Polypharmacy: an Introduction

We recently came across a great video to introduce this subject. Bohemian Polypharmacy on Youtube A good review article on this topic is: How polypharmacy has become a medical burden worldwide. “Taking a multitude of medicines, whether they are prescription drugs, OTC treatments, herbal or dietary supplements — known as polypharmacy — is not only a burden for patients, it can be dangerous. We need a way to mitigate the danger of unwanted drug interactions and improve drug adherence to essential medicines, and this is as true for the United States as it is in Europe. It is imperative that patients are empowered to make informed decisions about the medicines … Continue reading

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Campaigns of Fear

It’s Time to Scare People About Covid — We need a Campaign of Fear Our public messaging about the virus should explain the real costs — in graphic terms — of catching the virus. by Elisabeth RosenthalNY Times  Dec. 7, 2020 Link to Article. (If the link doesn’t work — here is the article.) I still remember exactly where I was sitting decades ago, during the short film shown in class: For a few painful minutes, we watched a woman talking mechanically, raspily through a hole in her throat, pausing occasionally to gasp for air. The public service message: This is what can happen if you smoke. I had nightmares … Continue reading

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COI: Alive & Thriving at NEJM

COI: Alive and Thriving at the NEJM by David J. Elpern, M.D. Abstract: As a reader of the New England Journal of Medicine for more than 50 years, I have observed its growing entanglements with the pharmaceutical industry.  This analysis of a recent NEJM research article highlights authorial and editorial conflicts of interest (COI) and discusses how the Journal benefits financially from pharmaceutical advertisements for the very drug reported on in the Original Article.  What does this say about top tier medical publishing when the world’s most prestigious medical journal is clearly intertwined with the drug industry? The December 3, 2020 issue of the New England Journal of Medicine (NEJM), … Continue reading

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