“I'm not great at the advice. Can I interest you in a sarcastic comment?”

This is what ‘Friends’ actor Matthew Perry’s character Chandler Bing was known for. He was known for being funny. However, he had his own struggles in his personal life and those struggles were acute depression. He was treating it with ketamine infusion therapy which is legal in the US and the UK.

What is Ketamine infusion therapy?

Ketamine is an anaesthetic used to treat depression, anxiety and pain under supervised and controlled medical settings. However, it does have its side effects, which can lead to distortion of sight, sound and time. It can also produce calming and relaxing effects.

Ketamine increases a person’s heart rate and blood pressure. If overdosed, it can leave users confused and agitated and can cause them to hurt themselves without even realising it. It can also lead to liver damage and bladder problems.

However, when used in moderation and under the supervision of medical doctors, it can treat depression where traditional antidepressants have failed.

Prof Rupert McShane, a University of Oxford psychiatrist who runs an NHS ketamine treatment clinic told BBC that ketamine “probably turns off the area of the brain that is involved in disappointment.”

Can Ketamine Infusion Therapy Kill Someone?

In simple terms, it cannot, be if the dosage is given in a controlled setting and as prescribed. Ketamine infusion therapy uses drugs in small doses than those used for anaesthesia. It acts faster than traditional anti-depressants, but the effects also wear off way quickly. Which is why it is important to monitor patients’ mental state for relapsing back into depression and discouraging them from overdosing on it.

There are ways of giving people ketamine. One of the ways is through “infusing”, which means to use an IV drip. However, injections, nasal sprays and capsules are also methods used to give people ketamine.

Since the dosage of ketamine used in the infusion treatment is small, it being the reason of actor Perry’s death was ruled out. The medical examiner also noted that Perry’s last ketamine infusion therapy session happened more than a week before his death, which means by the time he had died, it must have worn off.

So, What Happened To Perry?

Though Perry’s last session was more than a week before, his post-mortem showed that his blood contained a high concentration of ketamine. He had died of the “acute effects” of ketamine.

If it was not his session, then how did he get ketamine?

Prosecutors alleged that his assistant gave him at least 27 shots of ketamine in four days before his death, reported BBC.

Perry has been open about his personal struggles and this is what the doctors and dealers used against him. Martin Estrada, the US attorney for California’s Central District told the BBC that people took advantage of his condition. They charged him 165 times more than what vials of ketamine cost.

Names that have come up include Dr Salvador Plasencia, drug dealers “Ketamine Queen” aka Jasveen Sangha and Eric Fleming, and Perry’s live-in assistant Kenneth Iwamasa.

Who Are These Names And What Did They Do?

Ketamine Queen or Sangha supplied drugs that led to Perry’s death. Her home was a “drug-selling emporium,” said Estrada. More than 80 vials of ketamine, and thousands of pills including methamphetamine, cocaine and Xanax were allegedly found in her house known as the “Sangha Stash House.”

Sangha is known to deal with high-end celebs and was a “major source of supply for ketamine to others as well as Perry,” said Estrada.

Dr Plasencia called Perry a “moron” while charging him $2,000 for vials that cost only $12. He sold Perry 20 vials of ketamine between September and October 2023, costing $55,000.

He was the one who taught Iwamasa, who had no medical knowledge to inject the drug. This is after he knew that “Perry’s ketamine addiction was spiralling out of control,” as per what the investigators told the BBC.

Another dealer Fleming was told by Sangha to “delete all our messages.” While Fleming pleaded guilty to conspiring to distribute drugs unlawfully, he also allegedly messaged Sangha: “Please call...Got more info and want to bounce ideas off you. I’m 90% sure everyone is protected. I never dealt with [Perry] only his assistant. So the assistant was the enabler.”

The court documents also revealed that he asked Sangha on whether the ketamine stays in your system or “is it immediately flushed out.”

Dr Pepper, Bots, Cans

The people who allegedly exploited Perry used coded language for ketamine and called it “Dr Pepper”, “bots”, or “cans.”

Selling overpriced drugs, taking advantage of Perry’s mental condition and falsifying medical records to make the drugs given to him look legitimate by Dr Plasencia is what took Perry’s life.

Iwamasa is said to have administered more than 20 shots of ketamine and three on the day Perry died. Whereas ketamine is only administered by a physician. Authorities also found that weeks before Perry’s death, Dr Plasencia allegedly bought 10 vials of ketamine and intended to sell to Perry.

He also injected Perry with a large dose, two days later. This caused him to “freeze up” and spiked his blood pressure.

When I Die, I Want Helping Others To Be The First Thing That’s Mentioned

Perry had always been open about his drug addictions, struggles with alcohol and his depression. He said that his openness would help others who are also struggling and wanted to be remembered by his quote which also is on the homepage of the Mattew Perry Foundation that helps others struggling with the disease of addiction: “When I die, I want helping others to be the first thing that’s mentioned.”

Five arrests have been made in the case so far.

Researchers at Stanford University have developed a new AI model which can predict more than 100 health conditions including cancer, mental health, cardiovascular issues and death using sleep study data.

SleepFM uses polysomnography, a comprehensive sleep assessment that utilizes various sensors to record brain activity, heart activity, respiratory signals, leg movements, eye movements and more to provide an accurate prediction of future disease risk, according to the study published in Nature on January 6.

Emmanuel Mignot, Craig Reynolds Professor in Sleep Medicine and co-senior author of the study, said, "We record an amazing number of signals when we study sleep. It’s a kind of general physiology that we study for eight hours in a subject who’s completely captive. It’s very data rich."

It remains unclear when SleepFM will be commercially available to the public and whether it will be incorporated into wearable technology such as watches and phones.

How Does It Work?

The AI model has been trained on nearly 600,000 hours of sleep data collected from 65,000 participants which had been split into five-second increments to combine multiple body signals, such as brain activity, heart activity, muscle activity, pulse and breathing and understand how they relate to each other.

James Zou, PhD, associate professor of biomedical data science and co-senior author of the study commented, "One of the technical advances that we made in this work is to figure out how to harmonize all these different data modalities so they can come together to learn the same language."

After being trained to identify and link different body signals, SleepFM was taught how to understand standard sleep analysis tasks such as different stages of sleep and diagnosing the severity of sleep apnea, a serious sleep disorder where breathing repeatedly stops and starts often due to airway blockage or the brain failing to signal muscles.

Once the model was seen successfully identifying sleep-related issues, it was paired with the sleep recordings and health data of 35,000 patients collected over 25 years for it to learn how to identify chronic diseases through nighttime body signals.

Which Diseases Can It Accurately Predict?

Particularly, SleepFM excelled at predicting Parkinson’s disease, dementia, hypertensive heart disease, heart attack, prostate cancer, breast cancer and death.

“We were pleasantly surprised that for a pretty diverse set of conditions, the model is able to make informative predictions,” Zou said.

Even though heart signals were prominently used to predict heart disease and brain signals were predominant in mental health predictions, the researchers noted that it was the combination of all the data modalities that achieved the most accurate predictions.

“The most information we got for predicting disease was by contrasting the different channels. Body constituents that were out of sync. A brain that looks asleep but a heart that looks awake, for example, seemed to spell trouble,” Mignot said.

Zhou added, "From an AI perspective, sleep is relatively understudied. There’s a lot of other AI work that’s looking at pathology or cardiology, but relatively little looking at sleep, despite sleep being such an important part of life.

"SleepFM is essentially learning the language of sleep."

A 24-year-old man living with dementia who passed away shortly after Christmas has donated his brain to medical research. Andre Yarham, from Dereham in Norfolk, was only 22 when his family first became concerned. His mother, Samantha Fairbairn, noticed changes in his memory and behaviour, including moments that felt out of character.

After medical consultations, Andre was diagnosed with frontotemporal dementia (FTD), a rare condition linked to an abnormal protein mutation. Speaking to the BBC, Ms Fairbairn said her son made the decision to donate his brain in the hope that future families might be spared the same pain. “If this helps even one family spend a little more time with someone they love, then it means something,” she said, describing dementia as a “cruel disease.”

UK’s Youngest Dementia Patient Dies At 24, Leaves Brain To Science

Brain scans later showed unusual shrinkage, prompting a referral to Addenbrooke’s Hospital in Cambridge, where doctors confirmed the diagnosis. Ms Fairbairn told the BBC she experienced “so many emotions, anger, grief, and deep sadness for him.” She also stressed that dementia is not limited by age, saying it “doesn’t discriminate,” and adding that Andre was likely among the youngest patients diagnosed in the UK.

As his condition progressed, he moved into a care home in September last year when his needs became too complex for his family. Within weeks, he was using a wheelchair. Andre died on 27 December, and his brain has since been donated to Addenbrooke’s Hospital to support ongoing research.

In the final month of his life, Andre lost the ability to speak and could only make sounds. Even so, his mother said his core self remained. He held on to “his personality, his humour, his laughter, and his smile” until the end, according to The Independent.

Youngest Dementia Sufferer Dies: What Is Frontotemporal Dementia?

Frontotemporal Dementia (FTD) refers to a group of uncommon, progressive brain disorders that cause nerve cell damage in the frontal and temporal lobes. This leads to changes in behaviour, personality, language, and sometimes movement. The condition often begins earlier than Alzheimer’s disease, typically between ages 45 and 65, and may present with symptoms such as impulsivity, emotional withdrawal, socially inappropriate actions, or speech difficulties. Memory loss is not always the earliest sign. There is currently no cure, although treatments can help manage symptoms, according to the Alzheimer’s Association.

FTD is considered rare and most often affects middle-aged adults, but in exceptional cases, it can occur much earlier in life. Unlike Alzheimer’s disease, which usually begins with memory decline, FTD is more likely to start with noticeable changes in behaviour or personality.

Youngest Dementia Sufferer Dies: Symptoms of Frontotemporal Dementia (FTD)

Symptoms of frontotemporal dementia (FTD) commonly include marked changes in personality and behaviour, such as apathy, impulsive actions, loss of empathy, reduced social awareness, repetitive behaviours, and neglect of personal care. Language problems are also common, including trouble finding words, understanding speech, or speaking clearly. Some people develop movement-related symptoms like stiffness, slowed movements, or tremors, as well as changes in eating habits or appetite. These symptoms gradually interfere with relationships and daily life as nerve cells in the frontal and temporal areas of the brain deteriorate, according to the Mayo Clinic.

“Dementia is an incredibly cruel disease, truly cruel,” Andre’s mother said. “I wouldn’t wish it on anyone. With cancer, people can have treatment, they can go into remission, and they can still live meaningful lives. With dementia, there’s nothing like that.”

Dozens of Greater Noida residents, including children and teenagers aged 12 to 15, have been found suffering from vomiting, stomach pain, diarrhea, headaches and fever after allegedly consuming water mixed with sewage for the last three days.

Dr Narayan Kishore, CMS, CHC Kasna, told Times of India that over 30 residents of Sector Delta 1 received treatment for the condition at a medical camp. "Around 30 people visited the doctors, of them five to six were given medicines, while others were advised ORS. The situation is under control, and if required, we will organize another camp," he said.

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According to Manoj Choudhary, Greater Noida Industrial Development Authority (GNIDA) Assistant Manager (water department), a dilapidated section of a water pipeline in Block C was found leaking and was repaired immediately by January 7 afternoon. He said inspections were also carried out in other parts of the sector, where two additional leaking pipelines were identified and replaced.

"We checked the quality of water supply post repairs in the evening and found it to be normal," he told TOI.

Despite claims of repairs, affected residents have revealed that the damaged water pipeline has instead been diverted into a drain and sewage is being mixed into a leaking water supply pipeline that runs through the same channel.

Deepak Kumar Bhati, convenor of the sector's RWA said, "Instead of repairing the blocked sewer line, it was diverted into a drain. The uncovered manhole allowed dirty water to seep into an old leaking water pipeline, contaminating the drinking supply. How would anyone feel knowing the water they drink and bathe in is mixed with feces?

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"We pay our bills yet are forced to use contaminated water."

Pramod Bhati, RWA President of Sector Delta 1, added that this was not the first time residents in the area had fallen ill due to contaminated water. According to the official, the recent incident marks the third time such damage has been reported within a week in the sector that houses around 20,000 people across its six blocks, A to F.

What Officials Are Doing To Deal With The Issue?

He added that GNIDA teams are working continuously to maintain water supply lines and that proposals are being prepared to replace pipelines in older sectors facing persistent problems.

Moreover, Ravi Kumar, GNIDA CEO NG has ordered random water testing across Greater Noida to prevent similar incidents and ensure the safety of the water supply, according to News18.

The Indore Crisis?

However, locals claim that the outbreak has instead caused the death of 17 residents, including a six-month-child. The situation has also left Parvati Bai, 67, with kidney failure, a brain stroke and symptoms of Guillain-Barré Syndrome, or GBS.

GBS is a rare condition where your immune system attacks the nervous system and can cause paralysis as well as death, in certain cases.

The outbreak occurred due to lapses in civic infrastructure. Investigation revealed that a toilet constructed directly above a main drinking pipeline near a police outpost, without a mandatory safety tank resulted in the sewage mixing with drinking water.