By John Abramson
Utilizing the examples of Vioxx, Celebrex, cholesterol-lowering statin medications, and anti-depressants, Overdosed the US indicates that on the center of the present quandary in American medication lies the commercialization of clinical wisdom itself.
Drawing on his historical past in statistics, epidemiology, and wellbeing and fitness coverage, John Abramson, M.D., unearths the ways that the drug businesses have misrepresented statistical proof, misled medical professionals, and compromised our health and wellbeing. the good news is that the easiest medical proof indicates that reclaiming accountability in your personal health and wellbeing is frequently way more potent than taking the most recent blockbuster drug.
You--and your doctor--will be surprised through this unflinching exposé of yankee drugs.
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Additional resources for Overdosed America: The Broken Promise of American Medicine (3rd Edition)
In patients with less than 1% activity, frequent hemarthroses and severe bleeding episodes develop. The diagnosis is suggested by an elevated PTT, normal PT, and normal bleeding time. Factor activity assays confirm the diagnosis. a. Treatment of hemophilia A is based on the degree of bleeding and the severity of the disease. 1. Minor bleeding often is controlled locally without factor replacement therapy. ) stimulates the release of vWF, which complexes with factor VIII, thereby sheltering it from the circulation.
B. Diagnosis. Although the cause of metabolic alkalosis is usually apparent in the surgical patient, measurement of urinary chloride concentration may be useful for differentiating these disorders. Urine Cl – concentration of less than 15 mmol/L suggests inadequate fluid resuscitation, ongoing GI loss from emesis or nasogastric suctioning, diuretic administration, or posthypercapnia as the cause of the metabolic alkalosis. Urine Cl – concentration greater than 20 mmol/L suggests mineralocorticoid excess, alkali loading, concurrent diuretic administration, or the presence of severe hypokalemia.
Acquired a. Lupuslike inhibitors are IgG, IgA, or IgM immunoglobulins that are targeted against antigens composed in part of platelet and endothelial cell phospholipids. , chlorpromazine, procainamide, or hydralazine). Approximately half of patients with lupuslike inhibitors have no identifiable predisposing conditions and are said to have antiphospholipid antibody syndrome. The diagnosis is suggested by a prolonged PTT and can be confirmed using specific tests, such as Russell's viper venom clotting time (for lupus anticoagulant) and anticardiolipin antibody immunoassay.