or interaction have been posited.

Methadone garnered more attention in the last few days following reports that it was found in her refrigerator. As I posted here methadone could have caused an arrhythmic death. It causes prolongation of the QT interval and torsade de pointes, effects which would not be mitigated by narcotic tolerance or the use of Narcan. These electrophysiologic effects are under appreciated and may be responsible for many of the deaths recently reported in association with abuse of methadone.

2 comments:

NASAcrew said...

According to the State Laws of Texas, Anna’s mother should at the very least be under investigation by CPS and Law Enforcement for her claimed criminal acts against Anna as a child. See definitions listed below for Child Abuse. Because her mother was a police officer, her awareness of the law makes this even worse, in my opinion. Further, those around Anna had to know something was going on, they to can be prosecuted for the failure to protect Anna from her mother.

We are all talking about HKS. Let’s talk about the criminal acts of her mother. These acts caused great emotional harm that had a deadly cause and effect to Anna. In a sense, her mother killed her, it just took 39 years to accomplish her goal.

http://www.dfps.state.tx.us/child_protection/about_child_protective_services/


FAMILY CODE


SUBTITLE E. PROTECTION OF THE CHILD


CHAPTER 261. INVESTIGATION OF REPORT OF CHILD ABUSE OR NEGLECT


SUBCHAPTER A. GENERAL PROVISIONS



§ 261.001. DEFINITIONS. In this chapter:
(1) "Abuse" includes the following acts or omissions
by a person:
(A) mental or emotional injury to a child that
results in an observable and material impairment in the child's
growth, development, or psychological functioning;
(B) causing or permitting the child to be in a
situation in which the child sustains a mental or emotional injury
that results in an observable and material impairment in the
child's growth, development, or psychological functioning;
(C) physical injury that results in substantial
harm to the child, or the genuine threat of substantial harm from
physical injury to the child, including an injury that is at
variance with the history or explanation given and excluding an
accident or reasonable discipline by a parent, guardian, or
managing or possessory conservator that does not expose the child
to a substantial risk of harm;
(D) failure to make a reasonable effort to
prevent an action by another person that results in physical injury
that results in substantial harm to the child;

Anonymous said...

As a patient with a connective tissue disorder, Ehlers-Danlos Syndrome, it did look to me like she and Daniel both may have shared some similar traits. I read today that she told a friend she had lupus back in 1998. I was misdiagnosed with lupus myself before the EDS dignosis was confirmed. Both disorders can cause heart issues, endocrine system disfunction, joint pain, fevers..but methadone is not usually prescribed for lupus. Many EDSers I know do take methadone for joint pain however. Both of these disorders should be considered, as her daughter might aldso carry one if she did have an inherited condition.