I used to really enjoy going to the kind of tiny circuses that tour the small towns in rural areas. Much of my adult life has been as a wandering gypsy doctor through such areas and it seems that many of the little towns had little to offer and went wild when the circus came to town – no matter how modest the offerings were.
Of course I had experience with the really big shows. When I was a kid my folks took me once to the Greatest Show On Earth — Ringling Brothers, Barnum and Bailey — where I think now the plethora of amusements in three rings is probably best suited for those who really enjoy their attention deficit disorder.
But it was in a tiny field in France by a beach on the English Channel that I saw a lovely one ring circus. I was most impressed with the lion tamer — a person of African descent, large and muscled and handsome — but I was close enough to see each time he put his head in the lion’s mouth, and he did it multiple times.
The old, indifferent lion had no teeth, but the effect was still thrilling.
The image was vivid, and I have not thought of it for many years.
I think of it when I hear talk about the Food and Drug administration (FDA).
The FDA has no teeth, and as you can tell from the interview below, is simply
Filed under FDA by on Apr 20th, 2013. 1 Comment. 
This is one of those stories that I find very difficult to write. My anger is great and clouds my mind. Yet if I do not, there may be some kind of eruption – tears, shouts, or pounding on the wall.
The headline in the Philadelphia Inquirer read, “4 ex-pharma execs face possible jail time.”
“Possible” jail time? This is murder.
In brief:
Synthes received FDA approval bone cement for use only to fill bony voids or defects in some parts of the body, but not in the spine.
In 2003 and 2004, the company is accused of having its representative train surgeons to use this cement for the very thing they were forbidden by the government to do.
For those who don’t know, many surgeries are performed by people who aren’t technically allowed to practice medicine. A lot of times, people who didn’t complete medical school or people who have had their medical licenses taken away for various disciplinary reasons can get employment with a manufacturer of pharmaceuticals or medical appliances (like replacement hip joints) and will train doctors on how to utilize these new products.
This isn’t widely discussed and is shady, at best. It’s probably criminal, but that’s another column.
Synthes executives are charged with conducting illegal clinical trials in which 200 patients were treated for ways not approved by the FDA.
Of those 200, three died.
Filed under big pharma by on Nov 22nd, 2011. Comment.