Medical doctor on chronic pain, as CEO murder suspect’s posts show back troubles bothered him

(13 Dec 2024)
RESTRICTION SUMMARY:

ASSOCIATED PRESS
Bath, UK – 13 December 2024
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1. SOUNDBITE (English) Bharat Pankhania, medical doctor and senior clinical lecturer at University of Exeter:
"So any pain which is chronic, severe and persistent can lead to a number of other consequences. One of the number of other consequences are that as a result of the medication that you are on for the pain relief, it has side effects. Secondly, because the pain management is not well managed, it is a constant issue. And then that also leads to poor concentration, poor performance, irritability, anger, depression, withdrawal."
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2. SOUNDBITE (English) Bharat Pankhania, medical doctor and senior clinical lecturer at University of Exeter:
"We underestimate the consequences of chronic pain. Chronic pain takes years of life out of you. It disables you. It makes you not what you are. It makes you all the things that I have mentioned. Irritable, depressed, unhappy, etc. And so if the question is, would there be an anticipation that surgery is going to make me better? And then when it doesn’t succeed, you are even more frustrated and upset? Of course, that’s normal. That is what happens. There is hopes dashed and hopes not resolved. And therefore, you are more likely to also be angry that it hasn’t worked."
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STORYLINE:
A medical expert on Friday said that the suspect in the UnitedHealthcare CEO killing could have suffered from "irritability, anger, depression, withdrawal," as part of the consequences of chronic back pain.

Bharat Pankhania, a medical doctor and senior clinical lecturer at University of Exeter, said that chronic back pain and its treatment could lead to various side effects which "makes you not what you are."

"We underestimate the consequences of chronic pain," said Pankhania.

"Chronic pain takes years of life out of you. It disables you. It makes you not what you are. It makes you all the things that I have mentioned. Irritable, depressed, unhappy, etc."

Social media posts from Luigi Mangione show the man suspected of killing UnitedHealthcare CEO Brian Thompson underwent successful back surgery last year that alleviated debilitating chronic pain.

The 26-year-old Ivy League graduate appears to have stopped posting on social media roughly six months ago, around the time he lost touch with loved ones.

Family and friends expressed shock at news of Mangione’s arrest, but little information has emerged about his recent mental and physical health.

Mangione’s Reddit posts reference a spinal condition called spondylolisthesis, which occurs when a fracture causes a vertebra to slip out of alignment. It can result in severe pain if the bone puts pressure on spinal nerves.

The condition, which can originate in childhood or from an injury, started negatively impacting Mangione’s life in recent years, according to his social media posts.

After earning his bachelor’s and master’s degrees from the University of Pennsylvania, he worked at the Santa Monica-based car-buying website TrueCar until 2023 and lived in Hawaii for some time starting in January 2022. During a six-month stay at Surfbreak, a “co-living” space in Honolulu, Mangione’s back pain worsened in part because of a surfing incident.

In July 2023, Mangione wrote in a Reddit post that he had decided to get surgery.

According to his posts, the operation was a success.

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