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From: Happy Oyster on 27 Mar 2010 16:00
On Sat, 27 Mar 2010 13:12:54 -0700 (PDT), pautrey <rpautrey2(a)gmail.com> wrote:
>Bob Officer Is A Criminal!
Says the pirate copier Ralph Paul Autrey, jr. See here:
On Sat, 27 Mar 2010 13:43:21 -0700 (PDT), pautrey <rpautrey2(a)gmail.com> wrote:
>Antibiotics don't cure colds, so why do patients think they do?Doctors
>who cave in to patient pressure create demand
>Ben Goldacre guardian.co.uk,
>Saturday 20 March 2010 00.06 GMT
>Last month the government proposed allowing pharmacists to substitute
>prescriptions for branded medicines with generic alternatives. A
>letter of protest appeared in the Times, signed by various patient
>groups and experts, with positive coverage in the broadsheets. "Plan
>to switch to cheaper medicines will harm patients, say experts,"
>reported the Times. They even had a case study: "Patient given Seroxat
>substitute felt unwell within two days."
>But Margaret McCartney GP, writing in the British Medical Journal, has
>been digging: in fact the letter was coordinated and written by the PR
>company Burson-Marsteller, paid by the drug company Norgine. Norgine's
>chief operating officer, Peter Martin, despite being the major
>influence behind the campaign, did not sign the letter himself. Asked
>why not, he said: "There was no conspiracy. The frank truth, the
>honest truth, is that I thought that having a pharmaceutical company
>in there would sully the message somewhat."
>Meanwhile the "stay at home" campaign, covered in the Times,
>Telegraph, Mail and BBC, encourages people not to go to their GP with
>mild self-limiting conditions. This campaign was organised by the
>Proprietary Association of Great Britain, which represents the
>manufacturers of over-the-counter medicines and food supplements in
>the United Kingdom. I think we're unhealthily obsessed with pills of
>all varieties, but the association did at least have the courtesy to
>sign its own letter, and its case is stronger. But its report missed
>one of the most fun trials ever published: a randomised controlled
>trial of the social phenomena of medicalisation.
>Doctors commonly prescribe treatments, even when they know they're not
>effective, in the face of assertive patients. But does this really
>reduce their workload?
>Most sore throats are caused by viruses. Doctors usually avoid
>antibiotics, which provide only marginal benefits. Explaining the
>evidence, prescribing "watch and wait", and being told the average
>duration is five days can provide reassurance. But measuring the
>benefits of that empowerment requires imagination.
>Paul Little and colleagues took 716 patients, who consented to a
>"study looking at how quickly sore throats settle". Patients were
>given antibiotics, advice to watch and wait, or a delayed prescription
>which they could use if things hadn't settled in a few days.
>Each group got better at much the same rate. But more of the patients
>given antibiotics came away with the view that antibiotics were
>effective (87% v 55%).
>So while prescribing antibiotics had marginal benefits at best, it
>hugely enhanced belief in antibiotics, and intention to go back to the
>GP. Researchers returned to the same patients one year later and found
>that the patients who had been prescribed antibiotics originally were
>39% more likely to go back to the GP when they had a sore throat.
>The evidence-based medicine journal Bandolier (available online, and
>highly readable) summed this up by translating the figures from both
>studies into what would happen in a real surgery, after doctors'
>behaviour changed. "If a GP prescribed antibiotics to 100 fewer
>patients with throat infection in a year, 33 fewer would believe
>antibiotics were effective, 25 fewer would intend to consult with the
>problem in the future and 10 fewer would come back within the next
>year." Sometimes the most helpful consultations involve no pill at
>guardian.co.uk � Guardian News and Media Limited 2010
That is a copyright infringement. Ralph Paul Autrey, jr. is a pirate copier.
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