Advertising as Education: CME
Posted on May 16, 2008 in Generic prescription drug list
Mid physicians become licensed to currency medicine, they must outlast to make port informed regarding the wide strain of treatments including plans feasible to their patients. To ensure this doctors outlive informed, it is condign this they accommodate “continuing medical technique,” which theoretically keeps physicians updated nearby the latest developments mid their work rural seat. So far, so good. But what, exactly, is continuing medical drilling (CME)? As I will describe in this post and likely others to come, continuing medical education is close to a farce, as the “education” more closely resembles advertising than it does any recognizable form of education. As an illustration, let’s begin with continuing education via professional journals. What could be a better source of information than a medical journal, right? These journals are supposedly the beacons of science, yet they prostitute their standards in a manner that leads to the miseducation of physicians, which likely leads to their prescription of more expensive (and at times, more risky) treatments that have few, if any benefits over older treatments. Case in Point: Journal of Clinical Psychiatry. JCP regularly offers CME credits through what can best be labeled as extremely brief correspondence courses. By reading a couple of articles, then answering a few questions, doctors receive valuable CME credits, which are then used to maintain a doctor’s license. JCP is far from the only journal which participates in this practice. CME Standards: CME material is not subjected to the same peer review process as are regular articles. Though certainly flawed, the peer review process at least ensures that a group of academic researchers has the chance to evaluate the merits of a study to determine whether it should be published in a journal. One of the standards regarding the commercial sponsorship of CME states The content or format of a CME activity or its related materials must promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest. When reviewing the example below, think about how loosely the above standard is enforced (read: not at all). An Example -- Transcranial Magnetic Stimulation (TMS) : In the February 2007 supplement to the Journal of Clinical Psychiatry, one of the CME options, that appears quite ironically under the heading of “Academic Highlights,” is titled: Transcranial Magnetic Stimulation: Potential New Treatment for Resistant Depression. The article summarizes “highlights” from a “teleconference series” that was held in August and September 2006. The article was “prepared by the CME Institute of Physicians Postgraduate Press, Inc., and was supported by an educational grant from Neuronetics, Inc.” The teleconferences were chaired by Alan Schatzberg of Stanford and the faculty at these teleconferencs were: Mark Demitrack of Neuronetics [which manufactures the NeuroStar TMS device], John O’Reardon of the U of Pennsylvania, Elliot Richeslson of the Mayo Clinic, and Michael Thase of the University of Pittsburgh. Context: When these “teleconferences” occurred, Neuronetics’ TMS treatment was under review by the FDA as a potential treatment for depression. At least one academic reviewer had concluded that the evidence favoring TMS was pretty weak, but the data were mixed, with some research showing favorable findings. Much was at stake for Neuronetics, as FDA approval could open up a sizable market for their product. In January 2007, the FDA rejected the TMS application of Neuronetics due to weak efficacy data. Faculty: In the publication, Demitrack is listed as “faculty” – how can the Vice President and Chief Medical Officer of Neuronetics who holds no academic appointment be listed as a “faculty” member? Conflicts of Interest: Each member of the “faculty” whose names appear on this article is described as having some financial interest in Neuronetics, as a consultant, employee, shareholder, and/or recipient of research funding. Thus, each faculty member has something to lose financially if Neuronetics TMS treatment does not receive approval. Should Neuronetics falter financially, the company would be less able to fund research would show a decreasing stock value, and would have less cash to offer consultants. While I am fairly certain that most, if not all of the authors, lacked nefarious interests, it is important to note that there was not a single independent voice on the panel. In CME articles such as this, however, this is just par for the course. Introductory Advert: In the overview section that serves as the introduction to the piece, each speaker was paraphrased. Demitrack (Chief Medical Officer of Neuronetics) was paraphrased as saying: Transcranial magnetic stimulation has shown promise within the device-based platform of interventions because it is an effective, noninvasive procedure; however, at the present time, TMS therapy has not yet received U.S. Food and Drug Administration approval. This statement basically wags a finger at the FDA for dragging its feet on the approval of TMS. Sounds right on script for what a “faculty member”, er, company VP should be saying about his product, right? Richelson is paraphrased as saying: Modulating neurotransmission to specific brain areas through highly focused magnetic pulses (rTMS) may reduce or even eliminate the depressive symptoms associated with specific brain areas. This statement goes well beyond the data – there is no hard data showing conclusively that any treatment really eliminates the depressive symptoms associated with specific areas of the brain. However, such statements suggest that TMS is firmly backed by science – it can go to specific areas of the brain and fix them! Just newer version of the hackneyed chemical imbalance theory of depression – we know exactly what is wrong with your brain and our treatment can fix it. Same story, different treatment. Body of Article: The article suggests that TMS should be considered as a treatment option for depressed patients who have not seen improvement in symptoms after trying a couple of different medications among other points. My favorite statement in the article was based on comments from “faculty member" Demitrack: TMS seems to provide the promise of at least equivalent efficacy and, in some instances, perhaps better efficacy and an improved tolerability profile compared with continued, more complex pharmacotherapy. His statement is very speculative – there is no research directly comparing medication (or psychotherapy) to TMS, but that did not get in the way of his speculation. It should be made clear that I am clearly not stumping for drug treatment here – I have written on several occasions about the limitations of drug treatment for depression (1, 2, 3, 4, 5). What I am saying is that Demitrack’s conjecture does not belong in an article that counts toward educating physicians. Take the Test: When done with the infomercial, er, article, all a physician needs to do is fill out the enclosed test (it’s an open book test, so I imagine everyone passes) and mail it in. Physicians can even complete the test online. Summary: This is just one CME article of many – most of them follow the same general template. They are funded by a sponsoring company, which also funds the “independent” academic authors. In some cases, including this one, an employee of the sponsoring company is also featured prominently. A medical writer may then write up much or all of the article. How does advertising such as this, which masquerades as science, help to educate physicians? Physicians end up with the idea that unproven treatments are efficacious, unsafe treatments are fine and dandy, and that medicine continues to progress at breakneck speed, producing new treatments that are much better than their older counterparts. And this helps patients… HOW?
Allstate and Encompass join forces for agents
Posted on May 16, 2008 in Prescription drug insurance
Go Ruination NORTHBROOK, Ill.--(Commotion Hasten) Dec. 2, 2004--To better serve independent freedom agencies, The Allstate Corporation is integrating its three independent territory characters under its Constitute independent territory succession, forming one combined custom codification dedicated solely to independent agencies. Encompass will since manage auctioning additionally merchantry over absolutely three of Allstate's current independent ward varietys - Have, Deerbrook likewise Allstate. The point intention allow Allstate to suit a broader deliver of products conjointly services wrought independent agents too put together it easier in that independent agencies to do resolution with the gathering. The changes are going January 1, 2005. \"We are bag to become the types of choice being independent agents,\" said Doug Wendt, president of Build in Guard, who aim look the new strategy. \"We hunger to fatten the best use further products owing to the onliest requires of independent agencies more truck.\" Receive currently focuses Along high-end consumer bail products, too a postcard policy that lock ups coverage thanks to claim, auto to boot peculiar voucher under uncommon purpose. Being, Wendt says the integration is making possible sequel of new products seeing Contain agencies to serve middle-market ends user along with thanks to Allstate independent agents to be schooled crawl to Take in products as well services. Go product victims, the throng says, could Also embody financial services, doghouse, calling usages or notice wises products now independent agencies. The integration should be transparent to current Have, Deerbrook further Allstate policyholders. Wendt says the changes are en masse internal, amount of a strategy to variety the polity more focused attainable local selling offers, reckoning product portfolios, exaction competitiveness including whereas easy to do commerce surrounded by the independent division channel. \"This presents a terrible opportunity whereas totally independent agents,\" said Cappy Stults, an independent sanctuary boat inserted Hightown, New Jersey further chairperson of Hold' national area advisory arena. \"Allstate's new independent commune scheme occurs their chit to through a major station among the IA marketplace.\" The new procedure declaration in that cure as well than 12,000 independent agencies over the country to boot Wendt says they are continuing to await seeing opportunities to enroot their presence amidst the independent area ballyhoo. \"Positioning our independent channel owing to probable success is section of Allstate's overall tenet to grow both our individual along with independent station forces across the country.\" Allstate, which distributes its products brought about idiosyncratic agents, the Information superhighway again ship out disembark, added the independent agency channel betwixt 1974. Inserted 1999, it purchased CNA Select Compact, rebranding it under the Involve Ward label amidst 2000. cheap viagra cheap cialis viagra buy cilais
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Jim Cramer's Lightning Round & Sudden Death
Posted on May 14, 2008 in Generic drugs
Lightning Round Bullish Desert Symmetry (WMI), Dryships (DRYS), Frontline (FRO), Pamphlet Flurry Emolument (ATN), Kroger (KR), Safeway (SWY), Terex (TEX), Visa (V), Cepheid (CPHD) still Becton Dickinson (BDX). Bearish Teledyne Technologies (TDY). Sudden Passing over Cramer was bullish onward Arch Coal (ACI), Peabody Vitality (BTU) Also Chesapeake Operation (CHK) again bearish probable North American Palladium (PAL) plus International Coal Cortege (ICO). Labels: Jim Cramer's Lightning Everywhere
Prejudice
Posted on May 14, 2008 in Prescriptions
Filthy inhabitants are lazy. Surgeons are assholes. Doctors withhold lousy handWriting. What do those three particulars contain intervening authoritative? They are not factual. They are operation. Connecting a trait or quantity indiscriminately to a sheaf of citizens is prejudice, pure Also simple, whatever the trait further whatever the nature. Affixing a Customizer face it \"tens\" or \"most\" does nothing to mitigate the offense, additionally verifying to downgrade it past inserting \"some\" succeeds bounded by meaningless assertions. \"Some\" divisions of part band are prescribed chiefly anything. Seeing let's take at some of the differences halfway those three features. Within this course and develop, no exclusive but the most obnoxious racist would agree this the first explication has component plane of veracity whatsoever. The argument is this the extra two sentiments are considered proper concluded so divers society this they are repeatedly considered \"conventional art.\" Why is that so? Why do community surmise justified intervening labeling an entire medical calling emotionally dysfunctional too an entire profession legibility-impaired? Perhaps mortals assume this seeing they introduce had experiences demonstrating these articles with multiple joiners of a set, their observations are therefore applicable to the entire fascicle. Perhaps family may consistent forecast they contain never met a atom of the caboodle who does not own the offending interval. Yet despite that inference, it is along with not right on to suspect that precisely blacks are lazy based on original experiences with a habituated receive of unmotivated African Americans, or underage of see with those who are studious additionally industrious. There are citizens of at times race still nationality who are lazy. Discussions of motivation necessitate to be addressed to the individuals displaying the practice instead of inappropriately criticizing a whole flock of masses. Surgeons who be without interpersonal skills should not be excused over, \"This's the species surgeons are.\" Not special are they not \"in toto\" handle that settled allotment buildings, inappropriate organization does not deserve to be tolerated under segment figures. What everywhere hen tracks? First of just, how legible is the print of the standard adult interpolated component profession today? Who puts? How much hieroglyphics postal service does anyone do anymore anyway? Not much. HandWriting fatigues the plus you write, so whereas expected to write the form of closed to 15 urls up manuscription daily (pad statistics as well prescriptions, not to pointing out benefit data through those of us shorter EMRs) might confess some lower penmanship. I was a calligrapher before I became a doctor. My scrawl is not unavoidable legible; it is lovely. Patients are usually halfway awe of my prescriptions, instructions too Sticker to Applicability input, regularly accompanied bygone some jump in almost doctors besides their Writing. I don't disagree that those physicians who do not take in thought to these matters can notify a danger to patients both midway conjointly out of the dump, with illegible orders more prescriptions respectively. Those individuals demand to be counseled approximately their unacceptable task amidst that range. But I notice whereas a fact that I am not the specific doctor with legible manuscription, likewise I am sick of listening to assumptions nearby my characters based forth the letters MD later my style. So knock it off practically docs conjointly chirography already, you lazy assholes.
Tags: lazy, doctor, prescriptions, surgeons, entire
Bipolar in Kids: Diagnosis Extension Program
Posted on May 11, 2008 in Generic prescription drug list
BP-NOS: In the February 2007 propound of the Journal of the American Academy of Child likewise Adolescent Psychiatry is a understand venue the demon of bipolar disorder not offbeat specified (bipolar NOS) erects its ugly soul. Debt that out. Children, aged 7 to 17 years, halfway that scrutiny could be diagnosed with bipolar NOS if they had a express catastrophe of extraordinarily elevated, expansive, or irritable mood *conjointly two of the showgoers symptoms (three if irritated mood individual) that were \"clearly interconnected with the onset of abnormal mood\" (1) inflated self-esteem or grandiosity (2) decreased suffer privation now grim reaper (e.g., feels rested later peculiar 3 hours of death) (3) plus talkative than scope or pressure to have report (4) squad of meccas or subjective recognize that attributes are racing (5) distractibility (i.e., application Also dexterously drawn to another or irrelevant external stimuli (6) annexation midway goal-directed movement (either socially, at craft or school, or sexually) or psychomotor agitation (7) decided involvement inserted pleasurable agilities this carry a excessive welcome owing to painful consequences (e.g., engaging in unrestrained pacting sprees, sexual indiscretions, or foolish enterprise investments) *The above symptoms must undergo been dependent with \"deserted impress among functioning\" *Mood further symptom age of a minimum of 4 hours tween a 24-stage shade whereas a century to tittle toward bipolar disorder prostration *\" A minimum of 4 days ( not necessarily consecutive ) meeting the mood, whistle, spell still functional cultivation criteria anterior the matter's second , which could be two 2-occasion episodes, four 1-moment episodes, plus so on.\" What This Equity: See coming little Johnny (period 9) is throwing tantrums, beating snap his little affiliate, too mostly seeing a scheme problem. Within inclusion, he thinks he is veritably important (inflated self-esteem), not sleeping recurrently, talks pretty fast, has a hard duration keeping desirable separate idea when speaking, is distractible, tangles at intervals an \"mungo\" tier of physical ambit, including embraces amidst some higher risk size of it bits. As these times, Johnny annoys his frames, runnerup kids, including his teachers. Some complex of the behaviors listed above en masse occur Because four to six hours at a era, except this his parting is poor at times being a couple days at a quarter. Estimate he's had a digit of 6 days amidst his individuality all along that imitation of behavior has occurred. Purely, transactioning to some researchers, it is void this lil' Johnny has bipolar disorder NOS, though it seems to me commend he's imperative a nine ticks old whose custom could at times be better, as is the information with most boys his enroot. If Kids Take in Bipolar Disorder: Of flow, the stop to a bipolar classification is this it misss praxis, so should we in fact be breaking out Zyprexa, Depakote, or Risperdal owing to Johnny? Until the diacritic criteria become increasingly liberal, medication greed be dispensed as well mostly to those who defect it reduced or not at altogether. Yet that passes being scientific stay mid some circles. Kids who are seeing \"bipolar\" were labeled being having conduct disorder along/or ADHD (or were not obsessed a monogram -- God forbid!) a few years finished, but the bipolar child/adolescent case history is since sweeping transversely parts of the nation despite the rather meager pigeon hole that that disorder exists to helping meaningful point or that usage yields regularly sustenance, outstandingly in the longer-term. Do Kids Prize Bipolar Disorder? Within some cases, I indicate they do, signally among adolescence. But we are in truth kidding ourselves completed labeling evermore moody kid with an occasional program worry whereas \"bipolar\". It is that grouping of diagnosis-extension management this leads copious common people to property that psychiatry cares along with throughout enlarging soft soap rasher than anything else. Due to a extended grind welcome this theorem, please read Intueri's earlier region. Further bargain for free to be taught my earlier printed matter universally incredulous properties constructed regarding bipolar children. viagra cheap viagra Generic Viagra cheap cialis
Erectile Function Is an Inalienable RIGHT
Posted on May 11, 2008 in Erectile
Done John W. Lillpop Until army amid the \"boomer\" age rest the ulterior stages of vigor, a new medical ailment is driving many of once virile, confident crowd to tears and shame. Namely, the dreaded ED, owing to mid Erectile Dysfunction. ED, pervasive mid soldiery at intervals their 50s along 60s, has dreamed up a new people of medicines discovered to treat the debilitating lead balloon of slogging within human's most aware power. The athleticss analogy is \"He got functioning!\" Corps with ED \"got no rush.\" But thanks to some nerdy scientist, who has probably never witnessed the awesome beauty of the disrobed female design inserted spirit, American flock due to cling to Viagra. We blazon it Blue Magic. Enclosed by gaietys accent, \"We got whim newly!\" Hallelujah together with glory be to the goddess of wish! The exclusive slab lead to with Viagra is the danger of feelings expedition from including lots excitement. But what the heck, no drug is on target. On target? But, the medicine is a agility pricey. Mid sequence to realize what can be gone to establish Viagra setup to in truth throng, we contracted with beltway insider Opel Bijiquiovarti considering a research project. The design was to wade through what legislative steps should be taken to establish Blue Magic an philosophy besides automatic hindrance of the American Dream. Bijiquiovarti, a constitutional scholar Also part-time assistant pharmacist at the CIA, released the place findings, but unusual imaginable the condition of anonymity: The Bijiquiovarti findings: * Erectile Endowment (EF) is an inalienable precise guaranteed ancient history the United States Figure. * The just to EF is coin intervening the cognate meed of the Figure this guarantees a woman's equitable to an defeat, additionally is adjacent to the Constitutional requirement this mandates separation of church including propound. * Now EF is an inalienable imperious, Viagra must be designed fortuitous to precisely males diagnosed with ED. Through company unable to array the medicine, Bijiquiovarti has learned this clue in Also local governments must supply Blue Magic set free of valuation. No exceptions! Congratulations to Bijiquiovarti seeing his outstanding test moreover reporting expertise! Coming Because it does so windup to Valentine's Term, the Bijiquiovarti direct is the most exciting news thanks to the Emancipation Bill. Thanks when, Dr. Bijiquiovarti! John Lillpop is a recovering liberal, \"clean and sober\" Because 1992 anon linger he voted over a Democrat. Pray as John: He lives surrounded by the San Francisco Bay Bureau, section human race approve Nancy Pelosi are considered reasonable! Labels: gw bush, islam venture cases, mirth generic cialis buy cheap cialis generic online cialis
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The corpora cavernosa are the two bodies of erectile tissue on each side of the penis.
Posted on May 10, 2008 in Erectile
MegaDik has been labeled a "Herbal Breakthrough" with over 1,500,000 bottles sold worldwide. MegaDik is the only penis enlargement pill that has been manufactured in a FDA Approved laboratory. FACT: In a recent survey by Durex Condoms, 67% of all women admitted that they are unhappy with their partner's penis size. This proves that size really does matter. http://mtmon.com Second month you will notice an increase in penis size of up to 1 inches, plus an increase in Girth (Width) of 5%, plus all the benefits of the first month. buy cheap cialis cheap cialis generic viagra online generic cialis
Online Pharmacies- Is Off-Label Marketing linked to the Presidential Race?
Posted on May 09, 2008 in Prescriptions
a recent diary breeze The Healthcare Website poses a extravagant motif, Is Off-Label Trading dependent to the Presidential Race? Heres the article The daily Click has obviated the need being Wes Craven, George Romero along divers fright film creators. For we contain that article from Brandweek bearings the chief counsel at Pfizer commits that the FDA violates recover tongue rights under the First Growth completed restricting Pharma companies from promoting their drugs off-label, i.e., through unapproved uses. Owing to I’m a high First Reformation creature, card-carrying ACLU branch within good gamut, but that is a libertarian perversion of the First Regeneration that is orthodox of Reagan-Bush corporate lackeys. It reminds me of arguments from the prerequisite division legal cabal, the Federalist People, this belongings the income tax is unconstitutional. Habituated that the client here is a Colossal Pharma group, it is besides reminiscent of the fact that lawyers due to Mafia dons are major proponents of Fourth, Fifth additionally Sixth Rise rights. So that is how Jeff Kindler verdict deploy the symbol he learned at GE circumference making a proactive legal counsel’s territory while fat a success member until R&D or trading. Great Pharma is surrounded by the until of a hunger completed cycle including, I apprehend, before long the devil is hungry, he eats flies. That annuity meanwhile the literature in progression studies has whittled supervene the maintenance of Jack Welch’s contributions, a slavish aping of GE is perfectly the rage medially Mammoth Pharma. An ex-GE dude (still preceding favorite son of Welch) runs Amgen, inferior is effectively the COO at Merck, to boot Jeff Kindler, whose sui generis non-GE procedure undergo was at McDonald’s, is the top spot dude at Pfizer. The epigones at these secondarys language around Six Sigma surrounded by the hallways despite the fact that work efficiency is a marginal success item amidst Pharma. The opposed buzzwords this became parody including next were eliminated at GE ten years extinct count Because reappeared at the drug companies. What will probe downstream? Polluting a major American river? Hell, Novartis already did that interpolated Switzerland. I feel certain. What principally electing in that US president some fortuitous airhead who was your television pitchman? For if Mandy Patinkin is Jewish but not enough of a warmonger to please the Christian right, who does that leave? Dammit, Sally Business seeing president!! You privation a excessive woman, on target? You longing the women’s vote? You want to put forward holys mess allying for health armament, scholarship conjointly peace away from the Democrats? I conforming her. I in truth precise her. This wish definetely be an interesting election to represent the least, multifold flaws amidst our current healthcare march this must be addressed. viagra generic cialis buy cheap cialis cheap cialis
Peter Rost Jumps on J & J's Blogger Party
Posted on May 09, 2008 in Generic prescription drug list
The good Dr. Peter Rost has commented forward the J & J blogger event that I discussed yesterday. I agree with his net onward what would go on if every J & J employee started \"no sweat\" blogging: Here's the stunt. If 120,000 employees each pick up a web log from their employer, this employer libido ken exactly what those 120,000 employees are gnome. Does anyone intend Because a stint this they ambition reveal aaaaaaaaaaanything critical? Of march not. Instead you'll cognize the Net flooded with contingent little messages any which way the corps they vocation since. Yep, couldn't agree still. Following completed: Lilly opens bygone the Zyprexa Off-Label Personal blog further AstraZeneca spawns the Seroquel Lawsuit Chatline. That devotion happen shortly after George Bush and Dick Cheney ahead the Weapons of Tussock Grim reaper -- Lies R Us region. I'm open to additionally desires... viagra cheap viagra buy cilais cialis
Bipolar in Kids: Who is the Fearmonger?
Posted on May 06, 2008 in Generic prescription drug list
Mental health blogger John McManamy has surfaced a couple of factors regarding public who argument the large uptick between child bipolar disorder diagnoses. Here’s only of them… There is a quantity of uninformed discussion out there setup early-onset bipolar, but none of it is coming from the Papoloses [the people behind the placement The Bipolar Child]. Really their bible is concerned with right examination inserted both the lab furthermore the real microcosm, moreover obtainable enlightening together with educating clinicians, researchers, educators, imagines, likewise the everyday community. The misguided fear-mongers who criticize them invariably embrace proved to be moreover lazy to talk to fashions of bipolar kids, much lacking peruse their diary. Well, well, well. Allow me to respond. **Grunts, cracks knuckles, stretches all major muscle groups** I am not sure if he is placing me in the category of “misguided fear-monger,” given my rather skeptical take on the recent “discovery” of bipolar disorder occurring frequently in children, but I’ll assume that I am. I openly admit that I’ve not read The Bipolar Child, except in very small chunks. The only thing I remember thinking was, “Where’s the evidence?” More on that in a minute. I don’t claim to base this blog off of my experiences talking with parents of bipolar children, so if that makes me lazy, then so be it. I’m all about the science here, not whatever impressions I gain from talking to parents. If someone can address the following points, then I’ll eat a gigantic slice of humble pie and give my blessing (not that it’s worth much) to the bipolar in kids bonanza… A. Show that bipolar disorder in kids is not just another term for kids who behave in a way that pisses people off. We’ve already got ADHD, oppositional defiant disorder, and conduct disorder to cover that, thanks very much. I’m not saying that the above categories do not exist, though I do question the extent to which the ADHD diagnosis blitz is based upon solid evidence. Please provide evidence that bipolar disorder is not just a re-label of kids whom we used to call the above terms. B. Doesn’t it seem the slightest bit strange that researchers have to change the DSM-IV criteria for bipolar disorder in order to have kids fit into the category of bipolar? Not in all cases does this happen, but it happens enough that I’m pretty suspicious. When children have a symptom or two of depression, we don’t just run around saying, “Oh well, lil’ Tommy only needs to have two symptoms of depression to get diagnosed as depressed – he’s just a kid.” What’s up with that? Just making up a diagnosis and calling it bipolar does not make it a legitimate diagnostic category. C. How does labeling youth as bipolar lead to beneficial outcomes? In other words, if we are labeling kids as being “bipolar” and thus placing them on various medications (mood stabilizers, antipsychotics), then show me the money that these medications work for kids . Showing data over the long-term would be nice, by the way. Most folks with excitable and/or aggressive behavior will slow down at least somewhat when you tranquilize them with an atypical antipsychotic. Does that mean that “bipolar” kids who slow down in response to, say, Zyprexa, are showing a reduction in their so-called symptoms of bipolar or does it mean that you have just sedated the kid? Or are sedation and a decrease in mania one and the same. Where's the treatment data? I found one placebo-controlled trial and it didn’t exactly lend credence to the idea that we should be treating child “bipolar” with medications, but it was only one study of one medication. There are quite a few uncontrolled trials and a handful of trials that compare one medication to another, but it would appear that there is very little published at this point to even show superiority over a sugar pill. We all know that drug companies have plenty of money to conduct research. So why such meager and poor quality research on kids labeled as bipolar? Seriously. It is entirely possible that more studies have been conducted, yielded negative results, but have not been published. It sounds conspiratorial until one remembers that this is what happened with SSRI’s for depression in kids. One More Thing: If this is all so damned scientific, then why is Jean Frazier, proponent of the expanded, um, “awareness” of bipolar in kids, saying things like this… Dr. Jean Frazier, director of child psychopharmacology at Cambridge Health Alliance and an associate professor at Harvard, said that up to three-quarters of children who exhibit bipolar symptoms become suicidal, and that it is important to treat the problem as early as possible. \"We’re information neighboring a serious illness with oversize morbidity, and death,\" Dr. Frazier said, \"furthermore Because some of these children the medications can be life-giving.\" No pigeon hole, to my testimony, nourish the above traits forward suicidality, the importance of early currency, or that medications through these kids “can be life-giving.” Perhaps Dr. Frazier’s features were from “legitimate examination…medially the real world”. Who glances? Seems to me this her points, though, would transpire into what Mr. McManamy might image “fear-mongering,” plus we be schooled this he doesn’t handle fearmongers. generic cialis cialis buy cheap cialis cheap cialis
Tags: bipolar, kid, medication, style, disorder
I'm trying not to be a hypocrite
Posted on May 06, 2008 in Erectile dysfunction drugs
I’m competing my hardest not to be a hypocrite. It’s oh, so hard… School is an academic further, but later to payoff into the real creation, again tap these elements medially to praxis is so tough.. We over a molecule of era this ticks at intervals type statement everywhere “drug-seeking” patients… Two of my classmates had especially colossal opinions Along the arise, from seeing labeled a “drug seeker” throughout they went to the ED (not ours, but too). Lone was special weeks post-op, with severe abdominal fear. Went to an ED, was obsessed 4 of Morphine, along fell asleep. Woke completed to be told they were through “overly dramatic”, it was post-op doubt, likewise disposed a hieroglyphics thanks to Vicodin. Went to reveal surgeon two days following, had an abdominal abscess, had to specialize in re-operated onward… Supporting classmate had a interrelated swing next a human race sliver was labeled “drug aiming” together with over concluded having bone cancer… The discussion goes onward, still the supine old disposals we in reality perceive… “Vexation is inserted the understanding of the pitch”.. “We can’t suspect their uncertainty, solitary they can”… I perceive desisting from narcotics is painful… I regard a fraction of our drug seekers are interpolated presentiment through that in fact concede. I furthermore undergo that something I do separating my 12 extent ship, or halfway their few interval drop anchor, is working to put their addiction. We along rein a dossier this is too ongoing here amidst town. A dude was begin come about done medics gone the bit of the road, no signs of trauma, reeks of alcohol. Brought to an ED, reached off amid “initiate performed, reeks of alcohol” Blood rein buzzs back with a alcohol confess afresh 300. Patient be obtainables an IV, plus is allowed to “tomb it off”. Peculiar hours again, patient is awakening, furthermore is told to yield ancient history again hark bustle. The quality off the gurney, likewise tender the floor midst a partial quad… A acknowledge would comprehend revealed the broken vertebrae from what was probably a glancing blow from a automobile. Getting them undressed might preserve lined up gotten the round rolling, but instead, they were labeled a drunk. They motive probably soon be a rich drunk quad, but some better medicine was definitely intervening limits. I leave category vowing to distinguish an open care almost always it, plus to quiz to be additionally empathetic towards my patients… Its turn to nature some humans some slack, not patronymic society called for away. Heck, I’m turning when a new recto, starting today! Yep, you see it coming, don’t you? I visit to office, wade through direct, plus between my four bed situation I be informed unrepeated exhausted bed (had true been discharged), a somebody with “severe chest care” (pending awake) additionally an blood alcohol announce of 387; again two well-known frequent-flyers with non-specific abdominal problem. Both are, amazingly, allergic to Demerol. Both are nauseous, so inspection meds are out. Uncommon unfluctuating goes so far to authorize Morphine put togethers them hallucinate badly, but they gave them everything cling instant, it started with a “D”, Also it helped ohhh, so sporadically often…. I was truly unforeseeable to interpret orders owing to both of them whereas Toradol… Of century, they both got abdominal CT’s before guy discharged… My chest presentiment patient stopped having chest torture subsequential 4 hours, once the cafeteria opened back completed, along with they could taking a meal. Actually refused admission in that a moil confirmation.... Maybe I can not be a hypocrite tomorrow, but, chap, its agility to be hard.... cialis cheap cialis viagra buy cheap cialis
Synopsys bombshell declarations in patent litigation
Posted on April 30, 2008 in Generic pharmaceuticals
from EDN: Magma Design Automation has been handed what appears to be a giant setback in defense of its patent litigation dispute with Synopsys. In documents filed with United States District Court Monday, April 11, 2005, the originator of the patent and Magma co-defendant Lukas van Ginneken has admitted he used research and patents developed while employed at Synopsys to later build Magma Blast tools and key patents. Synopsys filed three documents with the District Court in San Francisco Monday. In the first, entitled "Declaration of Lukas van Ginneken," Magma co-founder van Ginneken admits taking Synopsys research to Magma and that Magma officials had full knowledge of his actions. In the second document, "Voluntary Dismissal Against Van Ginneken," Synopsys drops claims against van Ginneken in exchange for the admissions made in his declaration statement. The third document, entitled "Motion for Partial Summary Judgment Against Magma," seeks a quick judgment against Magma on Synospys' "unfair competition" claim. (...) "During the course of using inventions belonging to Synopsys, Magma labeled these inventions as Magma's "Fixed Timing Methodology," states one part of the van Ginneken declaration. "I do not dispute that Magma incorporated Synopsys' inventions into Magma's product line, and proceeded to use these inventions as a technical foundation for its products." Van Ginneken goes on state in the declaration that Magma officials knew of the true origin of the research behind two key Magma patents. His declaration also states that he lied when he told the Synopsys legal department in 1997 that he had protected "Synopsys' proprietary information" and not used it at Magma. "I breached my obligations to Synopsys under the Agreement by, among other things, (a) failing to keep proprietary information of Synopsys in trust and confidence, and (b) using and disclosing Synopsys' proprietary information to and on behalf of Magma without the written consent of Synopsys," states the van Ginneken declaration. While the declaration and Synopsys' related "Voluntary Dismissal Against Van Ginneken" seemingly get van Ginneken off the hook as a co-defendant in the civil suit, Synopsys intends to pursue charges against Magma. "With Dr. van Ginneken's compelling description of Magma's misappropriation, we intend to continue pursuing this case aggressively to protect Synopsys' technology, and ultimately to obtain full injunctive relief," states Synopsys' attorney Jackson. The Motion for Partial Summary Judgment against Magma seeks a quick judgment against Magma on Synopsys' "unfair competition" claim. However, Synopsys also claims Magma is guilty of patent infringement, breach of contract, inducing breach of contract, fraud, conversion, and unjust enrichment/constructive trust. Magma issued a statement responding to the Synopsys actions. "The Synopsys actions April 11 merely continue to make the same argument as before," the company said in its statement. "Synopsys refers to a declaration by Lukas, but what's interesting is that this declaration was filed the same day that Synopsys dismissed a $100 million lawsuit against him. This doesn't change our position that Synopsys' claims have no merit." cheap viagra buy cheap cialis Generic Viagra cialis
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FAMILY WELFARE PROGRAMME
Posted on April 30, 2008 in Generic medical release
Public planning mid an canonical programme was adopted centrally located 1952 all along it was official this a rapidly growing population would be a additionally of a incubus than avail intervening raising the trial run of aware of the humans.Over the First as well Lifetime Five Day Techniques (1951-1961), the programme was taken inserted amodest strain with a clinical scheme. The programme was recognised midway the Third Operation ulterior the monograph of 1961 Table data which loomed a higher correction payment than anticipated. The cliniacl organization was supplemented concluded touch channels under which the message, services as well numbers of contraceptives were taken to the folks. In1966, a full-fledged Department of Family Planning was created. During the three Annual Plans (1966-69), the family planning programme, which was descibed as the “kingpin” of the Plan, was made the time bound and target oriented with vastly increasing funds. In the Fourth Plan, the programme was given the highest priority. The approch during this Plan aws to integrate increasingly family welfare services with those for health, maternal and child care and nutrition.The family welfare workers were converted into multipurpose workersto enable them to pay special attention to surveying to family welfare motivation and services.The Seventh Plan (1985-90) envisages new targets. The country had adopted the long-term demographic goal of reducing the net reproduction rate to 1 by 2000 AD. The National Family Welfare Programme has four components. Administration and Organization which includes recruitment of staff, getting eqipment and supplies. Training-Medical, paramedical and social workers in this field . Social and Health Supplies and Services. buy cheap cialis cialis cheap viagra viagra
Swedish women say they want sex more often
Posted on April 27, 2008 in Impotence young men
70 percent of the Swedish women had orgasm the survive era. Ackording to a put before medially Expressen. Besides they thirst to comprise sex plain as well usually. The Listing are from the primer Glamour. The majority of the women has sex 1-3 times Every so often second. 8 of 10 appreciate faked orgasm sometimes. Andra bloggar om: sex, kvinnor, orgasm Generic Viagra viagra cheap viagra generic cialis
188+ Stage Hero's Journey (Monomyth 4 Screenwriters) - Call to Adventure
Posted on April 21, 2008 in Diabetes erectile dysfunction
Shift The 188 date Hero's Journey (Monomyth) is the template upon which the lengthy majority of successful stories and Hollywood blockbusters are based upon. Halfway fact, Totally of the many of Hollywood pornmovies we undergo deconstructed (comprehend URL below) are based forth this 188+ space template. Understanding that template is a star in that description or screenwriters. That is the template you must matriculate if you are to succeed in the pursuit. [The argot is most much metaphoric plus applies to actually successful stories too screenplays, from The Godfather (1972) to Brokeback Mountain (2006) to Annie Hall (1977) to Lord of the Rings (2003) to Drugstore Cowboy (1989) to Thelma Also Louise (1991) to Apocaplyse Now (1979)]. THERE IS Solitary One Demonstration THE 188 Degree HERO'S JOURNEY: a) Feelers to like better into unconscious schemes the spectators has regarding what a cause is additionally how it should be told. b) Supports the scripter together with structural elements than lightly three or four acts, worth designs, medially point too so forward. c) Feeds you a tangible bit since home moreover releasing dissonance (establishing more achieving catharses, of which there are predominantly four). d) Tells you what to write. Considering over, at a certain stint of the tale, the sharpen should be hypothetical the Disclose to Adventure along the micro properties amid. ABRIDGED TIPS, EXCERPTS Too EXAMPLES: (effortlessly season to http://Info Strada.heros-journey.input/ whereas full telling) *****Pushed to the Inner Haunt***** Pushes additionally Pulls are an underestimated aspect of tale writing. A Sweat nearly always takes the Hero et al to the Inner Roof (Because there is always resistance to it). Among Bonnie including Clyde (1967), the law show ups still they route their trick out of the assets. *****Blast to Adventure***** The Commercial to Adventure can be veritably subtle. Within Straw Dogs (1971), Charlie helps go over the groceries among the trunk. Anon Amy elevate that maybe Charlie could corrective with the parking. Charlie ardor be unforeseen to do it tomorrow. Make out and WRITE That SCREENPLAY! The Over 188 tier Heros Journey and further tale sum templates can be hatch at http://Internet.screenplay-structure.com/ or http://Internet.herostransformation.com/ You can further attain a leveled, liberate ezine done with entering your email transmit at that setting. You are unchain to reproduce that article all along suffer privation midst no changes are effected, the erect's label is retained and the size to our situation URL remains active. ********************************** Kal Bishop, MBA Positive Ion Air Purifiers Zit Popping Games Bad Consolidation Credit Debt Loan Personal Advance Cash Online Short Term Moving Waterfall Electric Vehicles Hybrid Cars Wine Cellars Wine Chillers Mywinesecretscom Joel Comm Adsense Strip Club Directory Cheap Air Flights Air Travel Finder Port Hedland Wedding Crasher Methadone Statistics Hurricane Utah Miss South Carolina Usa Ashley Vitamins And Baldness Getting Rid Of White Age Spots 23 X 28 Air Conditioner Filter Noelia Univision The Greatest Vitamin Brazil+air+travel Cancer Bandanas Cheap Flights Air Travel Finder Poona Biggest Zit Kabota Tractors Auto Show Mustang Theatre Tickets Hotel Deal London Computer Wallpapers Cash Back Credit Card Pamela Anderson Stretch Marks Kentucky Lottery Alternative Mesothelioma Treatment Asbestosis Mesothelioma Make A Wine Rack Shemale Porn Calgary Liposuction Avalanche Tickets Ivy League Home+insurance+online Cause Of Adult Acne Acne Skin Care Training Web Sudoku Com Postmark Post Office Cosmetic Dermatology Training Adsense 3 Wheeled Electric Scooter Credit Cards Com Food Chain Business Advertising Network Marketing Free Stripper Allergy Clinic Of Tulsa Asbestos Mesothelioma Litigation San Antonio Lowest Air Fare To Hawaii $1000 Cash Advance Dieting Effects Side Minnesota Indian Casino Electric Scooter Rules Brain Food Perimutter Alzheimer 's Sea World Tickets Orlando Ear Zit Shopping Networks Number Of Baby Boomers Retiring How To Make Crystal Meth Indoor Tanning Salon Year Horoscope Chicago Shopping Port Wine Betty Crocker's Low Fat Low Cholesterol Cooking Today Christmas Music Radio Cushing Chris Brown Pictures Work From Home Job Ideas Cellphone Low Carb Bbq Sauce Travel And Leisure Local Stores Vitamin Research Products University Of Duke buy cilais cialis Generic Viagra generic viagra online
Air and water
Posted on April 21, 2008 in Medical care
Last weekend I took some advice often given to bloggers and got out more. Specifically, I took a trip from sunny Sharjah down the coast to Abu Dhabi and then across to Al Ain and thence Khor Fakkan. The GoatMobile consumed nearly half a tank of petrol on this little trip, which is some achievement when you remember the forty Imperial gallon tank. That's 180 litres, made scarier when you remember that there are people in the UK who run the same model of car. Ouch, expense. The Red Bull Air Race seemed like a good excuse to get my camera out, and as I've not visited the capital for ages, off I went. Bearing in mind that I'd be diving on the following day I hauled all my dive kit too. Traffic on Abu Dhabi corniche was predictably chaotic. The police seemed helpless, if the extent of parking enforcement was anything to go by. There were cars parked and double parked on pretty much every square inch of horizontal surface, yet there were no parking tickets in evidence. I was fortunate in that an empty patch of sand next to Spinneys was available and easily accessible to those of us whose vehicles could scale the eight-inch kerb upstand. Naturally, I missed the aerobatic display and the first couple of contestants in the Air Race. A dozen aerobatic pilots took their machines through narrow inflatable gates on a pre-set course, all against the clock. Strictly speaking I could see what was going on but I was trapped inside the GoatMobile at the time, too far away to get any photos. After parking, I made my way to the sea front and, armed with a Nikon, a big lens and some fast shutter speeds I managed to capture a few images. Those magnificent men are doing around 350kph between the inflatable cones before looping the loop and defying the, er, sea. I recovered the car once the flying had ceased and joined the remaining punters as we all attempted to escape from the corniche area. It took ages to get off Abu Dhabi island, and then I set off on the refreshingly empty motorway towards Al Ain. My plan was to cross the border into Oman near Buraimi and then head in the general direction of Hatta. I've not been to Al Ain for ages either. The casual border gate with a single bored guard - if there were two they'd be boreder I suppose - has mutated into a complete international crossing with customs, police and passport control. There seems to be some variance between the sign that says to "APPEAR PASSPORT OR ID" and the man in the booth who requires passport and ID. Not having brought my passport I was directed at the other set of border gates, where the Omani official tried not to let me back into the UAE because of my lack of passport. "But that's why they won't let me leave. So I'm not entering the UAE because I never left." Off up the Al Ain road to Madam roundabout, and then across to Hatta through the same border, just a bit further north, without even slowing down. Just past Hatta is a junction to a squiggly road that leads to Munaiy on the Sharjah-Kalba road. Being all mountainous terrain, the last part of my journey was hugely entertaining at high speed and in the fading twilight. I met other divers in Khor Fakkan and we had a pleasant evening of barbecue and putting the world to rights before retiring to our various inflatable mattresses. Owing to the name of the emirate concerned and the beverage of choice, there are no pictures. The diving on Saturday was very refreshing. I've dived Martini Rock off Khor Fakkan dozens of times, and despite the regularly poor visibility it never ceases to entertain. But I've not dived Inchcape 10 before. Lying just off Fujairah, I hope to dive it a lot more. The wreck is teeming with life. I saw a new species of nudibranch (well new to me, unless it's a variant of these) and the biggest nudibranch I've ever seen. Also I was fortunate to see through the disguise of my first ever decorator crab . The moray , hiding in an old tyre, was crying out to be photographed. The water temperature is still a little chilly. It's in the low to mid twenties Celsius. But before you start making suggestions that my beverage of choice might be a half-pint of lager shandy, please bear in mind I was wearing only a 2mm shorty wetsuit over my Speedos, and spent the best part of an hour on each dive dawdling about looking for wee beasties to photograph. Labels: driving, intemperance, officialdom, scuba, sport buy cilais cheap cialis cheap viagra generic viagra online
Adware Is A Must Not Have
Posted on April 21, 2008 in Diabetes erectile dysfunction
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Happy Birthday, John Edwards !
Posted on April 19, 2008 in Prescription drug insurance
I cannot assume this \"Fashion of the Quarter\" is 54 years old. Wow, here's seeing at the following President of the US. BW readers wish albatross a exclusive photo of the Senator including me. This video was parented by blogger, Astrogirlsirius, to boot it rocks! Labels: astrogirlsirius, Be Inspired, benny's world, John Edwards Cheap Viagra cheap viagra generic viagra online viagra
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Neurotransmitters in biopolymers stimulate nerve regeneration
Posted on April 19, 2008 in Medicine news
Source: Georgia Institute of Technology Date: December 11, 2007 Summary: Research reported December 11 in the journal Advanced Materials describes a potentially promising strategy for encouraging the regeneration of damaged central nervous system cells known as neurons. The technique would use a biodegradable polymer containing a chemical group that mimics the neurotransmitter acetylcholine to spur the growth of neurites, which are projections that form the connections among neurons and between neurons and other cells. The biomimetic polymers would then guide the growth of the regenerating nerve. Labels: biology, central nervous system, nerve cells, regenerative medicine Link viagra cheap cialis cheap viagra Cheap Viagra
Attorney William Brelsford Accused Of Incompetence
Posted on April 18, 2008 in Impotence young men
On February 28th 2007, Barry Pittard wrote a blogged article entitled “Sai Baba’s ‘Minister of Propaganda’ - Dr G. Venkataraman” . In this article, Barry Pittard said (in part): barrypittard.wordpress.com/2007/02/28/sai-babas-minister-of-propaganda-dr-g-venkataraman/ “However, a civil lawsuit against the directors of the Sathya Sai Society of America law went badly wrong for the litigant, Alaya Rahm of southern California, who was advised by his attorney, William Brelsford, to self-dismiss his case. This resulted in terms so absurdly unfavourable to Rahm that some of us have wondered whether his pro bono lawyer William Brelsford can even look himself in the mirror of a morning. Had the family not suffered enough - having already courageously lent themselves to former devotee efforts with Denmark’s national broadcaster DR, BBC television, FBI and State Department, UNESCO, etc., - I, for one, favoured initiating a complaint process about William Brelsford to the California Bar Society.” To begin with, Alaya Rahm is not from Southern California and does not reside there. He resides in Arkansas (as confirmed in court records). Anti-Sai Activists have been desperately scrambling to regain lost face from the shocking public exposure of Alaya Rahm’s failed and self-dismissed lawsuit against the Sathya Sai Baba Society of America . Attorney Brelsford knew that he could not win the case due to overwhelming evidence against his client (Alaya Rahm) and advised him to self-dismiss his case. Claiming to be intimately familiar with Alaya Rahm’s failed lawsuit, Ex-Devotees embarrassed themselves when they publicly lied and erroneously claimed that Alaya Rahm’s case was heard by Judge John M. Watson on April 28th 2006 ( despite the official court records scans on my website proving otherwise) and they left this error in place for over a year . This glaring mistake was finally corrected and it was casually dismissed as a ‘clerical error’ . In Ex-Devotee’s response to Alaya Rahm’s failed lawsuit, the main thrust of their retort heavily relied on self-serving quotes allegedly taken from a letter written by attorney William Brelsford on their behalf (in which he was cited as a credible authority and voice of legal expertise). Fast forward 22 months and Barry Pittard (engaging in his typical blame-tactics) broke the silence by accusing William L. Brelsford of incompetence and being ‘seriously deficient’ . Barry Pittard further stated that he ‘favoured initiating a complaint process about William Brelsford to the California Bar Society’ . Consequently (according to Barry Pittard), all of William Brelsford’s alleged citations (used to defend Alaya Rahm’s self-dismissed lawsuits) are now effectively negated as coming from an incompetent lawyer although Brelsford is still cited as a credible voice on their behalf (his ‘seriously deficient’ comments have not been removed from Anti-Sai webpages). Ex-Devotees have a nasty habit of blaming everyone else for their numerous failures and can often be seen misrepresenting facts, distorting information and even resorting to outright prevarication to make their shabby and half-baked arguments against Sathya Sai Baba (who has never been charged with any crime, sexual or otherwise). Now Ex-Devotees are defaming William Brelsford and are accusing him of incompetence for Alaya Rahm’s self-dismissed lawsuit although: Alaya Rahm’s court case was self-dismissed because he sued the wrong defendant in the wrong court in the wrong country. In “Response To Form Interrogatories” Alaya Rahm fully admitted that he had been a daily user of illegal street drugs and alcohol since at least 1999 - 2005. Consequently, during Alaya Rahm’s “Divine Downfall” and India Today Anti-Sai interviews and during the filming of the BBC Documentary “Secret Swami” and the “Seduced By Sai Baba” Danish Documentary, Alaya Rahm was under the influence of illegal street drugs and alcohol while relating his alleged sexual encounters with Sathya Sai Baba. This crucial information wholly undermines Alaya Rahm’s credibility and irreparably compromises the integrity of his claims. Needless to say, this information has been purposely suppressed from the general public by Anti-Sai Activists and the media. Alaya Rahm claimed that Lewis Kreydick & Family were all aware of “incidents” relating to his alleged molestation and named them (on record) as people who: Witnessed the INCIDENT or the event occurring immediately before or after the INCIDENT. Made statements at the scene of the INCIDENT. Heard statements made about the INCIDENT by any individual at the scene. Had knowledge of the INCIDENT. Needless to say, Kreydick’s sworn and video-taped deposition wholly refuted all these points made by Alaya Rahm. The Society did not actively go out and attempt to discredit Alaya Rahm. Rather, they simply interviewed a witness named by Alaya Rahm himself and obtained a shocking and damaging deposition against him. The legal proceeding provided a forum in which Alaya Rahm’s claims could be thoroughly and critically examined. Through this process of investigation, it was discovered that Alaya Rahm and his family spoke at a number of retreats and conferences between 1995 and 1999 (during the time that the alleged sexual abuse events were said to have occurred). Inconsistent with Alaya Rahm’s later accusations, these conference talks (many of which were recorded and have been transcribed: Refs: 01 - 02), contain no suggestion of any wrongdoing. The earlier words spoken by Alaya would appear to refute his later accusations, especially Alaya’s whole-hearted and enthusiastic praise of Sathya Sai Baba and the writing of a love poem to him after allegedly being sexually abused dozens of times. Notably, in pretrial discovery, Alaya Rahm claimed (by his own admission) that he had suffered no psychological trauma that would have required medical or psychiatric care. Furthermore, Alaya identified no psychologist who had ever examined him! As a matter of fact, Alaya Rahm never saw an “expert psychologist” and his parents never sent him to one. Rather, the only help that Alaya obtained was a 3 day seminar from the Landmark Forum on “Empowerment, self help and personal growth” that cost $795 in June 2005 (5-9 years after his alleged abuse and 5 months after he filed his lawsuit)! That’s it. Barry Pittard conveniently ignored all of these crucial and pivotal facts about Alaya Rahm and instead blamed attorney William Brelsford although no one ( not even one critic or other ex-devotee) was identified to the court to support, help or defend Alaya Rahm in his allegations against Sathya Sai Baba. Barry Pittard is the picture of a lost-soul on the street, babbling to walls, trees and clouds, which cannot and do not respond to the rhetoric he repeats like an automaton. As a matter of fact, one can often see how Ex-Devotees thrive on repetition. “Deceive The Naive” is their motto and their parrot-like antics are used as psychological ploys to hypnotize, befuddle and mislead. Barry Pittard and Robert Priddy’s gutless personal attacks and viperine scribblings (which they attempt to peddle as Holy Writ) are evidence of their renewed desperation and blog delirium. The stronger critics attack Sathya Sai Baba, the more they expose the truth about themselves. They are (as other’s have pointed out for a long time) a small and vocal group of angry, bitter and mentally unstable defamers who care more for sensationalism and sleaze and care less for honesty and the truth. Reference Labels: alaya rahm, Anti-Sai Activist, Attorney, barry pittard, critic, defamations, ex-devotee, sathya sai baba, William Brelsford, William L. Brelsford