#trauma

One man’s path to cut the rate of veteran suicides

This video is a wonderful testament to the selfless sacrifice and idea of one man, Jason Zaideman, in order to help US military veterans avoid an all too common fate of suicide due to PTSD (Post Trauma Stress Disorder) and TBI (Traumatic Brain Injury). Jason has set up a charitable centre called Operation Combat Bikesaver (OCB) in Indiana (which has one of the highest veteran suicide rates among 50 states). OCB proclaims,

We believe that breathing new life into tarnished motorcycles by honing in on learned skill sets will relinquish the deafening grasp PTSD / TBI / Depression has on Veterans and First Responders. By creating distinctive works of art, those candidates can give back to others suffering in a brotherhood of unity, targeting relief to the chaos of one’s own mind…They will be introduced to building, fabricating, welding and painting to resurrect something that was once damaged and forgotten into something new and truly unique while rebuilding themselves at the same time…We have lost way too many to PTSD / TBI and Depression. All of us here at Operation Combat Bikesaver have lost someone to the after effects of defending their country and community. We would love nothing more than to help our Heroes return to feeling normal again.

Before we get into the sad details of veteran suicides in the US, OCB has raised a paltry $20,000 through crowd funding.  To put that in context we have all seen the viral photo-shopped Time magazine picture of a little girl crying at a defiant Trump. It was used with great effect by the Refugee and Immigrant Center for Education and Legal Services (RAICES) to raise $20mn via crowdfunding! $20 million!!

Even after it was revealed that the child – stolen from her father – was never separated from the mother (who left her other 3 kids behind) and paid a smuggler to get to the border, RAICES still shamelessly uses the picture to boost its funding target to $25mn. Despite poor veterans committing suicide at a rate of 20/day some citizens seemingly attain higher virtue by pouring 1,000x more into an organisation with highly questionable ethics. So much for thanking those that served one’s country.

The Department of Veterans Affairs (VA) writes it “has worked tirelessly to develop suicide prevention resources for every Veteran who is experiencing a mental health crisis, whether or not that Veteran is enrolled in the VA Health Care System. In fact, of about 21.6 million Veterans across the country —including almost 2 million women — just over 8.5 million are enrolled for care from a VA provider.  VA is committed to identifying and reaching all Veterans who may be at risk for suicide and continues to enhance programs designed to reduce risk among those who receive services from the Veterans Health Administration (VHA). As highlighted in a recent VA-led Call to Action to Prevent Veteran Suicide, eliminating the burden of suicide among Veterans will require participation from a broad group of federal government and community partners.”

Key findings from this year’s report include:

▪ In 2014, an average of 20 Veterans died by suicide each day. Six of the 20 were recent users of VHA services in 2013 or 2014.
▪ In 2014, Veterans accounted for 18% of all deaths by suicide among U.S. adults and constituted 8.5% of the U.S. adult population (ages 18 and older).
▪ The burden of suicide resulting from firearm injuries remains high. In 2014, about 67% of all Veteran deaths by suicide were the result of firearm injuries.
▪ There is continued evidence of a high burden of suicide among middle-aged and older Veterans. In 2014, about 65% of all Veterans who died by suicide were ages 50 and older.
▪ After adjusting for differences in age and sex, risk for suicide was 22% higher among Veterans compared with U.S. civilian adults. (2014)
▪ After adjusting for differences in age, risk for suicide was 19% higher among male Veterans compared with U.S. civilian adult men. (2014)
▪ After adjusting for differences in age, risk for suicide was 2.5 times higher among female Veterans compared with U.S. civilian adult women. (2014)
▪ In 2014, rates of suicide were highest among younger Veterans (ages 18–29) and lowest among older Veterans (ages 60 and older).

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Since 2001, the proportion of VHA users with mental health conditions or substance use disorders (SUD) has increased from 27% in 2001 to 41% in 2014.

Risk for suicide following separation from active duty service remains a concern among Veterans of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND). 18-24yo suicides in those three categories has surged from 27/100,000 in 2003 to 124 per 100,000 in 2014.

OCB is a truly worthy cause. Sadly in today’s world, too many seek to signal their virtue on social media rather than get their hands dirty and properly do something productive like Zaideman to fix causes. Truly inspirational. $20 million to support a cause based on a fake photo or $20 million to support people who have lost limbs, buddies and in many cases hope? After reading about the gore of war from my own grandfather’s letters from WW2 it is not hard to see what a gross misallocation of money and morals this is.

Truly inspiring

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The video speaks for itself. U.S. veteran Jason Zaideman, along with other veterans who work at Operation Combat Bikesaver volunteer their own time and money to put back the lives of other vets who’ve suffered trauma on the battlefield. Jason didn’t get to finish the bike he was building with his combat veteran father due to his death but mixed his ashes in the paintwork to make sure he was part of the finished product. Truly inspiring.

Gun makers or Drug makers? Who should we be more afraid of?

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One by one, more of Corporate America is shunning the National Rifle Association (NRA). There is a touch of irony, perhaps hypocrisy about these moves. For a long time it has served rental car agencies, United Airlines and credit card companies to show their support for the NRA as its membership base was credibly large that it was ‘good for business.’ Despite dozens of massacres after the Columbine High School shooting in 1999 why did they not shun the NRA in the last 19 years? Why didn’t the 14 gun massacres under Obama where Democrats had a majority in the House and Senate cause them to ban guns or automatic rifles period? Now all of a sudden corporates have woken up from their wistful slumber to realize that supporting the NRA may no longer be appropriate “in moving with the times”, the very phrase which is used to silence debate. In the process these corporates pillory all members of an association that in the overwhelming majority of cases are law abiding citizens.

Let’s make it clear. CM is no fan of guns. CM is a fan of laws. A fan of democracy that lets people vote on issues such as this. Changing the constitution is in most countries a matter for the people to decide, not just the handful of politicians within the walls of law making. CM doesn’t need a gun. CM doesn’t want a gun. CM, like most reading this can’t understand why one would want to massacre innocent people with a gun. However we’ve stated clearly that banning guns won’t fix the problem in America. One could easily drive a car through a school campus and mow down dozens of kids during play time. Do we ban cars? The two students who carried out the Columbine massacre had handgrenades, pipe bombs and propane time bombs. While guns were the sole cause of the 15 deaths, these kids had intended to murder 100s in the commons area with the bombs (which were made from everyday off the shelf items).

Although when United Airlines starts taking the moral high ground with respect to the NRA after its own scandals of heavy handedly frog marching passengers off its aircraft it isn’t worth listening to. If these corporates could openly say that running NRA discounts was not worth it on economic grounds in terms of the administration in running such programs one could understand. If they made rational decisions that showed their business would fall of a cliff by supporting the NRA one could understand. It hasn’t happened in 20 years, so why now? If one chooses to fly United for whatever reason (convenience, price, family emergency) will they stop flying it in fear of association with the NRA might be bad for their image? Does the average American, where there are as many guns as people, think ill of the NRA? 32% of US households own guns. Are 32% of households unhinged lunatics? Granted the NRA does itself  little favors in the PR department after such tragedies.

As we’ve written in recent days, the growing incidence of broken homes and the surge in the dispensing of antidepressants to ‘tranquilize’ those who might be tempted into suicidal or homicidal tendencies is a worrying trend. Pharma companies are expected to mint $17bn in antidepressants by 2020.  Should we spurn Eli Lilly’s over-the-counter drugs because they are the evil corporates milking billions from Prozac?

To put it into perspective the total number of overdose deaths involving heroin from 2002 to 2015 jumped 6.2-fold in the US. Automobiles killed around 32,000 people last year or a little over 2x that of heroin overdoses. When adding non-methadone opioids (illicit fentanyl) overdose that number surged to 20,000, a 33% YoY jump on 2014 and 5.9x 2002. Why is it happening? The problem for many prescription painkiller users is that once their bottle ends, the addiction doesn’t stop meaning many switch to heroin to get the same ‘opioid’ hit.

Excessive use of pain relievers make up a large proportion of illicit drug use. Oxycodone is one of the more common type of opiate pain killer and it is highly addictive. In 2010, the US Food and Drug Administration (FDA) required the formulation of OxyContin be changed to make it harder to become addicted to. Talk about loading patients with too much ammunition.

As opioid overdoses rise, companies such as Adapt Pharma have seen sharp rises in the sales of products like Narcan (Naloxone) which basically revives victims from the dead. Narcan publicizes its price that is even insured meaning one can overdose and revive with a $10 co-payment.

94% of insured lives in the US have coverage for NARCAN® Nasal Spray*. According to IMS Health, nearly three quarters (74%) of prescriptions for NARCAN® Nasal Spray have a co-pay of $10 or less**. For those paying cash, ADAPT Pharma has partnered with retail pharmacies to reduce out of pocket costs (Retail is $62.50/dose)…To expand community access, NARCAN® Nasal Spray is available to all qualified group purchasers for $37.50 per 4mg dose ($75 per carton of 2 doses). This pricing is available for all Qualified Group Purchasers, such as first responders (EMS, Fire Department, Police), community organizations and Departments of Health, regardless of size. This pricing represents a 40% discount off the Wholesale Acquisition Cost (WAC) of $125 per carton.”

Price hikes have been a feature of naloxene. As of January 2015, Amphastar’s version of naloxone was up to $41 a dose, according to Fierce Pharma, a pharmaceutical industry news website. That follows a price increase from $17 to $33 a dose back in October 2014, according to data provided by Truven Health Analytics. So not only is volume spiking, so is price. Walgreens has expanded the availability of prescription-free naloxone to 33 states.

West Virginia health officials are responding to opioid overdoses by distributing more than 8,000 kits with Naloxone that can get people breathing again if administered in time. Money for the kits comes from a $1 million federal grant to West Virginia, which has had the nation’s highest rate of overdose deaths at 41.5/100,000 people.

Local emergency medical services agencies in West Virginia administered 4,186 doses of Naloxone in 2016, up from 3,351 the year before and 2,165 two years ago and that data doesn’t include uses by hospital emergency departments, urgent care centers, first responders and family members.

The gun industry in America is around $11 billion. 35,000 work in the manufacture of guns and ammo. There are 50,000 retailers in the US. 32% of American households possess a firearm. One-third. The federal government collects $132 million in taxes on guns. 17 million background checks for gun purchases are conducted annually.

By all means let’s have common sense debates on regulation surrounding guns. Sending memes of Republicans on the payroll of the NRA can be met with as many Democrats accepting fortunes from the pharmaceutical lobby so as to prevent price cuts being driven through Congress. While guns maybe noisy killers, pharmaceutical companies are  in a sense becoming (or already become) stealthy silent assassins. Their drugs causing patients to switch to harder substances. 13% of adolescents are on antidepressants. Thirteen percent. 68% of them have taken antidepressants for 2 years and a quarter for over a decade,

The tragedy of school shootings is awful in every conceivable way. How it tears families apart, destroys the lives of survivors who must cope with unspeakable trauma and creates a platform for such horrid knee jerk responses in all forms of media. How the loss of 17 lives takes a back seat to agendas which feed the very opposite of the intention they proclaim. Corporates joining the bandwagon only fuel mixed messaging. It is exactly the type of ‘shaming’ that was so prevalent at the time of the election.

Trying to get the NRA to come around to spreading the word amongst its members that banning bump stocks and certain weapons is feasible won’t occur when corporates and the media publicly kick them. It is never an easy discussion but it only makes members want to dig their trenches deeper. Do people honestly believe that all NRA members would reject common sense proposals about screening, age limits and certain weapons restrictions? Yet that is the picture that is painted. They’re lunatics to a man, woman and child. Let’s hope that United Airlines and others that have spurned the NRA now turn to the drugs list in the company health provider to ensure that those pharmaceutical companies behind so many of the deaths from the explosive concoctions they sell are dealt with in the same way. Here’s a prediction. That hasn’t crossed their minds. So much for pharma companies saving lives. They are cashing in as a growing number of patients check out.

#METOO – shame on #YOUTOO

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I really didn’t want to do this. Seriously. Not for the reason you think either. To all the women posting ‘Me Too’ and encouraging others to do the same ought to think very carefully about what they are doing. So much of what of what I’ve read so far is to be honest trivial. It doesn’t condone bad behaviour but life isn’t perfect.

When I was 13 I was raped by a total stranger. A man. I buried that trauma for over 25 years. I didn’t tell my parents, family or friends. Even today I’m tormented by the sheer horror of that night. I live with it every day. He is likely dead by now but it is etched in my memory. A stain that can’t be bleached. Which is probably why you might read me protest at the professional victimhood industry as I do via this blog. Maybe you understand a bit better as to why I am such a fighter of the truth.

In my year at high school there have been six suicides. People I knew in some case for 40 years. As tragic as it is we are sometimes are so tied up in our own lives that we fail to see warning signs of our friends. Of course in my darkest days the thought crossed my mind but I made a pact with myself that taking the easy way out was letting that bastard win. Not on my watch. In fact I think it is in part why I am so stubborn. I tend not to believe anything I read unless I study it first. I have a statistical database in my memory in the widest of fields – from gun ownership, illegal drugs price/purity coinciding with economic cycles to education levels and almost anything else you can think of. My mind is always spinning looking for data that challenges conventional group think.

In the previous post I wrote of the sexual assault of my daughter on a train in Tokyo. I think I was worse than she was. I was a mess. I wanted to take her place because the last thing I wanted was for her to experience any of the years of emotional troubles it might bring down the line.

I could consider myself a legitimate victim in every sense of the word and I haven’t written this post to receive sympathy or soothing words! Please understand that. On the contrary real victims are the ones who shout the least. They’re too busy dealing with it to bother seeking sympathy and cyber hugs. The fake victims are ones that scream about stuff that is more attention seeking than anything else.

The difference is I am not out here today to draw attention to my own situation. I’m here to say that unless you’ve truly been impacted by something heinous that has given you endless trauma don’t post willy-nilly #metoo post about some drunk jerk at a bar trying to pick you up.

I honestly had no intention of telling people about my past but this constant “poor me” attitude that pervades the world today must end. If one wants to raise awareness to any cause don’t dilute it with petty claims you probably haven’t thought about til given this opportunity. You discredit the real people battling with demons and actually make it far worse in helping them cope.

Men can be impacted by sexual harassment, abuse and assault. It is just underreported. So to the feminists using #metoo to attack (in many cases innocent) men with this campaign – shame on you.