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Placebo Gazette #151
(Keeping Our Finger On The Prostate Of Medicine)
 
5/12/10

  1. House Keeping
  2. Will Power
  3. Fat Cops
  4. Exposure
  5. Can NFL Players Legally Smoke Weed?
  6. Placebo Journal Update
 

 

1. House Keeping

The Placebo Gazette is now going out every week instead of every two weeks.  It will be shorter but that will allow more conversation around a smaller concentration of subjects. I will also try to have more blogs up during the weekend as well.  Enjoy.

2. Will Power



A Yogi in India is perplexing a whole lot of people with his amazing feats of will power. Supposedly, he has not drank or taken a bite to eat in 70 years. Prahlad Jani proved it to doctors by staying 15 days in a hospital and was not observed eating, drinking or going to the bathroom. Hell, I went to the bathroom twice while writing this blog. No one knows how he is doing this. I am not sure if this story is a hoax or not but it sure has media legs. He says he was blessed by a goddess at a young age, which gave him special powers. I know that if I was blessed by a goddess at a young age that I would have asked for something a little different than the ability to not eat or drink. I don't know what exactly I would have wished for but my hunch is that the goddess would have run or flown away in disgust.


 

3. Fat Cops


More than a third of the applicants for the Jackson, Mississippi police force were unable to pass the fitness test. How sad is that? The test is made up of push-ups, a 1½ mile run, an obstacle course and a flexibility test. Last year, if was found that that 77% of fire and emergency medical technician trainees in Massachusetts were obese. Anyway, if you read the USA Today article you will find my favorite line:

Some departments have lowered physical strength standards to avoid discrimination lawsuits.

Is that insane? Somehow I don't think criminals care about being politically correct when cops are chasing them down. I can just see a police officer saying, "Slow down until I catch my breath or I'll sue!"

 

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4. Exposure



A report in the Archives of Internal Medicine in December showed that radiation from CTs cause as much as 29,000 new cancers a year. An article in a recent USA Today discussed this at length. I was pleased that they mentioned that one-third of CT scans aren't medically needed but are performed because of fear of lawsuits. That's funny, I thought that malpractice issues aren't really a major problem in this country? That's what the administration said during the healthcare reform debate. They reinforced this by basically putting nothing about tort reform in the bill itself. But I digress. This issue of over-exposure is real. It brings up the point of overtesting (are CT angiography scans for heart disease worth the risk?) versus rationing. The truth is that we ration all the time due to cost and risk. We also rationalize all the time due to not wanting to be sued. The real war is between rationing vs. rationalizing. Either way someone loses.


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5. Can NFL Players Legally Smoke Weed?



One of the New England Patriots draft picks was interrogated pretty hard for his history of weed use in college. This seemed to be a huge issue for the young tight end and it is now hanging over his head. Here is a bigger issue, I think. What if an NFL player for the Raiders or 49ers got caught smoking weed through one of their drug tests but it was prescribed by his doctor? It is banned in the NFL but it is legal in California for medical purposes. Who has more chronic pain issues than professional football players? It seems to me that a prescription drug would override the drug policy of the NFL but then again I am no lawyer. This was brought up by a recent WSJ article. Would some free agent players sign with teams in states with legalized medical marijuana? Wouldn't that be an interesting sales pitch for a crappy team? The Raiders need all the help they can get. Then again, guys like JaMarcus Russell (who was just cut) don't need any more reasons to eat.


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Doug Farrago MD


King of Medicine

 

 

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