Patients with cancer are at increased risk for both suicidal ideation and completed suicide due to a combination of biological and psychological factors that must be addressed to increase quality of life.,Unique to cancer is that the risk of suicide persists more than 15 years past diagnosis.4

In addition to increased suicide risk, patients with head and neck cancers have higher depression scores than the general population even before a cancer diagnosis, leading to the question whether this subset of patients are struggling with a biological cause in addition to diagnosis-related symptoms.5 Complicating these cases is the well-known association of many head and neck cancers with tobacco, alcohol, and other substance use, leading to the question of whether the pre-existing mood disorders lead to substance use that increases the risk of cancer.,Depression is a major risk factor, as it is in the general population, but the cancer population is at higher baseline risk for depression, which has been linked to immunological changes.12 Identification and treatment of depression in cancer patients has been shown to decrease morbidity and mortality.13 read more

So, let me hang a pistol on the wall: government filings show the union representing Orange County’s sheriff’s deputies has piled up nearly a million dollars in order to keep former state Sen. John Moorlach from winning what should be a guaranteed victory in the March 9 election for a seat on the county’s Board of Supervisors.,Chastened for a time, the county’s elected officials temporarily heeded Moorlach’s warning to resist the perpetual demands of government union leaders for more — higher salaries, earlier retirements, richer retiree health plans.,Moorlach was still the county’s treasurer when, in 1999, public officials all over California, like sober alcoholics who can no longer remember their last bender, began acceding to the nonstop union demands for higher public employee pay and benefits.,•••

This pandemic, this frenzy among public officials eager to raise public pay in exchange for campaign support from government union leaders, came even to Orange County.,You can just imagine John Moorlach confronting this Bourbon Street parade, this madness of doubloon-tossing, bare-chested public officials and their union allies just seven years after the words “Orange County” and “bankrupt” were in headlines all over the planet. read more