Discussion How physicians ctb

[Shewaitsforme]

Doesn't this also go hand in hand with a lot of suffering? I have heard a lot of different stories about insulin. I know of two people who succeeded, but I don't know how the process of dying was like.

My partner CTB via insulin. Autopsy revealed her heart gave out due to the low blood sugar messing with the hearts electrical impulses which inturn effected her lungs so they filled with fluid which backed up and caused her brain to swell. She was found with her fists still clenched and a white foam coming out her mouth so indicates a seizure. She was in bed her phone under the pillow like she usually did, no signs of her struggling to get help or get her sweets out her bag to bring her blood sugar up so they said she was more than likely passed out or in a coma and wouldnt have known what was happening.

She had fast acting insulin and hadnt eaten that day so her sugar woukd have been low and declining. Toxicology wasnt 100% certain she even took the insulin but she sent a text saying id never see her again and she was found the next day in a hotel room, shed gone missing

 

[Shewaitsforme]

I have seen a couple of people in severe hypoglycemia; they were confused and disoriented, but one was interacting and still somewhat conversant with a blood glucose of 26.

So. If you use a rapid acting insulin, it's going to cause pretty rapid unconsciousness. IV would be better than SQ, but either would work. There might be some nausea and diphoresis (sweating), but I think you'd gray out pretty quickly.

Think you meant 2.6 and yes ive been to patients as little as under 2 when ive checked there levels, she was still able to have a conversation. My partner during a hyper over 30 ended up in hospital with DKA, her hypers were harder to spot. Hypo she would mix her words up, sweat, almost look drunk sometimes become aggressive

 

[Anima]

I have seen a couple of people in severe hypoglycemia; they were confused and disoriented, but one was interacting and still somewhat conversant with a blood glucose of 26.

So. If you use a rapid acting insulin, it's going to cause pretty rapid unconsciousness. IV would be better than SQ, but either would work. There might be some nausea and diphoresis (sweating), but I think you'd gray out pretty quickly.

It definitely sounds more bearable than sn and easier to obtain than n. thanks for the info!

 

[gingerplum]

It definitely sounds more bearable than sn and easier to obtain than n. thanks for the info!

Maybe. Jury's still officially out, but I'd say they're probably comparable.

 

[Anima]

My partner CTB via insulin. Autopsy revealed her heart gave out due to the low blood sugar messing with the hearts electrical impulses which inturn effected her lungs so they filled with fluid which backed up and caused her brain to swell. She was found with her fists still clenched and a white foam coming out her mouth so indicates a seizure. She was in bed her phone under the pillow like she usually did, no signs of her struggling to get help or get her sweets out her bag to bring her blood sugar up so they said she was more than likely passed out or in a coma and wouldnt have known what was happening.

She had fast acting insulin and hadnt eaten that day so her sugar woukd have been low and declining. Toxicology wasnt 100% certain she even took the insulin but she sent a text saying id never see her again and she was found the next day in a hotel room, shed gone missing

Sorry to read that :( was it in recent time?

 

[gingerplum]

Sorry to read that :( was it in recent time?

I am truly sorry as well. I think it speaks to how rapidly she became disoriented and unconscious, if she didn't reach for a phone under her pillow. I hope you can take some small comfort in that.

 

[Shewaitsforme]

Sorry to read that :( was it in recent time?

It was May this year

 

[Shewaitsforme]

I am truly sorry as well. I think it speaks to how rapidly she became disoriented and unconscious, if she didn't reach for a phone under her pillow. I hope you can take some small comfort in that.

Tbh im angry at her because ive been accused of making her feel like she had to kill herself as she couldnt bare to loose me. She always thought i was gonna leave her no matter what i said. So since May ive lost everything and cant even return to work so thays why im on here. 2 hospital admissions since august, now in financial trouble, isolated etc. Ive always had mental health problems but after all the accusations since her death its too much. Cant afford to move away and start again so i just want to die and stop it all. This is why i say to people please try as mich as you can to limit the amount of impact you suicide has on others, i wonder did she even consider the impact her death would have, she purposfully went to the hotel, purposfully sent that message saying id never seen her again, she knew that not eating would lead to a hypo, she purposfully didnt answer her phone in the few hours after leaving home and getting to the hotel, her phone was on so at some point she just ignored the calls from me, family, friends, police (yep i reported her missing and they searched the house and car 3 times to make sure id not killed her and disposed of her body)

 

[gingerplum]

Tbh im angry at her because ive been accused of making her feel like she had to kill herself as she couldnt bare to loose me. She always thought i was gonna leave her no matter what i said. So since May ive lost everything and cant even return to work so thays why im on here. 2 hospital admissions since august, now in financial trouble, isolated etc. Ive always had mental health problems but after all the accusations since her death its too much. Cant afford to move away and start again so i just want to die and stop it all. This is why i say to people please try as mich as you can to limit the amount of impact you suicide has on others, i wonder did she even consider the impact her death would have, she purposfully went to the hotel, purposfully sent that message saying id never seen her again, she knew that not eating would lead to a hypo, she purposfully didnt answer her phone in the few hours after leaving home and getting to the hotel, her phone was on so at some point she just ignored the calls from me, family, friends, police (yep i reported her missing and they searched the house and car 3 times to make sure id not killed her and disposed of her body)

God, that hurts my heart to hear the pain you've gone thru. Of course you're angry... you're human. That is about as traumatic as it gets. It's also a reminder that ctb is, undoubtedly, selfish. It sounds to a degree she was trying to punish you, and naturally that adds to your pain and anger.

 

[Anima]

Tbh im angry at her because ive been accused of making her feel like she had to kill herself as she couldnt bare to loose me. She always thought i was gonna leave her no matter what i said. So since May ive lost everything and cant even return to work so thays why im on here. 2 hospital admissions since august, now in financial trouble, isolated etc. Ive always had mental health problems but after all the accusations since her death its too much. Cant afford to move away and start again so i just want to die and stop it all. This is why i say to people please try as mich as you can to limit the amount of impact you suicide has on others, i wonder did she even consider the impact her death would have, she purposfully went to the hotel, purposfully sent that message saying id never seen her again, she knew that not eating would lead to a hypo, she purposfully didnt answer her phone in the few hours after leaving home and getting to the hotel, her phone was on so at some point she just ignored the calls from me, family, friends, police (yep i reported her missing and they searched the house and car 3 times to make sure id not killed her and disposed of her body)

Oh god, sorry you have to go through so much pain, not only losing her but also having to deal with all of this. You have every right to be angry and hurt. Surely many things have an influence on why some of us make that final decision, but it seems unfair to blame it all on one person. It sounds very selfish to put you and others in a situation like this. I hope you don't blame yourself for what happened.

 

[WhoStevik]

Promethazine OD is not so peaceful. Any anticholinergic OD will be peaceful, they will be very disgusting in overdose. Psychosis, seizures, restlessness.

 

[Phade]

I've attempted via insulin at 50 units of fast acting (Novolin R) which was absolutely not enough. I'm type 1 and have access and everyone actually has access in the states as it's an over the counter drug. You can get that and needles right over the counter without question, sorry if this was discussed up top. It might require a substantial dose though, most of the time even with my dose of 50 units, you just crash and it refuses to go lower. I took that dose and went to sleep and still woke up four hours later and couldn't slip into a coma. Granted, I've had many low blood sugars and even that one was only tested at 43 and I've been as low as 27 with a non-overdose (well, not for death at least--accidental).

Overdose on insulin seems a bit risky from what I've experienced and could lead to other issues instead of a proper death.

 

[sadak_the_wanderer]

A particularly morbid nurse I know suggests insulin.

My research indicates that doctors largely preferred the barbiturates when they were readily available.

 

[MAIO]

There are really strict controls in place, however, they're all well-connected and sympathetic to each other. So, they have a community of peers and associates that they can get to write scripts for them.

The notable exception is anesthesiology. Those guys have complete control of who gets how much, and how it gets documented. Very easy for them to pilfer and divert drugs like Fentanyl.

What about CRNA's? Do they have an easy time getting drugs like Fentanyl?

 

[gingerplum]

Do you think it was quick?

Sad story, he was found by his daughter with a large kitchen knife in his chest.

I hope he was dead when found and not struggling for air.

I saw the article. I mean, the amount of time anyone could survive with a knife in their chest is pretty finite, but the really fucked up part is that he'd even take the chance of one of his kids finding him like that. That defies every parental instinct to protect your kids. The whole story is for sure one of the most bizarre things I've ever heard.

 

[gingerplum]

Think you meant 2.6 and yes ive been to patients as little as under 2 when ive checked there levels, she was still able to have a conversation. My partner during a hyper over 30 ended up in hospital with DKA, her hypers were harder to spot. Hypo she would mix her words up, sweat, almost look drunk sometimes become aggressive

How do you measure blood glucose in the UK? I'm curious, I don't think we're using the same scale. Here they're 70 to 120 mg/dL. 26 means holy shit, somebody run & get some D50.

 

[Kdawg2018]

how many fet patches would it take a non opiate user around 175lbs to ctb? I read an article that a guy went to party in mexico and asked the pool boy if he knew any1 working at a pharmacy and his aunt did, hooked him up with patches to get high on. I read that a pharmacy owner in US ctb with fet patches, I am close to Mexico...wonder what the chances of someone hooking me up would be? Also, what about prescription opiates? How many pills would it take to OD? I'm not sure what mg the pills are, but I might have access to some pills soon, any suggestions?

 

[Shewaitsforme]

How do you measure blood glucose in the UK? I'm curious, I don't think we're using the same scale. Here they're 70 to 120 mg/dL. 26 means holy shit, somebody run & get some D50.

Ah right yeah different scale over here then. She had a little machine and it reads below 5 is a hypo state and above 10 is hyper, when it read max it was above 30.

 

[gingerplum]

Ah right yeah different scale over here then. She had a little machine and it reads below 5 is a hypo state and above 10 is hyper, when it read max it was above 30.

Gotcha. You guys are using mmol/L. See if you can see this.
https://goo.gl/images/5cXMAf

 

[Shewaitsforme]

Gotcha. You guys are using mmol/L. See if you can see this.
https://goo.gl/images/5cXMAf

Yeah thats it, forgot what it was measured in. We use that scale on the ambance too but in hospital they use both ours and yours

 

[longingforrelease]

Tbh im angry at her because ive been accused of making her feel like she had to kill herself as she couldnt bare to loose me. She always thought i was gonna leave her no matter what i said. So since May ive lost everything and cant even return to work so thays why im on here. 2 hospital admissions since august, now in financial trouble, isolated etc. Ive always had mental health problems but after all the accusations since her death its too much. Cant afford to move away and start again so i just want to die and stop it all. This is why i say to people please try as mich as you can to limit the amount of impact you suicide has on others, i wonder did she even consider the impact her death would have, she purposfully went to the hotel, purposfully sent that message saying id never seen her again, she knew that not eating would lead to a hypo, she purposfully didnt answer her phone in the few hours after leaving home and getting to the hotel, her phone was on so at some point she just ignored the calls from me, family, friends, police (yep i reported her missing and they searched the house and car 3 times to make sure id not killed her and disposed of her body)

I'm sorry too for your experience. And I hear your call for us to try to limit the impact of our choice on those left behind. I've seen some very good relevant discussions here, including concerns for who will find our corpse and in what condition, the dangers of involving other people who may find themselves in serious legal trouble, and an interesting post with a link to something of a "how to" write a suicide note that might aid those left behind in their complex grief.
my best to you...