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HOW DANGEROUS IS THE PRACTICE OF MEDICINE TO YOUR HEALTH?

5/6/2016

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DANGEROUS TESTS, DANGEROUS DRUGS, DANGEROUS SURGERIES
DANGEROUS MEDICINE

Dangerous Exams
"Their analysis, published in the BMJ on Tuesday, shows that "medical errors" in hospitals and other health care facilities are incredibly common and may now be the third leading cause of death in the United States -- claiming 251,000 lives every year, more than respiratory disease, accidents, stroke and Alzheimer's....   It boils down to people dying from the care that they receive rather than the disease for which they are seeking care." From Ariana Eunjung Cha's May 3 article in the New York Post called Researchers: Medical Errors Now Third Leading Cause of Death in United States

"A 2004 report of inpatient deaths associated with the Agency for Healthcare Quality and Research Patient Safety Indicators in the Medicare population estimated that 575,000 deaths were caused by medical error between 2000 and 2002, which is about 195,000 deaths a year. Similarly, the US Department of Health and Human Services Office of the Inspector General examining the health records of hospital inpatients in 2008, reported 180,000 deaths due to medical error a year among Medicare beneficiaries alone.  Using similar methods, Classen et al described a rate of 1.13%.  If this rate is applied to all registered US hospital admissions in 2013 it translates to over 400,000 deaths a year, more than four times the IOM estimate.  A literature review by James estimated preventable adverse events using a weighted analysis and described an incidence range of 210,000 - 400,000 deaths a year associated with medical errors among hospital patients.  We calculated a mean rate of death from medical error of 251,454 a year using the studies reported since the 1999 IOM report and extrapolating to the total number of US hospital admissions in 2013. We believe this understates the true incidence of death due to medical error......  Currently, deaths caused by errors are unmeasured and discussions about prevention occur in limited and confidential forums, such as a hospital’s internal root cause analysis committee or a department’s morbidity and mortality conference. These forums review only a fraction of detected adverse events and the lessons learned are not disseminated beyond the institution or department."  Cherry picked from Tuesday's study that was published in the British Medical Journal (Medical Error: The Third Leading Cause of Death in the US)


It's always interesting how many people who come to see me who are totally freaked out --- literally panicked --- about making a visit to a Chiropractor.  They've never been, they're desperate, and have gotten to the point they are willing to do anything; no matter how crazy or 'dangerous' it might be.  Although I choose not to go there with these patients, it would be easy to get up on my bully pulpit and preach that sermon about how safe the practice of CHIROPRACTIC really is in relationship to medicine ---- even things like TYLENOL. 

And like the authors from the BMJ study above insinuate (they actually come right out and admit it), ADVERSE EVENTS ARE ACTUALLY UNDER-REPORTED --- usually by somewhere between 1 to 2 orders of magnitude.  You read that right; dozens of studies have shown that under-reporting often occurs at rates approaching 100%.  Does anyone understand the term, "Circle the Wagons"?  The last two sentences of the red paragraph above clearly show us that this is exactly what's happening in the medical profession.

Although this has been known for a very long time, it did not really punch the public in the face until Dr. Gary Null's groundbreaking study twelve years ago.  If you have read his meta-analysis called DEATH BY MEDICINE, you have a better idea than most about the severity and magnitude of this problem.  Despite the fact that I have mentioned much of this in my numerous articles on EVIDENCE-BASED MEDICINE (take just a moment to browse the titles), we are going to take it a step further today --- mostly because new research dictates it by continuing to reveal that this problem is getting worse, not better, at a rapid rate.

According to the CDC, CANCER and HEART DISEASE have been running neck and neck for the past several years as far as leading causes of death are concerned here in America.  Shocking for some of you will be the fact that a mainstream journal revealed earlier this week that MEDICAL ERRORS are in third place --- almost doubling up the fourth place contestant; COPD.  According to medical safety expert, Dr. Lucian Leape, we have had at least an idea of this fact since 1974's Congressional Report on the subject (HERE).  Allow me today, to give you a taste of just how big this problem known in the medical community as IATROGENENIC MORTALITY really is.

DANGEROUS TESTS / DANGEROUS EXAMS

 The truth is, we rarely think of tests as dangerous or invasive.  The reality is that they are both.  Rather than me belabor points that I have already made to you, allow me to show you just a few of the tests that are either don't perform as touted, are out-and-out dangerous, are being used for little else besides making money, or more likely than not, all of the above.  Before you get upset at me for taking on some of our nation's true "Sacred Cows", just remember that I am only reporting what's in the peer-reviewed scientific literature. 

  • BONE DENSITY TESTS
  • ROUTINE COLONOSCOPIES
  • ROUTINE PROSTATE EXAMINATIONS
  • ANNUAL PHYSICALS (this will shock your socks off)
  • REGULAR MAMMOGRAMS
  • CAT SCANS
  • CHOLESTEROL SCREENINGS

What happens when people get these and other tests? Sometimes doctors find something bad, treat it, and end up saving a life.  Just as often, it starts a process known in the medical community as OVERDIAGNOSIS & OVERTREATMENT.   Overdiagnosis leads to Overtreatment, which leads to populations ending up dead at rates that science has shown us are equal to or even greater than those who choose not to get the tests.  The problem is, as nationalized medicine rolls forward, you will have an increasingly smaller say in what healthcare you want and don't want (HERE is one example of dozens).

DANGEROUS DRUGS / DANGEROUS MEDS

There's no such thing as a safe drug (see my earlier link on Tylenol).   Our own National Institutes of Health freely admits that we have a national drug problem.  It was just one short year ago I revealed to you that according to them, "The United States contains 5% of the world's population and consumes 75 percent of the the world's prescription drugs." 

If this were translating into good health for our citizens, we could live with the drugs and their OUTRAGEOUS COSTS.  It's not.  A quick peek at various categories of world health rankings reveals that the good ole USA comes in somewhere around 30th overall.  Unfortunately, when you look at the CHRONIC INFLAMMATORY DEGENERATIVE DISEASES category, we come in about 90th.  Here are just a few of the classes of drugs that are causing as many problems as they are solving --- probably more.


  • ANTIBIOTICS
  • ANTIDEPRESSANTS
  • HEARTBURN DRUGS (HERE, HERE & HERE as well)
  • STATINS
  • DIABETES DRUGS
  • NSAIDS & CORTICOSTEROIDS
  • DRUGS IN GENERAL
  • SLEEPING PILLS
  • MUSCLE RELAXERS
  • NARCOTICS
  • FEMALE VIAGRA
  • ADHD DRUGS
  • VACCINES
  • LYRICA & NEURONTIN
  • ASPIRIN
  • ASTHMA INHALERS

I could have kept going but I think you get the point.  Drugs mess you up in ways that you cannot begin to comprehend (HERE & HERE) ---- until it happens to you.  The cool thing is, there are actually ways to get off drugs.  HERE is the template of an "Exit Strategy" one of my patients used to solve problems that were keeping her bedridden.

DANGEROUS & UNNECESSARY SURGERIES

Founded in 1947, Milliman & Robertson (now simply Milliman), is a nearly one billion dollar actuarial and consulting firm, that among other things, specializes in determining whether or not certain medical procedures (i.e. surgeries) have enough "EVIDENCE" behind them to justify being paid by insurance companies.  Back in 1995, they were commissioned by the US government to make determinations about American surgical procedures.  Their conclusions?  60% of the surgery performed in this country is unnecessary.  Google "Unnecessary Surgeries" and you'll quickly realize that things haven't changed much in the two plus decades since.   Interestingly enough though, this is all done while doctors continue to completely ignore 'insignificant' or 'unimportant' things like FASCIA, NUTRITION, and FMT.
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EXCERPTS FROM "DEATH BY MEDICINE"

5/22/2013

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EXCERPTS FROM
DEATH BY MEDICINE

Death by Medicine
elsebjgmailcom - Dansk - Pixabay
Although this study is nearly a decade and a half old, it will still send shivers down your spine (not to mention the fact that it's being proven time and time again by peer-review --- HERE).  For instance, not that long ago, BMJ reported that between 300,000 and 500,000 people die each year as the direct result of SLEEPING PILLS (BTW, this study was not counted in the totals).  But I regress.  Back in 2004, three medical doctors and two research experts (Ph.D's) crunched the data from hundreds of peer-reviewed medical studies and rolled it into one huge meta-analysis.   The result was a massive indictment, logically and systematically laid out against the Medical Profession and PHARMACEUTICAL INDUSTRY in the form of a scientific paper.  Here are some shocking excerpts from Dr. Gary Null's landmark study, Death by Medicine.......
Each year approximately 2.2 million US hospital patients experience adverse drug reactions (ADRs) to prescribed medications...   Approximately 7.5 million unnecessary medical and surgical procedures are performed annually in the US, while approximately 8.9 million Americans are hospitalized unnecessarily.
Deaths induced inadvertently by a physician or surgeon or by medical treatment or diagnostic procedures [aka 'Iatrogenesis'] in the US annually is 783,936. By comparison, approximately 699,697 Americans died of heart disease in 2001, while 553,251 died of cancer.
US health care spending reached $1.6 trillion in 2003, representing 14% of the nation's gross national product. Considering this enormous expenditure, we should have the best medicine in the world. We should be preventing and reversing disease, and doing minimal harm. Careful and objective review, however, shows we are doing the opposite. Because of the extraordinarily narrow, technologically driven context in which contemporary medicine examines the human condition, we are completely missing the larger picture.
As few as 5% and no more than 20% of iatrogenic acts are ever reported. This implies that if medical errors were completely and accurately reported, we would have an annual iatrogenic death toll much higher than 783,936. In 1994, Leape [a Harvard University researcher] said his figure of 180,000 medical mistakes resulting in death annually was equivalent to three jumbo-jet crashes every two days. Our considerably higher figure is equivalent to six jumbo jets are falling out of the sky each day.
Our estimated 10-year total of 7.8 million iatrogenic deaths is more than all the casualties from all the wars fought by the US throughout its entire history.
A 2003 study found that nearly half of medical school faculty who serve on institutional review boards to advise on clinical trial research also serve as consultants to the pharmaceutical industry.
In June 2002, the New England Journal of Medicine announced that it would accept journalists who accept money from drug companies because it was too difficult to find ones who have no ties.....  In l981 the drug industry “gave” $292 million to colleges and universities for research. By l991, this figure had risen to $2.1 billion.
Leape focused on the “Harvard Medical Practice Study” published in 1991........   Why Leape chose to use the much lower figure of 4% injury for his analysis remains in question. Using instead the average of the rates found in the three studies he cites (36%, 20%, and 4%) would have produced a 20% medical error rate. The number of iatrogenic deaths using an average rate of injury and his 14% fatality rate would be 1,189,576.

In 1995, a JAMA report noted, "Over a million patients are injured in US hospitals each year, and approximately 280,000 die annually as a result of these injuries....   An October 2003 JAMA study from the US government's Agency for Healthcare Research and Quality (AHRQ) documented 32,000 mostly surgery-related deaths costing $9 billion and accounting for 2.4 million extra hospital days in 2000.
An analysis by Wald and Shojania found that only 1.5% of all adverse events result in an incident report.
A 2002 study shows that 20% of hospital medications for patients had dosage errors. Nearly 40% of these errors were considered potentially harmful to the patient. In a typical 300-patient hospital, the number of errors per day was 40.
In a New England Journal of Medicine study, an alarming one in four patients suffered observable side effects from the more than 3.34 billion prescription drugs filled in 2002.
According to William Agger, MD, director of microbiology and chief of infectious disease at Gundersen Lutheran Medical Center in La Crosse, WI, 30 million pounds of antibiotics are used in America each year. Of this amount, 25 million pounds are used in animal husbandry, and 23 million pounds are used to try to prevent disease and the stress of shipping, as well as to promote growth. Only 2 million pounds are given for specific animal infections....      In the US, over 3 million pounds of antibiotics are used every year on humans. With a population of 284 million Americans, this amount is enough to give every man, woman, and child 10 teaspoons of pure antibiotics per year.
In 1989, German biostatistician Ulrich Abel, PhD, wrote a monograph entitled “Chemotherapy of Advanced Epithelial Cancer.”   Abel presented a comprehensive analysis of clinical trials and publications representing over 3,000 articles examining the value of chemotherapy on advanced epithelial cancer. Epithelial cancer is the type of cancer with which we are most familiar, arising from epithelium found in the lining of body organs such as the breast, prostate, lung, stomach, and bowel. From these sites, cancer usually infiltrates adjacent tissue and spreads to the bone, liver, lung, or brain. With his exhaustive review, Abel concluded....  “Many oncologists take it for granted that response to therapy prolongs survival, an opinion which is based on a fallacy and which is not supported by clinical studies.”
In 1974, 2.4 million unnecessary surgeries were performed, resulting in 11,900 deaths at a cost of $3.9 billion. In 2001, 7.5 million unnecessary surgical procedures were performed, resulting in 37,136 deaths at a cost of $122 billion (using 1974 dollars).
In 1978, the US Office of Technology Assessment (OTA) reported: “Only 10-20% of all procedures currently used in medical practice have been shown to be efficacious by controlled trial."  In 1995, the OTA compared medical technology in eight countries (Australia, Canada, France, Germany, the Netherlands, Sweden, the UK, and the US ) and again noted that few medical procedures in the US have been subjected to clinical trial. It also reported that US infant mortality was high and life expectancy low compared to other developed countries.
In 1983, 809,000 cesarean sections (21% of live births) were performed in the US, making it the nation's most common obstetric-gynecologic (OB/GYN) surgical procedure.  In 2001, cesarean section is still the most common OB/GYN surgical procedure. Approximately 4 million births occur annually, with 24% (960,000) delivered by cesarean section. In the Netherlands, only 8% of births are delivered by cesarean section.



HAVE THINGS CHANGED?

So, the real question here is did Null's study accomplish anything valuable, or is it still business as usual for BIG PHARMA and Corporate Medicine (today that would be virtually all of Medicine)?  Thanks to the internet, there is a lot more discussion on these topics and fewer places for the guilty to hide. However, I am not convinced that despite a lot of rules that typically represent massive amounts of government overkill (can anyone say HIPAA?), not much has changed in the last decade or so.  If you follow my blog, you already know this.  It's just about what you would expect when it comes to "EVIDENCE-BASED MEDICINE".
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More Iatrogenesis

4/4/2012

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MORE IATROGENESIS
IATROGENESIS, DEATH BY MEDICINE & DR. OZ

Iatrogenesis
Iatrogenesis is not a pretty topic. The word means 'originating from a physician', and is defined as, "an inadvertent adverse event directly resulting from medical treatment or advice".  The medical community's insistence on covering up and fudging statistics on Iatrogenesis is just one more reason why EVIDENCE-BASED MEDICINE is akin to the Hobo's Nirvana, The Big Rock Candy Mountain.

Ever since his landmark study, "Error in Medicine" was published in the Journal of the American Medical Association back in 1994, Dr. Lucian Leape has turned up the spotlight on Iatrogenesis.   Leape, a Harvard Professor, retired surgeon, and leading authority on Public Health, is widely known as "The Father of the Modern Patient Safety Movement ".  Although Leape's 100-plus papers on patient safety and quality of care have done a great service to his profession, he has unearthed a great deal of disturbing information about the American Medical System that has ruffled some feathers and undoubtedly created some naysayers.  However, when a doctor of Leape's stature showed us the compiled studies proving that over 180,000 Americans were loosing their lives each year as a direct result of their medical intervention, the problem of Iatrogenesis could no longer be ignored.

Next came the Starfield Study.  According to Dr. Barbara Starfield of the Johns Hopkins School of Hygiene and Public Health, over 250,000 deaths per year are caused by medical errors.  Her study, published in the July 2000 issue of the Journal of the American Medical Association, made Iatrogenesis the third-largest cause of death in the U.S. ---- following only heart disease and CANCER.  But the hits kept coming.

Seven years ago, natural health advocate Dr. Gary Null, along with several medical doctors and Ph.D research experts upped the ante when they published their ground-breaking scientific paper called DEATH BY MEDICINE.  Dr. Null's team did not do any new research, but instead did an exhaustive review of the existing scientific medical literature in an attempt to better quantify America's hidden epidemic of Iatrogenesis. Why was their study necessary? As you might imagine, virtually every serious study on Iatrogenesis Reporting has shown that Iatrogenic Events are only 'rarely' reported to the proper authorities ---- typically less than 10% of the time (HERE). Null's team, using studies from the most prestigious Medical Journals and Health Organizations on the planet, showed that the practice of "Medicine" is killing in the neighborhood of 800,000 Americans each and every year (HERE IS A SIMPLE GRAPH).

Its always been interesting to me how people are so often scared of the wrong things.  For instance, even though ASPIRIN and NSAIDS have been shown to be exceedingly dangerous, and Chiropractic has been proven to be quite safe, I run into lots of people who are terrified of Chiropractic.   Likewise, lots of people are absolutely terrified of flying, but think nothing of taking all sorts of prescription and OTC drugs. As you may guess, they are scared of the wrong thing.  Aviation is responsible for an average of about 300 deaths a year in the U.S.   Dr. Null's team had this to say about your chances of dying in a plane crash, versus dying from Iatrogenic Causes.

"As few as 5% and only up to 20% of iatrogenic acts are ever reported. This implies that if medical errors were completely and accurately reported, we would have a much higher annual iatrogenic death rate than 783,936.  Dr. Leape, in 1994, said his figure of 180,000 deaths by medical mistakes annually was equivalent to three jumbo-jet crashes every two days. Our report shows that 6 jumbo jets are falling out of the sky each and every day!"


Now we have a brand new Internet Article that has Dr. Oz weighing in on the subject of Iatrogenesis --- specifically OTC (Over The Counter medications) Iatrogenesis. Some of the highlights include....
  • Every year 200,000 Americans land up in the hospital because they use over-the-counter (OTC) drugs incorrectly.
  • Many people assume that OTC drugs are completely safe since they don’t require a prescription. But this is dangerous thinking.
  • Excess medication can cause unwanted side effects and potentially dangerous drug interactions.
  • ACETAMINOPHEN MISUSE is the leading cause of acute liver failure. Symptoms of liver failure include abdominal pain, nausea, vomiting and jaundice. The overuse of acetaminophen can also worsen headaches, a side effect known as rebound syndrome.
  • Frequent PPI [Proton Pump Inhibitors are the Acid Reflux Drugs] use has been shown to form some sort of drug dependency in as little as a few weeks. Also the low-acid environment created by PPIs decreases absorption of calcium, which increases fracture risk (especially in women) and is also linked to vitamin B12 deficiency, which can cause nerve damage. Use proton pump inhibitors for no longer than 4 weeks.  See link below
  • The #1 most misused drugs in America are non-steroidal, anti-inflammatory pain relievers, or NSAIDS (Advil, Aleve, Motrin). Too often people use NSAIDs for longer than needed at too high a dosage, which can thin stomach lining and cause ulcers. In fact, NSAID use is the second most common cause of ulcers after H. PYLORI INFECTION. Misuse can also lead to rebound headaches, kidney problems and increased risk of heart problems and stroke.
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Death by Medicine

9/26/2011

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DEATH BY MEDICINE

Death by Medicine
Reimund Bertrams - Bergkamen/Deutschland - Pixabay
A bit less than a decade ago, Gary Null got a group of credentialed medical doctors and Ph.D researchers together and did a "Meta-Analysis" of the scientific data concerning drug errors, side effects, surgical errors, and iatrogenesis (injury or death caused directly by your medical treatment).  They did not do any new research themselves, but instead looked at the peer-reviewed research that was already available from the mainstream medical community on the subject.

Many of these studies, I was more than familiar with.  For instance, the April 15, 1998 issue of JAMA (Journal of the American Medical Association) published a rather shocking study in which they showed how nearly 110,000 Americans die each year of properly prescribed drugs in the hospital setting.  They estimated that the total number (outside of the hospital setting) might be closer to double that --- they were far short in their estimation.  And lest you forget, the May 2016 issue of BMJ revealed that the practice of medicine was the third leading cause of death in America (HERE).

Dr. Gary Null got together his team of doctors and scientists and began looking through the available scientific literature.  Their findings were dumbfounding.  In 2004, Null and his team authored a paper titled "Death by Medicine".  This study provides compelling evidence that today’s medical system frequently causes more harm than good. 

"This fully referenced report shows the number of people having in-hospital, adverse reactions to prescribed drugs to be 2.2 million per year. The number of unnecessary antibiotics prescribed annually for viral infections is 20 million per year. The number of unnecessary medical and surgical procedures performed annually is 7.5 million per year. The number of people exposed to unnecessary hospitalization annually is 8.9 million per year.  The most stunning statistic, however, is that the total number of deaths caused by conventional medicine is an astounding 783,936 per year. It is now evident that the American medical system is the leading cause of death and injury in the US."

Whether you think Null is a quack or not is not relevant to the information he provides in this study.  His paper is the result of analyzing peer-reviewed studies and data that can be found on any medical database such as PubMed.  HERE is much more information on Death by Medicine.
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    Russell Schierling

    Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic.  He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since.  He and his wife Amy have four children (three daughters and a son).

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