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Early
diagnosis would have prevented 3 year old Isabel Maude
from spending a month on Life Support as well as extensive
plastic surgery in years to come
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The
need for an effective diagnostic aid is more than amply illustrated
by the case of Isabel Maude - the raison d'être behind
the Isabel project:
In
April 1999, four days after contracting chicken pox, three
year old Isabel was transported under police escort from her
local hospital to the Paediatric Intensive Care Unit (PICU)
at St Mary's Hospital, Paddington - a centre for life-threatening
diseases for children. Here she suffered multiple organ failure
including cardiac arrest and was on life support in PICU for
nearly 4 weeks followed by a further month in a ward. Her
life was in extreme danger and the potential of brain damage
was high. All this because her local GP and hospital A&E
unit, both of whom were contacted and visited on a number
of occasions in the days leading to her hospitalisation, failed
to recognise her critical and very obvious symptoms or appreciate
that something as common as Chicken Pox could have such severe
complications.
She
was finally diagnosed as suffering from toxic shock and necrotising
fasciitis (known by the media as the flesh-eating bug). All
these are rare, but nonetheless acknowledged and documented
complications of Chicken Pox. Had research on the potential
complications of chicken pox been quickly accessible, Isabel
would have been recognised as a very sick child, rather than
being sent home with a bottle of paracetamol, thereby preventing
much of the trauma she then had to experience over the ensuing
2 months. The legacy of Isabel's two-month stay is a large
wound on her tummy with the prospect of extensive plastic
surgery in years to come (see article in 'The Times').
Rather
than take legal action, (and add to the NHS' already hefty
litigation bill), Isabel's parents sought the help of a number
of high profile medical consultants in establishing the Isabel
website, with the hopes of preventing further cases of "clinical
ignorance", the term their local hospital openly admitted
to. The first step was to find software capable of understanding
medical texts sufficiently to produce an accurate diagnosis.
Jason Maude, who had been following the meteoric rise of Autonomy
Corporation, approached Autonomy's CEO, Dr Mike Lynch, to
ascertain whether its software could handle sophisticated
medical diagnosis. Lynch, who has since agreed to be a Patron
of the Isabel Medical Charity, offered to donate the Autonomy
software with the purpose of setting up a diagnostic website.
The
project then attracted the attention of Dr Joseph Britto,
one of Isabel's Paediatric Consultants at St Mary's who, as
a co-founder and Trustee, went on to assemble a team of specialists
from hospitals throughout the UK who now form The Isabel Medical
Charity's Editorial and Validation Boards as well as an Advisory
Board which includes representatives from the leading Medical
Think Tanks in the UK.
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