<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: A judge orders a brain-damaged woman to be given Ambien</title> <atom:link href="http://www.kevinmd.com/blog/2006/11/judge-orders-brain-damaged-woman-to-be.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2006/11/judge-orders-brain-damaged-woman-to-be.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 22:04:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: WilliamManginoMD</title><link>http://www.kevinmd.com/blog/2006/11/judge-orders-brain-damaged-woman-to-be.html#comment-68978</link> <dc:creator>WilliamManginoMD</dc:creator> <pubDate>Tue, 21 Nov 2006 21:02:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/11/a-judge-orders-a-brain-damaged-woman-to-be-given-ambien.html#comment-68978</guid> <description>Now, this is most interesting. A high court judge in The UK advises Ambien in order to lift poor souls from the depths of PVS [ permanent vegetative states. ]&lt;br/&gt;&lt;br/&gt; The original studies using zolpidem-Ambien- did indeed have some positive results at Surry.&lt;br/&gt;&lt;br/&gt; As an anesthesiologist/pain specialist-here in the states, it never occurred to me to use Ambien on the many brain-injured vegetaive-type patients that I have encountered over the years in hospital ICU&#039;s.&lt;br/&gt;&lt;br/&gt; I am sure that the nurses and administrators would have escorted me to the front door.&lt;br/&gt;&lt;br/&gt; I&#039;m still in the archaic frame of mind that allows me to prescribe Ambien for sleep, on the often touted claim that patients wake up without a &#039;hangover.&#039; In reality, this is a bit of a myth.&lt;br/&gt;&lt;br/&gt; Interestingly - and many readers may be unaware of this - by stimulating the opioid receptors we can experimentally enhance pre-ischemic conditioning [ PIC .]&lt;br/&gt;&lt;br/&gt; When we pre-ischemically condition an organ, such as the heart, we allow that organ to be able to resist a final traumatic ischemic causing event in order to prevent organ damage.&lt;br/&gt;&lt;br/&gt; Perhaps His Honour [ and I mean no disrespect ] would consider having the High Court remand to all physicians who treat ischemic heart disease to place all of these angina-impaired patients on a hefty dose of OxyContin, or some other opioid preparation - so that the myocardial muscle can remain free of the ravages of the &quot;Coronary Steal.&quot;&lt;br/&gt;&lt;br/&gt; That would certainly keep those little busy bees from the narcotics unit, down at police headquarters, with plenty of work to do.&lt;br/&gt;&lt;br/&gt; Imagine all of the millions of heart patients in this country and abroad taking round the clock morphine to prevent MI.&lt;br/&gt;&lt;br/&gt; Anything is possible through science.</description> <content:encoded><![CDATA[<p>Now, this is most interesting. A high court judge in The UK advises Ambien in order to lift poor souls from the depths of PVS [ permanent vegetative states. ]</p><p> The original studies using zolpidem-Ambien- did indeed have some positive results at Surry.</p><p> As an anesthesiologist/pain specialist-here in the states, it never occurred to me to use Ambien on the many brain-injured vegetaive-type patients that I have encountered over the years in hospital ICU&#8217;s.</p><p> I am sure that the nurses and administrators would have escorted me to the front door.</p><p> I&#8217;m still in the archaic frame of mind that allows me to prescribe Ambien for sleep, on the often touted claim that patients wake up without a &#8216;hangover.&#8217; In reality, this is a bit of a myth.</p><p> Interestingly &#8211; and many readers may be unaware of this &#8211; by stimulating the opioid receptors we can experimentally enhance pre-ischemic conditioning [ PIC .]</p><p> When we pre-ischemically condition an organ, such as the heart, we allow that organ to be able to resist a final traumatic ischemic causing event in order to prevent organ damage.</p><p> Perhaps His Honour [ and I mean no disrespect ] would consider having the High Court remand to all physicians who treat ischemic heart disease to place all of these angina-impaired patients on a hefty dose of OxyContin, or some other opioid preparation &#8211; so that the myocardial muscle can remain free of the ravages of the &#8220;Coronary Steal.&#8221;</p><p> That would certainly keep those little busy bees from the narcotics unit, down at police headquarters, with plenty of work to do.</p><p> Imagine all of the millions of heart patients in this country and abroad taking round the clock morphine to prevent MI.</p><p> Anything is possible through science.</p> ]]></content:encoded> </item> <item><title>By: Vicki Small</title><link>http://www.kevinmd.com/blog/2006/11/judge-orders-brain-damaged-woman-to-be.html#comment-68957</link> <dc:creator>Vicki Small</dc:creator> <pubDate>Tue, 21 Nov 2006 05:45:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2006/11/a-judge-orders-a-brain-damaged-woman-to-be-given-ambien.html#comment-68957</guid> <description>If it works, does that make it right?  Because we can, should we, always?</description> <content:encoded><![CDATA[<p>If it works, does that make it right?  Because we can, should we, always?</p> ]]></content:encoded> </item> </channel> </rss>
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