tag:blogger.com,1999:blog-30499448.post7056558790656712632..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: RevelatorySid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-30499448.post-49435966335146049612008-03-09T20:38:00.000-07:002008-03-09T20:38:00.000-07:00I think you'd get along swimmingly with Ben Goldac...I think you'd get along swimmingly with Ben Goldacre of badscience.net<BR/><BR/>He's very keen of finding an ethical way of administering placebo. Get the jumbo without the mumbo, I s'pose.Jens Knudsen (Sili)https://www.blogger.com/profile/14078875730565068352noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-39901968902731969902008-03-06T19:54:00.000-08:002008-03-06T19:54:00.000-08:00After all, it's clearly what gives "alternative" a...<I>After all, it's clearly what gives "alternative" and "complementary" mumbo their jumbo.</I><BR/><BR/>Hey, hey, HEY!Lynn Pricehttps://www.blogger.com/profile/02958402288888144904noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-70534226278268326962008-03-06T16:52:00.000-08:002008-03-06T16:52:00.000-08:00I'm wondering if the placebos "work" like the real...I'm wondering if the placebos "work" like the real deal because, in the mind of the patient, they have to. There may be no other options. Especially if a person is low-income, sick of being passed around from one Dr. to another, tired of the pain, etc. Dr. Schwab's success with the double underline on "no refill" for the hurky green aspirins sort of corroborates this. Sort of. <BR/><BR/>Also, with the placebo studies, but it'd be interesting to compare short term feedback with a year down the road... Perhaps self-delusion has an expiration date.(Tempting to link this back to one of the weekend rants here, but I'll resist.)JPhttps://www.blogger.com/profile/12023875555959570250noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-31352692360828050582008-03-06T08:08:00.000-08:002008-03-06T08:08:00.000-08:00Speaking of mind control juju....Anyway, I've used...Speaking of mind control juju....<BR/><BR/>Anyway, I've used this concept to make sure my son takes his ADD medication. "These pills cost a lot of money apiece, so be sure we're getting our money's worth."<BR/><BR/>Unfortunately, he's just entered the eye-rolling stage that sort of deflates any parental arguments for anything.Not Importanthttps://www.blogger.com/profile/18307127026012212518noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-24647658779819978782008-03-06T06:52:00.000-08:002008-03-06T06:52:00.000-08:00Well, placebos are great (and appropriate) for min...Well, placebos are great (and appropriate) for mind-mediated issues like pain. Not so great for appendicitis. When the mumbo jumbo tendrils reach into the clinical pathology box, it's time to get out the scalpels and start cutting out the crap!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-42160824873873775302008-03-06T02:58:00.000-08:002008-03-06T02:58:00.000-08:00This study makes me feel smarter for always choosi...This study makes me feel smarter for always choosing the most expensive homeopathic remedies. The cheap ones never work.<BR/><BR/>I'll be here through Thursday night...<BR/><BR/>But, RLBates, my daughter is treated for seizure disorder with Lamictal, and the neurolotigist explained that the variances in the pschoactive agents vary too wildly among the generics of lamotregene (sp?) that he can't prescribe them. He made the same case about generics of other psychoactives. The risk is that too high of a does is dangerous and can cause serious neural problems, while too low of a dose is ineffective.<BR/><BR/>When there are drugs with narrow effective ranges, the perception that generics aren't as good has some truth to it.<BR/><BR/>The other type of drug that makes me worry is in generic antibiotics, and whether a reduced effectivity would lead to the evoluiton of even more resistant strains of say, streptococcus.<BR/><BR/>I am not a shill for the pharmaceuticals, but I am saying that doctors should be cognizant of <I>both</I> cost and effectiveness, and communicate those issues to the patient in case they need to fight with the insurance carrier.<BR/><BR/>Finally, with generics, patients don't know who the manufacturers are, and the makers of generics, while being known to the pharmacist and to the FDA aren't known to the public and it adds to the whole "buyer beware" problem.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-85220109913552041002008-03-05T19:10:00.000-08:002008-03-05T19:10:00.000-08:00It works for almost anything - alcohol, jewelry, e...It works for almost anything - alcohol, jewelry, education, clothes. . .you get what you pay for is not always the case.Anonymoushttps://www.blogger.com/profile/04071711894125638696noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-64095334316254838512008-03-05T15:20:00.000-08:002008-03-05T15:20:00.000-08:00I read somewhere recently (can't recall where) tha...I read somewhere recently (can't recall where) that some patients done think generics work as well as non-generics. Once again the cost thing. Since they don't cost as much, they can't be as good.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-16958013526060302122008-03-05T14:32:00.000-08:002008-03-05T14:32:00.000-08:00Quite right scalpel. People like to say medicine i...Quite right scalpel. People like to say medicine is a science and an art. I say it is not quite a science and not quite an art. Hear the one about the ineffective SSRIs?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-13571994060758124992008-03-05T14:04:00.000-08:002008-03-05T14:04:00.000-08:00That's part of the "art" of medicine.That's part of the "art" of medicine.scalpelhttps://www.blogger.com/profile/12163296819469420123noreply@blogger.com