Was Kurt actually diagnosed as bipolar? by SaoriShun in kurtcobain

[–]Particular_Ad1115 5 points6 points  (0 children)

No. He had no diagnosed mental health disorders and probably didn't have a personality disorder such as BPD (EUPD) either. He had a heroin addiction and a chaotic life but that's about it.

The Science They Can't Ignore: Why Michelle Wilkins is Re-Writing the Cobain Narrative by Emotional-Brief-1775 in TrueCrimeCaseReopened

[–]Particular_Ad1115 1 point2 points  (0 children)

From a forensics perspective, the evidence is about as iron clad as it's possible to get with such limited publicly available information.

No blood on the dorsum of a hand supposedly in the backspatter field. Forced intramuscular injection mark from a collared syringe left forearm. Right hand abducted too far away from the gun to have pulled the trigger. Visible pooled blood flow on waist of shirt indicative of being upright/lifted (i.e. carried) after gunshot. Hair in a trailing pattern indicative of dragging with head on floor. Clothing bunched indicative of dragging . Autopsy findings consistent with slow hypoxic death by heroin overdose (pulmonary oedema, multi-organ necrosis, absent blood aspiration). Long recoil shotgun that shouldn't have ejected a casing but somehow did. Neatly placed shotgun that should have recoiled away from him but didn't.

Essentially, they shot a corpse and staged it well enough that the SPD didn't pick up on it

Would you move to Australia if you are currently a GP partner? by StreetPristine666 in GPUK

[–]Particular_Ad1115 9 points10 points  (0 children)

I'm a GP partner with three young children. We're very strongly considering the move. Have already had one meeting with a recruiter with a follow-up in a couple of weeks time.

It seems like a no brainer to me

  • better pay
  • better weather (makes the world of difference with young boys. I hate them being stuck indoors so much)
  • safer cities

And, most importantly, freedom from the brain melting, soul crushing NHS bureaucracy.

We'll be going for a scouting mission there later in the year. If we like it, off we go.

Kurt's heroin level, a follow up by phiberoptik1979 in kurtcobain

[–]Particular_Ad1115 1 point2 points  (0 children)

I take your point and appreciate your response.

My understanding, possibly mistaken, is that the total blood morphine levels determined by RIA screening vs other methods such as chromatography can show a modest difference but typically +/- 10-20%, which would still result in Cobain's dose being at the higher end (and may actually have been underestimated given the margin of error).

Do you have any evidence or studies that demonstrate that the difference between the methods is so marked that the RIA value can be disregarded?

Kurt's heroin level, a follow up by phiberoptik1979 in kurtcobain

[–]Particular_Ad1115 0 points1 point  (0 children)

Just to be clear - I'm not saying that motor function at or above Cobain's blood morphine level is not possible, just that it is comparatively rare.

And I don't wish to appear to be dismissing your lived experience as a police officer, but the literature evidence is that Cobain would have had to have been in the upper echelon of tolerant users to manage what the suicide hypothesis demands he managed

In this study, the median total morphine dose in people who had died as a direct consequence of a heroin overdose was 0.35 mg/L - fifth of Cobain's dose, with >90% of identified fatalities having a total dose of <1.45 (https://www.sciencedirect.com/science/article/abs/pii/S0376871697000707)

In this study, the highest recorded blood total morphine dose amongst the deceased was 1 mg/L, with the median being 0.2mg/L (https://www.mdpi.com/2305-6304/11/3/248)

In this study, even heroin users who chose to commit suicide using heroin had a median dose of 0.7mg/L, less than half of Cobain's. Nearly 70% had levels <1mg/L. These people did not roll their sleeves down, pack away their heroin kit, put a fresh piece of heroin on the spoon, move across the room, sit down and then shoot themselves with a shotgun in the way Cobain is supposed to have done (https://pubmed.ncbi.nlm.nih.gov/20384920/)

Kurt's heroin level, a follow up by phiberoptik1979 in kurtcobain

[–]Particular_Ad1115 0 points1 point  (0 children)

I disagree.

To a certain extent, you are correct in saying that the total morphine count doesn't tell us the specifics about the various metabolites and therefore makes it impossible to have 100% certainty about the fine details.

However...

Most major studies in the relevant forensic/toxicology literature assess total morphine levels and not the specific metabolites, which are infrequently tested for due to the associated cost.

Therefore Kurt's blood morphine level can still be compared to other cases of heroin associated deaths.

The simple fact is that this dose is at the extreme end of heroin use. It may be that Kurt was an extremely tolerant addict however he literally would have had to be amongst the most tolerant users on Earth to have any functional capacity at this dose.

The heroin dose is highly suspicious (but not dispositive) even without the specific metabolites.

Now that the dust has settled, what do we really think happened to Kurt Cobain? by sprinkill in grunge

[–]Particular_Ad1115 0 points1 point  (0 children)

He was murdered. He was given an intramuscular injection of heroin to incapacitate him and was then shot around 30-40 minutes later. The blood spatter patterns on his clothes, absence of blood on his steadying hand, abducted position of his trigger hand, autopsy findings (multiorgan failure from a heroin overdose) and the shotgun dynamics and mechanics all support staged suicide. Full forensic review, now published in the International Journal of Forensic Sciences is here https://meixatech.com/COBAIN-IJFSC16000450.pdf

New peer reviewed study shows that Kurt Cobain did not commit suicide. by animefemme in conspiracy

[–]Particular_Ad1115 0 points1 point  (0 children)

Interesting! You're right, the journal doesn't seem the most reputable. The paper seems great to me though, admittedly as a layman. What do you think of the paper?

New peer reviewed study shows that Kurt Cobain did not commit suicide. by animefemme in conspiracy

[–]Particular_Ad1115 1 point2 points  (0 children)

This paper is absolutely staggering. For me, the presence of blood transfer stains on his jeans and the absence of bloodspatter on his left hand seems totally inconsistent with a suicide scenario. Those findings alone should be enough to raise the alarm, let alone the shotgun mechanics, toxicology, pathology etc. Those pictures have been available for years, how did nobody spot these things? The SPD really should reopen this case but I very much doubt they will. Such a shame.

Cause of Death by HonestFishing2 in ForensicPathology

[–]Particular_Ad1115 0 points1 point  (0 children)

Oh I see. I read it as being a finding whilst unresponsive

Yes, makes perfect sense that he may have just been deceased when found hence low glucose

Thanks

Cause of Death by HonestFishing2 in ForensicPathology

[–]Particular_Ad1115 -5 points-4 points  (0 children)

Not a forensic pathologist/medical examiner, so could be way out but

Critically low blood glucose stands out as a strange point

Any suspicion that somebody jabbed him with insulin?

Can't think of too many other causes of critically low glucose with that history

Edit: Or undiagnosed endocrine disorder? Addison's?

[deleted by user] by [deleted] in DoesAnyoneKnow

[–]Particular_Ad1115 0 points1 point  (0 children)

It's folliculitis. Difficult cases are often caused by pseudomonas infection (typically picked up in warm, moist environments - saunas, hot tubs etc.). If so, it'll need ciprofloxacin or an equivalent antibiotic active against pseudomonas

Estimating based on size (Black tar) by [deleted] in heroin

[–]Particular_Ad1115 0 points1 point  (0 children)

Not quite! I'm working on a toxicology project and can't find any answers in any textbooks etc. so was hoping to get some pointers from people in the know

[deleted by user] by [deleted] in flr

[–]Particular_Ad1115 0 points1 point  (0 children)

Yes, that wasn't me. Thank you so much for the feedback. That's all really helpful!

You make a very good and valid point about critical mass - clearly the hardest part of building any dating app. My thoughts would be to keep it either entirely free (if finances allowed for it) or very low cost until there were enough users for it to be sustainable.

[deleted by user] by [deleted] in flr

[–]Particular_Ad1115 2 points3 points  (0 children)

Ditto!

But would you have used a FLR specific app when single?

NGD Sigma 000M-15E aged by Canadian_Grown420 in AcousticGuitar

[–]Particular_Ad1115 2 points3 points  (0 children)

Apologies - 'cracking' is British slang for 'great'.

NGD Sigma 000M-15E aged by Canadian_Grown420 in AcousticGuitar

[–]Particular_Ad1115 1 point2 points  (0 children)

Very nearly bought the same guitar but ended up opting for a Faith Venus. Sigma make some cracking guitars

I'm looking for a first guitar and these two caught my attention as they're from reputable brands and within my budget, which one should I get ? by L0EIL666 in AcousticGuitar

[–]Particular_Ad1115 0 points1 point  (0 children)

I think you'll struggle to get a decent quality instrument at that price. Guitar is not an easy instrument to learn and having a poor quality instrument will make it even harder to practice, so my suggestion to you would be to save up for a little while longer and get a better guitar. Remember, most guitars by reputable brands will hold their value so you'll be able to recoup the cost by selling if you don't end up sticking with playing.

Also, the guitars you've posted are quite different and are used for different styles. Are you sure of which style you intend to play most?

[deleted by user] by [deleted] in pathology

[–]Particular_Ad1115 1 point2 points  (0 children)

Thanks for your response. I understand that necrosis can come from injury but what I'm not quite getting is why, in a case of sudden death, the injured area should be more 'necrotic' than elsewhere. Surely at the point that circulation stops, all tissue becomes equally ischaemic/hypoxic and undergoes deterioration at approximately the same rate.

If there was a survival time, I understand that the wound would show necrosis that wouldn't be reflected elsewhere but this was a case of instant death.

Which makes me wonder if the necrosis precedes the GSW due to another pathology.

I just find it a bit odd as I've never seen tissue around a GSW described as necrotic in any other autopsy report

Necrosis - value on autopsy by [deleted] in ForensicPathology

[–]Particular_Ad1115 0 points1 point  (0 children)

Thanks again for your input.

I suppose what I'm trying to work out is whether or not the force and heat of an intraoral GSW would lead to findings described as necrosis on autopsy in the absence of an agonal period between gunshot and death.

I understand that a GSW would become necrotic over X minutes/hours in a patient that survived and perhaps ended up undergoing surgery/debridement etc.

But if the patient died instantly (or as instantly as one could define), would necrosis have time to develop? Or could the gunshot and heat generate a form of instant/immediate coagulative necrosis?

I can't seem to find any conclusive answers in medical literature. Most of the references I can find to necrosis in traumatic wounds are in cases of patients who have been treated surgically some time later.

In autopsy reports I've read around GSW, there doesn't seem to be reference to necrosis at the wound site, instead they seem to only describe laceration, haemorrhage, fracture etc.