Gym Experience

Seeing Gray

CLEAR

For Time Complete: 50 Ring Dips + 25 Burpees

STRONG

A. Build to a tough single in the Power Clean
B. 3 minutes of max reps of the Power Clean @ 85% of A.

NOTE: Log what you build to; load used on A, and how many reps accomplished in three minutes.

BALANCE

For Time Complete 10-1 Unbroken ladders of:
Power Snatch (95/55) + Box Jumps (24/20)

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WAR CONCEPT: Click to read “The Opiate Path”

 

The Opiate Path

The Opiate Path

When the first shadow of the Opiate thought travels into our mind we must recognize the thought and quickly push it out. It is only when we let the Opiate thought travel too far that our peace then gets stolen. We could be having a great day full of peaceful thinking, only to then get our peace stolen after shoveling the driveway for 90 minutes. This 90 minute shovel caused a slight uncomfortableness in our back to take form, which then our memory unlocks the Opiate remedy, and since its Saturday night anyway-then all of the past experiences of using Opiate not only for back pain, but also to have a good relaxing Saturday night on, come flooding back into our mind – and then the WAR begins. 

We start envisioning how the night can go on Opiate; and our imagination during such a time seems to work best, where our thoughts are vivid and powerful, even painting the perfect picture of the perfect night. We imagine positive conversations unfolding; even conversations that will lead to proactive speaking since the euphoric thinking will then lead to a euphoric flow in our speech; so we think.

We imagine hanging out with our wife and kids, and Opiate helps us to see the relaxed and proactive father that we can be while on Him. Our thinking then tells us that since we haven’t taken Opiate in a while, that all will be well with our decision to take Opiate on this night, and that its not that big of a deal to take Opiate on this night because of the fact that we have shown, in the past, that we can be somewhat moderate in the way that we take Opiate. 

So now the thought has traveled to far, and it is more than likely that we are going to strive to make that picture that we have so vividly created within our minds into a full blown reality- because in a weird way we are already high. The mind is so powerful in this sense in that the memory of past use triggers our natural dopamine to flush into our mind, causing a unique euphoric feeling to unfold, then creating a craving that affects our mood. Anything that we may have been active in; or any plans or reservations that we may have had, are now put aside, and our only focus now is on making that Opiate thought into something real. 

So now we move on, manipulating the night in a way that will align perfectly with where Opiate wants it to align. The phone call, and then the waiting; and during the waiting, time seems to travel slowly. It’s almost as if the clock gets put on pause, where every two minutes that go by only count as one. Now our once so peaceful afternoon, where we were working on our relationship with God through reading, prayer, and scripture study, has now been stolen; and even those peaceful spiritual thoughts have been stolen, almost creating a new character within us, and one that is dark and selfish. The charitable soul has left, and selfish soul has entered. 

The plans that we had before, of going to dinner and a movie with our wife, are not even really plans anymore, unless of course-we do make our vision come true. We don’t feel as if we can enjoy anything unless we receive that something from Opiate; that something being relief from the so called pressures of the world, only we are still trying to use that back pain from shoveling excuse to help mask our only wanting to escape reality. That’s what it really has become; the craving for the escape-and the want for the euphoric thinking. 

The back pain concept was only an excuse for us to travel towards the way of Opiate. And traveled towards the way of Opiate we have; and traveled towards the ways of God we have not, for Gods ways are simple and not euphoric, in which His happiness is spread out and does not come all in one rush as the Opiates false happiness comes. Opiates way is short lived. Gods way is long lived, however, His highs are not highs in the way that we sometimes would hope-because they are not highs associated with the the quick and immediate pleasures of this world, but are highs that only come from being charitable and less selfish in the way that we travel through life. 

Opiate can’t help us to appreciate life’s beautiful intricacies like God can. Opiate will lead us away from good sounding inspirational music; God will lead us towards good sounding inspirational music, for he will help us to be more receptive and appreciative for such sounds, then allowing emotions and memories to travel back into our minds, then creating a most magical high, and one that will be lasting. Opiate won’t allow us to enjoy scenery- or to even be physically active in nature. God will open up vistas for creative thinking to unfold while participating physically in nature. God will help us to see the beauty of the planet that we all live upon, and how by creating unique experiences for ourselves in such beautiful areas will lead to feelings of gratitude towards all things, and even to having a love for all people and things, then leading us to acting in a way that will be in line with the spiritual. 

Opiate blocks the spiritual rays, where we cannot feel the warmth that spirituality can offer us. Opiate’s offer is in the shadows; Gods offer is in the light. When we travel in the shadows for a time, it gets harder and harder to get back to the light, however, it is possible – since God can help us to overcome all things.

Remote Experience

Exercise Is Spiritual

EXPERIENCE NOTE: Do this experience in a unique location; even a location that will assist you in remembering the good old past. 

A. 5 Minute Warm Up Jog. While Jogging get lost in meditative thought and prayer. Think about all of the things that you are thankful for in your life – and even pray about all of the things you are thankful for.

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B.  Sprint for 30 seconds at 90% effort, walk for 30 seconds X 20. While doing this experience think about how great it is that you have had the courage to embark on such an experience. Be creative in your thinking and try to think about what other experiences you could create for yourself. Get lost in thoughts of gratitude and start thinking of someone that you could get in touch with that maybe you haven’t spoken to in a while. Is there someone that you could send a text message to- telling them how thankful you are for them and that you love them? 

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C. 5 Minute Cool Down Jog. Say another prayer asking for help in overcoming your fears and weaknesses. 

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D. Send out that text message to that person you were thinking of in part B. Don’t be afraid, for an incredible experience awaits you. 

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E. Write about the experience. Email me what you [email protected]

Gym Experience

 Find A Spiritual Sport

 

CLEAR

A. 10 Fast Burpees; rest 30 seconds X 4
B. 150 Double Unders For Time

STRONG

A. Shoulder Press 10, 8, 6, 4, 2; rest 2 minutes
B. 2-3 Close Grip Bench; rest 2 minutes X 3

NOTE: log loads used on both A & B. 

BALANCE

3 Rounds For Max Reps of:
2 Minute Row
      rest 1 minute
1 Minute Hand Release Push Ups
      rest 30 seconds
30 Seconds of Toes2Bar
      rest 3 minutes

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WAR CONCEPT: Click To Read “Split Personality”

 

Split Personality

Split Personality

When the battle enters into your mind you almost develop a split personality. You may come to find that your chase isn’t going to work out, so you then try to go back to your spiritual ways but it’s not that easy. You see, in your mind you had already committed. In your mind you had already taken the substance, and you would’ve most definitely taken the substance, only you didn’t take the substance because you couldn’t get the substance; and that’s the only reason why you didn’t relapse, only because of the mere fact that it didn’t work out. But it did work out in your mind, so going back to your peaceful spiritual way of thinking becomes a quite a challenge; therefore you become caught in the middle of two personalities.

For instance, when you’ve been doing good for a long time, and you then let an addictive concept swell in your mind to the  point where you eventually act on that addictive concept, and even relapse; you then recollect the entire time of clarity you’d since had, and realize that the Invisible Hand was cleverly directing you during that time. And now because of this relapse experience, you have come to the understanding that the Invisible Hand will grant you His Invisible Hand of help as long as you diligently strive to walk His obedient path; however, when you relapse – you notice that His spirit leaves you for a time because His spirit obviously cannot dwell in places that are not clean.

You automatically can feel that His spirit has left you-where now all you feel is the fake worldly substance that you so easily gave way too. When you come down, you are lower than ever because of the dark hole that has been left in you. This hole used to be filled with the Invisible Hands love, light and guidance, and has since diminished and darkened due to the relapse. The worldly substance that you gave way to uses the touch and go approach, for its effects cannot last, and are fake and even temporary. The worldly substance pushes the Invisible Hands light out, causing a false experience to occur; an experience that comes and goes quickly, leaving you now with nothing but what the world has to offer.

Now it’s up to you to feel that hole with the light once again; it’s up to you to be diligent in your pursuit to getting that relationship back. You can’t be caught in between, or  you’ll feel nothing. You’re either going hard towards the ways of the world, or you’re going hard towards the ways of the Invisible Hand; because being caught in between only leads to confusion and eventually consistent participation in the ways of the world.

When we are living the clear obedient life; or the life that the Invisible Hand would have us live, we are in tune to receiving a part of Him; a part of His love; a part of His kindness; a part of His charity; a part of His patience; a part of His intelligence; a part of His temperance; a part of all of His wonderful ways, which are the good ways, the magnificent ways, and even the happy ways.

When we relapse, our tune becomes lost. The clear whisper that was once spoken into our minds, becomes blocked because of the selfishness that has now engulfed our way of thinking. The Invisible Hands ways aren’t the selfish ways. His ways are the charitable ways. His way is to love thy neighbor, and to be in the service others, and even forgiving of others. The substances of this world make us selfish, and when a relapse occurs we have to work ever so hard to get His love and light back into our heart.

-Hawk

Gym Experience

The Study Buddies- Right? Wrong..

CLEAR

A. 15 Toes2Bar; rest 1 minute X 3
B. 10 KB Snatch; rest 1 minute X 3

NOTE: Work on using those hips on the KB snatch. Be strong at the top, even punching through aggressively. After completing B, warm up to the load you are going to use for part A in strong. 

STRONG

A. 3 Squat Clean; on the minute for 10 minutes @ 55-70% of 1RM
B. 2-3 Bar Muscle Ups; on the minute for 10 minutes

NOTE: Scale bar muscle up with 3 CTB pull ups+ 3 Ring Dips. Log the load you use on part A, as this will be important for future programming.

BALANCE

15-12-9 reps for time of:
Squat Clean (135/75) + CTB Pull Ups

NOTE: log how you do..make sure you are complete in your range of motion, bouncing out of the bottom.

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WAR CONCEPT: Moving on from last week and into this week -I want to keep examining Amphetamine, particularly the drug known as Adderall. Please chip away at the following article. It’s a fairly long read, but just chip away at it and make sure you get through it so that we can all be on the same page and moving forward. This is an educational program, therefore, we need to be educated as of to what’s happening in the world around us so that we can be prepared to help the people who need helping. I would love to hear your comments concerning this article. You can email them to me, or you can post to comments. Thanks….

Click to Read: Drowned In a Stream of Prescriptions 

 

Drowned In a Stream of Prescriptions

Very interesting read. Please chip away at this as it’s somewhat long; however, it is a must read so work your way through it. Thanks. Post thoughts to comments…

Drowned In a Stream of Prescriptions

Before his addiction, Richard Fee was a popular college class president and aspiring medical student. “You keep giving Adderall to my son, you’re going to kill him,” said Rick Fee, Richard’s father, to one of his son’s doctors.

By 
Published: February 2, 2013

VIRGINIA BEACH — Every morning on her way to work, Kathy Fee holds her breath as she drives past the squat brick building that houses Dominion Psychiatric Associates.

It was there that her son, Richard, visited a doctor and received prescriptions for Adderall, an amphetamine-based medication for attention deficit hyperactivity disorder. It was in the parking lot that she insisted to Richard that he did not have A.D.H.D., not as a child and not now as a 24-year-old college graduate, and that he was getting dangerously addicted to the medication. It was inside the building that her husband, Rick, implored Richard’s doctor to stop prescribing him Adderall, warning, “You’re going to kill him.”

It was where, after becoming violently delusional and spending a week in a psychiatric hospital in 2011, Richard met with his doctor and received prescriptions for 90 more days of Adderall. He hanged himself in his bedroom closet two weeks after they expired.

The story of Richard Fee, an athletic, personable college class president and aspiring medical student, highlights widespread failings in the system through which five million Americans take medication for A.D.H.D., doctors and other experts said.

Medications like Adderall can markedly improve the lives of children and others with the disorder. But the tunnel-like focus the medicines provide has led growing numbers of teenagers and young adults to fake symptoms to obtain steady prescriptions for highly addictive medications that carry serious psychological dangers. These efforts are facilitated by a segment of doctors who skip established diagnostic procedures, renew prescriptions reflexively and spend too little time with patients to accurately monitor side effects.

Richard Fee’s experience included it all. Conversations with friends and family members and a review of detailed medical records depict an intelligent and articulate young man lying to doctor after doctor, physicians issuing hasty diagnoses, and psychiatrists continuing to prescribe medication — even increasing dosages — despite evidence of his growing addiction and psychiatric breakdown.

Very few people who misuse stimulants devolve into psychotic or suicidal addicts. But even one of Richard’s own physicians, Dr. Charles Parker, characterized his case as a virtual textbook for ways that A.D.H.D. practices can fail patients, particularly young adults. “We have a significant travesty being done in this country with how the diagnosis is being made and the meds are being administered,” said Dr. Parker, a psychiatrist in Virginia Beach. “I think it’s an abnegation of trust. The public needs to say this is totally unacceptable and walk out.”

Young adults are by far the fastest-growing segment of people taking A.D.H.D medications. Nearly 14 million monthly prescriptions for the condition were written for Americans ages 20 to 39 in 2011, two and a half times the 5.6 million just four years before, according to the data company I.M.S. Health. While this rise is generally attributed to the maturing of adolescents who have A.D.H.D. into young adults — combined with a greater recognition of adult A.D.H.D. in general — many experts caution that savvy college graduates, freed of parental oversight, can legally and easily obtain stimulant prescriptions from obliging doctors.

“Any step along the way, someone could have helped him — they were just handing out drugs,” said Richard’s father. Emphasizing that he had no intention of bringing legal action against any of the doctors involved, Mr. Fee said: “People have to know that kids are out there getting these drugs and getting addicted to them. And doctors are helping them do it.”

 

“…when he was in elementary school he fidgeted, daydreamed and got A’s. he has been an A-B student until mid college when he became scattered and he wandered while reading He never had to study. Presently without medication, his mind thinks most of the time, he procrastinated, he multitasks not finishing in a timely manner.”

Dr. Waldo M. Ellison
Richard Fee initial evaluation
Feb. 5, 2010

 

Richard began acting strangely soon after moving back home in late 2009, his parents said. He stayed up for days at a time, went from gregarious to grumpy and back, and scrawled compulsively in notebooks. His father, while trying to add Richard to his health insurance policy, learned that he was taking Vyvanse for A.D.H.D.

Richard explained to him that he had been having trouble concentrating while studying for medical school entrance exams the previous year and that he had seen a doctor and received a diagnosis. His father reacted with surprise. Richard had never shown any A.D.H.D. symptoms his entire life, from nursery school through high school, when he was awarded a full academic scholarship to Greensboro College in North Carolina. Mr. Fee also expressed concerns about the safety of his son’s taking daily amphetamines for a condition he might not have.

“The doctor wouldn’t give me anything that’s bad for me,” Mr. Fee recalled his son saying that day. “I’m not buying it on the street corner.”

Richard’s first experience with A.D.H.D. pills, like so many others’, had come in college. Friends said he was a typical undergraduate user — when he needed to finish a paper or cram for exams, one Adderall capsule would jolt him with focus and purpose for six to eight hours, repeat as necessary.

So many fellow students had prescriptions or stashes to share, friends of Richard recalled in interviews, that guessing where he got his was futile. He was popular enough on campus — he was sophomore class president and played first base on the baseball team — that they doubted he even had to pay the typical $5 or $10 per pill.

“He would just procrastinate, wait till the last minute and then take a pill to study for tests,” said Ryan Sykes, a friend. “It got to the point where he’d say he couldn’t get anything done if he didn’t have the Adderall.”

Various studies have estimated that 8 percent to 35 percent of college students take stimulant pills to enhance school performance. Few students realize that giving or accepting even one Adderall pill from a friend with a prescription is a federal crime. Adderall and its stimulant siblings are classified by the Drug Enforcement Administration as Schedule II drugs, in the same category as cocaine, because of their highly addictive properties.

“It’s incredibly nonchalant,” Chris Hewitt, a friend of Richard, said of students’ attitudes to the drug. “It’s: ‘Anyone have any Adderall? I want to study tonight,’ ” said Mr. Hewitt, now an elementary school teacher in Greensboro.

After graduating with honors in 2008 with a degree in biology, Richard planned to apply to medical schools and stayed in Greensboro to study for the entrance exams. He remembered how Adderall had helped him concentrate so well as an undergraduate, friends said, and he made an appointment at the nearby Triad Psychiatric and Counseling Center.

According to records obtained by Richard’s parents after his death, a nurse practitioner at Triad detailed his unremarkable medical and psychiatric history before recording his complaints about “organization, memory, attention to detail.” She characterized his speech as “clear,” his thought process “goal directed” and his concentration “attentive.”

Richard filled out an 18-question survey on which he rated various symptoms on a 0-to-3 scale. His total score of 29 led the nurse practitioner to make a diagnosis of “A.D.H.D., inattentive-type” — a type of A.D.H.D. without hyperactivity. She recommended Vyvanse, 30 milligrams a day, for three weeks.

Phone and fax requests to Triad officials for comment were not returned.

Some doctors worry that A.D.H.D. questionnaires, designed to assist and standardize the gathering of a patient’s symptoms, are being used as a shortcut to diagnosis. C. Keith Conners, a longtime child psychologist who developed a popular scale similar to the one used with Richard, said in an interview that scales like his “have reinforced this tendency for quick and dirty practice.”

Dr. Conners, an emeritus professor of psychiatry and behavioral sciences at Duke University Medical Center, emphasized that a detailed life history must be taken and other sources of information — such as a parent, teacher or friend — must be pursued to learn the nuances of a patient’s difficulties and to rule out other maladies before making a proper diagnosis of A.D.H.D. Other doctors interviewed said they would not prescribe medications on a patient’s first visit, specifically to deter the faking of symptoms.

According to his parents, Richard had no psychiatric history, or even suspicion of problems, through college. None of his dozen high school and college acquaintances interviewed for this article said he had ever shown or mentioned behaviors related to A.D.H.D. — certainly not the “losing things” and “difficulty awaiting turn” he reported on the Triad questionnaire — suggesting that he probably faked or at least exaggerated his symptoms to get his diagnosis.

That is neither uncommon nor difficult, said David Berry, a professor and researcher at the University of Kentucky. He is a co-author of a 2010 study that compared two groups of college students — those with diagnoses of A.D.H.D. and others who were asked to fake symptoms — to see whether standard symptom questionnaires could tell them apart. They were indistinguishable.

“With college students,” Dr. Berry said in an interview, “it’s clear that it doesn’t take much information for someone who wants to feign A.D.H.D. to do so.”

Richard Fee filled his prescription for Vyvanse within hours at a local Rite Aid. He returned to see the nurse three weeks later and reported excellent concentration: “reading books — read 10!” her notes indicate. She increased his dose to 50 milligrams a day. Three weeks later, after Richard left a message for her asking for the dose to go up to 60, which is on the high end of normal adult doses, she wrote on his chart, “Okay rewrite.”

Richard filled that prescription later that afternoon. It was his third month’s worth of medication in 43 days.

 

“The patient is a 23-year-old Caucasian male who presents for refill of vyvanse — recently started on this while in NC b/c of lack of motivation/ loss of drive. Has moved here and wants refill”

Dr. Robert M. Woodard
Notes on Richard Fee
Nov. 11, 2009

 

Richard scored too low on the MCAT in 2009 to qualify for a top medical school. Although he had started taking Vyvanse for its jolts of focus and purpose, their side effects began to take hold. His sleep patterns increasingly scrambled and his mood darkening, he moved back in with his parents in Virginia Beach and sought a local physician to renew his prescriptions.

A friend recommended a family physician, Dr. Robert M. Woodard. Dr. Woodard heard Richard describe how well Vyvanse was working for his A.D.H.D., made a diagnosis of “other malaise and fatigue” and renewed his prescription for one month. He suggested that Richard thereafter see a trained psychiatrist at Dominion Psychiatric Associates — only a five-minute walk from the Fees’ house.

With eight psychiatrists and almost 20 therapists on staff, Dominion Psychiatric is one of the better-known practices in Virginia Beach, residents said. One of its better-known doctors is Dr. Waldo M. Ellison, a practicing psychiatrist since 1974.

In interviews, some patients and parents of patients of Dr. Ellison’s described him as very quick to identify A.D.H.D. and prescribe medication for it. Sandy Paxson of nearby Norfolk said she took her 15-year-old son to see Dr. Ellison for anxiety in 2008; within a few minutes, Mrs. Paxson recalled, Dr. Ellison said her son had A.D.H.D. and prescribed him Adderall.

“My son said: ‘I love the way this makes me feel. It helps me focus for school, but it’s not getting rid of my anxiety, and that’s what I need,’ ” Mrs. Paxson recalled. “So we went back to Dr. Ellison and told him that it wasn’t working properly, what else could he give us, and he basically told me that I was wrong. He basically told me that I was incorrect.”

Dr. Ellison met with Richard in his office for the first time on Feb. 5, 2010. He took a medical history, heard Richard’s complaints regarding concentration, noted how he was drumming his fingers and made a diagnosis of A.D.H.D. with “moderate symptoms or difficulty functioning.” Dominion Psychiatric records of that visit do not mention the use of any A.D.H.D. symptom questionnaire to identify particular areas of difficulty or strategies for treatment.

As the 47-minute session ended, Dr. Ellison prescribed a common starting dose of Adderall: 30 milligrams daily for 21 days. Eight days later, while Richard still had 13 pills remaining, his prescription was renewed for 30 more days at 50 milligrams.

Through the remainder of 2010, in appointments with Dr. Ellison that usually lasted under five minutes, Richard returned for refills of Adderall. Records indicate that he received only what was consistently coded as “pharmacologic management” — the official term for quick appraisals of medication effects — and none of the more conventional talk-based therapy that experts generally consider an important component of A.D.H.D. treatment.

His Adderall prescriptions were always for the fast-acting variety, rather than the extended-release formula that is less prone to abuse.

 

“PATIENT DOING WELL WITH THE MEDICATION, IS CALM, FOCUSED AND ON TASK, AND WILL RETURN TO OFFICE IN 3 MONTHS”

Dr. Waldo M. Ellison
Notes on Richard Fee
Dec. 11, 2010

 

Regardless of what he might have told his doctor, Richard Fee was anything but well or calm during his first year back home, his father said.

Blowing through a month’s worth of Adderall in a few weeks, Richard stayed up all night reading and scribbling in notebooks, occasionally climbing out of his bedroom window and on to the roof to converse with the moon and stars. When the pills ran out, he would sleep for 48 hours straight and not leave his room for 72. He got so hot during the day that he walked around the house with ice packs around his neck — and in frigid weather, he would cool off by jumping into the 52-degree backyard pool.

As Richard lost a series of jobs and tensions in the house ran higher — particularly when talk turned to his Adderall — Rick and Kathy Fee continued to research the side effects of A.D.H.D. medication. They learned that stimulants are exceptionally successful at mollifying the impulsivity and distractibility that characterize classic A.D.H.D., but that they can cause insomnia, increased blood pressure and elevated body temperature. Food and Drug Administration warnings on packaging also note “high potential for abuse,” as well as psychiatric side effects such as aggression, hallucinations and paranoia.

2006 study in the journal Drug and Alcohol Dependence claimed that about 10 percent of adolescents and young adults who misused A.D.H.D. stimulants became addicted to them. Even proper, doctor-supervised use of the medications can trigger psychotic behavior or suicidal thoughts in about 1 in 400 patients, according to a 2006 study in The American Journal of Psychiatry. So while a vast majority of stimulant users will not experience psychosis — and a doctor may never encounter it in decades of careful practice — the sheer volume of prescriptions leads to thousands of cases every year, experts acknowledged.

When Mrs. Fee noticed Richard putting tape over his computer’s camera, he told her that people were spying on him. (He put tape on his fingers, too, to avoid leaving fingerprints.) He cut himself out of family pictures, talked to the television and became increasingly violent when agitated.

In late December, Mr. Fee drove to Dominion Psychiatric and asked to see Dr. Ellison, who explained that federal privacy laws forbade any discussion of an adult patient, even with the patient’s father. Mr. Fee said he had tried unsuccessfully to detail Richard’s bizarre behavior, assuming that Richard had not shared such details with his doctor.

“I can’t talk to you,” Mr. Fee recalled Dr. Ellison telling him. “I did this one time with another family, sat down and talked with them, and I ended up getting sued. I can’t talk with you unless your son comes with you.”

Mr. Fee said he had turned to leave but distinctly recalls warning Dr. Ellison, “You keep giving Adderall to my son, you’re going to kill him.”

Dr. Ellison declined repeated requests for comment on Richard Fee’s case. His office records, like those of other doctors involved, were obtained by Mr. Fee under Virginia and federal law, which allow the legal representative of a deceased patient to obtain medical records as if he were the patient himself.

As 2011 began, the Fees persuaded Richard to see a psychologist, Scott W. Sautter, whose records note Richard’s delusions, paranoia and “severe and pervasive mental disorder.” Dr. Sautter recommended that Adderall either be stopped or be paired with a sleep aid “if not medically contraindicated.”

Mr. Fee did not trust his son to share this report with Dr. Ellison, so he drove back to Dominion Psychiatric and, he recalled, was told by a receptionist that he could leave the information with her. Mr. Fee said he had demanded to put it in Dr. Ellison’s hands himself and threatened to break down his door in order to do so.

Mr. Fee said that Dr. Ellison had then come out, read the report and, appreciating the gravity of the situation, spoken with him about Richard for 45 minutes. They scheduled an appointment for the entire family.

 

“meeting with parents — concern with ‘metaphoric’ speaking that appears to be outside the realm of appropriated one to one conversation. Richard says he does it on purpose — to me some of it sounds like pre-psychotic thinking.”

Dr. Waldo M. Ellison
Notes on Richard Fee
Feb. 23, 2011

 

Dr. Ellison stopped Richard Fee’s prescription — he wrote “no Adderall for now” on his chart and the next day refused Richard’s phone request for more. Instead he prescribed Abilify and Seroquel, antipsychotics for schizophrenia that do not provide the bursts of focus and purpose that stimulants do. Richard became enraged, his parents recalled. He tried to back up over his father in the Dominion Psychiatric parking lot and threatened to burn the house down. At home, he took a baseball bat from the garage, smashed flower pots and screamed, “You’re taking my medicine!”

Richard disappeared for a few weeks. He returned to the house when he learned of his grandmother’s death, the Fees said.

The morning after the funeral, Richard walked down Potters Road to what became a nine-minute visit with Dr. Ellison. He left with two prescriptions: one for Abilify, and another for 50 milligrams a day of Adderall.

According to Mr. Fee, Richard later told him that he had lied to Dr. Ellison — he told the doctor he was feeling great, life was back on track and he had found a job in Greensboro that he would lose without Adderall. Dr. Ellison’s notes do not say why he agreed to start Adderall again.

Richard’s delusions and mood swings only got worse, his parents said. They would lock their bedroom door when they went to sleep because of his unpredictable rages. “We were scared of our own son,” Mr. Fee said. Richard would blow through his monthly prescriptions in 10 to 15 days and then go through hideous withdrawals. A friend said that he would occasionally get Richard some extra pills during the worst of it, but that “it wasn’t enough because he would take four or five at a time.”

One night during an argument, after Richard became particularly threatening and pushed him over a chair, Mr. Fee called the police. They arrested Richard for domestic violence. The episode persuaded Richard to see another local psychiatrist, Dr. Charles Parker.

Mrs. Fee said she attended Richard’s initial consultation on June 3 with Dr. Parker’s clinician, Renee Strelitz, and emphasized his abuse of Adderall. Richard “kept giving me dirty looks,” Mrs. Fee recalled. She said she had later left a detailed message on Ms. Strelitz’s voice mail, urging her and Dr. Parker not to prescribe stimulants under any circumstances when Richard came in the next day.

Dr. Parker met with Richard alone. The doctor noted depression, anxiety and suicidal ideas. He wrote “no meds” with a box around it — an indication, he explained later, that he was aware of the parents’ concerns regarding A.D.H.D. stimulants.

Dr. Parker wrote three 30-day prescriptions: Clonidine (a sleep aid), Venlafaxine (an antidepressant) and Adderall, 60 milligrams a day.

In an interview last November, Dr. Parker said he did not recall the details of Richard’s case but reviewed his notes and tried to recreate his mind-set during that appointment. He said he must have trusted Richard’s assertions that medication was not an issue, and must have figured that his parents were just philosophically anti-medication. Dr. Parker recalled that he had been reassured by Richard’s intelligent discussions of the ins and outs of stimulants and his desire to pursue medicine himself.

“He was smart and he was quick and he had A’s and B’s and wanted to go to medical school — and he had all the deportment of a guy that had the potential to do that,” Dr. Parker said. “He didn’t seem like he was a drug person at all, but rather a person that was misunderstood, really desirous of becoming a physician. He was very slick and smooth. He convinced me there was a benefit.”

Mrs. Fee was outraged. Over the next several days, she recalled, she repeatedly spoke with Ms. Strelitz over the phone to detail Richard’s continued abuse of the medication (she found nine pills gone after 48 hours) and hand-delivered Dr. Sautter’s appraisal of his recent psychosis. Dr. Parker confirmed that he had received this information.

Richard next saw Dr. Parker on June 27. Mrs. Fee drove him to the clinic and waited in the parking lot. Soon afterward, Richard returned and asked to head to the pharmacy to fill a prescription. Dr. Parker had raised his Adderall to 80 milligrams a day.

Dr. Parker recalled that the appointment had been a 15-minute “med check” that left little time for careful assessment of any Adderall addiction. Once again, Dr. Parker said, he must have believed Richard’s assertions that he needed additional medicine more than the family’s pleas that it be stopped.

“He was pitching me very well — I was asking him very specific questions, and he was very good at telling me the answers in a very specific way,” Dr. Parker recalled. He added later, “I do feel partially responsible for what happened to this kid.”

 

“Paranoid and psychotic … thinking that the computer is spying on him. He has also been receiving messages from stars at night and he is unable to be talked to in a reasonable fashion … The patient denies any mental health problems … fairly high risk for suicide.”

Dr. John Riedler
Admission note for Richard Fee
Virginia Beach Psychiatric Center
July 8, 2011

 

The 911 operator answered the call and heard a young man screaming on the other end. His parents would not give him his pills. With the man’s language scattered and increasingly threatening, the police were sent to the home of Rick and Kathy Fee.

The Fees told officers that Richard was addicted to Adderall, and that after he had received his most recent prescription, they allowed him to fill it through his mother’s insurance plan on the condition that they hold it and dispense it appropriately. Richard was now demanding his next day’s pills early.

Richard denied his addiction and threats. So the police, noting that Richard was an adult, instructed the Fees to give him the bottle. They said they would comply only if he left the house for good. Officers escorted Richard off the property.

A few hours later Richard called his parents, threatening to stab himself in the head with a knife. The police found him and took him to the Virginia Beach Psychiatric Center.

Described as “paranoid and psychotic” by the admitting physician, Dr. John Riedler, Richard spent one week in the hospital denying that he had any psychiatric or addiction issues. He was placed on two medications: Seroquel and the antidepressant Wellbutrin, no stimulants. In his discharge report, Dr. Riedler noted that Richard had stabilized but remained severely depressed and dependent on both amphetamines and marijuana, which he would smoke in part to counter the buzz of Adderall and the depression from withdrawal.

(Marijuana is known to increase the risk for schizophrenia, psychosis and memory problems, but Richard had smoked pot in high school and college with no such effects, several friends recalled. If that was the case, “in all likelihood the stimulants were the primary issue here,” said Dr. Wesley Boyd, a psychiatrist at Children’s Hospital Boston and Cambridge Health Alliance who specializes in adolescent substance abuse.)

Unwelcome at home after his discharge from the psychiatric hospital, Richard stayed in cheap motels for a few weeks. His Adderall prescription from Dr. Parker expired on July 26, leaving him eligible for a renewal. He phoned the office of Dr. Ellison, who had not seen him in four months.

 

“moved out of the house — doesn’t feel paranoid or delusional. Hasn’t been on meds for a while — working with a friend wiring houses rto 3 months — doesn’t feel he needs the abilify or seroquel for sleep.”

Dr. Waldo M. Ellison
Notes on Richard Fee
July 25, 2011

 

The 2:15 p.m. appointment went better than Richard could have hoped. He told Dr. Ellison that the pre-psychotic and metaphoric thinking back in March had receded, and that all that remained was his A.D.H.D. He said nothing of his visits to Dr. Parker, his recent prescriptions or his week in the psychiatric hospital.

At 2:21 p.m., according to Dr. Ellison’s records, he prescribed Richard 30 days’ worth of Adderall at 50 milligrams a day. He also gave him prescriptions postdated for Aug. 23 and Sept. 21, presumably to allow him to get pills into late October without the need for follow-up appointments. (Virginia state law forbids the dispensation of 90 days of a controlled substance at one time, but does allow doctors to write two 30-day prescriptions in advance.)

Virginia is one of 43 states with a formal Prescription Drug Monitoring Program, an online database that lets doctors check a patient’s one-year prescription history, partly to see if he or she is getting medication elsewhere. Although pharmacies are required to enter all prescriptions for controlled substances into the system, Virginia law does not require doctors to consult it.

Dr. Ellison’s notes suggest that he did not check the program before issuing the three prescriptions to Richard, who filled the first within hours.

The next morning, during a scheduled appointment at Dr. Parker’s clinic, Ms. Strelitz wrote in her notes: “Richard is progressing. He reported staying off of the Adderall and on no meds currently. Focusing on staying healthy, eating well and exercising.”

About a week later, Richard called his father with more good news: a job he had found overseeing storm cleanup crews was going well. He was feeling much better.

But Mr. Fee noticed that the more calm and measured speech that Richard had regained during his hospital stay was gone. He jumped from one subject to the next, sounding anxious and rushed. When the call ended, Mr. Fee recalled, he went straight to his wife.

“Call your insurance company,” he said, “and find out if they’ve filled any prescriptions for Adderall.”

 

“spoke to father — richard was in VBPC [Virginia Beach Psychiatric Center] and OD on adderall — NO STIMULANTS — HE WAS ALSO SEEING DR. PARKER”

Dr. Waldo M. Ellison
Interoffice e-mail
Aug. 5, 2011

 

An insurance representative confirmed that Richard had filled a prescription for Adderall on July 25. Mr. Fee confronted Dr. Ellison in the Dominion Psychiatric parking lot.

Mr. Fee told him that Richard had been in the psychiatric hospital, had been suicidal and had been taking Adderall through June and July. Dr. Ellison confirmed that he had written not only another prescription but two others for later in August and September.

“He told me it was normal procedure and not 90 days at one time,” Mr. Fee recalled. “I flipped out on him: ‘You gave my son 90 days of Adderall? You’re going to kill him!’ ”

Mr. Fee said he and Dr. Ellison had discussed voiding the two outstanding scripts. Mr. Fee said he had been told that it was possible, but that should Richard need emergency medical attention, it could keep him from getting what would otherwise be proper care or medication. Mr. Fee confirmed that with a pharmacist and decided to drive to Richard’s apartment and try to persuade him to rip up the prescriptions.

“I know that you’ve got these other prescriptions to get pills,” Mr. Fee recalled telling Richard. “You’re doing so good. You’ve got a job. You’re working. Things with us are better. If you get them filled, I’m worried about what will happen.”

“You’re right,” Mr. Fee said Richard had replied. “I tore them up and threw them away.”

Mr. Fee spent two more hours with Richard making relative small talk — increasingly gnawed, he recalled later, by the sense that this was no ordinary conversation. As he looked at Richard he saw two images flickering on top of each other — the boy he had raised to love school and baseball, and the desperate addict he feared that boy had become.

Before he left, Mr. Fee made as loving a demand as he could muster.

“Please. Give them to me,” Mr. Fee said.

Richard looked his father dead in the eye.

“I destroyed them,” he said. “I don’t have them. Don’t worry.”

 

“Richard said that he has stopped Adderall and wants to work on continuing to progress.”

Renee Strelitz
Session notes
Sept. 13, 2011

 

Richard generally filled his prescriptions at a CVS on Laskin Road, less than three miles from his parents’ home. But on Aug. 23, he went to a different CVS about 11 miles away, closer to Norfolk and farther from the locations that his father might have called to alert them to the situation. For his Sept. 21 prescription he traveled even farther, into Norfolk, to get his pills.

On Oct. 3, Richard visited Dr. Ellison for an appointment lasting 17 minutes. The doctor prescribed two weeks of Strattera, a medication for A.D.H.D. that contains no amphetamines and, therefore, is neither a controlled substance nor particularly prone to abuse. His records make no mention of the Adderall prescription Richard filled on Sept. 21; they do note, however, “Father says that he is crazy and abusive of the Adderall — has made directives with regard to giving Richard anymore stimulants — bringing up charges — I explained this to Richard.”

Prescription records indicate that Richard did not fill the Strattera prescription before returning to Dr. Ellison’s office two weeks later to ask for more stimulants.

“Patient took only a few days of Strattera 40 mg — it calmed him but not focusing,” the doctor’s notes read. “I had told him not to look for much initially — He would like a list of MD who could rx adderall.”

Dr. Ellison never saw Richard again. Given his patterns of abuse, friends said, Richard probably took his last Adderall pill in early October. Because he abruptly stopped without the slow and delicate reduction of medication that is recommended to minimize major psychological risks, especially for instant-release stimulants, he crashed harder than ever.

Richard’s lifelong friend Ryan Sykes was one of the few people in contact with him during his final weeks. He said that despite Richard’s addiction to Adderall and the ease with which it could be obtained on college campuses nearby, he had never pursued it outside the doctors’ prescriptions.

“He had it in his mind that because it came from a doctor, it was O.K.,” Mr. Sykes recalled.

On Nov. 7, after arriving home from a weekend away, Mrs. Fee heard a message on the family answering machine from Richard, asking his parents to call him. She phoned back at 10 that night and left a message herself.

Not hearing back by the next afternoon, Mrs. Fee checked Richard’s cellphone records — he was on her plan — and saw no calls or texts. At 9 p.m. the Fees drove to Richard’s apartment in Norfolk to check on him. The lights were on; his car was in the driveway. He did not answer. Beginning to panic, Mr. Fee found the kitchen window ajar and climbed in through it.

He searched the apartment and found nothing amiss.

“He isn’t here,” Mr. Fee said he had told his wife.

“Oh, thank God,” she replied. “Maybe he’s walking on the beach or something.”

They got ready to leave before Mr. Fee stopped.

“Wait a minute,” he said. “I didn’t check the closet.”

 

“Spoke with Richard’s mother, Kathy Fee, today. She reported that Richard took his life last November. Family is devasted and having a difficult time. Offerred assistance for family.”

Renee Strelitz
Last page of Richard Fee file
June 21, 2012

 

Friends and former baseball teammates flocked to Richard Fee’s memorial service in Virginia Beach. Most remembered only the funny and gregarious guy they knew in high school and college; many knew absolutely nothing of his last two years. He left no note explaining his suicide.

At a gathering at the Fees’ house afterward, Mr. Fee told them about Richard’s addiction to Adderall. Many recalled how they, too, had blithely abused the drug in college — to cram, just as Richard had — and could not help but wonder if they had played the same game of Russian roulette.

“I guarantee you a good number of them had used it for studying — that shock was definitely there in that room,” said a Greensboro baseball teammate, Danny Michael, adding that he was among the few who had not. “It’s so prevalent and widely used. People had no idea it could be abused to the point of no return.”

Almost every one of more than 40 A.D.H.D. experts interviewed for this article said that worst-case scenarios like Richard Fee’s can occur with any medication — and that people who do have A.D.H.D., or parents of children with the disorder, should not be dissuaded from considering the proven benefits of stimulant medication when supervised by a responsible physician.

Other experts, however, cautioned that Richard Fee’s experience is instructive less in its ending than its evolution — that it underscores aspects of A.D.H.D. treatment that are mishandled every day with countless patients, many of them children.

“You don’t have everything that happened with this kid, but his experience is not that unusual,” said DeAnsin Parker, a clinical neuropsychologist in New York who specializes in young adults. “Diagnoses are made just this quickly, and medication is filled just this quickly. And the lack of therapy is really sad. Doctors are saying, ‘Just take the meds to see if they help,’ and if they help, ‘You must have A.D.H.D.’ ”

Dr. Parker added: “Stimulants will help anyone focus better. And a lot of young people like or value that feeling, especially those who are driven and have ambitions. We have to realize that these are potential addicts — drug addicts don’t look like they used to.”

Click to go to article:http://www.nytimes.com/2013/02/03/us/concerns-about-adhd-practices-and-amphetamine-addiction.html?pagewanted=all&_r=0 

 

Weekend Experience

Go Out and Play Something

A. Be physically active (play something) for a consistent 60 minutes – carrying a medium intensity. Make this fun.  Could be running; could be basketball; could be hitting a bag; could be shoveling snow; could be whatever. You could even do multiple things. Just be active, even playing for a consistent 60 minutes. Work on living in the moment during the experience, not trying to hurry and get through the moment, but live in it, and search for joy in the simple things. Be creative in the way that you do this and email me what you did. [email protected]

 

B. Over the weekend – further your study from Wednesday’s Remote experience concerning The Christ. There is so much out there about Him and the way of life that He promotes. Go to a book store and search for a book about him, or even get lost in scripture study. The New Testament has some great stuff in it; stuff that, if tied in with prayer, will lead you on an experience of learning that will create a lasting impression within your mind; even an impression that will change the way that you perceive life. Make this type of study happen, however, beware of the unique truth that when one embarks on such study-that everything is going to seem get in your way, trying to deter you from having such a spiritual experience. Fight through it, and get into the study of Christ. 

 

C. Write about what you learned over the weekend. Email me: [email protected]

Gym Experience

Sunshine Mind

CLEAR

For Time Complete  20,15,10 Reps For Time Of:
KBS (70,55) + Burpees

NOTE: This is to be done at 100% effort

STRONG

A. Build to a 5RM in the Push Jerk

NOTE: Let’s see where you’re at. 

BALANCE

For Time Complete:
100 Shoulder2Overhead + Row 1k

NOTE: Shoulder2Overhead could be done using the push press or push jerk, or whatever, you just need to perform 100 shoulder2overhead where you come to full extension, even standing up at the top.

Gym Experience

Seth Morrison says some good stuff that can relate to all of life, not just skiing. 

CLEAR

3 Rounds of: 
10 Wall Balls + 10 Toes2Bar

NOTE: Not for time, work on good technique and ROM, getting your body ready for the strong. 

STRONG

A. Front Squat 6, 4, 2; rest 3 minutes

NOTE: 3 heavy work sets; the last 2 should be heavy. Log loads

B. Build to a 3RM in the TnG Power Snatch

NOTE: Needs to be touch and go. Think about being quick under the bar during that third pull. 

BALANCE

Perform 21, 15, 9 reps for time of:
Dead Lift (275/185) + Box Jumps (30,24)

NOTE: Scale dead lift as necessary.