I’ve got my outrage in motion and I’m blowing the whistle on one of the dirtiest tricks the big pharmaceutical companies play on us.
They have a technique called “Seeding Trials” that masquerade as drug testing (clinical trials) but are really nothing more than marketing surveys they can use to get around government regulations about promoting their drugs for alternative uses (also know as “off-label” uses).
But I’m printing this news in my private newsletter — not in my public blog.
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Take care and be happy!
Dr. G
Filed under Government, medicine, News, politics, prescription drugs by on Feb 27th, 2013. Comment. 
Lady Gaga had to cancel some shows because she has Synovitis. Can you get that from wearing raw meat? Just checkin’. Actually, I know a little something about this. Synovitis, I mean. Not the wearing meat part; I much prefer to eat mine.
Go back to me at 18. Yes, I know it was a long time ago. But there are some things you do not forget, like my first days in the emergency room at the ancient and venerated Massachusetts General Hospital. It had been open since 1811. I read the log; the first patient was a French sailor — ships could dock at the front door, then — with what was politely referred to as a “social disease.” It was a work-study job assigned to me as an undergraduate, allegedly pre-med, at the sprawling Boston University. They laughed when I said I was going to be a doctor. I took people’s wallets from their pockets, looking for identification and insurance cards and I was good at that nefarious profession. I loved the moments when it was quiet up front and I could sneak back to an operating or treatment room, stealing a generally useless tidbit of medical knowledge. Such tidbits seemed so precious then. I remember sneaking back to the cast room when a handsome, muscled, orthopedic surgeon was casting a leg. He was laughing at me, like everyone else. He told me to ask him questions. The lady with fake blond hair, whom he was casting, was laughing, too. “Go ahead, honey. Ask him questions.” I asked him, I guess she hurt her knee. “How do you know how high up and how low down to build the cast?” Above and below the injury. Knees were kind of a mess, but you always worried about the articulations above and below. The orthopedist was not particularly articulate. I started thinking that any idiot could be one, and medical school should not be that hard to get into. I thanked him and turned to leave when he hit me with something I have never forgotten. “Casts are easy. Broken bones are easy. The tough stuff is soft tissue. Nobody knows a damned thing about soft tissue injuries. They act like they do, but they don’t.” I repeated my thanks, and felt bad that I had to slip back to the front desk and the business of who people were and who paid for all this. Read more on Lady Gaga’s Synovitis…
Filed under Diagnosis, medicine, News by on Feb 22nd, 2013. Comment.
You know those old traveling medicine shows from the 1800s? Royal Jelly is kind of like that.
Usually this stuff finds me when I’m minding my own business and surfing the net or scanning a book. This time, I was in front of a TV camera with an interviewer and I had already told him in private conversation, not once but twice, I was no believer in Royal Jelly. I suggested that this was not a direction to pursue with me. He did. Read more on Royal Jelly Ain’t That Cool…
Filed under medicine, News, Research by on Feb 21st, 2013. Comment.
The first time I heard of the fruit mangosteen, I thought it was just a Jewish mango. Turns out it’s Southeast Asian and in no way Jewish. Makes sense; I mean, how do you circumcise a fruit? Let alone teach it to read the holy books.
The second time I heard of it, I was trying to help a manic-depressive who went manic on it. A degree professional had suddenly thrown angry tantrums, put his hand and other weapons through nearby walls, and tried to burn down the apartment building where his woman-friend lived. He succeeded in burning down part of it. It all happened within a few hours of him ingesting mangosteen. I told him to stop the damned mangosteen. I remember seeing him through bars, and I doubted he could get any mangosteen in there, anyway. But he would not hear ill of his dear mangosteen. It was a multi-level-marketing product and he seemed to believe in it for that reason, despite some factors I was trying to introduce. Things like biochemical truth, behavioral pharmacology, and my decades of medical practice experience — as opposed to his multi-level marketing experience. His family stopped paying me as an expert. I think they all sold mangosteen. Read more on Utah, Mangosteen, and Bad Stuff…
Filed under Alternative Medicine, medicine, News, politics, Research by on Feb 14th, 2013. Comment.
Warning: Daily use of aspirin can lead to side effects which may include total loss of impulse control, man boobs, toe hair, and third nipples. Please consult your doctor before taking this and other over the counter medicine.
Well, not really. But your really should know the risks and benefits of anything you take, even if it’s over the counter, even if it’s aspirin. I have an early memory, and I cannot have been beyond high school or early college, for I was still going to Friday night services with my Parents-of-Blessed-Memory. My father would not let me in the choir with the other retired senior types with weak voices; but, it seemed to amuse him to no end when I out sang them and the cantor from the congregation. The cantor had some kind of a congenital dislocation of the hip and some kind of back pain and I don’t know what else. My parents had discouraged my still premature medical curiosity and told me not to ask him. Read more on To Aspirin or Not To Aspirin; That Is the Question…
The Catholics have a history of making heroes out of those who suffer the most. I really don’t know what kind of reaction this young man should expect from his “very Catholic” grandmother when she finds out he is using medical marijuana.
My patient is 27, on dialysis, and looking for a kidney transplant to stay alive. He takes medical marijuana to increase his appetite and well being, as well as minimize the pain and anxiety of his situation. I have promised that I will not stop trying to help him. We will go as far as we need to, raising funds if necessary. My help will likely include taking him “public,” using the media. Read more on How Can We Explain Medical Marijuana to a Catholic Grandmother?…
Filed under Alternative Medicine, medicine, Religion, Research by on Jan 16th, 2013. Comment.
When human lives are at stake, there is simply no room for emotional decisions based on pseudo-science. But since when does anybody listen to anything I have to say?
Individuals are being removed from organ transplant lists because they are users of medical marijuana. Most recently, a staffer at a dispensary that is kind enough to refer people to me for medical marijuana prescriptions told me about a 30ish young man who is in renal kidney failure. He’s been taken off the list because –you guessed it – he is a user of medical marijuana. I’m afraid it’s more common that I’d like to admit. Read more on Denied a Kidney Transplant for Taking Legally Prescribed Medicine?…
Filed under medicine, News, prescription drugs by on Jan 14th, 2013. Comment.
In this life, everything should be as simple as it is, but not simpler. That includes this questionnaire study about marijuana as an “exit” drug for substance abuse. This article hit a nerve because there are issues here I have come up against before. And I mean “against.” I don’t mean to say it isn’t “good science;” it is. I’m talking about the emotional resistance to the idea that detoxifying from a medication can be comfortable, painless, and effective. I see this coming like I see the sun rising in the morning, because I have been to this place. A few years ago, I found myself in an informal banquet room across the parking lot from a hotel type establishment in a touristy part of San Diego. There was a woman rep from the drug company, Hythiam. She wasn’t an ex beauty queen like most reps, but a fairly credentialed therapist who actually knew what she was talking about. My husband was there with me; a younger, chubbier, and more naïve me – therefore, less authoritative.
These Hythiem/Prometa folks had a great schedule of IVs that removed physiological cravings for various substances of abuse, including methamphetamine. Basically, they use safe and older type drugs intravenously for a lovely pharmacological intervention. The cravings stop, and the person does not “need” to use the drug. Neither they nor I was stupid and naive enough to think that was all you had to do. Aftercare was important and I was ready to jump in. They recommended vitamins — I recommended lots of vitamins, high dose, and chelated to cross the blood-brain barrier. But these addicted folks needed “prosthetic lives.” When all you can muster goes to satisfying a craving or a need, there are not many hours left in the day for work or relationships. I helped with this, too. Some people had problems, but they were mostly because of the psychosocial void left when they did not go for drugs, and their inability to fill it. I worked my damnedest with these folks; and like the company, was eager to be accepted into the addiction community. There was this reception, and they had invited people from every substance abuse program in town. I was there and ready to go to bat as the only physician who had experience with these folks locally. Two people showed up. One was an older, fatherly type. The other was a young sidekick who was presumably learning from him. This older guy said something that rings in my ears now. “You got to earn your sobriety.” Read more on Time to Stop Judging and Start Healing…
Filed under medicine, News, Substance Abuse by on Jan 4th, 2013. Comment.
I’ve got to admit, I must have already been living in the world of alternative medicine by the time the FDA approved Xyrem. As far as I can figure, it’s exactly the same as the street drug GHB. Us pharmacology types call this gamma hydroxybutyric acid. In a stable salt form that people can take as a prescription drug, it can also be called sodium oxybate. Among other sets of cognoscenti with whom I would usually not hang out — read “on the street” — it is known as various other things that those initials can stand for such as “Georgia Home Boy” or “Grievous Bodily Harm,” a lovely term from old British law. There have been a couple of high profile American cases where Xyrem was used as a date-rape drug. The FDA has warned against taking dietary supplements that contain it. It’s the very same chemical as GHB. It is also an FDA approved prescription drug. Read more on Topic: Xyrem and Doctors…
Filed under medicine, politics, prescription drugs by on Dec 8th, 2012. Comment.
The medicating of Americans for mental illness has continued to grow over the last decade. And while that’s not exactly a news flash, I have seen no approach as fresh as the one taken by the folks at “CrazyMeds”.
They are not doctors. They are presumably patients or potential patients, then, just as some doctors are or should be. Their approach is so fresh that I am amazed to notice the grain of truth in it. This is the same way I felt when I visited the “Psychiatry Kills” Museum in Los Angeles, operated by the Scientology folks. They had a distorted view, but I saw where they were coming from. Read more on Psychotropic Drugs, According to their Users…
Filed under Diagnosis, Doctors, medicine, Mental Illness, News, prescription drugs, Psychiatrists by on Dec 1st, 2012. Comment.