This Botox Medication guide was sent to the College of physicians and surgeon along with my
forensic test result and other documents to back my claim that these
doctors where negligent. No surprise they denied my complaint and closed
my files. I also sent this to the review board recently which also
denied a review and closed my file!
To me it was relevant and
important facts that was not only ignored by doctors and now also the
college and the review board. Talk about being "one-side" like my friend
put it so well! She was more upset at the decision then I was. I knew
the first respond I got from the College that they wanted to dismiss my
review but felt compelled to respond and show that indeed I do have
solid bases for a review.
Spent a month working on my evidence
foregoing interacting with my friends and acquaintance so has to not be
distracted and present the best evidence I could find! Well I can say it
was not all for naught cause I am learning so much about how certain
people react and what makes them tick.
Their action and reaction
when they face the truth scare them. They can try and discredit me and
now getting harder for them to do that I will not be dismiss or ignored
this easily. They can't intimidate me any more so I decided to post this
guide so you can see for yourself if these doctors follow proper
protocol and follow the guideline.
Also this Botox medical guide is
supposed to be distributed to the patient before treatment. In my case I
downloaded from Allergen site in 2009, after the treatment. By posting
it at least information that is important for people to know but not
provided by their doctors can access it through here.
I did mention
to the college and the review board that there was a antidote that they
could have ordered to help alleviated some of the reaction even though it
is not a guarantee it would of help in some way. See page 14
"Overdosage" paragraph 3"In the event of a overdose antitoxin raise d
against botulinum toxin is available from the Center for Disease Control
and Prevention(CDC) in Atlanta, GA". further down the paragraph line 5
it state."In the event of suspected of actual case of botulinum toxin
poisoning please contact your local Health Department to process a
request for antitoxin through the CDC directly at 1-770-488-7100.
I
ask if there was an antidote at the time, I was told "No"and called
"delusional" by these doctors! They had no decency if they knew and had
access to this guide which they should of then it is a disrespect for a
human life. "Ignorance is not always a bliss especially if they know the
truth, then lies about it, that is outright stupid" They where trying
to send me to another clinic which I refuse since I was worried that
they would blame the other clinic for their mistake and incompetent and
I was not going to participate in their plan! I wanted to make sure
that the right person has to shoulder that burden!
I will go step by step on how these doctors flaunted the rules and regulation set by Allergen.
Page
2 paragraph 3 it state"The initial dose for a patient without prior use
of Botox should be at a lower dose, with subsequent dosing adjusted
based on individual response. Limiting the total dose injected into the
sternocleidomastoid muscles to 100 Units or less may decrease the
occurrence of dysphagia"
Facts was started on 400 Units in June 2004
eventually raise to 600 in 2007, see blog that shows the amount I
received at the time and what the legal amount was from Health Canada
which match Allergen! Please see blog,
http://liselatulippe.blogspot.com/2014/05/information-that-went-missing-or-not.html
Page 3 paragraph 4 "Hypersensitivity
reactions" it state "Serious and /or immediate hypersensitivity
reactions have been reported. The reactions include anaphylaxis,
urticaria, soft tissue edema, and dyspnea. If such reaction occurs
further injections of Botox should be discontinued and appropriate
medical therapy immediately instituted. One fatal case of anaphylaxis
has been reported in which lidocane was used as the diluent and
consequently the causal agent cannot be reliably determined." See blog
where dentist memorized it in is letter. Please see blog,
http://liselatulippe.blogspot.com/2014/05/information-t hat-went-missing-or-not.html
Page 4 paragraph 7
"Warning" it state"The recommended dosage and frequency of
administration for Botox should not be exceeded. Risk resulting from
administration at higher dosages are not known" Risk are known now with
more awareness and reporting which these doctors and institution have
failed to do and still denies in the face of facts.
Page 5
paragraph 4 "Precautions" it state "The safe and effective use of Botox
depend upon proper storage of the product, selection of the correct
dose, and proper reconstitution and administration technique. Physician
administering Botox must understand the relevant neuromuscular and/or
orbital anatomy of the area involved and any alterations to the anatomy
due to prior surgical procedure. An understanding of standard
electromyographic techniques is also required for treatment of
strabisnus and may be useful for the treatment of cervical dystonia" Did
they (doctors) understood this part?
Page 6 paragraph 3
"Information to patients" it state The physician should provide a copy
of the FDA_Approved Patient Medication Guide and review the contents
with the patient. Patients should be advised to inform their doctor and
pharmacist if they develop any unusual symptoms(including difficulty
with swallowing, speaking or breathing) or if any existing symptoms
worsens."
Page 6 paragraph 4 it state "Patients should be counseled that if a loss of strength, muscle weakness, or impair vision occurs"
Page
10 paragraph 5 under "What should I avoid while taking Botox or Botox
cosmetic" it state "Botox and Botox cosmetic may cause loss of strength
or general muscle weakness, or vision problems within hours to weeks of
taking Botox or Botox cosmetic. If this happen do not drive a car,
operate machinery or do any other dangerous activities"
Page 10
paragraph 7 under "What are the possible side effects of Botox and Botox
cosmetic" it state"Botox and Botox Cosmetic n cause serious sides
effects. See "What is the most important information I should know about
Botox and Botox Cosmetic" It has a list of side effects including dry
mouth, discomfort and pain at the injections site, tiredness, headache,
neck pain, eyes problems: double vision, blurred vision, decrease
eyesight, drooping eyelids, swelling of your eyelids, and dry eyes,
allergic reaction. Symptoms of an allergic reaction to Botox or Botox
cosmetic may include: itching, rash red itchy welts, wheezing, asthma
symptoms, or dizziness or feeling faint"
Page 10 paragraph 8 it state"Tell your doctor if you have any of these side effects that bother you or that does not go away!
Fact: I did that and was ignore and called "delusional, liar" and sent out packing and told not to return to the clinic!
Page
11 paragraph 3 "Pharmacokinetics" it state "Using currently available
analytical technology, it is not possible to detect Botox in the
peripheralblood following intramuscular injection at the recommended
doses"
Fact: This is what the doctors where banking on that I would
not find a way to detect it/or it (Botox)will get out of my system in 3
month which did not happen! I did find a way to test and detect Botox
thanks to "Forensic Files" see blog for result http://liselatulippe.blogspot.com/2014/05/information-that-went-missing-or-not.html
Page 12 in Box
marked "Distant Spread of Toxin Effect" it state "Postmarketing reports
indicate that the effects of Botox and all botulinum toxin products may
spread from the area of the injection to produce symptoms consistent
with Botulinum toxin effects. These may include asthenia, generalizes
muscle weakness, diptopia, blurred vision, ptosis, dysphagia, dysphonia,
dysarthria, urinary incontinence and breathing difficulties. These
symptoms have been reported hours to weeks after injections. Swallowing
and breathing difficulties can be life threatening and there has been
reports of death. The risk of symptoms is probably greatest in children
treated for spasticity but symptoms can also occur in adult treated
spasticity and other conditions; particularly in those patients who have
underlying conditions that would predispose them to these symptoms. In
unapproved uses including spasticity in children an adults, and in
approved indication, cases of spread of effects have occurred at doses
comparable to those used to treat cervical dystonia and at a lower
doses."
Facts: All symptoms where reported but ignored and what is
worse is knowing this now and thinking they just kept injecting me with
a elevated amount even after complaining. They profess I never told
them of my severe symptoms. Like I told the College "they where my pain
specialist, who else would I go to?"
Page 14 "Overdosage" it
state "Excessive doses of Botox may be expected to produce neuromuscular
weakness with a variety of symptoms. Respiratory support may be
required where excessive doses cause paralysis of respiratory muscles.
In the event of overdose, the patient should be medically monitored for
symptoms of excessive muscle weakness or muscle paralysis"
Page
14 paragraph 2 it state"Symptoms of overdose are likely not to be
present immediately following injection. Should accidental injection or
oral ingestion occurs, the person should be medically supervised for
several weeks for sign and symptoms of excessive muscle weakness or
muscle paralysis."
Page 14 paragraph 3 it state "In the event of
overdose , antitoxin raised against botulinum toxin is available from
the Center for Disease Control and Prevention(CDC) Atlanta, GA.
However, the antitoxin will not reverse any botulinum toxin induced
effects already apparent by the time of antitoxin administration. In the
event of suspected or actual cases of botulinum toxin poisoning, please
contact your local or state Health Department to process a request for
antitoxin thought the CDC. If you do not receive a response within 30
minutes, please contact the CDC directly at 1-770-488-7100."
Fact: I
comply and reported to all agency including FDA, Health Canada CDC and
Allergen when I started reacting the only thing missing was the doctors
was not forthcoming then by not reporting or now" Please see blog
http://liselatulippe.blogspot.com/2014/05/information-that-went-missing-or-not.html,
Page 15
paragraph 8"Adverse reactions" General it state "There has been
spontaneous reports of death, sometime associated with dysphagia,
pneumonia, and or other significant debility or anaphylaxis, after
treatment with botulinum toxin"
Page 15 paragraph 9 and
continued on page 16"Adverse Reactions" it state There have also been
reports of adverse events involving the cardiovascular system, including
arrhythmia and myocardial infarction, some with fatal outcomes. Some of
these patients had risk factors including cardiovascular disease. The
exact relationship of these events to botulinum toxin injection has not
been established."
Page 16 paragraph 2 it state:"The following
events have been reported since the drug has been marketed and a causal
relationship to the botulinum toxin injected is unknown: skin
rash(including erythemamultiforme, urticaria and psoriasiform eruption)
pruritus, and reactions'"
Page 16 paragraph 3 it state: "In
general, adverse events occur within the first week following injection
of Botox and while generally transient may have a duration of several
months.. Localized pain, tenderness, and/or bruising may be associated
with the injection. Local weakness of the injected muscle(s) represent
the expected pharmacological action of botulinum toxin. However weakness
of adjacent muscles may also occurs due to spread of toxin."
Fact: I
did test positive for botulinum neurotoxin and there are some symptoms
that I am experiencing which is not mention or known at the time.
Example loss of smell and taste with chemical bitter acidly taste in my
mouth that cause blister and cuts and bleeds at times in turn makes me
nauseated 24/7. Also in same blog
http://liselatulippe.blogspot.com/2014/05/information-that-went-missing-or-not.html
I want to bring awareness to this poison so
people are more inform and able to make sound decision. Obviously that
is not what these doctors and the College want the public to know. It is
important to me and I firmly believe the longer they think that they
are in control I will confirm to what they say. Wrong all they did is
make me more determine and resolved to get this out. I call it a "Breach
of pubic trust" when they refuse to acknowledge or report my condition
to the proper agency. What are they afraid of?
Here is a copy of the Botox Medication guide
Sorry page 9 and 15 did not load the first time so it might of change position to 15 and 16 respectfully.
It is my hope that this will give pause to those who are thinking about this treatment. The repercussions and the result are not favorable and are irreversible.
Have a great day ;-)