I have been so completely swamped by events and work so far this decade that it has been difficult to keep y’ll updated, inspired or entertained. So, today I resolve to correct this problem. At least a little bit.
March 19-26, Romero Legacy Delegation to El Salvador
March 24, 2010 marks the 30th anniversary of the assassination of Monseñor Oscar Romero, Archbishop of El Salvador, on the orders of a graduate of the School of the Americas. SOA Watch and Father Roy Bourgeous will be leading a delegation to El Salvador to commemorate this individual who died fighting for the rights of the common folk in that country.
If you are interested in learning more about Oscar Romero and go here:
More blogging on Bishop Romero: http://annaarcosdiary.wordpress.com/2009/11/08/archbishop-romeros-murder/
For even more about Romero:
Friday night is MLBM- Mad Radio
And we have especially good reasons to be mad this week. Portland police have shown how they handle people in crisis once again. This week, police killed a man who was suicidal following the death of his brother that same day.
Police said Frashour shot and killed Aaron Marcell Campbell only after Campbell began making statements to officers that they were going to have to shoot him and behaved in a threatening manner.
According to a news release, Campbell had told a friend that he wanted to commit suicide by having the police shoot him.
The shooting followed by less than 12 hours the death of Campell’s brother, Timothy Douglass, who succumbed to heart failure at an area hospital.
Campbell’s mother, Marva Campbell, said Campbell was “distraught” about his brother’s death.
The mother was distraught. I’d think so after losing 2 children in one day. What else did the police say about this?
Police said the man came out after 6 p.m. and initially cooperated. But they said Campbell then stopped complying and told officers would have to shoot him. Wheat said an officer first fired beanbag rounds but when Campbell “acted threateningly,” Frashour shot him with an AR-15 rifle.
For the police information release, you can go here.
As long as we’re on my home town, Shock (Electro Convulsive Therapy, ECT) is alive and well in Portland, Oregon. At least we are not alone.
In modern ECT, the patient is sedated and paralyzed. Then an electrical charge is delivered through the scalp, inducing a seizure. Because of the muscle-relaxing drugs, the convulsion is barely observable.
Judi Chamberin dies at age 65
Metabolic risks remain largely unmonitored in Medicaid patients taking
antipsychotics* January 4th, 2010 in Medicine & Health / Medications
*Despite government warnings and professional recommendations about diabetes risks associated with second-generation antipsychotic drugs, fewer than one-third of Medicaid patients who are treated with these medications
undergo tests of blood glucose or lipid levels, according to a report in the
January issue of Archives of General Psychiatry, one of the JAMA/Archives
In 2003, the Food and Drug Administration (FDA) began requiring a warning on labels of second-generation antipsychotics-including olanzapine, fluoxetine and risperidone-describing an increased risk for high blood sugar and diabetes, according to background information in the article. The warning
stated that glucose levels should be monitored in patients with diabetes, at
risk for the disease or with symptoms of high blood glucose. At the same
time, the American Diabetes Association and American Psychiatric Association published a consensus statement describing the metabolic risks associated with second-generation antipsychotics and specifying a monitoring protocol for all patients receiving these medications.
Elaine H. Morrato, Dr.P.H., M.P.H., of the University of Colorado Denver,
and colleagues studied laboratory claims data from the Medicaid population
of three states (California, Missouri and Oregon) between 2002 and 2005.
Metabolic testing (testing of blood glucose and lipid levels) rates were
compared between a group of 109,451 patients receiving second-generation
antipsychotics and a control group of 203,527 who began taking albuterol (an
asthma drug) but not an antipsychotic. Rates were also compared before and
after the FDA warning.
Initial testing rates for patients treated with second-generation
antipsychotics were low-27 percent underwent glucose testing and 10 percent underwent lipid testing. The FDA warning was not associated with any
increase in glucose testing and only a marginal increase in lipid testing
rates (1.7 percent). “Testing rates and trends in second-generation
antipsychotic-treated patients were not different from background rates
observed in the albuterol control group,” the authors write.
New prescriptions of olanzapine, which carries a higher metabolic risk,
declined during the warning period. Prescriptions of the lower-risk drug
aripiprazole increased, but this may also be attributable to the elimination
of prior authorization for the drug in California during the same timeframe.
“Although this retrospective study was not able to identify or quantify
reasons why laboratory screening did not increase after the FDA warnings,
whereas prescribing practices did change, we might speculate on some
possible explanations,” the authors write. Switching to lower-risk drugs or
avoiding drug treatment altogether may be simpler than the initiation of new
screening procedures. In addition, although surveys have shown that
psychiatrists are aware of the metabolic risk factors of these drugs,
primary care providers who would generally order the necessary laboratory
tests may not be.
“More effort is needed to ensure that patients who receive second-generation
antipsychotic drugs are screened for diabetes and dyslipidemia and monitored for potential adverse drug effects, beginning with baseline testing of serum glucose and lipids, so that patients can receive appropriate preventive care and treatment,” the authors conclude.
*More information:* Arch Gen Psychiatry. 2010;67:17-24.
Did I happen to mention that Friday night, tomorrow, 2/5/10 at 1 am (I know that this is technically Saturday the 6th but- hey, give me a break, it’s only radio, right?)?
As always, we’ll be on KBOO, 90.7 FM in Portland or streamed on the web at kboo.fm. You can join the conversation- Call 503-231-8187 between 1 and 2 am Friday night.
You can also find our old shows (at least for the past year or so) by clicking the MLBM tab above.
Another thing you can find on Moonsoup today, if you haven’t had time to check out the secret pages, is this memorial to those of us with mental illness diagnosis who have died too young. Go here.
Now for Something Completely Different
Bye for now, happy new year and such.
(really big space picture below, click for full size- it’s the Subaru observatory (ESA) deep field view of the “Jewel Box”.