Category Archives: Medicine

Dalrymple on Obesity–marvelous

Last week I told you about a British Medical Journal article on the benefits of barriatric surgery over behavior mod, the current operations of preference are Roux en Y with gastric reduction (one helluva surgery), sleeves (simpler) and such.

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Another junk science Patient Safety Pronouncement

Do these people even stop puttin’ up this crap?

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Jenny McCarthy and RFK Jr: Ohio State Univ is calling you… Mumps outbreak

Even though we root for Ohio State’s opposition, we
still feel pity for anyone who’s listened to Jenny and RFK.
There are now over 200 confirmed cases of Mumps in
the Ohio State campus area, including Columbus, Ohio. Continue reading

Another Lancet chemophobic crackup

The people at Lancet have gone off their meds again.

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Eugene Braunwald is Mega Cardiologist

Braunwald is now and has been for a long time–a Cardiologist of great reputation. He is the long time lead editor of the bible of Cardiology.

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Vaccines ain’t perfect, but it would have been a lot worse without them

It seems to turn out that in a recent measles epidemic (by modern standards) in NYC, “patient zero” was, indeed, fully vaccinated. And some of the folk she infected were vaccinated or previously exposed as well. Continue reading

Labs and viruses: nothing can go wrong, go wrong, go wrong…

It seems that a bunch of epidemics (arguably pandemics) were courtesy of… escapes from labs that were researching them/trying to produce vaccines, etc. Continue reading

Opioids in Chronic Pain not so helpful

I was surprised since mostly chronic pain patients end up on opioids like oxycontin, oxycodone, hydrocodone, fentanyl.

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Yet another nail in Tamiflu™

Tamiflu™ (generic name: Oseltamivir) has been promoted for years as a miracle drug for treating influenza (including swine flu) and other viral nasties. The US gov’t has spent gazillions of tax dollars stockpiling it. But…. Continue reading

Junk Science on Vet Suicides.

Whenever the left appears to care, watch out for your pocket-book or worse. Now they are working the soldier/vet/suicide/ptsd pity party.

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Clot buster Equivalent to Catheter

This study continues an ongoing search for what to do. Right now the standard is to get the patient to the cath lab in 90 minutes.

But this French study says fibrinolytics have good 5 years survivals.

No camparison on the cost, cath lab is expensive and around the world not always available in 90 minutes. In some places a little bit of clot buster produces good results, risk of stroke though.

Five-Year Survival in Patients With ST-Segment Elevation Myocardial Infarction According to Modalities of Reperfusion Therapy: The French Registry on Acute ST-Elevation and Non-ST-Elevation Myocardial Infarction (FAST-MI) 2005 Cohort

Circulation 2014 Mar 21;[EPub Ahead of Print], N Danchin, E Puymirat, PG Steg, P Goldstein, F Schiele, L Belle, Y Cottin, J Fajadet, K Khalife, P Coste, J Ferrières, T Simon


Although primary percutaneous coronary intervention (pPCI) is the preferred reperfusion method for ST-elevation myocardial infarction (STEMI), it remains difficult to implement in many areas, and fibrinolytic therapy is still widely used.

We assessed 5-year mortality in STEMI patients from the French registry of Acute ST-elevation or non-ST elevation Myocardial Infarction (FAST-MI) 2005 according to use and type of reperfusion therapy. Of 1492 STEMI patients with first call ≤12 hours from onset, 447 (30%) received fibrinolysis (66% pre-hospital; 97% with subsequent angiography, 84% with subsequent PCI), 583 (39%) had pPCI and 462 (31%) received no reperfusion. Crude 5-year survival was 88% for fibrinolytic-based strategy, 83% for pPCI and 59% for no reperfusion. Adjusted hazard ratios (95% confidence interval) for 5-year death were: 0.73 (0.50-1.06) for fibrinolysis versus pPCI, 0.57 (0.36-0.88) for pre-hospital fibrinolysis versus pPCI, and 0.63 (0.34-0.91) for fibrinolysis vs pPCI beyond 90 minutes of call in patients having called ≤180 minutes from onset. In propensity score matched populations, however, survival rates were not significantly different for fibrinolysis and pPCI, both in the whole population (88% lysis, 85% pPCI), and in the population seen early (87% fibrinolysis, 85% pPCI beyond 90 minutes from call).

In a real world setting, on a nationwide scale, a pharmaco-invasive strategy constitutes a valid alternative to pPCI, with 5-year survival at least equivalent to the reference reperfusion method.

Got a bad Carotid Artery? Read this

Carotid endarterectomy (surgery to open) or stenting (putting an internal strut in) have always been a very dramatic and sometimes complication producing approaches to obstructed carotids.

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ACE inhibitors really good for Diabetics

Heart and kidney benefits come from Angiotensin Converting Enzyme Inhibitors. Well know for a long time.

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Insomnia? Hyperarousal disorder?

Hyperarousal disorder or generally being tightly wound causes sleep and anxiety disorders.

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Zeke the Grim Reaper

I have warned about the problem of socialist statists in a place where they can decide who lives, who dies.

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John James PhD, Patient Safety expert redux

Last week we discussed John T James’ study that he claims shows 400 thousand
American Hospital inpatients die of preventable event.

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Dr. Broun’s Mistaken Response to the IG on the Human Testing Scandal

Dr. Broun, now the chair of the pertinent subcommittee, was almost right in his response to the pathetic report of the US EPA Inspector general on the Human Exposure Experiments scandal.

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Temper your Temper–better for your health

Losing one’s temper increases incidence of cardiovascular events, bad ones.
We’re talking screaming fits.

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Bariatric Surgery Achieves better results in Diabetics that are Really Fat

This is not a big surprise, since the morbidly obese do achieve great weight loss with the surgical approach.

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Junk Science Patient Safety research by NASA Scientist

Dr. John T.James PhD Toxicology, is a self-made Patient Safety expert with a junky study on patient safety being quoted by others.

Shame on him.

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