Despite an ALERT first recorded by Eastern Health in the medical files of Garth Daniels more than fifteen years ago, it appears that little attention was given to this treatment emergent condition first described by Delay and Deneker in 1960. "Syndrome Malin des Neuroleptic" that is Neuroleptic Malignant Syndrome...
The first reaction to it as described by the French clinicians Delay and Deneker is removal of the causative agent... The first recorded response is almost always the correct response... the literature confirms that the standard response has and always should be removal of the causative agent. Interestingly, that is precisely the response executed by Eastern Health when Garth was first treated there in 1996. What have been the consequences ?
The introduction of polypharmacy as has been documented in Garth Daniels volumes of medical records merely reinforces the notion that polypharmacy serves to "mask" underlying symptoms of this potentially fatal condition... So, why has it continued by other service providers?
Monday, June 17, 2013
Monday, April 29, 2013
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
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 ?
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...
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 ?
Saturday, March 16, 2013
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 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.
Labels:
Criminal Justice System,
Psychiatry,
Thomas Embling
Sunday, January 6, 2013
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
Saturday, September 8, 2012
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
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
Sunday, August 26, 2012
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 ?
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 ?
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