Where You Live May Determine How You Die Study Suggests


Oregon is home to the first death-with-dignity law in the U.S., and a new study shows that this state may have the best approach to allowing terminally ill patients a choice in where — and how — they want to die when it comes to quality of life palliative measures versus aggressive attempts to prolong life no matter what the cost or quality, Stat News reports.

You should always be able to choose what care you want, how you want it delivered and where, no matter at what point you are in your lifespan. Too often, your choices diminish the second you walk in a hospital, especially if you enter through the emergency room (ER).

Unless you have advance directives, once you’re in the ER, it’s too late to make end-of-life or continuing care decisions, as they will probably be made for you, especially if you’re very sick. Nearly 10,000 people who visit emergency rooms die within the first seven days of their visit, with the elderly having a greater risk to suffer a disability in the six months following the visit — which proves that now is the time to plan strategies to help prevent visits to the ER and take defensive steps if you need to use emergency care, such as taking an advocate and choosing a hospital before it is needed.

Other things you can do include embracing choices that reduce your risk of health emergencies, such as reducing your sugar and net carb intake to optimize your mitochondrial health and reduce your risk for insulin resistance, type 2 diabetes and cardiovascular disease. Massive sugar addiction can also result in obesity as well as cancer cell production, depletion of brain power, and shorter lifespans, all of which can end up putting you in the ER.

Surprisingly, your attitude can even keep you out of the ER: Research shows that a positive outlook on life is the most influential factor in longevity studies

Carmat fits 2nd patient with artificial heart


French company Carmat confirmed on Monday that it had fitted a second patient with one of its artificial hearts and would continue its clinical trials on two more patients.

Carmat’s device, which mimicks nature’s work using biological materials and sensors, is designed to serve not as a bridge to a heart transplant but as a permanent implant, extending life for terminally ill patients who cannot hope for a real organ, because they are too old or donors are scarce.

Shares in Carmat rose as much as 19 percent on Friday after French media reported that doctors had implanted an artificial heart made by the company for a second time. The stock was up 2.6 percent at 0737 GMT (3.37 a.m. EDT).

The clinical trial will be considered a success if Carmat’s first patients survive with the implant for at least a month. The patients selected suffer from terminal heart failure – when the sick heart can no longer pump enough blood to sustain the body – and have only a few weeks, or even days, to live.

Carmat said it does not plan to publish any information on the results of this feasibility study until it is completed.

If the results of these first safety tests are positive, Carmat has said it would fit the device into about 20 patients with less severe heart failure, with an aim to request the right to market its device in Europe by 2015.

Patient enrollment had been put on hold in March after the first person to be implanted with the device, a 76-year-old man, died two and a half months after his operation.

Carmat’s device, developed by a team of engineers from Airbus parent company EADS, weighs about 900g (around 2 lb)- nearly three times more than an average healthy human heart. It mimics heart muscle contractions and contains sensors that adapt the blood flow to the patient’s moves.

It is powered by external, wearable lithium-ion batteries. Inside the heart, surfaces that come into contact with human blood are made partly from bovine tissue instead of synthetic materials such as plastic that can cause blood clots.

Among Carmat’s competitors for artificial heart implants are privately-held SynCardia Systems and Abiomed, both of the United States.

LSD May Help Treat Anxiety For Terminal Patients: Are The Psychedelic’s Benefits Worth Revisiting?


 

acid

Before research on LSD, or acid, was banned in the 1960s, it was widely used to help psychiatric patients. Now, a small study found that it reduced anxiety in terminally ill patients.

MarijuanaMDMA (ecstasy), magic mushrooms, and LSD (acid), are still considered Schedule I drugs under former President Richard Nixon’s Controlled Substances Act of 1970, labeling them as having a high potential for abuse and no accepted medical use. But every one of them is beginning to enjoy a renaissance, as health care providers begin to see their therapeutic effects. Most recently, a group of Swiss psychiatrists found that the psychedelic LSD (lysergic acid diethylamide) may ease the mental suffering of someone diagnosed with a life-threatening illness.

Their findings, published in The Journal of Nervous and Mental Disease, is the “first in more than 40 years to evaluate safety and efficacy of LSD as an adjunct to psychotherapy,” the researchers wrote. That is, 12 patients nearing the end of their life — most had terminal cancer — spoke with psychiatrist Dr. Peter Gasser while tripping on the psychedelic drug, which brings about various mental, physical, and sensory effects.

“I told them that each session would be right here, in a safe environment,” he told The New York Times. With the drug’s effects lasting up to 10 hours, each patient would sit on a couch in Gasser’s office for two or more sessions, while talking to Gasser or an assistant. “I said, ‘I can’t guarantee you won’t have intense distress, but I can tell you that if you do, it will pass.’”

Many of the patients experienced the feelings they had already been suffering through, albeit with more intensity. “I had what you call a mystical experience, I guess, lasting for some time, and the major part was pure distress at all these memories I had successfully forgotten for decades,” one patient, who only went by the name Peter, told the Times. “These painful feelings, regrets, this fear of death. I remember feeling very cold for a long time. I was shivering, even though I was sweating. It was a mental coldness, I think, a memory of neglect.”

After two sessions, anxiety measures among the eight participants who had gotten full doses of the drug (200 micrograms) increased by 20 percent. Conversely, patients who took an active placebo (20 micrograms) got worse. None of the patients experienced drug-related adverse events, like a panic reaction, suicidal crisis, or psychotic state.

Acid’s History 

LSD was first made in 1938 by the chemist Albert Hoffman. Its effects, however, weren’t discovered until 1943, when he accidentally absorbed some of it through his fingertips. He described the effect as a “not unpleasant intoxicated-like condition,” according to Popular Science. He subsequently tested the drug on animals, finding that it could have some benefits for psychotherapy. For one, it could help some psychiatrists understand what it’s like to be a mentally ill patient. He also saw it as a good way of freeing patients’ minds, and allowing them to speak more candidly.

The next 30 years saw multiple trials showing how LSD helped mental health — between 1950 and 1963, there were an estimated 40,000 people tested around the world. One study, from 1953, tested high doses of LSD on alcoholics, expecting them to be scared into sobriety. Instead, many of them reported mystical experiences that convinced them they had to stop. A 1964 paper published in the Canadian Medical Association Journaldescribes four years’ worth of research, finding that about two-thirds of the 150 patients who underwent treatment with the drug were helped by it. These patients had a range of psychiatric disorders, from depression to schizophrenia to personality disorders.

While the use of LSD in psychotherapy is still far from available, and the results of Gasser’s study were too small to be conclusive, psychiatrists in the U.S. and abroad are starting to see that the drug may be worth revisiting — the patients certainly think so. “It’s a proof of concept,” Dr. Rick Doblin, executive director of the Multidisciplinary Association for Psychedelic Studies, told the Times. “It shows that this kind of trial can be done safely, and that it’s very much worth doing.