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[Cyprus Times] "Bombs" from the doctor of Georgina on ketamine and the "deadly Munchausen"

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"Bombs" from Georgina's doctor on ketamine and "deadly Munchausen's" Dr. Andreas Eliades explains why the amount of ketamine cannot be stolen from a hospital

The director of the Children's ICU of the hospital in Rio Andreas Eliades, fought a battle to keep the unfortunate Georgina alive. Watching the death of three children in Patras he had expressed fears about the case of Georgina and since then he had been thinking about what might be behind the picture everyone was seeing. How and why an otherwise healthy child, full of zest for life, was on the verge of death when there were no doctors around. The revelations about the ketamine came to confirm his worst fears.

Why the ketamine could not have been found by a hospital

In a statement to Sunday's Real News newspaper, Andreas Eliades talks about the fatal dose administered to the 9-year-old girl. "If 6.5 mg/ml of ketamine was found in Georgina's blood, based on calculations, someone must have given her between 800 mg/ml and one gram. So if the perpetrator stole ketamine from hospitals, she must have had 15 ampoules. I find it impossible that she stole such a quantity."

As Andreas Eliades believes, the person who administered the ketamine to Georgina did not steal it from hospitals. His own assessment is that the fatal dose was concentrated in a large vial. "He couldn't have been sitting there breaking ampoules," he says. The question, of course, is how did that quantity get into the hands of the man who wanted to kill Georgina? "You can buy everything on the internet" he says meaningfully.

The deadly Munchausen's syndrome

Andreas Eliades had informed, among others, his colleagues in Athens to keep their eyes 14. He had asked them to pay particular attention to the movements made by Roula Pispirigou. "I thought not of the 'simple Munchausen by proxy' but of the more complex and rare 'lethal Munchausen', about which one can find information in more advanced writings. Perpetrators with this syndrome go so far as to murder the people around them. I tried to rule it out but unfortunately I could not."

In her apology, Roula Pispirigou had claimed that she did not know how the ketamine was found in Georgina's body and spoke of a possible medical error. "I can't know. I have the information that it is a hospital drug and that it is administered in ICU by intensivists. So I believe that something happened while we were in the hospital without blaming any of the doctors or nurses, that is, that they did something on purpose," the 33-year-old said in her statement.



The ketamine was administered while the child was alive

According to the evidence, the ketamine was administered to Georgina while she was still alive, i.e. before the doctors entered the room. Tests found that the substance had had time to metabolize in the child's system, refuting the defendant's main argument that the ketamine was probably given during the resuscitation attempt, as the child was already dead.

"Once ketamine enters the bloodstream it will begin to be metabolized and excreted in the urine. In order for this to happen, there must be cardiac function in order for the substance to move to the liver, be metabolized and excreted in the urine. Therefore, for this substance to be identified in the urine means that it was given while the little girl was alive," said forensic pathologist Dimitris Galenteris.

Source: in,gr


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