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Old September 26th 09, 04:17 AM posted to rec.aviation.homebuilt
Ron Wanttaja[_2_]
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Default NTSB Report on Bill Phillips' Accident

tom c wrote:

Acute in a clinicians realm is either a new sudden onset such as AMI (Acute
Myocardial Infarction) or a sudden flare up of an old condition such as
Acute Exacerbation of COPD.

Chronic is an ongoing but currently stable problem. Chronic Obstructive
Pulmonary Disease. Chronic conditions over the course of time cause
deterioration and for many mortality. Example would be Pulmonary Fibrosis.

In another post a "doctor" from POA said Bill's "Vicodin Level" was near
lethal. There is no such thing as a Vicodin Level. Vicodin (Lortab, Norco
etc) is a combination of acetaminophen (Tylenol) and hydrocodone. In the
report Bill's acetaminophen level was barely at the low end of therapeutic
and the hydrocodone and metabolites were sub therapeutic.


Thanks, Tommy. I'm yust an engineer; I don't have any medical
background, and the wide variety of opinion on this is making my head
spin. Some people say he would have been unaffected by the levels found
in the autopsy; others claim they are near-fatal doses.

BTW, in the interest of clarity, here's the link to the post from the
doctor on POA:

http://www.pilotsofamerica.com/forum...6&postcount=16

I figured his reference to "Vicodin level" was an attempt to simplify
things for the layman. When I first read the NTSB report, I had to Wiki
the drug terms to find out what that stuff is.

I guess I still step back to the "acute drug intoxication" comment on
the NTSB factual. Stealth and you have explained the medical meaning.
But when I do a Google search on the term, the hits seem to imply that
this is a fairly dire condition.

Let me try to put it simpler. If I get pulled over by the cops and my
blood test shows "... 0.055 (ug/ml, ug/g) diazepam, 0.031 (ug/mL, ug/g)
dihydrocodeine, doxazosin, 0.152 (ug/ml, ug/g) hydrocodone, and 0.094
(ug/ml, ug/g) nordiazepam," is this a level at which the courts would
consider me impaired?

Ron Wanttaja