I thought we had exhausted the subject but an article
in the British Medical Journal says the opposite. We are just starting to know about Medicine:
Analysis
Medical error—the third
leading cause of death in the US
BMJ 2016; 353 doi: http://dx.doi.org/10.1136/bmj.i2139 (Published
03 May 2016)Cite
this as: BMJ 2016;353:i2139
We have
written regarding hysteria in this
blog. Hysteria is considered in most
of our patients followed by an internist.
Most of the patients are treated for something medical when the problem
has little to do with the “soma;” or the chief complaint is vaguely related to
the “soma.” Research biases are present
frequently in our decision to treat, but we have problems related to ignorance,
lack of judgement or poor ability to perform a procedure. Ignorance, lack of judgement and poor ability
to perform have to do with the way we teach and learn medicine.
Let´s take
the example of antibiotics. We assume
that most of them do not affect human cells or that is worth to take the risk
of using an antibiotic. Antibiotics
affect dramatically performance and they have a more negative impact when they
inhibit protein synthesis in the “bug.”
Protein inhibitors antibiotics have a less pronounced effect on the host
but they inhibit certain proteins. Quinolones
are known to interfere with metabolism of the muscular system directly
affecting it; it is something we can see and considered proven. Poor performance related to the same
medication is difficult to proof and to consider proven although who cares for
patients can see it; it is better to compete with the illness than to have
antibiotics before performing, two or three days before the meet. Inhibition of proteins from many systems is
present to some degree, which are very difficult to study. In my clinical practice I have seen patients
superinfected with fungus after a treatment with a Quinolone for peritonitis.
Fluoroquinolone-associated tendon disruption,
including rupture, is well described in the literature. Although the Achilles
tendon is the most susceptible site, other tendons may be affected. Typically,
spontaneous tendon rupture occurs during or shortly after a course of therapy,
but symptoms may occur months after taking fluoroquinolones. Whether
fluoroquinolones should be used in patients with a history of tendon problems
or with risk factors for the development of tendon ruptures depends on the
seriousness of the infection and the alternatives available. Awareness of the
association between tendon disorders and fluoroquinolones may lead to enhanced
surveillance, which should be extended to sites beyond the Achilles tendon and
to periods of months after a course of these antibiotics.
Brain Res. 1983 Dec 12;288(1-2):253-9.
Effects of antibiotics,
minocycline and ampicillin, on human sleep.
Abstract
The effects of
two kinds of antibiotics, minocycline (MNC) and ampicillin (AB-PC), on human
sleep were investigated on 19 healthy male students to test for a relationship
between human sleep and protein synthesis. These drugs and placebos were
capsulated identically in appearance and were given to the subjects using the
single blind method. MNC has been proven to prevent protein synthesis whereas
AB-PC does not inhibit protein synthesis, and both antibiotics are commonly
used in clinical practice. With the administration of a single dose of 200 mg
of MNC, an apparent decrease in slow wave sleep (SWS) was revealed on the drug
night and the effects lasted through the following two consecutive nights being
given a placebo. REM sleep was not reduced on all the recording nights. On the
other hand, both SWS and REM sleep were not reduced with the administration of
a single dose of 500 mg of AB-PC. These results are different from those
previously obtained from animal experiments since many kinds of protein synthesis
inhibitors have been proven to suppress mainly REM sleep in animals. It might
be supposed that the species difference may be responsible for this difference,
and that some proteins or polypeptides induce human sleep, especially SWS.
The changes
taking place in Medicine over the years are related to hygiene, nutrition and
antibiotics therapy in addition to surgery. Recovery should be a big one to improve
medical care; recovery as in an athlete.
Most of the time people get chronically sick because they never recovery of the
activities they performed during days, weeks or years.
Let´s listen to Brian Goldman, he speaks about medical mistakes in a personal way. I see less patients than him, my mistakes are related to choices in treatment.
Let´s listen to Brian Goldman, he speaks about medical mistakes in a personal way. I see less patients than him, my mistakes are related to choices in treatment.
Please see our
previous post related to Medicine.
28 nov. 2014
15 sept. 2014
We have
written a previous post on Medicine and timidly spoke about the problems
related to research:
There are very few things like the one I mentioned above observing and testing athletes; they are well done by Medicine. On the contrary, we have made many mistakes in Medicine that takes a long time to recuperate from. We have had the Framingham Study for a long time but we continue to believe in consensus instead of looking at the data very closely.
Lately, more and more doctors and researchers are looking at these problems of biases and errors. Our Federation has done and advertises researches done by them that are directing us to abuses against athletes and failures in our performance as a nation. If Mario Mola or Richard Murray would be Mexicans they would not be able to compete internationally because they would be unable to give the “MARCAS MÍNIMAS,” required by the Mexican Federation.
There are very few things like the one I mentioned above observing and testing athletes; they are well done by Medicine. On the contrary, we have made many mistakes in Medicine that takes a long time to recuperate from. We have had the Framingham Study for a long time but we continue to believe in consensus instead of looking at the data very closely.
Lately, more and more doctors and researchers are looking at these problems of biases and errors. Our Federation has done and advertises researches done by them that are directing us to abuses against athletes and failures in our performance as a nation. If Mario Mola or Richard Murray would be Mexicans they would not be able to compete internationally because they would be unable to give the “MARCAS MÍNIMAS,” required by the Mexican Federation.
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