Garth Daniels - A Paridigm Shift, Polypharmacy and the TGA

The Therapeutic Goods Administration ( Australia) is equivalent to the Food and Drug Administration (USA).

In 2008 the TGA convened a scientific study of reports based on numerous cases submitted to it by a psychiatrist who has an interest in forensic and medico - legal issues in psychiatry. The case studies encompassed numerous reports which described adverse events and complicated psychotropic medication histories over an extended periods of time.  The scientific study was undertaken by the Psychiatric Drug Safety Expert Advisory Panel established by the TGA.

In its Executive Summary The Panel considered that "the reports were most valuable for highlighting a number of issues associated with the use of psychotropic medicines, including

• ...extent of the problems associated with polypharmacy...
• lack of evidence for the use of many of the prescribed combinations...
• potential of increased adverse events when multiple medications are used concurrently...
• clinicians difficulties in "distinguishing" side effects as akathesia from underlying psychiatric disorders
• inconsistencies between current Australian Product Information documents and international monographs...

...there was usually clear evidence of a temporal relationship between the onset of symptoms ( e.g. akathesia or suicidal ideation ) and the use of medication and evidence that the symptom improved on discontinuation or reduction in dose of the drug...."

Why is it that on each and every occasion Garth Daniels presented to hospital...whether voluntary or involuntary is not the question... Why has it been that his drug prescription is always increased culminating in unnecessary traumatic and lengthy inpatient hospital stays?

Perhaps now there is a paradigm shift... initiated as a result of a short stay at St.Vincents Hospital and recognition that the alternative to a C-Max dose.. and polypharmacy is a reduction.

Therapeutic dose should be based on the rate of clearance the formula of which equates to dosing rate divided by drug concentration, shouldn't it ?

GARTH DANIELS - An Awakening

After more than sixteen years of  pharmaceutical drug interventions Garth now suffers from significant residual problems.  To the extent that  he considered it appropriate to enter the private hospital sector to monitor these residual effects more intensely. On Monday 11 March Garth found himself in the invidious position of  needing hospitalization in order to deal with the consequences of polypharmacy with respect to the subsequent difficulties with etiology.

GARTH DANIELS - The Ides of March

 http://www.bordermail.com.au/story/1287206/mental-health-institute-to-slash

Garth Daniels was NOT CRIMINALLY INSANE... His mere incarceration at Thomas Embling was in fact defamatory, if not criminal.  The implication appears to be that if one is diagnosed as having a mental illness then it is likely that you will offend...  Garth was not part of the Criminal Justice System nor had he been found guilty or least of all sent to Thomas Embling for reasons of mental impairment by the courts.  Garth was admitted to Thomas Embling by the mere strokes of a few psychiatrists' pens for the purpose of providing greater freedom.(sic)
P.S. Garth Daniels was never allowed unescorted off campus leave.

GARTH DANIELS - The Dark Light Rises at Thomas Embling

 

Thomas Embling Hospital 2012

Five Police vehicles' and two SWAT Teams













"It was a day in March when attempting to enter at Thomas Embling Hospital that the security personnel advised I would not be able to visit at that time as the place was in "lock-down".
Earlier I had watched from the car park staff from the administration running through the security section into the actual lock-down compound area.

Within minutes of that observation five police cars and two SWAT Vehicles' appeared...( see above photo) from which emerged personnel armed with transparent riot shields and guns in their holsters. I watched as they put on their helmets and proceeded to enter the "hospital" in what may only be described as riot gear.

In the time I have had to attend Thomas Embling to see our son two patients had been murdered... it was a fear that the same would happen to our son... Now there has been a third death... that could so easily have been our son... "



MAD - its an acronym for mind altering drugs.... So, it begs the question... why was it necessary for a SWAT Team to be sent into a hospital?

Forensic yes! Hospital...? Whose delusional???




http://somethingincommon.gov.au/get-inspired/Freeing-garth-daniels

GARTH DANIELS - The Long Road to Recovery

" I learned that courage was not the absence of fear, but the triumph over it. The brave man is not he who does not feel afraid, but he who conquers that fear"... Nelson Mandela

In a research project established at the University of Pittsburg in the U.S,A. psychiatric drugs were injected into Macaque monkeys.  The drugs were  Olanzapine and Haloperidol which produced some interesting observations... These drugs caused damage to the brain... as observed once the monkeys were euthanized and the brains dissected...  so what does it do for Homo-Sapiens?

The  monkeys were also caged of which one was that  distressed and became aggressive and subsequently, moved to a larger cage with greater freedom of movement.  The distress dissipated... the monkey became less aggressive and manageable...  

So, the questions must be asked ...  after seventeen months in a forensic hospital(sic)... for the criminally insane... i.e. persons convicted by the courts and found guilty....  What  did Garth's treating psychiatrists at Thomas Embling, Dr.Hemlata Ranga et al in collaboration with the psychiatrists at Peninsula Health,  Dr. Michael Lee et al and the Chief Psychiatrist,  Dr. Ruth Vine of this State of Victoria hope to achieve? Was this an attempt to replicate the monkey study?

What they did achieve was to fail in their duty of care ... Garth Daniels was seriously assaulted... denied prompt and appropriate medical care.   Garth Daniels basic human rights denied ...  locked in isolation for 55 days... restricted his visitors... prescribed him over the maximum recommended dosages of Olanzapine which is and has always been maximum 20mg.

With the support of a dedicated professional team in the private Garth Daniels is on the difficult and painful long road to recovery ...

http://somethingincommon.gov.au/get-inspired/Freeing-garth-daniels

GARTH DANIELS - Freedom of Movement

Article 10
2(a) "Accused persons shall, save in exceptional circumstances, be segregated from convicted persons and shall be subject to separate treatments appropriate to their status as unconvicted persons".
                                International Covenant on Civil and Poltical Rights

More than seventeen months held  at Thomas Embling Forensic Hospital Fairfield, in the State of Victoria, Australia, Garth Daniels presented and eloquently stated his case before the Mental Health Review Board..

The MHRB after consideration of the views expressed and documentary evidence presented by the parties subsequently discharged Garth Daniels on Friday 24 August 2012..., was Garth Daniels detention lawful ? 

GARTH DANIELS - "Fighting for Survival"

".. satisfied that the transfer will be of benefit to the patient or is necessary for the patient's treatment; and..."                                 Mental Health Act 1986 ( as amended)                  
                          
...so it was that A/Prof.Sean Jespersen, Clinical Director Frankston Mental Health transferred Garth Daniels to Thomas Embling Forensicare Hospital (sic).  And, Dr. Hemlata Ranga the accepting consultant psychiatrist fraudulantly classified Garth Daniels as a Section 16(3)(b) patient. ( a prisoner/forensic patient) 


What have been the benefits to date for Garth Daniels?  He has spent fifty-seven straight days in isolation/seclusion... thats approximately 1300 hours.   Brutally bashed on 24 April 2012 culminating in a fractured cheek/jaw bone and again bashed in the same manner on 17 May 2012 with no follow-up on the potential injuries that may have been sustained including the fractured jaw/cheek bone.



ACTUAL PHOTOGRAPHS OF GARTH
25 April 2012

Blurred vision, sore eyes, oculogyric movements of the eyes, tardive dykensia, memory impairment - ADR's - adverse drug reactions perhaps?  Apparently non exsistant according to his minders at Thomas Embling.

17 May 2012 insults sustained to the same facial region..not once ..but twice.. despite assurances that appropriate action had been taken to ensure that it would not happen again.  BUT, it did happen again and again and again.

Incarcerated within the confines of a three meter high wire cage in excess of seventeen months and counting. MAD-Mind Altering Drugs prescribed in excess of the manufacturers recommended safe dosage without consent.  Locked in isolation for fifty-seven days roughly 1300 hours for necessary treatment(sic). Brutally assaulted by inmates and left with a fractured jaw/cheek bone ( Zygomatic Arch) confirmed by CT Scan... but not permitted surgery or alternative opinion of choice of physician.  Yet this priviledge is extended to those incarcerated at Thomas Embling by the Courts.

Treatment contrary to second opinion/s obtained.  Tablets crushed before being administered with no cognizance of rate of metabolism culminating in probable toxicity.   ADR's - Adverse Drug Reactions reported by Garth to the "treating team" . blurry vision, sore eyes, sore throat, oculogyric movements of the eyes, memory impairment... disregarded as if its' none exsistant.   Once again insomnia appears to be entering the equation... a paradox perhaps of the over prescription of Zyprexa ?

"Treating Team" refuses to discuss any issues about Garth with the parents who are in turn directed to speak to the ever elusive psychiatrists...  Dr. Hemlata Ranga the treating psychiatrist still refuses to speak to the parents... and continues with her prescription of polypharmacy (Amisulpride, Benzodiazapines and Zyprexa).  The Zyprexa being prescribed over and above the manufacturer Elli Lillys maximum recommended safe dosage - and contrary to the wishes of Garth and his parent who holds Enduring Power of Attorney Medical and Guardianship.  Obviously, Dr. Hemlata Ranga is oblivous to the consequences of her blatant disregard of these legal documents. As was Dr.Gunvant Patel, Assistant Clinical Director who acted via proxy communicating the "treating teams" decisions to the parents, and; has now gone on leave, never having examined Garth while at Thomas Embling

Now its the Clinical Director, Dr. Maurice Magner... Perhaps Dr. Maurice Magner still considers that Mr. Daniels senior is too emotionaly charged to meet with him...  Instead he chose to speak to Garth who had yet again been forced to endure another 75 hours plus in seclusion... and released back into the Argyle Ward on Saturday afternoon 30 June 2012.   Garth is still being treated without informed consent... 

What is the significance of Australia being signatory to the Declaration of Helsinki...the Nuremburg Codes...the U.N.Convention Against Torture...????   Is it possible that those psychiatrist treating Garth Daniels have forgotten that once they were doctors?  Is the Hippocratic Oath not ... FIRST, DO NO HARM?   

Side Effects and Warnings

Benzodiazepines


While benzodiazepines can improve the quality of sleep, these drugs are known to cause a number of side effects including stomach upset, blurred vision, headache, dizziness, impaired coordination, depression, trembling, nightmares, weakness, memory loss and clouded thinking.- If any of these effects persist or worsen, inform your doctor promptly.

                                                               http://toxipedia.org/display/toxipedia/Benzodiazepines