My previous post will be continually updated as the Anna Pou story develops. She is receiving significant attention from both her colleagues and other health professionals.

December 2004 - In the midst of the Vioxx fallout, some suggestions for patients who needed a COX-2:

If Celebrex and the other COX-2's are pulled in the near future, here are the options you want to discuss with your physician:

1) Switch to Tylenol.
2) Switch to Lodine, Mobic, or Relafen which are COX-2 preferential; or,
3) Switch to a non-selective NSAID, i) in combination with a PPI ...


November 2004 - Commentary on BiDil, the CHF medication for blacks:

Now, let's look at BiDil a little closer. This is merely a combination of two cheap generic medications - hydralazine and isosorbide dinitrate. In fact, you can simply prescribe these medications separately at BiDil's dosages for only pennies. This combination has been tested before in the pre ace-inhibitor era and was the standard of care for CHF before ...



Kevin, M.D. is recommended reading, as suggested by Walter Olson at Overlawyered.

More primary care woes:

"The nationwide average income for family physicians is around $120,000, and none of the doctors in my practice were making $100,000. We make less, probably $20,000 to $25,000 a year less than the doctors in other states."

According to a recent national study by the Center for Studying Health System Change, physicians' net income from practicing medicine dropped about 7 percent between 1995 and 2003.
(via ...


An IOM report came out with some grim findings. Technology may be part of the solution, but there may not be enough incentive to adopt:

Technology alone could prevent some errors today, but there'Â’s too little incentive for hospitals and other care providers to invest, added University of Arizona pharmacy dean J. Lyle Bootman, who chaired the IOM probe.

"We'Â’re paid whether these errors occur or not," ...


He did something about the heat that the hospital wasn't willing to:

A cancer patient was forced to order portable fans from Currys after being told nothing could be done about soaring temperatures at the Western General Hospital.

No week is complete without one.

I'm sure that some of the recent news isn't helping:

While cancer drug development is booming, the proportion of patients willing or able to take part in research has remained stuck for years at 5 percent to 10 percent.

That's putting medical progress into jeopardy, researchers say. Some clinical trials of new drugs take much too long to complete or are simply cut short before enough data can ...


But dies two hours after the decision.

Surgery, with the added stress of war:

Surgeons are conducting operations with sirens sounding every few minutes, sometimes followed by a dull or heavy thud, depending on how close a missile lands.

Patients recovering from surgery or those on ventilators cannot be moved to the hospital's bomb shelters quickly enough, and medics invariably have to stay with them.

Here is a comprehensive collection. (via a reader tip)

Another case of politics over science:

Taking something that is living and making it dead. Not allowed. Not allowed for the purpose of research. It is okay to make something dead for the purpose of justice (i.e. the death penalty). It is okay to make something dead for the purpose of geopolitical democracy building in middle eastern countries with oil (i.e. Iraq). I could go on, you get the idea...

Part of the reason for a $3 million malpractice verdict:

It was also claimed that the informed consent was insufficient, notwithstanding an eight-page informed consent document, a video, a brochure and a general discussion of the risks with a referring optometrist.

About $1,000.

It all comes down to money, although I find this statement amusing:

The most cutting comment at Tuesday's hearing came from Rep. Charles Norwood, R-Ga., who said the imaging reimbursement cuts in the Deficit Reduction Act should be eliminated: He said the representatives from the Medicare Payment Advisory Commission, or MedPAC, and the Centers for Medicare and Medicaid Services, or CMS, who testified Tuesday "have no idea what they ...


Which can lead to patient deaths and complications:

Some patients, they said, were undoubtedly dying as a direct result of incorrect prescribing, and many others were having their conditions worsened or were suffering unnecessary complications. It was estimated that between five and 10 per cent of hospital admissions were a result of adverse drug reactions - most of which were avoidable.

On this interactive ABC medical mystery show.

Appendiceal cancer was misdiagnosed as ovarian cancer:

In what attorneys say is the first case of its kind since Connecticut legalized civil unions, a lesbian couple filed a medical malpractice lawsuit Tuesday claiming botched cancer treatments damaged their love life.

Margaret Mueller and Charlotte Stacey are accusing two doctors of treating Mueller for ovarian cancer when she actually had cancer of the appendix. They contend Mueller underwent years ...


He contends that morals and science should not mix:

Vaccination works to prevent cervical cancer, and thus reduce suffering and death. Please leave morals out of the discussion. We have a wonderful public health opportunity here, and our best strategy is universal vaccination.

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