“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.

Artificial intelligence has taken another step forward in biology. Scientists have created viruses designed by AI and shown that they can work in the laboratory, showing promise for new treatments. But this has also triggered concerns about biosecurity.

The viruses are bacteriophages, or viruses that infect bacteria rather than humans. Researchers led by Dr Brian Hie, a chemical engineer at Stanford University, used AI models called Evo1 and Evo2 to design functioning genomes for these viruses. The models were trained using genetic data from around 2 million bacteriophages.

The researchers generated thousands of potential viral genomes and selected nearly 300 to manufacture and test in the laboratory. Only 16 ultimately proved viable.

However, a combination of the AI-designed viruses was able to kill two strains of E coli that had developed resistance to naturally occurring bacteriophages.

How Can AI Design A Virus?

The technology works like the large language models behind AI chatbots, but instead of learning patterns in human language, genome language models learn patterns in genetic sequences.

The AI was able to generate genetic instructions for new bacteriophages, which were then produced in the laboratory and tested against bacteria.

This matters because bacteriophages are already being explored as a treatment for persistent bacterial infections.

If scientists can rapidly design viruses that target specific bacteria and overcome resistance, the approach could strengthen phage therapy, particularly as antibiotic resistance continues to complicate treatment.

The researchers said the ability to rapidly design genomes and adapt them to particular bacteria could “transform phage therapy” and expand biotechnology.

Also read: ChatGPT Health Becomes Available For Eligible Users In US: Pros & Cons Of Letting AI Access Your Medical Records

So Why Are Scientists Worried?

The viruses created in this experiment were designed to infect bacteria. The researchers also deliberately excluded genetic information from viruses that infect humans, animals and plants from the AI's training data, reducing the chance of the system generating dangerous pathogens.

But the experiment demonstrates something bigger: AI can now produce functioning viral genomes.

That raises questions about what could happen if similar technology were trained on genetic information from harmful pathogens.

Prof Tom Inglesby and Dr Moritz Hanke of the Center for Health Security at Johns Hopkins University warned that the ability to create viral genomes using generative AI now exists, but the systems and regulations needed to govern the AI have not caught up.

They warned that genomes designed for human, animal or plant pathogens could potentially generate new threats that existing measures may not be equipped to contain.

Also read: The Rise of Robotic Joint Replacement: How Technology Is Transforming Orthopaedic Surgery

Is AI-Created Biological Warfare Already A Reality?

Tom Ellis, a professor of synthetic genome engineering at Imperial College London, said the experiment was impressive but pointed out that bacteriophages have extremely small and relatively simple genomes.

He also argued that fears surrounding fully AI-designed pathogens may currently be overstated. He said that modifying existing pathogens to make them more dangerous remains a much easier and more immediate concern.

Dr Filippa Lentzos of King's College London said the solution should not focus only on AI. Instead, safeguards should extend across the entire process, including AI development and access, research, DNA synthesis screening and lab biosafety.

An 18-year-old woman is in critical condition after an acidic substance was allegedly administered instead of an anaesthetic during nose surgery at a private hospital in Israel.

Police have launched an investigation into suspected negligence after the woman suffered severe burns to her face and respiratory system during the procedure on Friday.

What Happened During The Surgery?

The teenager had previously been injured in an accident on Highway 35 in southern Israel in 2024. She was admitted to the private hospital on Friday morning for a nose surgery.

According to allegations being investigated by police, the anaesthesiologist confused two substances and administered an acidic substance instead of the anaesthetic drug. The error reportedly caused severe burns to the woman's face and respiratory system.

The surgeon eventually noticed what was happening and stopped the procedure. A medical team was called into the operating room and the woman was intubated, with a breathing tube inserted into her windpipe. She was then sedated and placed on a ventilator.

She was subsequently transferred to Tel Aviv's Sourasky Medical Center, where she was admitted to the intensive care unit.

Also read: UK Woman Dies After Sudden Abdominal Pain Following Increase In Her Mounjaro Dose

Chemical Injuries In The Respiratory System

The respiratory system is particularly vulnerable to chemical injuries. Damage to the airway can cause severe inflammation and swelling, making it difficult for a person to breathe.

This is why doctors may need to secure the airway quickly through intubation and use a ventilator to support breathing while the injury is tended to.

In this case, the damage was serious enough to require another emergency operation. On Saturday evening, an expanded team of around 10 doctors at Sourasky Medical Center performed surgery to treat severe damage to her windpipe. The young woman remained sedated in the intensive care unit after the procedure.

More updates about her well-being are being awaited.

Also read: UK Woman Becomes World-First To Receive Experimental Cell Therapy For Ovarian Cancer

Police Investigate Medical Negligence

The local police are now investigating the incident, particularly how the alleged mix-up of the acidic substance and anaesthetic drug occurred.

The most crucial factor to investigate in this case is whether it was an unavoidable error or gross medical negligence.

The incident has also raised concerns about careful identification and handling of medication and substance during critical surgeries surgery.

Anaesthesia involves the administration of multiple drugs and substances, making accurate identification and handling critical to patient safety.

The Israeli Health Ministry said it had not been notified about the incident. “According to an inquiry conducted by the ministry, the incident was not reported to the Health Ministry,” the ministry said in a statement.

The investigation remains ongoing, and authorities have not yet established who was responsible for the alleged error or whether any medico-criminal charges will follow.

For now, the 18-year-old remains in intensive care as doctors continue treating the severe injuries to her airway and respiratory system.

Back pain is often treated as a problem that comes with ageing, but new research suggests that some forms of spinal degeneration may have specific biological trigger, and an existing osteoporosis drug could help treat it.

A study published in Communications Biology found that a class of osteoporosis drugs called bisphosphonates reduced abnormal mineralisation in the spinal tissues of genetically modified zebrafish.

The findings show promise in treating intervertebral disc degeneration, a major cause of chronic back and neck pain.

What Did The Study Find?

Researchers from the University of Edinburgh and University of Bristol studied zebrafish lacking a functioning copy of the col9a1b gene. This gene is linked to collagen IX, an important structural component of spinal discs.

As the fish aged, they developed changes resembling human disc degeneration. Their vertebrae began to fuse and mineral deposits accumulated in the ligaments between the vertebrae, making the normally flexible spinal structures increasingly hard.

The researchers found that the mineralisation was preceded by deterioration of the structural tissue supporting that supported the developing spine.

They also identified changes in lipid metabolism, mTOR signalling, phosphate regulation and vitamin A-related pathways.

Most importantly, when researchers treated the animals with etidronate, a bisphosphonate, mineral accumulation was reduced. Other interventions targeting fat metabolism also reduced spinal fusion.

Also read: Olympian Lolo Jones Says She Was At Risk Of Paralysis After Team USA Allegedly Neglected Her Spine Injury

Why Is Disc Mineralisation A Problem?

Intervertebral discs act as cushions between the bones of the spine. They allow the back to bend and move while absorbing daily physiological stress.

With disc degeneration, the disc's structure can wear off. Abnormal mineralisation can make these tissues stiffer and contribute to vertebral fusion, making movement challenging and contributing to pain.

Currently, there are no medications that can reliably stop or reverse intervertebral disc degeneration. Treatment generally focuses on pain management, physiotherapy and lifestyle measures, while severe cases may eventually require surgery.

Also read: Yoga Poses That Can Fix Your Kid's 'Slouched' Posture

More About The Osteoporosis Drugs

Bisphosphonates are already widely used to protect bones in people with osteoporosis. They work by slowing the activity of cells that break down bone.

In this study, however, their potential benefit appeared to involve something different: preventing minerals from accumulating where they should not.

Study lead Dr Erika Kague said the research could help with alternatives to surgery. “For decades, surgery has been the only real answer for disc disease,” Kague said.

She added that the findings suggest several ways of slowing the process, including a drug already used in patients.

Dr Caroline Aylott of Arthritis UK said the findings offer “fresh hope” for the millions of people living with back pain and could help scientists move closer to new treatments.

Researchers caution that the findings are promising but still early and that larger trials will be needed to validate the study. Also, this was an animal study, not a clinical trial in people with back pain.

Researchers will need to establish whether the same biological process occurs in humans and whether bisphosphonates can safely and effectively prevent or slow disc degeneration in patients.