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Regina wrote:I find the articles from Dr Mercola very interesting, enlightening, and easy to access. It is good to have such a site where one can search to clarify and find answers re health issues.

""He made that choice to trust the VA and that trust cost him his life,"

It is important for you to be brave because you might be strongly criticized for daring to talk about the "other side" of the vaccine story.
By Dr. Mercola
What do restaurant menus, hands-free faucets, ATM machines and your physician's scrubs have in common? They are all among the "germiest" objects on Earth.
Yes, really.
As much as you might like to give the gold medal to toilet seats when it comes to squeamishly germ-ridden locations, science suggests there are much "germier" places that you're probably frequenting daily.
For example, one study found that each key on an ATM keypad harbors 1,200 germs, including E. coli and cold and flu viruses. The worst button is the "Enter" button, because everyone has to touch it. Flu viruses can survive on hard surfaces such as restaurant menus for as long as 18 hours, according to an article in Mental Flossi. Some of the other dirtiest places and objects might surprise you:
* Hospitals
* Lemon Slices in Restaurant Drinks
* Hotel Room Glasses
* Kitchen Cloths and Sponges
* Faucets and Sink Drains
* Toothbrushes
* Food Court Tables
* Fitting Rooms
* Restaurant Condiment
* Toy Stores
* Hotel Bedspreads and Pillows
* Light Switches
* Drinking Fountains
* Wet laundry—after it's been washed
* Escalator Handrails
* Gym Equipment
* Handbag Bottoms
* Gadget Shops
* Remote Controls and Computer Keyboards
* Door Knobs and Handles
* Cutting Boards
* Playground Equipment (Swings, Slides and Monkey Bars)
* Shopping Cart Handles
* Makeup Samples
Hospitals are Some of the Germiest Places on Earth
When you see hospital staff in bright, cheerfully colored scrubs and crisp white lab coats, do you think bacteria? That's exactly what you should think, considering the findings of several recent studies that show hospitals are not the safe, clean environments we'd like them to be.
1. A study published in 2011 in the American Journal of Infection Controlii found that more than 60 percent of healthcare workers' uniforms tested positive for potentially dangerous bacteria, including germs that cause pneumonia, bloodstream infections and drug-resistant infections such as MRSA. The samples were obtained from the sleeves, waists, and pockets of 75 registered nurses and 60 physicians at a busy university-based hospital. Eleven percent of the bugs were resistant to multiple front-line antibiotics. This study suggests healthcare workers' attire may be one surprising route by which pathogenic bacteria are transmitted from staff to patients.
2. Another 2011 studyiii found pathogenic bacteria—including MRSA—on the privacy curtains that separate care spaces in hospitals and clinics.
3. A 2009 studyiv showed that pathogenic microorganisms can even survive on the paper commonly used in clinical settings—so the penicillin script your physician hands you may come with its own colony of dangerous bacteria
4. A 2009 studyv of U.K. nursing homes found 24 percent of residents and seven percent of staff were colonized with MRSA, which means they were carrying the bacteria on their skin (and lab coats) but not showing signs of infection.
Rates of MRSA in health care settings have been climbing steadily. Statistically, six out of seven people infected with MRSA contract it at a healthcare facility, where the infection shows up in surgical wounds or around feeding tubes, catheters or other invasive devicesvi. However, these "super bugs" are no longer originating only in healthcare facilities. The bacteria are constantly adapting, and now they are being found in livestock that ends up on your dinner plate.
The "Farming" of Super Bugs
Today, as much as 70 percent of all antibiotic use in the United States takes place at concentrated animal feedlot operations (CAFOs), and these factory-scale farms are now brewing a novel strain of MRSA. CAFO animals are often fed antibiotics at low doses to prevent disease and promote growth.
MRSA, short for "Methicillin Resistant Staphylococcus Aureus," is a very dangerous strain of staph bacteria that has developed resistance to the broad-spectrum antibiotics commonly used to treat it (methicillin, penicillin, oxacillin, amoxicillin, etc.). Initially, these "super bugs" were coming exclusively from hospital environments, but they've now adapted and spread to other public settings, such as schools, gyms, and locker rooms. And now a new strain has appeared in livestock animals as a direct result of antibiotic overuse.
Experts are concerned this new MRSA strain in livestock could begin to infect humans all over the globe.
Realizing that antibiotics abuse threatens public health, the U.S. FDA plans to issue new regulations for the use of antibiotics in the livestock industry by requiring a veterinarian's prescription before antibiotics can be given.vii
Other countries have also realized the inherent hazards of antibiotic overuse and have opted for a healthier approach to the raising of livestock. For example, Denmark stopped the widespread use of antibiotics in their pork industry 12 years ago. After they implemented the antibiotic ban, a Danish study later confirmed that Denmark had drastically reduced antibiotic-resistant bacteria in their animals and food. This is one reason why I feel it's so important to support smaller, local farms that raise livestock and poultry without antibiotics, on pastures where the animals graze on natural grasses, as opposed to confined to buildings and fed grains.
Bad Bugs, Bad Bugs… Whatchya Gonna Do?
As hard as you might try, you simply can't outrun or outsmart the microbes. They're literally everywhere, including all over you as you read this right now. We are their reproductive vectors--they ride around on us and hop from person to person, using us like an interpersonal railway system. Knowing this, how do you live your life without fearing an attack from every mustard bottle or stationary bike handle you come across?
Relax. You don't have to worry, as long as your immune system is in good shape.
We have shared our lives with the microbial world for many thousands of years, and we will probably do so for millions more. If your defenses are strong, your body will be pretty successful in fighting off invaders. It's only when your immune system is compromised that you're more likely to become ill.
And many of these microorganisms are beneficial—even the pathological ones. Some microbial exposure actually makes you stronger by "training" your immune system to react appropriately, especially when the exposure occurs in childhood. This concept is known as the "hygiene hypothesis."
There is evidence that our modern germophobic culture, with hand sanitizers on every shelf, is counterproductive to good health. Science has found that overly sterile environments are linked with higher rates of depression, increased inflammation, heart disease, asthma, allergies, and eczema. That said, some of today's pathogens are quite a bit more dangerous than those present a century ago, so taking some reasonable precautions is advisable. One of the simplest and most effective preventative measures is proper hand washing.
Your Number ONE Defense Against Germs: Proper Hand Washing
Getting back to basics is often the best advice, and that definitely applies here. Good old-fashioned hand washing with plain soap and water is one of the oldest and most powerful antibacterial treatments there is; no harsh disinfectants or antimicrobial soaps required. To make sure you're actually removing the germs when you wash your hands, follow these guidelines:
1. Use warm water
2. Use a mild non-antibacterial soap
3. Work up a good lather, all the way up to your wrists, for at least 10 or 15 seconds
4. Make sure you cover all surfaces, including the backs of your hands, wrists, between your fingers, and around and below your fingernails
5. Rinse thoroughly under running water
6. In public places, use a paper towel to open the door as a protection from germs that the handles may harbor
Also remember that your skin is your primary defense against bacteria—not the soap. So resist the urge to become obsessive about washing your hands. Washing too vigorously or too frequently can extract many of the protective oils in your skin, causing it to crack and potentially even bleed, providing germs a point of entry into your body where they can do harm. So mild to moderate washing is really all you need.
AVOID Anti-Bacterial Soaps
You should especially avoid the use of antibacterial soaps and wipes, especially those containing triclosan and triclocarban, chemicals that can worsen the problem of bacterial resistance. There is also recent evidence that triclosan may disrupt your hormone balance. If you wish to use a hand sanitizer, make sure it's made with safe plant-based ingredients such as rice bran extract, aloe vera, chamomile and tea tree oil, rather than the chemical agents you typically find. Now that you've taken care of your outer defenses, you should pay some attention to your inner defenses—your immune system.
My Basic Recipe for Building a Strong Immune System
Maintaining a strong immune system requires following the basic tenets of good health. There is no magic bullet. Staying healthy, or regaining your health, requires some diligence in making good choices about nutrition, exercise, sleep and the rest, over the long term. Good health habits will minimize your risk of getting sick from ANY cause.
Manage your stress; science has proven that stress and unresolved emotional issues have lingering adverse effects on your health
Optimize your vitamin D level with exposure to sunlight or a safe tanning bed; if this isn't possible, take an oral vitamin D supplement
Drink plenty of clean water
Eat foods that are best for your body, according to my Nutrition Plan
Optimize your insulin and leptin levels
Avoid excess sugar (especially fructose) and grain consumption
Avoid processed foods, chemical additives, artificial sweeteners, MSG, and all genetically modified ingredients
Consider taking a high-quality probiotic supplement, as your gastrointestinal system is an important part of your immune system
Exercise three to five times a week
Get plenty of restorative sleep every night
References:
* i Mental Floss January 11, 2012
* ii Am J Infection Control September 2011
* iii Am J Infection Control April 2011
* iv AJN December 2011
* v Journal of the American Geriatrics Society April 2009
* vi Seattle Times
* vii MNN April 12, 2012
DrJones wrote:I subscribe to info from Dr. Mercola. Every few days, he provides very useful views regarding alternative-health-success (IMHO). He is a medical doctor, but recommends what I'd call "holistic health" rather than pharmaceuticals.
Let's start with his report on the biggest killer in the USA -- not heart disease or cancer, but rather... injury and death from doctor-prescribed drugs!By Dr. Mercola
The latest data on the leading causes of deathi in the United States has been released by the U.S. Centers for Disease Control and Prevention (CDC).
The report, which is based on 2010 data, lists the 10 leading causes of death as follows:
1. Diseases of the heart
2. Cancer
3. Chronic lower respiratory diseases
4. Cerebrovascular diseases (stroke)
5. Accidents (unintentional injuries)
6. Alzheimer's disease
7. Diabetes mellitus
8. Nephritis, nephritic syndrome and nephrosis (kidney disease)
9. Influenza and pneumonia
10. Intentional self-harm (suicide)
However, there is one leading cause of death that was left off of this list, and when that is factored in the costs to the economy, and the death toll itself, is actually even higher.
The CDC Left Conventional Medical Care Off of Their Death List -- It Should be #1
Let's assume that all of the people on the list received alternative medical care. I suspect that the diseases with which they were afflicted would still have killed them at about the same rate.
BlueMoon5 wrote:DrJones wrote:I subscribe to info from Dr. Mercola. Every few days, he provides very useful views regarding alternative-health-success (IMHO). He is a medical doctor, but recommends what I'd call "holistic health" rather than pharmaceuticals.
Let's start with his report on the biggest killer in the USA -- not heart disease or cancer, but rather... injury and death from doctor-prescribed drugs!By Dr. Mercola
The latest data on the leading causes of deathi in the United States has been released by the U.S. Centers for Disease Control and Prevention (CDC).
The report, which is based on 2010 data, lists the 10 leading causes of death as follows:
1. Diseases of the heart
2. Cancer
3. Chronic lower respiratory diseases
4. Cerebrovascular diseases (stroke)
5. Accidents (unintentional injuries)
6. Alzheimer's disease
7. Diabetes mellitus
8. Nephritis, nephritic syndrome and nephrosis (kidney disease)
9. Influenza and pneumonia
10. Intentional self-harm (suicide)
However, there is one leading cause of death that was left off of this list, and when that is factored in the costs to the economy, and the death toll itself, is actually even higher.
The CDC Left Conventional Medical Care Off of Their Death List -- It Should be #1
This claim is based on faulty reasoning. People with nine of the ten illnesses on the list typically seek--and receive--conventional medical care. Dr. Mercola claims it was the care that caused their deaths--and not the diseases themselves. That's akin to saying that a Ford SUV killed four people in a passenger car when, in fact, the driver of the SUV was drunk and rear-ended the car.
Let's assume that all of the people on the list received alternative medical care. I suspect that the diseases with which they were afflicted would still have killed them at about the same rate. Would you then say that holistic medical care is the number one cause of death? Where are the data showing that patients with the conditions on Dr. Mercola's list who received holistic care had a lower mortality rate or lived longer than those who received conventional medical care?
DrJones wrote:BM5 rises in defense of the establishment again, this time establishment medical care as opposed to alternative medical care. Will you also rise in defense of Paxil, Prozac, Zoloft and the SSRI's?
BM5: My "references" are anecdotal, which you will readily dismiss (I used the verb "suspect")....
Had he received conventional treatment at Stage I or Stage II, his life would have been prolonged; he may even have been cured.
DrJones wrote:If you read the post, you will see that it is Dr Mercola (himself a medical doctor) who makes and substantiates the assertion regarding the dangers of conventional medical drugs and treatments, not me.
: I like his research and often (but not always) agree with him -- and I do not claim to have the experience that he (as a medical practioner) has. Yet you seem to delight in attacking me personally -- right? Is that right?
: And Dr Mercola provides references; by contrast. . . .
: How do you KNOW that "Had he received conventional treatment at Stage I or Stage II, his life would have been prolonged;"
How do you know that?
BlueMoon5 wrote:You initiated the personal attack when you wrote, mockingly, "BM5 rises in defense of the establishment again. . . ." (May 28, 7:44 p.m.).
BlueMoon5 wrote:There are numerous journal articles that expose the problems with alternative medicine. Here is an excerpt from one:
The real danger of alternative medicine is that it exploits the credibility of those others less fortunately endowed. Practitioners of alternative medicine, unfettered by regulatory standards or any established code of ethics, take advantage of minors and the credulous. Ethnic minorities, immigrants, and younger people are among those who may not understand methods of access to orthodox medicine and are particularly vulnerable. [. . .some practitioners] neglect important symptoms, denying patients effective therapy. . . . A disturbing study by J. Leibrich, in Search of Well Being--Exploratory Research into Complementary Therapies. . .shows a major lack of critical scientific evaluation.
(New Zealand Medical Journal, 102:416-7, 1989, D. W. Beaven, Professor of Medicine, Christchurch School of Medicine)
jonesde wrote:BlueMoon5 wrote:You initiated the personal attack when you wrote, mockingly, "BM5 rises in defense of the establishment again. . . ." (May 28, 7:44 p.m.).: How is what you quoted a personal attack? DrJones was describing a behavior, and even more particularly a specific act, not describing a characteristic of your person... so how could it be a personal attack?
But he was describing "a characteristic of [my] person" by saying that I rise again in defense of the establishment.BlueMoon5 wrote:There are numerous journal articles that expose the problems with alternative medicine. Here is an excerpt from one:
The real danger of alternative medicine is that it exploits the credibility of those others less fortunately endowed. Practitioners of alternative medicine, unfettered by regulatory standards or any established code of ethics, take advantage of minors and the credulous. Ethnic minorities, immigrants, and younger people are among those who may not understand methods of access to orthodox medicine and are particularly vulnerable. [. . .some practitioners] neglect important symptoms, denying patients effective therapy. . . . A disturbing study by J. Leibrich, in Search of Well Being--Exploratory Research into Complementary Therapies. . .shows a major lack of critical scientific evaluation.
(New Zealand Medical Journal, 102:416-7, 1989, D. W. Beaven, Professor of Medicine, Christchurch School of Medicine): This, on the other hand IS an ad-hominem argument. It basically says that alternatives to mainstream medicine are only trusted by "minors and the credulous", and more specifically "Ethnic minorities, immigrants, and younger people". In addition to being racist and classist, this quote ignores the facts of the matter and does EXACTLY what you are accusing DrJones of doing, ie distracting and distorting the matter and arguing with false logic.
Conventional medical care was not listed as a top cause of death, even though research points to adverse drug reactions, medical errors, hospital-acquired infections, unnecessary procedures and other consequences of modern medicine as a leading cause of death.
By Dr. Mercola
The latest data on the leading causes of deathi in the United States has been released by the U.S. Centers for Disease Control and Prevention (CDC).
The report, which is based on 2010 data, lists the 10 leading causes of death as follows:
1. Diseases of the heart
2. Cancer
3. Chronic lower respiratory diseases
4. Cerebrovascular diseases (stroke)
5. Accidents (unintentional injuries)
6. Alzheimer's disease
7. Diabetes mellitus
8. Nephritis, nephritic syndrome and nephrosis (kidney disease)
9. Influenza and pneumonia
10. Intentional self-harm (suicide)
In an analysis, 24/7 Wall St. determined that the costs to the economy for these top 10 causes, including not only direct medical care but also the indirect loss of productivity, amounts to a whopping $1.1 trillion!
However, there is one leading cause of death that was left off of this list, and when that is factored in the costs to the economy, and the death toll itself, is actually even higher.
The CDC Left Conventional Medical Care Off of Their Death List -- It Should be #1
Over a decade ago, Professor Bruce Pomerance of the University of Toronto concluded that properly prescribed and correctly taken pharmaceutical drugs were the fourth leading cause of death in the U.S. More recently, an article authored in two parts by Gary Null, PhD, Carolyn Dean, MD, ND, Martin Feldman, MD, Debora Rasio, MD, and Dorothy Smith, PhD, describes in excruciating detail how the modern conventional American medical system has bumbled its way into becoming the leading cause of death and injury in the United States.
From medical errors to adverse drug reactions to unnecessary procedures, heart disease, cancer deaths and infant mortality, the authors took statistics straight from the most respected medical and scientific journals and investigative reports by the Institutes of Medicine (IOM), and showed that on the whole, American medicine caused more harm than good.
In 2010 (the same year from which the CDC data came), years after the original article was written, an analysis in the New England Journal of Medicineii piqued my interest – as the researchers found that, despite efforts to improve patient safety in the past few years, the health care system hasn't changed much at all.
Instead, 18 percent of patients were harmed by medical care (some repeatedly) and over 63 percent of the injuries could have been prevented. In nearly 2.5 percent of these cases, the problems caused or contributed to a person's death. In another 3 percent, patients suffered from permanent injury, while over 8 percent experienced life-threatening issues, such as severe bleeding during surgery.
In all there were over 25 injuries per 100 admissions! In my update to the original Death by Medicine article, you can get an idea of just how deadly the conventional medical care system actually is:
* In a June 2010 report in the Journal of General Internal Medicine, study authors said that in looking over recordsiii that spanned from 1976 to 2006 (the most recent year available) they found that, of 62 million death certificates, almost a quarter-million deaths were coded as having occurred in a hospital setting due to medication errors.
* An estimated 450,000 preventable medication-related adverse events occur in the U.S. every year.
* The costs of adverse drug reactionsiv to society are more than $136 billion annually -- greater than the total cost of cardiovascular or diabetic care.
* Adverse drug reactions cause injuries or death in 1 of 5 hospital patients.
* The reason there are so many adverse drug eventsv in the U.S. is because so many drugs are used and prescribed – and many patients receive multiple prescriptions at varying strengths, some of which may counteract each other or cause more severe reactions when combined.
How Many Deaths by Medicine are Disguised as Other Causes?
Another issue is just how many "accidents" or "suicides" are actually the result of accidental drug overdoses. Prescription drugs are now killing far more people than illegal drugs, and while most major causes of preventable deaths are declining, those from prescription drug use are increasing -- and this is according to the CDC's own datavi.
In 2009, there were nearly 4.6 million drug-related visitsvii to U.S. emergency rooms nationwide, with more than half due to adverse reactions to prescription medications – most of which were being taken exactly as prescribedviii.
Further, between 2001 and 2008, there was a 36 percent increase in hospital admissionsix, and a 28 percent increase in emergency room visits, among children 5 and younger who had accidentally ingested medication. ER visits for ingestion of prescription opioid painkillers, such as Oxycodone, increased 101 percent! So it is unclear how many deaths from accidental drug overdose are classified as accidents or suicides.
The 9th and 11th Top Killers Might Also be Linked to Medical Care
The 11th leading cause of death according to the CDC is septicemia (sometimes called blood poisoning), which is bacteria in your bloodstream that is often caused by an infection in your body -- an infection that is often acquired in the hospital! A study published in the Archives of Internal Medicinex showed that sepsis and pneumonia caused by hospital-acquired infections killed 48,000 patients and ramped up health care costs by over $8 billion in 2006. The study also found that 20 percent of people who developed sepsis died; 11 percent of those who developed pneumonia died.
Pneumonia is the 9th leading cause of death, and in some cases may again be related to the high risk of acquiring an infection should you enter the hospital.
A different study in 2006 showed that "central-line-associated" bloodstream infectionsxi caused by catheters placed directly into veins resulted in a $26,839 loss for each patient that came down with this type of hospital-acquired infection. This same study estimated that 2 million people come down with hospital-acquired infections of any type in every year, and that approximately 100,000 die from those infections. Despite their high death toll, hospital-acquired infections make no appearance in the CDC's report.
Most of the Leading Causes of Death are Preventable
Most chronic diseases, including cancer, heart disease, diabetes, and obesity, are largely preventable with simple lifestyle changes. Even infectious diseases like the flu can often be warded off by a healthy way of life.
Imagine the lowered death toll, not to mention costs to the economy, if more people decided to take control of their health … heart disease and cancer alone accounted for 47 percent of deaths in the United States in 2010, and there are many strategies you can implement to lower your risk of these diseases … and most of the leading causes of death in the United States.
The added bonus to this is that the healthier you are, the less you will need to rely on conventional medical care, which is a leading cause of death. So what does a "healthy lifestyle" entail?
* Proper Food Choices
For a comprehensive guide on which foods to eat and which to avoid, see my nutrition plan. Generally speaking, you should be looking to focus your diet on whole, unprocessed foods (vegetables, meats, raw dairy, nuts, and so forth) that come from healthy, sustainable, local sources, such as a small organic farm not far from your home.
For the best nutrition and health benefits, you will want to eat a good portion of your food raw. Personally, I aim to eat about 80-85 percent of my food raw, including raw eggs and humanely raised organic animal products that have not been raised on a CAFO (confined animal feeding operation).
Nearly as important as knowing which foods to eat more of is knowing which foods to avoid, and topping the list is fructose. Sugar, and fructose in particular, acts as a toxin in and of itself, and as such drive multiple disease processes in your body, not the least of which is insulin resistance, a major cause of accelerated aging.
* Comprehensive Exercise Program, including High-Intensity Exercise like Peak Fitness
Even if you're eating the healthiest diet in the world, you still need to exercise to reach the highest levels of health, and you need to be exercising effectively, which means including not only core-strengthening exercises, strength training, and stretching but also high-intensity activities into your rotation. High-intensity interval-type training boosts human growth hormone (HGH) production, which is essential for optimal health, strength and vigor. I've discussed the importance of Peak Fitness for your health on numerous occasions, so for more information, please review this previous article.
* Stress Reduction and Positive Thinking
You cannot be optimally healthy if you avoid addressing the emotional component of your health and longevity, as your emotional state plays a role in nearly every physical disease -- from heart disease and depression, to arthritis and cancer. Effective coping mechanisms are a major longevity-promoting factor in part because stress has a direct impact on inflammation, which in turn underlies many of the chronic diseases that kill people prematurely every day. Meditation, prayer, social support and exercise are all viable options that can help you maintain emotional and mental equilibrium.
* Proper Sun Exposure to Optimize Vitamin D
We have long known that it is best to get your vitamin D from sun exposure, and if at all possible, I strongly urge you to make sure you're getting out in the sun on a daily basis. Vitamin D plays an important role in preventing numerous illnesses ranging from cancer to the flu.
The important factor when it comes to vitamin D is your serum level, which should ideally be between 50-70 ng/ml year-round. Sun exposure or a safe tanning bed is the preferred method for optimizing vitamin D levels, but a vitamin D3 supplement can be used as a last resort. Most adults need about 8,000 IU's of vitamin D a day to achieve serum levels above 40 ng/ml, which is still just below the minimum recommended serum level of 50 ng/ml.
* High Quality Animal-Based Omega-3 Fats
Animal-based omega-3 fat like krill oil is a strong factor in helping people live longer, and many experts believe that it is likely the predominant reason why the Japanese are the longest lived race on the planet.
* Avoid as Many Chemicals, Toxins, and Pollutants as Possible
This includes tossing out your toxic household cleaners, soaps, personal hygiene products, air fresheners, bug sprays, lawn pesticides, and insecticides, just to name a few, and replacing them with non-toxic alternatives.
References:
* $1.1 Trillion: What the 10 Leading Causes of Death Cost the U.S. Economy, 24/7 Wall St., January 18, 2012.
* i Deaths: Preliminary Data for 2010, National Vital Statistics Reports, January 11, 2012: 60(4); 1-69, Sherry L. Murphy, BS, et al. (PDF)
* ii Temporal Trends in Rates of Patient Harm Resulting from Medical Care, New England Journal of Medicine, November 25, 2010: 363(22); 2124-34, C. P. Landrigan, et al.
* iii Are Hospitals Really More Deadly in July, When Novice Doctors Arrive?, JetLib News.
* iv Preventable Adverse Drug Reactions: A Focus on Drug Interactions, Centers for Education and Research on Therapeutics. (PDF)
* v Preventable Adverse Drug Reactions: A Focus on Drug Interactions, Centers for Education and Research on Therapeutics. (PDF)
* vi Deaths: Preliminary Data for 2009, National Vital Statistics Reports, March 16, 2011: 59(4); 1-51, Kenneth D. Kochanek, MA, et al. (PDF)
* vii InfoFacts: Drug-Related Hospital Emergency Room Visits, National Institute on Drug Abuse.
* viii Highlights of the 2009 Drug Abuse Warning Network (DAWN) Findings on Drug-Related Emergency Department Visits, The DAWN Report, December 28, 2010.
* ix The Growing Impact of Pediatric Pharmaceutical Poisoning, Journal of Pediatrics, February 2012: 160(2); 265-270.e1, G. Randall Bond, MD, et al.
* x New Study Shows Sepsis and Pneumonia Caused by Hospital-Acquired Infections Kill 48,000 Patients, EurekAlert, February 22, 2010. (Press Release)
* xi Economics of Central Line-Associated Bloodstream Infections, American Journal of Medical Quality, November/December 2006: 21(6); 7S-16S, Richard P. Shannon, MD, et al.
By Dr. Mercola
Prescription PillsIt's been seven years since I posted the comprehensive, footnoted research article, Death by Medicine, on this website.
Authored in two parts by Gary Null PhD, Carolyn Dean MD ND, Martin Feldman MD, Debora Rasio MD, and Dorothy Smith PhD, it described in excruciating detail how the modern American medical system had bumbled its way into becoming the leading cause of death and injury in the United States.
From medical errors to adverse drug reactions to unnecessary procedures, heart disease, cancer deaths and infant mortality, the authors took statistics straight from the most respected medical and scientific journals and investigative reports by the Institutes of Medicine (IOM), and showed that on the whole American medicine caused more harm than good.
The purpose of this was not to frighten you, but to help you make informed choices about your health, and to provide you with the tools you need to take control of your own health
Seven years after the original article was written, an analysis in the New England Journal of Medicine November 25, 2010 piqued my interest -- the researchers found that, despite efforts to improve patient safety in the past few years, the health care system hasn't changed much at all.
Instead, 18 percent of patients were harmed by medical care (some repeatedly) and over 63 percent of the injuries could have been prevented. In nearly 2.5 percent of these cases, the problems caused or contributed to a person's death. In another 3 percent, patients suffered from permanent injury, while over 8 percent experienced life-threatening issues, such as severe bleeding during surgery.
In all there were over 25 injuries per 100 admissions!
Shocked, I decided to do some research of my own on the state of American health care today.What I found is the grim picture that I'm sharing with you, as an update to the original Death by Medicine article.
Over 40,000 Mistakes EVERY Day!
Unfortunately, the NEJM article was just a reminder of something that the Thirteenth Annual HealthGrades Hospital Quality in America Study pointed out earlier this year.
HealthGrades has been studying the quality of care in the nation's hospitals since 1988. This year they analyzed approximately 40 million Medicare patients' records from 2007 through 2009, and found that 1 in 9 patients developed a hospital-acquired infection.
The HealthGrades report said that "the incidence rate of medical harm occurring is estimated to be over 40,000 each and EVERY day according to the Institute for Healthcare Improvement."
Another study, in 2008, by the Office of Inspector General for the Department of Health and Human Services, also reported grave evidence that something is amiss in the hospital setting in America: One in seven Medicare beneficiaries who is hospitalized will be harmed as a result of the medical care they receive in the hospital, the study said.
Authors of this study found that physician reviewers determined nearly half, or 44 percent of the adverse and temporary harm events "were clearly or likely preventable." The cost of these mistakes was estimated at $324 million in October alone. The mistakes equate to 3.5 percent of the Medicare budget.
Hospital-Acquired Infections
Another study, published in the Archives of Internal Medicine this year, showed that sepsis and pneumonia caused by hospital-acquired infections killed 48,000 patients and ramped up health care costs by $8.1 billion in 2006 alone. Both these infections are mostly preventable through better infection controls. The study also found that 20 percent of people who developed sepsis died; 11 percent of those who developed pneumonia died.
The authors noted that many hospital-acquired infections are super resistant to common antibiotics – and it's not just sepsis and pneumonia that they're talking about.
A different study in 2006 showed that "central-line-associated" bloodstream infections caused by catheters placed directly into veins resulted in a $26,839 loss for each patient that came down with this type of hospital-acquired infection. This same study estimated that 2 million people come down with hospital-acquired infections of any type in every year, and that approximately 100,000 die from those infections.
Medication Errors are a Major Killer
In 2000 the Institutes of Medicine reported that medical errors were the eighth leading cause of death in the U.S., killing between 44,000 and 98,000 people each year. While the number of errors today is said to possibly be the fourth leading cause of death in a hospital, health officials agree that this type of death-by-medicine is still prevalent -- and preventable.
In a June 2010 report in the Journal of General Internal Medicine, study authors said that in looking over records that spanned from 1976 to 2006 (the most recent year available) they found that, of 62 million death certificates, almost a quarter-million deaths were coded as having occurred in a hospital setting due to medication errors. They also found that these errors spiked in July, and particularly in teaching hospitals.
There are four points in the medication use process at which errors may occur:
1. when the medication is ordered (written, electronic, or oral)
2. when the medication order is transcribed and verified
3. when it's dispensed, and
4. when it's administered
The June 2010 report narrowed the errors down to:
* drug overdose
* prescribing the wrong drug
* taking the wrong drug, or
* accidents involving medications during surgery or medical procedures
Older adults are at a higher risk of medication errors and have a greater propensity for experiencing harmful and fatal errors. The most common types of medication errors in older adults are omission and improper dose.
Nearly Half a Million Preventable Adverse Drug Reactions
An estimated 450,000 preventable medication-related adverse events occur in the U.S. every year.
A study published in the Journal of Gerontology in 2006 showed that adverse drug reactions are very common in frail elderly persons after a hospital stay, and polypharmacy and warfarin use consistently increase the risk.
The costs of adverse drug reactions to society are more than $136 billion annually -- greater than the total cost of cardiovascular or diabetic care. Adverse drug reactions cause injuries or death in 1 of 5 hospital patients.
The reason there are so many adverse drug events in the U.S. is because so many drugs are used and prescribed – and many patients receive multiple prescriptions at varying strengths, some of which may counteract each other or cause more severe reactions when combined.
In 2009 there were nearly 3.68 billion prescriptions filled in the U.S. That averages to almost 12 prescriptions for every person in the U.S. Other interesting drug statistics are:
* Specialists give more than 2 prescriptions per visit
* Just over 89 percent of Medicare patients take prescription medicine daily
* 46 percent take 5 or more prescriptions chronically
* Nearly 54 percent take meds prescribed by more than one doctor
One thing that the drug companies don't tell you, and that your physician may not realize, is that premarketing drug safety profiles may be very narrow: most new drugs have 3,000 or less short-term patient exposures. Another fact the drug companies don't advertise is that some drugs have rare toxicity possibilities, meaning very bad side effects could occur in as few as 1 in 20,000 patients. To detect such rare toxicity, more than 60,000 patients must be exposed AFTER the drug is marketed.
49th in Life Expectancy, First in Health Care Costs
The latest study published in Health Affairs revealed that the United States now ranks 49th in the world for both male and female life expectancy, down from 24th in 1999.
In 1950, the United States was fifth among the leading industrialized nations with respect to female life expectancy at birth, surpassed only by Sweden, Norway, Australia, and the Netherlands. The last available measure of female life expectancy had the United States ranked at forty-sixth in the world. U.S. infants also are in the basement when it comes to mortality rates; according to 2009 data compiled by the World Bank, the U.S. is 41 places behind other countries in infant mortality.
Is American Medicine Working?
There's no doubt that government health care officials are worried about this country's reputation for safety in the hospital setting. If they weren't, they wouldn't have set up the Center for Quality Improvement and Patient Safety, a task force charged with developing plans and strategies for making American health care safer.
The problem is that, as it always with government, things move very slowly when change is needed, so the nation has yet to have a nation adverse event reporting system for hospital medical errors. We also don't have any federal standards regarding state systems. The question is whether living the status quo is going to make us any healthier or not, and if it doesn't, what are we going to do to make a better life for ourselves?
What about Preventive Care?
It doesn't take a genius to figure out that the American health care system is skewed toward treating illnesses and diseases, not preventing them. In 2003, my Death by Medicine report showed that judging by health care spending alone, the U.S. should be the healthiest country in the world with the best medicine available. But it wasn't.
And today, it still isn't.
One reason for that is because an obscure federal panel that most people never hear about not only defines what preventive medicine is, but decides what services your health care dollars will pay for. Historically that panel, the U.S. Preventive Services Task Force, has been accused of being ultra-conservative in the way of preventive care. But when it does approve it, the definition of preventive care means some kind of diagnostic test for a possible existing illness, not a strategy for staying well.
For example, if you take a look at the task force's website, you'll see lists of "preventive" medicine topics the group is considering that include such things as aspirin use and various types of disease screenings -- with only one mention of vitamin supplements as a possible upcoming preventive strategy.
If you click on the task force's A to Z topic guide of existing "preventive" health care, you'll see that almost every single one is some type of disease screening or counseling for a condition you already have.
And that's what's wrong with U.S. health care, whether it was seven years ago or today -- we are all too eager to embrace screenings for diseases or illnesses we may or may not have, and counseling and/or medical treatment in the form of pills and chemicals and surgeries for it, after we find out what disease it is we have.
According to the Kaiser Foundation and the CDC, the main drivers of health care costs in the U.S. are technology and prescription drugs; chronic disease; aging of the population; and administrative costs.
I agree that these are huge contributors to what is killing us as a nation financially and as a people. But I DON'T agree with the context in which they're presented. If you've followed all the information I've given you here, and even skimmed the 2003 Death by Medicine article, then I think you'll see why I think the major contributors have a slightly different paradigm -- and that the only way we are get healthier as a nation, and drive medical costs down too, is to change that paradigm.
That's because the foundational causes of what's driving health care costs in America are:
1. The emphasis on sickness and treatment, rather than health, fitness, and prevention which is primarily fostered by ultra-sophisticated marketing strategies employed by the drug industry.
2. Fraud -- by both consumers and providers, including the drug industry.
3. Unnecessary procedures, medications, hospitalizations and screenings
4. Medical mistakes, hospital-acquired infections, and surgical and device errors
If we were only to address these issues, beginning with changing the emphasis of our well-being to health and fitness, and then following the healthy lifestyle that paradigm suggests, I promise that the issue of sickness in America and what it's costing us -- as well as the death-by-medicine events will begin to fade away very quickly.
It's time to quit bombarding your body with medical interventions and to reward yourself with the fit and healthy body that come from living fit and lean.
And until then -- until our health care system as a whole -- changes the emphasis of what we're doing to health and healthful living, exercise, proper nutrition and diet, and vitamin supplementation, we're not going to see anything in our health care system change, even if we wait another seven years to see how it's going.
References:
* Hanlon JT, Pieper CF, Hajjar ER, Sloane RJ, Lindblad CI, Ruby CM,Schmader KE. Incidence and Predictors of All and Preventable Adverse Drug Reactions in Frail Elderly Persons after Hospital Stay. Journals of Gerontology A Biol Sci Med Sci. 2006 May;61(5):511-5
* Buerhaus PI, Needleman J. Policy implications of research on nurse staffing and quality of patient care. Policy Politics Nurs Practice 2000; 1(1):5-15.
* The Department of Health and Human Services and The Department of Justice -- Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2009
* Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries
DrJones wrote:So, I agree with the analysis of jonesde, but I'm willing to look at an important fundamental question here and discontinue my responses to personal attacks or other diversions at this time -- Here is the question I wish to research:
QUESTION: Is it true that the practice of conventional medicine including doctor error and pharmaceutical side-effects is among the leading causes of death in the United States?
As stated in a Dr Mercola article:Conventional medical care was not listed as a top cause of death, even though research points to adverse drug reactions, medical errors, hospital-acquired infections, unnecessary procedures and other consequences of modern medicine as a leading cause of death.
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