Matthew Perry's Death From Ketamine Explained (Is It Safe For You?)
HTML-код
- Опубликовано: 14 май 2024
- In this video, Dr. Anthony Kaveh, a Stanford and Harvard-trained anesthesiologist, delves into the complexities of ketamine treatment, reflecting on the tragic death of Matthew Perry. He explains the potential and risks of using ketamine for treating mental health conditions such as depression, anxiety, and PTSD. Dr. Kaveh discusses the mechanisms of ketamine, its applications in medical settings, and the crucial considerations for its safe use. This video is essential for anyone considering ketamine treatment or wanting to understand its effects better.
Timestamps:
0:00 - Introduction and Background on Matthew Perry
0:58 - What led to Matthew Perry's death
1:30 - The role of ketamine in treatment-resistant depression
2:07 - Dr. Anthony Cave's experience with ketamine treatments
3:02 - Detailed explanation of how ketamine works
4:01 - Risks and safety protocols for ketamine treatment
5:00 - Case study: Matthew Perry's treatment details
6:01 - Importance of proper administration and monitoring
7:00 - Long-term effects and responsible use of ketamine
8:03 - Q&A session on ketamine and mental health treatments
💛 Learn about Dr. Kaveh's transformational Ketamine clinic: www.clarus-health.com
🔵 Ask personalized questions in private live streams + more: www.medicalsecretsmd.com/excl...
⭕ Join the FREE discord: / discord
This video/speech/channel DOES NOT CONSTITUTE MEDICAL ADVICE. Patients with medical concerns should contact their physician. If your concern is an emergency, immediately call 911. This information is not a recommendation for ANY THERAPY. Some substances referenced in this content may be illegal, and this content is not a recommendation for, or endorsement of, their use in any way.
#MentalHealthAwareness #KetamineTreatment #AddictionRecovery
A couple of weeks ago, my almost 17 year old dog had to be put to sleep. The following day I went into a major surgery. Because of your channel I knew to let my anaesthesiologist know that I was grieving terribly as I live alone and was scared to go home to an empty house after my surgery. He and his nurse were so compassionate and spoke with me about going to sleep and thinking of the joyful times with my boy.. thank you.
Sorry for the loss of your dear friend...
I am very sorry for your loss. My beloved fur baby, age 14, is terminally ill and the anticipatory grief is debilitating and heartbreaking 🐾
I feel your pain. April 2022 I had to say goodbye to my Maine coon after 17 years. Then 2 days later I surgery to remove a large lipoma. I was blessed with a great surgeon and anesthesiologist. They understood how I was feeling and comforted me as I was going under and in post op.
Sorry for your loss, I hope you're doing better health wise
Im so sorry for your loss! And thankful your doctor was a good person. ❤
I find it strange that no one has mentioned that he supposedly played several rounds of pickle ball that morning, probably sweat..., dehydration, hot tubs and bad hearts are a bad combo. If he was sore and hurting maybe that explains taking the med orally. An electrolyte crash can kill you. Anyone who has a history of drugs and alcohol, needs to know the state of their major organs and what they can and cannot handle. Staying on top of your electrolytes is essential. I feel bad that Matthew Perry is gone, he was a bright shining light, but I hope he is having a beautiful afterlife. He will be forever missed.
I have no alcohol or drugs addiction but Perry's death had a profound impact on me. I felt like I lost someone close to me. I had no attachment to him. It was the strangest experience. I too deeply wish him a wonderful after life. I feel his problems started when he was a cholic baby and doctors put him on drugs. He was a new born. That's insane. I think this is what drove his addiction and mental issues. It's so sad this ever happened to such a good person.
I totally agree. I felt all that had an impact on him that day as well. Playing pickleball and the hot tub was a bad combo.
He was one of my favorite actors. My favorite movie is “fools rush in” he said in his book that he got hurt when he was making that movie. Jet skiing or something? And the pain killers they gave him then was the start of his addiction.
@rebeccabamford5505, not to mention he started drinking alcohol at the age of 14. He was most definitely a high risk for addiction at such young age. So sad... Very informative video. I'm happy to hear talk about CRPS and the use of ketamine.
Although I was not a particular Matthew Perry fan & I read only a couple written stories on his passing & when hearing many broadcasts, unavoidable because of his great popularity....
his love of pickleball was always reported, & the fact that he played everyday for literally hours, including that last day.
It's well known that suanas & hot tubs can be hazardous to many folks IF they have physical issues that contraindicate using them.
I think the pickleball aspect was well reported.
I have used Ketamine nasal spray for over 10 years for chronic breakthrough pain & it has been incredibly helpful in allowing me to shift from being housebound (due to congenital condition affecting my mobility) to being active & exercising with my dogs every day. It has meant the difference between a horribly depressing existence to a fulfilled & enjoyable life.
How have I not heard if this?! I have suffered severe migraines for over 30 years and have been hospitalized more times than I can count any longer, and treated in the ER many many times as well. Can you tell me anything more about how your doctor prescribes this and if this nasal spray is readily available or hard to fill. Thank you for your entry here!
@@bobsundance9297I’ve never tried it for my chronic migraines. Although if you call a compounding pharmacy (you may need to call multiple compounding pharmacies) they may be able to guide you toward a doctor. Most likely it would be an integrative doctor. I have luck with IV Meyers cocktails with additional magnesium and saline IV’s. Good luck.
@@bobsundance9297my first response was deleted. Try calling a Coumpounding pharmacy. It most likely be an integrative doctor.
@@bobsundance9297I would love to know.
Pls explain if you care. How do you get it?
Ketamine, LSD, DMT and psilocybin are amazing. I could remember several years ago, alcohol addiction actually destroyed my life. I suffered severe depression and mental disorder. Not until my wife recommended me to psilocybin mushrooms treatment. Psilocybin treatment saved my life honestly. 8 years totally clean. Never thought I would be saying this about mushrooms.
Congrats on your recovery. Most persons never realizes psilocybin can be used as a miracle medication to save lives. Years back i wrote an entire essay about psychedelics. they saved you from death bud, lets be honest here.
Can you help me with the reliable source 🙏. I'm 56 and have suffered for years with addiction, anxiety and severe ptsd, I got my panic attacks under control myself years ago and they have come back with a vengeance, I'm constantly trying to take full breaths but can't get the full satisfying breath out, it's absolutely crippling me, i live in Australia. I don't know much about these mushrooms. Really need a reliable source!! Can't wait to get them.
YES very sure of Dr.medshrooms. I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.
I hate that psilocybin gets grouped with drugs like cocaine and heroin. Mushrooms are a remedy, not a vice! I went on a microdose treatment for a couple of months and within the first week, every sight of a cigarette got me questioning why I was doing all that to myself. It really works.
@@JanetRichardson-mq5esKeep in mind, if you are on an anti-depressant, it can greatly negate the effects of psilocybin to the point of not feeling anything. At least, that was my experience.
I’m glad you addressed the whole people who need pain meds are reduced to feeling like drug addicts. I have a very good friend who has had 7 brain surgeries in a 3-year period and has severe chronic pain. Where she goes to get her prescription filled. They treat her like she’s a junkie. She won’t even go there any more. She has her husband pick up her medication. It’s just wrong.
I'm so sorry to hear that 😞 I hope you can help empower your friend to advocate for themself and not give up 🙏
Its true and benzos:( Some just cant take anything else
I had my left arm amputated after several surgeries post compartment syndrome. Before my surgeon referred me to pain management, I was humiliated and belittled by an ER Dr and an RN for drug seeking. My EMG showed catastrophic nerve and muscle damage and it wasn't until my pain management team explained the hand has so many more nerve endings, that pain would be a normal response to the severe damage. Thanks one and all of the medical professionals who treat our pain, and frustrations !!!
@@sarahjaye4117you can overcome and be completely healthy and happy I am proof. Sending Love
My doctor is the same. I have responsibly used opiates to control my pain for 8 years with this doctor and others before him. Because of the doctors over prescribing meds and the backlash against that, he treats me like a child that is asking for too much candy. He has called addicts “idiots”. No compassion or understanding of trauma or indeed the pain he is treating.
I was offered a 10 treatment session of ketamine. The 1st issue is cost as it’s not usually covered by insurance. Mine didn’t so it was $700 per treatment. I did one treatment. It was fine during but at the end my blood pressure went to 200 and I felt awful for hours. I didn’t go back. Mainly again because of cost. I will say though, that one session, may not have cured my depression completely, but it has made it livable and took away my suicidal thoughts so take that for what it’s worth.
Dang, $700? Mine were $250. I stopped going too b/c my 4th treatment wasnt good. It wasn’t the drugs fault though.
The same thing happened to me. I was stopped during the session.
Some people’s bodies don’t handle it very well. I can handle it just fine. But there’s a lot of people can’t take it.
I’ve received ketamine IV for 7 years. Ask the clinic for a superbill. Send to your insurance. If they deny it, then appeal it. That’s how I got a lot of mine paid for. More and more insurances are paying for it including Medicare. Ketamine is used at the VA to help veterans. Be well.
Micro dosing mushroom is inexpensive and effective.
I remember several years ago heroin addiction destroyed my life, I suffered from severe depression and a mental disorder until I was recommended to psilocybin mushroom treatment. Psilocybin treatment saved my life honestly I'm 8 years clean now. Never thought I would be saying this about mushrooms.
To be honest, mushrooms are one of the most amazing things on the planet and it is natural, they serve in many ways not only for mental related issues.
Can you help me with a reliable source I would really appreciate it. Many people talk about mushrooms and psychedelics but nobody talks about where to get them. It is very hard to get a reliable source here in New Zealand. Really need!
Yes, Sporeville. I had the same experience with anxiety, depression, PTSD, and addiction... Mushrooms definitely made a huge difference to why I'm clean today.
I wish they were readily available in my place.
Microdosing was my next plan of care for my husband. He's 59 & has many mental health issues plus probably CTE & a TBI that left him in a coma 8 days. It's too late now I had to get a TPO as he's 6'6 300+ pound homicidal maniac. He's constantly talking about killing someone.
He's violent. Anyone reading this Familiar w/ BPD knows if it is common for an obsession with violence.
Is he on Instagram?
I started listening to his memoir, narrated by him this morning. His alcohol & opiate intake was tremendous. He was up to 55 hydrocodone DAILY. He told of taking ketamine treatments in rehab but said it wasn't for him.... The book starts out with him telling about not having a bm for 10 days causing his colon to burst which almost killed him. Tragic story.
I got ketamine and surgery, and for almost 3 weeks afterwards I was smiling all the time I was happier than I ever have been in my whole life. During anesthesia, I dreamed I was talking to God in a beautiful garden, and God was answering all my questions about suffering and death, and all of that, I wish I remembered the answers he gave, but it was enough to make me ecstatically happy for weeks lol. (CPTSD)
That is a sign God was with you. He gives you a lasting peace.
Just imagine how many times God has to answer the same questions!
Sherry is so right!! I am sick and tired of being treated as some sort of a reprobate due to chronic pain!! I’m not responsible for the damned opioid crisis!! I have 7 stenosed vertebrae..cervical and lumbar… along with MS… after being an RN for 40 yrs… a 65 yo well adjusted ( absolutely no street drugs… nothing nefarious at all in my life) and all I want is to get thru a day with normal ADL’s…. Have had a horror story of maltreatment by the restrictions on hood and ethical MD’s no longer permitted to prescribe adequate medication…so do of the suits in DC deciding our health care…. What the heck has happened to the AMA??? It used to have governing power over some decisions!!! Have they all sold out…like, in bulk…to the Big pharm and insurance companies??? And do you foresee any time where they take back their authority???
@@jomarsh6449Fellow nurse here.🙋🏻♀️ You so accurately stated what I've been screaming for about the last 10 years! We do NOT have an opiate crisis. What we have is an illicit fentanyl and heroin crisis. I've been waiting for doctors to collectively stand up to the DEA and assholes in DC. Apparently they're not coming. They are the only ones who can stop this.
@jomarsh6449 as a fellow nurse, in my 60's, it's reprehensible no relief from my broken elbow pain was given. Even worse, the shingles pain I endured for months after losing my sweet son to SUD. no MD nor test confirmed what i know to be true about my own body. Our medical system is broken
Thank you for addressing Matthew Perry's cause of death. Ppl were pretty quick to be mean spirited toward Matthew Perry. Thank you so much for all you do for us to better advocate for our own healing.❤
In the USA you are basically making yourselves drug addicts. Even if Matt Perry had been "sober" for 19 months, he still was full of drugs, only so called "legal" ones.
Prince, M.J. and so many others have died because they get way to easy access by people and doctors pushing drugs for profit.
I am all for pain relief when you have strong physical pain. But no one should take opioids and other drugs you get hooked on and need a steady increase in dose.
I have had 13 surgeries in the last 10 yrs due to a continuous failing of an ankle fusion. After every surgery I go onto ketamine for a week (subcutaneous line) I was lying in my hospital bed one night & all of a sudden all the work my psychologist & I had been doing made sense. I knew my parents were narcissistic & I had had some really bad things happen which I always assumed was my abusive X husband. It hit so incredibly powerfully. All of a sudden things made sense in terms of times & details people & cops had reported. It was my mother & eldest brother working together, for years to try & bring me down. Ketamine is a great drug if used right but you need the support as well as the treatment & importantly a Dr who knows what they are doing. Today my foot is still screwed, in & out of OR my brother passed away from a brain tumor & my mother continues to alienate me & play her narcissistic games. The only difference is I know her work although good, is boring & predicable. My journey to heal continues. Stay safe people. Xx
It's funny how in the midst of our valleys of struggles we can find out breakthrough, if we just keep going. Wish you continued healing and strength of body, and spirit. 🙏
@@lulumoon6942 Oh, thank you Hun you’re so kind. It was an unexpected place to arrive at but everything makes so much more sense now. Im grateful I have a great pain specialist. Have a lovely weekend. Xx
My mother passed in April. We hadn't spoken in over a year. I don't think people can understand what it's like to deal with a narcissist for a mother unless they've been there. Sending you lots of love. I don't know you, but I'm proud of you for loving yourself and doing that much work for your own mental health.
@@justrees4929 I’m so sorry for your loss. You’re absolutely right. My entire life I never thought my parents would lie to me. Especially on such a damaging level. I grew up being told my parents were the only true people I can trust in life. To reach your 30’s & find out everything you thought you knew was not & just how detached your parents really are, it’s devastating. I know now they don’t have the ability to love me or be sympathetic. They have & still try to alienate me from family, at my brothers wake my Uncle asked how my foot was & my father stopped everyone talking to yell over to me to “hey get your F## foot cut off”. There is never a sorry or acknowledgment of bad behaviour. I still hope one day things will change but there is nothing I can do for them. I was begging for love & blaming myself every way possible for everything that went wrong in my family. I was even told if my father had a heart attack it was on me. It’s comforting knowing there are others out there that get it. Thank you for the acknowledgment & support. Xx
Stop talking to your mother. She is toxic and NO amount of time will change her. Only YOU can change the situation. Keep her out of your life.
Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.
Can you help with the reliable source I would really appreciate it. Many people talk about mushrooms and psychedelics but nobody talks about where to get them. Very hard to get a reliable source here in Australia. Really need!
Yes, dr.sporessss I have the same experience with anxiety, depression, PTSD and addiction and Mushrooms definitely made a huge huge difference to why am clean today.
I wish they were readily available in my place.
Microdosing was my next plan of care for my husband. He is 59 & has so many mental health issues plus probable CTE & a TBI that left him in a coma 8 days. It's too late now I had to get a TPO as he's 6'6 300+ pound homicidal maniac.
He's constantly talking about killing someone.
He's violent. Anyone reading this Familiar w/ BPD know if it is common for an obsession with violence.
Is he on instagram?
Yes he is. dr.sporessss
There is already so much stigma and reluctance in using Ketamine for mental health. I hate that his death is being blamed/ connected to his Ketamine treatment. It is so hard to get in Texas. I have had to go out of state until my doc got legal in Texas and could do Zoom type appointments. It has truly saved my life. I am a mental health licenced counseling professional and I have to keep myself healthy. I tell clients to be willing to go to any lengths to get well, and I had to also. I had tried everything... Ketamine is the best. It was hard though putting my pride aside and admitting I needed help. A life altering event like death of my parents and mother in-law 6months apart was too much, but Ketamine sped up the grief work and helped me resolve unfinished business with my father and MIL. I really wish there were more providers and AFFORDABLE ones in Texas.
My business partner died due to ketamine therapy earlier this year too. He was depressed and felt like it would help him keep his recovery in place. Since then I've explored the rebound issues this therapy often creates
@@putthecandleback9 do you mind sharing more about what happened to your partner? I’m sorry for your loss.
He didn’t die from the therapy. The amount in his system was much higher than what he received in therapy.
Sending love
I feel like they are trying to put his death on just Ketamine and making Ketamine look bad because of the positive use it's had for Depression,PTSD, Anxiety and such. So many people have been helped from Ketamine and have been able to get off multiple medications for Depression,Anxiety etc. They're losing tons of money because of this. They'll lose even more when psilocybin is more available for mental health treatment. Ketamine oral therapy helped me in ways that 18 years of therapy and 25 plus different pych meds didn't. It's helping so many people and will continue too.
I worked in PACU for over 20 years. I worked with many wonderful Anesthesiologists. I feel you're under appreciated and don't always get the recognition you deserve. Thank you and God Bless!
Poor guy. He was really trying to heal himself.
lol no he wasn’t. He was never sober.
I currently am on 16 months of ketamine therapy and also am being treated with suboxone and have been for 2.5 years. I’m actually almost completely tapered off of the suboxone. Ketamine helped me turn the page. I want to stress how much ketamine helps. Just be careful with anything you put in your body. Us addicts don’t know how to moderate, even when we’re trying to fix ourselves.
❤️❤️❤️❤️❤️
How do you go about getting treatments for ketamine
Sad. RIP Matthew Perry. You are no longer in pain.
I've learned a lot from this session. Thank you so much.
Matthew Perry's former girlfriend said that when he was "using", he would refer to himself at "Mattman". He referred to himself as this in a post on Twitter shortly before his accident.
She also said that he was very careful as to not leave anything around when "using".
It is truly sad. It almost seems like he was replacing his opioids with his possible use of ketamine while not in the presence of a qualified medical professional.
If he drown, the coroner should of reported water in his lungs. 🤷
He's finally free of his addiction now, so sadly. 😢🙏
So what kind of drugs was he on
@tyjn6873 they are accusing him of taking Ketamine off the streets instead of legally. It is a form of treatment administered several ways by health professionals. I'm taking the high road and choose to believe Matthew Perry was taking this form of treatment by health professionals and not by purchasing off the street. If I'm wrong I'll eat crow later.
I have many thoughts on this one. If you don't play along with the "Hollywood Game" then you are offed.. Regardless, He definitely suffered in life, but offered so much laughter. I pray that He is in a better place and at peace.
@@jickie511I don't think he was implying that Matthew Perry was taking ketamine illegally. You can also receive at home oral ketamine legally. Since it is not being administered directly by a medical professional, it is possible for it to be used incorrectly.
..so, ..ketemene in the hot tub only with scuba gear?
A family member of mine was addicted to Ice and Ketamine and some other drugs but thankfully he has completed quit that life style after struggling for many years. He is healthy and successful today because he made the choice to live his life the right way. I am super proud of him.
I started IV ketamine therapy for lifelong depression in December 2019. I have repeated the therapy every one to two months since. For me, it's relieved this lifelong albatross from my neck and allowed me to start enjoying life again instead of listening to my mind lie to me. I'm keeping my fingers crossed that this death and others will not impact the availability of receiving this life-saving drug for me and others that desperately need it. Thanks for the positive video, Doctor.
Cannabis
@@TheFifthWorld22 Long term use actually worsens depression symptoms. There are several studies that show it should not be used by those suffering from depression.
Thank you for sharing this story. I really appreciate it and wish you well.
@@kipperkumquat2992The thing about studies is it doesn’t predict the outcome of any particular individual. A study can show that overall something isn’t effective and simultaneously individual study participants can benefit. It may work for some patients.
@@TheFifthWorld22 as medicinal, sure. Legal recreational, no. People who do not need it are using it, it's making them worse humans. Slow, dumb, rude. Not cool hippie chill. Needs to be used properly and if you can't control your attitude when jonesing, you def shouldn't be using it.
I was having ECT treatments for sudden onset depression after menopause. I was going to a very large hospital and was told I had treatment resistant depression and ECT alone wasn't working. I was told that ketamine with ECT might work better. It was the most horrible experience. I sobbed uncontrollably when I came to. I couldn't stop crying. I ended up on the psychiatric unit in complete sorrow. I have very little memory other than that. I think I got the wrong dose according to my weight. I was an operating room nurse at that hospital in Massachusetts. UMASS. I am still in depression. I had TMS which caused me vertigo everytime they increased the frequency. I am now thinking of Vagas nerve stim. I just don't know anymore. I have been suffering for 10 years now. I am so desperate. Also thought of keto diet at McCleans in Massachusetts. I am67 years old now. I wouldn't wish this on anyone
Keto is amazing for a lot of things. It really helped me. I was only on it for two months but I lost about 30 pounds and also my cholesterol went down to normal which it’s been high since I was in my 20s all my lab work is perfect. I was prediabetic with an A1c is 6.4. It’s now 5.7. I don’t know about depression but since it seems to rebalance the body it’s worth a try. Prayers for you.
I only know ketamine as a large animal anesthetic. To me it is a very powerful drug. I can't imagine giving it to someone who'd had ECT treatments, I am so sorry for all you've been through. I've had depressive episodes but nothing like your situation.
I’m so sorry to hear what you’ve been through. I wish you good health and I pray you can heal from your traumatic experiences. ❤
I m sorry. I’m sending positive feelings to you.
It sounds absolutely horrific. I hope the doc here can offer you a consultation that can help you with next steps.
I’m very grateful for your information! I’ve read information from a few people with fibromyalgia who swear by Ketamine, but as a retired RN, I’m instinctively very suspicious. I haven’t always had good experiences with medications for fibromyalgia, and I don’t think I would ever seek Ketamine for my chronic pain. I’m not on opioids, but chronic pain is a burdensome thing.
The best non pharmaceutical treatment for my fibromyalgia has been use of a Power Plate. I combined the Power Plate with 3 caps of Rose Los Angeles CBD capsules. The combo has been a huge game changer for symptoms. Exercise has been the key to elevating pain, fatigue & sleep disorder from Fibromyalgia.
Thanks, I will look up what that is
Sure is.. was your fibromyalgia cause by an unknown virus that made you extremely ill for a few months?
@@SuperDobieGirl I think I’ve had it since childhood though I did have a herpes infection in the 90’s and several chest infections with a fever (I don’t normally run fevers) at least annually for a number of years. It really hit me hard with pain and basically total collapse after my mother’s death in 2015.
@@cavgrey8 I made a HUGE mistake using CBD oil for pain! There had not been much research done on CBD, but after I got so sick I couldn’t even tolerate water or walk 10 feet from the sofa to the kitchen sink without my heart rate zooming to 130 and being short of breath that I Googled CBD drug interactions. Turns out that CBD interacts with LOTS of meds. At least being that sick helped me lose the Lyrica 40+ lbs I was carrying.
Thank you for explaining the impacts of Ketamine more in-depth. I listened to his memoire 3x and he was extremely open in sharing all details of his medical history - it's pretty amazing he was still alive after what he went through. I think after all that medical history his body was a pretty fragile ecosystem to begin with. So sad though - what an amazing human with such a strong desire to help those inflicted with addiction.
I read the autopsy. The ng/ml in his system was equivalent to 400mg at his recorded weight. That’s insane. A ketamine hole is 225mg, and the infusion therapy that he’d received the week before could not have accounted for even this dosage, since it washes out within 24 hours and no clinician would dose him like that. He definitely wasn’t taking it morally, ethically or responsibly.
Uh, yeah...but our man here is too emasculated to come out honestly and call his death for what it is: a druggy overdose. It's sad. Perry lied to a lot of people, including himself. Doctors like this guy here don't need to lie to us too...
Unfortunately this finding is scaring people that need ketamine for their treatment resistant depression, which in itself can be deadly. The dose they use for TRD is so low compared to what he had in his system and it's in a controlled environment. I really hope people keep going to get their depression treated and not let this finding keep them away. Sadly, now people are now bashing ketamine, and shaming people who get the treatment ...even though it has saved lives from suicide.
I was dosed with Ket as a "date rape" drug. Thankfully, I knew what it was as I was given it before by a shitty friend who thought K holes were fun. But through that bad experience, I realised when I was "spiked." Thankfully, I was in a safe bar, which I worked in, and on a night off with people I knew, we were like a family. Scarily, they all thought I was just over drunk, but I didn't get kicked out. I couldn't walk, my legs were gone, it was like trying to walk through my legs on my knees, I couldn't tell u from down, being a basement bar I was so confused as to where I was in space. I couldn't explain anything to my friends. I ended up being carried to the office and put on the sofa to "recover." I was sick, vomiting, trying to talk through crying as everything looked "mosaic" - at some oint I mnaged to tell the bouncer who was trying to cheer me up what happened and they realised it was the guy trying to hang around me. Little did he know I had a whole bar of people to look after me.
@@pebblesandwoowoo5924terrifying!! I'm so sorry you went through that, but thankful you were surround by good folks. I was put thru ketamine for a very severe dislocated and broken ankle and the disassociation from your body was really distributing to me.
Wow what a frightening experience. I did four treatments of ketamine for chronic pain. The first one went okay, I was very loopy but did okay. The 2nd treatment the Dr turned it on too fast and I blacked out. I came too with the nurses face right in my face. I completely freaked out, didn't know what had happened. I thought I had died.Took awhile for me to calm down. Just because of that I had horrible anxiety the nest two treatments. And then it did nothing for my pain issues. More Drs giving me wrong diagnosis and wasting my money. @@pebblesandwoowoo5924
Thank you so much for sharing. You have made such a positive impact on my life. I actually posted a couple months ago after my first ketamine treatment. I wanted to share that I had a very positive experience with Ketamine therapy. I was at my wits end and I'm so happy to report that I have finally made it over the hump of anxiety and depression. I'm finally able to maintain positive daily routines out of my room and out of my house🎉 . My Ketamine infusion was scheduled under medical supervision. I'd never ever to do this as recreation. It was a therapeutic treatment, but never a "high". I only recommend it under medical supervision.
Hey how you doing now?
Thank goodness you posted this! I saw this right after I watched the report on his death
I had a hip replacement last year. In recovery, the nurse gave me an IV injection of Ketamine for the pain from the incision etc. The Ketamine did nothing for the pain but it made me feel nauseous. i told the nurse to give me something else as the pain was increasing quickly.
She ignored my request and gave me a second and third dose of Ketamine. After the third dose, I demanded to see an anesthesiologist. Upon hearing my complaint, he quickly ordered IV morphine and that stopped the pain.
I was discharged an hour later. Doctors in my area are afraid to prescribe opioids for acute pain as well as chronic pain due to the opioid crisis in the late 90s and early 2000s and the fear of being sued. Many patients are now suffering after surgeries. The doctor who made this video even mentioned this and referred to the pendulum swinging in the opposite direction.
The opioid crisis is still going on. I’m in pain management and taking Hydrocodone 10/325 4 times a day and there is now are shortage of 10’s and 7.5mg too. I had to call around to all the pharmacies in my area and finally found one that had some 7.5mg that my dr could call in. My pharmacist says he doesn’t if or when they will be getting any 10mg because it is so back ordered and a bad shortage. I’ve been taking this drug for over 25 plus years and never ever have had this happen.
I saw the news article and immediately wondered when you would discussing this. You are on top of things.
I hope I was able to bring more insight into the case for your education 🙏
@@MedicalSecrets As a registered nurse in a hospital, it is very educational for me. I learn a lot.
Anthony very good presentation I’m glad you were brave enough to tackle something that for sure will be blown out of proportion by the media
I’m a chronic pain patient and believe me I wish I could come and see you in your clinic to find out if I’m a candidate I don’t have the financial means to do that but I listen very carefully to what you say and I trust what you say because of your experience
Thank you again for doing this video
My best wishes always from Las Vegas Craig
I mean, this is like being scared of Propofol after Michael Jackson died.
The only thing that MJ scared me away from were his plastic surgeon (G. Hoeflin), and having my face cut for the sake of vanity or compensating for low self esteem.
Humans are created pretty amazing, naturally. No matter what flavor or shape of container we arrive as, into the world.
Thank you very much! Liked, subscribed and shared. My absolute favorite RUclips channel by far.
I take a compounded Katamine nasal spray for breakthrough chronic pain. My health insurance does not cover it, and all it does is make me feel woozy for a few minutes. I noticed my blood pressure was getting higher, and I asked my pain management doctor if it was the Ketamine. He said no. I was put on this medication because of the opioid crisis. I hate that I don’t have my Percocet anymore. I’m tired of getting poor pain management because of this so-called epidemic. Addicts are going to find a way to get drugs no matter what. Pain management patients should not have to suffer because of other people’s choices.
Totally agree. I have been taking pain meds many years for fibromyalgia. I never abuse it and am tired of some treating me like a junkie. I wouldn’t take if not needed. It’s just not fair to chronic pain patients
I agree !
@@janetalison8384thats so interesting, I have heard of this fairly recently as well. Opioids- all of them- stopped working on me completely 3 years ago. I was on percocet, and others alternating for 5 years for my chronic pain from complex chronic illness (though I developed a large physiological dependence of course because I took them daily over an extended period of time, and thus was labeled a huge addict for being on so many controlled meds and sent to rehab. 8 months of torture and gaslighting. I was on them from different doctors BECAUSE of the crisis and doctors abruptly cutting patients off and so I had to find someone new to HELP me)
Anyway. Now I am just on gabapentin. I also take Kratom at times. But isn’t it odd how kratom attaches to the opioid receptors and works, yet NONE of the opioids do anymore….
@@NurseSue425 I have Fibromyalgia too, along with other painful disorders.
We used ketamine as an anesthesia med cut with something else to ease an animal back from being under for surgery. Watching your vids sure opened my eyes to all the uses it has as well as the types.
Is it Schedule 1? Many clinics avoid anything in 1 due to risks, liabilities, thefts, etc.
@lulumoon6942 Years ago it wasn't classed in a way that made it illegal to possess. If I remember correctly, only rabies vaccines were required to be in possession of a vet but my memory may fall short. That was nearly 50 years ago when we didn't use meds for humans nearly like we do now, and as a wildlife rehabber and vet tech had access to many more meds than now.
Over 40 years ago my veterinarian OD from Ketamine after hours at his office. Scared me to death. He must have been in a very bad space to do that, even accidentally.
That's scary! I could NEVER have access to meds like the medical community does!!! I spend most days daydreaming about exiting society into nature & learning to survive! If I could live in society & feel like it's a dream that would be addictive for sure!
Oh that’s sad I read once that Veterinarian’s have a high suicide rate 😢
@@kaylee3964 sadly they do, a very high one.
Vets have one of the highest rates of suicide of any profession
@@kaylee3964 We do! It sucks trying to love animals, in a world where they rarely get proper love.
thank you soooo much for helping people understand. I've looked for answers before my stroke but am healing after, someone like you could have helped years ago. Thank you for what you do.
Thank you so much for explaining the affects of drugs and misuse. The more you can educate the better. My husband died due to methadone overdose in 2004. Same circumstances as this. The loss is great and knowledge is power.
Thank you so much for providing this important information so quickly.
Sounds like he was abusing the ketamine along with all the other controlled substances? When famous people do this sorta thing and die from it, it causes people that don’t abuse medication to be treated badly by many in the medical field. From RN’s, Dr’s to pharmacist and all in between. I was given ketamine for a couple surgeries. I honestly didn’t like how I felt recovering. I was giggling and happy. But felt I had no control and embarrassment. BUT my attitude my concentration everything was so much better for months after. Honestly wouldn’t have figured it was from the medication but just what was going on in my life. But knowing how my life goes I haven’t had much clarity in years. Thank you 😊 for informing us all on this subject. You are such a kind man. I wish more in the medical field was kind like you.
Had Matthew Perry used in a Supervised Injection site, he would likely still be alive today.
Why?
Because Supervised injection sites offer & perform emergency life saving care in cases of overdose. Inside an injection site facility they know exactly what drugs are being used by using Chromatography to find out whats in the drugs, what the purity is. Knowing this data allows these facilities to immediately apply the requisite life saving measures instantly to save lives!
Using drugs is a 100% normal part of life for millions of people. Most Heroin & Cocaine users have careers, homes, 2 cars & 2 kids & are happy. Those suffering are the traumatized minority and they deserve far better! They deserve free housing, free food & clean safe drugs. At least until they decide they want something different. They are going to live that way out on the streets anyway! Its up to all of us to change that and improve their lives by offering something better-a way out!
Its awful as some really need the medicines whether ket, pain medicine, benzo etc 😢
@@sarahjaye4117 People will find relief,..by any & all means necessary. Why this country resists making those reliefs readily available, in pure form in easy to measure dosages I cannot understand & the result of not doing this is deaths, HIV, Hep C, MRSA, & TB transmissions! Injection wounds that result in amputations or the very least endocarditis!
If someone has been on Buprenorphine for a long time I think it's much safer to use medications that are considered dangerous to take while on it. It actually sucks being on it because a lot of doctors won't give medication that would help the most. Plus a lot of doctors and especially pharmacies treat Bupe patients like crap. Buprenorphine saved my life! Probably a few times over. You seem like an amazing compassionate doctor.
My daughter took it for years with great success, then her boyfriend wanted her to quit, it's been a struggle? She took 2 mg sublingual , I'm still upset...
@Goat_pro
Is she off of it completely? I tried stopping at 2 MG, and it was a prolonged agony of 8 days. I resumed the treatment, and it's been 13 years.
You are absolutely right about pharmacists treating buprenorphine patients like absolute crap.
AMEN TO THIS NEW KNOWLEDGE!!! I'M AT MY WITTS END WITH PTSD AND BEGGING FOR HELP. TRIED ALMOST EVERYTHING AND IM DEVASTATED, SEVERE ANXIETY AND CONSTANT PRAYERS TO GOD TO HELP ME AND MY ANXIETY. THANK YOU DR FOR THIS INFO I SOOOO NEEDED!
🙏🏻❤️✌🏻
@@Jenna-Roo I feel you. My life has become very small.
Thank you, yours is the clearest and most sensible video I have seen about this.
Thank you for everything you do it’s a hard life out there and very easy for addiction to happen
Thank you for this very informative RUclips! It’s scary how easy it is to get this off the internet sites. I mean they send you a questionnaire but nothing really about how you are taking other medicines. Or any warnings necessarily. I am afraid of how many people may be driving in it and such… your video is making me want to discuss further with my doctors and pharmacist! So thank you!
It sounds like he also had one of the problems that many celebrities and rich people have. Numerous doctors. Getting medication's from many different sources.
This doctor is such an excellent teacher! Love his videos 👍
Thanks for all you do, doctor! I had a successful surgery this week, and your videos helped me come in and out of anesthesia with a good mindset. Hope you and your family are well!
Hi Dr. Kaveh! How are you Sir! Appreciate all you share with us!❤
I’m glad you’re getting this important info out there!
Matthew Perry and the cast helped me a lot through life. He was taking ketamine by therapist and from therapist in office only. He got addicted to it and used it recreationally. Ketamine has half life. Half gone after 4 hours. So the week and a half was his last medically known dosage. So what was in his system the day he died wasn't from almost two weeks ago. He was using it for the ketamine highland became addicted. Which he talked about he was addicted to it. He got it from street drug which was pill. And took it and went in a pool which put him in a comatose kinda way and he drowned by accident. His level was 3,000 + which is super high. So yes he relapsed and was taking it illegally without doctor approval at home. And with his heart and lung disease with drowning caused accidental death bc he drowned.
I agree how you described this account of his death.
Maybe he overdosed because he thought he coudn't live with Cardio vascular disease. I wouldnt judge him, if he did. I live with chronic health (mental health) problems .Its difficult .Rest in peace Matthew .
@@kenadams5504 We almost all have cardiovascular disease. People don't overdose because they can't live with it.
Yes, this is my perception as well.
You are so appreciated! You stick out your neck for us. 😂 I was famous when I was younger...and I would have "Trolls" attempting to pull me down
Never..never let that happen to you. You are so Special. I had a botched 3inch off knee replacement. Pain..nerve damage..5yrs. Gratitude and exercise helps the brain, nerves, pain and attitude. You are awesome.
Wow, you are the best. Most underrated doc yet. Wish you were my doc - I will visit your clinic Clarus Health in san fran.
thank you as always your posts are much appreciated,
😊
I suffered from depression. My body did not react well to anti-depressants--in fact, the meds made things worse. It wasn't until 18 years later my doctor ordered an extensive blood panel and discovered my Vitamin D was in the basement. My body can't process D from the sun. After mega doses of prescription strength D, I got back on track.
It sounds like Matthew's doctors sold him a "get well quick" scheme and failed him miserably.
His doctors didn't let him down, he did. He has been an addict from the git go . Perry took drugs. His colon exploded and he still took drugs. Nothing was going to stop him because he was beyond help. He couldn't help himself either. I've never been a big fan but was aware of his addictions and so hoped he would make it but....
Please don't blame others, this is on him.
@@bluemoon2675exactly
Kinda like Robin Williams? No mention of the pharmaceutical doctor inspired addiction, er I mean treatment?
Too much supplementation of vitamin D can be dangerous for many people. Like once a month if that
We really can’t be sure wether his doctors missed vit D treatment. I assume they looked at multiple avenues.
So glad you are back to explain
I learned so much about ketamine, I love Matt Perry on friends, that’s so sad! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be an anesthesiologist physician! I’m still waiting on a date for my eye surgery, they are looking for an anesthesiologist at the surgery center, the surgery center is busy! You rock man
Good luck with the surgery dude ❤
@@charshill2978 thanks
Dr.K you rock at explaining things so well! Thank you for your time!
Thank you for explaining this with compassion ❤
Excellent explanation of Ketamine and Matthew Perry's death. I'm impressed that you also chose to study natural healing substances as well. The best type of doctor can use multiple ways of healing. PS - this is my first time listening.
My first time listening too. I didn't quite understand what the drug was and did .
Ketamine is not natural it is a synthetic analog
Thank you for taking the time to educate us. I suffer from life long depression from childhood trauma. I have tried several antidepressants and also therapy, but none of it seems to help. I drink alcohol to self medicate. I have checked into Ketamine treatment, but it is very expensive here. I feel trapped. Alcohol only helps by giving me a partial time out.
Esketamine (brand name, Spravato) was the first medication that has ever helped my depression. Unfortunately, once a week dosing was not adequate, and twice a week dosing was much too expensive. It was partially covered by insurance, so you might want to see if that would be more affordable for you. There is also a new medication which works on the same receptors that esketamine does. It is called Auvelity. It can become effective within a week after you start taking it, unlike other antidepressant medications. Also, have you checked out TMS, brain stimulation? It helps many people. Unfortunately, it was not very effective for me. It might work really well for you, and should be partially covered by your insurance. Best of luck to you.
I would also recommend a good psychologist
Seek that which will fill the whole in your heart. You'll find it hidden within the bible. It's not religion, it's not fixing yourself by yourself. Only your creator can heal your trauma. But you must seek him and you will find him. After 40 years of chronic depression that led me to a really sad despondent life, I sought a bigger answer and found it. Never had another day of depression since 8 years ago. I hope you find relief.
@@HGCUPCAKES When I was going through a difficult time dealing with my mother and family issues, a good psychologist helped more than any psych pill did - and I'd been on many. They didn't help the issue. They only acted like alcohol, lowering my inhibitions to handle the situation in a way that made matters worse. Going off psych meds and learning how to deal with my family issues made all the difference in the world.
@davidb1169 I hope you will seek out a skillful Aroma Freedom Technique (AFT) Practitioner. AFT allows us to process emotionally-charged memories (trauma) in minutes with the use of specific aromas. (Our olfactory nerves work closely with our memory center and our "fight-flight" center in the brain; that's why it works.) AFT completely bypasses the need for "talk therapy" (which often doesn't work, anyway). It's so effective that the inventor of AFT, Dr. Benjamin Perkus, realized he was helping more people with AFT than with counseling - so he shut down his counseling practice and now does only AFT. He also trains others to become certified AFT practitioners. It's life-changing and I hope you'll try it! (And I'm lifting up a prayer for your well-being right now.)
Thank you for sharing this. I really needed to hear this
Thanks for the info! I greatly appreciate it all!
Dr Kava thank you for sharing the information that you have. Very interesting.
I use both IV and oral ketamine for CRPS. With severe pain comes depression and anxiety. From this pain back in 2013 , I was bedridden. Nerve pain like CRPS is very intense. I have been down the K whole twice. We now prevent with preloading with Ativan before increasing the IV dose. I started CRPS in 2009 after a fall at work as a nurse. A cable was handing a foot off the floor and I tripped over it. My left wrist was tore. Three months later my hand turned purple ,ice cold, swollen , severe stabbing and burning pain. Also I was unable to bend my wrist. Ketamine has helped to keep me walking. My CRPS spread to all 4 limbs. It’s been 14 rough yrs. Thank you Dr for trying to educate.
Hugs and prayers to you ❤
My daughter age 22, has full body CRPS since age 19. She also has several other major health issues and had several falls from POTS that lead her to get this dreaded CRPS. She takes monthly ketamine infusions and it has saved her life. She preloads with Ativan, nausea meds and also she gets an IV bag along with her ketamine. The whole process takes about 5 or 6 hours. My heart goes out to all who suffer from this most terrible disease. God bless you. My daughter is a warrior and so are you.
Can somebody tell me what is crps & pots?
@@kimwentz442Chronic Regional Pain Syndrome and Postural Orthostatic Tachycardia Syndrome.
CRPS means "Chronic Regional Pain Syndrome. It is one of the most agonizing pain conditions that exists. POTS is "Postural Orthostatic Tachycardia which means it causes your heart rate to go sky high and then you pass out. Google is a great tool to learn. @@kimwentz442
Amazing content as always
Thank you so much for this video! This video here could be a lifesaver for others thank you again! I learned so much! Blessings
Any Medication that lowers the blood pressure, combined with heart issues, can cause major heart issues in a High Temperature Hot Tub. I myself almost passed out in one from my low blood pressure and cardiomyopathy. Fortunately, I was able to push myself up to where I could sit on the edge, and I had a cold thermos of water. But... It was a frightening struggle.
Thank you for you intelligent kindness and your heart led conversations❤🧡💛💚💙💜
This was so incredibly informative. Thank you so much.😊
Thank you for a compassionate explanation for Perry's death and giving good information to prevent others from suffering the same fate
the heat in the hotub probably sped up the metabolism of the medications as well...
So glad someone is addressing this. I was so confused by the news reports.
Thanks Doc! Great explanation as usual!
Thank you so much for this detailed and thoughtful explanation. I am someone who seeks facts to make peace with upsetting situations. I had just finished Matthew's book when he passed and I found it a lot more distressful than I would have expected. Your video has really helped me understand what likely happened, and I really appreciate that.
No doubt that as an anastesiologist, I can't argue with you. Nobody drowns In a hot tub, what are the odds. Addiction is something that we all deal with everyday, Matthews death, however you want to explain it, was his choice. He's the only one that can explain it. Neuroplastisity is the mind opening up, healing itself and growing. This man, just like Elvis, dealt with life the best way they knew how. The system, your system, let them both down. The system doesn't listen, the system doesn't care. Ketamine is safe when taking properly but it won't fix the problem, maybe Matthews problem couldn't be fixed. Matthew had a good soul, that's why I'm here but, he was a lost soul like the rest of us. I welcome any and all debates but Matthews death was not unique, it wasn't an accident, he died because no one listened or heard his cries for help. Love your podcasts, this neuroplastisty is fascinating and would love to learn more about it from someone that understands it.
Merry Xmas everybody
With the level of Ketamine in his system and if he self medicated with it at home could it be possible this was taken as a intentional over dosage as any responsible person would strictly follow dosing orders with such a powerful drug and why would he be able to even be prescribed this at home Ketamine with his LONG HISTORY of DRUG ABUSE,was his chart not flagged? Did his providers skip safer alternatives as TMS,CBD, an Intense Partial Hospitalization of two weeks or longer (Forget the spa like rehabs) regular accupuncture or battle field accupuncture, ongoing tx. with a LCSW, regular appts. with a psychiatrist, whole heath to name a few options, Ketamine should be the last line of treatment in someone with his history.As for him having CAD, no heart attack or stroke was detected in autopsy.I believe the press will use this high profile death as a way to VILIFY KETAMINE, the press are going to get alot of milage out of this case and mislead the public into the mindset that using KETAMINE is a death sentance!
Uh. People drown in bathtubs dude. Blood pressure meds and high temp of water can cause pass out and then you're done
@@171racecar If you have an addiction, you get the drug, no matter what. He writes about this in his book. He also tells about his first ketamine infusion and the circumstances. Some providers seem to still give it to you, no matter what your background is (especially for pain treatment).
I totally agree it was a planned suicide to me- he knew what the K would do to him and got in the water - clear outcome was ending the pain for him
@@indigodreamsrecovery 2 possible questions, was this intentional or, was this an accident? Not enough data, I don't believe this was an accident. Intentional could be suicide or murder, again, not enough data. The official cause of death is ketamine and drowning, I stick to my belief that drowning in a hot tub doesn't make sense, not that it can't happen but, the odds are ridiculous. Without more info, the answers will never be known. In this age of technology and knowledge, does anyone believe that this will be closed as, we'll never know or, was this a suicide or murder?
Ketamine infusion therapy helped bring me back from the brink of a very dark place. I'm not sure how much longer I could have gone on at the time, but just over a year later I am healthy and happy. Ketamine doesn't do it alone, but it breaks a terrible cycle that allows you to do the other things that need to be done to heal.
That 'stuck in a loop' analogy is so powerful. It explains everything. Depression over the past or anxiety about the future.
Thank you for sharing your incredible knowledge with us. ❤
So glad you are there to explain this!
I Love your streams !!❤
❤ THANK you so much for your kind help and time ❤
Great video. Thank you for this explanation.
Thank you this was amazing!
Great information thank you just going to say my neighbor had a heart attack and nearly drowned in his hot tub had his wife not been there he might not be here, he doesn’t do any drugs but his doctor had already warned him that there are dangers in hot tubs with people who have heart disease
We rarely hear warnings about hot tubs not being suitable for everyone.
Thank you for explaining this with so much clarity and compassion. ❤️
🙄
I went from not knowing a thing about Ketamine until hearing it from Maya Kowalski's case and now Matthew. Thank you for your videos, i'm learning something new all the time.
I wish I had a doctor like this for long covid
Did you take the covid 💉 s? So many cases of adverse reactions to those are actually what the problems are. Obviously doctors won't tell you that as it's all being hushed.
Thank you doctor for such a gentle explanation of Matt’s Death and the careful use and affects of ketamine .. that are used … 🙏🏼
I knew something was up when I heard this. Drowning in a couple feet of water is sad. I'm glad the true story is coming out. Thanks for explaining doctor.
This was very educational. Thank you for the information. I found it to be so informative
Why do so many artists die in tubs? Whitney Houston, Bobby Christina, Aaron Carter, Mathew Perry ,not to mention the ones that drown in their swimming pools. Kinda creepy.
High temperature in a tub, or losing body temperature in a cold one. Going unconscious and drowning. Don't drink in a hot tub, don't get in water if drinking or on any drugs, even prescribed.
I am SO thankful i found Celebrate Recovery. Because of Celebrate Recovery i am COMPLETELY sober 9 moths and 12 days for the 1st x in 50 years. All i did was open my Bible. I read some words in it and applied those words to me and my life. Now i KNOW THAT MY END WILL NOT BE serching for something. Thank God i found PEACE!
Angelhilton...wonderful...what a beautiful, uplifting testament to the help and hope from the divine
Thank you for explaining Matthew Perry’s death and ketamine. I’ve learned a lot from your video!
Thank you for your very informative and much needed report on the medical uses of ketamine, its benefits, as well as its risks.
What I noticed about ketamine being on it for two years, is that it temporarily fixes the depression and anxiety and PTSD but once you’re off of it, and it wears off, the depression, comes back
Exactly. This is why teaching people meditation is so crucial. Suffering exists only in the mind. Master your mind, no depression/ptsd. Been there. ❤
It’s a tool, not something that will fix you
@@jennyhong6746 AGREED!! Taking a DRUG to STOP ANOTHER DRUG IS INSANE !! And taking a DRUG to stop emotional pain that SHOULD be dealt with through programs like CHURCH AND THE 12 steps Is INSANE
My daughter had surgery this past Wednesday, and because of you, i have learned so much and was able to ask the anatheologist if he planned on using katamine, and i was surprised at his response. He stated he doesn't like to use katamine , saying it's a good drug, and he does use it in certain circumstances , but generally speaking, it isn't his go-to. Can you maybe explain what he means by that?
I love the respect with which you delt with this sensitive topic. xxx RIP Matthew Perry 🙏 you really are a wonderful person, Dr. xxx
Thank you for your wisdom, compassion, and desire to share your knowledge to help others. I appreciate you so much! Thank you!
Thank you for the explanation regarding Matt. When I read that he had IV over a week before, it didn’t make sense to me how it could have been from that Ketamine.
I agree, is likely from another source of ketamine, quite possibly oral, but it is difficult to know for certain
Thank you so much for your wisdom.
Factual and respectful explanation. So good to have facts. Thank you.
Glad you are addressing this.