…are too numerous to enumerate.
0:04 In your book you also mentioned that consumption of acid food juices eroding cadmium plated metals and pots and pans with cadmium plating can also cause poisoning in people. In 1970’s peoples did not have so much awareness of cadmium, could this also be a reason for exposure at that time?
0:20 Absolutely I have told you there are so many reasons why the high cadmium (we must look at all these things, families have been poisoned from chemicals leaching, it is well known phenomena.
01:35 Even if we disregard environmental contamination. And consider that this had reports that were found to be positive and a 2nd level laboratory with ideal methodology would the high hair sample always be proportional to high cadmium levels in the body?
1:57 That is a very pertinent question. Yes. We come to another reason why hair analysis has fallen into kind of disrepute of late, it is because if you take a particular sample, analyze it, you get high values and that is repudiated by another laboratory sill…we can not be sure that it is authentic because that is kind of a cesspool that heavy metal analysis is.
2:27 Heavy metal analysis in hair can also be initiated by factors like a the persons constitutional itself. His or her gender or age, and so many other things which need to be factored in. it is like in a forensic situation somebody had died and you can find out the time since death how much time has elapsed. But there are so many factors there that have to be formulated that have to be factored before you come
3:00 to the conclusion that it has been so many hours before he died. It is not a simple thing like he was in rigor mortise so it must be ten hours, no that is only one. So similarly here there can be a possible thing what you have got but must also now look at all the factors to make it water tight. There is no question of anything else initiating the result.
3;20 I have got the result I have looked at all the conforming factors, eliminating all that, and therefore this is the result that the result should be now taken as concussive for the cause of death. Otherwise you should bs honest and say that the is the result that I got, there are some conforming issues but maybe they should be investigated further and find out if this is possible or not. Let us be a little bit modest and honest and project it to the people who are concerned and let them take a decision
3:52 But You can’t take a stand that this is what we got and therefore it is in a poison, like I said it’s not always 1 plus 1 is equal to two in toxicology analysis..
4:00 It is not like that in many cases.. we need to be very careful, again I come back to that point of interpretation, toxicology reports are very difficult to interpret sometimes. Need to be done very carefully. It is not like a biochemistry report, or an pathology report, or a microbiology report.. you have got some test so you immediately… sometimes you can even automate it and it comes out as a print with high hemoglobin presentation and so on… it is not like that, that is the problem with toxicology, that is why it is always said a toxicology report should be interpreted even by medical professionals in association with the analyst so that both will address issues and finally you will come to an opinion that is credible. As credible as possible… still there can be issues so toxicology we always consider as a supplement to the clinical picture. It is Never
5:00 the final word if you are looking at a toxicology report as the final word you are going to get into a lot of problems because it is a kind of confusing kind of thing.
5:33 Believe me if in this case this were done, I have a suspicion that there would not be a consensus statement because there will be differing opinions on that board and finally their opinion would be that they couldn’t give an opinion.
Audio: DrPillay_9786 – Length 9:29 – https://youtu.be/dVXhuNOUUco