Archive for the ‘Medicine in the News’ category

Robert F. Kennedy Jr’s Wife & Driving Under The Influence Of Drugs

September 1st, 2010

The wife of Robert F. Kennedy Jr. has been charged with driving under the influence of drugs in New York’s Hudson Valley, police said. State police said Kennedy initially was pulled over Saturday for speeding on the Taconic State Parkway in Dutchess County. Kennedy told police she was headed to a yoga class, the Poughkeepsie Journal reported. The paper said that she allegedly had been driving 82 mph. WNBC reported that officers suspected that Kennedy was under the influence of prescription medication.

Source: msnbc.msn.com/id/38827866/ns/us_news-crime_and_courts/?GT1=43001

I commonly tell my surgical patients not to drive while taking Vicodin, a common post-operative pain medication. I have not yet had one of my patients charged with DUI, but the idea is to prevent it from happening if possible. If the police pull you over, you don’t want to be taking prescription pain medications although we don’t know what Ms Kennedy’s urine tox screen showed.

Best Regards,

John Di Saia MD

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Avastin may Lose FDA Approval

August 31st, 2010

The drug was initially approved after a study found that, by preventing blood flow to tumors, it extended the amount of time until the disease worsened by more than five months. However, two new studies have shown that the drug may not even extend life by an extra month.

The FDA advisory panel has now voted 12-1 to drop the endorsement for breast cancer treatment. The panel unusually cited “effectiveness” grounds for the decision. But it has been claimed that “cost effectiveness” was the real reason ahead of reforms in which the government will extend health insurance to the poorest.
Source: telegraph.co.uk/health/healthnews/7948878/US-breast-cancer-drug-decision-marks-start-of-death-panels.html

I am amongst the first to rail when healthcare finances turn socialist, but this might just be a drug with questionable effectiveness. If the feds just decreased what they allowed the drug company to make from the sale of the drug (like they do with Medicare payments for doctors and hospitals,) then this would all likely sort out. $8000 a month for one drug is steep particularly if there is a question as to whether or not it works.

Best Regards,

John Di Saia MD

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Reader Laura on Aisha, the Afghan Nasal Amputee

August 30th, 2010

Aisha Injured Nose

Reader Laura’s Question:
“After looking at her picture do you think there is anything that could be done to improve her nose? Is she at higher risk of infection with her sinuses exposed? What other health risks are there for woman like Aisha who have suffered such horrendous abuse?”

18-year-old Afghan Aisha tried to flee her abusive in-laws in Afghanistan but was caught. A local Taliban commander acting as judge ordered her nose to be cut off. Her brother in law held her down while her husband cut her nose off. She bravely shows her face on the cover of Time magazine and tells her story. She’s not the only woman in Afghanistan that has suffered disfiguring injuries.

Source: dailymail.co.uk/news/worldnews/article-1299799/Mutilated-Taliban-The-girl-18-nose-ears-hacked-trying-flee-cruel-laws.html

Aisha is horribly disfigured and will require a multiple operation reconstruction over months to years to get a reasonable result. These cases are very hard. I heard a plastic surgery group has offered to do the case for publicity, which is nice. The main non-psychological issue relative to having one’s nose amputated like this is drying out the nasal passages. The effects of such a deformation to a person’s psychological well being as you might imagine are worse than this.

Best Regards,

John Di Saia MD

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Blue Cross/Blue Shield of California Cleared to Raise Rates

August 27th, 2010

California insurance regulators cleared the way Wednesday for Anthem Blue Cross to implement scaled-back rate hikes after a previous increase was canceled amid an uproar over its size. Anthem said it intends to put the new rates — averaging 14% and as high as 20% — into effect Oct. 1 for nearly 800,000 individual California policyholders. Regulators also allowed one of Anthem’s nonprofit competitors, Blue Shield of California, to move ahead with rate increases — averaging 19% and as high as 29% — for 250,000 individual policyholders.

Source: http://www.latimes.com/health/la-fi-insure-rates-20100826,0,842637.story

Insurance regulation is pretty much a joke in the sense that it really doesn’t protect the consumer from the highway robbery that is health insurance. This is the same kind of regulation that allows insurance company CEOs to take huge bonuses while they cut payments to doctors and deny patient treatments. It seems that these hikes only apply to individual policy holders. It is really becoming imperative that patients put together insurance groups. I guarantee you that these increased rates will not be seen as increased payments to my practice from these same insurers. This, like the federal Wall Street bail out, will line the pockets of the insurers and not help the consumer one bit.

Best Regards,

John Di Saia MD

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I Need To Take Some Vioxx – $253 Million!

August 13th, 2010

OK Opinion Time

For God’s sake, soon there will be no drugs in this country! A brain dead Texas jury awarded $253 Million to a widow after her husband died supposedly related to Vioxx. Watch the lawyer feeding frenzy begin….

There is no rhyme or reason to jury awards in this country. I would love to see the accounting that resulted in such a ridiculous figure. It will supposedly be knocked down because of limitations upon punitive awards in Texas (to 26.1 Million). This is still too much! We need tort reform…..

Then again maybe I just need to take some Vioxx and my family can cash in!

OK, I am disgusted!

Best Regards,

John Di Saia MD

Originally posted 2005-08-19 18:37:00.

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Sanity in the Vioxx Fiasco?

August 12th, 2010


Politicians and regulators should be asking themselves whether a system of massive cash awards to people who may or may not have been adversely affected by Vioxx is a logical, fair or efficient way to run a drug regulatory system. They should also be asking whether juries that scorn medical evidence are the right judges of what information should or should not have been on a
prescription label.
Source: washingtonpost.com/wp-dyn/content/article/2005/09/15/AR2005091501973.html

Will lawmakers take notice? I am not so hopeful. We need tort reform or health care will continue to suffer. That’s you and yours my friends. I would also limit prescription costs al la a modified Canadian drug model, so they wouldn’t get off the hook entirely. :)

Best Regards,

John Di Saia MD

Originally posted 2005-09-16 15:07:00.

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Germany Considers Obesity Tax

August 6th, 2010


Marco Wanderwitz, a conservative member of parliament for the German state of Saxony, said it is unfair and unsustainable for the taxpayer to carry the entire cost of treating obesity-related illnesses in the public health system.

“I think that it would be sensible if those who deliberately lead unhealthy lives would be held financially accountable for that,” Wanderwitz said, according to Reuters.

Source: http://www.aolnews.com/world/article/germany-weighs-tax-on-the-obese/19566425

There is actually an argument here. In a society in which there is socialized medicine, should the taxpayer carry the increased costs of caring for the ills of obesity…high blood pressure, heart attacks, strokes, and the like? These costs can be very high.

There are ways to do this short of straight taxation though…..like limiting the benefits from the socialized health care system on diseases related to obesity and making the obese carry additional insurance at their own expense. Socialized medicine doesn’t mean it is all free folks. Someone has to pay the bill. If ObamaCare stands, we will all see that soon enough.

Best Regards,

John Di Saia MD

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Missouri Voters Vote Against ObamaCare – Proposition C

August 4th, 2010

Missouri voters on Tuesday overwhelmingly rejected a federal mandate to purchase health insurance, rebuking President Barack Obama’s administration and giving Republicans their first political victory in a national campaign to overturn the controversial health care law passed by Congress in March.

“The citizens of the Show-Me State don’t want Washington involved in their health care decisions,” said Sen. Jane Cunningham, R-Chesterfield, one of the sponsors of the legislation that put Proposition C on the August ballot. She credited a grass-roots campaign involving Tea Party and patriot groups with building support for the anti-Washington proposition.

Source: stltoday.com/news/local/govt-and-politics/article_c847dc7c-564c-5c70-8d90-dfd25ae6de56.html

It looks like the political backlash for the left is coming. People are voting mad about Obamascare and maybe this time we will remember in November. I’ve got the ObamaScare “Yes” votes tally linked below for those who might want to keep it handy for their voting in November. ;)

Best Regards,

John Di Saia MD

Related:
Congressional “Yes” Votes for HR 3590 Health Care Bill

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Botox Death Trial?

July 30th, 2010


By a 10-2 vote, jurors decided Tuesday that Botox-maker Allergan was not responsible for the death of a young cerebral palsy patient who died in 2007 after Botox injections.

OC Register Blog

Cerebral Palsy is awful disease. The child apparently died after the onset of respiratory failure with pneumonia. The fact that a suit like this could be filed is part of that which is wrong with our tort system. Sick patients tend to pass away. Trying to make it a payday for her family on the back of the maker of a product is more often than not wrong. Even if the product was involved in the patient’s demise (which I believe is unlikely,) Allergan didn’t administer it. It is like penalizing a gun maker for a shooting-related death.

In the end, these suits cost the taxpayers and we don’t need any more bills.

Best Regards,

John Di Saia MD

Originally posted 2010-03-03 10:00:26.

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Anti-ageing Gene In Mice?

July 24th, 2010

How is it that the UK news is faster than our domestic agencies in reporting US science news? Maybe it is because that news is really really preliminary…..


Anti-ageing Gene Story

We know very little about this gene and it needs to be pursued before we all start jumping up and down about it.

Anti-ageing medicine is a real hot topic with an aircraft carrier full of junk science as far as I am concerned. There are more than a few “snake oil salesman-types” selling anti-ageing pills, creams and whatever to whomever will pay. It would be nice to see a little real proof before the cash registers start a’rolling.

We will wait on this one,

John Di Saia MD

Originally posted 2005-08-27 21:44:00.

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