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Elon Musk issued a curt rebuke of ketamine abuse allegations after a viral clip of his erratic behavior at a dinner recirculated online.

The clip—taken in March during a visit to Donald Trump’s Bedminster golf club in New Jersey—shows Musk balancing spoons at a dinner table while one of his baby mamas, Shivon Zilis, watches in silent concern.

At the time, X user and “retired army medic” Molly Ploofkins tweeted the clip with the caption, “Musk playing with his silverware while tripping on ketamine at Bedminster.”

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[–] philpo@feddit.org 324 points 3 days ago (13 children)

Tbh, his Ketamine use makes me very very happy. He should do it more often.

Why? Ketamine abuse leads to severe damage of the urinary tract system. According to various sources this is already happening - and the damage is irreversible. Patients suffering from them are unable to pee - while having a massive urge to do so (imagine a decade long UTI, with your bladder really filled to the brim but you can't pee physically). And in the end it fucks their kidneys up due to the urine backing up into it. (And no, he can't get a transplant then. As the ureter is the problem and damaged beyond repair there isn't that much that can't be done then)

Furthermore the combination of drugs he admits he takes is a prime setup for a ketamine induced persistent psychosis. Elmo is already showing massive signs of intermittent or persistent psychosis, but things can get worse - far worse for him. Because the combination he takes can sometimes lead to a chronic persistent psychosis with auditory or visual hallucinations, delirium and ongoing psychosis symptoms. In other words: He would get so batshit crazy that a normal person would either be admitted in time and for a long time or kill themselves. In his case it's more likely that his staff would make sure he doesn't kill himself and lock him away. (Kill as in "running over a highway butt naked because the Zombie cows hunt them" or "trying to stop a train by a naruto move")

When I still worked in a psychiatric hospital we gad a similar guy - actually not unintelligent,but fried his brain with a similar mixture. In the end result he needed massive loads of drugs so he wouldn't be in a constant state of panic (mostly because every shadow was a giant spider trying to kill him) but basically made him a zombie. And,as he did a few awful things in this state of terror(setting fire to the psychiatric hospital twice, push a old lady in front of a bus -she was not hurt as the bus was imaginary,too-, stabbing a kindergarten teacher in front of her class) he was with us for years in a locked/high security ward. Aftee that he left us towards a similar ward in a permanent nursing facility.

There is a good chance he won't have a nice retirement life. Which is well deserved.

[–] lunarul@lemmy.world 68 points 3 days ago* (last edited 3 days ago) (3 children)

You're very optimistic.

he did a few awful things in this state of terror(setting fire to the psychiatric hospital twice, push a old lady in front of a bus -she was not hurt as the bus was imaginary,too-, stabbing a kindergarten teacher in front of her class)

Scale this up for the richest man on earth and I dread what can happen.

[–] hydroptic@sopuli.xyz 39 points 3 days ago* (last edited 3 days ago) (1 children)

Yeah my main worry is that people are so unbelievably obsequious towards billionaires and reich-wing "leaders" that even an obviously psychotic one might not get them to pause and think about what the hell they're doing

[–] Ghyste@sh.itjust.works 16 points 3 days ago (2 children)

You mean like the current one?

[–] hydroptic@sopuli.xyz 7 points 3 days ago

Well there's obviously psychotic, and then there's obviously psychotic

[–] pupbiru@aussie.zone 3 points 2 days ago

which other one? because i’ve got kanye on my list too and there’s at least a couple more

[–] Taleya@aussie.zone 8 points 2 days ago

You're watching it.

[–] philpo@feddit.org 19 points 3 days ago (1 children)

Yeah,can happen. Or he does something so self harming (like trying to open the door of his jet midflight) that they "hide him". Most of these cases tend to be so uncoordinated,that even being superrich won't help much.

We will see. I hope you are not right - but your concern is absolutely valid.

[–] Smoogs@lemmy.world 14 points 3 days ago

Yeah I could see the jet door opening while he’s screaming ‘ITS ALL JUST A SIMULATION’

and maybe it is but at least the rest of us can live more in peace within the simulation after that.

[–] Ersatz86@lemmy.world 96 points 3 days ago (2 children)

Top quality post. Thank you for this shot of optimistic perspective.

Should crosspost to upliftingnews.

[–] redsand@lemmy.dbzer0.com 40 points 3 days ago (1 children)

That is not what that sub is for. This is squarely face eating leopards territory and I'm here for it.

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[–] philpo@feddit.org 5 points 3 days ago (1 children)
[–] Ersatz86@lemmy.world 8 points 2 days ago

Appears I’m not the only one.

You’ve been bestof’d

https://lemmy.world/post/30642907

[–] normanwall@lemmy.world 18 points 2 days ago (2 children)

I suspect it's been going on for years and is why he had them illegally install a bathroom next to where he slept, so he wouldn't keep waking security going to pee so frequently

[–] philpo@feddit.org 9 points 2 days ago (2 children)

What was the illegal part about the bathroom? i did miss that

[–] normanwall@lemmy.world 16 points 2 days ago (1 children)

https://www.businessinsider.com/elon-musk-wanted-bathroom-at-twitter-to-avoid-waking-bodyguards-2023-5?op=1

The suit says Killian told Davis that he would start getting the permits for Musk's restroom, but the suit paraphrases him responding: "We don't do that; we don't have to follow those rules."

According to the suit, he instead suggested Killian hire an unlicensed plumber to build the toilet since others wouldn't want to jeopardize their license by working on a project without a permit.

[–] bold_atlas@lemmy.world 9 points 2 days ago* (last edited 2 days ago)

An illegal bathroom for an illegal immigrant.

[–] ZeffSyde@lemmy.world 3 points 2 days ago (1 children)

I think they meant allegedly.

[–] zaphodb2002@sh.itjust.works 17 points 2 days ago

No it was against code and they used unlicensed workers. Illegal bathroom.

[–] bold_atlas@lemmy.world 3 points 2 days ago

The dude who wears an "occupy mars" shirt is too sheltered and spoiled to use a piss pot. Has to have a fully plumbed toilet lol!

[–] HEXN3T@lemmy.blahaj.zone 16 points 2 days ago

As a substance user, I'm glad. You get what you put in. Good in? Good out. Bad in? Bad out.

Substances are the ultimate representation of karma--and the muskrat craves, and craves, and craves. Let his soul be ravaged relentlessly by hundreds of thousands of talons.

[–] _stranger_@lemmy.world 71 points 3 days ago (1 children)
[–] philpo@feddit.org 14 points 3 days ago* (last edited 2 days ago) (1 children)

A bit of added hope: Ketamine directly caused hypertension. Not for long,but for a good amount. I literally shot a patient from 130/80 to 220/120 once.

That is not very good for the vessels in his heart and brain.

[–] cybervseas@lemmy.world 11 points 3 days ago (2 children)

Sounds like hypertension, not hypotension.

[–] MDCCCLV@lemmy.ca 8 points 3 days ago

It causes hypotension but in the past, so it decreases your BP until you take it.

[–] philpo@feddit.org 6 points 2 days ago

Yeah,you are right...either my autocorrect fucked it up or my brain...thx

[–] Raiderkev@lemmy.world 4 points 2 days ago

I've always said he's the modern day Howard Hughes, and he's meeting a similar fate it would appear.

[–] okmko@lemmy.world 4 points 2 days ago (1 children)

If you don't mind sharing, what is the exact combination of drugs that leads to psychosis like you described, besides ketamine ofc?

[–] philpo@feddit.org 6 points 2 days ago (1 children)

There is some evidence that ketamine combined with hallucination inducing agents like Shrooms can favour psychosis. Additionally we know that inhibition reducing agents like MDMA combined with other drugs also increase the risk for psychosis.

[–] okmko@lemmy.world 1 points 1 day ago* (last edited 1 day ago)

Damn, I'm not drug naive, but habitual use of ketamine and psilocybin and MDMA sounds dangerous. Long-term use MDMA alone is dangerous.

[–] A_Random_Idiot@lemmy.world 23 points 3 days ago

So what I'm hearing is someone needs to up his dosage so the problem solves itself quicker.

[–] BuckRowdy@lemmy.world 16 points 3 days ago (2 children)

Maybe he'll OD and this problem will finally go away. He's maybe the worst person who has ever lived.

[–] philpo@feddit.org 14 points 3 days ago* (last edited 3 days ago)

Oh,I personally know a few even worse people - but I worked in a high security forensic mental health unit for a while. And let's not start about some people living in the mid of the last century. Ishii, Beria, a whole lot of Nazis, there are plenty to choose from.

Anyway: The bad news is: It is really really really hard to overdose on Ketamine. Unlike Fentanyl or Heroine, it does not stop the breathing of the patient unless administered in really high doses really fast

As he is likely getting his stuff from a pharmacy and not a shady dealer the chances for that are rather slim.

[–] SkaveRat@discuss.tchncs.de 8 points 3 days ago (1 children)

It's almost unheard of to OD in keta

[–] philpo@feddit.org 8 points 3 days ago

Yeah, especially with pharmacy grade stuff.

I frequently use it prehospitaly for analgesia and anaesthesia and Ketamine unlike other drugs as real bad effects being underdosed - so I tend to use rather large doses And yet i. 25 years I have to manage to "overdose" someone that bad that they actually stop breathing without a second or third drug (Midazolam and Rocuronium for that matter).

[–] dinren@discuss.online 17 points 3 days ago (3 children)

So would he have to catheter himself each time he wanted to pee or do you think he just has one in there most of the time?

[–] philpo@feddit.org 17 points 3 days ago (1 children)

Difficult to say and Urology is absolutely not my subject (funny enough I am writing this in my urologist's waiting room), but a few things to consider:

  • Unlike normal urinary retention his ureter will be heavily inflamed. That can also include the Urethra(to a far lesser extent than the ureter,though) and might at some point even inflame the prostata. This makes regular catheters really uncomfortable and also hard to get in. So.... there is that.

  • Additionally frequent single use catheterization into an inflamed tissue increases the risk of infection. Additionally the user needs to keep strict hygienic standards....which addicts often can't follow. So either he has someone doing that for him or the perspective is rather uncanny. Even with that his erectile function might be impeded.

  • On the other hand a permanent catheter had its own drawbacks and I am not sure if he would accept one. Because that would mean no more children (at least not the normal way), having the bag attached permanently,etc.

  • The other option is a so called suprapubic catheter - a small surgical hole above the pubic bone with a permanent catheter placed in it. Also a nasty thing in terms of germ ingress.

Last but not least: The catheter will solve the "urine in the bladder" issue,but not the kidney issues as the backup there to a certain degree happens above the bladder - inside the ureter. It can be mitigated by putting a ureteral stent in them,but these are mighty uncomfortable and need to be replaced every few months - via endoscope. Through his dick.

So in the end: Don't do Ketamine,guys.

[–] barneypiccolo@lemm.ee 10 points 2 days ago

Word is that he already has a non-working unit due to a botched penis enlargement surgery, and all his children have been born due to IVF.

[–] anomnom@sh.itjust.works 18 points 3 days ago* (last edited 3 days ago) (4 children)

Our old relative ended up with a semi permanent catheter when he had bladder issues (I think just from being 99 years old).

Had it until he died a couple years later and used to love patting his pee bag to let us know he just went. Usually at dinner.

[–] dinren@discuss.online 11 points 3 days ago

If I could pee anywhere I’d probably let people know about it too 🤪

[–] philpo@feddit.org 5 points 3 days ago

Yeah, these are called suprapubic catheters. Sadly also a good ingress point for germs.

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[–] Smoogs@lemmy.world 8 points 3 days ago

The catheter will for sure be exacerbating a UTI constantly. Those really should be short term use or just when you’re terminal which is short term use.

[–] Blue_Morpho@lemmy.world 7 points 2 days ago (2 children)

What do you mean he couldn't get a transplant? He'll buy homes in every state to jump the list like Steve Jobs did after ignoring medical advice.

[–] philpo@feddit.org 23 points 2 days ago (1 children)

He can surely buy a transplant - he will surely find a nice African or Central Asian fellow who will donate him one out of generosity and then the same fellow will find a bit of money on the street. Or a less nice Chinese citizen with reduced freedom to live.

But that doesn't change the fact that transplants need tissue to connect to. You usually connect a kidney transplant directly to the bladder,but in some cases you can use a bit of a ureter. But: For that to work you need uninflammed, structurally sound tissue.

Which often not present in these cases it seems. So...he can get a transplant organ but it won't work surgically. In theory you can also connect the new ureter to the rectum - but that,combined with immunosuppressive medication is a no-go as well.

So... It's likely he wouldn't be able to get a surgically sound and midterm successful transplant. Just like Jobs couldn't be saved back then.

[–] railcar@midwest.social 5 points 2 days ago (2 children)

I doubt he'd accept organs of a different race.

[–] Blue_Morpho@lemmy.world 2 points 1 day ago

Using someone for parts would be in character. They're not people, they're objects to him.

[–] philpo@feddit.org 5 points 2 days ago

Good point. But I think he still will find either a techbro or a poor white fellow from the Caucasus or something for it.

Or asks Putin for one ...

[–] SpiderShoeCult@sopuli.xyz 24 points 2 days ago

I think he means that the ureter itself cannot be transplanted, so the root cause is not solvable. A kidney transplant would be like putting in a new lightbulb in a defective lamp.

[–] SnarkoPolo@lemm.ee 14 points 3 days ago (1 children)

Elmo is going to get to know Mr. Foley.

[–] philpo@feddit.org 5 points 3 days ago

And a Foley into an inflamed urethra past an inflamed prostata into an inflamed bladder....is as much fun as it sounds.

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