Lilly: Help Us Help You NOT Prescribe Our Drug?
Posted on July 22, 2008 in Generic prescription drug list
Centrally located a answer best described thanks to mind-blowing, it turns out Lilly, manufacturer of olanzapine (Zyprexa) is procedure a row to advice make public mental health procedures not spend endowment irresponsibly on mental health medications. Yes, you give attention correctly. Apparently they are concerned that the $1.3 billion they raked in from Medicaid Zyprexa prescriptions centrally located 2005 was enforced along with ofttimes bear market. Parlance strange yet? Quotes from the dependent New York Times article (by Stephanie Saul) solicitude be dispersed pending, commensurate over this… Many states, looking to rein in the cost of expensive antipsychotic drugs like Zyprexa, have turned to an unusual ally for help — the very company that sells the drug. At more than $300 for a monthly prescription, Zyprexa, which is used to treat schizophrenia and bipolar disorder, is the single biggest drug cost for state Medicaid budgets. So Eli Lilly, the maker of Zyprexa, offers to help states monitor doctors who treat Medicaid patients to make sure they are not wasting money on mental illness drugs because of what psychiatrists call “sloppy prescribing” — giving patients too many similar medications or doses that are too high. Twenty states use Lilly’s free service. But some experts question why these states let Lilly help oversee spending on its own medication. “I’m skeptical of a drug company program that says, ‘We’ll hold down use of our drug,’ ” said Stephen W. Schondelmeyer, a professor of health care economics at the University of Minnesota . He described such programs as thinly disguised marketing. Medicaid administrators in some states say that Lilly has saved them money through the program, which it pays a consulting company to run. But Lilly’s help also can come with strings attached, according to current and former Medicaid officials. They say Lilly pays for the service only if the states let doctors prescribe Zyprexa without first seeking permission from the state. Medicaid officials in Wisconsin found that out last year, after trying to reduce the state’s $22 million annual spending on Zyprexa by requiring doctors to seek permission before prescribing it. Lilly responded by ending the program. In at least four other states, officials say that Lilly has dangled the prescription-management programs as an incentive to keep them from restricting Zyprexa’s use. Lilly says it does not generally require a state to allow unfettered access to Zyprexa before offering the programs. But the company acknowledged that it has made that a condition in several states. Lilly pays a company named Comprehensive NeuroScience to run the program and the program is reported to have run in 24 states. How are “bad prescriptions” managed? Doctors who veer from certain guidelines on dosage strengths and/or prescribe certain medication combinations are sent “Dear Doctor” letters indicating that their habits are abnormal. There are, of course, no teeth to the program – compliance is entirely voluntary. This program also tracks if patients are refilling their prescriptions – if not, doctors are sent letters, purportedly to “prevent setbacks in their condition,” according to Saul. Background: States, for the last few years have been trying to save money in their public mental health programs, as newer, pricier antipsychotics have become increasingly prescribed for a variety of conditions. This, of course, means cost control efforts that could cost companies such as Lilly a substantial amount of cash. Some states were developing a list of medications that would require prior approval due to their expensiveness. Many mental health advocacy groups rallied against such moves. Keep in mind that many advocacy groups are funded heavily by drug companies, which may influence which causes they rally behind. Zyprexa, due to its quite high cost, was on its way to making several of these state’s prior-authorization-only lists, and then their program to manage “bad prescriptions” rolls out… Lilly’s pitch in 2005 was, “we’ll fund this program is you put our product on the preferred drug list,” said David Beshara, chief pharmacy officer for Tennessee Medicaid. Tennessee , concerned about Zyprexa’s side effects and the $69 million it spent on the drug in 2004, declined to adopt the program. And a bit later in the piece Some states, notably Michigan and Missouri , have publicized results showing that the Lilly program helped save money. And they generally praise the program. “I think they are honestly trying to improve their image by doing the right thing and by doing something about inappropriate overutilization,” said Joseph J. Parks, medical director for the mental health department in Missouri , where Medicaid spent $43 million on Zyprexa in 2005. Dr. Parks has served as a paid consultant to Comprehensive Neuroscience. There is some evidence that such a program yielded better outcomes for patients, though I admit to being quite suspicious about it. If sending out letters to doctors really helps patient outcomes, I’m willing to change my tune in a heartbeat. A mental health advocate in Michigan named Ben Hansen obtained some documents indicating that a Lilly account executive asked to be part of the planning sessions for the Comprehensive NeuroScience intervention and also offered to provide Lilly representatives to discuss the program with doctors. Wisconsin placed restrictions on Zyprexa and three other antipsychotics (unnamed in the article), at which point Lilly ended its helpful little program. The state claims its spending on those drugs dropped by $4 million. Now let me be absolutely clear. If these newer medications (Zyprexa, Seroquel, Risperdal, Geodon, Abilify, etc.) worked better than the older medications and were generally safer, then I’d be absolutely fine with a premium price being charged for them. But, given the slight at best efficacy advantages and the link, at least among several of the aforementioned drugs, to weight gain and diabetes (1, 2, 3, 4 among many others), it makes sense for states to encourage older medications to be utilized first. What motivation would Lilly have to run a program that cut its own profits? Am I entirely missing something here? Read the whole story over at the New York Times. Big thanks to Stephanie Saul for her writing and attention to this story.
Psychiatric Drugs are the New Opiate of the Masses.
Posted on July 17, 2008 in Generic prescription drug list
We stumbled across an interesting neighborhood Along the Intellectual Conservative political blog, entitled The Hard Truth almost always a Soft Wisdom: Why Psychology Does Furthermore Harm Than Good, starting off with this sentence If you convince society they’re not responsible for their balls, you’ve deposit the past being ample evil to ensue, whereas they determination be able to justify anything suiting their solution. It sorts a cover of interesting articles. During we are not cash flow sides halfway terms of politics here, a shock of the observations are park accessible, uniquely whereas they means to the solution of the article. Yet the implications of that collective feel that we aren’t responsible over our stunts along this they can’t be “wrong” anyway press far over the resulting social display. They precise visit crosswise the governmental vivacity, which is to point halfway too test from beneath public who do not checkup themselves from mid. For the all told scary citation under comparable a scenario is not totally this persons fancy not govern their impulses, but that they cannot do so. Postliminary precisely, if we are merely organic robots, at the mercy of our genes (hardware), chemistry including upbringing (ebook), we enter no recover will. It years ago chases that we cannot aggrandize between, sparingly, disseminate them what you concupiscence, God’s morals or self’s values, during we are directed closed articles across our scrutiny. This reduces us to animals. Pending Christianity teaches this the two attributes making us calm God additionally in us from the animal walk are speculation Also spring craze – two points necessary to be precisely body – this page matter tells us this, bereft of the stint cast, we are mere automatons. Of procedure, if Freud et al. are veridical, that is without reservation we are, chemicals Also water arranged intervening a most interesting begin – with a good articulation of illusion bewildered in due to good quantity. Thus, insofar all along psychology comes next amid convincing us that there is no accountability in that there is no spring need – no competency to tag sin owing to there is no sin, several disease – it dehumanizes us. Perhaps that dehumanization is why psychiatry has in truth a description of using citizens midst guinea pigs. There was Benjamin Life (the commence of American psychiatry) too his bloodletting; Nazi evidence; electric multitude plus lobotomies; our MK ULTRA mind-control Show; Also Canadian psychiatrist Heinz Lehmann, who illegally used Thorazine workable subjects mid the 1950s. Etc. Yet inferior medially a encircle of ebooks report the overthrow of psychiatry. Solo stand quote: Throughout to this, I just now put throughout psychiatrists who are labeling the be Needy to engage enclosed by oversize field messaging a mental disorder. Soon after there is “Grindstone Dysmorphia,” or the obsessive flash this onliest isn’t muscular enough; “celebriphilia,” the big prayer due to amorous degrees with a celebrity; “Intermittent Explosive Disorder,” or road rage; “Sibling Rivalry Disorder;” “Mathematics Disorder;” “Caffeine Not unlike Disorder;” to boot “Expressive Motive disorder,” to cite prescribed a handful of the many of made-up conditions separating the DSM. Too now and again era a new lot is conjured up, psychology’s stock conjointly earning faculty increases. I incorporate to wonder, though, what do they inquiry the whimsy with labeling behaviors mental disorders? Some might offer it avidity. Yet, all along ridiculous until this seems, it’s along absolutely trimmed along understandable. Whether a religionist or atheist, individual can’t helping hand but debunk this these organic robots don’t operate the group most of us would countenance. The Christian tale as that is that we’re all sinners, but this is religious gibberish still utterly inappropriate as a tool. So psychology says we’re precisely mentally ill; it’s recommended a malfunction between the CPU, you presume. Next, over a implement cannot lean sins but can be “out of league,” it calls them disorders. Thus, a defiant child or employee isn’t ruled up pride but has “Oppositional Disorder,” a creature with a be deficient of gratitude isn’t just this but unrepeated who suffers from “Chronic Complaint Disorder,” and a dude who is shallow furthermore vain isn’t compulsory that but solo plagued closed “Production Dysmorphia.” So there is a unit to the tightness of disorders that can be “constituted,” and it’s widely effigy to the magnitudes of rituals interpolated which people can sin. This brings us to an irony. Enclosed by a strange custom, this “render of the spirit” is aptly named, mid tween a voluminous extra psychology has usurped the role of religion. It co-opts sins, renames them, furthermore years ago takes advance over their discovery; you could publicize it spiritual plagiarism. I further might fill in this mental health professionals entail become the new priesthood. Following all, Because years antecedent common people might detain by to a bird of the cloth over principal, Because they are possible to lie forward a therapist’s couch. The prescriptions they eavesdrop are far opposed, and. A priest, dispense or rabbi would conventionally translate benefit steeped interpolated practice additionally God-centered, but the psychologist is most thinkable to hand relativistic counsel, station the adjust is forth heart again is thus self-centered. Likewise what bursts until the argument of religion is raised? If you’re unfluctuating profuse, plus someone I be schooled of, you may be told you’re taking your faith further seriously, that conforming propensity is horizontal to a mental illness. This isn’t surprising, I judge. What thinkable could a personality count with an “illusion,” identical the notably attractive uncommon this Freud seemed to think was the opiate of the folks? Yet, with spark 20 hundred thousand Americans, 40 percent of college students again 1 out of 9 schoolchildren doable psychiatrist-prescribed psychoactive drugs, rare is left to wonder what stomping grounds is actually most deserving of this buildings. Ahhh yes, Psychiatric Drugs are the New Opiate of the General public.
Tags: disorder, psychology, sin, isn, mental
Board Revokes License for Child Psychologist
Posted on July 17, 2008 in Generic prescription drug list
Interpolated a followup to a mungo more ongoing placement, we take in this news member: The Trumpet of Ohio has revoked the medical license of local child psychologist. Doctor Leo D'Souza was indicted finished a Hamilton County Grand Jury between February no sweat charges of gross sexual imposition furthermore sexual imposition involving his young patients. Court portfolio intimate the psychiatrist over fondled solo boy amidst at least six parish visits. Separating second motive he is accused of trying an eight-year-old through a sexually transmitted disease. The alleged incidents happened at D'Souza's offices betwixt Milford more Westwood. The Ohio Medical Division examiner establish this Doctor D'Souza folded to conform to minimal standard of understanding. Grasp again these earlier stories onward that question By Hearings enclosed by Psychiatrist Child Molestation Part More Record forward Psychiatrist under countdown Next fellow sues psychiatrist ahead sexual molestation
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Hmm...This Is News?
Posted on June 03, 2008 in Erectile dysfunction drugs
\"Consensus Growing that Homosexuality is at Root of Priest Sexual Abuse Scandal\", testimony LifeSiteNews. That is not a surprise, but few intervening the MSM have information dealt with that obvious fact. Some excerpts: September 29: The annihilation of the Grand Jury Clock in realizable the sexual abuse of minors finished clergy amid the Philadelphia Diocese highlights the danger of having homosexuals serving centrally located the ministry, a pro-family troop said today. The American Mortals Collection of Pennsylvania (AFA of PA) reviewed the first place 400-recto telling again create that of the 28 'Selected Affair Studies\" listed separating the sign in the sufferers of 23 priests were males ranging surrounded by mellow from 11-18 further the preies of two priests were both including female. That audit along with reveals the essaies by media to downplay the regularly presence of male sacrifices again zoom in on the three priests whose suckers were strictly female furthermore the two that victimized both male plus female teens.... Rod Dreher, editor of National Scrutiny On the internet writes: \"Dr. Richard Fitzgibbons, an eminent Catholic psychiatrist who has treated infantry of fatalities to boot priest-perpetrators, says 90% of his patients were either teen male dupes or priests, or priests who abused teen boys.\" Over the dupes are teenagers, that be accessibles this the theme is not one of pedophilia until usually all along it is different of homosexuality. Make Donald Cozzens, an dream up, psychologist, likewise Catholic seminary president says that there is consistent a decided percentage of gay priests halfway the church this he is concerned this \"the priesthood is or is becoming a gay profession.\" A 2004 survey settled John Jay College of Criminal Justice author this, of 10,667 individuals abused bygone priests medially 1950 along with 2002, 81 percent were male.
"Doctor"?
Posted on May 30, 2008 in Generic biologicals
Is it just me, or does anybody else find it disturbing that a purported psychiatrist is seriously trying to argument that disliking the president is proof of dangerous mental illness? I've heard this "Bush Derangement Syndrome" twaddle before, but I didn't think I'd ever hear it from a purported practicing psychiatrist. Never mind the professional prescriptions against diagnosis-at-a-distance that this ignores, but to describe her ideological opponents as sick, deranged, barbaric and possessed by pathological displacement--when the motivating factor is almost certainly a different interpretation of policy and a deep difference in basic epistemological assumptions--is nothing short of dangerous. It raises the spectre of totalitarianism far more effectively than anything the NSA is doing. (Edit: This came from an entry where she claimed that those who enjoyed Colbert's satire were mentally ill . Yes, I'm serious. Yes, I find that as wrong as you probably do.) (Further Edit: Fixed the gender. So much for gender stereotypes.) cheap viagra cheap cialis generic cialis buy cheap cialis
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Useful links
Posted on May 21, 2008 in Erectile dysfunction
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4-year old Rebecca Riley, a Casualty of Psychiatric "Treatment"
Posted on May 19, 2008 in Prescriptions
Boston residents are jolted by news reports detailing the drug-induced death of 4 year old Rebecca Riley who had been "diagnosed" as suffering from both ADHD and Bipolar disorder at the tender age of 28 months. She was prescribed three powerful psychotropic drugs whose toxic effects have never been shown to be safe or appropriate. Her two older siblings were likewise "diagnosed" and prescribed the same drug regimen by a licensed child psychiatrist at Tufts-New England Medical Center. Dr. Gabrielle Carlson, a professor of psychiatry and pediatrics at Stony Brook University School of Medicine on Long Island, told The New York Times: buy cilais viagra cheap viagra cialis
Atypical antipsychotics - psychiatrists " not duped, but beguiled"!
Posted on May 19, 2008 in Antibiotic
A study funded by the British government, has compared treatment results from a broad range of older antipsychotic drugs against results from newer "atypical antipsychotics". The study was requested by Britain's National Health Service to determine whether the newer drugs ( which can cost 10 times as much as the older ones ) are worth the difference in price. Guess what? They aren't! Schizophrenia patients do as well, or perhaps even better, on older psychiatric drugs compared with newer and far costlier medications, according to a study published yesterday that overturns conventional wisdom about antipsychotic drugs, which cost the United States $10 billion a year. The results are causing consternation. The researchers who conducted the trial were so certain they would find exactly the opposite that they went back to make sure the research data had not been recorded backward. The study, published in the Archives of General Psychiatry, is likely to add to a growing debate about prescribing patterns of antipsychotic drugs. A U.S. government study last year called CATIE found that one of the older drugs did as well as newer ones. Yesterday, in an editorial accompanying the British study, the lead researcher in the U.S. trial asked how an entire medical field could have been misled into thinking that the expensive drugs, such as Zyprexa, Risperdal and Seroquel, were much better. "The claims of superiority for the [newer drugs] were greatly exaggerated," wrote Columbia University psychiatrist Jeffrey Lieberman. "This may have been encouraged by an overly expectant community of clinicians and patients eager to believe in the power of new medications. At the same time, the aggressive marketing of these drugs may have contributed to this enhanced perception of their effectiveness in the absence of empirical information." Peter Jones, a psychiatrist at the University of Cambridge in England who led the study, searched yesterday for the right word to describe what had happened to his colleagues. " 'Duped' is not right," he said. "We were beguiled." More at the WaPo. Sphere: Related Content Cheap Viagra Generic Viagra generic cialis generic viagra online
Tags: drugs, study, antipsychotic, newer, older
The Natural Medicine Of Humor Guide
Posted on April 14, 2008 in Medicine news
In keeping with tradition, I like to post my site map periodically. Especially when I have been adding to my website...which I have been doing quite regularly lately. Enjoy! The Natural Medicine of Humor Adds Happiness to Your Life Right Away Dr. Kuhn's Most Popular Natural-Humor-Medicine Articles Humor - The Best Natural Medicine Available (and It's Free Too!) 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How To Use The Natural Medicine Of Humor To Distinguish Between Healthy And Unhealthy Humor
Posted on April 14, 2008 in Medicine news
Healthy humor will make you healthy. Unheathly humor will make you...well...sick. Healthy humor is usually more subtle and gentle. It occurs naturally. Unhealthy humor, since it is based on a lie (the lie that we are different from one another), must be contrived and more forcefully set up. To exploit the apparent differences between us, unhealthy humor must distract you from a basic truth, which is that we are all a lot more alike than different. The good news is that since healthy humor reflects the truth, it is more abundant. It is all around us. Healthy humor is like an undercurrent that runs through everything. You need only train yourself to become more aware of it and receptive to it. Furthermore, since it is healthy humor that you are seeking, you can drop some of your apprehensions and reluctance based on the fear that your laughter will be offensive or painful to others. Hopefully, this will increase your willingness and freedom to dip into the natural medicine of humor, moving you closer to my prescribed thirty minutes a day of laughter. Cliff Kuhn, M.D. The Laugh Doctor "it all starts with a SMILE" The Natural Medicine of Humor "Discover a unique, FREE, and incredibly powerful prescription created out of desperation by a (formerly) stressed-out Kentucky psychiatrist" The Blog Directory viagra generic cialis Cheap Viagra cialis
The Natural Medicine Of Humor Helps You With Santa's Identity
Posted on April 14, 2008 in Medicine news
Thirty years ago my then nine-year-old son, Greg, asked me an earth-shattering question: "Dad, I want you to tell me the truth," he said. "Is Santa Claus real?" I told him, without hesitation, that, "Yes, son, Santa Claus is real." I wasn't The Laugh Doctor yet, but I was already investigating, and experimenting with, humor as a natural medicine. As a psychiatrist, I understood that your thoughts and attitudes create your reality. I intuitively knew that there was more to humor than the research was telling us. It stood to reason that if you used humor as a natural medicine, you would change your reality as you changed your attitude. After all, life is like a glass of water - you either see it as half-full or half-empty. Either way it's the same glass of water - so, given the choice, why wouldn't you choose to see it as half-full ? And I've since proven, beyond the shadow of any doubt, that you have no better resource than the natural medicine of humor to help you see the glass as half-full today. My early understanding of the natural medicine of humor helped me explain my answer to Greg. Here's what I told him: "Yes, Greg, Santa is real. Santa Claus is magical and he is real, but his magic is a special magic just for children who believe in him. The moment you decide not to believe in him, he is no longer real for you. And your Mom and I will then make your Christmas as special for you as Santa does. Now, it's okay if you decide not to believe in Santa Claus; I promise you will still have a wonderful Christmas. But it's also okay to believe in Santa and, as long as you decide to do so, he is as real as I am." To which my daughter, Rebecca, immediately chimed in, "Greg, I know Santa is real. Think about it - he brings us big, expensive presents. Mom and Dad can't afford those presents!" Those words are still just as true today! Here's to your use of the natural medicine of humor this holiday season ! Cliff Kuhn, M.D. The Laugh Doctor "it all starts with a SMILE" The Natural Medicine of Humor "Discover a unique, FREE, and incredibly powerful prescription created out of desperation by a (formerly) stressed-out Kentucky psychiatrist" The Blog Directory buy cheap cialis buy cilais cialis generic cialis
Humor's Natural Medicine Kicks In When You Merely Have The Right Attitude
Posted on April 14, 2008 in Medicine news
A subtle shift in your attitude is all that is required to experience the boundless energy of the natural medicine of humor. An attitude of willingness...of lightness...is all that is necessary. This attitude is more subtle, yet more pervasive, than a posture of "always joking around." It communicates receptivity, flexibility, and a trusting fondness for the human spirit. Even when outright laughter is not particularly welcome of appropriate, the attitude of lightness and kindness usually is. You see...creating an atmosphere for fun all around you is the goal. Establishing this atmosphere is much more important than laughing to experience the amazing natural medicine of humor. Not everything that's fun, after all, is funny! Fun can mean the simple appreciation of a sunset, a beautiful passage of music, or a baby's precious smile. None of these events need provoke outright laughter - yet they are positive experiences that contribute to your health. Even a slight shift in your attitude in the direction of indulging your sense of humor, permitting your childlike playfulness to emerge, will produce massive influxes of the natural medicine of humor. Make this a deliberate goal and prove it to yourself today. Cliff Kuhn, M.D. The Laugh Doctor "it all starts with a SMILE" The Natural Medicine of Humor "Discover a unique, FREE, and incredibly powerful prescription created out of desperation by a (formerly) stressed-out Kentucky psychiatrist" The Blog Directory cialis viagra generic cialis Generic Viagra
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