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March 21,
2005
Some of you may remember an article I wrote during the summer of 2003 about a
17-year-old girl from Oklahoma who turned to Tylenol for Migraine pain relief,
accidentally took too much, and paid for that accident with her life. Since
then, her mother has been working diligently to educate people. She wants people
to realize that over-the-counter medications such as Tylenol can be every bit as
dangerous as prescription medications. She also wants to encourage people to
become organ donors. She recently wrote a letter to me to share with you:
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Teri,
I wanted to write explaining to you the dangers of acetaminophen and ask why
no one does anything to stop this. You see I HAD a beautiful daughter
named Kellie. She, as I do, suffered with Migraines, but she wouldn't take
anything stronger than Tylenol.
On the morning of June 26, 2003, Kellie got a Migraine around 3am, so she took
some Tylenol. She vomited, so she took more, not realizing it had already been
digested. This happened three or four more times. She ended up taking up to 20
in a 16-hour period. Around 4:00 p.m., she started having severe stomach pain. I
took her to the hospital then. At the hospital, they took blood, started the
"antidote," and gave her some "charcoal stuff," which she threw-up. She said,
"Mom, I'm sorry. I tried to keep it down." I told her, "It's OK, don't worry
about it."
She said "I thought it was OK, Mom. It was only Tylenol". I said "It's OK, Kel."
I had no idea what was to come of it. I figured she'd be OK. WRONG!!! The doctor
came in and told me that, at that point, Kellie had an 80% chance of dying. You
could have blown me over with a feather. The doctor told me, "You need to call
whoever you need to. She might not make it through the night." I was horrified
and in shock. I couldn't understand why he was saying that and went into denial
mode. I called my husband and told him to get there as fast as possible. He
argued with me; he was in shock too.
The next day Kellie started going into convulsions, and they transferred her to
a hospital where they could do transplants. The Tylenol had started to shut her
liver down. There is no liver machine, transplant was her only chance. They put
her on the "list" as #1 , but there wasn't a liver available. They put her into
a medically induced coma to, "lessen the stress on the organs," we were told. We
had called our son, who lived in Georgia, and he immediately flew out here.
Kellie was his only sister. He loved her very much. By the time he got here, she
was in the coma. On June 25, Kellie's kidneys shut down. On June 27,The doctors
put a screw into Kellie's brain to monitor the fluid, they then found out that
she started getting water on the brain. On June 28, the doctors told us she was
brain dead. We as a family had to make a decision to keep her alive as a
vegetable or let her go. She wouldn't know who she was or who we were. The only
part of her brain that was still functioning at that time was the part that was
keeping her organs going. We all agreed Kellie would not want live like that,
for that is not living. We then made the decision for Kellie to be a donor, in
hopes of saving someone else. Her heart was still good and her eyes and other
parts, but unfortunately she developed an infection and no parts could be used.
I truly believe if Kellie had gotten a liver she would be with us now. That's
why I believe strongly in organ donation. Livers do not age. Unless they're
damaged, they regenerate themselves, and without a liver machine, a transplant
is your only hope of survival.
Now, without even being able to say, "good-bye," or "I love you," we watched her
slowly die as the machines slowly shut down. On June 28th, 2003, at 6:00 p.m.,
Kellie was pronounced dead.
Please get this across to your
readers in hope no one else has to live through a hell like this.
Thank you,
Jodie
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There is an unfortunate tendency for people to think that
over-the-counter medications aren't as strong as prescription medications, that
they're safer, and that they won't hurt us. When Kellie died, the Managing
Director of the Oklahoma Poison Control Center commented, "People think
analgesics are safe, but they don't read the labels and they easily can make
dosage errors ... fatal errors.¹"
The American Association of Poison Control Centers shows the following
statistics for reported acetaminophen poisonings in 2001²:
- Total reported exposures: 57,516
- Reported exposures, under the age of 19:
40,774
- Unintentional overdoses: 35,705
- Intentional overdoses: 20,002
- Total treated for the exposure: 24,934
- Impact on health from the incident:
- none: 15,029
- minor: 6,223
- moderate: 3,138
- major: 829
- fatal: 120
While we would hope those numbers would be
declining, they aren't. The report of the Toxic Exposure Surveillance System (TESS)
reported the the following statistics for reported acetaminophen poisonings in
2003³:
- Total reported exposures: 61,902 (up 7.63%
from 2001)
- Reported exposures, under the age of 19:
44,504 (up 9.15% from 2001)
- Unintentional overdoses: 40,833 (up 14.36%
from 2001)
- Intentional overdoses: 20,113 (up 0.55% from
2001)
- Total treated for the exposure: 25,964 (up
4.13% from 2001)
- Impact on health from the incident:
- none: 15,985 (up 6.36% from 2001)
- minor: 6,534 (up 5% from 2001)
- moderate: 3,372 (up 7.46% from 2001)
- major: 916 (up 10.49% from 2001)
- fatal: 147 (up 22.50% from 2001)
In trying to address Jodie's question about, "why
no one does anything to stop this," I took a look at the labels on some
acetaminophen products. The do say, "Do not take more than recommended," and
they do say that exceeding that dosage "may cause liver damage."
Is that enough? In my opinion, with over
20,000 unintentional overdoses and 147 deaths from those overdoses in 2003, the
answer is, "No, stronger warning language is needed." I'd like to see those
warnings changed to say:
- "Taking more than recommended can be
dangerous or fatal."
- "may cause fatal liver damage."
Changing those warnings wouldn't result an any
significant reduction in sales of acetaminophen products, but it might save
lives. Even if there were a reduction in sales, no price can be put on the human
lives that are now being lost to accidental overdoses. Educating people to the
potential dangers is the key.
Please, remember that over-the-counter
medications are just as potentially dangerous as prescription medications.
Follow the directions. Never take more than the recommended dosage. Migraineurs
tend to vomit during Migraine attacks. Do not take additional doses of
any medication because you have vomited unless your doctor tells you to. Even a
very short period of time in the stomach allows some medications to reach the
bloodstream.
Educate yourself. Be smart about
medications. Be safe.

¹
"Teenager Accidentally Overdoses On Over-The-Counter Analgesic." The
Associated Press.
ChannelOklahoma.com. July 2, 2003.
² "A Profile of U.S. Poison Centers in 2001: A
Survey Conducted by the American Association of Poison Control Centers."
American Association of Poison Control Centers.
³ Watson, William A. et al. "2003 Annual Report
of the American Association of Poison Control Centers Toxic Exposure
Surveillance System." American Association of
Poison Control Centers. 2004.
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Living Well With
Migraine Disease & Headaches
is available in bookstores and shipping from online
booksellers now. For a description on the
book or an Amazon link, click
HERE.
To
read an excerpt from my book or other content, check our
Supplemental Content
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Remember:
Optimal health care
can be achieved
only when patients
are educated
about their health
and patients and
physicians work together as
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