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Tony Scott had anti-depression drugs in system, death ruled a suicide

October 23, 2012

Tony Scott had anti-depression drugs in system, death ruled a suicide

English born film director Tony Scott had an anti-depressant and sleep aid in system at time of his suicide on August 19 in Los Angeles.

The director had a therapeutic level of Mirtazapine, also known as Remeron, as well as the insomnia medication Lunesta in his bloodstream at the time of his death, the Los Angeles County Coroner said.

 

Scott climbed up the Vincent Thomas Bridge and jumped to his death as horrified onlookers dialed 911.  It is now reported by multiple news sources that Scott had an anti-depressant and a sleep aid in his system when he committed suicide.

The director had a therapeutic level of Mirtazapine, also known as Remeron, as well as the insomnia medication Lunesta in his bloodstream at the time of his death, the Los Angeles County Coroner said.

His death was ruled a suicide caused by “multiple blunt force injuries” and drowning, the coroner ruled.

TMZ reported that Scott scaled a barrier fence and jumped off of the massive Vincent Thomas suspension bridge during the daylight.

Both TMZ and The Los Angeles Times reported that authorities released 911 recordings from witnesses who reported Scott’s suicide.

“We are just on the Vincent Thomas Bridge, and there’s a guy that looks like he’s just about to jump off. Oh my God, he’s jumped! He’s jumped!” an unidentified woman told an emergency dispatcher in the recordings first obtained by TMZ.com.

“It’s dangerous. He just parked his car in the lane there, and he’s jumped.”

Scott reportedly parked his black Toyota Prius with its emergency lights flashing in the slow lane of the bridge.

An erroneous report surfaced quickly that Scott had inoperable brain cancer which was dismissed by his immediate family as false.

Scott did leave notes in his car and office.

The director was survived by his third wife and their twin sons.

Medical and addiction expert, residential rehabilitation facility Cliffside Malibu’s internist Dr. Damon Raskin, spoke to Monsters and Critics about the perils of not adequately treating clinical depression.

He tells Monsters and Critics, “Clearly Mr Scott was suffering from depression. Insomnia is a very common symptom of depression, and is often difficult to treat. Physicians will often combine antidepressants and sedative hypnotics like Lunesta to help patients with both their mood disorder and sleep disorder. Remeron is often used to help patients sleep as well. It is considered a ‘sedating’ antidepressant. This combination is not dangerous in and of itself if taken at the recommended doses, but in this case, it is obvious that the depression was not adequately treated.”

Dr Damon Raskin, M.D is a board certified internist. For 10 years Dr. Raskin has specialized in working in addiction detoxification. Dr. Raskin has been interviewed for national and local media on all topics related to addiction and can be reached at

Cliffside Malibu

Original Article

Raskin Treats Addiction Medically

 

October 23, 2012

Raskin Treats Addiction Medically

Many residents like to think of Pacific Palisades as a tiny corner of paradise un’affected by drug and alcohol issues. Dr. Damon Raskin, an internist who has about 1,000 patients in his Palisades practice, discounts that notion.

‘Addiction affects all ages and all socioeconomic classes,’ said Raskin, who has been helping patients with addictions for the past 10 years, including six at Cliffside Malibu, a drug and alcohol rehabil’itation center north of Zuma Beach.

‘We’re seeing a lot of opiates, especially drugs like Oxycontin, Vicodin and Percocet,’ Raskin said. ‘People are getting it off the street and from their friends’ medicine cabinets. They ‘doctor shop’ and also go to emergency rooms asking for pain medicine.’

Once a patient admits he (or she) has a problem, some try to stop ‘cold turkey.’ The alternative is a ‘medically supervised’ detox program, which Raskin considers pref’erable, because when people who are drinking a fifth of vodka or two bottles of wine daily suddenly stop, their bodies can go into seizures.

Raskin also noted that people who are taking 20 to 30 Vicodin a day have developed a tolerance, and for them to stop suddenly can be life-threatening. Even those going through detox ‘can have insomnia, vomiting and severe muscle aches and it becomes so uncomfortable they go back to the substance to stop the pain,’ Raskin said. ‘Their attitude is ‘Screw this, I’m out of here.”

The doctor’s goal is to make the patient comfortable with non-addictive drugs during detox, which can take 10 to 15 days depending on the substance.

He was asked about those who recommend no medical intervention during detox. ‘It is unsafe and bad judgment and tortures the patient,’ Raskin said. ‘We want to help people get in the ‘right way’ to help their sobriety. We help them detox in the safest way.’

He continued, ‘Some who are ad’dicted often start on substances as a form of self-medication for depres’sion, anxiety, bipolar or psychological issues. Others get hooked because they start a drug for a real reason, a real pain, but then they realize they love the high. The drug bonds to an opiate receptor in the brain that then releases dopamine, which makes a person feel good, like a runner’s high.

‘Over time they need more and more of the substance,’ Raskin said. ‘Yet others have a genetic component that is part of their brain that won’t let them stop.’

According to Raskin, many people try to quit on their own, but it’s difficult. ‘They will say, ‘What’s a glass of wine?” and eventually find themselves back to several bottles a day.

Raskin recommends a rehabilitation center because patients are given other therapies aimed at preventing a relapse. ‘Patients struggle every day [after rehab],’ he said. ‘Even though they are clean, they attend AA and NA, but recovery goes on indefinitely.’

After detox, Raskin can also give a monthly injection (Vivitrol or the generic Naltrexone) that prevents craving. Even if a patient tries the substance that he or she was addicted to, it no longer gives a high. ‘I give the injection once a month for 12 months. It gives a patient time to break a habit.’

What are the prevalent drugs in the Palisades? ‘You name it,’ said Raskin, who has also seen heroin addiction, mostly in people in their 20s.

How can parents tell if their children are on a substance? ‘It is sometimes hard to tell the difference between typical adolescence behavior and drug abuse,’ Raskin said, but changes in grades, attitude and different friends could be indicators. Other warning signs are drug paraphernalia, empty plastic bags and a child’s losing weight.

Raskin also alerts parents to a new over-the-counter product that will result in a clean urine test regardless of what the child may be abusing’although it may not be foolproof. He recommends a saliva, hair or blood test if a parent is worried that a child is using drugs.

Original Article

Cliffside Malibu

Dr. Damon Raskin

Raskin Treats Addiction Medically

October 11, 2012

Raskin Treats Addiction Medically

Many residents like to think of Pacific Palisades as a tiny corner of paradise un’affected by drug and alcohol issues. Dr. Damon Raskin, an internist who has about 1,000 patients in his Palisades practice, discounts that notion.

‘Addiction affects all ages and all socioeconomic classes,’ said Raskin, who has been helping patients with addictions for the past 10 years, including six at Cliffside Malibu, a drug and alcohol rehabil’itation center north of Zuma Beach.

‘We’re seeing a lot of opiates, especially drugs like Oxycontin, Vicodin and Percocet,’ Raskin said. ‘People are getting it off the street and from their friends’ medicine cabinets. They ‘doctor shop’ and also go to emergency rooms asking for pain medicine.’

Once a patient admits he (or she) has a problem, some try to stop ‘cold turkey.’ The alternative is a ‘medically supervised’ detox program, which Raskin considers pref’erable, because when people who are drinking a fifth of vodka or two bottles of wine daily suddenly stop, their bodies can go into seizures.

Raskin also noted that people who are taking 20 to 30 Vicodin a day have developed a tolerance, and for them to stop suddenly can be life-threatening. Even those going through detox ‘can have insomnia, vomiting and severe muscle aches and it becomes so uncomfortable they go back to the substance to stop the pain,’ Raskin said. ‘Their attitude is ‘Screw this, I’m out of here.”
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How to Find a Concierge Doctor

October 16, 2012

How to Find a Concierge Doctor

Googling concierge doctor for your locality will yield a list of potential primary care physicians, but you might feel more comfortable checking with the consulting firms that provide management services to a large number of “private medicine” doctors. These firms would be happy to refer you to a physician in your area. Here are several:

MDVIP (mdvip.com), a subsidiary of Procter & Gamble, is the largest concierge consulting firm, with 550 physicians in 40 states and Washington, D.C. Doctors’ retainer fees range from $1,500 to $1,800. The MDVIP website lets you find doctors by location or name.

SignatureMD (signaturemd.com) has 40 to 50 doctors in 10 states. Fees run from $1,500 to $2,000. There is no search function, but if you click on “Contact,” then “Patients,” you’ll arrive at a form that will connect you with the company.

Concierge Choice Physicians (www.choice.md) handles doctors who have what’s known as hybrid practices, with some patients on the concierge track and others in the traditional practice. The company works with more than 200 physicians in 19 states, and retainer fees average $1,800 a year.

Specialdocs (special docs.com) works with 111 physicians in 21 states; their concierge feeswill set you back $1,500 to $3,000

 

Original Article

SignatureMD

Coping with a Rebellious Drug Addicted Teen

October 16, 2012

Coping with a Rebellious Drug Addicted Teen

More people in America are turning to rogue online pharmacies to purchase prescription painkillers like Oxycontin.

‘Mom, if you won’t give me money to buy my pills, I’ll have to become a prostitute or a dealer myself!’

No matter how many reality TV shows get cooked up around the idea of “intervention,” addiction is still a health care process. If it turns into a “fed-up parent” power struggle, it can actually speed up the disease progression.

BILL: “I’m a single mom and an attorney with a good income,” writes Peggy. “My daughter Tina began sneaking my Oxycodone pills when I had a ski accident last winter.”

DR. DAVE: We hear about that all too often — kids experimenting with their parents’ pills. They never think how expensive they are before they become addicted. That quote above was Tina’s blackmailing threat to her mother?

BILL: When Peggy wrote us, I turned to Richard Taite, CEO of Cliffside Malibu Addiction Treatment Center. “I advise parents who have a child with a drug or alcohol problem,” he responded.  “That if you tell your kid the only thing you are willing to pay for is his treatment or he’ll be put out on the street, then you will get your kid back. The parents who cave to the almost terrorist-like demands of their addicted children end up either losing them or creating years of unnecessary wreckage.”

DR. DAVE: I’d go a step beyond Richard’s overall advice. Parents tend to enable their kid either to keep using so they don’t end up on the streets, or they speed up the addiction by saying “It’s my way or the highway!” Often one parent takes one path and another takes the other, with the addict and enabler divorcing the intervening parent!
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5 Ways to Fight Your Fat and Win

fat

The fight against fat is certainly booming. According to the American Society for Aesthetic Plastic Surgery (surgery.org), from 2010-2011, there was almost a 13% increase in the total number of liposuction procedures with over 300,000 procedures performed. To meet the growing demand for a slimmer physique, an expansive array of non-invasive bulge busting treatments that promise to freeze flabby tummies, laser love handles and melt midriffs are cropping up on the Dr. Oz Show these days. It can be confusing to sort through all the options and separate the hype from hope.  Continue reading

Dr. Peter Fodor on KTLA

October 1, 2012

Dr. Peter Fodor on KTLA

fodor-on-ktla

More about Vaser

7 Questions to Ask Your Doctor

September 27, 2012

7 Questions to Ask Your Doctor

During your next visit, don’t forget to ask these important Qs

Admit it: You probably don’t see your doctor as frequently as you should. When you do drop in for a check-up or a physical, you probably want to get that visit over with as soon as possible. It’s a common guy thing: More than twice as many men as women have not seen a physician in the last two to five years, notes Will Courtenay, Ph.D., a specialist in doctor/patient communication at Harvard Medical School and the author of Dying to Be Men (Routledge, 2011).

So the next time you do see your doctor (are you due for a visit?), use your visit wisely by asking the right questions.

Sure, you know the obvious things to ask, like “So, how am I doing?” (see the sidebar, “Four No-Brainer Questions”, below). But other important questions are less obvious. During your precious face-time with your MD, be sure to work in these seven queries.

Four No-Brainer Questions

Don’t forget to ask these during every visit:

  • How is my health overall?
  • Are you concerned about any aspects of my health? Which ones and why?
  • Are there any tests I need based on my age or for other reasons?
  • Do you have any advice about lifestyle modifications I should make (such as exercising, quitting smoking, changing my diet, etc.)? What specific changes should I make?

1. “Have you noticed my blood pressure going up?”

If your B.P. is 300/90 mm/Hg, your doctor will (or should) say something. But if you’re still technically in the “normal” zone (below 139/89 mm/Hg), he may not think to check your history. If your B.P. has been steadily rising over the years, you may be headed for hypertension — a key risk factor for heart attack, stroke, and even dementia, says Joseph Raffaele, M.D., an age management medicine specialist at PhysioAge Medical Group in New York City. “As soon as I see any rise in blood pressure, I press the patient hard to get into a regular exercise program and drop some weight,” says Raffaele.

2. “How do my lungs sound?”

Unless you’re there for a chest cold, your doctor might not listen to your lungs with a stethoscope. But lung cancer — even among nonsmokers — is the number one cause of cancer death in men, and wheezing is one early symptom. It’s important for your doc to keep an eye (and an ear) on your lung health, and it’s especially critical if you’ve been a smoker. So make sure you’re upfront about your smoking history during your visit.
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Expert Opinion: Was Johnny Lewis high on PCP when he murdered elderly landlady and dismembered her cat?

September 27, 2012

Expert Opinion: Was Johnny Lewis high on PCP when he murdered elderly landlady and dismembered her cat?

His history of drug abuse was well documented, landing him behind bars countless times and saw him in and out of rehab.

And all signs are now pointing to the fact that Johnny Lewis was high when he savagely murdered his 81-year-old landlady, Catherine Chabot Davis, on Wednesday.

According to new details which have emerged overnight, Lewis stormed into the apartment of Davis at about 10:40 a.m. He then smashed her furniture, beat and strangled her. He also dismembered her cat, reportedly tearing it apart with his hands.

After the brutal crime, Lewis hopped a nearby fence and confronted one  of Davis’ neighbors, Daniel Blackburn, and a handyman- both were badly beaten  and claim that Lewis showed “super-human strength” and was “phenomenally strong.”

One of the neighbour’s told the Los Angeles Times that Lewis was hardly deterred by the blows he took, that it was  like “hitting him with a fly swatter.”
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Magic wand for fat melting? Yes, says top plastic surgeon

September 28, 2012

Magic wand for fat melting? Yes, says top plastic surgeon

 

Gowns and revealing clothes offer little leeway for stars to look their best, so this time of year has many seeking fixes to their bulging dilemmas.

There are amazing techniques available now that eliminate surgery and utilize technology to literally melt lipids (fat) sub-dermally and even tighten skin, and the best part is that the results are immediate and even continue after the treatment ends.

Dr. Peter Fodor, hailed by U.S. News’ Castle Connolly as part of the prestigious top 1% in the nation for plastic surgery, is the pioneer that the Sound Surgical Technologies company enlisted to research and develop their cutting edge non-invasive fat fighter: VaserShape.

Dr. Fodor’s reputation is internationally renowned as a leader in the field of Aesthetic Plastic Surgery, and he is highly respected by the profession as a surgeon, teacher and author.

In the area of liposuction, Dr. Fodor bucks the trend of wide-awake surgery and prefers general anesthesia and no lasering for a smoother effect, as he tells M&C that his practice addresses numerous “redo” surgeries from botched lasering and horrific scar tissue knots that leave an uneven rippled effect for many patients.

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