Thursday, March 17, 2011

26000 a year die of murder, 100000 of medical malpractice

" On the national front, the American Medical Association made headlines at its 1992 convention when it declared war against mur­der and pledged to launch a national campaign against violence. "Murders will continue to increase until we start treating it like a public health problem," one attendee was quoted as saying. "If this were due to a virus, the American people and its leaders would be shouting for a cure," said former Surgeon General C Everett Koop. They're right. No one can argue with their message.
The cause of this great crusade, this mobilization of resources, is that more than 26,000 people were murdered in this country last year. Twenty-six thousand deaths is certainly a cause for con­cern. But wouldn't the AMA be better served—and better serve the public—if it expressed outrage on behalf of the 100,000 Americans who die each year from medical abuse and neglect? Shouldn't a medical association feel some obligation to police its own ranks before it tries to police the streets? If the AMA views 26,000 murders as an epidemic, what does it call 100,000 victims of medical malpractice?"

" The Burt case shows that the best way—perhaps the only way under present circumstances—of forcing incompetent doctors out into the open is through the courts. The only way of subject­ing these practitioners to public scrutiny, and deterring malprac­tice is through the public attention attendant to lawsuits and trials. The courts have become the sole policing body for the med­ical profession, and malpractice lawyers have taken on the role of public prosecutors. Major lawsuits, with the major judgments that go with them, may not completely keep negligent physicians from practicing, but they are the one way that currently exists to deter these individuals from practicing their inept brand of medicine. "
Over the years, we have
given a lot of thought to why the medical profession adheres to this code of silence. What is it about this profession that causes it to protect its own at the expense of the public?"
Harvey F. Wachsman: Lethal Medicine
Publisher: Henry Holt & Co

We disagree that surgery and botulinum toxin are treatments of choice in severe cases of hyperhidrosis

The truth is exactly the opposite. Surgery is only rarely necessary, and the editorial quite properly warns of numerous surgical pitfalls, which include recurrence of hyperhidrosis, almost certain impotence, compensatory sweating, permanent neurological damage from anoxia, and death (their words). Botulinum toxin, which they recommend for axillary or plantar hyperhidrosis, requires 12 injections per axilla and 24-36 injections per foot. Even this horrendous procedure gives only 11 months' relief, and antibody formation may reduce long term efficiency.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1118569/

Iontophoresis should be tried before other treatments

Iontophoresis is easy to perform, effective in about 90% of patients in two studies with 54 and 30 participants, free of hazardous side effects, and well accepted by almost all patients.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1118569/

Wednesday, March 16, 2011

the Kuntz nerve played no part in the success or failure of ETS surgery

If you research the topic of ETS, you will come across various claims and counter-claims
about the importance or otherwise of the Kuntz nerve. The Kuntz nerve is a small nerve
fibre sometimes seen on the second rib not far from the main sympathetic chain. Its
function is not known in humans. Some web-sites on ETS claim success rates of up to
100% for facial blushing because they search for and destroy the Kuntz nerve(s). These
same people also claim to be able to correct failed ETS operations by reoperating and
destroying the Kuntz nerve.
At the meeting of the International Society for Sympathetic Surgery in Germany, May
2003, attended by a majority of the world’s experts in ETS surgery (including us), all but
one of the surgeons present were of the opinion that the Kuntz nerve played no part in the
success or failure of ETS surgery for facial blushing. We share this majority opinion.
www.lapsurgeryaustralia.com.au

"Sympathectomy is a technique about which we have limited knowledge, applied to disorders about which we have little understanding."

http://www.pfizer.no/templates/Page____886.aspx