Well orchestrated Pfizer, Astra Zeneca and Lilly.
How much did you pay in 'unlimited educational grants' to NAMI and the rest?
How much did you pay to the APA and those groups?
How much do members of the FDA gain out of this?
Strangely, despite Kirsten Evraire, saying: "AstraZeneca....does not recommend Seroquel for patients under 18." The same is true of Pfizers Geodon. However, physicians routinely exercise authority to prescribe medicines for off-label conditions beyond uses endorsed by the U.S. Food and Drug Administration", those are 2 of the 3 drugs that the FDA are voting on re approval for children tomorrow, and who exactly have applied for their approval? Drug companies that DO NOT RECOMMEND those very same drugs for patients under 18?
http://www.cjonline.com/news/state/2009-06-06/child%E2%80%99s_death_a_tragic_destiny
Childs death a tragic destiny
Photo 1 of 2 
Destiny Hager's ashes will be buried Wednesday on what would have been her seventh birthday.
MORE PHOTOS http://www.destiny-hager.memory-of.com/SlideShowPopUp.aspx', 'slideshow', 'width=650, \ height=605, \ location=no, \ menubar=no, \ resizable=no, \ scrollbars=no, \ status=no, \ toolbar=no'); return false;" href="javascript: void(0)">Open a slideshow to view additional photos of Destiny Hager. DOCUMENTS Consent Order in the Matter of Vernon L. Kliewer, M.D. First Amended Petition in the Matter of Vernon L. Kliewer, M.D.By Tim CarpenterCreated June 6, 2009 at 10:37pm
Updated June 7, 2009 at 12:10am
COUNCIL GROVE Destiny Hager could be delightfully charming and frightfully aggressive.
In her darkest moments, the 3-year-old smashed her head against walls, lashed out at family members and bit herself. She battled insomnia. Her mood swings were sharp. She tried to suffocate a dog.
Her condition demanded intervention. Counselors directed Destiny and her parents, Angela and Greg Hager, to Prairie View hospital in Newton. Vernon Kliewer, a child psychiatrist in whom the Hagers placed trust but now condemn, prescribed two powerful drugs to control Destiny.
The tiny girl with shoulder-length brown hair was tranquilized by the medical regimen. But the Hagers were uncomfortable with dosages obliterating Destinys personality. They scheduled a doctors visit to wean her from medication.
Destiny began complaining of a stomachache three days before the appointment. Her pain appeared to ease, but it later mushroomed. She was raced to a hospital. Her anguished cries echo in Angelas memory.
The sound of it stays with me every day, she said. If you can picture a wounded animal in a trap trying to free itself, thats what she sounded like.
Destiny died within hours.
After three years of searching, and with their daughters burial finally only days away, both parents have lingering questions about Destinys death. They dont feel all physicians who treated Destiny have been forthcoming. And they havent placed her demise in context of a complex national debate about medicating children with mental illness.
Code blue
Destiny was carried through the doors of Morris County Hospital at 11:20 p.m. April 3, 2006. An X-ray revealed her colon was blocked a known side effect of Seroquel and Geodon prescribed by Kliewer.
Angela said hospital physician Lora Siegle concluded the dosage of Seroquel authorized by Kliewer was inappropriately high for a 38-pound child. Siegles hospital notes say, I will stop the medications. The doctor considered sending Destiny to Childrens Mercy Hospital in Kansas City, Mo., but decided to care for the girl herself.
At 7:40 a.m., Destiny stopped breathing inside Room 11. A minister was called. Siegle managed to resuscitate Destiny. The girl was able to speak in a halting manner.
I love you, Destiny told her parents.
She required emergency surgery, but the modest hospital in this town of 2,300 wasnt staffed for the procedure.
A medical helicopter was called to transport Destiny to Childrens Mercy. Her pulse faded twice more, but doctors brought her back both times. Before LifeFlight departed, Angela said, a member of the air ambulance crew hugged the Hagers and offered advice.
She whispered in our ears 'Get an attorney. There were things done wrong here.
Legal surprise
A Baptist minister drove the Hagers toward Kansas City. Angela prayed for the best. Greg feared the worst.
You just know she isnt coming back, Greg said. Its the worst feeling anybody can have.
Destiny was pronounced dead at 10:34 a.m. on April 4 following a 45-minute flight.
The lives of Angela and Greg became a blur. Viewing their daughters lifeless body was crushing. An attempt to donate her organs failed. Later, strangers made them victims of malicious allegations. They also were beneficiaries of heartwarming empathy.
The Hagers hired the Wichita law firm of Hutton and Hutton to press a wrongful death lawsuit against Kliewer, Siegle and Morris County Hospital. Legal wrangling proceeded until December 2008 when Hutton and Hutton withdrew from all litigation involving Destiny. The law firm never fully explained to the Hagers satisfaction their reason for pulling out, the couple said.
The decision followed autopsy confirmation that Destiny died of fecal impaction and had antipsychotic drugs present in concentrations considered therapeutic in adults. The action came amid reports Geodon increased risk of potentially fatal heart-rhythm irregularities and people on Seroquel were more likely to suffer sudden cardiac death than patients taking older antipsychotics.
The Hagers attorneys walked away as state regulators completed a two-year investigation of Kliewer that found the doctor violated Kansas law while treating Destiny and five other children.
The Hagers say their own checkered past may have sabotaged this quest for justice and clarity.
About Destiny
Angela turned on the television in the familys one-story house outside Council Grove. She launched a DVD prepared for Destinys memorial service. Greg couldnt bear to again watch the slideshow chronicling the life of a child from June 10, 2002, to April 4, 2006.
Angela fought back tears, but narrated scenes set to music.
That was the day we brought her home from the hospital, she said. That was her last Christmas 2005. She loved to sing and dance and pose. She was such a ham.
As the final picture faded, she ticked off Destinys favorite activities: swimming, riding a toy horse, picking flowers, curling up to watch a movie.
Angela recalled giving her daughter nicknames. There was Moses, because Destiny tried to walk on water at age 1. Another was Mouse. It reflected Destinys habit of moving soundlessly across a room.
Destiny was born in Nebraska City, Neb. She moved frequently. She lived at times with her parents, a grandmother and friends. The Hagers were in Falls City, Neb., before coming to Council Grove.
We came down for a visit, stayed a while and fell in love with the area, Angela said.
Escalation
Angela became desperate to find help for Destiny. The staff at an Emporia clinic recommended a five-day stay at Prairie View. Greg didnt like the idea, but relented.
Greg, 45, and Angela, 30, were previously diagnosed with bipolar disorder. It is a manic-depressive illness affecting up to 3 percent of the population.
At Prairie View, Kliewer decided Destiny suffered the same ailment. She was put on Geodon and Seroquel. The dosage of Seroquel was ramped up to 600 milligrams per day by Kliewer.
He said a lot of doctors and a lot of people are going to say this is a really high dose, Greg said. But he says, 'I feel comfortable with it. Those were his exact words.
Kirsten Evraire, a spokeswoman for Seroquel manufacturer AstraZeneca, said the company does not recommend Seroquel for patients under 18. The same is true of Pfizers Geodon.
However, physicians routinely exercise authority to prescribe medicines for off-label conditions beyond uses endorsed by the U.S. Food and Drug Administration.
Russell Scheffer, professor of psychiatry and behavioral sciences at The University of Kansas School of Medicine in Wichita, said he has given Seroquel to children. He said 600 milligrams a day is reasonable. The medicine, he said, is an effective therapy for bipolarism. These are serious disorders, he said.
State inquiry
Kliewer, who has practiced medicine for 50 years, fell under the microscope of the Kansas Board of Healing Arts.
Board attorneys filed a petition in 2007 outlining the agencys investigation of Kliewers treatment of Destiny and five other children ranging in age from 2 to 5. The agency concluded Kliewer deviated from the standard of care, improperly prescribed medications and failed to properly document treatment.
In Destinys case, Kliewer inappropriately prescribed Seroquel and Geodon after failing to adequately assess and evaluate her condition. Kliewer ignored evidence of physical and sexual abuse among the other children.
Clearly, its severe enough theyve taken disciplinary action, said Jack Confer, executive director of the Board of Healing Arts. They thought it was a violation of state law. Kliewer was unwilling to comment.
The doctor negotiated a settlement in February with the Board of Healing Arts that didnt require him to admit wrongdoing. He voluntarily stopped treating patients under age 6.
The Board of Healing Arts placed his medical license on indefinite probation. He was ordered to pay $13,079 to cover the boards investigation expenses. Kliewer must have another physician monitor his treatment of bipolar patients.
Backlash
In the aftermath of Destinys death, Angela and Greg were placed on trial by innuendo.
Before they returned to Council Grove from the hospital in Kansas City, law enforcement officers declared their apartment a crime scene. Someone told police Destiny may have been mistreated.
We were cleared that evening, Greg said. Our daughter was well taken care of. That child was not abused.
Weird rumors persisted. Parents with children crossed to the other side of streets rather than walk past Angela. In a grocery store, someone accused the Hagers of murder.
The lawsuit put a spotlight on Angela and Greg. Attorneys for the county hospital and two doctors mined the Hagers background. Angela provided more ammunition in a deposition given last year to attorneys fighting the lawsuit.
Greg and Angela have arrest records hot checks, bad debts. Angela got a DUI.
We are recovering drug addicts, Angela said.
Neither was doing illegal drugs at the time of Destinys death, but Angela eventually fell back into her addiction, she said.
We are not perfect parents, she said. We are not perfect people.
Both say they are drug free and have sought grief counseling. Some people in Council Grove have softened their views of the couple.
Final resting place
The Hagers once sought millions of dollars to ease their pain. They now say they would be content with statements from Kliewer and Siegle admitting to mistakes.
Kliewers attorney, Brian Wright, of Great Bend, said that wouldnt happen.
Its a tragic case, Wright said.
The Hagers claim Siegle didnt provide adequate emergency care for Destiny.
Siegles attorney, Lisa McPherson, of Wichita, said the doctor stands by her work.
Destinys ashes will be buried Wednesday on what would have been her seventh birthday. The plot, which was donated, is in Kelso Cemetery north of Council Grove. The burial has been delayed so long because the couple couldnt afford it.
Standing amid a collection of family photographs in the living room, Greg said he could feel his daughters presence despite her absence. Maybe theres a rainbow at the end, Angela said. Even if all we did was bring awareness.
Tim Carpenter can be reached at (785) 295-1158 or timothy.carpenter@cjonline.com."
Powerful antipsychotics currently used to treat adults for schizophrenia and bipolar disorder appear to be effective in treating children and teens as well, though there are serious risks associated with the medicines, according to 