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Medical Forum / General / Cardiology / November 2004

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Plavix (is my doctor a quack?)

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Phillip - 27 Nov 2004 23:38 GMT
My cardiologist put me on a whole array of medications including
Plavix after an angioplasty and stint insertion.  They included blood
pressure meds, high cholesteral meds, asprin and Plavix.  I told him
after my first follow up that I didn't want to be on the medications
because I hate taking drugs as I figure they mess your system up and I
don't have high blood pressure or high cholesteral.  He checked my
charts and said..."I'll be darned your cholesteral is great and your
pressure is nothing to be concerned about but we do give everyone that
has this procedure this basic med package."  I told him again that I
didn't want them and he took me off but kept me on Plavix and asprin
of which he said I would probably be on "FOR THE REST OF MY LIFE!".
From what I have read Plavix should only be neccessary for 3-6 months.
I have been taking them for one and one half years and I have
developed terrible nose bleeds and bruise very easy.  I am 43 and in
very good health and with the exception of the blood clot in my heart
that started all this I never get sick..not even colds.  I no longer
see him because he sent me to collection because I couldn't pay my
total bill.  So I think I am going to stop taking the Plavix and stick
to asprin and B-Complex as well as fish.  Does anyone offer any
suggestions or advice or have any information about treating heart
condition with nutrition?  Thanks
Dr. Andrew B. Chung, MD/PhD - 27 Nov 2004 23:50 GMT
> My cardiologist put me on a whole array of medications including
> Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 17 lines]
> suggestions or advice or have any information about treating heart
> condition with nutrition?

There is no nutritional replacement for either aspirin or Plavix.
Sorry.  (No, your cardiologist is not a quack.  Many newer stents do
require longer or even an indefinite time on Plavix).

> Thanks

You are welcome.

All praises belong to my heavenly Father, Whom I love with all my heart
soul, mind and strength :-)


Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
Phillip - 28 Nov 2004 04:00 GMT
> > My cardiologist put me on a whole array of medications including
> > Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 48 lines]
> Is this spam?
> http://makeashorterlink.com/?N69721867

Dr. Chung.  Thanks for replying but could you expound on what
conditions might call for being on Plavix for an entire lifetime when
most people that are prescribed take it for only a few months?  I did
read on one of your posts that nutrition could be an alternative to
taking medications.  I have also read how asprin can be just as
effective as a blood thinner for treating what ever it is that causes
blood clots.  I have no cholesteral problem.  What does cause blood
clots?  I hope I didn't offend you with the referance of my doctor
being a quak.

Thanks for anything you can offer in depth.
Bill - 28 Nov 2004 04:51 GMT
>> > My cardiologist put me on a whole array of medications including
>> > Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 59 lines]
>
> Thanks for anything you can offer in depth.

I'm not Dr. Chung, but I'll tell you what little I know. I'm sure he can offer
you a better answer.

One answer is that studies have shown that the two together do a better job.
For example,

http://www.firstcoastnews.com/health/articles/2002-11-18/bloodthinner.asp

Another answer is that chemically they work differently to achieve the same
result. So the effect is, in a sense, additive.

I don't know why the time period has been extended beyond a year. It would
seem to me that a drug eluting stent becomes equivalent to a bear metal stent
after 2 months or so. I'm curious about that also. But I have heard that is
now the practice.

Bill
Barry - 28 Nov 2004 06:59 GMT
Hello Phillip,
                   I have'nt much to add except that platelet aggregation can
cause problems with stents (ie clog them up). I had a stent implanted in my left
carotid artery, and was on warfarin,aspirin and plavix for about 9 months, when
they dropped the plavix. Originally I was told that I would be on it a long
time, and I don't know why the change of mind. Two years on I still take
warfarin (because of atrial fibrillation), and the aspirin, presumably to stop
the platelets getting too friendly around the stent. I have had no problems with
these drugs although on occasion the warfin dose needs adjustment. I don't think
there are hard and fast rules regarding this sort of problem : at one point the
vascular surgeon who inserted the stent thought differently from my cardiologist
about the anti-coagulation regime. This did not cause me to lose faith in either
of the medicos - in fact I appreciated their input into the problem.
Regards, Barry.

> > > My cardiologist put me on a whole array of medications including
> > > Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 59 lines]
>
> Thanks for anything you can offer in depth.
Dr. Andrew B. Chung, MD/PhD - 28 Nov 2004 12:41 GMT
> > > My cardiologist put me on a whole array of medications including
> > > Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 51 lines]
> conditions might call for being on Plavix for an entire lifetime when
> most people that are prescribed take it for only a few months?

(1) Drug eluting stents (especially when there is suspicion of
incomplete or no endothelialization).

(2) Brachytherapy.

(3) Cerebrovascular disease especially in the setting of TIAs.

>  I did
> read on one of your posts that nutrition could be an alternative to
> taking medications.  I have also read how asprin can be just as
> effective as a blood thinner for treating what ever it is that causes
> blood clots.  I have no cholesteral problem.  What does cause blood
> clots?

Rupture of atherosclerotic plaques.

> I hope I didn't offend you with the referance of my doctor
> being a quak.

You didn't.

> Thanks for anything you can offer in depth.

You are welcome.

All praises belong to my heavenly Father, Whom I love with all my heart,
soul, mind, and strength :-)

May God bless you on this Lord's day, dear Phillip whom I love, in
Christ's holy name.


Servant to the humblest person in the universe,

Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
oreo123 - 28 Nov 2004 00:21 GMT
I too was placed on plavix after 3 stents installed a couple of months ago.
I was told that it was for keeping clots off the kind of stent used.

I was already on aspirin, toprol, folic acid, lipitor, lisinopril from heart
attack 3 years ago. Total chol was around 114 and other numbers were just
fine in checkup 2 months ago.

What I cannot understand is how I tossed a clot into brain and had a stroke
2 weeks ago. Have regained left side of body but still have double vision.
On even more meds now - cumodin...

Never thought that the heart condition would cause a stroke too. Oh ya 53
y.o. male with no family history of this stuff. Non smoker. Not overweight
either.

Who knows what the long term affects of these drugs are???

Oreo

> My cardiologist put me on a whole array of medications including
> Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 17 lines]
> suggestions or advice or have any information about treating heart
> condition with nutrition?  Thanks
Ed Mathes - 28 Nov 2004 01:16 GMT
Are you blaming your stroke on the medications?

How do you explain the coronary artery disease requiring angioplasty and 3
stents?

> I too was placed on plavix after 3 stents installed a couple of months ago.
> I was told that it was for keeping clots off the kind of stent used.
[quoted text clipped - 36 lines]
> > suggestions or advice or have any information about treating heart
> > condition with nutrition?  Thanks
outrider - 28 Nov 2004 06:00 GMT
{Top posting to follow Oreo's choice.}

But this is terrible. Why are we given these drugs if they prevent
nothing? You had a heart attack. THEN you were put on drugs which
presumably were meant to prevent further incidences, only to have
another incident requiring three stents installed, and THEN a stroke
from a blood clot in the brain.

What did the meds--aspirin, toprol, folic acid, lipitor, lisinopril,
which all surely must have devastating side effects--do apart from
enriching the coffers of their respective pharmas?

I am so sorry these things have happened to you. You deserve better. We
*all*
deserve better.

Zee

> I too was placed on plavix after 3 stents installed a couple of months ago.
> I was told that it was for keeping clots off the kind of stent used.
[quoted text clipped - 36 lines]
> > suggestions or advice or have any information about treating heart
> > condition with nutrition?  Thanks
Ed Mathes - 28 Nov 2004 14:09 GMT
Where in his post did he describe "side effects"???

Where did he mention stroke?  I think you are mixing up the posts of Phillip
and Oreo123.

The problem with all these posts is lack of information.  We have no idea
what their medical history is, their blood pressure, their weight, smoking,
diabetes, peripheral vascular disease, other risk factors.  Did he take the
medication as prescribed?  What was the result of that treatment?  Was his
blood pressure at goal?  Cholesterol reduced?  Did he have carotid stenosis?
Atrial fibrillation?  Cerebral aneurysm?  Did he flip a clot, pop a plaque,
dissect an artery, or have an aneurysm leak?

How old is Phillip?  Oreo123 says he is 53.....you are trying to undo a
something that took a lifetime to occur in just a couple months.

Having a heart attack then being treated kind of puts the cart in front of
the horse, don't you think?  How about trying to prevent the heart attack to
begin with?

Secondary Prevention Trials with specific statins show they reduce
events.....REDUCE not eliminate.  Trials with specific ACE inhibitors show
they REDUCE, not eliminate events.  Trials with BETA BLOCKERS show they
REDUCE, not eliminate events.  Exercise, weight loss, diet, blood sugar
control, blood pressure reduction, cholesterol control, all REDUCE, not
eliminate risk of events (re: Jim Fix).

Zee, heads up...not everyone who takes a specific medication has
"devastating side effects"......

Ed
> {Top posting to follow Oreo's choice.}
>
[quoted text clipped - 13 lines]
>
> Zee
listener - 28 Nov 2004 16:21 GMT
This is just Debbie Downer's style. If she can save *one* person from
having devastating side effects, then her job is done. (I used to refer
to her posts as a "crusade"). Unfortunately, her zeal to enlighten blinds
her to the reality that some of these medicines actually do *help* people
and the statistical significance of serious side effects is extremely
small.

You raise a very good point: newsgroup medical diagnosis, especially by
laypeople, is a dangerous venture.

L.

> Where in his post did he describe "side effects"???
>
[quoted text clipped - 45 lines]
>>
>> Zee
outrider - 28 Nov 2004 18:44 GMT
> This is just Debbie Downer's style. If she can save *one* person from

> having devastating side effects, then her job is done. (I used to refer
> to her posts as a "crusade"). Unfortunately, her zeal to enlighten blinds
> her to the reality that some of these medicines actually do *help* people
> and the statistical significance of serious side effects is extremely

> small.
>
> You raise a very good point: newsgroup medical diagnosis, especially by
> laypeople, is a dangerous venture.
>
> L.

You are on record here as saying you began using statins in 1995. In
2001 you had your first episode of heart arrythmia.

Drug Warnings :

http://tinyurl.com/5uyd5

Adverse cardiovascular effects reported in patients receiving statin
therapy include chest pain, hypertension, and angina pectoris.
Palpitation, vasodilation, syncope, postural hypotension, peripheral
edema, and arrhythmia have been reported ... . /HNG-CoA reductase
inhibitors/
[McEvoy, G.K. (ed.). American Hospital Formulary Service- Drug
Information 2002. Bethesda, MD: American Society of Health-System
Pharmacists, Inc. 2002 (Plus Supplements).1763]**PEER REVIEWED**

> > Where in his post did he describe "side effects"???
> >
[quoted text clipped - 45 lines]
> >>
> >> Zee
outrider - 28 Nov 2004 16:53 GMT
{Top posting to follow Ed's preference.}

Oreo said he had a stroke after he had been taking the medications. We
don't know that the medications lessened or prevented anything. All we
*know* is...he was taking the meds. He had events.

Those meds do indeed have potential for side effect. But presumably
Oreo chose to take risk of those side effects because he hoped they
would lessen or prevent events. Apparently, he rolled the dice and
seven went home with some other guy.

Yes. Oreo could have posted to smc in a rare booze, debauchery and pork
chop free moment. We only know what he's told us. And he's told us he
had normal cholesterol leves and no family risk. He had his heart
attack--one of the more than 50 per cent who do with no risks--and all
the subsequent events with a normal cholesterol level and a truckload
of meds.

Zee

> Where in his post did he describe "side effects"???
>
[quoted text clipped - 44 lines]
> >
> > Zee
oreo123 - 28 Nov 2004 19:10 GMT
Here it is in a nutshell....

No family history of heart disease no stroke. At 49 I had blocked right
coronary artery heart attack... Male, non smoker, 5'8" 180 pounds. Arrived
too late and just cath'd. Placed on lipitor, folic acid, lisinopril, toprol
(originally metoprolol)... Three years later - Sept 04 had stress test and
cath'd. Placed 3 stents. One artery - left side - had gone from 40 to 80
percent blocked in 3 years and was stented. Other stent was from heart
attack which was now closed to 90 percent. Plus another stent downstream.
Was placed on plavix. Then almost 3 weeks ago had a stroke. Had double
vision and then left side went numb. Regained left side - vision is still
double. Placed on cumodin. In hosp they found hole between heart chambers
that 20 percent of us have. They looked at legs for clots and found nothing.

Here are chol numbers before 3 stents installed and before the stroke... Yes
I modified diet intensly but we are not discussing that here. Well yet.
5/28/04 Friday.

B.P. 100 over 64 and heart rate was 56.

Chol 111 <200 mg/dl

Trig 65 <150 mg/dl

HDL-C 42 >41 mg/dl

LDL-C 56 <100 mg/dl

Risk factor 2.6 0-5.1

PSA .43 0 - 4.0 ng/dl

And 4 years ago not fasting these were the numbers...

total 239
hdl is 39

ratio is 6.1

I cannot understand why I had a stroke while being so good with diet and
meds. One more mistake was not having long term disabilty insurance as I am
, well was, self employed.

I had someone tell me yesterday that doctors get a commission from drug
companies for placing someone on drugs. Is that true? Supposedly that was
reported in AARP.?

> {Top posting to follow Ed's preference.}
>
[quoted text clipped - 81 lines]
>> >
>> > Zee
Ed Mathes - 28 Nov 2004 20:48 GMT
You are the exception rather than the rule.

I'd be curious to know your doctor's explanation for all this.

There may be no explanation, although I wonder the role the Septal Defect
played in this.

As for a commission for all the prescriptions I write.....All I can say is
"I wish!"....then I would be worrying how to pay my daughter's college
tuition....

The answer is no, we don't get paid for the prescriptions we write.

Some companies offer a fee to enroll patient's in "studies"...as Zee pointed
out.  I certainly haven't seen any of that cash...

Ed

> Here it is in a nutshell....
>
[quoted text clipped - 128 lines]
> >> >
> >> > Zee
Ed Mathes - 28 Nov 2004 22:55 GMT
The sentence below that begins with "I WISH"  should read:

I wish!"....then I would NOT be worrying how to pay my daughter's college
tuition....

> You are the exception rather than the rule.
>
[quoted text clipped - 150 lines]
> > >> >
> > >> > Zee
outrider - 29 Nov 2004 00:29 GMT
We know Ed we know what you meant. But lessee...you have a couple other
college educations coming up? Don't misplace that elevating pen. Could
become a collector's item, especially if the drug is recalled.

P.S. I think you're beginning to grow on me. Don't want you to
worry....

Zee
Colourin' with Deep Purple

> The sentence below that begins with "I WISH"  should read:
>
[quoted text clipped - 163 lines]
> > > >> >
> > > >> > Zee
Ed Mathes - 29 Nov 2004 01:03 GMT
I am flattered you remembered.....

> We know Ed we know what you meant. But lessee...you have a couple other
> college educations coming up? Don't misplace that elevating pen. Could
[quoted text clipped - 225 lines]
> > > > >> >
> > > > >> > Zee
Dr. Andrew B. Chung, MD/PhD - 29 Nov 2004 00:00 GMT
> Here it is in a nutshell....
>
> No family history of heart disease no stroke. At 49 I had blocked right
> coronary artery heart attack... Male, non smoker, 5'8" 180 pounds.

Here you may possibly be 40 lbs heavier than "ideal."

> Arrived
> too late and just cath'd. Placed on lipitor, folic acid, lisinopril, toprol
[quoted text clipped - 12 lines]
>
> B.P. 100 over 64 and heart rate was 56.

Optimal.

> Chol 111 <200 mg/dl

Optimal.

> Trig 65 <150 mg/dl

Optimal.

> HDL-C 42 >41 mg/dl

Not optimal (> 50 is optimal).

> LDL-C 56 <100 mg/dl

Optimal.

> Risk factor 2.6 0-5.1
>
[quoted text clipped - 3 lines]
>
> total 239

Not optimal.

> hdl is 39

Not optimal.

> ratio is 6.1

What were the triglycerides ?

> I cannot understand why I had a stroke while being so good with diet and
> meds.

Quite possibly underlying metabolic syndrome (MetS) may not have been
addressed.  What have been the values of your fasting blood glucose ?

> One more mistake was not having long term disabilty insurance as I am
> , well was, self employed.
>
> I had someone tell me yesterday that doctors get a commission from drug
> companies for placing someone on drugs. Is that true?

No, it is not true.

Supposedly that was
> reported in AARP.?

AARP is not a news agency.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
JD Howell - 29 Nov 2004 00:08 GMT
Chungy boy is a quack and not even a real doctor... ANYMORE, not even on tv.
You should run from anything he has to say. Chungy boy and his advice will
get you in big trouble......

> > Here it is in a nutshell....
> >
[quoted text clipped - 93 lines]
> Is this spam?
> http://makeashorterlink.com/?N69721867
Dr. Andrew B. Chung, MD/PhD - 29 Nov 2004 01:47 GMT
> Chungy boy is a quack and not even a real doctor... ANYMORE, not even on tv.
> You should run from anything he has to say. Chungy boy and his advice will
> get you in big trouble......

It seems you are yet another Bob Pastorio wannabe (rolling eyes upward).

May God continue to give me strength in Christ's blessed name.

Amen.

It is written in Ephesians 2:

10For we are God's workmanship, created in Christ Jesus to do good
works, which God prepared in advance for us to do.

All is a waste of time until you find the way to eternal life with the
Creator of the universe.  When you do, there is no waste of time because
there will be an infinite amount of it.  Walking about aimlessly
thinking it is *your* time, *your* money, *your* lot, *your* labor,
*your* profit, and *your* power that you are using is tantamount to
self-worship.

For Christ lights up the way through John 14:

6Jesus answered, "I am the way and the truth and the life. No one comes
to the Father except through me..."

This bring us back again to the following very simple decision tree for
the untruthful folks such as yourself, neighbor, who have chosen to walk
in the "dark":

(1) Accept Christ.
Risk: Nothing.

Benefits: Salvation, purposeful life, eternal life, unimaginable riches
in God's eternal kingdom.

(2) Reject Christ.
Risk: Eternal separation from God.  Eternal torment of your soul by
satan.

Benefits: Nothing.

Again, one has to conclude that those (ie you, Carey, Steve, Bob, Zee,
Frank, Hawki, Rolando, Don et al) who would reject Christ have not
thought out their decision *logically*.

Would suggest you cast a glance at Bob Pastorio as a special example of
untruthfully eloquent self-worship (BTW, Bob remains in my prayers out
of Christian love) who is being driven to madness by my ignoring him
(http://makeashorterlink.com/?V29A236C9 and more recently
http://makeashorterlink.com/?V25D312E9).  All this power belongs to God
who has judged Bob Pastorio with His Word
(http://makeashorterlink.com/?G33F51E69). All praises to Him, Whom I
love with all my heart, soul, mind, and strength :-)

You will be in my prayers, dear neighbor whom I love, in Christ's holy
name.

May you accept Christ as your personal Lord and Savior, someday, so that
you too will escape satan's rule and torment of your soul after you die.

Please do consider the following as your logic should dictate before it
is too late:

http://makeashorterlink.com/?I22222129

(Please note that God truly made this special link describing that He is
the great "I am" and that His message is as simple as the number 2 which
is a number between 1 to 9 and reminds us of His 2 commandments, the 2
arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the
Prince of Peace [who remains *V*ictorious over death and satan], and the
2PD Approach.  Let it not ever be written that Christ did not make His
presence known here on Usenet :-)

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
Who is the humblest person in the universe?
http://makeashorterlink.com/?L26062048

What is all this about?
http://makeashorterlink.com/?R20632B48

Is this spam?
http://makeashorterlink.com/?N69721867
Bob (this one) - 29 Nov 2004 08:09 GMT
>>Chungy boy is a quack and not even a real doctor... ANYMORE, not even on tv.
>>You should run from anything he has to say. Chungy boy and his advice will
>>get you in big trouble......
>
> It seems you are yet another Bob Pastorio wannabe (rolling eyes upward).

Roll whatever you want, fraud-boy. The world has spotted you for the
sanctimonious fake you are. Your OCD Scrupulosity (google it) and your
open hatred *prove* your falsity and your dementia.

Your endless lies mark you for the condemnation of God who abhors
malicious cranks bearing false witness.

Have a lovely day.

Bob
outrider - 29 Nov 2004 09:08 GMT
> Here it is in a nutshell....
>
[quoted text clipped - 42 lines]
> companies for placing someone on drugs. Is that true? Supposedly that was
> reported in AARP.?

Yes pharma gives "gifts" to physicians who presecribe their meds.
Office equipment, from pens to computers, trips to the local watering
hole and the Bahamas, and pay huge consultancy fees for their
"rent-a-quote" doctors to go on speaking junkets and author cholesterol
guidelines which make patients out of us all.

An article from AARP on The Truth About the Drug Companies the former
editor of the New England Journal of Medicine. Available through
Amazon.com

http://www.aarp.org/bulletin/prescription/Articles/a2004-09-13-drugmakersdope.html

http://tinyurl.com/552lj

~~~~~~~~~~~~~~~~~~~~~~~~

And from www.nofreelunch.org

THE BULLSHIT PARADE

Subject: You missed the biggest problem
Date: Sat, 27 Nov 1999 18:53:51 -0600
From:  <xxxx@wt.net>
To:    <justsayno@nofreelunch.org>

The worst problem with drug promotion lies not with the sales reps but
with industry-funded research. I personally witnessed the excesses for
8 years while on the faculty of a major medical school. This operates
at several levels.

First, one must understand that in academics teaching is like catching
fly balls and publishing is like hitting home runs. They didn't pay
Hank Aaron for his fielding. It isn't just the publishing and reflected
glory to the institution that drives academicians to do research. The
institution takes a cut of every grant, whether it's industry money or
an NIH grant. The percentages vary, but they are rather large; a $10MM
grant yields several million for the hospital, school, or whatever
institution the grantee works for. Those who bring in grant money have
*power*. What can they get with that power? A raise, a bigger office,
private secretary, less time actually having to teach residents or
touch a patient (when I was in academics it seemed to be a matter of
prestige to *not* carry a pager). Also, although it is difficult to
directly gain monetarily from grant money, one can usually buy a few
new computers or other toys that may find their way home.

Publishing favorable articles leads to invitations to speak at fun
places - all expenses paid - and receive nice honoraria to boot. Yes,
the drug companies fly private practitioners to nice places, but who
are they listening to? Impartial lecturers? No - they are listening to
the drug whores who will say nice things about the product. Some of the
drug whores I met during my own march in the bullshit parade were big
names in the field, including departmental chairmen. Some of the
biggest names in my specialty are, in my opinion, on the take. The
people who really get wined and dined at these meetings are the
"mouthpieces", not the attendees.

One time I was even mailed a lecture, complete with slides to present,
at a sponsored meeting at a very nice resort. When I balked and
insisted on giving my own lecture with my own slides it caused a major
storm. Another time, one of my colleagues asked another colleague to do
the statistics for his drug company data. When the results came back
unflattering he asked if perhaps a different statistical test might be
tried.

If a researcher plays the game well, publishing flattering studies and
giving lots of positive lectures, he might get a real plum: a
"consultant's contract", or a position on the "advisory board". This
can mean tens ofthousands of dollars of income per year for very little
actual work.

Therefore the real danger is in the poisonous influence the private
sector has on the generation of scientifi studies. Bad results and
balanced lectures are not rewarded. Sadly, with the drying up of public
funds for research in the past two decades, academic institutions have
had to rely more and more on private funding. When I graduated medical
school in 1979 medical journals did not require financial disclosure.
Now you see it everywhere - a sad reflection of the influence of
commercial research funding, and the closest anyone will come to
actually admitting we have a serious problem.

When a drug rep buys you lunch you know you are being fed a sales
pitch. The truly insidious aspect of all this is that published
peer-reviewed articles funded by drug companies are usually taken at
face value, and the lectures are given by drug whores (after all, they
are the ones with funding and have written all the articles - they are
the "authority" by virtue of the sheer volume they have published). The
damage done by this misinformation takes years to undo.

> > {Top posting to follow Ed's preference.}
> >
[quoted text clipped - 81 lines]
> >> >
> >> > Zee
Dr. Andrew B. Chung, MD/PhD - 29 Nov 2004 18:10 GMT
> > Here it is in a nutshell....
> >
[quoted text clipped - 61 lines]
>
> Yes pharma gives "gifts" to physicians who presecribe their meds.

There are some companies (pharma) that give "gifts" to physicians in
hopes that these physicians will change their prescribing patterns.
This is not the same as a commission.  This is called marketing.  It
is analogous to getting a free balloon at a grocery store compliments
of a local bank that wants your business. Judge it as you will
(shrug).

You remain in my prayers, dear Zee whom I love, in Christ's holy name.

Hope you have received the book I have sent you by now.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

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Dr. Andrew B. Chung, MD/PhD - 28 Nov 2004 12:41 GMT
> I too was placed on plavix after 3 stents installed a couple of months ago.
> I was told that it was for keeping clots off the kind of stent used.
[quoted text clipped - 5 lines]
> What I cannot understand is how I tossed a clot into brain and had a stroke
> 2 weeks ago. Have regained left side of body but still have double vision.

Would suspect paroxysmal atrial fibrillation.

> On even more meds now - cumodin...

It seems your doctor(s) suspect the same.


> Never thought that the heart condition would cause a stroke too. Oh ya 53
> y.o. male with no family history of this stuff. Non smoker. Not overweight
> either.

Once you have proven yourself to have heart disease, a negative family
history no longer matters.


> Who knows what the long term affects of these drugs are???

Your doctor(s) do.

May God bless you on this Lord's day, dear neighbor whom I love, in
Christ's holy name.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

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liaM - 28 Nov 2004 11:23 GMT
> My cardiologist put me on a whole array of medications including
> Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 17 lines]
> suggestions or advice or have any information about treating heart
> condition with nutrition?  Thanks

check google under "de lorgeril" and also under "mediterranean diet"..
Bill - 28 Nov 2004 11:35 GMT
>> My cardiologist put me on a whole array of medications including
>> Plavix after an angioplasty and stint insertion.  They included blood
[quoted text clipped - 19 lines]
>
> check google under "de lorgeril" and also under "mediterranean diet"..

It may well help in other ways, but I don't think that will help with blood
clotting - unless you perhaps have information to the contrary.

Bill
liaM - 28 Nov 2004 16:16 GMT
>>check google under "de lorgeril" and also under "mediterranean diet"..
>
> It may well help in other ways, but I don't think that will help with blood
> clotting - unless you perhaps have information to the contrary.
>
> Bill

You're right, of course.   Incidentally, what my doc said about plavix,
is that its effectiveness was about the same as aspirin, except that it
doesn't irritate the stomach..
Janis - 29 Nov 2004 04:01 GMT
>They included blood
>pressure meds, high cholesteral meds, asprin and Plavix.  I told him
[quoted text clipped - 16 lines]
>suggestions or advice or have any information about treating heart
>condition with nutrition?  Thanks

I got a stent back in September and its a drug coated stent.  I was told to
take the Plavix for 6 months.  Many stents my regular doctor said only required
1 month of Plavix.  I didn't have high blood pressure so they didn't give me
any high blood pressure medication.  I did have a cholesterol count of 275
though so I have been put on Crestor but that is going to be changed to another
cholesterol medication  shortly because Crestor isn't controlling it properly.
I too hate taking drugs and I worry about what has caused this.  My family
hasn't had a lot of history with heart problems.  

I do think your doctor is a quack or he would have paid more attention to your
tests and not be giving you high blood pressure and cholesterol medication when
you didn't need it.  Time to find a new doc.  

As for this "Dr. Andrew B. Chung, MD/PhD" I have been lurking here lately and I
see him as a troll.  Every newsgroup seems to have a troll and this one has
him.  If he was a real doctor he would be busy out making money and not posting
"How to become a Christian" here.  He would be out saving the world.  

I would say you need to find a new doctor and be checked out.  The heart is a
little scarey to mess with.  

Best of luck to you.
Ed Mathes - 29 Nov 2004 04:19 GMT
Sigh......

The "cholesterol drug and blood pressure drugs" have value beyond their
"indicated" usage.

Statins and ACE inhibitors (a class of blood pressure medications like
enalapril) have anti-inflammatory effects, help stabilize plaque to reduce
risk of plaque rupture, and help improve endothelial dysfunction.

the Heart Protection Study demonstrated benefit regardless of cholesterol
level in diabetics.  PROVE-IT and REVERSAL also demonstrated risk reduction.
REVERSAL, I believe, showed plaque REGRESSION when using 80mg
Lipitor...imagine shrinking those nasty coronary artery clogging plaques....

The HOPE Trial demonstrated risk reduction with the ACE inhibitor Altace
that supposedly goes beyond "mere" blood pressure lowering (the
pleomorphic/"pixie dust" effect).

CURE, I believe, demonstrated using Plavix for up to a year after an
"event".  And, one would think an antiplatelet medication would be needed
after the stent is done elucidating it's medication......

There are other trials........just hit Medscape or similar website and read
them.

As for Chung.....he is a cardiologist in Atlanta I believe (I'll be down
there in a couple weeks).  He is also a born again Christian how is a bit
overzealous but, essentially, harmless.

CRESTOR.....you can't get you cholesterol down using the most potent statin
available today?  You need to find out why....that is "what caused
this"...and a family history is a family history whether it's one or a dozen
relatives.  Diet, exercise....did they at least offer a cardiac rehab
program?

> >They included blood
> >pressure meds, high cholesteral meds, asprin and Plavix.  I told him
[quoted text clipped - 39 lines]
>
> Best of luck to you.
Dr. Andrew B. Chung, MD/PhD - 29 Nov 2004 13:39 GMT
> Sigh......
>
[quoted text clipped - 30 lines]
> relatives.  Diet, exercise....did they at least offer a cardiac rehab
> program?

Would concur with the above (except about being overzealous :-).
Please feel free to give me a call when you are in Atlanta (my number
is on my web site) and perhaps we'll be able to get together, God
willing.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

**
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