[Music] I like to start by asking you in the
I like to start by asking you in the
I like to start by asking you in the audience how many of you know anyone
audience how many of you know anyone
audience how many of you know anyone personally that has committed suicide
personally that has committed suicide
personally that has committed suicide I’m trying to see raise your hand it’s
I’m trying to see raise your hand it’s
I’m trying to see raise your hand it’s quite a few of you quite a few of you so
quite a few of you quite a few of you so
quite a few of you quite a few of you so suicide is a really out health care
suicide is a really out health care
suicide is a really out health care health care epidemic that’s not really
health care epidemic that’s not really
health care epidemic that’s not really classified the same for some reason as
classified the same for some reason as
classified the same for some reason as heart disease and cancer in the United
heart disease and cancer in the United
heart disease and cancer in the United States last year 45,000 people committed
States last year 45,000 people committed
States last year 45,000 people committed suicide in the United States in the ages
suicide in the United States in the ages
suicide in the United States in the ages 14 through 24 it’s the leading cause of
14 through 24 it’s the leading cause of
14 through 24 it’s the leading cause of death it leads to all other causes in
death it leads to all other causes in
death it leads to all other causes in that age group in every demographic
that age group in every demographic
that age group in every demographic almost every demographic is increased
almost every demographic is increased
almost every demographic is increased dramatically in the last 10 years and
dramatically in the last 10 years and
dramatically in the last 10 years and it’s the tenth leading cause of death
it’s the tenth leading cause of death
it’s the tenth leading cause of death overall in the United States so you say
overall in the United States so you say
overall in the United States so you say okay well why are you talking about this
okay well why are you talking about this
okay well why are you talking about this well let me tell you a little story many
well let me tell you a little story many
well let me tell you a little story many many years ago when I was in high school
many years ago when I was in high school
many years ago when I was in high school I ran for senior class president of my
I ran for senior class president of my
I ran for senior class president of my high school class I don’t know if any of
high school class I don’t know if any of
high school class I don’t know if any of you are juniors in high school but don’t
you are juniors in high school but don’t
you are juniors in high school but don’t do it what happens is you get voted in
do it what happens is you get voted in
do it what happens is you get voted in your senior class president
your senior class president
your senior class president you’re in charge of your class reunions
you’re in charge of your class reunions
you’re in charge of your class reunions forever so for the last literally 40
forever so for the last literally 40
forever so for the last literally 40 years I have been in very close contact
years I have been in very close contact
years I have been in very close contact with my high school classmates and
with my high school classmates and
with my high school classmates and that’s not a bad thing I enjoyed that
that’s not a bad thing I enjoyed that
that’s not a bad thing I enjoyed that but it just kind of prompted me to keep
but it just kind of prompted me to keep
but it just kind of prompted me to keep in touch with everybody a lot closer
in touch with everybody a lot closer
in touch with everybody a lot closer than say usual what’s happened in the
than say usual what’s happened in the
than say usual what’s happened in the last two or three reunions that we’ve
last two or three reunions that we’ve
last two or three reunions that we’ve had we have one every five years is more
had we have one every five years is more
had we have one every five years is more and more my classmates from high school
and more my classmates from high school
and more my classmates from high school have committed suicide in about a year
have committed suicide in about a year
have committed suicide in about a year and a half ago actually one of my best
and a half ago actually one of my best
and a half ago actually one of my best friends in high school who I was a great
friends in high school who I was a great
friends in high school who I was a great athlete he was one of the star football
athlete he was one of the star football
athlete he was one of the star football players very good-looking God popular
players very good-looking God popular
players very good-looking God popular smart everything going for him in high
smart everything going for him in high
smart everything going for him in high after high school things didn’t really
after high school things didn’t really
after high school things didn’t really go as well as we had hoped
go as well as we had hoped
go as well as we had hoped so we happened to be living here in
so we happened to be living here in
so we happened to be living here in Oxford Mississippi and one day about it
Oxford Mississippi and one day about it
Oxford Mississippi and one day about it like I said a year and a half ago he
like I said a year and a half ago he
like I said a year and a half ago he walked out behind his house and put a
walked out behind his house and put a
walked out behind his house and put a gun to his head and shot himself in the
gun to his head and shot himself in the
gun to his head and shot himself in the head
head
head so I’ve been hit on a personal in a
so I’ve been hit on a personal in a
so I’ve been hit on a personal in a personal way by this this health care
personal way by this this health care
personal way by this this health care problem on a professional front I’m an
problem on a professional front I’m an
problem on a professional front I’m an anesthesiologist and I oversee a very
anesthesiologist and I oversee a very
anesthesiologist and I oversee a very busy operating room and for General
busy operating room and for General
busy operating room and for General Hospital we’re level two trauma center
Hospital we’re level two trauma center
Hospital we’re level two trauma center we deal with a lot of a lot of things
we deal with a lot of a lot of things
we deal with a lot of a lot of things anything you can imagine just about but
anything you can imagine just about but
anything you can imagine just about but one thing we do deal with and I deal
one thing we do deal with and I deal
one thing we do deal with and I deal with all too frequently is called an
with all too frequently is called an
with all too frequently is called an organ harvest in Oregon harvest is when
organ harvest in Oregon harvest is when
organ harvest in Oregon harvest is when we do we harvest them literally harvest
we do we harvest them literally harvest
we do we harvest them literally harvest the organs the heart lungs liver kidneys
the organs the heart lungs liver kidneys
the organs the heart lungs liver kidneys of people who are brain-dead and
of people who are brain-dead and
of people who are brain-dead and frequently these people are brain dead
frequently these people are brain dead
frequently these people are brain dead because they’ve committed suicide
because they’ve committed suicide
because they’ve committed suicide their bodies are alive but their brains
their bodies are alive but their brains
their bodies are alive but their brains are dead so we we do that more often I’d
are dead so we we do that more often I’d
are dead so we we do that more often I’d like to like to think so we do that and
like to like to think so we do that and
like to like to think so we do that and also an even more frequent basis we
also an even more frequent basis we
also an even more frequent basis we repair folks they have tried to commit
repair folks they have tried to commit
repair folks they have tried to commit suicide anywhere from slinging arrests
suicide anywhere from slinging arrests
suicide anywhere from slinging arrests we’ve had people stab themselves in the
we’ve had people stab themselves in the
we’ve had people stab themselves in the chest to shoot themselves in the head
chest to shoot themselves in the head
chest to shoot themselves in the head and survive that somehow another so we
and survive that somehow another so we
and survive that somehow another so we do operations on those folks almost
do operations on those folks almost
do operations on those folks almost weekly so I have this professional and
weekly so I have this professional and
weekly so I have this professional and personal connection with with suicide
personal connection with with suicide
personal connection with with suicide the suicide problem so I thought my role
the suicide problem so I thought my role
the suicide problem so I thought my role as a physician with this was as an
as a physician with this was as an
as a physician with this was as an anesthesiologist what I would I do I do
anesthesiologist what I would I do I do
anesthesiologist what I would I do I do what I do until one day I was reading
what I do until one day I was reading
what I do until one day I was reading and you think well he’s reading a
and you think well he’s reading a
and you think well he’s reading a journal American Medical Association or
journal American Medical Association or
journal American Medical Association or the American Society of anesthesia
the American Society of anesthesia
the American Society of anesthesia journal whatever but now I was reading a
journal whatever but now I was reading a
journal whatever but now I was reading a business journal in Bloomberg which I
business journal in Bloomberg which I
business journal in Bloomberg which I love business I love it read about
love business I love it read about
love business I love it read about business I came across this article in
business I came across this article in
business I came across this article in Bloomberg about these guys this
Bloomberg about these guys this
Bloomberg about these guys this anesthesiologist actually in Vegas that
anesthesiologist actually in Vegas that
anesthesiologist actually in Vegas that were doing a ketamine click for
were doing a ketamine click for
were doing a ketamine click for depression I’m thinking are you kidding
depression I’m thinking are you kidding
depression I’m thinking are you kidding me first
me first
me first you know you’re thinking what was the
you know you’re thinking what was the
you know you’re thinking what was the deal ketamine Special K this is the date
deal ketamine Special K this is the date
deal ketamine Special K this is the date rape drug yes it is but it’s an
rape drug yes it is but it’s an
rape drug yes it is but it’s an anesthesia drug that I’ve administered
anesthesia drug that I’ve administered
anesthesia drug that I’ve administered in my practice for 30 years so let me
in my practice for 30 years so let me
in my practice for 30 years so let me tell you a little bit about ketamine and
tell you a little bit about ketamine and
tell you a little bit about ketamine and its origins it was first synthesized in
its origins it was first synthesized in
its origins it was first synthesized in 1970 and first used clinically in
1970 and first used clinically in
1970 and first used clinically in Vietnam in 1974 it was and is still
Vietnam in 1974 it was and is still
Vietnam in 1974 it was and is still being used by the Army and the Marines
being used by the Army and the Marines
being used by the Army and the Marines on to be given to soldiers who are badly
on to be given to soldiers who are badly
on to be given to soldiers who are badly hurt on the frontline they could
hurt on the frontline they could
hurt on the frontline they could actually the the medicine is so good at
actually the the medicine is so good at
actually the the medicine is so good at killing pain and not suppressing a
killing pain and not suppressing a
killing pain and not suppressing a respiration that it’s very safe
respiration that it’s very safe
respiration that it’s very safe relatively speaking to give to these
relatively speaking to give to these
relatively speaking to give to these soldiers that have their limbs blown off
soldiers that have their limbs blown off
soldiers that have their limbs blown off out on the frontline and give them
out on the frontline and give them
out on the frontline and give them enough pain medication to get them back
enough pain medication to get them back
enough pain medication to get them back to the front for hospitals so it was a
to the front for hospitals so it was a
to the front for hospitals so it was a great drug for that because it kills
great drug for that because it kills
great drug for that because it kills pain without depressing respiration so
pain without depressing respiration so
pain without depressing respiration so in my training I was trained at
in my training I was trained at
in my training I was trained at University of Texas and we did a burn
University of Texas and we did a burn
University of Texas and we did a burn center there of the Shriners Burn Center
center there of the Shriners Burn Center
center there of the Shriners Burn Center at Galveston and we did frequent
at Galveston and we did frequent
at Galveston and we did frequent operations on kids that had been burned
operations on kids that had been burned
operations on kids that had been burned almost over 80 90 percent of their body
almost over 80 90 percent of their body
almost over 80 90 percent of their body and we had to do daily operations on
and we had to do daily operations on
and we had to do daily operations on these kids and my first experience with
these kids and my first experience with
these kids and my first experience with ketamine was doing anesthetics on these
ketamine was doing anesthetics on these
ketamine was doing anesthetics on these kids that had to have these daily
kids that had to have these daily
kids that had to have these daily operations and over the years we’ve used
operations and over the years we’ve used
operations and over the years we’ve used ketamine for different things mainly for
ketamine for different things mainly for
ketamine for different things mainly for pain control of patients who narcotics
pain control of patients who narcotics
pain control of patients who narcotics don’t work very well when I said we gave
don’t work very well when I said we gave
don’t work very well when I said we gave these to these soldiers the reason we
these to these soldiers the reason we
these to these soldiers the reason we didn’t give a morphine if we gave enough
didn’t give a morphine if we gave enough
didn’t give a morphine if we gave enough morphine to kill their pain that would
morphine to kill their pain that would
morphine to kill their pain that would quit breathing but give them ketamine it
quit breathing but give them ketamine it
quit breathing but give them ketamine it doesn’t kill the breathing so I’ve used
doesn’t kill the breathing so I’ve used
doesn’t kill the breathing so I’ve used morphine administered it in my practice
morphine administered it in my practice
morphine administered it in my practice on the patients or say there are
on the patients or say there are
on the patients or say there are narcotic abusers or somehow they’re
narcotic abusers or somehow they’re
narcotic abusers or somehow they’re resistant their routine pain medications
resistant their routine pain medications
resistant their routine pain medications and we give it as a supplement pain
and we give it as a supplement pain
and we give it as a supplement pain control type drug but I you know that’s
control type drug but I you know that’s
control type drug but I you know that’s the only way we’ve ever used it where
the only way we’ve ever used it where
the only way we’ve ever used it where I’ve never heard of it being used for
I’ve never heard of it being used for
I’ve never heard of it being used for depression in much less suicidal
depression in much less suicidal
depression in much less suicidal thoughts but I hadn’t really didn’t
thoughts but I hadn’t really didn’t
thoughts but I hadn’t really didn’t really occur to me when I first read
really occur to me when I first read
really occur to me when I first read that article so it kind of got me
that article so it kind of got me
that article so it kind of got me interested so I started I started
interested so I started I started
interested so I started I started digging around
digging around
digging around the anesthesia literature to see if
the anesthesia literature to see if
the anesthesia literature to see if there was anything I could find a
there was anything I could find a
there was anything I could find a connected ketamine with depression and
connected ketamine with depression and
connected ketamine with depression and sure enough there was nothing in my
sure enough there was nothing in my
sure enough there was nothing in my literature and cut an anesthesia
literature and cut an anesthesia
literature and cut an anesthesia literature but as I looked at the
literature but as I looked at the
literature but as I looked at the psychiatric literature yes there were a
psychiatric literature yes there were a
psychiatric literature yes there were a number of small studies over the last
number of small studies over the last
number of small studies over the last decade decade and a half that showed a
decade decade and a half that showed a
decade decade and a half that showed a sub anesthetic intravenous dose of
sub anesthetic intravenous dose of
sub anesthetic intravenous dose of ketamine given through a vein when I say
ketamine given through a vein when I say
ketamine given through a vein when I say sub manitech dose not enough to induce
sub manitech dose not enough to induce
sub manitech dose not enough to induce anesthesia but enough to cause some
anesthesia but enough to cause some
anesthesia but enough to cause some release weird effects I’ll tell you
release weird effects I’ll tell you
release weird effects I’ll tell you about that in a second that it did
about that in a second that it did
about that in a second that it did decrease depression and even more
decrease depression and even more
decrease depression and even more importantly it did away with suicidal
importantly it did away with suicidal
importantly it did away with suicidal thoughts or suicidal ideations what we
thoughts or suicidal ideations what we
thoughts or suicidal ideations what we call it so I got to thinking as I hide
call it so I got to thinking as I hide
call it so I got to thinking as I hide it how did we buddy figure that out I’ve
it how did we buddy figure that out I’ve
it how did we buddy figure that out I’ve been using that this I’ve been using
been using that this I’ve been using
been using that this I’ve been using this in my practice for many many years
this in my practice for many many years
this in my practice for many many years that I just never never really that
that I just never never really that
that I just never never really that would have never really occurred to me
would have never really occurred to me
would have never really occurred to me so I got curious about it and looked
so I got curious about it and looked
so I got curious about it and looked further back in in relatively recent as
further back in in relatively recent as
further back in in relatively recent as medical discoveries go was relatively
medical discoveries go was relatively
medical discoveries go was relatively recent year 2000 there were some
recent year 2000 there were some
recent year 2000 there were some researchers at Yale that were trying to
researchers at Yale that were trying to
researchers at Yale that were trying to replicate schizophrenia with low-dose
replicate schizophrenia with low-dose
replicate schizophrenia with low-dose ketamine and what low-dose ketamine does
ketamine and what low-dose ketamine does
ketamine and what low-dose ketamine does it causes you have these hallucinogenic
it causes you have these hallucinogenic
it causes you have these hallucinogenic effects you mind out-of-body experiences
effects you mind out-of-body experiences
effects you mind out-of-body experiences things like that and that’s why you know
things like that and that’s why you know
things like that and that’s why you know it is somewhat popular on the street it
it is somewhat popular on the street it
it is somewhat popular on the street it called that’s why it’s called Special K
called that’s why it’s called Special K
called that’s why it’s called Special K gives these trips but nevertheless they
gives these trips but nevertheless they
gives these trips but nevertheless they were trying to replicate schizophrenia
were trying to replicate schizophrenia
were trying to replicate schizophrenia and on these volunteers but when the
and on these volunteers but when the
and on these volunteers but when the volunteers came back after the study
volunteers came back after the study
volunteers came back after the study some of them happened to be depressed
some of them happened to be depressed
some of them happened to be depressed for whatever reason I’m not sure if they
for whatever reason I’m not sure if they
for whatever reason I’m not sure if they were they didn’t have enough money so
were they didn’t have enough money so
were they didn’t have enough money so they volunteered to get the cash to do
they volunteered to get the cash to do
they volunteered to get the cash to do the study or something but they reported
the study or something but they reported
the study or something but they reported that they weren’t nearly as depressed as
that they weren’t nearly as depressed as
that they weren’t nearly as depressed as they were as been before they got the
they were as been before they got the
they were as been before they got the ketamine so it got that guys scratching
ketamine so it got that guys scratching
ketamine so it got that guys scratching their heads it’s okay let’s put together
their heads it’s okay let’s put together
their heads it’s okay let’s put together a study of patients who have failed
a study of patients who have failed
a study of patients who have failed other treatments like cognitive therapy
other treatments like cognitive therapy
other treatments like cognitive therapy oral antidepressants that you hear about
oral antidepressants that you hear about
oral antidepressants that you hear about even maybe electroshock
even maybe electroshock
even maybe electroshock shock therapy and see if ketamine has
shock therapy and see if ketamine has
shock therapy and see if ketamine has any effect on these people so sure
any effect on these people so sure
any effect on these people so sure enough they did a small study with the
enough they did a small study with the
enough they did a small study with the same dose that they had of IV ketamine
same dose that they had of IV ketamine
same dose that they had of IV ketamine and these people did report improved
and these people did report improved
and these people did report improved depression scores but more importantly
depression scores but more importantly
depression scores but more importantly if any I’m going to happen to have had
if any I’m going to happen to have had
if any I’m going to happen to have had suicidal ideation or suicidal thoughts
suicidal ideation or suicidal thoughts
suicidal ideation or suicidal thoughts those were completely obliterated at
those were completely obliterated at
those were completely obliterated at least for a short time and so over the
least for a short time and so over the
least for a short time and so over the ensuing 15 years there have been a
ensuing 15 years there have been a
ensuing 15 years there have been a number of studies around the world that
number of studies around the world that
number of studies around the world that have confirmed that yes ketamine does
have confirmed that yes ketamine does
have confirmed that yes ketamine does have a positive effect on depressed
have a positive effect on depressed
have a positive effect on depressed patients and and there’s still no
patients and and there’s still no
patients and and there’s still no consensus of how you do these infusions
consensus of how you do these infusions
consensus of how you do these infusions for the best guess right now is we would
for the best guess right now is we would
for the best guess right now is we would do then they would do the infusions two
do then they would do the infusions two
do then they would do the infusions two or three a week for a couple weeks and
or three a week for a couple weeks and
or three a week for a couple weeks and then start trying to space them out more
then start trying to space them out more
then start trying to space them out more and more until you could space them out
and more until you could space them out
and more until you could space them out to as needed basis as far as how the
to as needed basis as far as how the
to as needed basis as far as how the ketamine works nobody really knows I can
ketamine works nobody really knows I can
ketamine works nobody really knows I can stand up here for two hours and tell you
stand up here for two hours and tell you
stand up here for two hours and tell you all the theoretical reasons they think
all the theoretical reasons they think
all the theoretical reasons they think it works but there’s always a hole in
it works but there’s always a hole in
it works but there’s always a hole in those theory so right now it’s not even
those theory so right now it’s not even
those theory so right now it’s not even worth talking about that hasn’t kept the
worth talking about that hasn’t kept the
worth talking about that hasn’t kept the drug from being looked at by the large
drug from being looked at by the large
drug from being looked at by the large drug companies the reason I thought I
drug companies the reason I thought I
drug companies the reason I thought I was thinking myself why haven’t I heard
was thinking myself why haven’t I heard
was thinking myself why haven’t I heard about this because I you know I’m one of
about this because I you know I’m one of
about this because I you know I’m one of the you know as a licensed
the you know as a licensed
the you know as a licensed board-certified anesthesiologist I
board-certified anesthesiologist I
board-certified anesthesiologist I should have heard about this but the
should have heard about this but the
should have heard about this but the reason I have it I think is because the
reason I have it I think is because the
reason I have it I think is because the drug companies have really no interest
drug companies have really no interest
drug companies have really no interest in generic ketamine and the reason for
in generic ketamine and the reason for
in generic ketamine and the reason for that is they can’t make any money with
that is they can’t make any money with
that is they can’t make any money with it I’m not saying that’s a bad thing is
it I’m not saying that’s a bad thing is
it I’m not saying that’s a bad thing is it I just can’t so they do know about
it I just can’t so they do know about
it I just can’t so they do know about ketamine though so what in fact to the
ketamine though so what in fact to the
ketamine though so what in fact to the drug companies right now to the big drug
drug companies right now to the big drug
drug companies right now to the big drug companies which I won’t name the FDA is
companies which I won’t name the FDA is
companies which I won’t name the FDA is giving them fast-track approval to
giving them fast-track approval to
giving them fast-track approval to develop a analog of the molecule
develop a analog of the molecule
develop a analog of the molecule ketamine that they can make maybe make
ketamine that they can make maybe make
ketamine that they can make maybe make it easier to administer or maybe
it easier to administer or maybe
it easier to administer or maybe minimize the side effects the
minimize the side effects the
minimize the side effects the psychiatric side effects so they can
psychiatric side effects so they can
psychiatric side effects so they can patent this drug and then start
patent this drug and then start
patent this drug and then start licensing it out make make billions
licensing it out make make billions
licensing it out make make billions dollars because this is a huge need for
dollars because this is a huge need for
dollars because this is a huge need for this if this drug can work and work it
this if this drug can work and work it
this if this drug can work and work it so quickly which is unlike some of the
so quickly which is unlike some of the
so quickly which is unlike some of the other drugs that may take months or may
other drugs that may take months or may
other drugs that may take months or may not ever work this is a huge market okay
not ever work this is a huge market okay
not ever work this is a huge market okay so the drug companies are interested in
so the drug companies are interested in
so the drug companies are interested in ketamine in a kind of a sideways point
ketamine in a kind of a sideways point
ketamine in a kind of a sideways point of view the FDA like I said gave
of view the FDA like I said gave
of view the FDA like I said gave approval for these developments to occur
approval for these developments to occur
approval for these developments to occur but we’re still there’s still years off
but we’re still there’s still years off
but we’re still there’s still years off from these being released to the public
from these being released to the public
from these being released to the public but as I sat there and thought about it
but as I sat there and thought about it
but as I sat there and thought about it I said you know Here I am I have 30
I said you know Here I am I have 30
I said you know Here I am I have 30 years experience administering this drug
years experience administering this drug
years experience administering this drug is a very simple formula it’s a simple
is a very simple formula it’s a simple
is a very simple formula it’s a simple recipe it requires very simple
recipe it requires very simple
recipe it requires very simple monitoring maybe right now I can help
monitoring maybe right now I can help
monitoring maybe right now I can help somebody that’s suicidal that has no
somebody that’s suicidal that has no
somebody that’s suicidal that has no other hope that maybe I could do
other hope that maybe I could do
other hope that maybe I could do something to help someone in in with
something to help someone in in with
something to help someone in in with partnership with one of my psychiatry
partnership with one of my psychiatry
partnership with one of my psychiatry partners they’re in Hattiesburg so I
partners they’re in Hattiesburg so I
partners they’re in Hattiesburg so I approached the local psychiatric
approached the local psychiatric
approached the local psychiatric hospital actually set up a meeting to
hospital actually set up a meeting to
hospital actually set up a meeting to talk to the psychiatric staff there and
talk to the psychiatric staff there and
talk to the psychiatric staff there and and I brought up this this idea that I
and I brought up this this idea that I
and I brought up this this idea that I had but you have any failed patients for
had but you have any failed patients for
had but you have any failed patients for that are suicidal that maybe I could be
that are suicidal that maybe I could be
that are suicidal that maybe I could be a last resort resource for you
a last resort resource for you
a last resort resource for you and they were very receptive and nice to
and they were very receptive and nice to
and they were very receptive and nice to me but I you know I didn’t really
me but I you know I didn’t really
me but I you know I didn’t really nothing really happened and as I thought
nothing really happened and as I thought
nothing really happened and as I thought about it well there’s you know I can
about it well there’s you know I can
about it well there’s you know I can kind of understand that this is not a
kind of understand that this is not a
kind of understand that this is not a main stay or a normal treatment for
main stay or a normal treatment for
main stay or a normal treatment for depression in suicidal thoughts even
depression in suicidal thoughts even
depression in suicidal thoughts even though it can be a very effective it’s
though it can be a very effective it’s
though it can be a very effective it’s still an experimental stage so this is
still an experimental stage so this is
still an experimental stage so this is an off-label use of ketamine this is not
an off-label use of ketamine this is not
an off-label use of ketamine this is not a and I could legally do it but it’s
a and I could legally do it but it’s
a and I could legally do it but it’s off-label and what that means is I’m not
off-label and what that means is I’m not
off-label and what that means is I’m not going to get paid by an insurance
going to get paid by an insurance
going to get paid by an insurance company for this I’m not going to paid
company for this I’m not going to paid
company for this I’m not going to paid or their psychiatrist and get paid by
or their psychiatrist and get paid by
or their psychiatrist and get paid by Medicare or Medicaid or anything else
Medicare or Medicaid or anything else
Medicare or Medicaid or anything else so very weren’t really interested in
so very weren’t really interested in
so very weren’t really interested in doing something for free so you know I
doing something for free so you know I
doing something for free so you know I almost gave up there was one last
almost gave up there was one last
almost gave up there was one last psychiatrist that I had not talked to
psychiatrist that I had not talked to
psychiatrist that I had not talked to Helen went to talk to her dr. Beverly
Helen went to talk to her dr. Beverly
Helen went to talk to her dr. Beverly Bryant who happens to just recently
Bryant who happens to just recently
Bryant who happens to just recently taking a faculty job the University of
taking a faculty job the University of
taking a faculty job the University of Mississippi
Mississippi
Mississippi the Department of Psychiatry there but
the Department of Psychiatry there but
the Department of Psychiatry there but she was a local psychiatrist and she did
she was a local psychiatrist and she did
she was a local psychiatrist and she did expressed an interest and did have a
expressed an interest and did have a
expressed an interest and did have a very small pool of patients that she
very small pool of patients that she
very small pool of patients that she thought might get improvement with this
thought might get improvement with this
thought might get improvement with this with this treatment and when she
with this treatment and when she
with this treatment and when she mentioned it to one particular patient
mentioned it to one particular patient
mentioned it to one particular patient he was so interested and so that this
he was so interested and so that this
he was so interested and so that this patient had these deep deep suicidal
patient had these deep deep suicidal
patient had these deep deep suicidal thoughts that really weren’t complicated
thoughts that really weren’t complicated
thoughts that really weren’t complicated by any other issues he didn’t have any
by any other issues he didn’t have any
by any other issues he didn’t have any schizophrenic issues he didn’t have any
schizophrenic issues he didn’t have any
schizophrenic issues he didn’t have any substance abuse issues or anything he
substance abuse issues or anything he
substance abuse issues or anything he just had these deep-seated urges to kill
just had these deep-seated urges to kill
just had these deep-seated urges to kill himself he had a his contracting
himself he had a his contracting
himself he had a his contracting business a very normal guy met him on
business a very normal guy met him on
business a very normal guy met him on the street you would not know anything
the street you would not know anything
the street you would not know anything was wrong but he was so desperate for
was wrong but he was so desperate for
was wrong but he was so desperate for help that when we even mentioned it to
help that when we even mentioned it to
help that when we even mentioned it to him when dr. Bryant mentioned it to him
him when dr. Bryant mentioned it to him
him when dr. Bryant mentioned it to him he actually showed up in my emergency
he actually showed up in my emergency
he actually showed up in my emergency room when Saturday when I was on call
room when Saturday when I was on call
room when Saturday when I was on call and begged me to do an infusion on him
and begged me to do an infusion on him
and begged me to do an infusion on him because he thought he was going to kill
because he thought he was going to kill
because he thought he was going to kill himself that weekend
himself that weekend
himself that weekend and so we did we did a low dose infusion
and so we did we did a low dose infusion
and so we did we did a low dose infusion on him an emergency room that day and
on him an emergency room that day and
on him an emergency room that day and then suing he did he did a lot better by
then suing he did he did a lot better by
then suing he did he did a lot better by the way and over the ensuing months we
the way and over the ensuing months we
the way and over the ensuing months we have done a multiple series of infusions
have done a multiple series of infusions
have done a multiple series of infusions on him we would stack them like I said
on him we would stack them like I said
on him we would stack them like I said before a couple week and then would
before a couple week and then would
before a couple week and then would spread them out further and further and
spread them out further and further and
spread them out further and further and we actually over the last few months we
we actually over the last few months we
we actually over the last few months we actually changed him to a compounded
actually changed him to a compounded
actually changed him to a compounded nasal spray form that we had a local
nasal spray form that we had a local
nasal spray form that we had a local compound or make for us and he is to
compound or make for us and he is to
compound or make for us and he is to this day doing very well
this day doing very well
this day doing very well and he’s not suicidal and he credits dr.
and he’s not suicidal and he credits dr.
and he’s not suicidal and he credits dr. Bryant knife for keeping him alive so if
Bryant knife for keeping him alive so if
Bryant knife for keeping him alive so if nothing else that one Bloomberg article
nothing else that one Bloomberg article
nothing else that one Bloomberg article did save I think at least one life we
did save I think at least one life we
did save I think at least one life we have a I have a very small pool of
have a I have a very small pool of
have a I have a very small pool of patients this isn’t a big thing I’m
patients this isn’t a big thing I’m
patients this isn’t a big thing I’m doing but I did have a couple more
doing but I did have a couple more
doing but I did have a couple more patients than I think we’ve been we’ve
patients than I think we’ve been we’ve
patients than I think we’ve been we’ve helped somewhat but they have other
helped somewhat but they have other
helped somewhat but they have other issues there other things going on their
issues there other things going on their
issues there other things going on their lives one is a has a substance abuse
lives one is a has a substance abuse
lives one is a has a substance abuse history and one has some psychological
history and one has some psychological
history and one has some psychological issues which the ketamine is not going
issues which the ketamine is not going
issues which the ketamine is not going to fix as far as the the suicidal
to fix as far as the the suicidal
to fix as far as the the suicidal thoughts
thoughts
thoughts I think we did improve those at least
I think we did improve those at least
I think we did improve those at least for a short time but the takeaway point
for a short time but the takeaway point
for a short time but the takeaway point from this is
from this is
from this is suicide is a really huge problem
suicide is a really huge problem
suicide is a really huge problem especially a younger population and I
especially a younger population and I
especially a younger population and I think we’re on the very cups of a new
think we’re on the very cups of a new
think we’re on the very cups of a new manner of treating suicidal ideation in
manner of treating suicidal ideation in
manner of treating suicidal ideation in deep depression which i think is going
deep depression which i think is going
deep depression which i think is going to be in the next 20 to 50 years going
to be in the next 20 to 50 years going
to be in the next 20 to 50 years going to be a whole new avenue of treatment
to be a whole new avenue of treatment
to be a whole new avenue of treatment thank you
[Applause]
[Applause] [Music]
”
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