Health & fitness
Mum shares haunting last words of daughter, 13, who died suddenly after complaining of ‘cold symptoms’
A 13-YEAR-OLD girl in “unbearable” pain asked her mum if she would die hours before she passed away from sepsis amid alleged delays in treatment.
Chloe Longster was complaining of cold and flu symptoms before being taken to A&E on November 28, 2022.
She was admitted to the paediatric ward at Kettering General Hospital in Northamptonshire that evening and later transferred to intensive care, where she died the following morning.
At an inquest which began on Monday, Chloe’s mother Louise Longster told assistant coroner Sophie Lomas that pain relief for her daughter was “delayed”.
Her parents were “devastated” by her death, which they believe was “completely preventable”.
Mrs Longster, 40, told Northampton Coroner’s Court that her daughter was “wincing and squirming” from pain while in hospital.
“Chloe asked if she could be put to sleep because it was unbearable,” she added.
“I remember thinking how pale and clammy she looked.
“It’s harrowing to see your own child in so much pain.
“She was clock-watching constantly – she knew when her paracetamol and ibuprofen were due and it was always delayed.
“It was like we were chasing her pain rather than getting on top of it.
“Chloe asked me if she was going to die. It’s haunting that the 13-year-old was the one that was right. It’s devastating.”
Mrs Longster said she heard Chloe’s chest “crackling” as she lay in the hospital bed, which she flagged to a nurse.
She said she felt that she was being a “nuisance” and “dramatic” because she was trying to get more help for Chloe.
It was not until Chloe was put in a side room and diagnosed with influenza A that it was “taken seriously or acknowledged how much pain she was in”, Mrs Longster told the court.
Chloe’s blood pressure was recorded for the first time on the system nearly eight hours after she arrived at the hospital.
A&E consultant Dr Marwan Gamaleldin saw Chloe three or four times before she was transferred to the paediatric ward and believed she had a chest infection at the time.
He said: “It was already flagged that pain was the main thing. She did not come across as struggling to breathe.
“The pain was described as severe so the next logical step was to jump to morphine.
“She had four doses of pain relief with three different medications.
“I appreciate that maybe it was not enough, but it was four doses of pain relief.”
What are the symptoms of sepsis?
SEPSIS is a life-threatening reaction to an infection that happens when your immune system overreacts and starts to damage your body’s own tissues and organs.
Symptoms of sepsis in an adult include:
- Acting confused, slurred speech or not making sense
- Blue, grey, pale or blotchy skin, lips or tongue – on brown or black skin, this may be easier to see on the palms of the hands or soles of the feet
- A rash that does not fade when you roll a glass over it, the same as meningitis
- Difficulty breathing, breathlessness or breathing very fast
Symptoms in a child include:
- Blue, grey, pale or blotchy skin, lips or tongue – on brown or black skin, this may be easier to see on the palms of the hands or soles of the feet
- A rash that does not fade when you roll a glass over it, the same as meningitis
- Difficulty breathing (you may notice grunting noises or their stomach sucking under their ribcage), breathlessness or breathing very fast
- A weak, high-pitched cry that’s not like their normal cry
- Not responding like they normally do, or not interested in feeding or normal activities
- Being sleepier than normal or having difficulty waking
They may not have all these symptoms.
If you think you or someone else has symptoms of sepsis, call 999 or go to A&E.
Source: NHS
Dr Gamaleldin said that in the two-hour period that he observed Chloe, he “did not think” that she had sepsis.
He told the court that there are four markers to diagnose the condition.
Two of these are high white blood cell count and fever, which the patient needs to have one of to be diagnosed with sepsis, and two other criteria which are heart rate and respiratory rate.
He said that Chloe had neither of the mandatory signs – high white blood cell count or a fever.
Dr Gamaleldin said: “There are other things I should have started if I was thinking of sepsis, rather than antibiotics.
“I did not think Chloe had sepsis at this point.”
Chloe brought so much joy, life, happiness and kindness to all those that she came into contact with
Dan Cleary
He said that Chloe’s chest X-ray showed “consolidation” on her lower left lung, where there is solid material rather than air, which suggested an infection.
Mrs Longster said the scan looked “terrifying” and Chloe’s lungs were not symmetrical.
Nurse Tricia Martinez triaged Chloe when she arrived at the hospital and had only recently joined the paediatric ward.
She told the court that Chloe looked in “agony” when she arrived in A&E so she “escalated” the issue and asked for the X-ray, but did not tick one of the boxes on a sepsis screening document.
She said: “The fault on my part was that I was not able to complete the sepsis form or go back to it after escalating.
“During the time that I saw her, something within said that there is something wrong with this child.
“We can only suggest or say she has possibly this or that, but the diagnosis will be given by the doctor.”
Chloe, a year nine pupil at Robert Smyth Academy with no underlying health conditions, died 18 and a half hours after arriving at the hospital.
She was prescribed by principal Dan Cleary as “a vibrant, talented and compassionate individual”.
“She brought so much joy, life, happiness and kindness to all those that she came into contact with,” he added. The inquest continues.
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Health & fitness
New body scan phone app ‘reveals if you’re at risk of heart disease, stroke or diabetes in just 30 seconds’
A NEW smartphone app can tell you if you’re at risk of heart disease, stroke or diabetes, experts say.
MyBVI is an at-home body scan tool that analyses your health in as little as 30 seconds.
It uses two photos to reveal your body fat, visceral fat, waist-to-hip ratio, waist-to-height ratio and waist circumference – without the need for a tape measure.
Using artificial intelligence (AI) and taking into account your age and gender, this then produces a body volume index (BVI) figure from zero to 20, which determines your likelihood of future health problems.
Generally, the higher the number, the higher your chances of falling ill.
A BVI score below 13 is considered low risk, while figures above 13 indicate an increased risk.
The technology is 23 per cent more accurate than body mass index (BMI) which relies on weight and height alone, scientists claim.
Inventor Richard Barnes said: “With MyBVI, users simply take two images with their smartphone or tablet from the comfort of their home, and within seconds, they receive their measurements.
“It considers where fat is distributed on the body, and how that impacts health, rather than just on total weight.
“Anyone can do it. And the images are never stored or used, ensuring complete privacy.
“BVI is a predictive risk indicator for three of the most significant diseases in global healthcare – diabetes, cardiovascular disease (which encompasses heart disease and stroke) and high blood pressure.”
Developer Select Research hopes it can help ease the burden on medical staff by allowing patients to submit images from home, eliminating the need for GP or other clinic visits.
How to do the body scan
- Get someone to hold your phone or tablet vertically and stand in front of them.
- Stand facing forwards, with your arms held out straight at a 45-degree angle for the first picture.
- For the second photo, stand exactly side-on with your feet together and your arms straight down. Don’t look at the camera.
- You should receive your results a few seconds later.
Those deemed high-risk can then be monitored, “enabling cost-effective preventive care and earlier diagnosis”.
It should also reduce the chances of ‘false positives’ for obesity, particularly in patients with muscular builds, ethnic minorities and women, according to the team.
Richard said: “The government now has an opportunity to fulfil its promise of creating a future-ready NHS by adopting a more accurate understanding of body composition and its impact on health.
“BVI accurately identifies more than four out of five patients who might be at risk of heart disease, stroke or type 2 diabetes – marking a 23 per cent improvement over BMI and outperforming manual measurements.
“These findings indicate that BVI is a more effective risk indicator than BMI, which was created in 1835 and is outdated and inaccurate when assessing individual health.
“After 18 years of development, we’ve created an app that offers more comprehensive body measurements that lowers the cost of entry and could become a new medical standard.
“It offers a more comprehensive approach, with detailed data on total body fat, visceral fat, waist-to-hip ratio, waist-to-height ratio, waist circumference and BVI.
“Maintaining good health is important for everyone, so it’s crucial that people have access to accurate tools like MyBVI to make the right decisions about their health.”
It could serve as a powerful screening tool for identifying metabolic syndrome
Researchers
MyBVI is free to download but requires a £3.99-a-month subscription to unlock “premium benefits”.
It presents data on a graph to help users understand how their body changes over time.
The app predicts someone’s metabolic syndrome risk and severity.
A study published in the European Heart Journal – Digital Health found it to be more accurate than BMI.
“The tool offers a more precise alternative to other measures of disease risk, like BMI and waist-to-hip ratio,” the researchers said.
“It could serve as a powerful screening tool for identifying metabolic syndrome.”
Metabolic syndrome can lead to a heart attack, stroke, diabetes, liver disease, and other serious health problems.
People with metabolic syndrome typically have apple-shaped bodies, meaning they carry a lot of their weight around their middle.
The science behind body volume index
BVI helps people understand their body composition.
Total body fat
Body fat, also known as adipose tissue, helps store energy in our bodies and is essential for our wellbeing.
But in excess, it can also lead to the development of many diseases, including heart disease, high blood pressure, and stroke.
Visceral fat
Visceral fat, also known as intra-abdominal fat, is the fat found on the inside of your abdomen and around your organs.
Too much of it is linked to type 2 diabetes, fatty liver disease and some forms of cancer.
Waist-to-hip ratio
Waist-to-hip ratio measures the difference between the waist circumference and the hip circumference, and determines how much fat is stored on the waist, hips and buttocks.
Waist-to-height ratio
Someone’s waist-to-height ratio is obtained by dividing their waist size by their height.
Waist and hip circumference
The waist is measured in a horizontal line, halfway down the side of the body between the pelvic bone and the bottom of the ribcage.
The hip circumference is measured at the widest point of the buttocks.
Source: BVI
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Health & fitness
Do you make your partner sleep on the sofa when they have a cold? Almost 1 in 6 bunged-up Brits are banished from bed
NEARLY one in six bunged-up Brits are banished from their beds when they have a cold – spending as long as three nights in exile.
A poll of 2,000 adults found 45 per cent of these ended up seeking refuge in the spare room, while 40 per cent have been forced to flee to the sofa in the dead of night.
And 18 per cent ended up sleeping in solitude on the floor of the kid’s room.
Dr Sara Kayat, who has partnered with nasal spray brand Stérimar, which commissioned the research, said: “Suffering from a blocked nose or congestion can make it harder to get to sleep at night.
“A blocked nose can actually feel worse at night because more blood flows to it when you lie down, which can add to the nasal inflammation and congestion.”
It also emerged for 53 per cent their snoring will get worse when they can’t breathe clearly because of a cold or blocked nose.
READ MORE ON COLDS AND FLU
These ailments will impact the quality of sleep for 70 per cent of adults, depriving them of an average of three hours each night of precious kip.
As a result of this, 61 per cent are low on energy the next day, with 48 per cent being more irritable.
Over a third (37 per cent) of these will struggle to concentrate and 29 per cent won’t be on top form at work, the figures found.
Dr Sara Kayat added: “Having your sleep disturbed by a cold or blocked nose is bad enough.
“But the survey shows that your sleep disturbance can quickly become the source of low energy, negative mood and even relationship grumbles if you keep your loved one awake.
“It’s important to find a solution quickly that helps you breathe more easily, and that lets those around you get good quality sleep too.”
The cold and flu remedies that experts say actually work
Mike Hewitson, a pharmacist from Somerset, suggests the best thing someone can buy when they have a cold or flu is standard paracetamol.
“I generally advise people to use unbranded medicines which are often as effective as the branded products, but at a fraction of the price,” he said.
Paracetamol can help to “control the fever” which often accompanies the flu, Mike said.
Sadik Al-Hassan, a pharmacist based in Bath, added that medicines such as Lemsip Max, which contain a combination of drugs, can also be helpful at reducing symptoms.
“The paracetamol can help reduce pain, the decongestant to clear out the sinuses and vitamin C to help you fight infections faster,” he said.
Both pharmacists warned patients against Echinacea – a herbal supplement which some take to boost immunity.
“While it probably isn’t going to do much harm to take it for most people, there isn’t much evidence to suggest it actually helps,” Mike said.
The experts stressed that prevention is better than cure and there are many effective ways at reducing your chances of getting ill in the first place.
Sadik said: “There are a lot of cold and flu prevention nasal sprays on the market which create a gel barrier which words as a physical barrier.”
Meanwhile, Mike pointed out that it isn’t too late to get a flu jab.
“Many pharmacies will also be able to provide you with a private flu vaccination service if you don’t qualify for the free NHS jab,” he said.
Womens Workouts
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Health & fitness
‘Fit’ man suffers horrific artery TEAR triggering fatal heart emergency – after masturbating
A MAN’S bout of self pleasure ended in a potentially deadly heart emergency, as he suffered a torn artery after masturbating.
The 59-year-old man called an ambulance after getting a tight jaw and tingling in his hands following his solo sesh.
Doctors were baffled by his symptoms, at first fearing he had a severe case of sepsis.
But a battery of tests revealed he had in fact suffered a tear to his aorta, the body’s largest artery that carries blood from the heart to the body.
This resulted in severe aortic regurgitation, a medical emergency where the blood flows backwards into the heart.
Aortic dissection – as a tear to the aorta is called – is a rare condition that can be life threatening if not identified and treated promptly.
Read more on sexual health
People suffering the health emergency usually experience a sharp, ripping pain in their chest or upper back, as well as shortness of breath, heavy sweating, confusion and severe stomach pain, the Cleveland Clinic states.
But unusually, the patient in question suffered no chest pain, shortness of breath, loss of consciousness or nausea as would be expected in health emergency of this type.
Only about 6.4 per cent of patients with aortic dissections don’t experience chest pain, doctors from the Department of Emergency Medicine at Mount Sinai hospital in New York – who oversaw the man’s case – wrote.
“As such, painless dissections are atypical presentations, more likely to be associated with increased mortality,” the said in a report published to the journal Clinic and Experimental Emergency Medicine.
It’s also unusual for the man to have suffered the tear following masturbation – although he’s not the first to do so.
Another report details the case of a 60-year-old man who experienced a “ripping” pain in his chest, neck and back in the hours after indulging in a bout of masturbation.
The 59-year old patient had a past medical history of high blood pressure, which puts extra strain on the heart, blood vessels and other organs and raises the risk of experiencing heart disease, heart attacks and strokes.
He also had a rare form of chronic pancreatitis, inflammation of the pancreas caused by the immune system attacking the organ, as well as chronic renal insufficiency – a long-term condition where the kidneys don’t work as well as they should.
But the day before he suffered his health emergency, the man had been on a 3-mile jog.
After his solo sesh, the man described experiencing “lightheadedness, a tingling sensation to both hands, and jaw tightness”, according to the report.
Feeling unwell, he decided to lie down and unintentionally wet himself.
He decided to call an ambulance after this episode of urinary incontinence.
Test conducted at the hospital revealed he was suffering from extremely low blood pressure and a slow pulse.
Medics feared he may be suffering from sepsis – a life threatening overreaction to an infection – and gave the man a dose of antibiotics.
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FROM gangrene to amputations and food poisoning, here are a few bizarre and horrifying case reports involving the male member.
Though his condition seemed to improve, the patient reported feeling dizzy when trying to walk and he underwent further monitoring and tests to his heart.
At this point, an ultrasound scan revealed that he’d suffered a e type A aortic dissection – a tear starting on the upper part of the aorta closer to the heart.
This can be immediately life-threatening and usually requires emergency open-chest surgery to repair or replace the first part of the aorta where the tear started.
The man did in fact undergo surgery for an aortic graft replacement, which involves replacing a damaged section of the aorta and aortic valve with a tube.
He’s understood to have since recovered from his ordeal.
It remains unclear why he suffered a tear to his aorta following masturbation, though medics said his chronic pancreatitis appears to be an “important risk factor”.
Medics dwelled on the fact that the patient didn’t experience any pain from his aortic dissection, stressing that this was unusual.
“This case reinforces that aortic dissection can be present without pain, including the classic presentation of tearing chest pain or back pain,” they wrote.
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