Ridiculous Story of the Week: Accidental

They say that the dose makes the poison. There is also a term called MTD or Maximum Tolerated Dose or the highest dose of a pharmacological treatment that will produce the desired effect without unacceptable toxicity. Got it?  It turns out that with heroin and cocaine you may not know what that amount is.  That is why people die ALL THE TIME.  And this is why this story is so sad and ridiculous.  The headline goes:

‘Modern Family’ actor Jackson Odell died of accidental drug overdose at sober living facility, coroner says

We have a major drug problem in this country.  It seems to be that softening this guy’s death by calling it accidental when he was playing with fire doesn’t help.  It happened in a sober living facility, no less!  Maybe the coroner was trying to saying it wasn’t a suicide?  Maybe it’s a legal term?  I don’t know. I’m not sure it matters.  The fact that people are dying in sober living places with heroin and coke means we still don’t have great answers to help these people.

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “Ridiculous Story of the Week: Accidental

  1. Jeff Frederich
    August 31, 2018 at 4:29 pm

    You were correct in thinking the term ‘accidental’ indicates the substance was not taken as a means of suicide. I don’t know whether it is a legal term or psychological, but I use it regularly in the ED.

  2. Dave
    August 28, 2018 at 9:42 am

    Being at a sober living facility suggests to me that the overdose was probably a relapse…and that is when people are most likely to OD and/or die… I see it nearly every day in the ED. They just don’t realize that their tolerance has waned…

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