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**dave** » 2012-08-15 05:39

whats the update caribarena on this young lady.very sad

**Yikes!!!** » 2012-06-12 13:22

25 years old with 4 children? I can only imagine how helpless this young lady must feel. Keep your head up dear. I pray that things turn around soon so that you can take care of your children.

**Today is Monday** » 2012-06-11 16:21

Ms. Crump you are not expected to divulge specifics since that info is indeed confidential. But how is it that the public knew about this case before you. Even if you are honestly not aware of the case, please do NOT say this to the press. Imagine someone from the outside telling me what going on in my own house.
Perhaps you are not to blame. Maybe you are understaffed and make up an entire department by yourself. But please try and do better next time. Just last week I heard someone saying how people are scared to go to MSJMC. It is YOUR job to assist in developing a good image of the hospital. When I hear the things you say, it makes me squirm and I am not a "professional" like you. :-?

**Necessary** » 2012-06-11 15:50

Quote:

Public Relations Officer of the MSJMC Selma Crump said she was unfamiliar with the case and even if she had any information on the matter of how the situation is being handled, she would not be at liberty to discuss such since it would mean a breach of confidentiality rules for the patient.

Salma is NEVER familiar with anything that goes on at MSJMC. How she got that job is beyond me, but moreso, how she still holds the position is mind-buggling.
"PROs are involved in promoting and maintaining good relations between an organization and its publics." Are you doing this for MSJMC and the Antiguan public?

**fnpsr** » 2012-06-10 22:10

Slythatguy, I made no assumptions in this matter. The independent practitioner indicated, and I quote for your benefit again, ““There is a host of conditions that could cause her complaints … a proper neurological, vascular , and physical exam will be very useful. Voltaren, however, will not cause or relieve those neurological symptoms.” There is nothing in the article that suggested that any of those were done. I don’t know about you, but I would not want a doctor to medicate me without knowing what is wrong with me.

I could envision a situation where one falls and badly sprains one ankle and a doctor prescribes aspirin or Tylenol or something to relieve pain prior to casting or surgery. This would be very obvious to everyone. But to medicate a patient, as here, without knowing what is wrong with he patient is bothersome to me.

In my view, the incompetence is twofold; (1) the failure to perform a “proper neurological, vascular and physical exam” and (2) prescribing medication without a proper diagnosis.

“Let’s fix the little things before we attempt to fix the big things.”

**SlyThatGuy** » 2012-06-10 14:59

fnprs,you statement is based on your assumption and interpretation of the situation,it's neither based on facts nor statement made by the independent. you clearly said,"...I am wondering how the doctors at MSJMC could have prescribed medication without doing a full neurological examination to determine the cause of the numbness in her leg." Well,I am telling you that there have been instances where doctors administered aspirin (medication,isn 't it?)to a patient even before attempting to examine him or her.If you don't know the reason the woman was given the medication by the doctors,then you shouldn't have suggested "incompetence"o n their part.

**fnpsr** » 2012-06-10 11:52

My comment, if you read it again, you will see is based on the statement by the independent doctor. Nowhere in the article, did I read that a full work- up, to include, but not limited to blood work, XRAY, MRI or the like was done when the patient initially sought treatment. However, the article indicated that the patient sought an MRI on her own.

I am not saying that the independent doctor is correct, but I think it is incompetence to prescribe medication to a patient without having some clue as to what is wrong with the patient.

Finally, I entreat you to carefully read the post by blogger Vance Joseph and others.

“Let’s fix the little things before we attempt to fix the big things.”

**fnpsr** » 2012-06-10 11:50

The patient secured a MRI on her own on 5/29, which , according to the article, MSJMC doctors indicated that it showed a “nerve ailment in the legs, which caused the numbness, which was originally reported.

On 5/31, the patient was given a new regiment of drugs relative to her diagnosed condition. Please note the two-day delay.

According to the article, an independent doctor reviewed the MRI report and indicated that nothing in the MRI report explains the symptoms. “The doctor questioned whether a Lumbar Puncture was performed,” as, in his opinion, “this would not only explain the symptoms but might also be a very useful test to rule out viral or bacterial involvement in the case, especially since Williams had also complained of a stiff neck.”

According to the article, The independent doctor went on to say that ,“There is a host of conditions that could cause her complaints … a proper neurological, vascular , and physical exam will be very useful. Voltaren, however, will not cause or relieve those neurological symptoms.”

**fnpsr** » 2012-06-10 11:45

SlyThatGuy, I appreciate you taking the time to respond to my post. However, I cannot understand you claim that I do not know the facts. You can’t be serious! It would seem to me that based on your post that it is you who are devoid of the facts. I would never pretend to know more than a specialist in his field, but when it comes healthcare, even the untrained knows that before you treat a patient you have to know what is wrong with the patient. I am sure you would not want a doctor to cut you open just because he believes something is wrong with you.

According to the article, the patient went to the hospital on 5/26, complaining of leg and neck pain. She was placed on a regiment of pills and sent home . According to the patient, she was told that “nothing was wrong with her”.

The patient returned the next day with more pain and was given the same drug in the form of an IV, which knocked her out, and when she awoke there was noticeable numbness in her feet. According to the article she was told that “nothing was wrong with her” and sent home.

**F.Y.I.** » 2012-06-10 07:03

Typical allergic reactions are seen occasionally and easily recognized and corrected. How ever Voltaren is a widely used and relatively safe drug ( not that any drug is really 100% safe and side effect free.neither is food.
Always tell your Physician/healt hcare provider if you suspect you might be allergic to certain medications. You can be tested to see if you are allergic to certain substances. Like the no so uncommon allergies to some antibiotics ,foods and environmentals.

**F.Y.I.** » 2012-06-10 07:02

arthritis.emedtv.com/voltaren/voltaren-side-effects.html.
Bornfocused take a read and show me where sodium diclofenac ( voltaren)
conclusively causes paralysis as described by this patient? as A common side effect??? Keep in mind the initial complained of this patient back and neck pain.
I had to search long and wide to find 1 case reported where voltaren might be a possible cause an elderly male (60+) who had been taking the drug for a prolonged period. link below will show you the report( not study) www.ehealthme.com/ds/voltaren/spinal+cord+paralysis
1 patient in how many millions that use this drug? statistically a non starter.
Prolonged use may and I stress may lead to a stroke ( causing temporary or permanent paralysis or even MI and all type of complications like gastric bleeds.

**Bornfocused** » 2012-06-09 16:24

Both symptoms are actually quite common with this medication. The shortness of breath indicates that she is allergic to this medication and extreme weakness which manifests as temporary paralysis is a common side effect. She will regain her strength but time table is uncertain i've read that it can sometimes take months. All this should have been explained before giving her and an alternative medication to treat her mild leg and neck pains given.

**SlyThatGuy** » 2012-06-09 14:35

You should know the facts before jumping to conclusion,fnps r.Stop behaving as if you know more than the medical examiners. Has it ever crossed your mind that the doctor might have prescribed and administered the drug to relieve the patient's pain and discomfort rather than to treat the cause itself? It's not unusual for a physician(upon examination of a patient complaining of pain and finding nothing wrong) to discharge the patient and still prescribe pain killers.That's why Mrs. Williams maintains she was knock out by the drug.

**Vance Joseph** » 2012-06-09 13:08

It comes on you like a thief in the night, you are good today, usually feeling a tingling and heaviness in the legs, and within hours you are paralysed. There are those who have to use feeding and breathing tubes, infants, toddlers, elderly, healthy fit people are all potential victims, Inflammation being for now the primary cause of the scarring, and we know that any trauma may cause inflammation outside of the auto immune illnesses like osteoporosis and rheumatism- Epidureals have been known to bring on the symptoms, however that causeway, usually is reversed after a week or so.
here are some usefull links for those who may be concerned with her diagnosis and care:

http://transversemyelitis.ning.com
http://www.christopherreeve.org/atf/cf/%7B173bca02-3665-49ab-9378-be009c58a5d3%7D/TRANSVERSE%20MYELITIS%2012-11%20JPW.PDF

I may be reached at 789-2495 for more information on this illness, its onset, care and personal outlook on dealing with this illness.

**Vance Joseph** » 2012-06-09 13:03

She should have the thoracic section of her spine scanned with a specific focus on the condition of the myelin encasing the spinal cord itself.
Voltaren cannot cure it, fix it, after the fact. It is a life changing illness, as it stops you from doing everything on your own and become dependent on others for the simplest tasks.
If there is no movement within the first 30 days, it is almost certain that there will be no movement after that. Even if there is movement, it is a crap shoot as to how much one will progress. I have been more fortunate than most of the individuals whom i have researched who has been afflicted with this illness. It has only affected the movement in my legs, though this round seems to be more sever than any of the others. lasting longer and with more disability. Like H.I.V it has no genres.

**Vance Joseph** » 2012-06-09 12:51

I would advise the doctors at mount st john's medical to investigate the existence of a very rare illness called Transverse Myelitis. It is an infection of the myelin in the spinal column. This is usually caused by inflammation in the the myelin which scars the tissue. Depending on where the scaring originates, will determine the level of paralysis, whether she loses bowel action or urinary tract function.
How do i know this. My name is Vance Joseph and i have suffered from transverse myelitis since age 14. and have had 3 recurrences since then, am now in the middle of one of these relapses and have been dependent on a wheelchair since october 10 2010, after walking to my bed on my own, and could not get out 3 hours later.

It is very rare and most doctors are not able to tell what it is. They confuse it for lupos, or polio like symptoms. She should not be scanned in the lumbar section of the spine. the good doctor at msjmc when i went in october requested a scan of my lumbar area, only to be told by a neurosurgeon that i had the wrong portion of my back scanned as the lumbar area of the spine does not primarily cause that type of symptom as I had. Contd'

**fnpsr** » 2012-06-09 10:04

First of all, my heart goes out to the young mother. While the medication may not have caused her temporary paralysis in her lower body, I am wondering how the doctors at MSJMC could have prescribed medication without doing a full neurological examination to determine the cause of the numbness in her legs. This seems to me to be incompetence. In order to treat the patient effectively, you have to know what is wrong with the patient.

“Let’s fix the little things before we attempt to fix the big things.”

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