Posted on November 30, -0001 by in Uncategorized // 0 Comments
Are there any restrictions on the use of Ivermectin for scabies on the PBS?
If “yes” what are they?
Most even handed article from Ms Marron I have ever seen. Thank you. It has long been obvious that no one profession has all the answers for everyone. Generally people go to the people they trust first, their GP. When results are not obtained they look elsewhere, and when they find help, often instant, whether they understand or not,[ and who understands HOW antalgics or antibiotics work ], there is an increased chance they will return. The inference that ear problems are otitis media, which is an infection, to which the later connection of antibiotics is made, perpetuates the myth that ear problems are infections, when all the evidence indicates that in the vast majority of cases, there is NO INFECTION, hence the failure of antibiotics. AS well grommets also do NOT have evidence based support for their use. Being such an advocate of EBM I find it strange that Ms M. does not mention this, and may well be why a range of non-drug care gets patient satisfaction in what may well be a multi-factorial problem.
Hygiene messages do not seem to be getting through. Still there are too many Medicos who buckle under the weight of patient’s requests for antibiotics.We need to push messages to promote hand-washing as very few people wash hands after toilet visits. Signs should be installed in toilets;sneezes need to be covered up;door handles are a source of infection;mask utilisation should be encouraged etc etc.
I agree Gerald. As a consultant pharmacist I see inappropriate prescribing continued for years and the excuse given is “oh they are stable on that regime so I don’t want to change anything”. Quality of life is so important for our elderly, often more so than quantity. Even if they have been on something for years it is good to review and remember that what was started when they were in their 50′s or 60′s or 70′s may not be appropriate now they are in their 80′s or 90′s. However I also do not like to see them swallowing heaps of supplements which are expensive to buy and often of questionable value. Minimal medication focusing on quality of life is the way to go in my opinion.
Yes It is time!
It is time to put the interaction before the transaction.
It is time to put people’s health before the “cheaper brand”.
I admire your work Gerald, because it is time we support pharmacists to dig deep and remember why they wanted to be a pharmacist? Mainly to support people’s lives and rarely for the money.
What was the most trusted profession has significantly dropped simply because many pharmacies are placing their own interests before the communities.
Finally, in a study I conducted with 133 pharmacy members I noticed that many pharmacy assistants usually in their teens or twenties found the elderly customers a pain to work with, they did not have the patience or the training to listen and understand their needs, this lead to frustration from both sides and a lack of care for the elderly.
It really is time to bring back the community to pharmacy.
I have had preliminary discussions about forming “The Australian Integrative Pharmacists Association” as an offshoot of AIMA. This is a preliminary expression of interest, but I would be delighted to keep a record of any interest and liase with AIMA in time. I’m well aware that the Friends of Science and Medicine are infiltrating pharmacy circles, spreading their doctrine. Here’s an opportunity to be informed about complementary medicines in our practices, with an umbrella organisation protecting our opinions and interests.
Since the report in Europe some years ago, followed shortly thereafter by similar figures from US and Australia, of sales of non-pharmaceutical products for ‘health’ issues equaling or exceeding ‘mainstream’products, there was a ramp-up of the ‘unproven/unscientific’ claims by the spin doctors for Big Pharma. But immediately the buy-up of the companies producing nutritional products began, and very few are now independent. As this has happened, dosages of the active components has dropped, and many of the herbal ingredients are made from the less vital parts of the plant. So, by making weak products that are contrary to herbal protocols, they make money from less-discerning clients, and can then also say, ‘just as we told you,this stuff does not work’.
To my knowledge, there are no known risk factors, and certainly no known causes, of MND. If the causes were known, researchers would have a better idea of how to treat it but there is no treatment available because causes/risk factors are unknown (except for 10% of cases where there is a family history). It is simply incorrect to provide a list of “actual causes” as you have done. What evidence do you have for these? This smacks of sensationalist journalism based on no evidence whatsoever to support your argument.
Well, that all depends on your knowledge base and whether you’re prepared to really research the topic. May I suggest you try the following for a start:
This is so true. Good care involves empathy. Listening is all important. Treat the patient not just the disease.
Glad to read this editorial this week. I would like to request you to uphold the need for patient centered care rather than anything else.
Very poetic, very emotive: But hardly a case study with sufficient detail for a professional to make any judgment upon. Has this case study been published in a journal? I suspect a far more complicated scenario. Who established “cause and effect” ???
You BELIEVE what you want, Ms Smartypants, but you haven’t disproven that the above have no effect and you haven’t told us how cancer works. It’s quite basic, really. Why don’t you put your intellect and skepticism to better use and instead of pandering to the establishment with your glib rhetoric, do some research. A good start would be the following websites. http://www.cancertutor.com
P.S. And please get over your smug “I’m-a-skeptic-so-I-know-it-all” attitude. It does not become you (and you might ACTUALLY help people in need).
P.P.s. The CAPTCHA box below is idiotic – the image has numbers, not words. Very indicative of this site’s bona fides. Oh and the “Preview comment” button does not work (ditto!)
An important article. We spend many hours in our workplace and this can impact on long term health and well-being. In the same way that we invest in a good bed or a comfortable chair at home it is important to invest in a good quality ergonomic work environment.
Yes, university has been undermined by many courses, and certainly their are chalratins taking advantage of the vulnerable already dealling with a mongrel of a disease, some terribly. A Current Affair is no pedigree though.
I have seen quite a few pharmacists touting magic cures and the vitamin and herb aisles prove that expensive urine is a big money maker for pharmacies.
However, caring and treating cancer patients is about holistic care, not just surgery, not weeks of radiotherapy or cytotoxics.
The Cancer Council has a document for patients on complimentary therapies amd cancer treatment- puts a lot in perspective and discusses evidence. People cancer journey is what works for them, complimentary therapies are there for supporting the mainstream interventions, not replacing them. If it helps someone through a horrible journey, necuase traditional interventionist are great with the scalpel or filling out a prescription, but atrocious at ‘well being’ concerns.
Exposing quackery is one thing. Punishing everyone else just becuase of your own cancer journey isn’t.
Interesting piece Mark, and an area in which I have a strong interest. The evidence has long supported the importance of nutritional supplements as an adjunct therapy to certain prescription medicines, and for pharmacists to recommend these when appropriate.
Blackmores Institute has a strong commitment to working with pharmacists, researchers and education providers to grow the knowledge-base on integrative approaches such as this that will improve patient outcomes. You may be interested to read our editorial on the study you refer to: http://www.blackmoresinstitute.org/login/news-and-insights/Diuretics-proton-pump-inhibitor-to-hypomagnesemia
Dr Lesley Braun, Pharmacist & Director of Blackmores Institute
There are many of these stories happening after HPV vaccination and they are being documented by the US CDC adverse reaction database (VAERS) and the website – Safe, Affordable, Necessary and Effective Vaccines (www.sanevax.org). The public trusts that the clinical trials and post-vaccination surveillance are capable of determining cause and effect but this is not the case with HPV vaccines. The passive surveillance system used by all government regulators is inadequate for determining cause and effect (Ref: US CDC) and the clinical trials were also inadequate for establishing long-term cause and effect relationships. This information can be viewed in my article published in the journal Infectious Agents and Cancer (a link to this is on my website). Consequently there is inadequate knowledge of cause and effect even though many of the side-effects being observed after vaccination were identified in the clinical trials. Consequently the vaccine has been removed from the national programs in India and Japan due to the serious adverse events and court cases have started in Spain, France and India. Cause and effect should be established prior to the introduction of a vaccine into the community not after the event.
I strongly support initiatives to increase research into primary health care in Australian community pharmacies, and have for many years. A fundamental step needed for this to succeed, and one which seems not to attract a lot of focus, is for proprietor and employee pharmacists to wholeheartedly embrace research in community pharmacies. A sustained campaign is needed from PSA and the Pharmacy Guild. In the 1980s in South Australia, in the 1990s in Perth and again in 2003 I undertook primary health care research in pharmacies in which I was working without any funding support. I did it because I knew it was important and I cared about the future of pharmacy. I am sure there are plenty of other pharmacists who feel as passionate about pharmacy as I was (and still am) when I did those studies. What is needed now is for those pharmacists to go looking for ways they can participate. Don’t stand back and wait. Become proactive. If PSA and the Guild can tap into this vast resource it will make a vast difference to our professional future. John Gibson
The main issue being missed here is that there is no “generic” cannabis. I’ve had the privilege of spending a day in a cannabis nursery with a herbal grower outside Zurich. He grows a specific species of cannabis, rich in pain relieving properties, for the European medical market. To suggest that cannabis will add to the misuse of the current crop of opioid misbehaviour is an immature view. In my opinion, it smacks of protection of the existing market, and sweeps the value to the patient with intractable pain into the background. I’ve spoken to medical cannabis users. I’ve been overwhelmed at the improved quality of life in the scenarios of their particular use. So, don’t judge, just listen. And more especially, don’t leave decisions to the politicians!
The Friends of Science (FSM) Pathology Recommendations was prepared by their Pathology Advisory Group which included distinguished pathologists from Australia and New Zealand. The report was supported by The Royal College of Pathologists of Australasia.
It includes pathology tests that should be avoided.
(Full report http://www.scienceinmedicine.org.au/images/pdf/pathologyrecommendations.pdf)
These tests are offered in some pharmacies by in-house naturopaths.
The item claims that Complementary Medicine has the potential to produce a net economic benefit of $1.8 billion from 2015-2020.
However, of the six treatments that were investigated, only one is complementary.
The news report covers vitamin D and calcium supplementation for osteoporosis. Vitamin D and calcium supplementation is not complementary medicine, but conventional medicine, with the optimal doses and patient populations being worked out in clinical trials after basic research determined the mechanism of action of the hormone. Similarly, folic acid and omega fatty acids for cardiovascular disease are not complementary medicines, but conventional medicines. They were again discovered and developed by conventional research and clinical trials
That something can be purchased over the counter without a prescription does not make it complementary, paracetamol would never be claimed as a complementary medicine. Being a vitamin does not make something a complementary medicine. Using vitamin C to treat Scurvy or folic acid to prevent neural tube defects is conventional medicine, while using vitamin C to treat colds is a complementary use (which is still promoted in the face of continued evidence that it is ineffective).
The benefits of these regimes may be overestimated. The report did not examine some of the latest systematic reviews on omega fatty acids that have concluded there is no or minor effects. The review of the only actual complementary medicine, St. John’s Wort, does not factor in the life threatening drug interactions that it causes in the cost benefit analysis, and seems to be promoting self-medication for a significant illness.
Claiming conventional medical treatments (such the vitamin D and calcium supplementation highlighted in the news article) show that complementary medicines have significant economic benefits is highly misleading.
Senior lecturer in Pharmacology University of Adelaide
Glad to read this editorial. The thing is you have to understand your patients very well. I know you guys are great but you should be patient centered.
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“Distinguished” pathologists and other scientists have sadly had their professional image sullied with all the corruption and fraudulent/misleading construction of reports and their ‘creative’conclusions. Leaders with a professional profile are the ones that have been consistently targeted by Big Pharma. What assurances do we have that these ‘distinguished’ people are not supporting vested interests with whom they liase and have professional interactions ? What trust can we place in their recommendations ?
CAM has been using those terms for over 50 years. It is medicine who have not only usurped the term, but as yet, have not jumped out of their alopathic paradigm of “TREATING THE SYMPTOM &/or The RESULT of the treatment”. CAM used the term ‘HEALTH’ centres for many years too, until others such as gyms took that over.
The CAM use of terms such as Health and Wellness is primarily not used as an add-on after drastic medical interventions, such as Ms Marron points out is the way it is used, but rather as approaches to enhance awareness that optimise bodily functions as close as possible to normal WITHOUT THE TRANSFORMING interferences to normal function in cells, tissues and organs caused by super-imposed un-natural toxins, surgery and radiation.
This is advising clients/friends/patients/visitors of things that enhance bodily functions, and being aware of things that may be harmful, and best avoided. Even genetic expression can be altered with a better/more appropriate lifestyle, and even with cancers, the pendulum has long swung away from heredity to environment as the main factor. The reference to vitamins as causing cancer etc has long been discredited as being a product of the corrupted, biased, and unfortunately dis-honest reporting cast as “research” of which we see so much in recent times, that it’s hard to know what is genuine, believable, research.
Like you, with your well-known story of your own cancer, most people initially consult their GP, and when dis-satisfied with the attitude, personal and conditional treatment, lack of results etc, do they then seek care from CAM. Most apparently are so satisfied that they continue to consult CAM, even as their family’s first port of call. This is one of the huge alarms the medical profession have.
Bastardisation of the language is problem. Medical use of Wellness is just like the term ‘Health Department’, a total reversal of the concept and definition of the word. I have never seen the figures published, but there would be little argument from Joe Public that the vast majority of the so-called Health budget is not spent on promoting HEALTH, but in treating sickness, and we are all paying the price for that. A famous Health writer and philosopher said towards the end of the 20th Century “The pharmaceutical assault on the health of the nation has been a dismal failure.”
Certainly accredited consultant pharmacists are well equipped to undertake this role. My RMMRs are very holistic with a focus on deprescribing. I find I often identify issues that others have missed. I would love to be paid to implement my recommendations rather than simply preparing a report which may or may not be acted upon.
Bravo Neil. A brave step, but not a new one for you. I will be interested to see a synopsis of the ‘Pro’ and ‘Con’ comments you receive.
Unfortunately, antibiotic use/overuse is not always a ‘personal’ choice, but something about which we all need more awareness, and Government action to intercede in the profit driven motives in our food chain. Our society is deluged with antibiotics totally unknowing/unquantified entering the food chain in supplements given to animals especially, usually for non-health reasons, but primarily for weight gain. GP’s have to educate/take the time to tell patients re the ineffectiveness of antibiotics with viral infections. The Russians solve the problem cheaply, more effectively, and without even having to differentially diagnose between viral and bacterial. They use ultraviolet light to kill pathogens of any ilk, very effectively, and cheaply, without antibiotic resistance becoming an issue. A resurgence is also occurring in the use of traditional/pre-antibiotic regimes being re-introduced such as peroxide and other Oxygen elevating techniques, colloidal silver being used in hospitals for infection control and solving a previous huge problem of battle wound infections with field dressings impregnated with C.S. gel, and even our faithful Tea-tree oil which instantly kills HIV, Ebola etc, and even the much maligned iodine. As with soil health, a healthy body environment does not provide an environment in which pathogens flourish, so Neil’s previous article above summarising some of the benefits of Integrative and Complementary HEALTH Care looking for underlying CAUSES rather than treating symptoms that have developed well after the horse has bolted.
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