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Pastimes : Clown-Free Zone... sorry, no clowns allowed -- Ignore unavailable to you. Want to Upgrade?

To: baggo who wrote (97201)	4/22/2001 11:13:27 PM
From: Ilaine	Read Replies (2) \| Respond to of 436258

Hi Brice, how's it hangin'? Well, let's see, now, why have you interjected yourself into the conversation? You're an anesthesiologist, which means you went to med school. Have you cracked a book since then? Keep up with your ethical and legal obligation to stay abreast of the advances in your profession? Just curious. Hope you got a lot of insurance and are really, really careful, because if not, me and my buddies are out there just circling like sharks, ready to take you down.;^) Money can't ever compensate them and their families for the devastation you cause when you screw up, but that's all we've got. Think of it as blood money. You screw up, you pay. As for me and the aspirin, I get my info from the NIH and the CDC. Not from anesthesiologists who have nothing better to do than hang out on Internet stock threads. Now run along, please, the grownups are talking about grownup things. >>Unnecessary prescriptions for NSAIDs or other drugs were written during 41.7% of visits. . . . . Each year, 70 million prescriptions for nonsteroidal anti-inflammatory drugs (NSAIDs) are dispensed in the United States (1), 20 million are dispensed in Great Britain (2), and 10 million are dispensed in Canada (3). The widespread use of NSAIDs has raised concerns because these drugs have substantial gastrointestinal side effects. Studies done in Canada, the United States, Australia, and Great Britain have shown that NSAID use increases the risk for hospitalization and death from gastrointestinal bleeding and perforation (4-16). Each year, use of NSAIDs accounts for an estimated 7600 deaths and 76 000 hospitalizations in the United States (17) and 365 deaths and 3897 hospitalizations in Canada (12, 18, 19). One percent to 3% of NSAID users will have gastrointestinal bleeding (20), and 26% will be prescribed antiulcer therapy (11, 21). Treatment of NSAID-related gastrointestinal side effects accounts for one third of the cost of arthritis therapy (11). Older age, history of peptic ulcer disease, higher NSAID dose, and concurrent use of corticosteroids and anticoagulants increase the risk for serious gastrointestinal side effects (5). Almost all deaths from NSAID-related gastrointestinal side effects occur in elderly persons (2); elderly women seem particularly susceptible . . . . Physician surveys conducted in the United States and Great Britain indicate that 4% to 42% of physicians are unaware of the side effects of these drugs.<< acponline.org