“And despite very fine doctors and a loving family and friendship network of hundreds who adored him beyond words and whom he adored too, the pain became overwhelming and unyielding and unbearable at last for our dear boy, this young man of surpassing promise to our broken world.” The Raskins said Monday that Tommy Raskin began experience depression in his 20s, something that became “a kind of relentless torture in the brain for him.” “He began to pen these extraordinary essays and articles that now add up to well over 100 as well as write plays and extremely long polemical poems, which he eagerly performed for audiences astounded by his precocious moral vision, utter authenticity of emotion, and beauty of expression,” the Raskins wrote. The Raskins described the joy they felt as parents as they watched their son, a second-year student at Harvard Law School and a graduate of Amherst College, “follow his own piercing moral and intellectual insights looking for answers to problems of injustice, poverty and war.” “He hated cliques and social snobbery, never had a negative word for anyone but tyrants and despots, and opposed all malicious gossip, stopping all such gossipers with a trademark Tommy line - ‘forgive me, but it’s hard to be a human.’ “ In their essay Monday, the Raskins detailed Tommy Raskin’s lifelong penchant for helping others, describing him as a “daring outspoken defender of all outcasts and kids in trouble” who “always made time for the loneliest kids in class” at every stage of life.ĭuring his high school prom, the Raskins wrote, Tommy Raskin “threw a dinner party for 24 fellow students, including classmates who had no date that evening, and they all went to prom together as a group.” The Maryland Democrat had announced his son’s death on New Year’s Eve and said in a statement this weekend that he was launching a memorial fund in Tommy Raskin’s name that will benefit the charities he championed, including the Helen Keller Institute and Animal Outlook. “Tommy Raskin had a perfect heart, a perfect soul, a riotously outrageous and relentless sense of humor, and a dazzling radiant mind,” the pair wrote. Jamie Raskin and his wife, Sarah, published an emotional tribute to their late son, Tommy, who died by suicide at 25 years old last week, describing him as “a radiant light in this broken world.” Important definition of chronic migraine described here.Rep. The International Classification of Headache Disorders, 3rd edition. Headache Classification Committee of the International Headache Society (IHS).Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Useful article for providing understanding of migraine mechanisms. Meta-analysis of 375,000 individuals identifies 38 susceptibility loci for migraine. Gormley P, Anttila V, Winsvold BS, Palta P, Esko T, Pers TH, et al. Refractory migraine and chronic migraine: pathophysiological mechanisms. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. There is a clear need for prospective studies in this population comprised of patients who have largely been excluded from other studies.Ĭhronic migraine Ketamine Lidocaine Raskin protocol Refractory headache. The use of aggressive inpatient infusion therapy consisting of intravenous lidocaine or ketamine, along with other adjunctive medications, has become increasingly common for these patients when all other treatments have failed. Many patients with refractory chronic migraine have experienced treatment failure with the Raskin protocol. In carefully monitored settings, the inpatient administration of intravenous lidocaine and ketamine can be successful in treating refractory chronic migraine. The purpose of this review is to discuss the available evidence and therapeutic considerations for intravenous drug therapy for refractory chronic migraine.
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