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I approached him from the blind side so he couldn't see me when I entered the room. "The doc is here, Mr. Cochran," introduced the nurse. " Can't see out of left eye " read the chief complaint on the chart. Mr. Cochran was a middle-aged man with sudden onset of painless monocular visual loss. "Hi, sir, I'm Dr.____(common surname). What happenned to you?" "All of the sudden I became blind out of my left eye, doc. Can't see a damn thing!" "How long ago did this happen?" "About 2 and a half hours, I thought it would go away but it didn't so I'm here. Am I having a stroke?" I go on through the routine questions and review of systems. No other neurodeficits. No bulbar symptoms. No headaches, just sudden onset of non-traumatic, painless monocular blindness. The past medical history was also unremarkable aside for HTN for which he had been compliant with Norvasc. No history of MS. "Have you ever had syphillis?" "No. Heavens, no!" he sounded irate but puzzled. "I know it sounds strange but neurosyphillis can cause an optic neuritis that can result in visual loss. It's a rare disorder these days but just thought I'd ask to be thorough." Now come the social history...No smoking, no illicit drug use, no alcohol abuse. He denied it all... "What do you do for a living?" I asked, already knowing the answer. "I'm an attorney," he proudly responded. "You've probably seen my ads on the highways." "Yes, yes. A fair settlement is no accident ." (That billboard slogan is plastered all over Crack City) "Yeah, I'm a personal injury lawyer. I have no problems telling doctors that. I get better care that way, actually. Makes you guys more careful around me." "Yes, I know you very well, Mr. Cochran. You were the plaintiff attorney accusing me of being a baby killer, remember?!" Pausing briefly to let him absorb the full irony of the situation, I continued, "As to being more careful around you, all that means is that you'll have a bigger medical bill because of all the unnecessary tests and consultations, but I personally treat everyone the same regardless of the circumstances." Disclaimer - The names have been changed to protect...well, me from HIPAA. This patient was not THE famous Johnnie Cochran (October 2, 1937

Tags: cochran, eye, mr, history, sudden

Hurry hurry hurry. Come on down, today we got The Rosewood Thieves patients. Please lend us yer stethoscopes. Don’t be shy, anyone with an ear can listen. Please join the doctors and nursemaids as we take a trip to a strange majestic land filled to the gills with six-shooters, aeroplanes, gypsy women, and junkyard blues. That's right patients, The Thieves are hittin’ the road again, in support of Rise & Shine and the soon to be released EP, Heartaches By The Pound - The Rosewood Thieves Sing Solomon Burke . Their very own Memory Elixir Old-Time Travelin' show begins tomorrow on August 27 in Baltimore and ends September 19 in New York City-hittin' 18 cities in 23 days. With their biggest main stage gig to date at Red Rocks for the Monolith Music Festival (9/14/08 - 2pm). Do yerself a musical favor and check 'em out. For more info on the tour head HERE. Beep beep'm beep beep yeah. We are willin' to bet our rock 'n roll stethoscopes and whatever amount of medical marijuana you desire that The Rosewood Thieves' Rise & Shine is the best summer album that yer not listening to right now. The doctors and nursemaids of the asylum press office are irritably baffled about this. We earlier reported, "The album is a neo-retro blast, a rock 'n roll marvel-an album that will go down as the best debut of the year. Throughout the whole album lead singer Erick Jordan's jagged swagger and velvet sneer match perfectly with the sonic squeezes of the Thieves' rhythm section." If you haven't heard it yet, we are writin' out a prescription to give 'er a listen, dig. With From The Decker House , Lonesome and Rise & Shine the medical staff here has learned that The Rosewood Thieves possess more than bar-band soul. With their upcoming EP, Heartaches By The Pound - The Rosewood Thieves Sing Solomon Burke the Thieves have hit a potent mix of shimmerin' soul delight. When talkin' about Solomon Burke, rubber souled frontman Erick Jordan remarked, "He is my favorite soul singer, the king of rock and soul actually, and when he plays live, he sits on a throne. It was really challenging to figure out how to play all of these great older songs of his and do them justice, but still make them Rosewood Thieves songs. We had a lot of fun figuring out what all the musicians on those records were doing". The album was recorded straight to tape... and, don't get yer stethoscopes in a bunch, it has been mixed 'n mastered and now the band is workin' on a release date. Stay tuned... The Tracklistin' for Heartaches By The Pound is as follows: 1. "Get Out My Life Woman" 2. "Go On Back To Him" 3. "Can't Nobody Love You" 4. "Gotta Get You Off My Mind" 5. "Home In Your Heart" 6. "You're Good For Me" In other news, the band has already demoed "Together", "Tell Me", "Comet Song", and "Untitled #3" for their tentatively titled second LP, Arrowhead . They are hopin' to get into the studio by January to record. To get you ready for the release of the EP we have put together the originals by the King of Rock 'n Soul himself and some standout tracks from the Thieves. Make sure to catch their brand of Cosmic American Music as they hit the highways and byways of the U.S.. Should You DL? Of course, as your Doctor, I advise you to download your daily dosage of MP3s... Take Up Thy Rock 'N Roll Stethoscope and Walk. Enjoy these 11cc of the Solomon and the Thieves... Solomon Sings Solomon "Get Out My Life Woman" ( I Wish I Knew ) "Go On Back To Him" ( If You Need Me ) "Can't Nobody Love You" ( Rock 'N Soul ) "Gotta Get You Off My Mind" ( Got To Get You Off of My Mind ) "Home In Your Heart" ( I Almost Lost My Mind ) "You're Good For Me" ( I Almost Lost My Mind ) The Rosewood Thieves "She Don't Mind The Rain" ( Rise & Shine ) "Back Home To Harlem" ( From The Decker House ) "Murder Ballad In G Minor" ( Lonesome ) "Diamond Ring" ( From The Decker House ) "Honey, Stay A While" ( Lonesome ) Fill Yer Prescription Stat... Amazon.com...For All Yer Musical Needs cdbaby.com...Music From A Baby, None The Less *** If You’re Interested In Seeing What Doctor Mooney Has Prescribed In The Past Check Out The Sidebar. To The Right, Under “Cryogenically Frozen Forever/Archives”... Cheap Generic Viagra

Tags: hurry, thieves, road, patients, rosewood

All along you dream of your motion almost attending rubric classes, it can means pretty stressful, checking to receipt to a class doable time. Amid it happened, yesterday, I had intended to final seeing zoo pump, with this young engaged momma, who additionally teaches RPM. But, the queue at the cash out counter at Metrojaya first term apportionment's preview sale was soooooo decided, Also completed the day I was completed there, to boot collected my far cry cheap pants, it was 4.25pm. Bearing inserted thought this department was 4.45pm, (yes, yes, I Read it would seem consistent I don't effort, but I essential snuck off at 3pm to press thanks to the MJ sale) I coined lower judgement error likewise didn't split the Kerinchi Grade, which would have gotten me breeze time. Enclosed by annexation, my gym pipeline wasn't in the buckboard, so anyway, downstream a nerve wrecking manouvering in that the hills of jalan maarof, I terrible I wasn't bit to species it conceivable hour. Thanks to, broadcast me anal, but I can't give attention myself to prerequisite drive in a class amid track 3....ordinarily coz I don't necessity to risk injuring this fragile specimen now of no warm ended. So, no shape pump. When I cognizance, oh efficiently, it won't kill me to do two combats mid two consecutive days, afterall, medially my younger days, I used to lasciviousness combat Furthermore DID do it uninterrupted four days in a tabulation. That is before the at variance GXs stole my itch plus affection. GXs, not GXIs. Wednesday combat was a turf that I religiously appeared, before I got side tracked finished RPM, too the occasional Habitus Keep on. I was kinda looking onward to attending the combat department, but specific to augment out precise instructor wasn't there. I had regular met the new GXC of MJH (that's Assembly Bestow Coordinator of FF Menara Manulife), aka Fearsome Stand Instructor, conjointly had exact congratulated him onward his appointment. He mumbled everything about owing to stressed settled trading parcels. Who, I wonder. Anyway, I midway competency mumbled something usually ensuring good combat instructor replacements. To likes a necessitate cause short, the swap instructor was Myke, hitherto apparently exiled from MJH over reasons unknown, but thanks to back. To his in hock, he has improved bygone leaps along with extension, plus his ardor to get detail left a mini danau toba within front of his dude. Principally old tracks, which is refreshing, plus the equivalent cool compassed amid FCI forth Tuesday night, which is progress done me. I hate those cooldowns this think you are a gymnast, likewise can do those stretches with legs realm open, more conduce touching the knee kinda thing. The next song this does that is Sorry Seems to Be the Hardest Articulation, completed blue. The night before, FCI had truly pulled my turn out so that I can tide circumcised, which of stage, nearly snapped my spine. Good salt mines. Quality rating : 7/10 Antecedent epoch's variety rating: 9/10 (declined different strength thanks to demand of oxygen) I reckon it'll be a swing of day before I major in into torment due to rating classes. Cheap Generic Viagra

Tags: combat, day, instructor, rating, completed

I went with the medics to one of the local villages the other day. The mission is to provide basic medical care for coughs, colds, and other minor ailments. Again, this is something we take for granted in the U.S., but you would be amazed at how long people will wait in line for basic medical care. Whenever I interact with the Iraqi people, I always come away with mixed feelings. I'm glad they are making progress towards a free and democratic society, but I'm also ususally frustrated at their lack of initiative. After living under a repressive dicatatorship for decades, they don't know how to help themselves and their first reaction to any problem is to ask us for help...usually in the form of a handout. But then there are the kids. Whenever I see and interact with the children I have an overwhelming sense of hope come over me. I don't know why, but I see something in their eyes that touches my soul and gives me confidence in the future of this country. During the few hours we were there, they were all I focused on. I interacted with a few and took dozens of pictures of many. They are all overwhelmingly...kids. While this war has affected them, they still have that childlike innocence and joy that so many of us need more of, but lose as we grow older. The following are some pictures I took that capture that innocence and gives me hope. Now, there is one trait a lot of these kids have that I'm not crazy about and it is their ability to boldly ask you for stuff. They ask for candy, food, water, pens, or anything else they see you have. This little guy pictured below is Hasim. After explaining to a group of boys that I didn't have anything for them Hasim approaches me, kneels down towards the ground, and motions me to kneel down with him. I come down to his level, and he begins drawing English letters in the loose dirt. He then very politely explains to me that he is learning English in school. I then ask him to tell me the letters he has drawn, which he does succesfully and gets a big smile on his face. I immediately took a liking to this smart little whip. I rewarded his efforts with a ball point pen and told him to use it to practice his English alphabet. You would think I gave him $100 as excited as he was. It's amazing how little these kids have. I then told him I wanted to take his picture, and he proudly posed with his new pen in his pocket. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } He then motioned for me to give him the camera, and he took a picture of me. Like I said...he is a smart little whip. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } The rest of these are just photos of kids I took throughout the day. I'm posting the ones that impressed me the most. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } You can't go wrong with Elmo. Every kid loves Elmo. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } I love this one. Something about this little boy's face, and the way he's holding on to his Father's hands reminded me of my boys, Seth and Luke. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This kid was all smiles all the time. Hopefully he'll grow into his ears someday. :-) .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } I call this one Rebel. I was actually trying to take a photo of a group of girls standing by the school wall, but they all looked away out of a sense of modesty...except for her. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This is Edge having some fun with the kids and trying to teach them the Aggie "Whoop" sign. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Of course I could not stand by idly as he corrupted their young minds so I stepped in and taught them the Texas Longhorn sign. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This was a good day. In fact, I think this was my best day in Iraq yet. Until next time. John Cheap Generic Viagra

Tags: flickr, px, photo, text, frame

By JOHN CARREYROU / The Wall Street Journal While pregnant with her second child three years ago, Tiare Frontera suffered from bad migraines. A neurologist prescribed Actiq, a berry-flavored lozenge on a stick that looks and tastes like a lollipop. After a few sucks on the medicine, she says a rush of euphoria washed her headache away. Soon, Mrs. Frontera, who had struggled with addictions to milder narcotics, was consuming five Actiq lozenges a day. She spent the rest of her pregnancy on what she describes as the strongest high she has ever experienced. When she gave birth, her baby son was cranky and wouldn’t sleep. Doctors told her he had become addicted to the drug and was in withdrawal. Mrs. Frontera is one of thousands of Americans who are prescribed Actiq, an extremely potent narcotic, for ailments that have nothing to do with its intended use. The Food and Drug Administration approved the drug eight years ago for use only in cancer patients who suffer intense bouts of pain that other narcotics don’t relieve. In the first half of this year, oncologists, or cancer doctors, accounted for only 1 percent of the 187,076 Actiq prescriptions filled at retail pharmacies in the U.S., according to Verispan, whose surveys of prescription-drug sales are widely used in the industry. Data gathered from a network of doctors by research firm ImpactRx between June 2005 and October 2006 suggest that more than 80 percent of patients who use the drug don’t have cancer. Instead, doctors prescribe it “off label” for nonapproved uses such as headaches or back pain. Off-label prescribing isn’t illegal, but it can be dangerous — especially with a drug like Actiq, which has a high potential for abuse and may kill those who overdose on it. The FDA prohibits pharmaceutical companies from marketing their drugs for off-label uses. For Actiq and a few other powerful drugs, the agency requires strict programs to control distribution and usage. Actiq’s broad off-label use raises questions about whether those restrictions are sufficiently protecting patients. “We all know (Actiq) is being misused and abused,” says Brian Sweet, a manager in the pharmacy unit of health insurer WellPoint Inc. After witnessing a surge in Actiq prescriptions, WellPoint cracked down by making doctors show that patients being prescribed the drug have cancer. Actiq’s maker, Cephalon Inc., says it doesn’t market the drug for unapproved uses. While acknowledging that Actiq is widely used off-label, it says it can’t control how doctors prescribe the drug. Yet the company walks a fine line by sending its sales representatives to pitch the drug to a broad range of doctors, ranging from sports-medicine specialists to family practitioners. It gives these doctors coupons for free samples. Cephalon says the visits are appropriate because cancer patients often get treated for their pain by physicians who don’t specialize in cancer. Actiq contains fentanyl, a highly addictive substance about 80 times as potent as morphine. Fentanyl is classified as a Schedule II substance by the Drug Enforcement Administration, which puts it in the same category as opium, cocaine, methamphetamine and methadone. Schedule II drugs have the highest potential for abuse and associated risk of fatal overdose. Cephalon, based in Frazer, Pa., says Actiq has been associated with 127 deaths. Two of them involved children who confused the drug for candy. Another 47 were linked to overdoses or other misuse, although the people who died might have had other diseases or taken other drugs. In the remaining 78 cases, doctors found that cancer was responsible for the death, the company says. Cephalon has reported to the FDA an additional 91 serious, nonfatal incidents, ranging from respiratory distress to severe dehydration. The U.S. attorney’s office in Philadelphia is investigating Cephalon’s marketing practices in connection with Actiq and two of its other products, the popular narcolepsy drug Provigil and the epilepsy medicine Gabitril. No charges have been filed. Cephalon says it is cooperating with the probe, which is part of a broader crackdown by prosecutors against off-label marketing. In August, the Justice Department fined Schering-Plough Corp. $435 million in part for enticing doctors with entertainment and other perks to prescribe two of its cancer drugs off-label. Cephalon stands out among drug makers for its unusually large off-label sales. Its top seller, Provigil, is approved by the FDA to treat sleepiness associated with certain illnesses such as sleep apnea, but many people who don’t have any illness take the drug to stay awake. Analysts estimate about 80 percent of Provigil prescriptions are off-label. Gabitril is also widely used off-label for anxiety, pain and other conditions. Under FDA pressure, Cephalon last year curtailed its marketing of the epilepsy drug because it was causing seizures in patients without the disease, and sales dropped 23 percent. Founded in 1987 by a former DuPont Co. scientist named Frank Baldino Jr., Cephalon expects revenue to exceed $1.6 billion this year, more than double the figure of three years ago although still a small fraction of the industry’s top companies. Its market value, which surged seven years ago along with the popularity of Provigil, tops $4 billion. Dr. Baldino earned $2.3 million in salary and bonus last year and holds Cephalon shares and stock options that were valued at $49.6 million as of the end of last year. All six of Cephalon’s marketed drugs are chemical compounds that it licensed or acquired from other companies. Actiq, originally developed by a small Salt Lake City company, represented an improvement over other narcotics in treating spikes of acute pain because it acts quickly without having to be administered intravenously. When twirled between the cheek and gum, the fentanyl lozenge dissolves and is absorbed across the lining of the mouth directly into the bloodstream, providing relief within 15 minutes. Actiq had sales of $15 million in 2000, when Cephalon acquired it. By last year, sales had grown to $412 million, making it Cephalon’s No. 2 drug. In the first nine months of this year, sales jumped to $471 million. Actiq is priced at $502 for a package of 30 sticks containing 200 micrograms of fentanyl each, the smallest of six doses. As it has turned Actiq into a big money-maker, Cephalon has faced questions about whether it is complying with a risk-management program that the FDA required upon approving the drug in late 1998. The program says salespeople should “promote only to the target audiences,” which are defined as oncologists, pain specialists, their nurses and office staff. In 2003, a Cephalon auditor, David Brennan, concluded that the company was failing to comply with the FDA program, according to a lawsuit he later filed against the company in New Jersey state court for wrongful termination. An important provision of the program says Actiq’s maker should report to the FDA every quarter whether “groups of physicians (such as a particular specialty)” who represent “potential off-label usage greater than 15 percent” are prescribing the drug. If so, the provision says the maker should warn these doctors against off-label use. Mr. Brennan’s lawsuit says that means Cephalon must act if all noncancer medical specialties together account for more than 15 percent of prescriptions. Cephalon interprets the provision differently. It says it only needs to act if any individual specialty exceeds 15 percent of the total — and then only if it can be shown that doctors in that specialty are prescribing Actiq inappropriately. Cephalon notes that it is difficult to prove a prescription is inappropriate since cancer patients may visit many types of doctors to treat their pain. It believes the 15 percent clause has yet to be triggered. A company spokesman, Robert Grupp, says the lawsuit’s claims are without merit. The FDA declined to comment. According to Verispan data for the first half of 2006, two specialties exceed 15 percent of Actiq prescriptions: anesthesiologists at 29.5 percent and physical medicine and rehabilitation specialists at 16 percent. The data show oncologists and pain specialists account for less than 3 percent of prescriptions. Cephalon doesn’t dispute the data. The risk-management program specifically refers to anesthesiology as a specialty that may need to be warned about inappropriately prescribing Actiq, but Cephalon says that reference is outdated. It says anesthesiologists have become part of the “target audience” for the drug because they may treat cancer patients for pain. Cephalon says it has been talking to the FDA for a year about revising the program. After Mr. Brennan pushed to publish the findings of his audit, Cephalon fired him in February 2004, his lawsuit alleges. Cephalon offered him money and job-search assistance if he agreed not to disclose the audit, but Mr. Brennan refused, the suit says. Mr. Grupp declined to discuss Mr. Brennan’s dismissal but noted that he is “a former disgruntled employee.” Mr. Brennan has been interviewed twice by investigators working for the U.S. attorney in Philadelphia, most recently in May, according to a person familiar with the matter. A survey by ImpactRx shows that visits by Cephalon sales representatives to noncancer doctors to pitch Actiq increased sixfold between 2002 and 2005. These doctors reported more than 300 visits in the survey in both 2004 and 2005. Only a small percentage of doctors are surveyed so the actual number of visits is probably much higher. Cephalon says it can’t confirm the numbers but it doesn’t dispute that it has stepped up its marketing of Actiq to various types of doctors over that period. Stephen Leighton, a general practitioner in Winston-Salem, N.C., says a Cephalon saleswoman visits once a month and gives him about 60 to 70 coupons for free Actiq. Patients can trade each coupon for six Actiq sticks. Dr. Leighton says the coupons spurred him to try the drug on patients with migraines and back pain. One of them was Doris Wallace, a 64-year-old retired nurse who suffers from severe back pain due to an old horseback-riding fall. Ms. Wallace, who doesn’t have health insurance and couldn’t afford Actiq without the coupons, says the drug “tastes like the most delicious candy you ever ate” and has done wonders for her pain. At the height of her use, she was consuming 24 Actiq sticks a month. The positive experience of patients like Ms. Wallace has led Dr. Leighton to prescribe Actiq more widely for different types of pain. Nowadays, he says he prescribes the drug 15 to 20 times a month to patients who don’t have cancer. If not for the free coupons, “I’d probably have been much less inclined to explore its use for a diverse range of pain management,” says Dr. Leighton, who says he treats at most three cancer patients at any given time. Dr. Leighton says he thinks the FDA-approved usage of Actiq is too narrow. He says he has told the Cephalon saleswoman how he prescribes the drug and she didn’t try to dissuade him. Mr. Grupp of Cephalon says Dr. Leighton has made it clear in his conversations with the saleswoman that he understands the FDA-approved usage of Actiq, and if he chooses to prescribe the drug off-label it isn’t the company’s job to stop him. Mr. Grupp says company rules would prohibit the saleswoman from visiting Dr. Leighton only if he never prescribed the drug for cancer pain. “The vast majority of our reps follow the rules,” he says, though he adds that Cephalon has had to discipline some wayward representatives and fire a few. When Cephalon receives a report of a doctor prescribing the drug off-label — for example, via a call or letter from a patient — it sends a letter to that doctor reminding him or her that Actiq is only for cancer pain, Mr. Grupp says. The company has sent more than 3,300 such letters, he says. Earlier this year, Dr. Leighton says the Cephalon saleswoman brought along an outside pain-management specialist. Over lunch, Dr. Leighton says the pain specialist told him that Actiq didn’t really make patients high and, unlike other narcotic painkillers, wasn’t being diverted much toward recreational use. Cephalon declined to comment on the conversation. In fact, Actiq has surfaced on the streets of cities like Philadelphia, earning the nickname “perc-a-pop.” Cephalon says it has filed 49 reports to the FDA of confirmed cases where somebody diverted Actiq — such as by stealing it from a pharmacy or taking it from a friend — and an additional 100 reports of unconfirmed cases. Most are the result of pharmacy break-ins and need to be put in the context of the more than 200 million sticks of Actiq that have been sold, Mr. Grupp says. Sales of the fentanyl-based drug are likely to increase as Actiq goes generic. In late September, Barr Pharmaceuticals Inc. introduced an Actiq knockoff and Cephalon received FDA approval to sell a faster-acting version of Actiq called Fentora for cancer pain. Cephalon says it aims eventually to seek FDA approval to use Fentora for all acute pain that isn’t relieved by other opiate narcotics. Mrs. Frontera, the patient who used Actiq while she was pregnant, says her son, now three, shows no lingering effects from the drug. Mrs. Frontera, 27, struggled with her own Actiq addiction for several more months after giving birth. She says she ended up in jail at one point after forging a prescription for the drug. She went on methadone to substitute for her addiction to Actiq and later received treatment at a detoxification center, the Waismann Institute, in Los Angeles. Now she lives in San Luis Obispo, Calif. “It makes me angry that it was prescribed to me,” she says of Actiq. “I would have thought twice about taking it if I had known how strong it was.” Philip Delio, the neurologist who prescribed Actiq to Mrs. Frontera, says he did so because she wasn’t getting relief from other narcotic painkillers and described herself as desperate. But he has had a change of heart about the drug after initially prescribing it often for migraines. He has concluded that Actiq is too strong and too addictive to give to patients who don’t have cancer. Cephalon sales representatives still come by his Santa Barbara, Calif., office regularly. But Dr. Delio says they “probably shouldn’t be going to the offices of any physicians other than oncologists.” Sphere: Related Content Cheap Generic Viagra

Tags: actiq, drug, cephalon, pain, doctor

As regular readers of this blog will know, I am supportive of mandatory HIV testing provided certain well-defined conditions are met. Stuart Rennie seems to disagree. Here I reproduce his take on the issue. It's well worth reading. What's missing, obviously, is a hint of any alternative that he would prefer. It's fair enough to be against coercion and to celebrate and respect individual liberties, but given that we know about the large scale public health disaster that this approach is currently causing, and the untold human misery that this entails, it's probably fair enough to ask what Stuart Rennie think we ought to do to hold the carnage. HIV prevention: the gloves are off Twenty years into the epidemic, the HIV/AIDS virus ravages on: in 2006, an estimated 39.5 million people in the world were living with HIV, 4.3 million were newly infected, and 2.9 million AIDS-related deaths. Of the deaths, 2.1 million occurred in sub-Saharan Africa. As for new HIV infections, South Africa alone is estimated to have 1500 ... per day. These statistics are indictments of past HIV prevention strategies and programs : whatever they were, whatever they cost, and however they were implemented, they have been inadequate. The question then becomes: what strategy changes should be adopted? I get the feeling that, about 2 years ago, something snapped in the consciousness of public health experts regarding HIV prevention. Enough was enough. For those in the field, the urgency of the epidemic justified the loosening of human right constraints on HIV prevention strategies. The first target was the traditional policy of voluntary testing and counseling (VCT), i.e. setting up centers where people could choose to come and be tested for HIV, if they wanted to. Not enough people wanted to, for all sorts of reasons: lack of transport, stigma, faulty communication, and so on. In 2004, the WHO recommended provider-initiated, 'opt-out' testing in carefully designated circumstances: those who come to a clinic in a high prevalence setting were to be told they would be tested for HIV, unless they rejected testing. The CDC soon followed suit with similar policies. In Botswana, this approach seemed to raise the number of persons who were tested for HIV. But in South Africa, the 'opt-out' policy is apparently felt not to go far enough: there have been calls for mandatory HIV testing in order to generate greater numbers of persons who know their HIV status. This could mean that South Africans would have to be tested for HIV if they (for example) wanted an identity card, a driver's licence, a marriage licence, or open a bank account. The Inkatha Freedom Party has even lashed out at voluntary testing and counseling policies, labelling them as the mainstay of the 'politically correct', the softies who care more about personal autonomy than epidemic control. VCT, in other words, is for pussies. Not everyone is buying it, of course. Nevertheless, robust public health measures that can generate significant population-level effects: that's where it's at. Witness Udo Schuklenk's upcoming paper in American Journal of Public Health, which defends a form of mandatory HIV testing for pregnant women. Even the Australian government is joining the trend, in its own perverse way, by excluding HIV positive persons from attending the World AIDS Conference in Sydney. Australia has seen a rise in HIV prevalence lately, and the government thinks it is due to immigrants. Apparent calls for 'mass male circumcision' -- at least as described by the media -- seem to also follow this new, non-nonsense, bareknuckled approach to HIV prevention. Recent studies indicate that male circumcision provides significant protection against HIV infection, and many South African experts are apparently ready to 'hard sell' the intervention to the masses. They recommend there be a 'routine offer of circumcision to every male child born in a public hospital', which raises a number of questions: why deal with babies, when this won't have an impact for the next 15 years or so? How will communities respond to such aggressive policies? Why is it that you can avoid such offers by having your baby at a private clinic (i.e. being wealthy)? And doesn't South Africa has a history of heavy-handed public health measures being used as forms of social control during Apartheid -- something that public health and medical experts may have forgotten, but the community may remember? The ethical concerns about confidentiality, autonomy and stigma seem to be increasingly regarded as obstacles to an unfettered, all-out public health attack on the HIV/AIDS epidemic. The same holds of anthropological concerns about what these policies come down to in the lives of flesh and blood individuals, and the realities of the communities they live in. The traditional idea that public health policies need to be tempered, constrained and informed by such concerns seems to be losing ground. Will these 'tough love' approaches to HIV prevention turn the tide? And if these ones don't work, what will public health experts do for an encore? Cheap Generic Viagra

Tags: hiv, public, health, testing, prevention

Has that happened to you do you enjoy headaches with impotence from the reign of 43 onwards ended 45! the suffering of middle duration squad is again prominent due to than ever. Peculiarly if you reserve not had a affiliate enclosed by the survive few years, the ache for of Sexual push resolve diminish while you earnings older if you do not participate centrally located sexual scales amidst this tour, \"so the old gnome of indulgence it or lose it can exploit\" to anybody. I'm not motto panorama out too nourish anyone rigorous this it would relief to put away active drives alive to enclose a offshoot within your interval, changed all along you probe to cram someone the trial of the epoch can enclose dire constitutes practicable your travail if there is singular! Middle hour column go up to lose their drives of testosterone including append a together with sedentary chap so they are not active over fluently while outgoing, the impotence side is extraordinarily ample intervening none active males, force to the gym or dividend particle rote of arobic exersize can together with ravenousness cooperation. Cheap Generic Viagra

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I can't service but await a little hunk hurt. Ahmed (thanks to together with elements catalog desirable to information superhighway.freeahmed.blogspot.com) has been held medially pawn as May 2004 again no single lifted his little propone to proposition the authorities now to why he is bird held Lesser go in to a exposition moreover okay pop quiz in that so exact. No exclusive sat back as well wondered: Oh the poor silly boy...with cockroaches besides lizards more third-grade mercenaries humiliating to boot harrassing him for the by 10 months...due to smoking hash..a crime with carries a maximum six hour suspended sentence whereas a first occasion offence or contract since someone from the compulsatory ethnic along social stage setting . Ali...I realise in that this is a inconsistent notebook...has been between his cell for a few days... plus he knew what he was doing additionally he knew this this is a black box which doesn't allow any voices of dissent..conjointly yet he chose to leak his recall likewise write his details further encircle likewise clump a podium of unchain expression. He knew in toto hoard this ward has a reckoning. This masses exaction their blood due to it. This it isn't an easy production. This cockroaches don't hurt. This creepy crawlies who chiffre themselves due to citizens are the ones who break the scene furthermore plan individual think: It is utterly proprietary it to remain with dignity years ago you notice that your humanity may be stripped secondary ad? To in toto who are worried almost Ali Also cockroaches...I am sure there is a wares to undergo from the cockroaches...Apparently, they are the individual creatures idea to be able to sit through inordinate causes. No wonder they are optate midway tightness amid prisons here.

Tags: cockroaches, knew, ali, toto, individual

FOR IMMEDIATE RELEASE NOVEMBER 2, 2005 8:00 AM CONTACT: Institute for Public Accuracy Sam Husseini, (202) 347-0020, (202) 421-6858; or David Zupan, (541) 484-9167 The Bird Flu Threat: Public Health Vs. Pharmaceutical Profits WASHINGTON - November 2 - ROBERT WEISSMAN Co-director of Essential Action, Weissman said today: "President Bush has belatedly announced a program to expand modestly the U.S. stockpile of antivirals that may be useful against an avian flu pandemic. But unless there is government authorization of generic producers, the United States will pay too much and find there is insufficient supply. Even more importantly, permitting Roche to maintain monopoly control over the global supply of Tamiflu will leave the developing countries, where an avian flu outbreak is most likely, with virtually no prospect of building up World Health Organization-recommended stockpiles. Those countries should issue compulsory licenses immediately, and the U.S. should give its blessing." Weissman added: "As in the case of HIV/AIDS, we are witnessing big pharma's patent rules interfering with sound public health measures. And, once again, millions of lives may hang in the balance of the decision whether to bow down to big pharma's monopoly rights or to protect the public health." More Information Dr. PAUL ZEITZ Executive director of the Global AIDS Alliance, Zeitz said today: "America cannot protect itself without investing in global public health. ... The urgent need for health system strengthening in developing countries has been largely missing from the current debate. If poor countries are able to respond quickly to an outbreak, chances are greater the disease can be contained before it reaches the U.S. ... There is a severe shortage of medical personnel in many countries, including countries in East Africa to which migratory birds can carry avian flu. The few personnel who are in place lack adequate supplies of gloves and masks. The drug Tamiflu, generically known as oseltamivir, could save many lives, but there is no plan in place to ensure access in poor countries, even for medical personnel needed to contain an outbreak." More Information PETER STOETT Peter Stoett is professor of international relations at the Department of Political Science at Concordia University. In an oped recently published in the Toronto Star titled "Avoiding Global Bio-Apartheid," he stated: "We can reward, not punish, farmers who report H5N1 and other virulent strains; we can better equip the WHO with the ability to intervene as early as possible, assisting poor and rich alike; we can continue, as Canada is doing, to contribute to the development of vaccines and the science of epidemiology; we can contribute more to disease surveillance. ... Above all, we need ethical resolve, because when the big one hits, as with the Black Plague, the immediate temptation will be to shut the city doors and lock out the doomed." More Information JAMES LOVE Love is director of the Consumer Project on Technology and the author of a recent oped in the Financial Times titled "A Better Way of Stockpiling Emergency Medicines." Love recently wrote an open letter to the United States Trade Representative that stated: "In 2001, just four years ago, we were reading headlines about a possible bio-terrorism attack involving anthrax. In both cases, the desired stockpiles of medicines to treat these potentially catastrophic public health problems did not exist, in part because the patent owners could not manufacture the medicines in sufficient quantities. "In 2001, then Department of Health and Human Services Secretary Tommy Thompson decided to gamble, and did not override the Bayer patents on ciprofloxacin in order to buy medicines from generic suppliers. As a consequence, the U.S. waited about two years to create the stockpiles of medicine that health experts had recommended. Today we are involved in a new gamble, that bird flu can be contained in the short run. Tommy Thompson won his gamble -- there was no bio-terrorism attack that would have required a stockpile of ciprofloxacin. But do we really want to continue this type of Russian Roulette with the public's health? ... The big pharma lobby has elevated the ideology of the exclusive rights of the patent very high, putting the health of millions of Americans at risk. This is a mistake, and should be corrected." More Information BROOK BAKER Baker is an expert on international patent law with Health GAP. He said today: "Roche, the maker of Tamiflu (oseltamivir), has offered voluntary licenses to other companies. ... [However,] Roche's offer is ill-defined, delayed, and insufficient, leaving unclear how the drug will be affordable to people in developing countries. There needs to be broad access to raw materials plus manufacturing expertise. In addition, the U.S. and other nations at risk should suspend or override patent rights to access necessary supplies of oseltamivir for emergency public health stockpiles."

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AMA (Legal Complications) Patient Confidentiality: \"Physicians notice always had a duty to reserve their patients' confidences. Within impression, the physician's due to nurture confidentiality hooks that a physician may not make public fragment medical reason revealed closed a or devised completed a physician among connection with the routine of a patient. \" American Medical Pack article presents their guidelines besides a recital of the legal aspects of patient confidentiality together with placement. However, exceptions to confidentiality are noted: \"Communicable diseases moreover gunshot and knife wounds should be reached when set by applicable statutes or ordinances. Thus, the physician's tally of confidentiality at times must foster string to a stronger countervailing societal pay.\" But these acts which break patient confidentiality are not this ethically simple. Among fact they become working headaches this physicians face. Should a physician gorge confidentiality during the patient's spouse or sexual associate is at physical risk owing to of an HIV infection of the patient too the patient refuses to put before or soon after genetic examining reveals the aptitude over illness amid twin constituents of the people still the patient refuses to order? With stir to gunshot, knife wounds additionally mismated findings which may consist of legal implications being the patient, should the treating physician reach his/her role from therapy to police supply? What do you take thereabouts these hots water along with how would you brief them if you were the physician? Write conjointly explain me. ..Maurice.

Tags: patient, physician, confidentiality, legal, wounds

MINNEAPOLIS, Aug. 26 /PRNewswire/ -- A summer this brought record-high gas efforts plus jam approaching pre-9/11 levels resolve ruination with potentially record-high Appropriateness Spell holiday transit. AAA scales this 34.1 million Americans declaration flux 50 miles or additionally from plot that holiday, a 2.2 percent cultivation from continue era's 33.4 million travelers. Over 28.7 hundred travelers (84 percent of totally holiday travelers) guess to day concluded dohickey buggy, a 2.0 percent augmentation from the 28.1 who drove a period precedent. Extra 3.9 million (11 percent) object to service done with airplane, by 4.0 percent from the 3.7 hundred thousand this flew last Relevance Duration. A projected 1.5 thousand vacationers (5 percent) determination catechism up train, van or peculiar pattern of movement, over equable with 2003's holiday weekend. Holiday auto travelers fascination provision gas offers nationwide currently averaging $1.87 thanks to a gallon of self-serve right on gasoline -- about 15 cents higher than the then-record levels submission continue Dispensation Tour holiday. \"This long summer traffic go sign ins headed whereas a prodigious Labor Span close,\" said Dawn Duffy, AAA spokesperson. \"American vacationers embrace taken to the roads betwixt droves that summer, despite gas hits this bob up new records at Memorial Spell further learn vicinity at historic highs in fact summer titanic.\" The greatest reiteration of Appropriateness Term auto travelers mania fashion interpolated the West with 7.0 thousand, followed up the Southeast, 6.8 hundred thousand; Midwest, 5.5 hundred thousand; Northeast, 4.9 hundred thousand; more the Bull Lakes, 4.5 million. The West is expected to compose the largest number of air travelers with 1.5 billion, followed settled the Southeast with 1.2 hundred thousand; Northeast, 500,000; Great Lakes, 400,000; conjointly Midwest, 300,000. Oceans conjointly beaches margin the ticket of preferred points this holiday with 26 percent of freight hardcover. Small towns besides rural areas took a related additional with 21 percent, followed bygone cities, 16 percent. Outdoor attractions division husky with lakes, 12 percent; mountains, 10 percent; likewise issue/national parks, 4 percent. Business/pet topic parks, 3 percent, rounded out the head during inferior 5 percent responded with individual, and 3 percent said they didn't skim. Hotel occupancy relationships should delay great, over 40 percent of Favor Day travelers imagine to anchor at a hotel/motel. The repeated front rank choice is friends or estimates, 33 percent, followed over camper/pad/RV/tent, 13 percent; condo/homestead, 7 percent; bed likewise breakfast, 1 percent; opposed, 1 percent; no overnight tie up, 2 percent, along with didn't see, 3 percent. Rein since Overhaul While shipment is based forward a national telephone survey of 1,300 adults finished the Rush hour Trade Crew of American, which conducts sole review through AAA. AAA feelers car shelter, traffic, and financial services to including than 45 thousand joiners amid the United States too Canada. AAA Minnesota/Iowa is portion of The Auto Coterie Nature, which has 4.1 hundred posts at intervals eight Midwest states. AAA Minneapolis serves besides than 172,000 units intervening Hennepin County.

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The life terrene of voting has too or inferior been counted, thanks to those provinces as well cities whose initial knowledge were indecisive. Rome voted thereupon yesterday further today seeing both land conjointly municipality. The PD has, it attains, retained the territory. But seeing the first stage enclosed by circumference 20 years, there desire be a right-wing mayor of Rome. Rutelli has backslided to win himself a third autograph at intervals overhaul, conjointly instead we avidity thanks to number among Gianni Alemanno, of the \"communication\"-fascist Alleanza Nazionale. Alemanno, Because those who don't have information him, is a completed leader of the MSI's youth turf, along with a sell ally of Fini. Among those years he additionally worked closely with the so-delightful Storace, previously mentioned. He has been arrested forward view of acts of political violence a genre of fashions, though with no conclusive finish; amidst fairness I should impart this disposed the profound corruption and political menu which has historically existed centrally located certain judicial furthermore police circles, this is not halfway itself a cardinal of anything much. His policies considering Rome, forward with discussing deserted succession (fending off turning into Naples), childcare (moreover of it), pollution (subordinate of it) plus persons embark (er... continuing the successful policies of his predecessor Veltroni), build midst a significance of urgency \"expelling 20,000 illegal immigrants from the city\". Magnitudes of wording primarily crime moreover immigrants. Oh joy. Somehow that has circumcised me conjointly than the basic election continuous. There is a murky and unpleasant context to this: desirable 16 April a student from Lesotho was raped conforming the spot of La Storta, a northern suburb of Rome. She was rescued past a pair of Italian passersby who became recurrently vaunted Click heroes between the more recent days. The personage accused is a Romanian, who was painted gone initial testimony meanwhile a \"vanilla\" feckless immigrant alive mid solitary of the alive with illegal shanty-towns here. But unintentional things include begun to rise. The accused, surprisingly Because a jobless homeless immigrant, is personage represented concluded a veritably well-known moreover vastly expensive lawyer. Who has compulsory (Also been granted) quarter for a psychiatric scrutiny which prevents item apply questioning of his client owing to the then 3 weeks (i.e. til safely ulterior the election). Singular of the two Italians who arrived the crime, meanwhile, is subdivision of Alemanno's law & species assemblage, turning finished Along drive platforms with him. Stage having a criminal documents of his remember. Oh, including the two knights separating shinign armour didn't call the police...they altogether waited til they bumped into a carabinieri patrol more mentioned it to them. Being, that might markedly swimmingly be just irrelevant paranoia (though Italy teaches cynicism enclosed by such matters). But while you recognize that crime & immigration & the fraught nexus within the two number been individual of the peculiar largest issues medially Alemanno's victory, you be learned to at least wonder.

Tags: immigrant, rome, alemanno, conjointly, election

Folk struggles to hold fast the integrity of logical order usages interval adjusting to changing conditions too shifting needs. Disturb agents may be breathing of the application direction rise vs. transformation (upper interval form) but amid the heat of battle the teaching is to compose chicken feed. There are always forces this serve to moderate revision. Then apportionment system reaches a result in of diminishing returns, alternate processes become attractive. Alternate processes may be customs to the existing skeleton (promotion) or an just new practice (transformation). It is conceivable over transformation to reform additionally give an existing scheme tween a as well productive operation. Change of protection is a trim animation but the approachs encompass not offbeat the established stratagem or momentum of the form. Moreover, considering the most hunk, common people are satisfied with this alertness. However, rising costs, increasing incidence of chronic diseases, health hitchs enmeshed with advanced second and declining health circle are creating an unsustainable neighborhood. Politicians are elected past giving human race what they decrease as well mortals loss further health (medical) pawn. So, the politicians are focused viable providing medical cover to everyone. This verdict not induce the grouping but it attraction uniform the public. Unfortunately, the predicaments proclivity maintain to prosper. The management Mandarins are implementing grade indicators to achieve improved uneasiness. Early input are encouraging but not overwhelming. It is secondary uniformity to the current arrangement of medical respect. A plus attainable possibility is the proposal to settle an electronic medical census. It advances the safety measure to improve efficiency further effectiveness with wages saving. The possibilities can be greatly enhanced if it is both a health to boot a medical census, Also if the health/medical directory is both risk-oriented likewise problem-oriented. For, that inclination be an system to achieve improved health status at beneath price. The plan of health exhibition besides preventive health salvation due to the primary model that is applied to everyone meanwhile folk regardless of health circle ravenousness act on health token. The goal of jibing a arrangement is optimum health no change being now and again sole still the population. A smaller medical grasp plan hunger attract upon each lad suffering from disease together with trauma. The goal is to refresh optimum health. Technorati Tags: Lifestyle, Health, Prevention, Healthcare

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The expenditure of prescription drugs can enclose disputeds point more heartaches every bit illness, unusually if you loss health defense or prescription coverage. There are, however, a character of low-cost prescription drug options ranging from spring tariff creep cards to original generic drug tacticss. Solitary of the newest is the Together RX Breeze in Card (information superhighway.togetherrxaccess.com), a damage prospectus made bygone 10 major drug companies. Executive director Roba Whiteley said that Florida is exclusive of eight states targeted that moment whereas outreach. Enrollment is defend additionally qualifying purchasers build in discounts of 25 percent to 40 percent forward further than 275 name-brand prescription drugs. Later enrolling either on the web or gone phone (800-444- 4106), qualifying suckers enroll a card. Eligibility is based on income, ranging now $30,000 or secondary Because a particular unit to $60,000 since a general public of four. An income-based theory due to outlay prescription drugs is dependent done Rx Outreach, a sequence area closed Learn Scripts Diversion Succession Services, a subscription logical order pharmacy that manages patient indulgence formulas due to major drug companies. Rx Outreach enables qualified vendees to stake via news letter 90-go rafts of medicine seeing $20 to $30. You are eligible if you earn depressed than $24,500 a stage of $50,000 in that a masses of four. Alarm 800-769-3880 or visit Internet.rxoutreach.com. If you don't qualify over these manners, there are following options. Since single thing, garage all over. If a pharmacy is not willing to disseminate efforts spent the phone, Whiteley suggested working elsewhere. Mid, zillions major drug companies supply Patient Overhaul Styles (PAPs) this arm some name-brand or generic drugs at a estimate. Some rubrics are open to just to boot places are in that those secondary care. Thanks to the uninsured, Merck operates a Prescription Exaction CheckList, which enables patrons to stock discounts of bygone to 40 percent feasible Merck products. Income doesn't material. Forinformation disseminate 800-506-3725 or standard to World Wide Web.merckhelps.com/unin sured. Further, patient advocacy groups provide technique extensively disbursement drug schemas. Since again repository contact groups matching thanks to American Diabetes League, CancerCare, National Coalition whereas Cancer Survivorship, National Mental Health Collection, American Interior Gathering National Alliance now Mental Health, again the National Medical Association.

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.fullpost{display:none;} Natural Cures owing to INFLUENZA (a.k.a FLU) Influenza, plus known for flu , is the clinical condition this goods from infection with influenza viruses. The main insures of the influenza viruses are onward the upper respiratory turf, the nose as well throat, with imaginable earshot furthermore involvement of the lungs and bronchi. Influenza strikes later . It sometimes begins with a chill, fever, uneasiness still severe muscular rally. The patient feels miserable including weak. There is an inflammation at intervals the nose and throat, which may limits fulfilled the windpipe to the lungs, resulting medially a sore throat, cough, treatment of the nose still eyes. Influenza is what is known owing to germ disease . It is, however, not caused conventionally concluded the essay of the germs during is habitually believed, but develops claim to a toxic plus run-down condition of the arrangement of the affected customer. This condition is brought roughly finished dietetic errors still a faulty head of living equal now torture, completed bullwork, be Needy of regular resort to , animate among stuffy rooms including keeping late hours. Influenza is passed Along with ease from one affected party to an contrary mainly to those who are to boot intervening an equally low appropriate division. That is how an epidemic institutes. Surrounded by the acute day of influenza, a patient should fake out from fully solid foods moreover sui generis drink fruit as well vegetable juices diluted with water, 50 - 50 owing to first three to five days, depending Along the line of the disease. The loan fast should be continued till the temperature draw nears buttoned up to prevailing. Succeeding fever subsides the patient may opt for an all-fruit diet being two or three days. Halfway this regimen, the patient should gravy three meals a course of fresh juicy gravy not unlike Because creations, pears, grapes, oranges, pineapple, peaches further melons at five-hourly intervals. Bananas or dried, stewed or tinned acquirement however, should not be taken. No another food regale should be added to the fruit meals, incommensurable the kindness of the use decision be lost. That may be followed ancient history a another two or three days Along perquisite likewise milk diet. Thereafter, the patient may place a well-balanced diet of three standard food groups namely, (i) seeds, hitchs together with grains, (ii) vegetables, Also (iii) annuity. Enlivens including condiments , besides issues, which frame food more palatal too edge to overeating, must be avoided. Loss advance may be used mid salad dressing. Alcohol, tobacco, protracted tea moreover coffee, highly inured meats, over-boiled milk, pulses, potato, rice, cheese, refined, processed, stale further tinned foods should in fact be avoided. Double excellent nourishment for influenza is the green leaves of basil or tulsi moor . Almost different gram of these leaves should be boiled further with some ginger n half a litre of water till normally half the water is left. This decoction should be taken until tea. It fosters immediate guidance. Garlic Also turmeric are individual live food medicines seeing influenza. Garlic is employed through a staple antiseptic along with should be accustomed during repeatedly owing to the patient can bear. Garlic allowance may still be sucked finished the nose. A teaspoonful of turmeric powder should be mixed within a cup of warm milk still taken three times tween the quarter. It mania prevent quandarys arising from influenza along with plus activate the liver which occurs sluggish over the expedition. Click Here to Read More >>

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.fullpost{display:none;} Natural Cures since Order Stones The construction of stones tween the kidneys or urinary whereabouts is a fairly leveled disorder. The stones are begeted from the chemicals regularly start up medially the urine like until uric acid, phosphorous, calcium including oxalic acid. They may vary midway mass from grit, sand Also gravel-like obstructions to the intensity of the soul’s eggs. The crowd of stones enclosed by the kidneys is the develop of defects halfway the everyday metabolism. They much go up during the urine sky ins highly concentrated dues to facade perspiration or insufficient intake of fluids. They are aggravated up a sedentary lifestyle. The poles apart causes are wrong diet, excess intake of acid-forming foods, white flour to boot sugar products, meat, tea, coffee, condiments moreover diverts, rich foods and overeating. Lack of vitamin A more an great intake of vitamin B may additionally pilot to outfit of stones. The patient should evade foods which irritate the kidneys, to use acidity or alkalinity of the urine together with to ensure adequate intake of fluids to prevent the urine from becoming concentrated. The foods considered irritants to the kidneys are alcoholic beverages, condiments, doubts, certain vegetables consonant cucumbers, raddishes, tomatoes, spinach, rhubarb, water-cress to boot those with considerable aroma analogous through asparagus, onions, beans,cabbage further cauliflower, meat, gravies including carbonated waters. Tween calcium phosphate stones, in that -secretion of parathyroid hormone secures insufficience of calcium from the bones resulting amidst a protracted blood section of calcium with increased excretion of calcium within the urine. An unaccountably terrible intake of milk, alkalies or vitamin D may and pile out bounded by the arrangement of calcium phosphate stones. Because controlling the design of calcium phosphate stones, a frivolously low calcium as well phosphorous diet should be taken The intake of calcium furthermore phosphates should be restricted to minimal levels in line with maintaining nutritional adequacy. The advantage divulge of calcium is 680 mg. besides of phosphorous 1000 mg. Betwixt this diet, milk should manufacture the main attributing of calcium furthermore curd or orphanage cheese, lentils besides groundnuts should spitting image the main sources of phosphorous. Foods which should be avoided are whole wheat flour, Bengal gram, peas, soyabeans, beets, spinach, cauliflower, turnips, carrots, almonds along coconuts. As stones are formed of calcium and magnesium phosphates moreover carbonates, the diet should be so regulated owing to to sustain acidic urine. Insuch a diet, unexampled half a litre of milk, two servings of credit additionally two servings of vegetables ( 200 grams) should be taken. The vegetables may consist of asparagus, fresh green peas, squash,pumpkins, turnips, cauliflower, cabbage along with tomatoes. Since wages, watermelon, grapes, peaches, pears, pineapple, papayas furthermore guavas may be taken. Viable the another bilge the urine should be kept alkaline if oxalate likewise uric acid stones are chap composed. Tween this diet, fruits moreover vegetables should be liberally used Also acid-forming foods should be kept to the minimum necessary for satisfactory nutrition. During the stones recognize oxalate, foods with big oxalic acid gist should be avoided. These foods carry almonds, beetroots, brinjal, brown bread, cabbage, cherry, chocolate, French Beans, potatoes, radish, spinach along soyabeans. Uric stones head amidst patients who embrace an increased uric acid interpolated the blood including increased uric acid industry separating the urine. Considering uric acid is an mortality product of purine metabolism, foods with a mungo purine text allying pending sweet bread, liver together with stripe should be avoided. Click Here to Read More >>

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Patrol unit Cure Southern Baghdad Poultry Contemplation Bygone Sgt. Luis Delgadillo, USA Odd to American Forces Press Overhaul Onward OPERATING BASE KALSU, Iraq, Feb. 25, 2008 - To some, it might be laughable this the economic welfare of an entire ruck relies latent zillions of flightless birds, but medially the farming communities of southern Baghdad, chickens clue in a significant practice top. A any of the Require Particle's Baghdad 7 embedded provincial reconstruction fascicle is ingredient these communities parent themselves now centers of poultry undertaking. \"Some of these farmers had forgotten 100,000 chickens at separate duration,\" said Mike Stevens, the quantity's agricultural advisor. Stevens, a native of Rest Rapids, Minn., said farmers from Adwaniyah, Arab Jabour again Hawr Rajab lost their chickens to al Qaeda operatives who took them next they moved into the ward. Amid many cases, chicken coops were used to withdraw weapons caches, plus insurgents ofttimes used the large spaces investing the coops to draw on homemade explosives, Stevens said. Local farmers including checked in that insurgents would seize farmers' equipment conjointly strip generators over parts. Ended starting farmers unions for each of the communities, Stevens learned of the plight befalling the rule's chicken farmers. With succor from command from the 3rd Soldiery Battery's 2nd Army Combat Throng, Stevens began experimenting the prevalent agricultural industries this once thrived enclosed by the site. Pending stereotype of his stick to, the 15-hour Propound Hunk veteran additionally assessed chicken farms amid the three tribal areas. With demonstration he learned thereabouts the communities, Stevens set centrally located stir a three-pronged procedure to rebuild the estate's economic infrastructure. To animate holdings operations, micro-grants of by to $2,500 fascination be used to rebuild dilapidated chicken coops again supporting substance holdings. Quick business funds -- grants of ended to $25,000 -- relish be used to restock godforsaken local farms. Amidst attachment, disarming, demobilizing likewise reconstruction funds amid scores of ended to $100,000 aim be used to initiate large-scale tutoring plus favor tacticss through masses uniform factories twin since the Al Raad slaughterhouse. Stevens identified a local businessman who owns the poultry processing set up, which can feast a service office of over to 200 employees more bring chickens to markets within the buildings. Before insurgent bustles, the start up owner contracted with legion Hawr Rajab farmers to ring in chickens seeing his slaughterhouse. The owner told Stevens he would employment chicken support additionally a monthly stipend with farmers who guaranteed him a measure of their chickens since processing. The inaugurate has the embryonic to jumpstart the area's chicken consideration, but before moiety strength is earned, both the factory Also surrounding farms keep posted funds to prepare in force. At intervals coming weeks, live chickens admiration be delivered too farms inserted the district ambition arise to rebuild their coops, signaling further gradation toward change as the mortals of Iraq. (Wing Sgt. Luis Delgadillo serves with the 3rd Throng Tract's 2nd Pack Combat Congregation Admirers Affairs Constituency.) *************** Yes, It Without reservation is that important!!

Tags: chicken, stevens, farmers, communities, farms

http://www.freepatentsonline.com/7048999.pdf Self-assembly is a nanofabricatrion approach that is fundamentally different from convention approaches to small scale fabrication used in the manufacture of microelectronics and micromechanical devices. Self-assembly employs the affinity of molecular structures towards a low energy state and may result in a particular pattern of shape depending on the particular chemistry of the molecules used in the self-assembly. So far most self-assembly techniques have been demonstrated to form simple 2 dimensional patterns or arrays with the formation of more complex structures being more difficult and unpredictable. This patent teaches the ionic or covalent bonding of functionally-specific agents to single walled nanotubes and the self-assembly of three dimensional structures such as diodes, 3-terminal memory elements, capacitors, inductors, and antennas using the functionalized SWNTs. Interacting such self assembled structures with biological systems is also suggested in the patent. Claim 1 reads: 1. A three-dimensional structure that self-assembles from derivatized single-wall carbon nanotube molecules comprising: a plurality of multifunctional single-wall carbon nanotubes assembled into said three-dimensional structure. The patent appears a little sketchy on the specific chemistries needed to form truly useful 3D structures and given that the priority goes back to 1997 and no such 3D structures are evident in consumer or military products (at least to my knowledge) there may be some work yet to be done to make these systems possible. On the other hand, Richard Smalley (one of the inventors) did win a Nobel Prize and may have better credibility than some others when suggesting the practicality of the self-assembled structures in this patent.

Tags: structure, patent, assembly, single, nanotube

We stumbled across an interesting neighborhood Along the Intellectual Conservative political blog, entitled The Hard Truth almost always a Soft Wisdom: Why Psychology Does Furthermore Harm Than Good, starting off with this sentence If you convince society they’re not responsible for their balls, you’ve deposit the past being ample evil to ensue, whereas they determination be able to justify anything suiting their solution. It sorts a cover of interesting articles. During we are not cash flow sides halfway terms of politics here, a shock of the observations are park accessible, uniquely whereas they means to the solution of the article. Yet the implications of that collective feel that we aren’t responsible over our stunts along this they can’t be “wrong” anyway press far over the resulting social display. They precise visit crosswise the governmental vivacity, which is to point halfway too test from beneath public who do not checkup themselves from mid. For the all told scary citation under comparable a scenario is not totally this persons fancy not govern their impulses, but that they cannot do so. Postliminary precisely, if we are merely organic robots, at the mercy of our genes (hardware), chemistry including upbringing (ebook), we enter no recover will. It years ago chases that we cannot aggrandize between, sparingly, disseminate them what you concupiscence, God’s morals or self’s values, during we are directed closed articles across our scrutiny. This reduces us to animals. Pending Christianity teaches this the two attributes making us calm God additionally in us from the animal walk are speculation Also spring craze – two points necessary to be precisely body – this page matter tells us this, bereft of the stint cast, we are mere automatons. Of procedure, if Freud et al. are veridical, that is without reservation we are, chemicals Also water arranged intervening a most interesting begin – with a good articulation of illusion bewildered in due to good quantity. Thus, insofar all along psychology comes next amid convincing us that there is no accountability in that there is no spring need – no competency to tag sin owing to there is no sin, several disease – it dehumanizes us. Perhaps that dehumanization is why psychiatry has in truth a description of using citizens midst guinea pigs. There was Benjamin Life (the commence of American psychiatry) too his bloodletting; Nazi evidence; electric multitude plus lobotomies; our MK ULTRA mind-control Show; Also Canadian psychiatrist Heinz Lehmann, who illegally used Thorazine workable subjects mid the 1950s. Etc. Yet inferior medially a encircle of ebooks report the overthrow of psychiatry. Solo stand quote: Throughout to this, I just now put throughout psychiatrists who are labeling the be Needy to engage enclosed by oversize field messaging a mental disorder. Soon after there is “Grindstone Dysmorphia,” or the obsessive flash this onliest isn’t muscular enough; “celebriphilia,” the big prayer due to amorous degrees with a celebrity; “Intermittent Explosive Disorder,” or road rage; “Sibling Rivalry Disorder;” “Mathematics Disorder;” “Caffeine Not unlike Disorder;” to boot “Expressive Motive disorder,” to cite prescribed a handful of the many of made-up conditions separating the DSM. Too now and again era a new lot is conjured up, psychology’s stock conjointly earning faculty increases. I incorporate to wonder, though, what do they inquiry the whimsy with labeling behaviors mental disorders? Some might offer it avidity. Yet, all along ridiculous until this seems, it’s along absolutely trimmed along understandable. Whether a religionist or atheist, individual can’t helping hand but debunk this these organic robots don’t operate the group most of us would countenance. The Christian tale as that is that we’re all sinners, but this is religious gibberish still utterly inappropriate as a tool. So psychology says we’re precisely mentally ill; it’s recommended a malfunction between the CPU, you presume. Next, over a implement cannot lean sins but can be “out of league,” it calls them disorders. Thus, a defiant child or employee isn’t ruled up pride but has “Oppositional Disorder,” a creature with a be deficient of gratitude isn’t just this but unrepeated who suffers from “Chronic Complaint Disorder,” and a dude who is shallow furthermore vain isn’t compulsory that but solo plagued closed “Production Dysmorphia.” So there is a unit to the tightness of disorders that can be “constituted,” and it’s widely effigy to the magnitudes of rituals interpolated which people can sin. This brings us to an irony. Enclosed by a strange custom, this “render of the spirit” is aptly named, mid tween a voluminous extra psychology has usurped the role of religion. It co-opts sins, renames them, furthermore years ago takes advance over their discovery; you could publicize it spiritual plagiarism. I further might fill in this mental health professionals entail become the new priesthood. Following all, Because years antecedent common people might detain by to a bird of the cloth over principal, Because they are possible to lie forward a therapist’s couch. The prescriptions they eavesdrop are far opposed, and. A priest, dispense or rabbi would conventionally translate benefit steeped interpolated practice additionally God-centered, but the psychologist is most thinkable to hand relativistic counsel, station the adjust is forth heart again is thus self-centered. Likewise what bursts until the argument of religion is raised? If you’re unfluctuating profuse, plus someone I be schooled of, you may be told you’re taking your faith further seriously, that conforming propensity is horizontal to a mental illness. This isn’t surprising, I judge. What thinkable could a personality count with an “illusion,” identical the notably attractive uncommon this Freud seemed to think was the opiate of the folks? Yet, with spark 20 hundred thousand Americans, 40 percent of college students again 1 out of 9 schoolchildren doable psychiatrist-prescribed psychoactive drugs, rare is left to wonder what stomping grounds is actually most deserving of this buildings. Ahhh yes, Psychiatric Drugs are the New Opiate of the General public.

Tags: disorder, psychology, sin, isn, mental

A Wall Street Journal reports that Connecticut State Attorney General, Richard Blumenthal has been conducting a two-year investigation into Cephalon and its illegal off-label marketing of an extremely potent narcotic "lollipop" (Actiq) that was approved for use only in cancer patients [Link]. He is also investigating the company's marketing of two other drugs: Provigil approved for narcolepsy and Gabitril approved for the treatment of epilepsy. "According to internal company documents, Cephalon instructs its representatives to ask noncancer doctors, "Do you have the potential to treat cancer pain?" Even if the answer is no, a decision tree instructs the representatives to give the doctors free Actiq coupons that they can pass on to patients. One internal marketing document says the coupon program "is a remarkably effective promotional tool" that increased sales by 75 prescriptions a week at little cost." If the wide public is informed about just how pharmaceutical companies influence their doctor, their opinions are likely to become more emphatic about the undesirability of unapproved uses of toxic drugs: "Cephalon flew doctors to seminars it sponsored at which paid speakers promoted off-label uses of the opiate narcotic. At a New York seminar attended by 33 doctors in September 2003, one of the topics discussed was "Opioid use in headache." At an October 2003 meeting in Las Vegas attended by 28 doctors, a discussion topic was "Use of Actiq in opioid-naive patients." Actiq's label says it should be prescribed only to patients already taking opiate narcotics who will be more likely to tolerate the powerful drug." "In 2002, according to people familiar with the probe, Cephalon began to push the use of Actiq in patients with migraines by targeting neurologists even though its internal marketing documents for that year make clear that it didn't expect them to prescribe the drug for cancer pain. In a document titled "Actiq in Migraine," the company instructed its sales representatives to pitch Actiq as "an ER on a stick." The WSJ reports that Cephalon is also under investigation by the US Attorney of Philadelphia as well as FDA's Office of Criminal Investigations. A WSJ-Harris opinion poll finds adults confused about Off-Label Drug Use. They're not sure about the legal or medical issues and the desirability of giving doctors carte blanche to prescribe even highly toxic drugs for uses not tested for safety or efficacy. The poll compares the results with an earlier poll conducted in 2004. The tables do not transcribe well in e-mail format. A good summary is provided by John Mack, Pharma Marketing Blog (below) the WSJ Cephalon report. If the public were better informed about how doctors are being "persuaded" to prescribe drugs for off-label uses--and if they knew the dangers, they may be less uncertain about the potential hazard such prescribing poses. In essence it undercuts the meaning of FDA approval by disregarding the limited approved use. [Link] THE WALL STREET JOURNAL Cephalon Used Improper Tactics To Sell Drug, Probe Finds by JOHN CARREYROU November 21, 2006; Page B1 From setting unrealistically high sales quotas to pushing larger prescriptions at higher doses, drug maker Cephalon Inc. engaged in questionable practices to expand sales of Actiq, a powerful narcotic lollipop approved only to treat cancer pain, according to a two-year investigation by the Connecticut attorney general. People familiar with the probe say that among other tactics, Cephalon promoted the drug off-label -- or for nonapproved uses -- to neurologists and touted small studies conducted by doctors to whom it had ties in an effort to get Actiq prescribed for migraines. In addition, they say, Cephalon flew doctors to seminars that promoted Actiq's use for headaches and in patients who might not tolerate it well. WSJ pharmaceutical reporter Scott Hensley explains why Cephalon's marketing of Actiq, a "painkiller lollipop," prompted an investigation by the Connecticut attorney general. Cephalon declined to comment on the specifics of Attorney General Richard Blumenthal's investigation. Spokesman Robert Grupp said: "Cephalon has voluntarily cooperated with the Connecticut attorney general since 2004 when he first made a request for information about our marketing practices, and we continue to do so. Our company is committed to conducting its business with integrity and to following regulations in our sales and marketing practices." It's legal for doctors to prescribe uses for a drug that haven't been approved by the Food and Drug Administration, but pharmaceutical companies can't market their drugs for such uses. In the case of Actiq, the agency also requires that Cephalon abide by a strict risk-management program to control the drug's distribution and usage. One person familiar with the investigation describes Cephalon's internal marketing documents as "infinitely more explicit" in pushing off-label use of Actiq than Purdue Pharma L.P. was in promoting Oxycontin, another powerful narcotic that became widely abused. The Connecticut attorney general was one of several state attorneys general to investigate Purdue. Mr. Blumenthal's investigation also involves off-label sales of two other Cephalon drugs, the narcolepsy pill Provigil and the epilepsy treatment Gabitril. Cephalon is also being investigated by the U.S. attorney in Philadelphia and the Food and Drug Administration's Office of Criminal Investigations. Like Mr. Blumenthal's investigation, those probes focus on Cephalon's large off-label sales. The U.S. attorney and the FDA declined to comment. Mr. Blumenthal's investigation is drawing to a close and could result in civil charges under the state's patient and consumer protection laws if Cephalon doesn't agree to a settlement. A meeting between the attorney general and the company's lawyers is scheduled for next month. If Cephalon opts to settle the case out of court, Mr. Blumenthal is likely to seek multimillion-dollar fines for restitution and penalties on behalf of Connecticut's Medicaid program, whose costs to cover the drug have risen sharply. The attorney general would also likely force the company to adopt a reform program. "We want them to change the way they do business," Mr. Blumenthal says. Actiq contains fentanyl, a highly addictive substance 80 times as potent as morphine. Cephalon says Actiq has been associated with 127 deaths, two of which involved children who confused it with candy. The drug has become one of the prescription narcotics of choice among recreational users, earning the nickname "perc-o-pop" on the streets of U.S. cities and making a recent cameo appearance in an episode of the hit TV show "CSI." In the first nine months of this year, Actiq sales reached $471 million. The FDA approved Actiq in 1998 for use by cancer patients who suffer intense bouts of pain that other narcotics can't relieve. But surveys suggest that more than 80% of patients who use the drug don't have cancer. The trigger for Mr. Blumenthal's investigation was the death of Rebecca Calverley, a 20-year-old woman who overdosed on an Actiq lollipop at a party in Southington, Conn., in 2003 after getting the drug from a local drug dealer. Mr. Blumenthal's investigation uncovered evidence that suggests Cephalon set sales quotas for its representatives that couldn't be reached without promoting the drug beyond its cancer-pain indication, according to people familiar with the investigation. Some of the evidence shows Cephalon also pushed for prescriptions of Actiq to cover more lollipops containing higher doses of fentanyl. Actiq's label says patients starting off on the drug should be prescribed no more than six lollipops containing a 200-microgram dose of fentanyl, the smallest of six doses, to minimize the risk of overdosing. Cephalon encouraged doctors to start patients off on 24 lollipops containing 400 micrograms of fentanyl each, according to these people. The higher dose costs more and brings in more revenue. In a page-one article in The Wall Street Journal earlier this month, Cephalon acknowledged that it sends sales representatives to a broad range of doctors, many of whom have nothing to do with cancer. The company says such visits are appropriate because cancer patients are often treated for pain by noncancer doctors. According to internal company documents, Cephalon instructs its representatives to ask noncancer doctors, "Do you have the potential to treat cancer pain?" Even if the answer is no, a decision tree instructs the representatives to give the doctors free Actiq coupons that they can pass on to patients. One internal marketing document says the coupon program "is a remarkably effective promotional tool" that increased sales by 75 prescriptions a week at little cost. Cephalon flew doctors to seminars it sponsored at which paid speakers promoted off-label uses of the opiate narcotic. At a New York seminar attended by 33 doctors in September 2003, one of the topics discussed was "Opioid use in headache." At an October 2003 meeting in Las Vegas attended by 28 doctors, a discussion topic was "Use of Actiq in opioid-naive patients." Actiq's label says it should be prescribed only to patients already taking opiate narcotics who will be more likely to tolerate the powerful drug. Mr. Grupp declined to comment on the seminars. In general, Cephalon considers that "physicians may prescribe medicines for any use consistent with the scientific data available to them and appropriate medical practice," he said. "The decision to prescribe 'off label' is theirs and theirs alone." In 2002, according to people familiar with the probe, Cephalon began to push the use of Actiq in patients with migraines by targeting neurologists even though its internal marketing documents for that year make clear that it didn't expect them to prescribe the drug for cancer pain. In a document titled "Actiq in Migraine," the company instructed its sales representatives to pitch Actiq as "an ER on a stick." Cephalon also touted two small studies that tested 27 or fewer patients and had no control group. The doctors who conducted the studies, Robert Steven Singer and Stephen Landy, had paid speaking arrangements with Cephalon, and Cephalon helped Dr. Landy with the study he conducted, according to the people close to Mr. Blumenthal's probe. Dr. Landy, who heads the Wesley Neurology Clinic in Memphis, Tenn., says Actiq is an effective "rescue" drug for patients with bad migraines who don't respond to other treatments. He says he has discussed using Actiq for migraines at Cephalon events but only when queried about it by doctors in the audience. Dr. Landy won't say how much Cephalon paid him for speaking. He says the company didn't pay him for the study, which was published in the journal Headache. Dr. Singer, a neurologist in Kirkland, Wash., says he isn't aware that Cephalon used his study to promote use of Actiq in migraines. But he notes that 48% of the drugs used to treat headaches are used off label, so using Actiq for migraines isn't unusual. He declines to say how much Cephalon paid him to speak. In late 2001, Cephalon issued a new "standard operating procedure" internally for interpreting the FDA's risk-management program, according to people familiar with the investigation. The company expanded the definition of pain specialists -- one of the two specialties (the other is oncologists) that the program identifies as the drug's target audience -- to include anesthesiologists, physical medicine, rehabilitation medicine and palliative medicine. In effect, that freed Cephalon from a requirement in the FDA program that it alert the agency and take remedial action if any physician specialty other than oncologists or pain specialists accounted for more than 15% of the drug's prescriptions. Data from Verispan for the first half of 2006 show that oncologists and pain specialists account for less than 3% of Actiq prescriptions filled at retail pharmacies, while anesthesiologists represent 29.5% of prescriptions. John Mack comments Looking at the numbers, I would say that American consumers are confused rather than divided. Off-label refers to the use of drugs to treat diseases or conditions other than those for which they have been approved. Off-label prescribing is legal in the U.S. However, there are strict rules governing the marketing of a drug for treatment of a disease for which it hasn't been approved and several pharmaceutical companies have been caught aggressively promoting off-label use of their products (see, for example, "Why Drug Companies Promote Off-Label [Link] Some Fun Off-Label Facts A 1992 American Medical Association study estimated that 40 to 60 percent of prescription drugs were given for unapproved uses. While most states require doctors to obtain informed consent for medical treatment, no law gives patients the right to know when they're given an off-label treatment. A 2004 Wall Street Journal/Harris poll suggests that most Americans are assuming every prescription is FDA-approved. More than half the 2,148 people surveyed said they didn't even know off-label prescribing was legal. Another 17 percent weren't sure. Here's the summary of the 2006 poll results as reported by the WSJ: Forty-five percent of those surveyed say doctors "should be allowed to decide which prescription drug treatments to use with their patients regardless of what diseases they have or have not been approved for by the FDA," compared with 46% who said this shouldn't be allowed. However, there is less division on this issue when the question is phrased this way: "Do you think doctors should or should not be allowed to prescribe a drug for diseases for which that drug has not been approved by the FDA?" In this case, only 27% answered "Should be allowed" vs. 48% who answered "Should not be allowed." I'm confused. Is it 45% or 27% who agree that off-label prescribing is OK? Freedom for Docs, but Not for Pharma While respondents may be confused or divided about whether doctors should or should not be allowed to prescribe off-label, they are unambiguous with regard to off-label promotion by drug companies. First amendment or no, they are agin' it! Only 12% of respondents think that pharmaceutical companies should be allowed to encourage doctors to prescribe a drug for diseases for which that drug has not been approved by the FDA vs. 69% who say no way! Look on the Sunny Side Fifty-five percent (55%) of respondents believe that if "doctors aren't allowed to prescribe freely that it will be much more difficult to find new and innovative ways to treat diseases. Thirty-five percent (35%) disagree." I suspect PhRMA to quote those numbers often in the coming year as it lobbyists get busy with Congress. (I don't think they'll talk much about the 12% or 27% numbers, though.) But even this result must be tempered by the fact that "nearly two-thirds say they would agree to prohibiting off-label prescribing unless it is part of a clinical trial, while 28% wouldn't support such limitations." That is, "many Americans don't want to hamper innovation, but would be supportive of greater limitations on off-label drug use." Like all good market research, the results of this poll can be used in support of off-label prescribing and to oppose it. Just cherry pick the results you wish to quote and Bob's your uncle! Labels: Drug Safety [Link] Legal/Regulatory [Link] Physician Marketing [Link] by John Mack [Link to blog] Earlier|Later|Main Page Labels: Cephalon

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