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PostPosted: Wed May 10, 2006 2:45 pm 
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Joined: Tue Nov 29, 2005 4:04 pm
Posts: 2044
Location: Gatineau, Quebec
I’ve just found out that the coroner’s report on the Christina Desforges case will be released tomorrow (Thurs. May 11), and that there will be a press conference at 10 a.m. at a hotel in Chicoutimi.

I have no other details, but I'll watch/listen to French media tomorrow. English media might be at the press conference as well. (I know that CNN was trying to track down the coroner when he last spoke to the media, so it might hit English media fairly quickly this time around.)

K.

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Karen, proud Mom of
- DS1 (12 yrs): allergic to cashews, pistachios, Brazil nuts, potatoes, some legumes, some fish, pumpkin seeds; OAS
- DS2 (1o yrs): ana. to dairy, eggs, peanuts; asthma


Last edited by KarenOASG on Thu May 11, 2006 3:17 pm, edited 1 time in total.

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PostPosted: Thu May 11, 2006 11:44 am 
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Joined: Sun Mar 05, 2006 1:05 pm
Posts: 528
Location: Burlington, Ontario
The report is in and it was an acute asthma attack. Christina did take herVentolin, but it didn't help, the attack was just too severe. This is seemingly a case where the Epi-pen would have helped in this situation. Sorry, I don't have any other details, I just heard the headline, not the full report.

It is so very important to have your asthma well under control. The coroner will hopefully have some recommendations to that effect.


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PostPosted: Thu May 11, 2006 3:21 pm 
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Joined: Tue Nov 29, 2005 4:04 pm
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Location: Gatineau, Quebec
For a translation of the press release put out by the Government of Quebec:

http://www.ottawaasg.com/OASG2006/Downloads/QCMay06.pdf

For the English version of the AQAA press release:

http://www.ottawaasg.com/OASG2006/Downloads/PressRMay2006.pdf

I hope that coroner's recommendations are put into place and that good things come from this poor girl's death. Hopefully other people with severe allergies and asthma, in Quebec and elsewhere, will be better protected because of the recommendations.

I believe it will help me in my negotiations with the school where my youngest (asthmatic and anaphylactic) will be starting kindergarten in the fall.

K.

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Karen, proud Mom of
- DS1 (12 yrs): allergic to cashews, pistachios, Brazil nuts, potatoes, some legumes, some fish, pumpkin seeds; OAS
- DS2 (1o yrs): ana. to dairy, eggs, peanuts; asthma


Last edited by KarenOASG on Fri May 12, 2006 12:32 am, edited 2 times in total.

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PostPosted: Thu May 11, 2006 4:22 pm 
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Joined: Thu Mar 03, 2005 9:38 pm
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Location: Toronto
Karen, thank you for providing the links.


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PostPosted: Thu May 11, 2006 6:38 pm 
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Karen, thanks for the posts.

I've also posted a new "Newsflash" item on the homepage - Dr. Miron's statements at the news conference plus highlights from the report.

I've read many of the media reports as well. Here's Canadian Press's http://cnews.canoe.ca/CNEWS/Canada/2006 ... 85-cp.html which gives the flavour of the news conference.

I'm concerned, though, that there has been a real simplification in the media to - "it wasn't anaphylaxis but asthma". Period, paragraph. The coroner does say that, but his recommendations show serious concern about potential fatalities in those who have both asthma and food allergies.

I recommend reading both the news reports and the coroner's report. Personally, I find it heartening that the coroner is calling for things such as teen education programs in Quebec's schools and an assessment of whether epinephrine should be the first-line medication in an asthma attack in someone who's food allergic and having an asthma attack. Karen and I stressed the latter point in our Allergic Living article (Spring '06), and I think it would be great to see some resolution of that question.


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PostPosted: Thu May 11, 2006 7:30 pm 
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Joined: Sun Mar 05, 2006 1:05 pm
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Location: Burlington, Ontario
Another element was the fact that Christina had also smoked marijuana, not a great thing to do even if you're in the best of health, but when you have asthma and food allergies, it is certainly not indicated.

That is something I mentioned to my daughter, who has asthma, a peanut allergy and possibly an amoxicillin allergy : you, more than anybody else, have to avoid illegal drugs, because you don't know how your body will react to them.


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PostPosted: Thu May 11, 2006 7:55 pm 
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Joined: Tue Mar 22, 2005 6:53 pm
Posts: 1454
Location: Canada
From the site Gwen provides a link to:

Quote:
"A recent study shows at the end of an hour, there is no allergen left in the saliva. It's not very probable that peanut butter is implicated. Nine hours later, I don't believe it and studies show the same thing."


It sounds like this is a quotation from the coroner?? but a recent study did *not* show that there is no allergen left in the saliva at the end of an hour. see:
http://www.allergicliving.com/newsflashes.asp

but there's further info. on what looks like the same study here:
http://www.webmd.com/content/article/119/113377.htm

and here:
http://www.aaaai.org/media/news_releases/2006/03/030606.stm

I haven't read the study....but not only was peanut protein left in the saliva 4.5 hours after one person in the study ate peanuts, but the study in no way claims that, say, after 5 hours all the peanut protein in the saliva will be gone.

It sounds to me like the most probable cause of death was asthma. It is good that the coroner is calling for more education regarding the seriousness of asthma. But it still sounds to me that the coroner's report has become an occasion for spreading misinformation about food allergies.

------
All the publicity must be terribly painful for Christina's parents. Her death was preventable, but perhaps they were all doing their best with the information that they had at the time.


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PostPosted: Thu May 11, 2006 8:52 pm 
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Helen, I think it has been really hard - Christina was an only child.

One part of this story that hasn't been raised so far is that Dr. Nina Verreault, the Saguenay allergist who worked with the coroner, is the first allergist they've had pracising in the Saguenay in many years. Think Christina was just seeing a regular GP, (Karen knows that part of the story better from her reporting for ALiving).

So when we hear about the allergist/asthma specialist shortage outside of the main cities, know that it's real.


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PostPosted: Thu May 11, 2006 11:18 pm 
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Location: Gatineau, Quebec
Yeah, I learned that Dr. Verreault was the first allergist in that area in THIRTY years.

So those of us with many allergists to choose from should count ourselves lucky... (I certainly do now!)

K.

_________________
Karen, proud Mom of
- DS1 (12 yrs): allergic to cashews, pistachios, Brazil nuts, potatoes, some legumes, some fish, pumpkin seeds; OAS
- DS2 (1o yrs): ana. to dairy, eggs, peanuts; asthma


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PostPosted: Thu May 11, 2006 11:24 pm 
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Location: Gatineau, Quebec
The coroner's report says this about the "peanut proteins in saliva" study:

Quote:
"According to a recent study, peanut protein was found in saliva up to 4.5 hours after ingestion. In this study the majority of cases, 6 people out of 7, had indetectable levels of peanut protein in their saliva after 1 hour (Maloney et al., JACI vol. 117 no 2, p. 534 abstract no 134)."


So according to that, it could be there 4.5 hours later, but in most people gone after 1 hour. But how would one be able to tell these people apart?

K.

_________________
Karen, proud Mom of
- DS1 (12 yrs): allergic to cashews, pistachios, Brazil nuts, potatoes, some legumes, some fish, pumpkin seeds; OAS
- DS2 (1o yrs): ana. to dairy, eggs, peanuts; asthma


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PostPosted: Fri May 12, 2006 6:56 am 
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Joined: Tue Mar 22, 2005 11:17 pm
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Location: Ottawa
The coroner stated that each year 150 deaths are attributed to asthma in Quebec alone :shock:
Yeah, I'd say something needs to be done.
My experience has been that those with anaphylaxic allergies take their illness much more seriously than those with asthma.
We have been to ER more often with our daughters asthma.
Allergies are easier in that you need to totally avoid the allergen. Asthma needs to be controled with medication and the ammount of medication may vary from season to season.

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Daughter: asthma, allergies to egg, milk, peanuts, tree nuts, most legumes (not soy) & penicillin. Developing hayfever type allergies.
Husband: no allergies
Me: allergies to some tree that flowers in May
Cat: allergic to beef, pork and lamb


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PostPosted: Fri May 12, 2006 12:07 pm 
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Joined: Mon Mar 20, 2006 3:03 pm
Posts: 105
Location: Coquitlam
Hi,
I'm sorry but the report I read says

Quote:
"Christina Desforges died from an asthma attack after "physical exertion" with her boyfriend, not from an allergic reaction to a peanut butter-laced kiss, said coroner Michel Miron."


Quote:
Miron said. Instead, he blamed a sudden, severe asthma attack following physical activity with her boyfriend
.

Quote:
The girl had spent hours at a party with smokers at a home in Saguenay, Que., when her breathing problems began. She also had smoked pot in the previous hours, Miron added, another factor that can cause problems for asthma sufferers.


It had nothing to do with her Doctor or allergist.
Yes she was only a child and believe me I do feel for everyone involved.
I will apologize now because I'm sure many of you will take what I say out of context.

I think much of this has to do with parenting. (What is she doing staying at a boyfriends place? at the age of 13! What do you think will happen?)

I'm not sure why you are still thinking that he could have peanut butter on his saliva. I would be looking into the semen

I'm not trying to point a finger at anyone but let's look at the entire picture:

smokers
pot
peanut butter
physical exertion

None of these are good for a person with asthma and allergies.
I say please educate the children and empower them to stand up for themselves.
One death is a death too much

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Sil


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PostPosted: Sat May 13, 2006 2:42 pm 
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Sil,

I don't actually find what you're saying to be in disagreement.

FYI, in Allergic Living, we reported that the finding was going to be asthma (we found out ahead of the report) and in our article, Dr. Susan Waserman immediately raised questions - without knowing particulars - about whether Christina's asthma was controlled. Now, with the Coroner's report to read, we know that it wasn't.

Aside from the fact that Christina was smoking (at least a little) marijuana and that there were smokers in the house, the coroner also mentions (in the actual report) a previous hospitalization in August '05 - Christina had been visiting a friend; a home where there were cats, a dog and second-hand smoke. The coroner says flat-out: the girl wasn't mindful of her allergies/asthma.

I guess I'm not inclined to want to judge the mother who's lost her daughter - though sure, I'm sure we've all asked ourselves the questions you raise. Christina's mother told Karen in their interview that her daughter was a "free spirit" and "very independent".. But free spirits can be difficult, and having done work with street kids in past, I can attest to just how difficult/resistant some teenagers are.

As for the point about the allergist shortage, I think when there are too few specialists, it gets harder to be certain that proper education of patients is taking place. Even in the big cities, it's hard for allergists to find the time to educate patients rather than just test/re-test for allergies/asthma.
You'll notice in his recommendations that the coroner wants the Health and Social Service Ministries in Quebec to implement a province-wide awareness program for asthmatics, and that he thinks it's really needed in the Saguenay. That suggests - to me anyway - that he doesn't just view this as a problem with this one girl or in one family.

So again, I don't think we're saying such different things - maybe I just didn't put mine in context. /Gwen


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PostPosted: Sat May 13, 2006 4:48 pm 
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Joined: Mon Mar 20, 2006 3:03 pm
Posts: 105
Location: Coquitlam
Hi Gwen,

I'm not in disagreement with anyone. I'm not judging Christina or her mother. I have four children and each one is so very different. (Yes. same father) I'm sure one of them if not all of them will try "Pot", "Drink" and have "**" ( Obviously not with my approval)
That is why I like to look at the facts simply. Why complicate matters with bringing other issues into play. (such as shortage of Dr. and allergists.)

Our Allergist just told me "Yes, he is allergic to peanuts/tree nuts" handed me a brochure for a medic alert bracelet, wrote a prescription for an epi-pen and sent us on our way. wether there is a shortage or not that was the appointment.

I then researched all that I now know about allergies because I feel it is my responsibility to teach my children to be responsible for themselves. Yes I think it is great that the coroner says to educate the kids in schools etc. but again were leaving it up to someone else. We seem to be a society that likes to " pass the buck" or be "Friends" with our kids.

In regards to this report: These are the facts, This is what she chose, and these were the consequences. It is now up to us as parents to learn from this, To take off our blinders and really look at our children and ourselves and see what we can do differently.

As a parent I still have questions that are unanswered.

Was protection used?
Was it latex?
If no protection was used. Could there be peanut proteins in the semen?

Quote:
Christina's mother told Karen in their interview that her daughter was a "free spirit" and "very independent".. But free spirits can be difficult, and having done work with street kids in past, I can attest to just how difficult/resistant some teenagers are.


I agree with your quote but having worked with these types of children I'm sure you can also attest to something lacking in their lives most of the time their parents.

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Sil


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PostPosted: Sat May 13, 2006 6:12 pm 
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Location: Ottawa
Ok, she was 15 years old and most teenagers feel they are invincible. Bucking authority is what teenagers do. They are trying to pull away from their parents and develop more independance. How many of us did things we knew we shouldn't have. It wasn't just me. :oops:
Who knows what her parents knew? She could have said she was at her girlfriends, we don't know.
I am not interested that in their personal family dynamcs, I am far more interested in the fact that 150 deaths are attributed to asthma in Quebec alone each year.
That is outrageous. It makes me wonder what the national statistics look like.

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Daughter: asthma, allergies to egg, milk, peanuts, tree nuts, most legumes (not soy) & penicillin. Developing hayfever type allergies.
Husband: no allergies
Me: allergies to some tree that flowers in May
Cat: allergic to beef, pork and lamb


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