Tag Archives | doctor

New Blood Pressure Medication for Migraines

A new study by the Norway and the Norwegian University of Science and Technology shows that a blood pressure medication, candesartan, is as effective as propranolol which is prescribed to prevent migraine. Further, candesartan may work better for those migraine suffers who don’t find propranolol to be useful. The study by the norwegian researchers was a triple blind test which means that neither patients nor doctors nor those who analyzed the results knew whether the patients had been given the drug or a placebo. Seventy two patients took part in the study and all patients were affected by migraine attacks at least twice a month. The patients used each treatment candesartan, propranolol, or placebo for 12 weeks and also underwent four weeks before start and finish between each treatment without anything. As such each patient was tested for nearly a year. More than 20 percent of migraine patients reported that they feel better when given a placebo. However, blind tests show that candesartan works for another 20 to 30 percent of patients with migraine. Candesartan was used intially to treat high blood pressure but was discovered by chance in the 19990s that it worked well for headaches. This led to […]

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Patient Safety and the Culture of Cover-Up

An interesting article was written by George Lundberg titled “A culture of cover-up has slowed the patient safety movement” on December 1, 2012, on KevinMd.com located at http://www.kevinmd.com/blog/2012/12/culture-coverup-slowed-patient-safety-movement.html. In the article Dr. Lundberg says “Promoting patient safety, preventing medical error, preventing physician error, preventing errors in diagnosis, preventing nurse error, preventing surgical error, preventing communication error, preventing health illiteracy error, preventing errors from language barriers, preventing laboratory error, preventing computer error, preventing patient mix-ups, preventing right and left side of body mix-ups, preventing mistakes, since mistakes are the stepping stones to failure. Recognizing human frailty, recognizing physician humanity, recognizing system fallibility, owning up to problems, eliminating cover-up, acting out professionalism, recognizing that professionalism means self governance, individually and as groups. Self criticism, peer criticism, a culture of peer review, honesty, truth, disclosure, fairness, and negotiated settlements. Objective evaluation and commitment to quality. Quality improvement by preventing error. Systematic error, systematic prevention of error. An error caught before an action is taken based upon that error is, in effect, not an error. These are the fundamental truths that the patient safety movement is all about.” Dr. Lundberg later says “However, sad to say, improvement in documented actual patient safety has lagged […]

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Retractions and Corrections From Scientific Misconduct

An interesting article appears in the Journal of Medical Ethics, January 2013, vol. 39, pp. 46-50, titled “Scientific retractions and corrections related to misconduct findings,” by David B Resnik and Gregg E Dinse. The authors explored 208 closed cases involving official findings of research misconduct published by the U.S. Office of Research Integrity from 1992 to 2011 in order to determine how often scientists mention in a retraction or correction notice that there was an ethical problem with the article. The issue of fraudulent articles appear in the scientific literature is a problem as many articles and the data within them can be falsified. See for example Industry Bias in Biomedical Science and The Right to Health and Information. The authors mention that typically when a retraction or correction is made to an article they are usually electronically linked to the original article so that others can be aware. The authors mention the blog RetractionWatch which keeps an eye on retractions and corrections to articles http://retractionwatch.wordpress.com/. The authors state “The main objective of our study was to determine, among retractions or corrections of articles affected by misconduct, how frequently scientists mention ethics or describe a specific ethical problem such as […]

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Do Physicians Have a Responsibility to Meet the Health Care Needs of Society?

An interesting article appears in the Fall 2012 issue of the The Journal of Law, Medicine & Ethics by Allan S. Brett titled “Physicians Have a Responsibility to Meet the Health Care Needs of Society.” Allan opens the article by addressing a question that was posed to Ron Paul in the 2012 presidential election by Wolf Blizter which I mentioned before on this post http://blog.teethremoval.com/dumb-americans-trust-their-doctors-for-no-valid-reason/. Allan aruged that Ron Paul agreed with the sentiment that “physicians have a responsibility to meet the health care needs of society.” In the article Allan makes the following case. “In the rest of this essay, I first demonstrate that society is already organized— at least in part — to rescue sick people regardless of ability to pay, and that society is not prepared to abandon that general guiding principle. It follows that physicians — society’s principal instrument for provision of health care services — are expected to meet society’s health care needs. I then argue that the current configuration of the U.S. health care system undermines the ability of physicians to fulfill this mandate effectively. And finally, I argue that the medical profession’s responsibility to meet society’s health care needs also carries a responsibility […]

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Dietary Goals of the United States

I have previously written about  Dr. McDougall through finding his newsletter in a Google Search where he discussed how to protect yourself from abusive doctors. See http://blog.teethremoval.com/how-to-protect-yourself-from-abusive-doctors/. Earlier this year I also discussed in a post some of Dr. McDougalls thought’s on Food, Children, and Diet where he wrote to governor Rick Scott of Florida claiming that various food industries are engaged in child abuse. In his newsletter from October 2012, he discussed former democratic senator George McGovern and his McGovern report from 1977 where guideline for eating were developed, http://www.drmcdougall.com/misc/2012nl/oct/mcgovern.htm. Dr. McDougall says that the McGovern report says “…there is a great deal of evidence and it continues to accumulate, which strongly implicates and, in some instances, proves that the major causes of death and disability in the United States are related to the diet we eat…What are the risks associated with eating less meat, less fat, less saturated fat, less cholesterol, less sugar, less salt, and more fruits, vegetables, unsaturated fat, and cereal products—especially whole grain cereals? There are none that can be identified and important benefits can be expected.” Dr. McDougall discusses how various industries were very upset by the McDougall report and in a senate hearing […]

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