Comments on: Bohemian polypharmacy – with a nod to Queen https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/ Marketing Ethics for the Easily Swayed Thu, 21 Apr 2016 00:06:10 +0000 hourly 1 http://wordpress.com/ By: Carolyn Thomas https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-195414 Fri, 04 Jul 2014 14:27:45 +0000 http://ethicalnag.org/?p=22709#comment-195414 Hi Dr. Joe – nice to hear from you again.

Like

]]> By: Dr. Joe Kosterich https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-195314 Fri, 04 Jul 2014 08:48:36 +0000 http://ethicalnag.org/?p=22709#comment-195314 Not even so much the conclusion is wrong (number 1) but it was spun to be the best conclusion money can buy. Or the data was massaged so as to get exactly the conclusion sought.

Like

]]> By: Carolyn Thomas https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-195197 Fri, 04 Jul 2014 01:13:43 +0000 http://ethicalnag.org/?p=22709#comment-195197 I agree. See also: We Never Imagined People Would Think of Osteopenia as a Disease from February 2010.

Like

]]> By: cave76 https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-195173 Thu, 03 Jul 2014 23:41:07 +0000 http://ethicalnag.org/?p=22709#comment-195173 ” I feel a new blog post coming on . . . ;-)”

Please do! I’ll be waiting. The meds for osteopenia thing is a big shuck.

Like

]]> By: Carolyn Thomas https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-195108 Thu, 03 Jul 2014 20:22:15 +0000 http://ethicalnag.org/?p=22709#comment-195108 Hi Kathleen and thanks for sharing your perspective here. You bring up an interesting dilemma with the sudden growth in “PRE” diagnoses. We’re now diagnosed with PRE-diabetes or PRE-hypertension or even osteopenia which is kind of like PRE-osteoporosis – all of which is very good news indeed for the drug industry. I feel a new blog post coming on . . . 😉

Like

]]> By: Kathleen https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-194719 Thu, 03 Jul 2014 04:42:01 +0000 http://ethicalnag.org/?p=22709#comment-194719 This is great.

I’m not anti-meds one bit, but they need to be worthwhile. Now I happily take meds for 2 endocrine conditions, but those make a huge difference in my life. Twice I simply stopped taking statins (got my arm twisted because of family history) and now refuse to resume them. That decision dismayed some PCPs and cardiologists, but that really seems to have been “cookie-cutter” medicine. These same people dismissed my suggestion of the cardiac condition that I actually do have, just as they refused to recognize and treat the endocrine condition that I do have (and had diagnosed myself.)

My husband’s doc put him on blood pressure meds because he was “PRE-hypertensive.” He was only even that after they drastically lowered the threshold. He felt terrible and kept cutting his dose until finally he quit. In the last couple years he has reduced his blood pressure by integrating more exercise into his life.

And that’s working just fine, thanks.

Liked by 1 person

]]> By: Carolyn Thomas https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-194673 Thu, 03 Jul 2014 02:56:23 +0000 http://ethicalnag.org/?p=22709#comment-194673 Hi again Dr. Mark – love that video! (Readers, check Dr. Mark’s views on the new AHA cholesterol guidelines here and his preferred Absolute Cardiovascular Disease Risk/Benefit Calculator developed by Dr. James McCormack.

Like

]]> By: Carolyn Thomas https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-194671 Thu, 03 Jul 2014 02:49:23 +0000 http://ethicalnag.org/?p=22709#comment-194671 Thanks for this, Cave. In many ways, the patients who end up using the new drug in real life represent the (unregulated) final stage of drug development.

Like

]]> By: Mark McConnell, MD https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-194660 Thu, 03 Jul 2014 02:20:29 +0000 http://ethicalnag.org/?p=22709#comment-194660 James and Mike are voices that inspire and educate MANY doctors…at least they’ve done that for me for 10 years. And I am grateful. Check out James’ “Choosing Wisely” YouTube video!

Liked by 1 person

]]> By: cave76 https://ethicalnag.org/2014/07/02/bohemian-polypharmacy-with-a-nod-to-queen/comment-page-1/#comment-194392 Wed, 02 Jul 2014 15:41:11 +0000 http://ethicalnag.org/?p=22709#comment-194392 What do I think? I think you’ve written yet another important article. Thank you.

Specifically:
5) Finally, when a new drug comes out, it provides no advantages over what is already out there.

So true. A new drug is often fast-tracked to get on the market too soon ($$) and hasn’t been proven by years of use in patients. A new drug is often a means to gain $$ when a previous one is ‘going generic’, not because it’s better.

Liked by 1 person

]]>