Suffer the Little Children
I'll start with Doug, not commenting further on the illegality of doing this procedure without consent. I've only vaguely heard of the ultra rapid detox procedure used (in adults), but this is what he's doing. He's placing the child in a coma and infusing Narcan, an opiate antagonist, IV and controlling the symptoms of withdrawal. Ketamine is an agent that's often used in pediatric (and animal) anesthesia to produce a dissociative state for procedures. While withdrawal is taking place, the person can become hypertensive and tachycardic. Thus nipride is a blood pressure lowering agent and esmolol is an agent that both lowers blood pressure and heart rate.
I thought Carter's diagnosis of the cyanotic child with methemoglobinemia was good except for one major point--in any case of cyanosis, an arterial blood gas is one of the first tests to order, not one done after later conferring with the attending he did do a god history for cyanosis--he asked about medications, asthma history, and any congenital heart disease. He knew where the family was. He worried about pulmonary embolus, and carbon monoxide. Once methemoglobinemia was figured out, he went through the ways to acquire it. (I received an e-mail from Kay Lancaster about the incorrectness about an almond smell--also posted.) Then the treatment is methylene blue.
Again, I won't further moralize about the tele-evangelists using Tina Marie's illness for donations. She has diabetes, the disorder of glucose metabolism, and the complications of it include kidney failure, heart disease and strokes, blockages to other large and small vessels in the legs and arms, neuropathy (nerve damage), cataracts, and risk of infections. She has a skin infection needing antibiotics, and may have kidney damage.