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Tuesday, May 27, 2014
Should Prescribing Doctors Be Held Responsible When Their Patients OD and Die?
Rehab admissions have increased, emergency room visits are up and overdose deaths from prescription medication have multiplied dramatically as a result of unregulated prescribing practices.
Shutterstock
By Remi L. Roy
05/20/14
SOURCE THE FIX
On June 25, 2009, fans around the globe mourned the death of Michael Jackson. Like too many before and since, Jackson, only 50 at the time, met his demise at the hands of a prescription medication addiction that no doubt had ruled his life for the final days, years and maybe even decades before his death.
The autopsy conducted on Jackson’s body concluded that the cause of the star’s death was a fatal injection of propofol. Sold under the brand name Diprivan, propofol is a powerful sedative that slows heart and nervous system activityand is most often used to relax patients before, or during, general anesthesia for medical procedures and surgery. The post-mortem also included details that he had ingested a number of other pills, including a reported eight lorazepam, on the night he overdosed.
What followed in the wake of Jackson’s untimely passing was a peculiar series of events that saw his personal physician Conrad Murray charged with, tried for, and convicted of involuntary manslaughter in the singer’s death. The bizarre trial revealed that Murray stayed with Jackson six nights a week, and that he was at times begged to administer drugs to help his insomniac patient sleep. While the doctor's defense team argued that Jackson had injected himself with the lethal shot of propofol, the jury found Murray guilty and he served two years in prison before being released in late 2013.
Once a renowned physician with a promising career, Murray had his medical license revoked in Texas and suspended in California and Nevada. Though he is now practicing medicine again, the incident irreparably tarnished his reputation in the U.S. He is currently working with local heart surgeons in his new role at the Trinidad Ministry of Health.
Murray’s anti-climactic exodus marked an end to the bizarre story of the murder of pop music’s prodigal son. Still, regardless of the here and now, the strange case of Dr. Murray had the effect of setting a precedent for criminally trying physicians in cases where their patients die of drug overdoses from prescribed medications.
More recently, the fallout from another celebrity death caused a stir when former Slipknot bassist Paul Gray was lost to a vile combination of morphine and fentanyl. The notorious rocker’s doctor, Daniel Baldi, was subsequently charged with seven counts of involuntary manslaughter, one count that stemmed from Gray’s 2010 overdose.
Baldi had already faced four medical malpractice claims and three suits for wrongful death prior to being tried for involuntarily killing seven other patients. The doctor, who ran a pain clinic in Des Moines, Iowa, was accused of audaciously writing scripts for Gray and others, and faced up to 16 years in prison if convicted of the crimes.
According to court documents, Baldi "did unintentionally cause the death of Paul Gray by the commission of an act likely to cause death or serious injury, to-wit, continually wrote high-dose prescription narcotics to a known drug addict.” Gray’s wife Brenna agreed with those findings. She testified that Baldi prescribed Xanax to Gray, knowing that her husband was gripped by an addiction to the anti-anxiety medication.
Despite calls for justice by Gray’s widow and the friends and family members of other departed patients, Baldi was cleared of all charges. On May 1, jurors determined the doctor was not guilty of any of the seven counts of involuntary manslaughter leveled at him. Unlike Murray, Baldi would not be held responsible and jailed for the overdose of the people he had prescribed drugs to.
Of course, celebrity overdoses and the trials of their doctors are but a drop in the bucket of the issue at large. A Google search with the keywords “doctor overdose deaths” turns up nearly 34 million hits. The headlines are as varied - “Tulsa physician has most patient overdose deaths,” “NYC doctor on trial in patients’ overdose deaths,” “Long Island Dr. Feel-Good charged in Oxycodone overdose deaths...” - as the stories are tragic.
Prescription drugs contribute to over 22,000 fatalities a year in the US alone. The number is indicative of an epidemic that, unlike heroin in the 1970s or crack in the 1980s, is being perpetuated by educated white coats, not by drug pushers and street chemists. That revelation, it seems, is puzzling the judicial system, lawyers on both sides of the bench, police officers, researchers and doctors who, increasingly, find themselves at the center of lawsuits and criminal court cases.
Friday, May 23, 2014
MAY 23 v 29 v 30 TWELVE STEPPING WITH POWER IN THE PROVERB
Who has anguish? Who has sorrow?
Who is always fighting? Who is always complaining?
Who has unnecessary bruises? Who has bloodshot eyes?
It is the one who spends long hours in the taverns,
trying out new drinks.
STEP 1 - We admitted we were powerless over alcohol—that our lives had become unmanageable.
Do I need to add to the Proverb certainly not .The Bible clearly tells us that alcohol does wreck lives . Alcohol does not control you and yes you can stop drinking but it will be the toughest fight of your life and Detoxification from Alcohol will require medical assistance . There are millions who have overcome Alcohol and so will you . Never quit trying to quit !
Matthew 16 : 24 : 27 - Then said Jesus unto his disciples, If any [man] will come after me, let him deny himself, and take up his cross, and follow me.
By Joseph Dickerson
Cassy Pink ‘s Creation
“I’m gonna die if I don’t start to live again.” Once rang like lightning through my heart. I came to recognize, the life I was living, was not the one I would have chosen for myself. Bon Jovi Lyrics tapped on my senses a second time with, “It’s my life, it’s now or never.”
My life, what did I want it to be? I looked to people who seem to be living the life I desired. What did I desire? I didn’t know but I did know the basics and that was a life where I was free to be myself and one where I could stand tall with how I lived and the decisions I made. I later realized the rest would unfold as I found strength and friendship in myself. Friendship may sound like a funny term to use when referring to oneself. Grace me, with a moment to clarify. When you have a true friendship/love for someone, you show them understanding and embrace all of what makes them who they are. How often do we grant ourselves this kindness and consideration? Truly no one is harder on us, than ourselves. Learning to accept ourselves as we actually are and not as we would like to believe we are is rough on the ego.
The more I pondered the more I realized the profoundness of recognizing the break between, who I would like to believe I am and the actions I actually take. I believe I am a person with a high moral code, but my actions have not always support my beliefs. It is most difficult to recover from letting yourself down let alone others. I actualized that there would continuously be a difference between who I would like to be and who I will be. My goal became to narrow the variation.
All emotions exist because we experience them. Think about that for a moment. It is because we are built to experience all ranges of emotion that we are incapable of pure innate altruism. Motive and experience will always play a role in our actions, conscience or not. For me out of this acknowledgement I began writing under Cassy Pink. I myself am faulted because I am human. Cassy Pink is the ultimate person I strive to become.
The concept of Cassy Pink is not simply about nobility but all of whom I desire to be the dancer, the artist as well as the fisher the philosopher, the nurturer and so on. Above all I seek peace in my heart, my mind and the actions I will take tomorrow. Cassy Pink is my Idyllic self. Who is yours?
Hearts, minds and muscles will forever take their share of bangs and bruises that is inevitable. The question is what will you take from your pushes and trips? Will you learn that they are needed steps on a ladder and grow from them or will you continue to keep restarting at the bottom of the ladder? It’s easier to keep our chins up and keep climbing the ladder when there is an abundance of support and positive guidance both when we struggle and when we are doing just fine. Religions and support groups have impact on the souls that seek them out because of their regular influence and consistency in what, as well as, the positivity they have to offer.
I believe that through simply making the choice to make noble choices; we can learn how to walk with our heads held high. Life is a wheel of fortune and circumstances always play their role and there are always unknown factors. The key is to make choices that you know you can live with. When circumstances fade your clarity, ask yourself, what is best choice for the greater good? It is easy to hold your head high when your conscience is free.
Walk Tall my friends! Cheryl
MAY 23 v 29 v 30 TWELVE STEPPING WITH POWER IN THE PROVERB
Who has anguish? Who has sorrow?
Who is always fighting? Who is always complaining?
Who has unnecessary bruises? Who has bloodshot eyes?
It is the one who spends long hours in the taverns,
trying out new drinks.
STEP 1 - We admitted we were powerless over alcohol—that our lives had become unmanageable.
Do I need to add to the Proverb certainly not .The Bible clearly tells us that alcohol does wreck lives . Alcohol does not control you and yes you can stop drinking but it will be the toughest fight of your life and Detoxification from Alcohol will require medical assistance . There are millions who have overcome Alcohol and so will you . Never quit trying to quit !
Matthew 16 : 24 : 27 - Then said Jesus unto his disciples, If any [man] will come after me, let him deny himself, and take up his cross, and follow me.
BY : Joseph Dickerson
Xanax Misuse Sent 123,000 People to Emergency Room in 2011: Report
May 22nd, 2014/
More than 123,000 people ended up in hospital emergency rooms in 2011 after misusing the sedative alprazolam, sold under brand names including Xanax. The findings come from a new government report.
The number of ER visits associated with Xanax in 2011 was slightly less than the previous year, but more than double the number in 2005, USA Today reports. The drug is also sold as Xanax XR and Niravam. Alprazolam was the most commonly prescribed psychiatric drug in 2011, the article notes. It is prescribed to treat anxiety, insomnia and depression.
In total, more than 1.2 million people went to the emergency room for prescription drug abuse in 2011, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).
Misuse of alprazolam can lead to physical dependence, causing withdrawal symptoms such as tremors and seizures, according to a SAMHSA news release. The effects of alprazolam can be dangerously enhanced if it is combined with alcohol or other drugs that depress the central nervous system, such as narcotic pain relievers.
The report found in 81 percent of cases, patients used alprazolam together with other prescription drugs or alcohol. Almost two-thirds used the drug with another prescription drug. More than one-third used the drug with a prescription painkiller such as oxycodone.
“When used as directed, alprazolam is safe and effective, but misuse can result in serious health consequences,” said SAMHSA Administrator Pamela S. Hyde. “This report highlights the need to educate people about the dangers of misusing or sharing prescription medications and the importance of properly disposing of unused medication.”
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