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24-hr dose of diamorphine in one hour
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mars  
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 More options Aug 4 2004, 12:57 pm
Newsgroups: alt.drugs.hard
From: mars_2...@juno.com (mars)
Date: 4 Aug 2004 09:57:00 -0700
Subject: 24-hr dose of diamorphine in one hour
wow. calling this a "blunder" is a bit of an understatement, eh? how
about this compassionate statement: "forensic pathologist Dr Allen
Anscombe said it was his assessment that Mr Berry was "terminally ill
and was expected to die anyway" at the time of the mistake."  gee, how
nice.

Man died after painkiller blunder

The Derriford nurse said she had no explanation for the error

http://news.bbc.co.uk/1/hi/england/devon/3536264.stm

A 90-year-old man died in hospital after receiving 24-hours worth of a
painkiller in just one hour.

A nurse set up the equipment incorrectly for administering
diamorphine, the medical name for heroin, an inquest in Plymouth
heard.

Retired painter and decorator Arthur Berry was admitted to Plymouth's
Derriford Hospital on 29 August last year after collapsing at his
home.

His family has called for tougher rules to prevent another mistake.

Diamorphine is a pharmaceutical form of heroin

Mr Berry, of Tennyson Gardens, Plymouth, was given antibiotics for a
chest infection after he was admitted to the hospital.

But his condition worsened and by 4 September hospital doctors
suspected he had terminal pneumonia and would die shortly.

The following day he was prescribed 15mg of the potent painkiller
diamorphine to be administered gradually by a "syringe driver" over a
24-hour period.

At noon on 5 September nurse Margaret Bakheit set up the equipment -
but she used a one-hour pump instead of a 24-hour pump.

She also failed to adjust the settings so it would release the drug
more gradually.

She told the inquest: "I cannot explain why I did so.

"Nobody pointed out the error."

Earlier consultant forensic pathologist Dr Allen Anscombe said it was
his assessment that Mr Berry was "terminally ill and was expected to
die anyway" at the time of the mistake.

Coroner Nigel Meadows ruled that the dose of diamorphine "contributed"
to Mr Berry's death.

He said: "Sadly sometimes when the medical profession makes errors,
the consequences can be minor or they can be more serious."

Following the verdict Mr Berry's family said in a statement: "We do
hope that more rigid procedures are put in place, and that they are
closely monitored. It is our profound wish that no similar incidents
occur in the future."


 
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Andyfothershops  
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 More options Aug 4 2004, 4:17 pm
Newsgroups: alt.drugs.hard
From: "Andyfothershops" <a...@a.com>
Date: Wed, 04 Aug 2004 20:17:17 GMT
Local: Wed, Aug 4 2004 4:17 pm
Subject: Re: 24-hr dose of diamorphine in one hour

"mars" <mars_2...@juno.com> wrote in message

news:2c7d1495.0408040857.25900f33@posting.google.com...

15mg is hardly a killer dose

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Ribbit  
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 More options Aug 4 2004, 3:52 pm
Newsgroups: alt.drugs.hard
From: Ribbit <nullREM...@frogcement.com>
Date: Wed, 04 Aug 2004 19:52:27 GMT
Local: Wed, Aug 4 2004 3:52 pm
Subject: Re: 24-hr dose of diamorphine in one hour

Andyfothershops wrote:
> 15mg is hardly a killer dose

Hmmm to an opiate nieve person it sure could be.

--
ribbit


 
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BikeZilla  
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 More options Aug 5 2004, 7:19 am
Newsgroups: alt.drugs.hard
From: bikezi...@sympatico.ca (BikeZilla)
Date: 5 Aug 2004 04:19:52 -0700
Local: Thurs, Aug 5 2004 7:19 am
Subject: Re: 24-hr dose of diamorphine in one hour

Ribbit <nullREM...@frogcement.com> wrote in message <news:%7bQc.116198$fv.56160@fe2.columbus.rr.com>...
> Andyfothershops wrote:

> > 15mg is hardly a killer dose

> Hmmm to an opiate nieve person it sure could be.

 Aren't older people sometimes *MUCH* more sensitive to the effects of
opiates, espc when there's anything wrong with them and one step away
from death anyway ?. I remember read that sometimes it can take an
older/sick normal person 24 hours to stop feeling the effects of one
dose of codeine, there body just can't get rid of it very fast at all

 
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scoobie  
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 More options Aug 5 2004, 10:31 am
Newsgroups: alt.drugs.hard
From: scoobie <s...@cK.plz>
Date: Fri, 06 Aug 2004 00:31:00 +1000
Subject: Re: 24-hr dose of diamorphine in one hour

Completely OT but.........

BIKEZILLA........How the fuck are ya mate??????
Long bloody time no hear my friend, how goes the HD 'done?

scoobs


 
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mars  
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 More options Aug 5 2004, 12:18 pm
Newsgroups: alt.drugs.hard
From: mars_2...@juno.com (mars)
Date: 5 Aug 2004 09:18:23 -0700
Local: Thurs, Aug 5 2004 12:18 pm
Subject: Re: 24-hr dose of diamorphine in one hour

for a 90-yr old terminally ill opiate-naive man it is.

to you and me it's a fun afternoon lol


 
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Ritual  
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 More options Aug 5 2004, 12:44 pm
Newsgroups: alt.drugs.hard
From: Ritual <ritualNOS...@REMOVECAPSslavehouse.org>
Date: Thu, 05 Aug 2004 12:44:05 -0400
Local: Thurs, Aug 5 2004 12:44 pm
Subject: Re: 24-hr dose of diamorphine in one hour
On 4 Aug 2004 09:57:00 -0700, mars_2...@juno.com (mars) wrote:

Too bad the guy wasn't a junkie. 15mg hydromorphone would have just
made him happy instead of dead. Poor guy.

'Expected to die anyway' is a nasty statement. Medical "miracles"
happen all the time.  I don't know how terminal his pneumonia was or
if it was even indeed the correct diagnosis but from admission to
death in 5 days sounds sketchy. I just don't trust doctors. I believe,
when given the chance, they WILL cover up for each other.
-Ritual
________________________________
Give Me Librium Or Give Me Meth
________________________________
NY04
"For all your recreational shooting needs"
  - Sporting good store ad slogan


 
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anna keynow  
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 More options Aug 5 2004, 10:25 pm
Newsgroups: alt.drugs.hard
From: anna keynow <annabergianinstit...@hotmale.com>
Date: Fri, 06 Aug 2004 14:25:59 +1200
Local: Thurs, Aug 5 2004 10:25 pm
Subject: Re: 24-hr dose of diamorphine in one hour
On Thu, 05 Aug 2004 12:44:05 -0400, Ritual

<ritualNOS...@REMOVECAPSslavehouse.org> wrote:

>'Expected to die anyway' is a nasty statement. Medical "miracles"
>happen all the time.  I don't know how terminal his pneumonia was or
>if it was even indeed the correct diagnosis but from admission to
>death in 5 days sounds sketchy. I just don't trust doctors. I believe,
>when given the chance, they WILL cover up for each other.
>-Ritual
>________________________________

And, so what if he was expected to die.  That doesn't somehow make the
error any less grave.  They seem to be implying that, if the person
had been young and healthy, and therefore not expected to die, then
the situation would've been more serious than it was.  Which, doesn't
bode well for any elderly person entering this hospital for treatment.

Sure, if I was going to die then there would be worse ways to go but,
the fact remains there was a major stuff-up and therefore
responsibility has to be taken.  I don't know how anyone can be
adequately compensated for the loss of a loved one.  Obviously the
medical bills and other costs associated with this persons death
should be taken care of but, there has to be a way to make sure that
an incident like this never occurs again.

Mistakes, both lethal and non-lethal occur regularly in hospitals and,
it is mostly the responsibility of the bean counters, IMO. At least,
here in New Zealand it is, anyway.  The lower the funding, the lower
the nursing staff numbers and quality.  This is a recipe for disaster.
Everything from minor oversights, through to mothers being sent home
with the wrong baby (yeah, it's happened), all the way through to the
leaving of medical equipment inside of patients, and misdispensing of
drugs resulting in death.
      -+Anna+-


 
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Socrates  
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 More options Aug 6 2004, 10:11 am
Newsgroups: alt.drugs.hard
From: "Socrates" <supersonic_...@yahoo.com>
Date: Fri, 06 Aug 2004 14:11:55 GMT
Local: Fri, Aug 6 2004 10:11 am
Subject: Re: 24-hr dose of diamorphine in one hour

"mars" <mars_2...@juno.com> wrote in message

news:2c7d1495.0408040857.25900f33@posting.google.com...

who cares?
he was 90 years old  ,had had his crack at the whip and was clearly on his
way out.
he was probably the lucky one- i really could'nt give a damn -if anything he
was lucky to die so peacefullly ,gracefullly,pain-free  and dignifiied. I"m
sure it's what he would have wanted .I mean what state dya expect to be in
at 90 or what quality of life dya expect to look forward to .Rreaally they
did him a favour and he probably would have thanked them had he beeen around
to say so..
Who gives a damn abotu some 90 year ol;d codger who's had his swing in the
trees, his crack at the whip of life- fuck the inquest if only on the matter
of prinicpile and incorrrect and faulty operating staff/nurses who made an
easy but fatal mistake- an hour syringe driver/drippper instead of a 24hr
and to an opiate-naive person- 15mg could posssibly very easily killl though
i don't tknow the actual offficial "safe" doses of diamorphine/heroin
recommmended by "official" guidelines. Medicalexperience anmd the
antidote-noradrenaline conveniently on standby to reverse the efffects of OD
would be invaluable resources
 in an OD eventuality case.

As for the old man codger of 90- he was clearly on his way out -"terminallly
illl"" ,had proabbbly lived a veryhapppy and fulfilling extendedlife and
for these reasons- i really couild'nt give a fucking
damn.!!!!!!!!!!!!!!!!!!!!!!!!!!!- he was one of the lucky ones to die
peacefullly and pain-freee and with dignity. IF the guy was 21 then such an
an inquest would elicit more sympathy and favour for the victim.
but then inquests are suppposedly technicallly  on the mattter of
princile-that eqiupment and it's proper opperation was in question here- the
human side is ,with regard to the age of the man -90-, neither her nor
there.-
that old man was a lucky bastard i say.


 
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cheech  
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 More options Aug 6 2004, 11:21 am
Newsgroups: alt.drugs.hard
From: "cheech" <cheech...@goodolyahoo.com>
Date: Fri, 6 Aug 2004 11:21:26 -0400
Local: Fri, Aug 6 2004 11:21 am
Subject: Re: 24-hr dose of diamorphine in one hour

"Socrates" <supersonic_...@yahoo.com> wrote in message

news:LkMQc.139$zx.0@newsfe4-gui.ntli.net...

hiya sock!!

still haven't found that spell checker thingy, huh?
btw........has anyone told you "fuck you" yet today?

love,

cheech


 
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Polly Vinyl  
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 More options Aug 6 2004, 2:38 pm
Newsgroups: alt.drugs.hard
From: bluntorangesp...@yahoo.com (Polly Vinyl)
Date: 6 Aug 2004 11:38:24 -0700
Local: Fri, Aug 6 2004 2:38 pm
Subject: Re: 24-hr dose of diamorphine in one hour

fuck off pimple brain

 
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Polly Vinyl  
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 More options Aug 6 2004, 2:38 pm
Newsgroups: alt.drugs.hard
From: bluntorangesp...@yahoo.com (Polly Vinyl)
Date: 6 Aug 2004 11:38:24 -0700
Local: Fri, Aug 6 2004 2:38 pm
Subject: Re: 24-hr dose of diamorphine in one hour

fuck off pimple brain

 
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Alan Gerbilsberg  
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 More options Aug 6 2004, 2:46 pm
Newsgroups: alt.drugs.hard
From: "Alan Gerbilsberg" <theratc...@hotmail.com>
Date: Fri, 6 Aug 2004 19:46:07 +0100
Local: Fri, Aug 6 2004 2:46 pm
Subject: Re: 24-hr dose of diamorphine in one hour

"cheech" <cheech...@goodolyahoo.com> wrote in message

news:NlNQc.8040$Yf6.2242@lakeread03...

Yeah, you think someone should tell him valium isn't water soluble anyway,
so effectively he's just hitting chalk? but that's the thing with these
ancient wise men so wise and so ancient yet somehow simultaneously thick as
a fucking brick.Can you believe he spends all that time hassling Adamski,
goes away for a while comes back and he's straight on Shuffles case, some
people never learn do they?.
AG

 
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projectile vomit chick  
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 More options Aug 6 2004, 8:58 pm
Newsgroups: alt.drugs.hard
From: "projectile vomit chick" <pinkelepha...@mydoor.com>
Date: Sat, 07 Aug 2004 00:58:44 GMT
Local: Fri, Aug 6 2004 8:58 pm
Subject: Re: 24-hr dose of diamorphine in one hour

"Alan Gerbilsberg" <theratc...@hotmail.com> wrote in message

news:cf0kds$4v3$1@newsg1.svr.pol.co.uk...

> Yeah, you think someone should tell him valium isn't water soluble anyway,
> so effectively he's just hitting chalk? but that's the thing with these
> ancient wise men so wise and so ancient yet somehow simultaneously thick
as
> a fucking brick.Can you believe he spends all that time hassling Adamski,
> goes away for a while comes back and he's straight on Shuffles case, some
> people never learn do they?.

LOL

 
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Eaton T. Fores  
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 More options Aug 7 2004, 11:12 am
Newsgroups: alt.drugs.hard
From: "Eaton T. Fores" <e...@etfrc.com>
Date: Sat, 07 Aug 2004 15:12:00 GMT
Subject: Re: 24-hr dose of diamorphine in one hour

> Mistakes, both lethal and non-lethal occur regularly
> in hospitals

Yeah, but the non-lethal ones don't kill anyone.

--
ETF
www.etfrc.com


 
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BikeZilla  
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 More options Aug 8 2004, 3:18 am
Newsgroups: alt.drugs.hard
From: bikezi...@sympatico.ca (BikeZilla)
Date: 8 Aug 2004 00:18:33 -0700
Local: Sun, Aug 8 2004 3:18 am
Subject: Re: 24-hr dose of diamorphine in one hour

  Oh well, you know same old same old
  I think the ULD-Neltrexone is helping me sweat less other than that
  just living my normal - icky half sick life

  However I went for a sleep study the other week and I have sleep
apena
  Hopefully that will explain all the weird problems I've been having

  Wouldn't that be funny, if it turns out this whole methadone thing
was just a side track ??
  If it turns out that nononnnnneeeee of my problems where opiate
related, but
  it just happens that I *also* handle methadone in a really funky way

  Anyhow, I definaltly only feel normal when I'm taking some amount of
opiates
  However I went on methadone primary to weed out other pyshical
syptoms
  Something that hasn't happened at all, the only thing I've found out
is that
  Meth has almost no/no effect. I'm at 1.16G aday now, not much
different from .5g/day really ....
  However lately

  So anything new in your life ?
  I've been sort'a busy lately just I've just been looking in ADH
everyonce
  and awhile. I'm not really keeping up on the happenings ...


 
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Larry W  
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 More options Sep 8 2004, 5:07 pm
Newsgroups: alt.drugs.hard
From: "Larry W" <ljw2...@columbus.rr.com>
Date: Wed, 8 Sep 2004 17:07:12 -0400
Local: Wed, Sep 8 2004 5:07 pm
Subject: Re: 24-hr dose of diamorphine in one hour
Why was this patient prescribed drug in the first place? Was his pneumonia a
complication of advanced cancer. One thing is probably true. The pneumonia
was slowly causing him to succumb. The added respiratory depression as a
result of the diamorphone prought his demise a little sooner. If he as
"going to die anyway," it must have been an angel of mercy guiding the nurse
through the IV procedure.

Larry W

"mars" <mars_2...@juno.com> wrote in message

news:2c7d1495.0408040857.25900f33@posting.google.com...


 
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