“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.

India’s burden of stillbirths may be larger than what existing official numbers suggest. A new study published in The Lancet Regional Health – Southeast Asia estimates that 565,900 babies were stillborn in India in 2023 when stillbirth is counted from 22 weeks of pregnancy onwards. That comes out to be roughly one stillbirth every minute.

But when the count is restricted to 28 weeks or later, the estimate falls to 347,300. That gap of nearly 220,000 stillbirths has become the focus of the study, casting a doubt on the current method of counting and reporting.

Researchers say India’s true burden of stillbirths is being underestimated as many earlier fetal deaths are being left out of the count.

Definition Of Stillbirth Gestational Age

Stillbirth does not have one universal gestational-age definition. The WHO’s ICD-11 definition uses 22 weeks of gestation or more, while India’s routine reporting and several international comparisons have traditionally focused on losses at 28 weeks or later.

Even though the difference may sound like a technical detail, it changes how many deaths are counted and how many get left out of the database.

The new study found that India's stillbirth rate was 25.9 per 1,000 births at 22 weeks or later, and 16.1 per 1,000 when only deaths at 28 weeks or later. In other words, using the latter threshold captured only part of the real picture.

Researchers also found that the burden was not evenly distributed. Stillbirth rates varied more than four-fold between states, from 9.3 per 1,000 births in Mizoram to 38.2 per 1,000 in Uttar Pradesh. Uttar Pradesh and Bihar together accounted for nearly half of India's total estimated stillbirths.

Also read: After Lindsay Clancy Trial, Massachusetts Pushes Stronger Postpartum Mental Health Screening

India’s Numbers May Be Missing More Than Babies

The researchers compared their estimates with India's Sample Registration System (SRS) and found substantial under-reporting. The national late-gestation stillbirth rate from SRS was 2.3 times lower than the GBD estimate.

Earlier research has also highlighted the same problem. An analysis comparing India's National Family Health Survey with SRS found that the NFHS stillbirth rate was 2.6 times higher than the SRS figure between 2016 and 2020.

Researchers have pointed to incomplete reporting, differences in gestational-age cut-offs and confusion between stillbirth and early neonatal death as possible reasons.

The latest Lancet analysis therefore argues that better surveillance is essential, particularly with routine reporting from 22 weeks onwards.

Also read: 22-Year-Old Frozen Embryo Produced A Healthy Baby: Does An Embryo Have An Expiry Date?

What Is Stillbirth?

Stillbirth is not caused by one single condition. Complications related to the placenta, fetal growth, maternal infections, hypertension, diabetes, congenital abnormalities and complications during pregnancy or labour can all contribute.

Maternal anaemia is another risk factor that has been receiving attention lately. A large Indian study published in August 2026, involving nearly 220,000 pregnancies across 10 cohorts, found that moderate and severe maternal anaemia were associated with a higher risk of stillbirth after 28 weeks. The findings are particularly relevant in India, where NFHS-5 data showed that about 52% of pregnant women were anaemic.

The study calls for stronger antenatal care, intrapartum monitoring, emergency obstetric services and strong healthcare systems, along with better data on the causes and risk factors behind stillbirth.

As study author Rakhi Dandona wrote while discussing the research: “every stillbirth deserves to be counted, understood, and learned from.”

India’s medical industry has backed Maharashtra Food and Drugs Administration (FDA) Commissioner Tukaram Mundhe’s concerns about the sharp gap between procurement prices and maximum retail prices (MRPs) of several medical devices and hospital consumables, with patients ultimately bearing the burden.

IV Set: At Rs 11.05, MRP Rs 325

In a post on social media platform X, Mundhe said the most expensive part of a hospital bill may never touch the hospital, but patients bear the brunt as they have the least information to evaluate, compare prices, or seek alternatives.

This is because “a patient admitted for care has no way of knowing whether the price on a medical consumable reflects its actual cost or a markup fixed long before it ever reached the ward," said the IAS officer, who has previously led several food safety enforcement measures in the country.

He flagged the information gap as a core public health issue.

He shared how a survey of hospital consumables in Maharashtra found an IV infusion set with a trade price of Rs 11.05 carrying a printed MRP of Rs 325, a markup of 2,841%. A syringe procured at Rs 6.75 carried an MRP of Rs 57.20, while a catheter procured at Rs 29.41 carried an MRP of Rs 310.

He noted that “the MRP is often fixed upstream by manufacturers and distributors, disconnected from the trade price by a wide, unexplained margin. The result is a system where the party bearing the cost has the least information to evaluate it”.

Also read: High Sugar, Salt Or Fat? India May Mandate Red Hexagon Labels On Food Packs

Experts Call For Scientific Costing

“Piecemeal assessment of pricing will not serve any purpose. Hospitals get reimbursed under CGHS and PMJAY for procedures at below operating cost. We do not look at that. It is time that we carry out a scientific costing exercise on delivery of healthcare,” Dr Girdhar Gyani, AHPI Director, told HealthandMe.

“Patients deserve fair prices, not 2,800% markups, and ethical manufacturers deserve a level playing field and a fair opportunity to provide affordable, fair-priced medical devices,” added Rajiv Nath, Forum Coordinator, Association of Indian Medical Device Industry (AiMeD).

Maharashtra FDA Flags Regulatory Gap

Mundhe also flagged the structural regulatory gap. He noted that “scheduled medicines are capped under the Drugs (Prices Control) Order, 2013. Most medical devices and consumables are not leaving both the pricing and the information around it almost entirely unmonitored”.

He called on the Department of Pharmaceuticals and the NPPA to “review” these findings and lay down “clear guidelines on the permissible gap between trade procurement price and declared MRP”.

“It's a step toward closing not just a pricing gap, but the information gap patients are left to bear alone”.

Industry Seeks Fair Pricing Policy

Welcoming the timely intervention by Mundhe, AiMeD said it has consistently cautioned that the current regulatory framework under the Drugs (Prices Control) Order, 2013 is inadequate for medical devices.

“Patients, who cannot bargain or choose devices, are left vulnerable to inflated MRPs, while ethical manufacturers and importers are forced to either play within a distorted system or exit the market. This situation penalises both consumers and responsible suppliers, eroding trust and competitiveness”, it said.

AiMeD has long advocated for a Fair Pricing Policy tailored to medical devices, with transparent trade-margin caps based on ex-factory or landed import prices. Such a system would ensure affordability for patients, encourage ethical competition and strengthen the “Make in India” vision.

The US Food and Drug Administration (FDA) today launched a pilot program aimed at speeding up early-stage drug research and reducing delays before potential new medicines enter human trials.

Called the Expedited Investigational New Drug (IND) Pilot, the program is part of the US Department of Health and Human Services’ (HHS) Operation TrailBlazer, launched in June.

The initiative aligns with the Trump Administration’s efforts to accelerate clinical trials and drug research in the US and maintain American leadership in medical innovation, particularly ahead of China.

“The pilot not only pairs industry innovators with top research institutions to accelerate high-quality data being submitted to the FDA, it also tests if the partnership can accelerate what happens after the FDA allows a clinical trial to proceed,” said Acting FDA Commissioner Kyle Diamantas, J.D.

How Will the Pilot Work?

Also read: Robert F. Kennedy Jr. Launches Reforms To Speed Up Early Drug Research In US

The pilot aims to shorten the time between identifying a potential drug and starting a first-in-human clinical trial by pairing drug companies with qualified research institutions (QRIs).

These institutions will provide scientific expertise to support the preparation of Investigational New Drug (IND) applications.

The FDA said first-in-human clinical trials can currently take up to two years to complete in the US. Similar trials are completed faster in China and Australia, raising concerns about America's position in global scientific innovation.

The FDA will accept applications to participate in the pilot until October 30, 2026.

Review of IND Applications

Under the pilot, selected QRIs will support the IND application preparation process. This will allow the FDA to review and accept individual components of an application on a rolling basis during the pre-IND phase, rather than waiting for all components before beginning review.

The approach is intended to help identify and resolve issues with an IND application sooner and reduce the risk of the FDA placing a first-in-human clinical trial on hold during the 30-day IND period.

Read More: 18-Year-Old Dies From Rare Measles Brain Complication As Pennsylvania Death Toll Hits 4

The FDA said the goal is to make the path from scientific discovery to first-in-human trials faster, more predictable and more collaborative.

The federal agency said earlier planning and coordination could reduce unnecessary delays between the start of IND preparation and the beginning of first-in-human studies.

“The pilot hopes to utilize the American innovation ecosystem to accelerate the time to first-in-human clinical trials,” said Karim Mikhail, Director of the Center for Biologics Evaluation and Research (CBER).

Who Can Apply?

Drug sponsors and prospective QRIs will apply as a pair, with drug sponsors submitting applications to the FDA.

Applications will be reviewed by FDA scientific experts. The agency expects to select 8–10 Sponsor-QRI pairs for the initial pilot cohort.

READ: Fall Vaccines 2026: US Doctors Issue COVID, Flu And RSV Jab Guidance

What Is Operation TrialBlazer?

While launching Operation TrialBlazer, Robert F. Kennedy Jr., in a Fox News op-ed, said, “America should continue to lead the world in clinical research and medical innovation. Instead, we are losing ground.”

He cited a study showing that China now conducts more early-stage clinical trials than the United States.

In 2025, Chinese companies accounted for nearly half of global pharmaceutical licensing deal activity. “Those trends should concern every American,” Kennedy said, stressing that “the future of medicine should be built in America.”

According to the FDA, Operation TrialBlazer will help shorten development timelines by six to 12 months through a series of measures, including pairing drug developers with qualified academic centers and contract research organizations to prepare first-in-human trial applications.