F O R E W O R D
In Support of Frances Scott’s
Courage and the Call for Accountability
By: Dr.
Robert L. Bard, MD, DABR, FAIUM, FASLMS
Her decision to confront metal hypersensitivity and the neurotoxic aftermath of cobalt poisoning is not merely personal advocacy—it is investigative journalism at its most vital. She transformed her suffering into evidence, her confusion into inquiry, and her voice into a rallying point for thousands of patients ignored by a system that often prioritizes convenience over safety. Frances’s instinct to analyze medical literature, correlate symptoms, and pursue independent testing mirrors the rigor of any clinical investigator. Her discovery that the very devices marketed as “biocompatible” could produce encephalopathy, cardiomyopathy, and systemic toxicity exposes a profound flaw in the regulatory structure of modern medicine (Tower, 2010; Bradberry et al., 2014).
When I review her journey, I see what physicians call a sentinel case—one that signals a wider crisis. The medical community has witnessed multiple device recalls confirming her experience:
· DePuy ASR™ Hip System (Johnson & Johnson, 2010 Recall) – withdrawn for high metal ion release and tissue necrosis.
· Stryker Rejuvenate™ and ABG II Modular Neck Stems (2012 Recall) – linked to corrosion and systemic cobalt toxicity.
· Zimmer Durom Cup™ (2008 Recall) – associated with implant loosening and metallosis.
· Smith & Nephew R3 Metal Liner (2012 Recall) – removed after reports of metal debris and pain.
· Biomet M2a Magnum™ (2015 Recall) – cited for cobalt-chromium wear and cardiac complications (U.S. FDA, 2023).
Each recall represents a moment of institutional recognition—belated yet validating—that the standard of care materials once deemed inert can, under physiologic stress, become biochemical aggressors.
Frances’s recovery and her commitment to warn others exemplify what I call diagnostic courage: the determination to seek answers when the system insists none exist. Her personal detoxification efforts, consultation with specialists such as Dr. Stephen Tower, and willingness to educate peers mirror the integrative mindset we need in environmental and implant medicine today.She reminds us that science is not static—it evolves through those brave enough to challenge outdated assumptions. Medicine’s integrity depends on open acknowledgment of harm, continual reassessment of materials, and vigilance against corporate interference in clinical truth. Frances’s voice joins a growing movement of patients and physicians demanding transparency, post-market surveillance, and truly biocompatible solutions.
Her story is not one of victimhood but of transformation—from patient to protector. Through her, we are reminded that accountability begins with awareness, and healing begins when knowledge replaces denial. As clinicians, researchers, and advocates, we owe Frances Scott our respect—and our action—to ensure her suffering was not in vain.
References
(1) Bradberry, S. M., Wilkinson, J. M., & Ferner, R. E. (2014). Systemic toxicity related to metal hip prostheses. Clinical Toxicology, 52(8), 837–847. https://doi.org/10.3109/15563650.2014.944977 (2) Tower, S. S. (2010). Arthroprosthetic cobalt encephalopathy: Neurological and neuropsychiatric toxicity of cobalt–chromium alloy orthopedic devices. BMJ Case Reports, 2010, bcr0220102780. https://doi.org/10.1136/bcr.02.2010.2780 (3) U.S. Food and Drug Administration. (2023). Information for patients with metal-on-metal hip implants. https://www.fda.gov/medical-devices
F
E A T U R E S T O R Y
FRANCES SCOTT:
The Cobalt Crisis That Changed Everything
The Beginning of the Breakdown
At 38,
The surgeon she chose dismissed her concerns about the cobalt and
chromium components used in her prosthetic joints. “He said, ‘
Her skin erupted in painful boils—what she later recognized as “chrome holes,” identical to the lesions described in medical journals from the 1940s among workers exposed to chromium plating. Her mental clarity vanished, her energy evaporated, and her ability to perform as a journalist disintegrated. “I got lost on my way to work one day,” she said. “That’s when I knew something was terribly wrong.”
The Diagnosis That
No One Wanted to Believe
Doctors were baffled—or dismissive.
“Everywhere I went, they told me I was crazy,”
“I saw twelve doctors,” she recalled. “Eleven said the same thing: have your hips replaced. The one I chose told me cobalt couldn’t hurt me. It took six years of suffering to prove otherwise.”
Her condition deteriorated rapidly. Cardiologists found thickening of her left ventricle wall and septum—early signs of cobalt-induced cardiomyopathy, a potentially fatal heart condition. Neurological decline followed. “I had what we now know was encephalopathy,” she said, “but my insurance wouldn’t cover the PET scan to prove it.”Still, her cries for help met resistance. “My own brother, a trauma surgeon, screamed at me that there was no way the hips were causing this. That’s how deeply physicians trust the products they use. They can’t even entertain that something so ‘approved’ could be harming patients.”
The Collapse and
the Awakening
When she could no longer perform
her duties at Disney/ABC,
Her search led her to Dr. Stephen Tower, an orthopedic surgeon from
“I realized the FDA is funded more than 50% by user fees from device manufacturers,” she explained. “That means the very companies making these implants help fund their regulators. It’s a conflict of interest by design.”
In the same year,A Journalist’s
Mind Reborn as an Advocate’s Heart
The same investigative instincts
that once fueled her journalism now power her activism. “I sat through federal
trials in
“When the ASR hip was recalled, the company told everyone to switch to the
Pinnacle—its supposed ‘sister’ device,”
Unable to afford clinical chelation therapy,
Her recovery—partial but profound—reignited her purpose. “My skin healed. My mind cleared. My heart improved. I felt human again,” she said. “And as a journalist, I knew this story had to be told.”
Taking on the
System
Her disillusionment, however, didn’t breed bitterness—it sparked a mission. She began writing a memoir and advocacy book about her experience. “Mainstream media wouldn’t tell this story,” she said. “They’re all funded by pharma ads. So I’ll tell it myself.”
Faith, Family, and
the Future
Today,
She volunteers with advocacy groups, collaborates on educational initiatives like DetoxScan.org, and continues to network with survivors, scientists, and physicians. “Every week I hear from someone whose life was destroyed by these implants,” she said. “If I can prevent even one more case, it’s worth everything I lost.”
Frances Scott’s story is not only about suffering—it’s about awakening. The journalist who once reported the news now is the news: a living symbol of how courage, curiosity, and compassion can rise from catastrophe.
“These toxins don’t just change your body—they can change who you are,” she says. “But if you survive, you can turn that pain into purpose. And that’s exactly what I intend to do.”
Understanding
Cobalt Toxicity and Neurological Symptoms
Cobalt poisoning—also called cobaltism—occurs when metal ions from implants such as cobalt-chrome hip prostheses leach into the bloodstream. Once systemic, these ions can cross the blood–brain barrier, triggering inflammation, oxidative stress, and mitochondrial dysfunction in neural tissue.
Neurological effects: Patients may experience memory loss, mood swings, tremors, and cognitive decline resembling encephalopathy or early dementia. Many describe sudden emotional instability, depression, anxiety, or rage—symptoms often misdiagnosed as psychiatric disorders. Elevated cobalt levels can also disrupt neurotransmitter metabolism, impair vision and hearing, and in severe cases cause cobalt-induced cardiomyopathy, seizures, or psychosis.
Early warning signs often include tinnitus, neuropathy, chronic fatigue, and unusual skin lesions (“chrome holes”)—manifestations of oxidative injury to the skin and peripheral nerves. Because standard lab tests rarely screen for cobalt, diagnosis is frequently delayed until irreversible organ damage has occurred.
Testing
and monitoring:
· Whole-blood cobalt levels (>7 ppb) suggest toxicity; >20 ppb indicates serious systemic involvement.
· Cardiac echocardiography and brain MRI/PET scans may reveal cardiomyopathy or encephalopathy.
· Detoxification and implant revision (replacing cobalt-chrome components with ceramic or titanium) remain the most effective interventions.
Clinical takeaway: Persistent cognitive or cardiovascular symptoms in patients with metal implants warrant toxicology screening. “You don’t need to have visible failure of the implant to have failure of the patient,” notes Dr. Stephen Tower, whose work helped expose this crisis.
Selected References
1. Tower SS. Arthroprosthetic cobalt encephalopathy: Neurological and neuropsychiatric toxicity of cobalt–chromium alloy orthopedic devices. BMJ Case Rep. 2010.
2. Bradberry SM, Wilkinson JM, Ferner RE. Systemic toxicity related to metal hip prostheses. Clin Toxicol. 2014;52(8):837-847.
3. Mao X et al. Cobalt-induced cardiomyopathy in metal-on-metal hip arthroplasty. J Bone Joint Surg Am. 2017;99(3):e15.
4. Catalani S et al. Neurotoxicity of cobalt: molecular mechanisms and clinical aspects. Arch Toxicol. 2012;86(10):1655-1661.
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