Tuesday, April 19, 2011

One-size-fits-all drug approach could be putting countless lives at risk

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19 April 2011

UK Edition

Dear Reader,

I don't have flood insurance for my top-floor apartment in the middle of a city.

Shocking, I know.

Joking aside, though, why would you have insurance for something that isn't going to happen?

Likewise, can you really "prevent" something that wasn't going to happen in the first place?

Most hospitals must think so.

After all, they routinely give 40 to 70 per cent of all inpatients (yeah, that's a wide range, but it comes from several different studies and even at the low end is a LOT of people) acid-suppressive medication to prevent gastrointestinal (GI) bleeding. Even though, as it turns out, there's really not much of a reason to give the drugs.

And a whole bunch of reasons not to.

A new study published in the The Archives of Internal Medicine shows that GI bleeding among hospital inpatients is rare whether or not a preventative drug is given.

Just how rare? We're talking 0.29 per cent of non-ICU patients. Yes, less than 1 per cent of all of the people coming into the hospital end up with GI bleeding, but hospitals are giving "preventative" drugs to 40 to 70 per cent.

To prevent just one instance of GI bleeding, 770 patients would need to be treated with the drugs. You could say they're overdoing it just a bit.

Not only that, but acid suppressive drugs have been linked to some pretty serious complications, including pneumonia and Clostridium difficile infections (which can cause serious intestinal conditions).

It's a practice that developed in intensive care. Doctors started giving ICU patients acid suppressive drugs because such patients are more prone to erosion of the gastric lining to the point of bleeding.

Over time, though, hospitals started going with the "hey, this works for a few people, why not do it for everybody!" method of decision-making. And that's when they started putting non-ICU patients at high risk for infection on the drugs... without any evidence that the drugs were doing any good at all.

The concept that what works for one person or a particular group of people isn't going to work for everyone (and could in fact be downright dangerous) just seems so obvious to me. So why do I feel like the mainstream just doesn't get it?

Continues below...


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The secret behind swollen hands

Q: Lately, the backs of my hands have been puffy and swollen. What could cause this?

Dr. Jonathan V. Wright: While I can't say for sure without examining your hands (and you should consider having this done by a doctor skilled in natural medicine), a US doctor named John Ellis discovered years ago that many conditions involving the hands can be alleviated with vitamin B6.

The first thing to do is look for "Ellis signs" in your hands. Try holding your hands upright, keeping the joints joining your palms and fingers perfectly straight. Now try bending the middle and end joints so that your fingertips touch your palms. If you can't do it, it's a positive "Ellis sign," which could indicate a need for extra vitamin B6.

You may want to consider taking 100 milligrams of vitamin B6 three times daily for up to six months, or until all the puffiness and the "Ellis sign" is gone, and your hands are more flexible. And, if you're interested, you can try to find an old copy of Dr. Ellis' book The Doctor Who Looked at Hands at the library or on the Internet.
Bear in mind we are not addressing anyone's personal situation and you should rely on this for informational purposes only. Please consult with your own doctor before acting on any recommendations contained herein.

Wishing you the best of health,

Andrew Miller
UK Editor
Nutrition and Healing

P.S. In the latest issue of Nutrition & Healing, Dr Jonathan V. Wright will tell you about the simple eclampsia elimination programme – and the cover-up that's killing tens of thousands each year. Also, learn how much Resveratrol you should take to get the maximum benefits from this super-antioxidant... plus much, much more...

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Sources:

"Less Is More When Prescribing Acid Suppressive Drugs for Non-ICU Hospital Patients," Beth Israel Deaconess Medical Center via Newswise (newswise.com)

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