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I would be happy to assist you further, if you need any more information.
I don't understand how H2S (if inhaled) can cause stomach damage - would some have been swallowed (his pleural cavities were normal) but larynx etc was red.
My difficulty is that I do not know how to interpret the autopsy report.
If P is not asthma medication, then he may have ingested this? Is it the case that this concentration would not be lethal, perhaps just to make him feel drowsy. I wonder where and how he got it. Also I wonder why the autopsy did not mention this drug. Thank you
I don't know whether you are able to view the answers given by Dr Arun. But you can give a different slant on the subject? My son committed suicide in January 2011.
Chris,my son, had Crohn's disease, Asperger's syndrome,asthma. He stopped going for blood tests so the doctors stopped his Crohn's medication (azathioprine). I'm trying to find out if he had any of this but I don't think so. The autopsy report detected Pentabarbitone but said it was a byproduct of his asthma medication. Why would a pathologist make a simple mistake like that? I'm trying to do this all by myself so any
assistance you can give is appreciated. Chris was easily led and desperate, but I'm trying to find out if anyone else was involved. Thanks, Lauren
Wow this is embarrassing. I asked about attachments and found out that I had been missing this feature the entire time. My normal internet browser is Google Chrome and when I use it I don't get the toolbar in this message box, which allows you or me to attach files. I had no idea there was a toolbar. I see if now that I switched to Microsoft InternetExplorer. So if you see a toolbar in the box that you type your reply into at the bottom of this Q&A session then you can attach files through it. If you don't see the tool bar, like what has happened to me, then try using a different internet browser.
So you can send the attachment, but realize it will be viewable to the public, so I would black out any person information first. I can't believe I have been missing out on this feature the entire time simply because my internet browser wasn't showing it.
Anyway, I would be happy to look over the toxicology report.
I think the inquest is now imminent so I am pushing ahead with this. I am in London, by the way, I've switched servers, doesn't work. so, blood: Citalopram 112ug/l,Norcitalopram 29ug/l, Pentobarbitone 16.2mg/l, alcohol no compounds detected. Urine: citalopram detected,norcitalopram detected,metochlopramide detected,Pentobarbitone detected.
Sorry, I realise this isn't ideal. Is there an email address, I'm at XXXXX@XXXXXX.XXX. It says at the bottom, 'pentobarbtone concentrations between 15 and 40 mg/l are usually associated with assisted ventilation. P and metoclopramide were presumably given in treatment'.
I thought P at this dose was toxic. Lauren
I've set up an account on Mediafile 'Lauren24' and password XXXXX 'thomas123'. I hope you can access the report now. Sorry, I am not techno minded, so hope this works!
I think you'll probably need the full PM report,I'll send that later.Chris was dead when he was found. There was a note saying he intended to kill himself with H2S. The Coroner's office told us (by phone) there was nothing untoward in the toxicology but a sample was sent elsewhere to test for H2S (which was positive, I'll find the readings. But it was a low reading, I thought at the time it was because Chris was asthmatic). Paramedics were called after death because it was chemicals and the area was cordoned off. All chemicals, and prescription medications were taken by the police. I'll send full PM report, police report and find out more about the H2S levels if this is useful. Hope you receive the toxicology rpt - pls let me know if not. Thanks for your help,Lauren
Ok - I think I've created a custom URL link to the file - htp://www.mediafile.com/christoxicology
If this doesn't work, I'll get back to you tomorrow. Lauren
Try this link
or this link
i am putting another 2 files into a shared folder called toxicology - police report & autopsy:-
and see if you can access them
Glad you got the files. It was the computer expert, not me!
No worries about timing, the inquest will not be for a while yet.
Chris suffered with Crohn's disease, asthma, and had Asperger's syndrome (this is 'high functioning autism'). There were some things he could do and some things he couldn't do, although he was highly intelligent. Here's a link http://www.autism.org.uk/asperger. He wouldn't go for blood tests, so the consultant and GP stopped prescribing Azathioprine, the Crohn's medication. This was 2009. He had also had psychiatric symptoms since childhood which manifested in "cutting" behaviour. Hence the scars on his arms. He managed without medication for a long while altho' Crohn's is a very painful illness. In September 2010, he was started on Citalopram which is the anti-depressant. No treatment for the Crohn's, nor for the psychiatric symptoms although he was suicidal at times. I can also send the GP report if you'd like. I think there are alternative medications for Crohn's, which don't need blood tests regularly. But they let him suffer.
So he died in January 2011. All the doctor was saying at the time was 'go for a blood test, and we'll put you back on Azathioprine'. But I think Chris had a fear of blood tests by now,he couldn't do it.
Another issue is, why did the tox report not highlight the pentabarbitone.
I think I'd be depressed if I were going to the loo 8 times a day and had Crohn's flare ups!
If you could do an opinion report, we'd be grateful. How much will this cost, how can we get the payment to you?
Your help is much appreciated!
It's almost impossible for us to understand the toxicology - what we need to find out is the prescribed medication Chris was taking and what other drugs he had taken. I'll get the H2S levels and send these to you. It was only a low level that killed him (so they tell us - so I thought it was because he was asthmatic) but maybe it was the pentobarbitone as well? Maybe it was ingested beforehand and there is damage to stomach lining.
I don't think Chris had taken his asthma medication, can you tell this from the
GP report is now uploaded - she seems to saying 'Chris was depressed' and ignoring the Crohn's, psychiatric symptoms and Asperger's.
Please let me have your views, eternally grateful
I've moved GP report into the toxicology folder so you should be able to access this now. Pls let me know if not.
We've asked the police for a list of medications but all they will say is 'various medications' - they will not list these.. So, we are in the dark.
I have Chris' medical notes (many pages). All he was prescribed the last times he went to the GP is Citalopram hydrobromide 20mg 2 tabs(30.11.10), Ventolin Evohaler 100 micrograms,Qvar 50 cfc 50 micrograms (5.8.2009). So, in view of how long ago this was, I'm wondering whether he had any asthma medication left? Nothing for Crohn's
although he was getting symptoms.
Chemicals found were used to make H2S but, again,the police haven't specified wha
was found. There are invoices for 3 Bromo-6-fluoropyridine from a guy in China, but some of these I can't read..I don't know how people can just send this stuff out...
Hope this helps, Lauren
I've been thinking I need to put another question to you because this thread has closed?
I've asked for a list of prescribed medication and chemicals from the police ( I don't think they will provide this before the inquest) and also the H2S levels. If you need more information, pls let me know.
Sorry to hassle you. The pentobarbitone was defnitely not prescribed. Chris may have got it over the internet but there may have been someone there with him, who supplied it. His prescriptions were Citalopram 20 mg twice a day and Ventolin & Qvar 50 inhalers, nothing else. He would not have injected (fear of needles) but taken the pentobarbitone by mouth, as liquid or tablets. I've asked the police whether any container was found, if not, maybe someone took that away.
On the original toxicology investigation, they were not able to trace any H2S but a blood sample was sent to a specialist lab and it was ascertained to be present (levels were
given to us over the phone, I have written to the coroner again for this level)
Thank you, XXXXX XXXXX! Lauren