Page editor's note - At the top of this page, you will find
some humorous illustrations, but the sad fact is that there is nothing funny about the
scores of people who are injured , who develop terrible diseases , or who die as a
result of the treatment of allopathic physicians inflicting upon patients the allopathic
protocol. Although the topic part of the page has some biting satire, the balance of the
page does have serious links and discussions of the very real and prevalent problem of the
varied bad outcomes of iatrogenically caused conditions which flow from adherence to the
allopathic protocol and algorithm. Also, most of these links are links to reports by MDs
themselves describing these terrible outcomes. Also, before skeptics of the page say
something like "These are just a few , expectable bad outcomes, the majority are good
outcomes", the fact is, I could fill page after page with these horrible outcomes. If
our health care systems is pushing good outcome based evaluations as the sine qua non
of health care, they should consider Chiropractic, Homeopathic, and Naturopathic. I found
I couldn't find page after page of bad outcomes from these health care systems.
Note: Dr. Stephen Barrett,
M.D. has provided a link to this page on one of his pages at chirobase.org. He says I bash
some medical practices...I rather observe that it is an exposing of the allopathic
algorithm and its inherent dangers as a public service due to the serious health risk
posed by many if not most allopathic treatment protocols which utilize drugs and surgical
intervention as their treatment modalities.
" An ounce of prevention is worth a pound of cure." This quote
from Ben Franklin is certainly true where medicines are concerned. More than 100,000
people DIE EACH YEAR in the US because of adverse reactions to drugs. Unfortunately, in
many cases, the cure has become the disease..."-source
"....Introduction: In the last issue, I talked about Incident reports
- what they are, who fills them out and how to get them. This issue explores
incident rates and types, with comments about lawsuits that result from them, as well as
reference to the JCAHO and the controversial 1993 Harvard Study. Types of injuries
are also summarized.
Caveat: hospitals and professional organizations do not publish
incident data. This is probably to keep it out of the hands of plaintiffs, and to
conceal the rate of problems that occur. So you can't find national
averages' or standards to which you can compare a hospital.
Incident Rates It is surprising how often things mis-fire in
hospitals. After 25 years in healthcare, I believe most patients experience
misadventures. Most are trivial, e.g. aspirin 2 hours late. But incidents are
more frequent than the public imagines. And can cause serious injuries.
This was discussed at length in THE NEW YORK TIMES MAGAZINE
article, "How Can We Save the Next Victim?" by Lisa Belkin who said: A cascade of unthinkable things must happen, meaning catastrophic
errors are rarely a failure of a single person, and almost always a failure of a system" (June 15, 1997 p.28)..."
When you mess things up...you have to try to hide it..
ALLOPATHIC MEDICINE
(Medical Doctor's System of Medical Treatment) -IATROGENIC DISEASE , MALPRACTICE ,
AND MORE...
It's
a sad but true fact that here in the United States, most people's first experience
with the world is that of being slapped by an M.D.and the treatment by the allopathic establishment just gets worse from
that point onward.
How
about this for "managing an illness" ? If they ask you to
drop your pants and bend over , it must mean its time for the bill, not an injection !
"And for informed consent, I included
the contraindications for the allopathic protocol ,here at the bottom in very small
print."
" When you
give your health up to another person, or to a system of care , you are in dangerous
waters , murky waters full of mystery, the kind of black water from which any kind of
monster can arise . Your own body is a masterpiece of response systems that have developed
over hundreds of thousands of years. Do you really think that
someone in a white coat who makes more money if you don't get well than if you do , is
really a good custodian of that system ? " -Dr. John Raymond Baker ,
D.C., 2000 AD
In ancient China , doctors were paid to keep their patients well, so health was the true
measure of a physician. If a Chinese doctor had a lot of sick patients you knew two
things, he was financially impoverished and he was not skilled in his art (and a third, if
he was the physician of the emperor, he wouldn't be alive long). Chinese doctors knew that
there was a vital healing energy in the body called "qi" (also spelled
ch'i). The Greeks called it "pneuma" , the Norsemen called it
"odic force" , the Hawaiians called it "mana" , the East Indians
called it "prana", the Jews called it "ruach". They tried to support
the flow of this energy because they knew that a proper flow of this force could not only
promote healing, but was essential for life itself. They also knew that the natural ,
innate tendency of the body was to heal itself. It is a primary drive of living things to
effect healing of injured tissues and to destroy or wall off damaged or diseased tissues.
Western modern medicine decided long ago to develop and promote the idea of
"heroic" medicine ,i.e. that the body was basically just to be seen as a
biological battleground in which the "physician" or knight in white armor,
battles the evil disease or injury much in the way of Saint George battling the Dragon.
They treated the living body as a dumb pulsating terrain on which they could sprinkle
potions , hack away , irradiate , and do any of a number of unspeakable things in the name
of "healing and saving lives".
And then, they saw there was real money in this medicine business, and all the mischief
really got serious. So settle in and read ahead for just a drop in the bucket of the
misery that is being created by "allopathic medicine" and its deadly
protocols.Long ago, someone noted that when you are trying to analyze wrongdoing , you
should "follow the money". If you look at modern health care in the United
States, you find that M.D.s are extremely well paid. Does that mean that they are very
effective at what they do? No, lets look at things like cancer, the common cold , AIDS ,
still around aren't they?With the "high tech" medicine and pharmaceuticals ,
doctors have found that becoming "managers" of disease is far more lucrative
than finding solutions. According to Western thought , if you have a business or other
entity you want to continue and thrive, you apply good management techniques. Well, it's
obvious that disease is something that is making MDs money and thus, they have undertaken
"disease management".So, next time you read about the protocol or algorithm that
MDs use with an illness, and you see the term "disease management", you know
what's going on.
The
Hippocratic Oath :
I
SWEAR by Apollo the physician, and Aesculapius, and Health, and All-heal, and all the gods
and goddesses, that, according to my ability and judgment, I will keep this Oath and this
stipulation to reckon him who taught me this Art equally dear to me as my parents, to
share my substance with him, and relieve his necessities if required; to look upon his
offspring in the same footing as my own brothers, and to teach them this art, if they
shall wish to learn it, without fee or stipulation; and that by precept, lecture, and
every other mode of instruction, I will impart a knowledge of the Art to my own sons, and
those of my teachers, and to disciples bound by a stipulation and oath according to the
law of medicine, but to none others. I will follow that system of regimen which, according
to my ability and judgment, I consider for the benefit of my patients, and abstain from
whatever is deleterious and mischievous. I will give no deadly medicine to any one if
asked, nor suggest any such counsel; and in like manner I will not give to a woman a
pessary to produce abortion. With purity and with holiness I will pass my life and
practice my Art. I will not cut persons laboring under the stone, but will leave this to
be done by men who are practitioners of this work. Into whatever houses I enter, I will go
into them for the benefit of the sick, and will abstain from every voluntary act of
mischief and corruption; and, further from the seduction of females or males, of freemen
and slaves. Whatever, in connection with my professional practice or not, in connection
with it, I see or hear, in the life of men, which ought not to be spoken of abroad, I will
not divulge, as reckoning that all such should be kept secret. While I continue to keep
this Oath unviolated, may it be granted to me to enjoy life and the practice of the art,
respected by all men, in all times! But should I trespass and violate this Oath, may the
reverse be my lot!
ALLOPATHIC
DOCTORS , M.D.s, and IATROGENIC EFFECTS
-THE LOSS OF HEALTH AND THE HEALTH CARE SYSTEM-
COPYRIGHT
(C) 2000 Dr. John Raymond Baker,D.C., All Rights Reserved
Legal Notice-All information on this page is accurate to the best
of the page author's ability to validate it. Many links have material which may be
upsetting to more sensitive viewers, in that details of injury or disease apparently
caused by allopathic doctors and their methods is detailed. For example, the link on
"Botched circumcision
references" deals with individuals with botched circumcision developing gangrene.
The reader is thus forewarned that many of these descriptions of iatrogenic injuries and
diseases may be upsetting to more sensitive readers (it was far more upsetting to the
hapless patients caught in the allopathic web!). The validity of all linked materials is
ultimately the responsibility of those page authors. If you don't want to learn the ugly
truth about the negative aspects to "allopathic management" you are inthe wrong
place , but if you want to learn , welcome !Thank you for reading this.'We
should make people aware to the uncertainties of medicine. Not everybody
will be cured andin some cases disasters will
occur. That's reality. Medical
practice, by necessity, always will be based on trail and error.' -- The American Medical Association's Roy Schwarz, MD
Group Vice-President of Scientific Education and Practice Standards
"Only about 15% of all
medical interventions are supported by scientific evidence. This is partly because only 1%
of the articles written in medical journals are scientifically sound." D. Eddy, M.D.,
Ph.D
" Iatrogenic illness --
disease produced as a result of medical treatment -- is now recognised as a
health hazard of global proportions. MEDLINE (the computerised medical research database
of the
United States National Library of Medicine) includes over 7,000 articles, reports, and
scientific
research papers since 1966 that show a substantial number of patients suffer
treatment-caused
disorders and adverse drug reactions. These harmful effects, which can be serious and even
lethal,
are associated with every facet of modern medicine including drugs, other medical
therapies,
diagnostic procedures, and surgery."- source located here
Iatrogenic Death
" The high death rate from hospitals was revealed by the release of data from the
Medical College of Pennsylvania Hospital. During the past decade, hundreds of patients at
this hospital suffered serious injury, and at least 66 died because of medical
"mistakes." Some of the patients were never told that the injuries were caused
by the doctors, and no disciplinary action was taken on any of the doctors involved in
these incidents.
HOW MANY SURGEONS ARE HIV POSITIVE
?-
"...The CDC has not done testing on this scale since the early 1970s when technology
first became available for studying the prevalence of the hepatitis B virus, said Dr. Mary
Chamberland, chief of the CDC's epidemiological studies unit. At that time--before
introduction of a vaccine against that viral infection--tests run at annual meetings for
doctors, surgeons and dentists found that 25% of those participating were infected with
hepatitis B.
Chamberland noted that she was not expecting that
high a rate for infection with the AIDS virus. Previous tests--in the military and among
dentists--indicate that about one health worker in 1,000 may have become infected at work
with the virus that causes acquired immune deficiency syndrome.
But orthopedic surgeons are of special concern,
Chamberland noted, because they have an unusually high risk for "needle sticks,
scalpel cuts, exposure to blood on the job." In a recent CDC study of four hospitals,
orthopedic, trauma and gynecological surgeons received some sort of injury in 2.5% of
their operations.
Added academy spokesman Alvin Nagelberg: " There's always the danger of doctors getting punctured and the
infected physician transmitting the disease to the patient. Or the patient to the
physician." ...- source
During 1999 mainstream institutions revealed that one of the biggest
killers in the U.S. is medical mistakes.
" These records became publicized because of
bankruptcy proceedings, when the new owner filed a detailed account of the 598 incidents
from 1989 to 1998. This level of iatrogenic death and injury is typical of hospitals in
the United States. A study by Harvard University professor Lucian Leape, reported by
Knight Ridder newspapers, found that one million patients are injured by errors during
hospital treatment annually, with some 120,000 deaths. One out of every 200 patients in
hospitals in New York State had an iatrogenic death. Less than 10 percent of the medical
mistakes are reported to hospital authorities. " - SOURCE
MEDICAL ERROR - " We estimated that in 1994 overall 2,216,000 hospitalized patients had
serious adverse drug reactions. Serious adverse drug reactions were defined as those
that resulted in death, were permanently disabling, or required hospitalization. We
estimated that 106,000 had fatal adverse drug reactions, making these reactions between
the fourth and sixth leading cause of death. We excluded errors in drug administration,
noncompliance, overdose, drug abuse, therapeutic failures, and possible adverse drug
reactions. The incidence of serious and fatal adverse drug reactions in U.S. hospitals was
found to be extremely high! According to author Bruce H. Pomeranz, only 156 death
certificates showed deaths due to drug reactions. Even when the cause is known to be a
drug, that is rarely recorded on the death certificate. A certificate might list a stomach
hemorrhage as the cause of death, without mentioning the use of the drug that brought it
on ."
"The NEW YORK TIMES reported that 5% of people admitted to
hospitals, or about 1.8 million people per year, in the U.S. pick up an infection while
there. Such infections are called "iatrogenic" -- meaning
"induced by a physician," or, more loosely, "caused by medical care."
Iatrogenic infections are directly responsible for 20,000 deaths among hospital patients
in the U.S. each year, and they contribute to an additional 70,000 deaths, according to
the federal Centers for Disease Control (CDC). The dollar cost of iatrogenic
infections is $4.5 billion, according to the CDC."
- source is located HERE
Studies such as the Harvard Medical
Practice Study, which was designed to develop more current and reliable estimates of the
incidence of adverse events and negligence in hospitalized patients, have shown that there
is a significant amount of injury to patients caused by the delivery of medical care. For
example, the Harvard study found that almost 4 percent of the 30,195 sampled hospital
admissions in New York State in 1984, reflected an injury that increased the length of
hospital stay. Fourteen percent of these injuries were fatal (Brennen, et al, 1991; Leape,
et al, 1991). - source
here
Only
about 15 percent of all medical interventions are supported by solid scientific evidence,
according to David M. Edy, M.D., Ph.D., professor of health policy and management at Duke
University, North Carolina.
In contrast, the breadth of existing research dedicated to chiropractic was noted by Paul
G. Shekelle, M.D., MPH, of the RAND Corporation, on ABC's 20/20 when he said,"There
are considerably more randomized controlled trials which show benefit of this
(chiropractic) than there are for many, many other things which physicians and
neurosurgeons do all the time." http://www.amerchiro.org/shared/chiart4.htm
NEWS REPORT: 1998 Bad reactions to prescription and
over-the-counter medicines kill more than 100,000 Americans and seriously injure an
additional 2.1 million every year -- far more than most people realize, researchers say.
Such reactions, which do not include prescribing errors or drug abuse, rank at
least sixth among U.S. causes of death -- behind heart disease, cancer, lung disease,
strokes and accidents, says areport based on an analysis of existing studies. (University
of Toronto study published in the Journal of the American Medical Association by Dr. Bruce
Pomeranz )- source is http://www.whaleto.freeserve.co.uk/iatrogenic.html
In
support of the above scroll , please take a moment to visit the following web page : The Pre-Flexnerian
Reports: Mark Twain's Criticism of Medicine in the United States
" ...Through the efforts of the American Medical
Association (AMA), allopathic medicine eliminated its competition by promoting the
reestablishment of licensure laws in the late 1800s. In a continuation of the same
endeavor, the AMA sought to identify weak and inadequate medical schools and commissioned
Abraham Flexner to write the famous Flexner report of 1910 (the year of Mark Twain's
death).
Twain, an insightful political
observer and social critic who was familiar with the competing medical systems and the
medical politics of the 19th century, questioned the wisdom of limiting patients' medical
options. He doubted the competence and intentions of physicians as a group even as he
maintained confidence in the abilities of his own physicians. "
NEWS- MUST READ !!! If you are a
D.C., D.O. ,DDS, ND , Doctor of Homeopathy , or OMD, it is VERY IMPORTANT you check out
this page !!!- PERSECUTION OF
ALTERNATIVE PRACTITIONERS CONTINUES AS ALLOPATHS USE HEAVY HAND OF THE LAW...JUNE 30, 2000
" Editorial; A dose of medicine for consumers June 30, 2000
" ...The North Carolina Medical Board is on the right track by asking for a state law
that would bring more scrutiny to practitioners offering herbal medicines and other
alternative therapies, but a House of Representatives committee was right to refuse a
request that would have made it a felony for non-doctors to offer such remedies."
" Nevada requires homeopaths to have medical
degrees and pass certifying exams."
EDITORIAL COMMENT from Dr. John Raymond Baker ,
D.C.
To all chiropractic doctors, naturopaths,homeopaths , acupuncturists, traditional Chinese
doctors , and other "alternative health" practitioners: It is time you
understand something which is extremely important. If you read the material at the top,
you have some understanding about why our health care system is under the control of
allopathic practitioners (i.e. M.D.s). It is under their control NOT because their
treatment methods are superior. Homeopathic doctors in the 1830s were prevailing and
winning over the patients of the MDs. Since the MDs were losing the race for patients on
an even playing field after licensure laws were repealed nationally , the AMA used
lobbying and money to reinstitute licensure laws and won superiority by making it illegal
for people to compete! Make NO mistake, there is again a national effort on the part of
various groups including Physical Therapists and Medical Doctor to eliminate Chiropractic
and other healing arts. In Texas, an MD and a group of PTs used the same lobbying
techniques to make it illegal in Texas for Chiropractic Doctors to call themselves
"physcians" or to use the word identifying themselves. There is a current move
nationally to make it legal for MDs and PTs to do spinal manipulations. As a DC, I see
that we have allowed our profession to be locked into a stance that, although many of us
utilize "therapeutic modalites" (it is not legal in Texas for us to say we do
physical therapy), if our only technique is manual manipulation (i.e.
"adjusting" ), and the PTs and MDs take this over from us, we will be totally
locked out of the system. NOW is the time to be PRO-ACTIVE and instead of allowing
ourselves to be erased from the health care system completely, it is time to EXPAND our
scope of practice . If you look at sites like CHIROBASE
and QUACKWATCH , you will see what our medical
brothers are saying.The key to regaining an equal footing , an even playing field ,
parity, is through LEGAL actions both in demanding your senators, representatives, and
president pay attention to the de facto monopolization of the health care system by
allopathic medicine. To write your representaives in congress, please click here . YOU CANNOT SIT THERE ARE WAIT FOR YOUR
STATE ORGANIZATION OR NATIONAL ORGANIZATION TO DO IT FOR YOU ! The congress.org link is very easy to navigate and enables
you, with very little effort, to participate in saving your health art and your
profession. If you believe in the effectiveness and the need for your services and believe
that patients should have access to your services and that you should not have to
prostitute yourself by doing mall spinal screenings and every tactic under the sun just to
get patients , then you have a direction , you have a specific plan of action , but ACT
YOU MUST !
I hate to have to be the voice crying in the
wilderness , but I am seeing an increase in the vigor of the attacks on the various
"alternative" health arts nationally. I see more capitulation on the part of
Chiropractic doctors and other doctors to the allopathic community. Make no mistake, the
allopathic community does not want "chiropractors" (their word for you) to
continue. If Chiropractic was made illegal tomorrow, some allopathic doctors would
rejoice, but some would probably say " Oh, do they still exist?". I speak about
Chiropractic, but other providers such as NDs and Homeopathic docs should insert their
profession when I say Chiropractic. PLEASE ACT!
IATROGENIA
- NATURE ATTACKED BY MEDICINE, THE INJURIES MDs CAUSE
This Site is Just Beginning...
HARVARD STUDY ABOUT MALPRACTICE SUITS -
"The principal conclusions of the Harvard study are: 1) malpractice was frequent in
the hospitals studied; 2) a high toll of avoidable medical injury nationwide can be
inferred from this frequency rate; and 3) relatively few of the injured patients actually
sued. From this it is deduced that the "real problem" is not that there is
too much malpractice litigation but that there is too little, and that the
admittedly high rate of meritless suits against physicians is preferable to reform of the
tort system. Consumers Union, which has worked closely with anti-tort-reform efforts in
Washington, has claimed that the Harvard study proves doctors "kill" 80,000
patients a year. " -
Malpractice Makes
Perfect -" Reviewing stroke, pneumonia, and heart attack deaths
from 12 hospitals, one study found that over a quarter of the deaths might have been
prevented. A study in JAMA found that one in seven heart attacks occurring in a
hospital were actually caused by the physician." Also , from the above site-
" The first major malpractice expose was published in the New England
Journal of Medicine in 1981:
[Researchers found that over a third]
of 815 consecutive patients on a general medical service of a university hospital had an
iatrogenic [doctor-caused] illness. In 9 percent of all persons admitted, the incident was
considered major in that it threatened life or produced considerable disability. In 2% of
the 815 patients, the iatrogenic illness was believed to contribute to the death of the
patient.
Then in 1990, rocking the medical
community, the Harvard Medical Practice Study. Conducted by the university's prestigious
school of public health, it is considered one of the most comprehensive and objective
empirical studies of malpractice ever performed. Based on the review of over 30,000
randomly selected patient records, researchers estimated that 27,179 injuries, including
6895 deaths and 877 cases of permanent and total disability, resulted from physician
negligence in New York state alone in one year."
Studies suggest that, given the same outcome, you are
three times more likely to get sued if you are perceived badly by the patient. According
to the Harvard study of hospital records in New York state, a small minority of the
iatrogenic injuries result in suits. There is plenty of room for good bedside manner to
help"
Hazards of Modern
Medicine An Overview Based on a Selection of Findings from the More than 10,000
Articles, Reports, and Scientific Research Studies in the Medical Literature
By Barry M. Charles, MD
Ethical and Practical Issues in
Disclosing Medical Mistakes to Patients - " While moonlighting in an emergency
room, a resident physician evaluated a 35-year-old woman who was 6 months pregnant and
complaining of a headache. The physician diagnosed a mixed tension/sinus
headache The patient returned to the ER 3 days later with an intracerebral bleed,
presumably related to eclampsia, and died.
Errare humanum est:
"to err is human." In medical practice, mistakes are common, expected, and
understandable.1.2 Virtually all practicing physicians have made mistakes, but
physicians often do not tell patients or families about them. ...
The American Medical Association's (AMA's) Principles of Medical
Ethics (1957) states that a physician must report an accident, injury, or bad result
stemming from his or her treatment.5 However, many physicians interpret these
requirements to mean that they should report to their superiors or to the hospital quality
assurance or risk management committee, rather than to the patient. More recently, the
American College of Physicians Ethics Manual states, "physicians should disclose to
patients information about procedural and judgment errors made in the course of care, if
such information significantly affects the care of the patient."6 The
AMA's Council on Ethical and Judicial Affairs states. "Situations occasionally occur
in which a patient suffers significant medical complications that may have resulted from
the physician's mistake or judgment. In these situations, the physician is ethically
required to inform the patient of all facts necessary to ensure understanding of what has
occurred."
Allopathic Medicine : Pointing out the dangers
The titular head of modern allopathic medicine ,
Hippocrates of Cos, had as his first guiding principle , "Primum non nocere" or
"First, do no harm". On this page, we will look at how allopathic physicians and
dentists do perform harm through what they do and through their protocols for
"disease management" and "algorithms of care".
The origin of this page is as follows. Firstly
, I am from a family of doctors including my great grandfather who was an MD, my
grandfather was a Vet,my uncle is an MD, and my cousin is an MD. I became a DC or Doctor
of Chiropractic (not "chiropractor", a word I reject). I happened upon a web
site run by an MD named Stephen Barrett. His page is chirobase
. After reading a bit of his page and his links, it was obvious that , in my opinion , he
is rabidly anti-Chiropractic to the point of an unhealthy obsession.
The second thing I decided was that there ought to be
a page to not only counter his odd preoccupation with this healing art , but one to
balance his, by way of pointing out that the allopathic system is far from perfect as
well.
Induced in a patient by a physician's activity, manner, or
therapy.
IATROGENIC--an adverse effect caused by
a physician's actions,
including reactions from prescribed drugs or from medical procedures. z
(Iatros = physician and gen = producing)
Also...Iatrogenic: "caused by doctors
or therapists".
In physical medicine, iatrogenic disease might be
disease caused by surgical errors, by infections caught as a result of treatment, by
poisoning due to inappropriate drugs or drug side-effects, etc.
http://www.iatrogenic.org/
"The American Iatrogenic Association is devoted to the study
and reporting of illness caused by the medical profession, especially by physicians.
"
" The history of literature on medical truth telling dates
as far back as 1803 when Thomas Percival wrote that "to a patient, who makes
inquiries which, if faithfully answered, might prove fatal to him, it would be a gross and
unfeeling wrong to tell the truth . "
IATROGENIC INJURY
IN AUSTRALIA
" ...Healthcare is a risky business. Simply
being a patient in an acute care hospital in Australia carries, on average, a 200-fold
greater risk of dying from the care process than being in traffic, and a 2000-fold greater
risk than working in the chemical industry.
Iatrogenic injury is costly; at least
10% of admissions to acute-care hospitals in Australia are associated with a potentially
preventable adverse event. It may be estimated that the total direct medical costs of
these events exceeds $2 billion per year and that the total life-time cost of such
preventable injury exceeds $6 billion per year; there is also a heavy toll in human costs
on both those who are harmed and those who care for them. Furthermore, medical
misadventure consumes over half the amount spent on compensation and insurance by State
Treasury Departments. "
Meningocerebral lesions
in children with iatrogenic AIDS Abstract: This study is focused on
structural modifications of leptomeninges and cerebral matter in children deceased because
of iatrogenic AIDS. Although we do not evidence the specific lesions of AIDS, we have
noticed edema, hyperemia, hematic extravasation, microlesions of the small vessel walls,
perivascular infiltrations with lymphocytes, macrophages and even plasmocytes, moderate
tigrolysis, mild demyelination, gliosis and sidero-calcic deposits. We do not consider
these lesions as specific to HIV-infected patients (Page editor note
, remember, Iatrogenic means "physician caused" ).
Failed
back surgery - Arachnoiditis is a chronic, insidious condition that
causes debilitating, intractable pain and a range of other neurological problems. It has
been regarded as rare by the medical community, but Burton reported as early as 1978(i)
that it is "common in patients with severe back and/or leg pain and functional
impairment due to the failed back surgery syndrome." Arachnoiditis is the third most
common cause of Failed Back Surgery Syndrome (FBSS), after stenosis and recurrent disc
problems. Arachnoiditis was previously the second most common cause. This was largely due
to the adverse effects of oil-based myelography. The incidence has decreased, but a high
proportion of cases of clinically significant adhesive arachnoiditis is now found to be
due to the adverse effects of epidural steroids such as Depo-Medrol (Depo-Medrone).
RRP (Recurrent
Respiratory Papillomatosis - However challenging the disease itself is, the story does not end there. Collateral, physician-caused damage is called
iatrogenic injury. Many physicians overestimate their knowledge and competence in
managing RRP. Iatrogenic injuries sustained at the hands of over-aggressive surgeons all
too frequently leads to permanent vocal scarring and hoarseness .
Iatrogenic spread of H.
pylori - How do people get infected with H. pylori?
It is not known how H. pylori is transmitted or why some patients become symptomatic while
others do not. The bacteria are most likely spread from person to person through
fecal-oral or oral-oral routes. Possible environmental reservoirs include contaminated
water sources. Iatrogenic spread through contaminated endoscopes has
been documented but can be prevented by proper cleaning of equipment. (Recent studies have shown an association between long-term infection
with H. pylori and the development of gastric cancer. )
" ...The combination of hydrocodone and acetampinophen is used commonly to alleviate
pain presents side effects similar to other habit forming medications and has the
potential for inciting physiologic dependence and tolerance with repeated use. Additional
symptoms related to overdose include respiratory depression, hypotension and coma "
"...In addition, significant injury to the bladder and
the ureters can occur during the performance of laparoscopic procedures such as
hysterectomies, ovarian surgery, and treatment of endometriosis. "
A. "Iatros" is Greek for
"physician," and "genic" is Greek for "caused by."
Iatrogenic disease is a disease, sickness, impairment, disfigurement, or death caused by
the practice of acceptable medical care. This does not include malpractice or other
medical mistakes.
Even something as simple as taking aspirin can cause
an "iatrogenic disease." A study at Yale New Haven Hospital showed that 100,000
people die and 1 1/2 million others are hospitalized from iatrogenic reactions every year
in this country. That means that each week 2,000 people die and 30,000 are hospitalized
from the medications they take for the illnesses, not from the illnesses themselves. An
additional 48,000 people die each year in the United States from unnecessary surgery,
according to a Johns Hopkins study. That is nearly 1,000 deaths a week from surgery that
should not have been performed.
As an interesting example, in Israel, in 1973,
doctors went on strike and reduced their daily patient contact from 65,000 to 7,000. This
strike lasted a month. According to the Jerusalem Burial Society, the Israel death rate
dropped 50 percent during that month. There had not been such a profound decrease in
mortality since the last doctors' strike 20 years before. In 1976, in Columbia, the
doctors struck for 52 days and the death rate dropped 35 percent. In Los Angeles County,
in 1976, the doctors went on a work slow-down to protest soaring malpractice insurance
premiums. This coincided with an 18 percent drop in the death rate. Does this mean that
all medicine is bad? Of course not. However, it is obvious that there are many dangers
involved with medicine, that is why many more MDs are becoming more involved with holistic
or more natural ways of health care. These include nutrition, exercise, and other
lifestyle changes." -from the website linked above
"Ralph Nader, the nation's foremost consumer
advocate, thinks that the medical profession kills nearly 300,000 Americans each year.
Even if Nader exaggerates by an extremely improbable 95%, that's a horrible number of
funerals caused by physicians."---Dr Saul http://24.93.10.107/quackquack.html
A 1995 study, Quality in Australian
Healthcare, indicated
as many as 50,000 patients were injured and 18,000 died
each year due to errors in hospitals. Hospital fatalities
blamed on staff
Creutzfeldt-Jakob
Disease in the United States, 1979-1994 The transmissibility of CJD has been verified with reports of iatrogenic
transmission from a corneal transplant, electroencephalographic depth electrodes,
neurosurgical procedures, cadaveric dura mater grafts, and pituitary hormone
administration
NSAIDS-Arthritis
Treatment or Dangerous Compounds? DANGERS of NSAID usage
-Here again we were reminded of iatrogenic perils:
"Nearly 9 million arthritis sufferers take large doses of such "NSAIDs"
daily. Some 10,000 of them die every year from gastrointestinal complications - many of
them "silent ulcers" that show no symptoms until they become life
threatening."
TLC Crimps Liability After Iatrogenic Hand-Nerve Injury
In a 10-year study of 107 iatrogenic hand-nerve
lacerations, mainly caused by orthopedic or plastic surgeons, 85 were
blamed by the surgeons on aberrant anatomy. But that excuse proved illusory for 59 during
reparative surgery, says a Philadelphia Hand Center team.
Other reasons given for the iatrogenic injuries
were inadvertent patient movement, faulty equipment, the knife slipped, and
nerves running funny.
" The common primary allegations in
malpractice claims involving endoscopy include improper performance (most common),
iatrogenic injuries (often cited with improper performance), errors of diagnosis, and
medication errors. In addition, there are some associated secondary issues involving
informed consent, problems with adequacy of facilities or equipment, records, or billing
and collection procedures. Problems with informed consent are alleged in nearly half of
actions filed, usually as a secondary allegation associated with a claim of improper
performance and iatrogenic injury.
The foregoing discussion underscores the importance of obtaining proper informed consent
and documenting this in the medical record. An important additional risk management
strategy for those introducing new or advanced techniques into practice is that of
stratifying patients with regard to risk and potential for damages. Early in one's
experience, the safest course is to attempt the easier cases and those with the lowest
potential for large damage assessments and refer more difficult situations to an expert.
While the legal exposure to the endoscopist who offers new or advanced techniques is
obvious, the issue of legal liability of the trainer has also been raised. There is
concern that trainers may have some legal exposure due to subsequent actions of trainees.
Although the trainer may be named in a legal action, he or she would generally escape
liability since he or she was not supervising the act, the act was probably within the
scope of practice of the operator, and the negligent act is usually deemed to be committed
solely by the operator."
Therapeutic drug use (not illicit drug use) each year;
kills as many as 198,815 people, puts 8.8 million people in hospitals, accounts for 28% of
all hospital admissions, and costs as much as $182 billion dollars.American Medical News. Jan 15, 1996, p.11
Treatment of
Iatrogenic Disease and Vaccinosis FACIAL
NERVE PARALYSIS -The facial nerve can
also be injured during middle ear and mastoid surgery. If iatrogenic transection
occurs during surgery, the nerve must be repaired. If paralysis occurs postoperatively and
the surgeon is confident that the nerve was intact at the conclusion of the case, a high
resolution CT scan should be obtained and facial nerve testing should be done on POD #4 -
6
Nosocomial infections (aka "hospital
generated") strike 1 out of 10 hospitalized patients, or 2.5 MILLION people per year
:
The average nosocomial infection costs $1,800 to clear
up, or $4 BILLION dollars yearly
Nosocomial infections cause 20,000 deaths annually and
are a contributing factor in another 60,000 deaths per year
"Total Wellness" by Dr. Joseph Pizzorno
IATROGENIC
PLAGUE DISASTER
"On
the 16th day in November in 1906, Robert Strong Pearson inoculated 24 men - inmates at of
the Bilibid prison in Manilla - with an experimental cholera vaccine that
had "mysteriously" become contaminated with plague organisms. All recipients of
the vaccine fell ill and 13 in fact died. It was speculated by Strong and his colleagues
that the visiting physician from Chicago had accidentally placed one of Strong's plague tubes in
the cholera rack. Although a general committee was appointed to investigate the incident
by the governor-general of the Philippines, no mainland investigations ensued.
"
iatrogenic. 1. Med (of an illness or
symptoms) induced in a patient as the result of a physician's words or action.
NEWS REPORT: 1998 Bad reactions to prescription and
over-the-counter medicines kill more than 100,000 Americans and seriously injure an
additional 2.1 million every year -- far more than most people realize, researchers say.
Such reactions, which do not include prescribing errors or drug abuse, rank at
least sixth among U.S. causes of death -- behind heart disease, cancer, lung disease,
strokes and accidents, says areport based on an analysis of existing studies. (University
of Toronto study published in the Journal of the American Medical Association by Dr. Bruce
Pomeranz )
Preventable drug-related morbidity and mortality was
estimated to cost $76.6 billion in the ambulatory setting in the United States. The
largest component of this total cost was associated with drug-related hospitalizations.
The estimated cost ranged from a conservative estimate of $30.1 to $136.8 billion in a
worst-case scenario. -Johnson JA, Bootman JL, Drug-related morbidity
and mortality. A cost-of-illness model., Arch Intern Med 1995; 155(18):1949-56
During 1996 there was a renewed interest in
pharmacotherapy for weight loss. The feature article of the September 23, 1996 issue of
Time was on the FDA approved drug Redux. For the past two years the Virginia Board of
Medicine has been in the process of promulgating an amendment to General Regulation 18 VAC
85-20-90 regarding pharmacotherapy for weight loss. Many physicians, pharmacists, and
patients felt that Part B of this regulation was too uncertain. This regulation stated:
"It shall be unprofessional conduct for a
physician to prescribe amphetamine-like drugs, schedules III and IV, for the purpose of
weight reduction or control in the treatment of obesity, except as a short-term adjunct to
a therapeutic regimen of weight reduction." (emphasis added)
Prescribing errors -Several
easily identifiable factors are associated with a large proportion of medical prescribing
errors. Factors commonly associated with errors in prescribing medications were inadequate
knowledge or use of knowledge regarding drug therapy; presence of important patient
factors related to drug therapy such as age, impaired renal function, and drug allergy;
the need for calculation of drug doses; and specialized dosage formulation characteristics
and medication prescribing nomenclature. Adverse drug events in hospitalized patients are
"...countable, dangerous and evaluable events, not just a collection of unhappy
accidents that strike, like cosmic rays, in ways that we cannot predict or understand. In
an era of constrained resources, it is vital to remember that [drug errors] in hospitals
are common, costly and preventable in many cases." Lesar TS; Briceland L; Stein DS;
Factors related to errors in medication prescribing JAMA 1997; 277(4):312-7
Drug errors not only increase costs,
but also significantly prolong hospital stays and increase the risk of death almost
2-fold.
Classen DC; Pestotnik SL; Evans RS; Lloyd JF; Burke JP; Adverse drug events in
hospitalized patients. Excess length of stay, extra costs, and attributable mortality JAMA
1997; 277(4):301-6
Interleukin-2 therapy induced malnutrition in up to
90% of 20 patients tested. The authors recommend prophylactic nutritional supplements to
stem the immune suppression from this iatrogenic malnutrition- link (good
information for cancer sufferers)
" When travelleling in
unknown land you sometimes go the wrong
way. There is no reason to hide the fact that iatrogenic injuries takes
place. By admitting the fact they can be addressed and avoided "
-Bo Stenback, MD
University Hospital
S-585 81 Linkoping
Sweden WHEN TO STOP THE DRUGS IN
CHRONIC ILLNESSES IN PRIVATE PRACTICE
MEDICAL
MUSEUM- kind of a neat page showing
some of the old devices and medicines MDs used in the past.
Doctors document
case of HIV reinfection -" According to doctors,
the Ottawa Hospital patient was reinfected after a sexual relationship with another HIV
positive patient who was being treated at the hospital. " (from the hospital setting
, could this be a nosocomial infection?).