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Placebo Gazette #155
(Keeping Our Finger On The Prostate Of Medicine)
 
6/9/10

  1. Running Out Of Money
  2. Pills Are Everywhere
  3. Thanks, Governor
  4. Young Drinkers
  5. Placebo Journal Update
  6. What A Croc Of....
  7. Insanity vs. Genius
  8. PSA Test Goes To The Dogs
 

 

1. Running Out Of Money


It seems that Great Britain is in a little bit of a pickle with their health care system as it relates to cancer patients. For all those who want to mimic their system, take notice of this. The government has a certain amount of allotted cash that they put into a cancer fund. With the advent of newer, better and more costly cancer drugs, this fund is quickly running out of money. The battle lines are being drawn as patients are demanding these costly drugs while the National Institute for Clinical Excellence (NICE) is trying to keep the system fiscally sound. There really is no easy answer here. Like our system, there is only so much money to go around. If you spend more money on cancer drugs then you have less money to treat other diseases. You can call it rationing and you can make it look terrible to the media by claiming you are neglecting a cancer patient his or her meds but, in the long run, is extending the life of a cancer patient three or four months worth bankrupting the system? Expect these same arguments over and over again in this country in the near future.


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2. Pills Are Everywhere


Here is some scary information: one in five teens in high school have taken a prescription medication they didn’t get from a doctor. This means narcotics or stimulants for you newbies out there and they are getting it from their friends or from the streets. The CDC survey of 16,000 students found that it was the 12th graders abusing it the most and whites abused these pills more than blacks and hispanics. I cannot tell you how much narcotic abuse I am seeing nowadays. It has made me so suspicious. I recently have seen a few different patients who I would have never suspected of “using” but they fessed up and it shot me for a loop. This is bad stuff but we physicians need to be very prudent in our prescriptions of these drugs. Get narcotic agreements. Urine test your pain medication patients regularly. We don’t want to deny people who really need these meds but this stuff is leaking into our community like a sieve.

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3. Thanks, Governor


What if you were a teenager and decided to save some money for higher education after high school. You were working jobs after school and on weekends and by your senior year you had some nice little nest egg for yourself for college. Your parents, who really always wanted to get a pool, decided that you have a surplus in your account and basically confiscate the money. You get pissed but your parents say they were within their granted powers due to their own financial crisis. Sounds ridiculous? Well, check out what the Governor did in Pennsylvania. Physicians and other health care professionals contribute annually to Mcare, the Medical Care Availability and Reduction of Error Fund, which subsidizes half of the $1 million in insurance coverage doctors are required to carry. This money was set aside to cover any outstanding liability claims and bring down the costs of malpractice. This is a state, by the way, that doctors were leaving in droves due to that high malpractice insurance coverage. Last October, Governor Rendell and his cronies approved a transfer of what they call excessive funds in this liability pool to finance other areas of the state's needs. They feel they can "appropriate" state money as they see fit. In other words, what's yours is mine. Luckily, the doctors sued and the state court rejected Rendell'sappealing. The funny thing about this is that I bet that this money is all gone now and in order to get it back the Governor will need to tax someone......like these same doctors. It would be like the teenager above having to sue his parents in order to get his money back for college only for them to demand he pay his rent for the past 18 years. 


 

4. Young Drinkers


You think kids are drinking too young here in America? Well, the Welsh are trying to get the word out to their people that maybe kids under age 15 shouldn't be imbibing so much of the stuff. The Welsh Assembly Government quotes research which shows that 40% of Welsh 15-year-olds drink alcohol on a weekly basis, with 20% having been drunk for the first time at 13 or under. Drinking among 11-15 year-olds has doubled in the last 20 years The article about this is pretty funny because the government is trying to be so politically correct. From what I can gather it's not like they are trying to enforce a law because there doesn't seem to be one. In fact, they have a fear of being too preachy when issuing this "guidance". It's almost like they know they have no shot of changing behavior but they need to play the game anyway. I can almost guarantee the people who created this campaign were brainstorming their ideas at the local pub as they downed some dark ale. Actually sounds like a dream job to me.

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 5. Placebo Journal Update


The June issue should be in your mailbox shortly.  Now it is time for the August issue.  If you have any stories you want to share then this is the time to send them in.  If you did something in the past and it wasn't used then it probably didn't make the cut.  Sorry.  That doesn't mean other anecdotes you are holding onto wouldn't work.  Send them all in here:

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If you are ready to start subscribing to the only medical journal that will make you laugh then click below:

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6. What A Croc Of.....



A 3-year-old boy was in a swimming pool changing room with his mom when he picked up a faulty hair dryer. That's when a blue bolt of electricity ran down his arm and shot out his side, charring his clothes and burning him in the process. What saved his life? He was wearing Crocs. "Doctors believe his plastic shoes acted as insulators and saved his life by stopping the electricity from passing into the ground. " Maybe the Crocs company needs to promote this new advantage of its shoe? They could target people who play with toasters while in the bath or people who like to golf when there is thunder and lightening going on. That may be the only way to resuscitate this dying company. BTW, the little boy is going to be fine but his sense of fashion could not be saved.

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7. Insanity vs. Genius


Scientists studying brain scans have seen a similarity between those that are schizophrenic and those that are considered a genius. It seems that both groups lack important receptors used to filter and direct thought which allows the creative people to "think outside the box" but others to go crazy. Creativity is known to be associated with an increased risk of depression, schizophrenia and bipolar disorder. How many famous creative people end up killing themselves (Hemingway, Hunter S. Thompson, etc.)? The scientists think that the dopamine receptors in the thalamus, which helps filter information, is much less in these groups. This leads to uncensored information flying through the brain and may explain"why highly creative people manage to see unusual connections in problem-solving situations that other people miss". The schizophrenics, which may have similar brain patterns, tend to have disturbing and bizarre thoughts. I don't think this is really new information. Some great men have said similar things in the past:

"There is no great genius without a mixture of madness." - Aristotle

"The distance between insanity and genius is measured only by success." - James Bond in Tomorrow Never Dies
 
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Doug Farrago MD


King of Medicine

 

 

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