Friday, 24 February 2012

My life with drugs, rock 'n' roll, and addiction

Gary Stromberg, before he kicked his addictions, ran a music PR firm where cocaine was always available.

STORY HIGHLIGHTS

  • Gary Stromberg says he easily could have died from addiction to narcotics, alcohol
  • He ran a famous rock star PR firm, with a large bowl of cocaine as centerpiece
  • Stromberg lost his house, business, wife, money, and blamed everyone but himself
  • He admitted the problem was inside himself and began his journey to recovery

Editor's note: Gary Stromberg, who runs the PR firm The Blackbird Group, co-founded Gibson and Stromberg, a music public relations firm that operated in the 1960s and 1970s and represented The Rolling Stones, Pink Floyd, Muhammad Ali, Barbra Streisand, Boyz II Men, Neil Diamond, Ray Charles, The Doors, Earth, Wind & Fire, Elton John, Three Dog Night and Crosby, Stills & Nash. He's co-written several books that deal with addiction, including "The Harder They Fall." His fourth book, "She's Come Undone," is due out this spring. He is active in service work to help people recover from addiction.

(CNN) -- The Whitney Houston headlines last week sent a familiar shiver through me.

In the 1970s, I ran one of the leading entertainment business public relations firms. Celebrity clients were wildly indulging themselves, accountable to no one. It was money, power and prestige, with no one to say, "That's enough."

Drugs and alcohol were endemic. Today, the conversation revolves around prescription drugs, but back then we were into more basic mind-altering substances: pot, psychedelics, cocaine and heroin.

To be truthful, I had an amazing run before it all turned to garbage.

Gary Stromberg

Gary Stromberg

My office, on the Sunset Strip in West Hollywood, was set up like a huge living room with couches, overstuffed pillows on the floor, rock star posters lining the walls and a coffee table, the centerpiece of which was a large crystal bowl, filled at all times with a generous supply of cocaine.

The house rules were "help yourself if you're here on business -- but no take-outs!" We were regularly visited by our clients, including The Rolling Stones, Pink Floyd, The Doors and Steppenwolf. As you could imagine, my office was a very popular place.

But 29 years ago, I stood at the precipice with a decision to make. With a career of impressive accomplishments in the rear-view mirror, I had what looked like only despair and death ahead of me. Alcoholism and drug addiction had rendered me into what the "Big Book" of Alcoholics Anonymous refers to as "pitiful and incomprehensible demoralization." The choice seemed simple. Choose life or death.

Do I acknowledge I have a problem, or do I continue to live in denial?

Do I listen to my friends and family, or do I seek my own counsel?

Do I continue to deteriorate mentally and physically, or do I say, "I've had enough?"

Do I choose to live, or do I want to die?

If I once had a dream, I thought, it was long ago shattered. If I once had a dream, it's floating face down in a bottle of Jack Daniels. If I once had a dream ... ahh, screw it, I ain't no Martin Luther King Jr.

Throwing in the towel and surrendering to admitting I had a serious problem should have been the obvious thing to do, given the state I was in. But at the time, change seemed impossible, unimaginable, incomprehensible and downright insane. Insane was the right word, all right, but it described my state of mind.

Alcohol and drugs are subtle foes; cunning, baffling and powerful. I seemed to be the last one to know I was in big trouble. When my high-profile career started to fall apart, it was other people's fault. When my substantial income dried up, my business manager was to blame. When the beautiful house I so dearly loved was finally foreclosed, it was the bank that was screwing me. When she finally couldn't take it anymore and left, I knew she was the type to do this to me. When my friends began to disappear, they were scum and didn't deserve me. And when, at last, my only friends, my drugs and alcohol turned on me, I knew it was over.

And so a journey of unimaginable proportions began.

Not to any outward destination. No rehab, no trip to a far-off spa. I didn't move to another city, as if a geographic change would fix it. No, I didn't have to travel anywhere, except into the mirror, and by peeling the onion of my soul. The journey was within, to at long last discover where the real problem resided.

It was, of course, in me.

What a surprise -- with the loving help and support of a 12-step program, I found the real culprit. We in recovery refer to alcoholism as a spiritual sickness. And if you look that up in the dictionary, you'll find a photo of me. "Mr. Spiritual Sickness of 1982."

If you ask me nicely, I might show you a picture of that lost soul that I still carry around in my wallet. Yes, I had long hair and a beard, the smug look of false confidence on my face and even the obligatory turquoise jewelry of that era. But look more closely, and you'll see in my eyes shallow pools of emptiness, pupils like pinholes from the daily consumption of narcotics. As a friend remarked when he saw the photo, "The lights are on, but nobody's home."

After you shake your head in disbelief,and look up at me again wondering how this was possible and how I became such a different person, I will offer you an explanation.

I'm a recovering drug addict and alcoholic who was spared from a life of misery, incarceration and death. I've been spared from the life of self-centeredness that led me to care very little about others and only about myself. I've been spared from the countless fears of inadequacy, failure, success, intimacy and anything else that threatened my well-guarded defenses. I've been spared a life of darkness and shown a path into the light.

We don't yet know why Whitney died, but we know she struggled with addiction. It's a pity that now, Whitney will not have the option I had.

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The opinions expressed in this commentary are solely those of Gary Stromberg.

Source: http://rss.cnn.com/~r/rss/cnn_health/~3/_vzQOqclQgY/index.html

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Thursday, 23 February 2012

Migraine increases risk of depression

A study of 36,000 women found those who had either suffered from different types of migraine in the past, or continued to experience episodes, were at a 36 per cent higher risk of developing depression over 14 years.

All those who enrolled in the study, conducted by researchers at the University of California, Los Angeles (UCLA), had never being diagnosed with depression.

Over the 14 years they were followed on average, almost 4,000 developed the mental illness.

The researchers found the 6,500 women with current or past migraine were at a higher risk.

Those with a condition called migraine with aura appeared to be at a higher risk still (43 per cent) than those who had migraine without aura (29 per cent), although the difference was not statistically significant.

Dr Tobias Kurth, of Brigham and Women's Hospital in Boston, Mass., said: "We hope our findings will encourage doctors to speak to their migraine patients about the risk of depression and potential ways to prevent depression."

He and colleagues are to present their findings at the American Academy of Neurology's annual conference in New Orleans in April.

The study could not draw any conclusions about any possible link between migraine and depression in men because it only looked at women.

Source: http://telegraph.feedsportal.com/c/32726/f/568409/s/1cdb9309/l/0L0Stelegraph0O0Chealth0Chealthnews0C90A9860A30CMigraine0Eincreases0Erisk0Eof0Edepression0Bhtml/story01.htm

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Women and AIDS

Did you know that 20 million women worldwide are living with HIV (human immunodeficiency virus) and AIDS (acquired immunodeficiency syndrome)? According to the World Health Organization (WHO) fully half of those living with HIV/AIDS are these 20 million women.

The Truth About AIDS In Women

Source: http://womenshealth.about.com/b/2011/11/14/women_and_aids.htm

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Alcohol 'could kill 210,000 in next 20 years'

Medical experts say ?210,000 people could die from alcohol abuse in next 20 years?, according to the Daily Mirror.

Several other newspapers have highlighted the estimate, based on the latest alcohol-related harm statistics released from the UK?s Office of National Statistics. These figures show that there were 6,317 alcohol-related liver deaths in 2010, slightly up from 2009. Based on this data, researchers calculated the future toll of drinking and estimated that there could be up to 210,000 preventable alcohol-related deaths over the course of the�next 20 years.

However, the researchers? projections varied quite widely. Their report stated that the death rate seen in coming years will depend on the effectiveness of government policies designed to tackle problem-drinking. They added that it is ?within the power of the UK government to prevent the worst-case scenario of avoidable deaths?, and discussed implementing a minimum price per unit of alcohol.

The BBC and other media covered this story accurately.

Where have the current reports come from?

In 2011�The Lancet published an article containing projections of alcohol-related liver deaths in England and Wales, and�now doctors have published updated projections of the number of drink-related liver deaths expected to occur over the next 20 years. These latest projections were made using alcohol-related harm statistics released by the UK?s Office of National Statistics (ONS) in January 2012. Today?s article, published online, was written by experts from University Hospital Southampton, the University of Liverpool and Nottingham University Hospital.

Although alcohol-related liver deaths fell from 6,470 in 2008 to 6,230 in 2009, they began increasing again in 2010, up to 6,317 in total. Based on available data, the expert team produced a range of estimates looking at the potential death toll in years to come, factoring in how interventions such as government policy changes could prevent deaths.

In the best possible scenario, alcohol-related liver deaths, which account for approximately one quarter of alcohol-related deaths, would gradually fall to 2,500 a year over the next 20 years. This is the same number of alcohol-related liver deaths a year currently seen in the Netherlands, Sweden, Australia, New Zealand and Norway. In this ?best-scenario? case, there would be an estimated 73,000 alcohol-related liver deaths over the coming 20 years. However, if alcohol policy in England and Wales was to remain the same, the experts predict that alcohol-related liver deaths would be nearly twice as high over the same period, with 143,000 deaths in total.

The experts say that the difference between the two scenarios is due to 70,000 ?avoidable deaths?. This is a moderate improvement from the projection of 77,000 avoidable alcohol-related liver deaths presented in last year?s study.

When the researchers considered alcohol-related deaths from all causes, they estimated that the number of avoidable deaths expected over the next 20 years has actually fallen from last year?s projections, from 250,000 down to 210,000. The experts suggested that this fall in the number of alcohol-related deaths may be due to alcohol sales having been curbed during the recession, but added�that alcohol policy in England and Wales still needs to be amended to prevent these avoidable alcohol-related deaths. They discussed the possibility of bringing in a minimum price per unit of alcohol.�This policy has been put forward by Scotland as a bill to debate in its parliament, with Northern Ireland and the Republic of Ireland considering following suit. England is due to publish a new alcohol strategy in 2012.

How will alcohol cause these deaths?

Alcohol consumption can contribute to acute (sudden) deaths, such as from accidents, violence and suicide. It can also contribute to the development of potentially fatal chronic diseases, including liver disease, hypertension, stroke, cardiovascular disease and cancers of the breast and gastrointestinal tract. Deaths due to alcohol-related liver disease are reported to account for approximately one quarter of all alcohol-related deaths.

Who is at risk?

In the UK, the peak age bracket for alcohol-related deaths is 45 to 65, and alcohol is a contributing factor in over a quarter of all deaths in men aged 16 to 24 years.

There is no ?safe? limit for drinking, but risk can be reduced by drinking no more than�two to�three units a day for women, or�three to�four units for men. Regularly exceeding these limits increases the risk of certain chronic diseases and alcohol-related problems, including fatigue, depression, weight gain and poor sleep. The more the recommended limits are exceeded, the greater the risk to your health.

How much do we drink in the UK?

The NHS Information Centre (NHSIC) statistics for England found that in 2009 the average weekly consumption of alcohol was 16.4 units for men and 8 units for women, with 26% of men reporting drinking more than 21 units in an average week and 18% of women reporting drinking more than 14 units.

To put this into context, there are:

  • 3 units in a pint of high-strength lager (strength 5.2%)
  • 2 units in a standard can of lager, beer or cider (strength 5%)
  • 2.1 units in a standard glass of wine (175ml, strength 12%)
  • 1 unit in a small measure of spirits (25ml, strength 40%)

See our page on�alcohol units for more information.

How much should I be drinking?

The NHS and Department of Health (DH) advise that:

  • Adult women should not regularly drink more than�two to�three units of alcohol a day.
  • Adult men should not regularly drink more than�three to�four units of alcohol a day.

?Regularly? means drinking on most days of the week or on every day of the week. The DH also advises taking a 48-hour�break�from alcohol after a heavy drinking session to allow your body to recover.

NICE recommends that pregnant women should avoid drinking alcohol during the first three months of pregnancy as drinking may increase the risk of miscarriage. If a woman does choose to drink during pregnancy, it's important not to�drink more than one to two units, once or twice a week (while there is no certainty of a ?safe? level of alcohol consumption, at this low level there is currently no evidence of harm to the unborn baby). Binge-drinking in pregnancy (7.5 units or more on a single occasion) may be harmful to the unborn baby and should be avoided.

Analysis by Bazian

Links To The Headlines

Alcohol abuse 'to kill 200,000 people in 20 years' - but deaths are preventable. Metro, February 20 2012

210,000 people face alcohol death risk, warn doctors. BBC News, February 20 2012

Drinking will kill 210,000 in next 20 years unless we outlaw cheap booze, senior doctors warn. Daily Mail, February 20 2012

210,000 people could die from alcohol abuse in next 20 years. Daily Mirror, February 20 2012

Links To Science

Sheron N, Gilmore I, Parsons C et al. Projections of alcohol-related deaths in England and Wales�? tragic toll or potential prize?. The Lancet, Early Online Publication, February 20 2012

Source: http://www.nhs.uk/news/2012/02February/Pages/uk-alcohol-deaths-predicted.aspx

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Arthritis and Lupus Linked To Lower Birth Rates

Editor's Choice
Academic Journal
Main Category: Lupus
Also Included In: Arthritis / Rheumatology;��Women's Health / Gynecology
Article Date: 21 Feb 2012 - 10:00 PST

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A multi-center study of a national survey published in Arthritis Care and Research, a journal of the American College of Rheumatology (ACR), has established that over half of women with rheumatoid arthritis (RA) and systematic lupus erythematosus (SLE) have fewer children than desired.

Leading researcher, Kaleb Michaud, Ph.D., assistant professor in the internal medicine department-rheumatology section at the University of Nebraska Medical Center, and his team established that whilst patients' choices are partly responsible for having smaller family sizes, the survey results suggest that higher infertility rates and miscarriages may also affect the number of babies born to those suffering from these chronic conditions.

According to ACR estimates, almost 322,000 U.S. adults suffer from systemic lupus, a disease whereby the body's immune system becomes overactive, attacking healthy cells, tissues, or organs, whilst about 1.3 million adult Americans have RA, a chronic autoimmune disease causing painful joint inflammation. Medical evidence has shown that both RA and SLE are more prevalent in women, and given that the disease often starts to occur during a woman's reproductive years, it can result in problems starting a family.

The study, which was conducted to gain a better insight into reasons of infertility, pregnancy loss and family choice in women with RA and SLE involved surveying 1,017 women registered in the National Data Bank for Rheumatic Diseases, of whom 578 women with RA and 114 with SLE responded.

The researchers categorized the women into three separate groups. Group A consisted of those interested in having children, but who had fewer than planned, Group B consisted of women who wanted children and who had the number of children they planned, and Group C consisted of those who were no longer interested in having children after being diagnosed with RA or SLE.

The results of the study demonstrated that over 60% of participants belonged to Group C, and that 55% of women with RA, and 64% of those with SLE had fewer children than originally planned.

The infertility rate of women with RA in group A was 1.5 times higher, compared with those in group B, however, both groups had similar rates of miscarriage, and even though women with SLE in group A had a comparable number of pregnancies to those in group B, their rate of miscarriage was three times higher. Furthermore, it showed that 42% of women with RA had an overall infertility rate of 42%, and had fewer children than desired.

Women who were diagnosed with RA during their childbearing years had a higher infertility rate, compared with those who were diagnosed after childbearing was complete. There was no substantial increase in fertility in those with SLE, yet women with lupus were observed to have fewer children than desired, which was linked to miscarriage.

Other reasons for fewer pregnancies in women with RA and SLE were reported as the inability to care for their children, adverse effects from medications taken during pregnancy as well as concerns of genetically transmitting the disease to their offspring.

Dr. Michaud said:

"Rheumatoid arthritis and lupus and their treatments can pose major problems for women during pregnancy and can even result in birth defects and spontaneous abortion. We hope this study will bring these reproductive-health concerns to the forefront, especially among women in their childbearing years."

The researchers indicate that educating patients and raising their awareness of safe medical options during pregnancy, together with effectively controlling these autoimmune diseases will help women to achieve their family planning goals.

Dr. Michaud calls for further studies to investigate the underlying causes of infertility and pregnancy loss in women with RA and SLE.

Written by Petra Rattue
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

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Michelle Obama takes on TV host in White House sports challenge

Mrs Obama and Fallon did push-ups and hula hooping before competing at dodge ball and a tug-of-war. The first lady triumphed over the comedian in a climactic potato sack race.

Mrs Obama has been doing the rounds of American talk-show circuit to mark the second anniversary of her campaign against childhood obesity.

In the past few weeks she has appeared on The Tonight Show With Jay Leno and The Ellen DeGeneres Show when she took on the host in a push-ups challenge.

Source: http://telegraph.feedsportal.com/c/32726/f/569020/s/1c7f1f2f/l/0L0Stelegraph0O0Cnews0Cworldnews0Cmichelle0Eobama0C90A691990CMichelle0EObama0Etakes0Eon0ETV0Ehost0Ein0EWhite0EHouse0Esports0Echallenge0Bhtml/story01.htm

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Widening Gap Between Scottish And English Suicide Rates

Main Category: Mental Health
Also Included In: Men's health
Article Date: 10 Feb 2012 - 1:00 PST

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A new study has revealed the widening gap in suicide rates between Scotland and England & Wales due to a large extent to the number of young Scottish men taking their lives.

The research, carried out by the Universities of Manchester and Edinburgh and the Medical Research Council Social and Public Health Sciences Unit in Glasgow, examined suicide rates north and south of the border between 1960 and 2008.

The team found that the suicide rate in both men and women was in fact lower in Scotland until around 1968 when it overtook the rate in England & Wales. Suicides among men continued to rise on both sides of the border until the early 1990s when rates in England & Wales began to fall and the gap between north and south widened markedly.

"Our research reveals that the suicide rate in Scotland compared to that in England & Wales has three distinct phases," said joint lead researcher Dr Roger Webb, from The University of Manchester's Centre for Suicide Prevention.

"Up until the late 1960s, the suicide rate in England was always higher than that in Scotland, but around 1968 the rates 'crossed over' with Scotland having the higher rate in both genders. In phase two, between 1969 and 1991, the rates remained steadily higher in Scotland than in England, but from 1992 onwards we see a third phase where the suicide mortality gap between the two countries widened markedly."

The study, published online by The British Journal of Psychiatry, looked at suicide trends by gender and by age group (15-44, 45-64 and 65-plus years), as well as method of suicide.

Dr Webb said: "The research clearly indicates that much of the divergence in the national suicide rates has been driven by a marked increase in risk among Scottish young adults, especially males, and deaths by hanging in this group in particular. Our analyses also suggest that the difference in risk over time between countries is unlikely to be explained by cause of death classification differences.

"However, one of the key changes in methods used during the study period was the marked increase in suicide by hanging, particularly among young men in Scotland. This is of particular concern as hanging has high case fatality and is difficult to prevent, except within institutional settings. It has been proposed that a public information campaign about hanging would be the most useful way to tackle the increase of suicide deaths by this method."

Joint lead researcher Professor Stephen Platt, from the University of Edinburgh's Centre for Population Health Sciences, added: "This study adds to our understanding about patterns of suicide in Great Britain by producing sound evidence on divergences in long-term trends in Scotland compared to England & Wales. In a future companion paper we will suggest explanations for the persisting higher rate of suicide in Scotland."

The research was funded by the Chief Scientist Office of the Scottish Government.
University of Manchester
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