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Saturday, August 04, 2012

Fwd: Confirmation of casestudy completion



Begin forwarded message:

From: bpac online <quiz@bpac.org.nz>
Subject: Confirmation of casestudy completion
Date: 6 March 2012 1:09:25 PM NZDT

This is to certify that

andrew ell NZMC No: 08781

has completed a "Generics Medicines quiz"
at: www.bpac.org.nz

Date: 6 March 2012


Saturday, April 12, 2008

Been away a while

Have been on an island off coast of NZ. The internet was a bit sluggish. Have satellite internet coming. Hope its fast enough. Have winter wood supply chopped up and ready. The work isn't too onerous. Plan organising my recent research and then see where that takes me. As I do this and if internet is adequate I shall be uploading heaps of good stuff.

see ya

Books to read

Here's sample from Good Calories Bad Calories




And here a list of books to consider


If you get diabetes read this book Dr Bernstein Diabetes solution - he is a doctor with IDDM from his teens and is now in his 70s. Years ago he had complications of diabetes - most of these have gone. If I had diabetes I’d be seeing this guy.

If you worry abiut your weight read this one - Fat Politics J eric Oliver Phd . You folk with a BMI between 25 and 30 may live longer than those with BMI between 20 and 25.

If you want to know what is known and what is not known - from science point of view - about fat, diet, food etc read this - Good Calories bad calories Gary Taubes science journalist. It’s a bit detailed but this guy knows his stuff and most of what we, lay persons and doctors alike, think we know is BS.

If you have hypertension read the chapter on it in this book - Malignant Medical Myths Joel Kaufman Biochemist.

If you have been told you have prostate cancer read this one - Prostate cancer prevention and cure lee Nelson huntingdon press las vega isbn 0-929712-14-5. He’s a doc with tis disease. It’s a medical book and it is very detailed.

Any type of cancer - go to cancerdecisions. com. This is the website of ralph Moss. If I get cancer of any kind I will be buying one of his reports. About to have chemo or radiotherapy buy one of his books or less expensive reports.

If your doctor is raving on about cholesterol read this The Cholesterol Myth Uffe Ravnskov Medical doctor and this The cholesterol con by Malcolm Kendrick uk GP. Ask your doctor what absolute risk reduction is? Then ask what the NNT is ie number needed to treat. Then ask what the NNH is number needed to harm. Then ask what the mortality rate is for those who take the pills and those who don’t is. Is the absolute risk reduction about death or what?

If you are wondering about mammograms or PSA read these two - The last well person Nortin hadler professor medicine Should I be tested for cancer H Gilbert Welch professor medicine. Ask your doctor what the number needed to screen is to prevent one death.

If you are thinking about having an arthrocopy for OA of your knee or a back operation read the above book - The last well person.

If your surgeon wants to perform a coronary artery by pass on you read - The last well person. as well as Heart Frauds Charles T McGee Medical doctor

Overdosed America John Abrahamson. This guy is a or was a GP attached to harvard. He has a go at cholesterol, HRT, osteoporosis and a few other things - loved this book.

If you have familial hypercholesterolaemia read the above Cholesterol Con book.

Google Mary G. Enig, PhD to find out about fats.

That’s it for now folks.

Friday, November 09, 2007

Medical Myths

Evidence-Based Medicine for Student Health Services
Robert J. Flaherty, MD
Swingle Student Health Service
Montana State University
Bozeman, MT 59717
Medical Myths
http://www.montana.edu/wwwebm/myths.htm
General Hematology/Oncology Pain Control
Allergy/Immunology Obstetrics/Gynecology Pulmonology
Cardiology Ophthalmology Radiology
Continuing Education Orthopedics Surgery
Endocrinology Otolaryngology Urology


Here is an example
. Myth: The United Kingdom Prospective Diabetes Study (UKPDS) of 5000+ patients followed over 20 years, showed:
a. Hyperglycemia in Type II diabetes is a continuous, modifiable risk factor for clinically important outcomes and that reduction in glucose is the key to improving outcomes
b. Tight blood glucose control is an important goal in Type II diabetes
c. Intensive treatment of Type II diabetes is beneficial

7. Reality: A closer and more objective look at the UKPDS data clearly shows:
a. The medications used (glibenclamide, chlorpropamide and/or insulin) to lower blood glucose concentrations produced no significant benefit on any single macrovascular end point for any group of patients
b. Metformin reduced progression of retinopathy and reduced the frequency of the aggregated diabetes-related endpoints, all cause mortality, and stroke compared with the sulphonylureas and insulin or diet alone
c. The benefit of metformin is not necessarily related to its hypoglycemic effect
d. Decreasing HgbA1c using medication did not improve any clinical endpoint

WHAT DO YOU MAKE OF THIS????

McCormack J, Greenhalgh T, Seeing what you want to see in randomised controlled trials: versions and perversions of UKPDS data, BMJ 2000 June 24, 320:1720-3. PMID: 10864554
Shaughnessy AF, Slawson DC. What happened to the valid POEMs? A survey of review articles on the treatment of type 2 diabetes. BMJ 2003 Aug 2; 327(7409): 266. PMID: 10864554

Mammography

Bandolier on this subject