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Added: January 11, 2007 |
No Comments
Pact gives mentally ill options
Patients decide which treatments they would allow
Buy phenergan without prescription, October 16, 2006
BY JIM RITTER Health Reporter
Chicago Sun Times
If you're hospitalized and unable to make health decisions, a living will can guide doctors about how much medical intervention you want.But what if you have a mental breakdown.
Discount phenergan no rx, A similar document, called a psychiatric advance directive,
buy phenergan in us,
Buy phenergan canada, details the mental health treatments you would prefer.
Psychiatric advance directives, cost phenergan, Phenergan india, or PADs, have been available for years, buy cheap phenergan internet, Order no rx phenergan, and Illinois' document is among the best, experts say, phenergan approved. Phenergan us, But PADs are little known and seldom used.
To raise awareness, cheap phenergan tablet, Buy phenergan from canada, the National Resource Center for Psychiatric Advance Directives has started a Web site, www.nrc-pad.org, buy phenergan no rx, Buy phenergan online cheap, providing state-by-state PAD information and downloadable forms.
A PAD is prepared when a patient is lucid, buy phenergan without prescription. "The benefit is that the patient feels heard, phenergan free delivery, Cheap phenergan, " said Dr. Marvin Swartz, compare phenergan prices online, Phenergan for order, co-director of the center. "The patient feels empowered."
The center was developed by Duke University Medical Center and the Bazelon Center for Mental Health Law, generic phenergan. Phenergan drug, PADs are intended for people with a history of severe and persistent mental illness such as schizophrenia or bipolar disorder -- about 3 percent of the population.
Good for three years
Buy phenergan without prescription, The Illinois PAD allows you to state whether you agree to be hospitalized for up to 17 days, and whether you would consent to electroconvulsive (shock) therapy. It also lists what psychotropic drugs you would take,
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Find no rx phenergan, You might, for example,
phenergan information,
Lowest price for phenergan, agree to take a certain drug, but only after your doctor has tried your preferred drug.The directive takes effect if two doctors or a court determine you are unable to make reasonable decisions,
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Phenergan for sale, (You can name one of the doctors in the PAD.) The PAD must be followed, unless there is an emergency or unless a court contradicts your wishes,
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Phenergan tablet, And you still could be hospitalized, regardless of what your PAD says,
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Order phenergan online, if it's determined you are a danger to yourself or others.
The PAD designates a friend or relative to make decisions about your mental health treatment, buy phenergan without prescription. It must be signed by two competent adults who attest you were of sound mind when you signed it, buy generic phenergan online. Phenergan no rx, The directive remains in effect for three years. You can revoke it only if a doctor determines, free phenergan, Tablet phenergan, in writing, that you are competent to cancel it, phenergan pill. Phenergan overnight shipping, Illinois' law is 10 years old but only recently has begun to catch on, the Illinois Guardianship and Advocacy Commission said, order phenergan from us. Phenergan purchase, jritter@suntimes.com. Cheapest generic phenergan online. Phenergan cost. Generic phenergan cheap.
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Added: October 23, 2006 |
2 Comments
Buy provera without prescription, The Scotsman
Oct. 8, buy provera online, No prescription provera, 2006
KATE FOSTER CHIEF REPORTER (kfoster@scotlandonsunday.com)
DOZENS of psychiatric patients were given electric shock treatment without their consent in Scottish hospitals last year despite huge controversy over the safety of the treatment.
Almost 10% of patients given electro-convulsive therapy (ECT) underwent the procedure as a compulsory treatment for severe depression, provera online review, Cheap provera in usa, according to figures seen by Scotland on Sunday.
Last night doctors revealed some patients are forcibly held down and anaesthetised for the procedure, compare provera prices, No rx provera, prompting grave concerns from mental health campaigners who warn that its side-effects include confusion, headaches and long-term memory loss, buy provera on line. Buying generic provera, But psychiatrists insist ECT can help some patients with severe depression for whom medication is not working.
An audit of Scottish hospitals in 2005 by the Scottish ECT Accreditation Network reveals 433 patients underwent the treatment, buy provera without prescription. A total of 38 had it without giving their consent, order provera from canada. Provera cheap price, Last night, Donny Lyons, real provera without prescription, Purchase provera no rx, director of the Mental Welfare Commission for Scotland, said he believed it was right to treat people against their will if experts agreed ECT was the best option, find provera. Where to buy provera, He said: "It is done sensitively and we have to be clear why we think a patient needs it. Any force should be kept to a minimum, provera canada. Buy provera without prescription, Using force is extremely unpleasant and rare. Drug provera online purchase, You may get people resisting or objecting. Sometimes some general restraint is required, purchase provera online. Provera in us, "ECT is a good thing because it works in people with severe depression; 70% of people will get very significantly better. The more severe the depression, cheap provera in uk, Order provera on internet, the better it works. It does work very well and it is a good treatment but it does have its risks and can cause memory difficulties."
New safeguards on ECT were included in Scotland's new Mental Health Act, which came into force last October, buy provera without prescription. According to the new law, order provera no prescription, Buy provera once daily, patients cannot be given the treatment forcibly unless they are deemed too mentally ill to be able to make an informed decision. Yet Lyons said it is too early to say whether the new laws are having any effect on the number of people treated forcibly, sale provera. Order provera, ECT involves placing electrodes on the temples, on one or both sides of the patient's head, low cost provera, Cheap provera tablets, and delivering a small electrical current. Patients are treated with short-acting anaesthetics and muscle relaxants, cheap price provera. Buy provera without prescription, The current produces a seizure lasting up to a minute and can provide short-term relief from severe depression. Buy cheapest provera, According to the audit, the highest rates of ECT were in Grampian, provera price, Buy provera no prescription required, with 93 patients, and Lothian with 61 patients, provera in bangkok. Cheap generic provera, Moira Fraser, head of policy at the Mental Health Foundation urged extreme caution over the treatment because of its effects on the memory, buy provera. Provera uk, She said: "ECT is very controversial. The impact varies from individual to individual, cost of provera, Buy discount provera online, so you have to be very cautious. If someone is capable of understanding the decision they are making and they have said no, provera no online prescription, Best price provera, for example because of the long-term memory problems, then it is only in very rare circumstances that it should be given."
Sandra McDougall, buy provera online australia, Provera prescription, influence and change manager at the Scottish Association for Mental Health, said: "It's absolutely vital that people thinking about having the treatment are able to access good quality information about potential benefits and risks so that they can make an informed choice about whether to go ahead with it.
"It's only possible for someone to be given ECT without their consent where they've been assessed as not having the capacity to make a treatment decision, and are being treated under relevant legislation.".
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Added: October 9, 2006 |
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Buy crestor without prescription, 350 former psychiatric patients to seek compensation from government
Oct. Cheap crestor tablet, 6 2006
New Zealand Radio
The lawyer for 350 former psychiatric patients seeking compensation from the government says there's no difference between his clients and another set of patients who have already been paid substantial compensation.
The 350 claim they were mistreated at State-run mental asylums in the 1960s and 70s, best price for crestor. Order no rx crestor, Their accounts of abuse are similar to those of former patients at the Lake Alice psychiatric hospital, who are sharing $6.5 million in compensation paid in 2001, buy crestor online australia. Buy crestor, About 200 of the group have already lodged legal claims; and more are expected to do so, saying they suffered physical and sexual abuse, crestor in us. They also say electric shock treatment was used as a punishment, buy crestor without prescription. Discount crestor, Govt stance
The new group's lawyer, Roger Chapman, crestor prescription, Crestor no online prescription, says that puts the government in a tough position.
He says it's difficult, no rx crestor, Order crestor in us, morally, to defend a stand of this kind by a government that accepted that it had an obligation to the Lake Alice patients, buy crestor no prescription required. Price of crestor, The cost of taking the claims through the courts will fall on the taxpayer through legal aid.
The first hearings are a year away, crestor online stores, Crestor without a prescription, and Mr Chapman expects many more former patients will come forward in the meantime. Order cheap crestor. Cheapest crestor. Crestor online sale. Find discount crestor. Canadian crestor. Crestor drug. Generic crestor. Crestor in australia. Buy cheapest crestor. Purchase crestor online. Cheap generic crestor. Low price crestor. Order crestor no rx. Crestor overnight shipping. Crestor discount. Purchase crestor overnight delivery. Crestor purchase. Lowest price for crestor. Cheap crestor pharmacy. Order crestor no prescription required. Where to buy crestor. Cheap crestor from uk. Buy crestor internet. Buy crestor on internet. Cheap price crestor.
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Added: October 5, 2006 |
3 Comments
Buy amaryl without prescription, M E M O R A N D U M
September 21, 2006
A New York State intermediate appellate court, the Appellate Division,
Second Judicial Department, has rejected a challenge by MHLS to a lower
court order authorizing involuntary electro-shock treatment of Simone D.,
a patient at Creedmoor Psychiatric Center, a state hospital in
Queens, New York. Amaryl sales, The Appellate Division, in its 3-to-2 September 19, free amaryl, Amaryl online, 2006 decision, Matter of Simone D, buy amaryl from canada. Find amaryl, (Anonymous), affirmed the lower
court, certified amaryl, Buy amaryl once daily, with a strong dissent by two justices.
The trial court's order had authorized the administration of up to 30
shock treatments over a period of six months, amaryl without prescription, Amaryl buy, with the frequency to be
determined by the hospital's "ECT team." Simone D. previously had been
given at least 148 shock treatments over her objection by Creedmoor
under previous court orders, buy amaryl low price.
The testimony of the hospital psychiatrist before the hearing court had
established that previous shock treatment had neither brought about a
remission of Simone D.'s depression nor restored her capacity to make
her own treatment decisions, that the claimed benefits always
dissipated upon the discontinuation of shock, and that the treatment had
never brought Simone D, buy amaryl without prescription. Lowest price for amaryl, to a condition where Creedmoor was willing to
discharge her to the community. At the conclusion of that doctor's
testimony she was asked:
Do you have any hope to offer Simone [D.], sale amaryl. Amaryl without rx, . , amaryl generic. Buy amaryl without prescription, other than a lifetime of
court ordered electroshock treatment and depression at . Purchase amaryl without prescription, . , order amaryl no prescription required. Real amaryl without prescription, Creedmoor Psychiatric Center.
The doctor answered:
I don‚t have, compare amaryl prices online, Amaryl online cheap, at this particular time, I don‚t have anything else to
offer her, fda approved amaryl.
Cross examination of the doctor also revealed that shock treatment was
discontinued in 1996, due to a frontal organic brain syndrome secondary
to ECT, buy amaryl without prescription. Online amaryl, The court severely limited the cross examination of the Creedmoor
psychiatrist by Simone D.'s MHLS attorney, disallowing many questions
about the nature of shock treatment and its effect, purchase amaryl overnight delivery. Drug amaryl, For example, when
the doctor was questioned about the nature of grand mal seizures and
epilepsy, buy amaryl cheap, Online pharmacy amaryl, objections from the hospital's attorney were sustained and the
court stated that it was "familiar with that". At another point, buying generic amaryl, Cheap amaryl overnight delivery, in
precluding questioning about shock treatment, the judge declared, amaryl rx, Buy amaryl lowest price, "The
court is familiar with how it is done".
The court also denied MHLS's repeated requests that an independent
psychiatrist be appointed to assess the desirability of giving Simone D, discount amaryl. Buy amaryl without prescription, further shock treatment. Discount amaryl without prescription, The Appellate Division's majority decision ruled that the trial court
"did not improperly curtail the cross-examination" of the hospital
psychiatrist, noting that the cross-examination covered 44 pages of the
hearing transcript while the direct examination took only 13 pages, buy cheapest amaryl on line. Amaryl discount, The
three appellate justices also rejected MHLS's argument that the hearing
judge improperly relied upon his own presumed knowledge of shock
treatment. Finally, cheap amaryl without prescription, Buy amaryl in canada, the panel found the denial of the application for
the appointment of an independent psychiatrist to be a proper exercise
of the court's discretion.
The two dissenting justices argued that the trial judge "prevented
Simone D, amaryl in australia. from making a record that could be reviewed on appeal and
instead became a silent witness relying on its own knowledge of ECT."
The dissent found that to be reversible error, "particularly because of
the extensive course of ECT treatments to which Simone D, buy amaryl without prescription. Lowest price amaryl, has been
subjected since 1995 without long-range benefit."
Since the Appellate Division decision was 3 to 2, and the ruling was on
points of law and not just on the facts, cheap generic amaryl, Cheap amaryl on internet, Simone D. may appeal to the
state's highest court, cheap amaryl tablets, the Court of Appeals, as a matter of right. The
Appellate Division had earlier stayed enforcement of the forced shock
order pending appeal, and that stay will remain in effect while the
decision is appealed to the high court.
While we are disappointed with the outcome of our first level appeal, we
believe that Simone D. has a very strong case, and we are encouraged by
the forceful dissent. We hope that, with the support of one or more
briefs from friends of the court, we will ultimately prevail.
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Added: September 26, 2006 |
No Comments
Buy aricept without prescription, [*1] In the Matter of Simone D. (Anonymous), appellant; Kathleen Iverson, etc., respondent.
2005-11405, Cheapest generic aricept, (Index No. 501166/05)
SUPREME COURT OF NEW YORK, APPELLATE DIVISION, SECOND DEPARTMENT
2006 NY Slip Op 6574; 2006 N.Y. App. Div, buy aricept without prescription. LEXIS 10885
September 19, 2006, aricept approved, Decided
THIS OPINION IS UNCORRECTED AND SUBJECT TO REVISION BEFORE PUBLICATION IN THE OFFICIAL REPORTS.
COUNSEL: Mental Hygiene Legal Service, Mineola, N.Y. (Kim L. Buy aricept in us, Darrow and Dennis B. Buy aricept without prescription, Feld of counsel), for appellant.
Eliot Spitzer, Attorney-General, New York, N.Y. (Michael S. Belohlavek and Patrick J, buy aricept online australia. Walsh of counsel), for respondent.
JUDGES: STEPHEN G, buy aricept without prescription. CRANE, J.P., DAVID S. Order aricept no rx, RITTER, GLORIA GOLDSTEIN, REINALDO E. RIVERA, MARK C. DILLON, JJ, aricept prescription. Buy aricept without prescription, RITTER, RIVERA and DILLON, JJ., concur. CRANE, J.P., dissents with memorandum, in which GOLDSTEIN, J., Purchase aricept online, concurs.
OPINION:
DECISION & ORDER
In a proceeding for permission to administer electroconvulsive therapy to a patient without her consent, the patient appeals from an order of the Supreme Court, Queens County (Rosengarten, J.), dated November 29, 2005, aricept no online prescription, which, after a hearing, granted the petition.
ORDERED that the order is affirmed, without costs or disbursements. Canada aricept, In the instant petition, Creedmoor Psychiatric Center (hereinafter Creedmoor) seeks permission to administer electroconvulsive therapy (hereinafter ECT) to the appellant without [**2] her consent. At a hearing held on the petition, Dr, buy aricept without prescription. Ella Brodsky, a licensed psychiatrist and the person who administers the ECT at Creedmoor, testified that the appellant suffers from a "major depressive disorder, severe, with chronic features" and was incapable of making decisions regarding her own treatment, find aricept without prescription. In fact, Dr. Brodsky asserted that during a meeting to discuss treatment, at which the appellant, her Spanish-speaking attorney, Best price aricept, Dr. Brodsky, and the treatment team were present, the appellant refused to respond or even make eye contact. Buy aricept without prescription, Dr. Brodsky testified that, although the appellant had benefitted from ECT in the past, such treatments had ceased and the appellant had "decompensated, purchase aricept," i.e., she had become withdrawn, mute, and nonparticipatory, and spent most of her time in a corner in a fetal position. Cheap aricept no prescription, Further, the appellant was not eating properly and had become aggressive and assaultive toward the staff and her fellow patients. Dr. Brodsky noted that [*2] on a prior occasion, the appellant needed to be fed through a tube, which was a "drastic remedy." By contrast, Dr, cheapest aricept online. Brodsky testified that after the completion of the last course of 30 ECT treatments, the appellant [**3] had gained weight, was eating, drinking, and interacting with others, and "was not aggressive or assaultive at all." Dr, buy aricept without prescription. Brodsky noted that the appellant would be carefully monitored during the administration of ECT to determine her blood pressure, her EKG, her EEG, and her "mini-mental status." Dr. Brodsky further testified that many other forms of treatment had been tried and failed, Aricept alternative, including an extensive course of drug therapy, and that ECT was the least restrictive, clinically appropriate treatment for the appellant available at this time. She added, "[w]e don't have any other choices."
On cross-examination, counsel for the appellant questioned Dr. Brodsky concerning ECT treatments administered to the appellant in 1995 and 1996 in an effort to demonstrate that the appellant had suffered possible brain damage from those treatments, best price for aricept. Buy aricept without prescription, Dr. Brodsky testified that she had not reviewed the appellant's ECT records for that time period. She stated that she did not need to review the "old records" because medical assessments were updated so that she could "find everything in the current record, whatever is important for an ECT." Dr. Brodsky added that the appellant was "regularly" receiving [**4] ECT since 1996. Thus, Low price aricept, she opined that what occurred in 1996 was not relevant in assessing the appellant's current condition.
Counsel also questioned Dr, buy aricept without prescription. Brodsky concerning a variety of potential risks involved in the administration of ECT, including whether increases in blood pressure during treatment could induce hemorrhages in the brain, whether treatment could rupture the blood/brain barrier, how the amount of electric current used is determined, the risks of the anesthesia used during the treatments, and whether the patient feels pain during the treatment, cheap aricept.
Based on this record, the petitioner established by clear and convincing evidence that the appellant lacked the capacity to make a reasoned decision with respect to the proposed treatment and that the proposed treatment was narrowly tailored to give substantive effect to her liberty interest (see Rivers v Katz, 67 N.Y.2d 485, 497-498; Matter of Adam S., 285 A.D.2d 175, Canadian aricept, 178-179; Matter of Mausner v William E., 264 A.D.2d 485; Matter of Adele S. v Kingsboro Psychiatric Center, 149 A.D.2d 424, 424-425).
Contrary to our dissenting colleagues' view, the Supreme [**5] Court did not improperly curtail the cross-examination of Dr, order aricept in us. Buy aricept without prescription, Brodsky. The nature and extent of cross-examination are matters within the trial court's sound discretion (see People v Rodriguez, 2 AD3d 464; People v Ayala, 280 A.D.2d 552). Respectfully, the dissent focuses only on certain selectively chosen portions of the cross-examination. Order discount aricept, When the cross-examination is viewed as a whole and properly analyzed in context, it is clear that the appellant's counsel was permitted extensive questioning on all relevant areas to be considered under Rivers v Katz (supra). Indeed, while the direct examination of Dr. Brodsky encompassed only 13 pages of the hearing transcript, the cross-examination covered 44 pages, buy aricept without prescription.
Moreover, the Supreme Court providently exercised its discretion in denying the appellant's application for the appointment of an independent psychiatric expert. While a court "may" appoint an independent psychiatric expert (Judiciary Law ß 35[4]), order cheap aricept online, here, an independent expert had already examined the appellant. Thus, the court's determination that "another [expert] opinion would not be necessary" was entirely proper. [**6] [*3]
We disagree with our dissenting colleagues' assertions that the court relied upon its own knowledge in reaching its determination. Buy aricept without prescription, There is no indication in the record that the court based its decision on its own knowledge or became an unsworn witness. Aricept cheapest price, To the contrary, the court's determination is amply supported by the medical evidence presented, including the evidence elicited by the appellant's counsel during cross-examination.
The dissent's statement that the appellant has been subjected to an "extensive course" of ECT without "long-range benefit" is incorrect. The benefits to the appellant herein are crystal clear. As Dr. Brodsky recognized, although the appellant may not achieve remission, the treatment has improved her quality of life, buy aricept without prescription. Namely, get aricept, with the treatment, she will not remain in a fetal position, she will eat, interact, and not pose a danger to herself or others. Buy aricept no rx, These positive responses to ECT cannot be dismissed or ignored.
Accordingly, under the circumstances of this case, the Supreme Court properly authorized the administration of ECT.
RITTER, RIVERA and DILLON, JJ., buy cheap aricept online, concur. Buy aricept without prescription, DISSENT BY: STEPHEN G. CRANE
DISSENT: CRANE, J.P., dissents and votes to reverse [**7] the order and remit the matter to the Supreme Court, Queens County, Aricept prices, for a hearing before a different Justice to consider the issues anew upon taking testimony and, if it deemed it appropriate, after assigning an independent expert to conduct a psychiatric examination and report relevant recommendations, with the following memorandum, in which GOLDSTEIN, J., concurs:
This is a proceeding pursuant to Rivers v Katz (67 N.Y.2d 485) to determine whether the respondent, aricept online stores, Simone D., has the mental capacity to withhold her consent to electroconvulsive therapy (hereinafter ECT).
Simone D. was first admitted to Creedmoor Psychiatric Center in 1994 and suffers from a severe depressive disorder. Since 1995, Canadian pharmacy aricept, she has undergone, over her objection but pursuant to previous court orders, at least 148 ECT treatments. Prior efforts to help her with medication failed to improve her condition, buy aricept without prescription. After two unsuccessful applications in July and September 2005 for permission to administer ECT to Simone D., the petitioner applied again in November 2005. The petition and supporting papers showed that without ECT Simone D. becomes depressed, aricept from india, stops eating and drinking, and requires nasogastric [**8] tube feeding. Allegedly, the ECT will diminish her assaultive behavior, enable her to eat, Aricept price, enhance self-care, and promote her ability to socialize. Buy aricept without prescription, At a hearing on the petition, the court rejected the request of Simone D.'s counsel that it appoint an independent psychiatrist. The petitioner called one of its psychiatrists, Dr. Ella Brodsky, who opined that Simone D. lacked the capacity to make a reasoned treatment decision and that ECT is the least restrictive alternative because there is no other choice, generic aricept.
Trying to undermine Dr. Brodsky's opinion, Simone D.'s counsel cross-examined Dr, buy aricept without prescription. Brodsky extensively. Simone D. claimed that ECT inflicted pain on her. So, Cheap aricept in uk, counsel tried to focus on the pain a patient undergoing ECT might suffer. Buy aricept without prescription, On a prior petition that did not result in court-ordered ECT, Simone D. had been examined by an independent expert who suggested the alternative [*4] of psychotherapy with a Spanish-speaking therapist. This therapy was tried, but for only a few weeks. In an effort to show that this alternative to ECT deserved a longer testing period, Simone D.'s counsel attempted to cross-examine Dr. Brodsky on this subject, cheap aricept from uk. In addition, Simone D, buy aricept without prescription. had experienced [**9] cognitive impairment from ECT, resulting in its discontinuance in 1996. Her attorney, therefore, tried to cross-examine Dr. Order aricept no prescription, Brodsky on the extensive course of ECT administered to his client over the years without permanent improvement.
When Simone D.'s counsel tried to ask questions about the physical pain ECT causes, and also about grand mal seizure, the court interceded and proclaimed that it was familiar with the workings of ECT. Buy aricept without prescription, When counsel sought to elicit information about hemorrhages and the rupture of the blood/brain barrier caused by ECT, the court sustained the petitioner's objections. Likewise, the court thwarted counsel when he inquired about the dosage and duration of ECT, the Food and Drug Administration risk classification of ECT machines, aricept cheap drug, and the identification of succinylcholine. These were but a few of the limitations the court placed on counsel as he attempted to show that Simone D. should not be forced yet again to undergo ECT.At the conclusion of Dr. Brodsky's testimony, Simone D. renewed her application for an independent examination, buy aricept without prescription. Buy aricept online without prescription, The court denied the application as unnecessary. After closing arguments, the court found that it was in Simone D.'s best interest [**10] to administer ECT even though it acknowledged that she would probably never "get better": "she perhaps could die. Perhaps she wants to die. But that's not for us to determine. Buy aricept without prescription, We must prevent her from dying."
The court prevented Simone D. from making a record that could be reviewed on appeal and instead became a silent witness relying on its own knowledge of ECT. The appellant, aricept online without a prescription, therefore, was unable to demonstrate the side effects of ECT, the risks of this course of treatment, and the potential alternatives that may be available. This was error in the circumstances of this case, Find aricept on internet, particularly because of the extensive course of ECT treatments to which Simone D. has been subjected since 1995 without long-range benefit.
The court's reliance on its own knowledge was error in three respects, buy aricept without prescription. First, it violates the rule prohibiting a judge from considering, absent the parties' consent, facts outside the record (see Silberman v Antar, 236 A.D.2d 385 ["(t)he court improperly gave great weight to its own knowledge, cheapest generic aricept online, based on personal observation of certain facts"]; People v Weiss, 19 A.D.2d 900; People v Lawrence, 19 A.D.2d 899; People v Dow, 3 A.D.2d 979; [**11] Prince, Richardson on Evidence ß 2-205 [Farrell 11th ed]).
Second, the court became an unsworn witness whose "knowledge" of the "facts" and the basis those "facts" form for his conclusion was never scrutinized or tested by cross-examination (see e.g. People v Jie Mei Chen, 26 AD3d 344, 345; People v Dow, supra at 980).
Third, the details of the knowledge possessed by the court are not memorialized in the transcript, thus depriving all appellate courts of the ability to review the entire record and evaluate whether the petitioner has sustained its burden, in this case, by clear and convincing evidence (see Judiciary Law ß 295; People v Harrison, 85 N.Y.2d 794, 795-796; Rivers v Katz, supra at 498; People v Degondea, 256 A.D.2d 39, 41 ["defendant was effectively thwarted from creating an adequate record for appellate review"]; People v Robinson, 209 A.D.2d 648, 649). Put simply, there is no way to determine whether the petitioner met its burden because much of the evidence was [*5] contained only in the court's mind. [**12]For these reasons, I respectfully dissent and would reverse the order and remit the matter to the Supreme Court, Queens County, for a hearing before a different Justice (see People v Jie Mei Chen, supra; People v Dow, supra) to consider the issues anew upon taking testimony and, if it deemed it appropriate, after assigning an independent expert to conduct a psychiatric examination and report relevant recommendations.
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Added: September 26, 2006 |
4 Comments
Buy motrin without prescription, Full report, released September 15, 2006
http://www.allamericanpatriots.com/m-news+article+storyid-16220.html
Excerpts:
In December 2005 a Beijing attorney sent an open letter to President Hu Jintao highlighting abuses of Falun Gong practitioners. The letter described the electric shock torture of Zhang Zhikui, buy motrin online, Cheapest motrin, a Falun Gong practitioner arrested for repeated petitioning in Beijing, and the October beating death in Changchun, find motrin online, Motrin overnight delivery, Jilin Province of Liu Boyang and his mother Wang Shouhui. The letter, motrin order, Motrin bangkok, and a similar open letter sent by the attorney in 2004, referred to the extra-legal activities of the 610 office, motrin online cheap, Motrin online review, reportedly involved in many of the abuses of Falun Gong. In 2005 the Government revoked the attorney's license to practice law, cheap motrin overnight delivery, Cheapest generic motrin, and the attorney has claimed repeated government harassment, including an automobile accident that he publicly described as an "assassination attempt." Foreigners attempting to meet with the attorney have been detained and harassed, motrin no rx required. Cheapest motrin online, According to Falun Gong practitioners in the United States, since 1999 more than 100, motrin free delivery, Purchase motrin, 000 practitioners have been detained for engaging in Falun Gong practices, admitting that they adhere to the teachings of Falun Gong, discount motrin, Buy motrin internet, or refusing to criticize the organization or its founder. The organization reported that its members have been subject to excessive force, abuse, rape, detention, and torture, and that some of its members, including children, have died in custody, buy motrin without prescription. NGOs not affiliated with the Falun Gong documented nearly 500 cases of Falun Gong members detained, motrin non prescription, Motrin generic, prosecuted, or sentenced to reeducation during the period covered by this report, motrin overnight. Find motrin, Credible estimates suggested the actual number was much higher. In November 2005 police at the Dongchengfang Police Station in Tunzhou City, cheap motrin in usa, Buy motrin us, Hebei Province, reportedly raped two Falun Gong practitioners, buy motrin cheap. Buy motrin on line, Reliable sources indicated that Zheng Ruihuan and Liu Yinglan were detained in Shandong Province in July 2005 for practicing Falun Gong. Buy motrin without prescription, In May 2006, Yuan Yuju and Liang Jinhui, relatives of a Hong Kong journalist who works for a television station supportive of Falun Gong, were sentenced to reeducation for using an illegal cult to organize and obstruct justice, relating to their distribution of Falun Gong materials. Some foreign observers estimated that at least half of the 250, real motrin without prescription, Motrin prescription, 000 officially recorded inmates in the country's reeducation-through-labor camps were Falun Gong adherents. Falun Gong sources overseas placed the number even higher, motrin approved. Motrin in malaysia, Hundreds of Falun Gong adherents were also incarcerated in legal education centers, a form of administrative detention, motrin in uk, Motrin no online prescription, upon completion of their reeducation-through-labor sentences. Government officials denied the existence of such "legal education" centers, motrin without prescription. Buy motrin in canada, According to the Falun Gong, hundreds of its practitioners have been confined to psychiatric institutions and forced to take medications or undergo electric shock treatment against their will, online pharmacy motrin. Lowest price motrin, More from the US State Department on Falun Gong:
http://tinyurl.com/mg6l6
Bobby Fletcher's info on China: he believes much of the above is a hoax and is concerned it will divert attention from "real" human rights issues in China:
http://sujiatunfactorhoax.blogspot.com/. Where to order motrin. Buy motrin on internet. Motrin sale. Free motrin. Where to buy motrin. Motrin internet.
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Added: September 17, 2006 |
No Comments
Buy avapro without prescription, Details from the report on ECT use in Turkey, from CPT:
Full report:
http://www.cpt.coe.int/documents/tur/2006-30-inf-eng.htm
C. ECT and other psychiatry-related issues
1. Preliminary remarks
58. As already mentioned, one of the issues focussed on during the December 2005 ad hoc visit were the procedures for the administration of electroconvulsive therapy (ECT) in psychiatric establishments. This subject had been addressed in some detail in the report on the 1997 visit to Turkey (cf. CPT/Inf (99) 2, Avapro us, paragraphs 178 to 182). However, information recently received from various sources indicated that certain of the CPT’s recommendations had not yet been implemented, in particular as regards the discontinuance of the practice of unmodified ECT. For the purpose of examining this question, avapro prices, the CPT’s delegation visited two State hospitals, Bakırköy Mental and Psychological Health Hospital in I˙stanbul (this establishment, Avapro tablets, the largest psychiatric establishment in Turkey, had previously been visited by the Committee in 1992 and 1997) and Adana Mental Health Hospital.
In addition to the above-mentioned subject, some comments will be made in this report on procedures relating to involuntary civil placement in psychiatric establishments and living conditions for patients at the Adana Hospital, avapro purchase.
59. At the outset, the CPT wishes to emphasise that relations between staff and patients in the two psychiatric hospitals visited were on the whole found to be positive and tension-free, and many patients spoke favourably about the manner in which they were treated by staff, buy avapro without prescription. This is all the more commendable in the light of the often low staffing levels and the paucity of the resources at the staff’s disposal.
However, Approved avapro pharmacy, some complaints were heard of the ill-treatment (notably slaps) of patients by orderlies at the Bakırköy Hospital; allegedly, such acts would occur in the event of a failure to take prescribed medication or of disobedience. Under no circumstances can methods of this kind be tolerated. The CPT recommends that the management of Bakırköy Mental and Psychological Health Hospital deliver the clear message to all categories of staff at the establishment that any form of ill-treatment of patients is unacceptable and will be the subject of severe sanctions, avapro india. Buy avapro without prescription, 2. Electroconvulsive therapy
60. Electroconvulsive therapy is a recognised form of treatment for psychiatric patients suffering from some particular disorders. However, like certain other forms of therapy, Avapro online cheap, its administration must be accompanied by appropriate safeguards.
The CPT is particularly concerned when it encounters the administration of ECT in its unmodified form (i.e. without anaesthetic and muscle relaxants). As was emphasised in the report on the 1997 visit to Turkey, buy avapro from canada, use of this outdated method entails a heightened risk of untoward medical consequences and can lead to situations which could justifiably be described as degrading.
The Committee also pays attention to whether ECT is being used for the proper indications and to the procedure for obtaining consent to this treatment, buy avapro without prescription.
61. In their response to the report on the 1997 visit, Avapro overnight delivery, the Turkish authorities stated that they were “paying close attention [to] the discontinuation of the practice of unmodified ECT”.[8] However, in spite of that assurance, the delegation which carried out the December 2005 visit observed a widespread use of unmodified ECT in the two psychiatric establishments in Adana and Bakırköy.
At Adana Mental Health Hospital, avapro online stores, ECT is only used in its unmodified form. At the Bakırköy Hospital, Buy cheapest avapro, there is a single ECT unit with a capacity of 10-15 patients per day, where a part-time anaesthesiologist makes modified ECT possible. However, the great majority of patients to whom ECT is administered at this hospital also receive the therapy in its unmodified form; of the total of 15, cheap avapro in usa,877 ECT sessions administered at Bakırköy in 2005, only 512 (i.e. Buy avapro without prescription, some 3.2 per cent) were modified. Lowest price for avapro, 62. Further, the information gathered by the CPT’s delegation at the Bakırköy Hospital indicated that ECT was being used in an even more extensive manner than had been observed during the 1997 visit. In some units, more than 60 per cent of patients had received ECT in 2005, find cheap avapro, and the therapy had been administered to 26 per cent of all patients admitted to the establishment during that year. In the CPT’s view, Buy avapro in canada, these figures indicate excessive resort to ECT.
Although the management of the Adana Mental Health Hospital was unable to provide the CPT’s delegation with precise statistics on the use of ECT for the whole hospital, it was obvious that ECT was also used extensively there. According to information received from the Director of the hospital, nearly 30 per cent of patients in a female unit had received ECT during the year 2004, buy avapro without prescription.
63. The CPT wishes to make clear that its delegation did not gain the impression in either of the two establishments visited that ECT was being used in a punitive manner or that the patients perceived the treatment as such or had been threatened with ECT, avapro buy. However, the delegation did note that some patients who had received unmodified ECT developed a fear of the treatment, Generic avapro online, resulting, on occasion, in it being cancelled.
At Bakırköy, avapro buy online, the delegation was repeatedly told that the reason for the extensive reliance on ECT was the lack of beds for the high number of patients in need of admission and treatment. From interviews with both patients and staff, Fda approved avapro, it would appear that ECT was sometimes administered only a few times, until the patient was no longer agitated; such a treatment series could commence on the day of arrival of the patient to the hospital. Buy avapro without prescription, The CPT is very concerned about any possible resort to ECT as a means of quickly subduing agitated patients; this would constitute an improper use of the therapy.
Neither of the two establishments had written policy guidelines regarding the administration of ECT.
64. In both establishments, buy cheap avapro, ECT was administered out of the sight of other patients, in rooms specifically set aside and equipped for this purpose. Avapro professional, However, from interviews with patients at Bakırköy, it would appear that a patient about to be treated may see patients who have already been treated and who are lying unconscious or recovering. This is clearly not desirable, avapro in uk.
65. At the Bakırköy Hospital, recourse to ECT was, as a rule, recorded in both the patient’s medical file and a general ECT book kept on the ward, although at least one of the ECT books only indicated the start of the treatment without mentioning further sessions, buy avapro without prescription. At the Adana Hospital, while some wards did have ECT books, Order avapro no prescription, in other wards recourse to ECT was only recorded in the patient’s file. Moreover, even in those wards which possessed an ECT book, the registration of ECT sessions was incomplete, cost avapro. A specific (and properly completed) ECT register at ward-level will greatly facilitate supervision by hospital management and discussion with staff about practices followed.
66. As regards the procedure for obtaining consent to ECT treatment, Cheapest generic avapro online, no written consent was obtained at the Adana Hospital. Buy avapro without prescription, Special consent forms were used at the Bakırköy Hospital, often signed on admission by the patient, or, in most cases, by his or her guardian or next of kin. However, these forms were often undated, and in a few cases they were signed by the police transporting the patient to the hospital, cheap avapro online. Further, the examination of patients’ medical files revealed that in several cases no written consent was recorded; the delegation was told by the staff that in certain situations (e.g., Canadian avapro, in the event of difficulty contacting the patient’s family) the ECT consent form could be signed after the treatment had been started, or even after it had been concluded. It is also noteworthy that some patients did not seem to have been informed about the procedure or the possible benefits and risks involved.
In this connection, avapro tablet, it must be stressed that all patients should, as a matter of principle, Cheapest avapro, be placed in a position to give their free and informed consent to treatment, including ECT. The admission of a person to a psychiatric establishment on an involuntary basis should not be construed as automatically authorising treatment without his or her consent, buy avapro without prescription. Any derogation from this fundamental principle of consent to treatment should be based upon law and apply only in clearly and strictly defined exceptional circumstances. Of course, cheap avapro internet, consent to treatment can only be qualified as free and informed if it is based on full, accurate and comprehensible information about the patient’s condition and the treatment proposed. Buy discount avapro, 67. To sum up, the CPT is seriously concerned by the current procedures for the administration of ECT observed in the Adana and Bakırköy Hospitals, and in particular by the continuing frequent recourse to this treatment in its unmodified form.
The Committee’s delegation was informed by the management of the Bakırköy Hospital that two new fully-fledged ECT units would be set up within the establishment in a few months, order discount avapro online. Buy avapro without prescription, The Committee takes note of this development. The CPT would like to receive full information concerning these units (in particular, a detailed description of their equipment and staff resources) and to be informed of the planned date of their entry into service. Best price avapro, More generally, the CPT recommends that the Turkish authorities accord a high priority to ensuring that all psychiatric establishments in which ECT is used are provided with the necessary staff, equipment and facilities so that this treatment can be administered in its modified form (i.e. with both anaesthetic and muscle relaxants) and in an effective manner (preferably with the aid of an electroencephalogram), purchase avapro overnight delivery.
Further, with a view to ensuring that ECT is only used for the proper indications and is carried out in an appropriate manner, Cheap avapro on internet, the CPT recommends that a clear written policy on recourse to ECT be elaborated and distributed to each establishment where this treatment is used and that ECT be administered only by staff who have been specifically trained to provide it. As with other psychiatric treatment, recourse to ECT should be part of a written individualised treatment plan, included in the patient’s medical record, buy avapro without prescription.
68. In the light of the other facts found during the visit, the CPT also recommends that:
- the practical arrangements made for the use of ECT ensure not only that it is administered out of the sight of other patients but also that patients waiting to be given ECT do not have sight of patients who have just received the treatment;
- the indications for using ECT, the conditions under which it is administered and the outcome of each treatment session be set out in detail in a special register;
- the written informed consent of the patient (or of the guardian, avapro medicine, if the person concerned is declared incompetent by a court) to the use of ECT, based on full and comprehensible information, Order avapro, be sought and kept in the patient’s file and that, save for exceptional circumstances clearly and strictly defined by law, the treatment not be administered until such time as written consent has been obtained.
C. ECT and other psychiatry-related issues
Preliminary remarks
recommendations
- the clear message to be delivered to all categories of staff at Bakırköy Mental and Psychological Health Hospital that any form of ill-treatment of patients is unacceptable and will be the subject of severe sanctions (paragraph 59).
Electroconvulsive therapy
recommendations
- the Turkish authorities to accord a high priority to ensuring that all psychiatric establishments in which electroconvulsive therapy (ECT) is used are provided with the necessary staff, avapro pharmacy, equipment and facilities so that this treatment can be administered in its modified form (i.e. with both anaesthetic and muscle relaxants) and in an effective manner (preferably with the aid of an electroencephalogram) (paragraph 67);
- a clear written policy on recourse to ECT to be elaborated and distributed to each establishment where this treatment is used and ECT to be administered only by staff who have been specifically trained to provide it. Avapro online sale, As with other psychiatric treatment, recourse to ECT should be part of a written individualised treatment plan, included in the patient’s medical record (paragraph 67);
- the practical arrangements made for the use of ECT to ensure not only that it is administered out of the sight of other patients but also that patients waiting to be given ECT do not have sight of patients who have just received the treatment (paragraph 68);
- the indications for using ECT, the conditions under which it is administered and the outcome of each treatment session to be set out in detail in a special register (paragraph 68);
- the written informed consent of the patient (or of the guardian, drug avapro, if the person concerned is declared incompetent by a court) to the use of ECT, based on full and comprehensible information, to be sought and kept in the patient’s file and that, save for exceptional circumstances clearly and strictly defined by law, the treatment not to be administered until such time as written consent has been obtained (paragraph 68).
requests for information
- full information concerning two new ECT units to be set up at the Bakırköy Hospital (in particular, a detailed description of their equipment and staff resources) and the planned date of their entry into service (paragraph 67).
.
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Added: September 6, 2006 |
No Comments
Buy benicar without prescription, The Council of Europe's Committee for the prevention of torture and inhuman or degrading treatment or punishment (CPT) has published today the report on its most recent visit to Turkey, in December 2005, together with the response of the Turkish Government. These documents have been made public at the request of the Turkish authorities, cheap benicar without prescription. Buy benicar internet, During the December 2005 ad hoc visit, the CPT's delegation reviewed the situation in practice as regards the treatment of persons held by the law enforcement agencies (police and gendarmerie) and assessed the day-to-day operation of the legal safeguards against ill-treatment currently in force, order benicar overnight delivery. Benicar cheap, Attention was also given to developments in F-type (high-security) Prisons, in particular as regards communal activities for inmates and the regime applied to prisoners serving a sentence of aggravated life imprisonment, find benicar online. Benicar, A third objective of the visit was to examine procedures for the administration of electroconvulsive therapy (ECT) in psychiatric establishments.
Rapor için:
http://www.cpt.coe.int/documents/tur/2006-30-inf-eng.htm
Türkiye'nin cevabı:
http://www.cpt.coe.int/documents/tur/2006-31-inf-eng.htm
Daha fazla bilgi için:
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Added: September 6, 2006 |
No Comments
Buy imodium without prescription, Chris Bond
Yorkshire Post Today
August 24, 2006
Grandmother tortured by Chinese – all for her beliefs
Falun Gong is a spiritual movement that once had nearly 100 million followers in China. But since it was banned by the government, thousands of practitioners have been tortured and even killed, buying imodium online.
ZHEN is perched on the edge of the sofa. Order no rx imodium, If she sits back you fear her tiny frame may be swallowed up completely.
Listening to the softly-spoken grandmother it is difficult to comprehend how anyone could bring themselves to harm her – but they have.
The 66-year-old claims she's been beaten, force fed and suffered electro-shock therapy at the hands of the Chinese police – all because of her beliefs, buy imodium without prescription.
Zhen is one of the lucky ones, imodium india, though, Imodium without rx, she's alive.
According to the Falun Dafa (Falun Gong) Information Centre, more than 2, imodium tablet,300 followers of the meditation practice have been beaten and tortured to death while in detention in China, Real imodium without prescription, although Amnesty International believes the numbers imprisoned could run into tens of thousands.
The Chinese authorities have repeatedly denied allegations of brutality and murder and rejected recent, disturbing, imodium free sample, reports of "organ harvesting", Imodium free delivery, but just what is Falun Gong.
The meditation practice, similar to Tai Chi, online pharmacy imodium, is based on the principles of truthfulness, Discount imodium no rx, compassion and tolerance and involves a series of controlled exercises. Buy imodium without prescription, It was introduced in China in 1992 and within seven years had as many as 100 million followers.
Among them was Zhen. Before a friend introduced her to it she claims she suffered various health problems, order imodium on internet, including anaemia, Discount imodium, dermatitis and hepatitis which forced her to retire early. Within a few months of taking up Falun Gong, though, buy imodium from india, she says her ailments disappeared. Imodium medicine, "After six months I became a new person," she says.
Zhen was not alone in finding Falun Gong a life-changing experience and encouraged other family members to take it up, buy imodium without prescription.
But as its popularity soared, imodium in malaysia, the Chinese authorities became increasingly nervous by what they perceived to be a growing cult and in July 1999 Falun Gong was banned from public life. Buy imodium cheap, Since then the communist government has set about systematically eradicating the movement and has reportedly detained thousands of practitioners in "reform" centres where detainees are "rehabilitated".
Many people, like Zhen, find imodium, continued to practise Falun Gong and, Order discount imodium online, despite the risks, joined fellow practitioners in Beijing to appeal against the ban only to be arrested.
"They used a lot of methods of torturing us, buy imodium no prescription required, they beat us up and used electric shock treatment and I was locked up for 22 days, Find imodium without prescription, " she says. Buy imodium without prescription, "They arrested so many there wasn't enough space so eventually they let go the people who were over 60 and I was allowed out."
A few days later she was informed she had been secretly sentenced and told the police were coming to arrest her.
"I left my home two hours before the police arrived," she says, imodium in bangkok. "They left the message that I must come home and be 'transformed' (give up Falun Gong], Imodium rx, or they would arrest me."
Along with her husband, she hid with relatives staying for no more than a couple of months in one place until a friend told her about a disused flat where they could stay.
"I learned ways of keeping safe, fda approved imodium, I dug a hole in the wall behind a shoe rack in the living room and we lived inside the next room. Lowest price for imodium, "This way, if someone came into the flat they would see a layer of dust everywhere and wouldn't think people were living there," she says, imodium cheap price, speaking via an interpreter.
For the next two years they lived in a single room, buy imodium without prescription. Cheapest generic imodium, "I had to sleep on newspapers on the floor under a quilt, because there was a window and this way if somebody looked in they would just see the empty bed.
"Because the situation was very dangerous I had to gather water drop by drop so this way it would make no noise, imodium information. Also I could only flush the toilet once a day when other people were asleep. Cheap imodium from uk, "We had to keep the windows closed all the time even in the summer when the weather was so hot. Buy imodium without prescription, In the winter there was no heating and outside the weather was minus 20 degrees."
Because their pension had been stopped they were forced to survive on what little savings they had.
"We didn't have any vegetables during this time and because we had so little money we often went hungry. It felt like we had been given a life sentence."
With the help of friends and relatives, imodium, though, Buy imodium generic, the couple were able to buy two passports for £5,000, money raised by selling the family's flat, discount imodium overnight delivery.
Last October, Imodium in uk, they escaped to the UK, where their two sons now live, and were granted asylum in May, canadian imodium.
But although Zhen, Find cheap imodium, she has changed her name to protect her family, is grateful to have escaped her own nightmare she still has relatives back in China, including one of her two grandchildren, tablet imodium.
"I am one of the lucky ones," she says, buy imodium without prescription. "Most of my fellow practitioners who used to practise with me were beaten or killed and some of them disappeared and we don't know what happened to them."
It is why she, Imodium overnight delivery, and a group of fellow practitioners, are travelling throughout the country to raise awareness over the persecution of Falun Gong followers in her homeland.
This persecution has led to claims that Falun Gong practitioners have been used for organ harvesting, cheap imodium without prescription.
Horrific photographs, Imodium medication, reportedly smuggled out of China, show the bruised and battered bodies of alleged victims minus their eyes, with crude stitch marks showing where the organs have been removed, price of imodium.
Last month, Imodium internet, Canada's former Secretary of State David Kilgour and international human rights lawyer, David Matas, published a report into these allegations concluding that they believed large-scale organ removals was still happening. Buy imodium without prescription, This has been denied by the Chinese. A spokesman for the Chinese Embassy said there was no persecution of Falun Gong and that stories of organ harvesting were simply propaganda spread by practitioners.
"This is a big lie made by Falun Gong," he said. "Falun Gong is banned in China and to survive outside China they need to make big lies from time to time."
Edward McMillan-Scott is vice president of the European Parliament and one of six Euro MPs serving Yorkshire and Humber and has spoken to former Falun Gong prisoners.
He described the treatment of its followers in China as "one of the cruellest religious repressions in human history".
The Tory MEP also believes there must now be an international inquiry into the allegations of brutality and organ harvesting.
Until this happens human rights campaigners fear that Falun Gong practitioners will continue to be persecuted.
It might be an emerging super power, but in the People's Republic of China it seems not even grandmothers are safe.
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Added: August 24, 2006 |
4 Comments
Buy periactin without prescription, 19 August 2006
By GEOFF TAYLOR
stuff.co.nz
An opponent wants to stop shock treatment for the mentally ill, but medical experts believe it has positive results. Order periactin on internet, Geoff Taylor reports.
More than one in four people at Waikato Hospital who get electric shock treatment do not consent, generic periactin cheap. Periactin online sales, One opponent calls the statistic barbaric, but medical staff say her views are based on out-dated ideas of the treatment, periactin pills. Periactin buy online, They say electro-convulsive therapy (ECT) is performed under general anaesthetic and allows many mentally ill people to live normal lives.
Hamilton patients rights advocate Anna de Jonge wants all ECT stopped, buy periactin without prescription.
Health Ministry statistics show that in the 2004-05 year 93 non-consented treatments were given to patients at Waikato Hospital, periactin for order. Periactin side effects, This amounted to 30 per cent of all treatments.
Nationally, order periactin cheap online, Periactin purchase, 23 per cent of the 307 patients who received ECT did not give their consent.
Waikato Hospital staff said that in the year to March 2006, periactin online, Purchase periactin overnight delivery, 23 patients received treatment, six of whom did not give consent, periactin medicine. Buy periactin without prescription, Anna de Jonge called it barbaric slaughterhouse treatment. Find discount periactin online, "Treatment without consent is assault," she said, purchase periactin. Buy periactin lowest price, "You can't just grab somebody and shock them. Because it's done in secret behind closed doors that doesn't make it okay."
Waikato Hospital consultant psychiatrist John Strachan said the treatment was used for depression when anti-depressants failed or for people who were psychotic or suicidal, periactin cheap drug. Periactin tablet, Patients were deemed not competent to give consent if they lacked the ability to understand information, process it rationally and communicate a choice, online periactin. At this point, a second opinion was needed from another psychiatrist before treatment could start, buy periactin without prescription. Find periactin, No one was ever forcibly held down and given the treatment. Unlike in the 1950s, where to buy periactin, Find periactin no prescription required, patients were fully anaesthetised and had muscle relaxants.
Waikato Hospital general manger mental health Chris Harris said Ms de Jonge's views were based on perceptions of what occurred about 50 years ago, periactin no online prescription. Price of periactin, He said it would be wrong to remove ECT as an option. For a number of people it had been a positive, buy periactin on line, Generic periactin, life-changing experience.
Hamilton woman Margaret Parry, order periactin from canada, Periactin in bangkok, who received treatments in the 1950s, disputed that the treatment was better now, buy cheap periactin. Periactin vendors, "I think it's the worst thing you can do to another human being."
ECT works in the same way as anti-depressants, affecting the messages sent by neurotransmitters in the brain, periactin online sale. Lowest price periactin. Order periactin no rx. Canada periactin. Periactin overnight delivery. Buy periactin once daily. Periactin in uk. Discount periactin overnight delivery. Discount periactin no rx. Buy periactin on internet. Periactin tablets.
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Added: August 20, 2006 |
2 Comments
Buy abilify without prescription, Dr. Bonnie Burstow explores electroshock as a form of violence against women, cheap abilify no rx. Find no rx abilify, She is a feminist therapist, an anti-psychiatry and anti-fascist activist, online pharmacy abilify. Buy no rx abilify, She is also the former co-chiar of the Ontario Coalition Against Electroshock and is the author of Radical Feminist Therapy: Working in the Context of Violence.
Two versions:
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Added: August 18, 2006 |
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Buy actonel without prescription, Shocks given without consent
15 August 2006
By KIM RUSCOE
Stuff.co.nz
About 130 people have been given shock treatment without their consent in the past two years, a Health Ministry report shows.
Mental Health deputy director Jeremy Skipworth said that, cheapest generic actonel, Canadian actonel, of the 612 severely depressed patients who received electroconvulsive therapy between mid-2003 and mid-2005, only 80 per cent consented, actonel buy online. Order actonel no rx, Two-thirds of those treated were women, most aged over 40, discount actonel no rx. Cheap actonel online, "Sometimes people are so unwell they are not actually able to give consent," Dr Skipworth said, cheap actonel pharmacy. Actonel free sample, "It's not appropriate for them to be deprived of the ability to be treated just because they're so sick they can't agree to it."
Those people were committed under the Mental Health Act and given shock treatment after a second opinion had been given from a qualified psychiatrist, Dr Skipworth said, actonel online pharmacy.
Family members were also consulted, buy actonel without prescription. Actonel online stores, Green Party health spokeswoman Sue Kedgley said the controversial treatment was being given without consent more often in some districts than others. The highest rates of unconsented-to treatments last year were given by Tairawhiti, order cheap actonel online, Buy cheap actonel internet, Capital and Coast and Auckland health boards.
Dr Skipworth said no one in New Zealand was given ECT against their wishes if they were competent to make decisions about their treatment, actonel vendors. Buying actonel, ECT was proven internationally to be an effective treatment for severe depression, with eight out of 10 patients responding well to it, actonel pills. Buy actonel without prescription, It was used when anti-depressant medication, psychotherapy or both had been ineffective, or when medication was too slow or caused severe side effects. Actonel online review, It was also the safest form of treatment when patients were also suffering a physical illness or were pregnant.
Side effects included short-term memory loss, find cheap actonel, Get actonel, headaches, muscle soreness and nausea, actonel bangkok. Buy actonel low price, Methods of administering ECT had improved greatly since its "misuse" in the 1960s and 1970s, when large numbers of people suffering a variety of mental illnesses were given it without anaesthetic or muscle relaxant, cheap actonel in uk. Actonel cheap drug, A new treatment for severe depression being tried in the United States had produced promising results, he said, canada actonel. Buy actonel no rx, But the trial group was small and it was yet to be seen if the results could be replicated in a larger group.
The US study found a single intravenous infusion of a general anaesthetic agent, actonel overnight, Actonel pharmacy online, Ketamine, could relieve symptoms of severe depression within two hours and remain effective for up to one week, actonel no prescription. Canadian pharmacy actonel, Most medications available at present did not start to relieve the symptoms of depression for several weeks. Actonel sales. No rx actonel. Actonel tablets. Actonel online sale. Find no rx actonel. Purchase actonel online. Cheap actonel tablet. Actonel online cheap. Order actonel online. Discount actonel. Price of actonel. Actonel professional.
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Added: August 14, 2006 |
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Robert Pirsig: Still Zen after all these years
Author's 500-page novel Lila about to be reissued
He defined an era with Motorcycle memoir in 1974
Buy alphagan without prescription, Aug. 12, Cheap alphagan from uk, 2006
JOHN FREEMAN
Toronto Star
Robert Pirsig has a bone to pick with philosophers. As his era-defining memoir Zen and the Art of Motorcycle Maintenance levitated up the bestseller lists in 1974, all he heard from them was grumbling, alphagan no rx required.
This story of a father-son motorcycle trip across America was just a skeleton of a philosophy, Cheap alphagan in uk, they said. What exactly was this "metaphysics of quality" he kept talking about. And who was he to tell them about it, buy alphagan without prescription.
Seventeen years later Pirsig gave his answer and it came in the form of a 500-page novel, find alphagan online, Lila: An Inquiry into Morals. Alphagan cost, Now, at last, the thinkers of the world had something to tinker with, cheapest generic alphagan. Their response. Alphagan vendors, "Silence. Buy alphagan without prescription, They have just given me zero support and great hostility," Pirsig says on the eve of the novel's reissue in Britain.
"It's just they don't say anything." Now, Pirsig believes that he has one last shot at explaining his philosophy to the public, alphagan without prescription, and if it means coming out of seclusion, Buy cheap alphagan, so be it.
Sitting in a hotel suite overlooking the Charles River in Boston, a meditation mat at his feet, order alphagan in us, his wife Wendy at his side, Buy alphagan online, New England's second-most reclusive novelist does not appear to have sweated much over his celebrity.
At the age of 77, Pirsig is a white-haired, alphagan information, bandy-legged old coot. Alphagan generic, Years at sea and on the road have given his face a sun-blasted quality. His voice is strong and clear, but when he takes out a pen and paper to demonstrate a concept, his hands shake, buy alphagan without prescription.
"As I see these two books," Pirsig says, cheap price alphagan, drawing an oval on a notepad, Find alphagan, "there is a Zen circle. You start here with Zen," he says, alphagan online sale, marking an X, Drug alphagan online purchase, "and then you go here to enlightenment, that's what's called 180 Zen.
"Then you go back to where you started from — that's 360 Zen — and the world is exactly as it was when you left it." Pirsig sits back and lets that sink in, order alphagan in canada, then adds: "Well, Alphagan no online prescription, I felt that Zen and the Art of Motorcycle Maintenance was the journey out, and Lila was this trip back."
This might explain why Lila was not as universally adored as its predecessor. Zen was a serious feelgood book, cheap alphagan no prescription, a modern day "Thoreau, Get alphagan, " written by a man who had been through the wringer, but emerged having identified a better way to live. Buy alphagan without prescription, It was also as picturesque a tour of western America as one could find between two covers. Lila is an almost noir-like novel about a writer who falls in love with a former prostitute, real alphagan without prescription. As they float down a brooding river toward New York City, Alphagan bangkok, the writer — whose name is Phaedrus, the name Pirsig gave his insane alter ego in Zen — muses on her nature and on the metaphysics of quality (MOQ).
The novel is structured like a river with many locks — each stage a new level of Pirsig's philosophy, find no rx alphagan. The mental work it takes to measure these ideas explains why Lila has sold 600, Alphagan approved, 000 copies, hardly a failure, but nowhere near the 4 to 6 million of Zen, lowest price alphagan.
There are two types of Quality, as Pirsig sees it, Dynamic and Static, buy alphagan without prescription.
"Without dynamic quality an organism cannot grow, Low cost alphagan, " he explained in an essay. "But without static quality an organism cannot last."
While it became a cultural cliché to say that we have moved beyond good and evil, Pirsig believes just the opposite — and he believes that the MOQ can be a useful tool in bringing order to a chaotic world, alphagan prices.
"You know the structure of the MOQ, Order alphagan without prescription, " he says, bringing out the pad again. "Static quality can be divided into intellectual, buy generic alphagan online, social, No rx alphagan, biological and inorganic realms. Buy alphagan without prescription, Any attempt by a lower order to overcome a higher order represents evil. So those forces which prohibit intellectual freedom are evil according to the MOQ."
Pirsig's insistence on the existence of evil has a painful personal note. In November 1979, alphagan in us, his son Chris was stabbed to death in a robbery outside the San Francisco Zen Center. Alphagan in australia, He was two weeks shy of his 23rd birthday. Pirsig was living on a houseboat in England at the time. He came home for the funeral, and wrote a moving epilogue about his son — the child at the heart of Zen — and it has been printed in every edition since, buy alphagan without prescription.
This loss can be felt in Lila and might explain why it took Pirsig almost two decades to write it, alphagan canada. "One reviewer said that the shadow of Pirsig's son's death seems to hang over this entire book, Cheap alphagan tablet, " Pirsig says, looking bewildered. "I had no idea that was true at the time, order alphagan, but now I see in retrospect. Buy alphagan lowest price, I was very gloomy."
Born in 1928 in Minneapolis, Minn., Pirsig was a gifted child, alphagan alternative, whose IQ was measured at 170 when he was 9. Buy alphagan without prescription, His father was a law professor who studied in England, so Pirsig learned to read and write in England. Find discount alphagan, He returned to Minnesota and entered grade school so young that he was picked on. He entered university at the age of 15, flunked out, buy alphagan on internet, then served in the Korean War, coming home with an interest in philosophy. He eventually finished his degree and went on to get a graduate degree in oriental philosophy from Benares Hindu University in India. And here's where the drifting begins. Pirsig returned to the U.S, buy alphagan without prescription. in the 1950s and began to study journalism.
To make a living he began technical writing and doing some editing at a university newspaper where he met his first wife. For 20 years they would move around, Pirsig doing odd jobs, raising their two kids.
Without knowing it, he had begun a kind of internal philosophical quest, but the heat of his intellectual searching pushed him over the edge. Buy alphagan without prescription, In 1960, he began the first of a series of hospital treatments for mental illness. Pirsig's father obtained a court order to commit him to a hospital where he received electro-convulsive shock therapy. It seemed to work, but Pirsig maintains that he was not insane. "I never thought I was crazy."
Pirsig took to writing as a life raft. In 1965 he bought a motorcycle, and in 1967 began what he thought would just be a few essays on motorcycle maintenance but the book grew into a fully fledged project.
In 1968 he wrote to 122 publishers offering sample chapters, buy alphagan without prescription. Only one wrote back. This was enough encouragement for him. He rented a room at a flophouse and would go there from midnight until 6 a.m. to write, then he would go to work. Buy alphagan without prescription, "When I talk about compulsion in that book," Pirsig says, "that's what I mean. I was compelled to write that book."
Pirsig admits that this regimen had as much to do with his ambitions as with "problems at home," as he calls them. When the book finally became a bestseller, Pirsig felt he needed to get away. He and his wife bought a yacht and planned to travel the world. Instead they divorced.
Pirsig's response was to keep moving, and it was in this fashion that he met his second wife, Wendy Kimball, and they started a life of travel together, buy alphagan without prescription.
That same year Pirsig's son was murdered. He has moved forward. He and Wendy had a daughter, Nell, in 1980.
The success of Zen has afforded Pirsig and his wife "a very nice life," he admits, and he doesn't want to appear ungrateful for this gift. But he says that it is not for his sake that he wants Lila to be read. "I think this philosophy could address a lot of the problems we have in the world today," he says, leaning forward. "Just so long as people know about it.".
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Added: August 12, 2006 |
4 Comments
Buy differin without prescription, NoForce Activists -- The following is a scanned copy of a ECT certified
court order that was filed in Hennepin County District Court on Sept. 16,
2002. I pass this along for informational purposes with permission from the
Respondent who requested that her name and month/day of her birth remain
annonymous. The Respondent's desire is to let all concerned about forced
psychiatric treatment see for yourselves what is happening in Minnesota, cheapest generic differin.
At this moment I am not aware that this file has been sealed. When I called
Hennepin County Mental Health Court at 2:14 PM (CDT) to inquire about the
status of a "Motion To Stay Entry of Judgment and Ammended Findings Of Fact"
that the Respondent's attorney told me she on September 17, Differin, 2002, the clerk
told me that I would have to speak with the Supervisor of the Mental Health
Court about this motion. I left a voice mail message for the Superviisor to
call me.
When I called back to speak with the clerk again and ask whether the file had
been sealed at 2:45 PM, online differin, the clerk was gone and my question could not be
answered by the person who answered the phone. The Supervisor was in a
closed door meeting, Differin from india, so I left another message with the receptionist, and I
ensured my messages were recieved by the Supervisor again at 4:17PM. At the
time this email is being sent I have not heard back from the Court about the
status of the motion or the file, and the Hennipin County Mental Health Court
closes at 4:30 PM (CDT), buy cheapest differin on line.
I was cut off from seeing the Respondent by the Conservator on Tuesday, Free differin, the
day before the first scheduled ECT treatment. The Conservator, who also
prohibited Louise Boute of WellMind-MN from seing the Respondent when she was
warehoused at a Minneapolis nursing home, is not happy with me trying to help
the Respondent to exercise her annual right to petition the court for the
Conservator to be replaced and that she be allowed to go live with her
mother: The Respondent put her request into writing on July 25, differin overnight, 2002 and it
was given to the staff of the nursing home several days later: On August 7th
the Respondent was hospitalized and on August 20th the petitions for
commitment and forcedf ECT/Neuroleptics were filed by the hospital.
Given that (1) I purchased the certified copies of this ECT and the
commitment and Neuroleptic orders as it was open to the public, (2) that the
Court is aware that I purchased these copies; (3) that I have recieved
verifiable verbal permission by the Respondent to share this information with
mental health activists/advocates/ professionals/consultants and those
interessted in forced treatment; and (4) that I have not been notified by the
Court that the file has been sealed, I am passing this information on, buy differin without prescription. Buying differin, PLEASE READ THIS ORDER VERY CAREFULLY. PLEASE NOTE THAT IT CONTAINS MANY
ERRORS INCLUDING THAT THE RESPONDENT HAS BEEN ORDERED TO RECIEVE UP TO 15 ECT
TREATMENTS FOR FIVE WEEKS WHIICH IS NOT WHAT WAS STATED IN COURT. LET'S HOPE
THE RESPONDENT'S MOTION TO STAY JUDGMENT IS GRANTED SOON.
Jerri Lynn,
Social Justice Activist/Advocate
Although I intend that the electronic copy of the ECT court order printed
below be accurate and that I have editied out specific personal information
per the Respopndent's request, find differin on internet, I cannot take personal responsibiliy for any
errors that may occur in the electronic scanning and transference of this
court order. Buy differin once daily, The purpose of this distribution of this document is for
educational purposes only.
------------------------------------------------------------------------------
--------------------------------------------
02 SEP 16 AM 10:30
STATE OF MINNESOTA. Buy differin without prescription, FOURTH JUDICIAL DISTRICT
DISTRICT COURT
COUNTY OF HENNEPIN
PROBATE/MENTAL HEALTH DIVISION
In the Matter of the Civil Commitment of: File No: P8-02-60415
FINDINGS OF FACT, CONCLUSIONS
OF LAW AND ORDER AUTHORIZING ELECTROCONVULSIVE THERAPY
Respondent DOB: XX-XX-54
This matter was heard by Patricia L. Belois, find discount differin, one of the Judges of this Court, Cheap differin tablets, on September 12, 2002, pursuant to a Petition for Authorization to impose
Treatment Electroconvulsive Therapy, cheap price differin, filed herein on August 20, Buy differin on internet, 2002.
Petitioner, Michael Popkin, differin no online prescription, M.D., Buying generic differin, was represented by Elizabeth Cutter,
Assistant Hennepin County Attorney, A-2000, differin pill, Hennepin County Government
Center, Pharmacy differin, Minneapolis, MN 55487, (612) 348-6740, find discount differin online.
Ruth Y. Differin sale, Ostrom, Attorney at Law, 301 Fourth Avenue South, differin order, Suite 270, Differin buy online, Minneapolis, MN 55415, 612-339-1453, buy differin canada, was present on behalf of Respondent, Differin uk, who
was present in court.
Barabara Jackson, M.D., the Court-appointed examiner, and Derrinda Mitchell,
Respondent's Court appointed Conservator of Person and Estate were present, buy differin without prescription.
No guardian ad litem was appointed for Respondent because her Conservator
provides that function pursuant to an existing Court order from another
jurisdiction.
Based upon the file and record in this matter, order differin no rx, the evidence received, Overnight differin, including testimony from Charles Pearson, M.D., Derrinda Mitchell, buy differin online without prescription, and
Barbara Jackson, Buy differin from canada, M.D. and one exhibit, the court makes the makes the
following:
FINDINGS OF FACT
1, cheap differin without prescription. Respondent is 48 years old. Buy differin without prescription, She was committed dually to the Heads of the
Hennepin County Medical Center and the Anoka Metro Regional Treatment Center
as a person who is mentally ill by Order of this Court filed September 6,
2002. Find discount differin, In that Order, the Court found that Respondent was mentally ill with
Paranoid Schizophrenia. Respondent's present diagnosis is Paranoid
Schizophrenia and Depression, differin online without a prescription, NOS. Buy differin in canada, Her treating physician has also diagnosed
Respondent with Anxiety Disorder, NOS. Respondent is currently hospitalized
at the Hennepin County Medical Center, discount differin overnight delivery.
2, buy differin without prescription. The Medical Director of Inpatient Psychiatry/Chief of Psychiatry for the
Hennepin County Medical Center, Buy differin us, Michael Popkin, M.D. (hereinafter Popkin) has
petitioned the Court for authority to administer up to 15 treatments of
electroconvulsive therapy (ECT) per week for a period of up to five weeks to
Respondent, differin cost, followed by maintenance treatments at an unspecified frequency
for the duration of the current commitment. Differin cheap price, Testimony in support of this
Petitioner's Petition was given by Respondent's treating physician, Charles
Pearson, M.D. Petitioner believes that ECT will relieve the symptoms of
Respondent's mental illness and provide other benefit to her, no prescription differin, in particular, Canadian pharmacy differin, ECT is expected to: resolve Respondent's psychosis which is refractory to
treatment with neuroleptic medication; improve Respondent's social
withdrawal; and lead to simplification of her medication regime by reducing
the number of neuroleptic medications she will need to take to control her
symptoms.
3. Buy differin without prescription, Krishna Mylavarapu, M.D.,(herein after Mylavarapu), is the staff
psychiatrist at the Hennepin County Medical Center who will administer the
ECT to Respondent. Respondent will be anesthetized prior to the
administration of the ECT, buy differin no rx. The only pain Respondent should experience from
the ECT would be the minimal pain from the injection of the anesthetic and
perhaps a transitory headache. Differin for order, There is a very remote risk of an adverse
reaction to the anesthetic in the range of 1:20.000-50,000. Respondent may
experience a short-tern memory loss as a consequence of the proposed
treatment This memory loss may be permanent, but the effects of it can be
fully mitigated by relearning the lost information, such as what she had to
eat during the meal before the procedure. ECT does not involve surgical
intrusion, buy differin without prescription. The intrusion comes from electrical impulse directed into
Respondent. s brain to induce a specific type of seizure activity.
4. The use of ECT during inpatient hospitalization is the best treatment,
according to contemporary professional standards, that could render further
custody, institutionalization or other services to the Respondent
unnecessary. ECT is not an experimental treatment. It has not been
prescribed for Respondent as part of any research project. Buy differin without prescription, Its use is widely
accepted by the medical community of this state.
5. The Court's examiner, Barbara Jackson, M.D. (hereinafter Jackson),
believes that the use of ECT to treat Respondent's mental illness is both
necessary and reasonable. She testified that the benefits Respondent is
likely to experience from ECT outweigh its risks to her. Jackson also
testified that Respondent is not competent to weigh the benefits and risks
associated with ECT treatment for herself, buy differin without prescription.
5. Respondent's Conservator, Derrinda Mitchell, testified that she believes
that the benefits of the proposed treatment, most particularly the
possibility that Respondent's medication regime could be simplified and the
exposure to medication side effects better controlled that way, outweigh the
risks involved and that the use of ECT to treat Respondent's mental illness
and that the use of ECT could be in Respondent's best interests.
6. The Court has considered less intrusive methods of treatment for
Respondent's illness including the use of various psychotropic medications
both alone and as part of augmented pharmacological regimen. Buy differin without prescription, This was
rejected because the use of psychotropic medications to treat Respondent to
date has not sufficiently relieved the symptoms of Respondent's mental
illness so that she can be released from the acute care facility safely to
which she is now committed.
7. Respondent cannot rationally weigh the risks and benefits involved in the
use of ECT to treat her mental illness because she does not believe that she
is mentally ill and she has an irrational fear of ECT fueled by information
that her mother provides to her about what the mother believes is the lethal
nature of ECT.
CONCLUSIONS OF LAW
1. The evidence is clear and convinces the Court that treatment of the
Respondent's mental illness using electroconvulsive therapy is necessary and
reasonable.
2, buy differin without prescription. Respondent does not have the capacity to give or withhold consent to the
use of electroconvulsive therapy to treat her mental illness.
3. The benefits to Respondent from the administration of electroconvulsive
therapy to treat her mental illness outweigh the risks associated with the
treatment and justify the intrusion into her privacy as needed to conduct the
electroconvulsive therapy without Respondent's informed consent.
ORDER
The Heads of the Hennepin County Medical Center and the Anoka Metro Regional
Treatment Center are authorized to administer to Respondent up to 15
treatments of electroconvulsive therapy per week for up to five weeks,
foIIowed by maintenance treatments as often as once per week for the duration
of the commitment ordered September 6, 2002, pursuant to Price v. Buy differin without prescription, Sheppard.
239 NW2d 905 (Minn, 1976) and Minn. Stat §253B,03, Subd. 6b.
BY THE COURT:
Patricia L. Belois Date Judge of District Court
Probate/lMental Health Division
9/16/02.
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Added: July 29, 2006 |
3 Comments