Tuesday, November 20, 2007

Additional thoughts on chelation death

Here are a couple of additional points I should have made in last night's rant on the chelation related death of Abubakar Tariq Nadama.

1) It is alleged that the chelation mixture was given IV push. The labeling for Endrate, the drug which was apparently used, indicates that such rapid injection increases the possibility of fatal toxicity due to a precipitous fall in the serum calcium. Although rapid injection of Endrate, if it occurred, would be relevant to the case, it remains my considered opinion that the emphasis of the CDC, the prosecution and the prosecution’s expert witness sends the implicit message that it’s OK to use chelation therapy for everything under the sun so long as you don’t give the “wrong” drug or administer it “inappropriately”. It would be foolish for me to suggest how the prosecution should spin their arguments but I’d personally rather see wording to the effect that Dr. Kerry “engaged in scientifically unfounded treatment and, moreover, administered such treatment in a manner which enhanced its toxicity”.

2) I noted that Endrate is indicated for the treatment of hypercalcemia and digitalis toxic ventricular ectopy. However, it deserves mention that newer and safer treatments for these conditions have been available for decades, effectively rendering Endrate obsolete.

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