eits
Lifer
Originally posted by: Amused
Originally posted by: eits
Originally posted by: Amused
Originally posted by: eits
Originally posted by: Amused
Originally posted by: eits
Originally posted by: Amused
Originally posted by: eits
Originally posted by: Amused
Originally posted by: eits
Originally posted by: Amused
No one is interested?
i am... and this verdict sucks. one of the reasons i went into chiropractic rather than medicine was because of this... it disgusts me. i'm not saying there isn't anything about chiropractic that doesn't disgust me, but this sort of thing is almost universal among the medical model in the u.s.
The verdict disgusts you... why?
Did you read the article?
Why would one automatically assume a 52 year old lifelong obese woman's fatal heart attack would be remarkable enough to blame a drug she was taking?
i edited my post... read it again
OK... I read the edit and it still is meaningless and does not apply.
no need to be a dick. just say, "yeah, but you still didn't answer my question."
the verdict sucks, in my opinion, because i feel that the drug contributed to her death... but i don't have enough information to say for sure. plus, there's nothing mentioned about family history of chd/chf.
i just think that this drug contributed to her death... partly because it seems very possible and partly because of my anit-vioxx bias. the merck lawyers are trying to argue that the woman's health status was the cause of her death, but they left out the fact that the drug does cause cardiovascular problems. even if she did have a high percentage of occlusion in her arteries, the drug would have contributed to her death. no drug is without a level of side effects that everyone who takes them experiences.
it also seems like the doctor would be at fault if her heart health were so bad and he gave her a drug that has a higher instance of cardiovascular problems leading to death than other drugs. i'm drawing the assumption that either they tried suing the doctor that the doctor won on the grounds that there were no contraindications in the patient's health to keep her from taking the meds or the family felt that the drug was the catalyst for the woman's death, no matter what her health status was, which is why they ultimately decided to go after the drug company...
My gawd. You've made up an entire fairy tale to fit your own irrational bias.
Have you thought of working for Disney?
She was 52. Sedentary all her life. Morbidly obese all her life. She had diabetes AND high blood pressure.
But yeah, the drug killed her... that's it!
Wow...
i didn't say the drug killed her. i said the drug contributed to her death.
Really? Proof?
The problem is, you have none. None at all. And neither did their lawyers.
from what i understand, cox-2 inhibition would cause vasoconstruction and platelet aggregation/clotting. taking a cox-2 inhibitor would inhibit cox-2... most of the time, the magnitude of the effects don't manifest to a degree where it would cause a patient problems, but in some cases it does. chemical/physiological changes happen inside your body anytime you take a drug... it's not like the changes only happen sometimes. it's just that sometimes the effects of the drug are too strong in some people and cause what we call side effects.
everyone who takes any drug gets side effects... most just don't experience them. it's at such a low level that it's undetected by the patient. just because you can't feel it doesn't mean it's not happening. that's why i think that the drug contributed to her death... because cox-2 was inhibited in her system, her vessels were constricted more than they would be had she not been inhibiting cox-2.
say that she DID have, say, 50% occlusion to her coronary artery. according to hagen-poiseuille's law:
v = fluid viscosity
L = length of vessel
R = resistance
r = radius of vessel
R = (vL/r)(8/pi)
let's say that a normal coronary artery is 4mm. let's say her's is 2mm because it's 50% occluded. the normal resistance to a coronary artery would be .001vL... her's, on the other hand, would be .16vL... the reason why this is important is that the vessel wall is taking a lot of resistance due to the occlusion, which affects the blood flow and blood pressure.
now, imagine resistance being further compromised because of vasoconstriction because of cox-2 inhibition... that would even further decrease bloodflow. not only that, but imagine the decrease in the vessel diameter due to plaquing... then, imagine a small blood clot (a result of cox-2 inhibition) trying to pass through there. it would end up getting stuck... especially the coronary artery. she'd end up having a heart attack and dying.
i'm not saying she's the picture of health... i'm saying that cox-2 inhibition probably contributed to her death.
And yet, after all that, you have no medical proof it caused or even contributed to her death. Only speculation.
Meanwhile, a life changing drug that freed millions from the constant pain of RA and OA is taken off the market because fat, old lazy women with diabetes, high blood pressure and other obesity and genetic related problems had random heart attacks... heart attacks they were destined for anyhow.
?? the fact that the defense was trying to say that she had a decrease in her coronary artery diameter plus the effects of cox-2 on the system is medical proof.
also, you're saying that the woman who died lived a sedentary lifestyle, which contributed to her poor health and death, regardless of whether or not the drug contributed. what kind of lifestyle do you think the typical patient suffering from r.a. and o.a. (bad enough to need vioxx)? you think they're up and jogging because it feels good? you think most of them cook healthy meals because it's easier than making something that's unhealthy? you don't think they'd have sufficient plaquing?
http://nccam.nih.gov/health/RA/#5
http://www.annals.org/cgi/content/abstract/131/6/409
http://www.chiropracticresearchreview.c...ages/arthritis_sufferers__1_2_2226.gif
http://nccam.nih.gov/research/results/gait/qa.htm
etc.
there are PLENTY of more effective, more cost-efficient, and less dangerous treatments for arthritis sufferers than vioxx...
