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Newsday on statins: cardiologist says muscle pain can be extreme

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  1. When statins cause problems
    http://www.newsday.com/news/health/ny-dscovn3924010aug10,0,5063441.story?coll=ny-health-big-pix

    Side effects of cholesterol-fighting drugs get attention in wake of
    concern about Crestor

    "I think the muscle part of the statins is underappreciated," said Dr.
    Paul Thompson, director of preventive cardiology at Hartford Hospital.

    BY RONI RABIN
    STAFF WRITER

    August 10, 2004

    Eileen Mulvey is a spry 70-year-old who's usually up and down the
    steps to her second floor co-op a dozen times a day. But in February,
    two weeks after she started taking Crestor to lower her cholesterol,
    she couldn't make it up the stairs.

    "My legs were throbbing and I would have to stop midway, and I'd have
    to sit down," said Mulvey, of Oakdale, who stopped taking the
    medication even before her doctor ran a blood test showing she had
    suffered muscle damage from the statin. "This wasn't normal for me. I
    wasn't short of breath - my muscles were screaming.

    "And I'm a very vigorous person," Mulvey added. "For me to be
    complaining about something is unusual."

    Harvey Gardner, a 73-year- old from Huntington, started taking a
    different statin, Zocor, March 10. After just a few doses, he said, he
    started feeling "lousy."

    "The symptoms were dramatic," Gardner said. "I had pain in my arms and
    my legs. ... I felt like I had arthritis all over my body."

    The pain subsided when he quit taking the drug, but now he wonders
    whether the numbness he's had in his toes for several years might be a
    side effect of another statin, Mevacor, that he took several years
    ago. Doctors have diagnosed the numbness as peripheral neuropathy,
    which is listed as one of the potential side effects of statins.

    Millions of Americans now take statins, a class of medications whose
    remarkable ability to lower blood cholesterol levels has endowed them
    with virtual miracle drug status. But many who take the drugs worry
    about the effects they may have on their kidneys, liver and muscles,
    and a consumer advocacy group's call in June to ban Crestor, the
    newest statin, has reawakened concerns about the potential side
    effects. Officials for AstraZeneca, which makes Crestor, have
    dismissed the consumer group's allegations as inaccurate and
    misleading. "Statins overall are remarkably safe," said Gary Bruell, a
    spokesman for AstraZeneca. "Every drug ever invented has adverse
    effects."

    A rare side effect

    Rhabdomyolysis, a breakdown of muscle fibers that can cause kidney
    damage and may be fatal, is an extremely rare side effect, occurring
    in one in 10,000 patients, drug manufacturers say. But up to 5 percent
    of statin patients suffer non-life-threatening muscle pain disorders
    that can nevertheless be debilitating, according to doctors who have
    studied statin-related muscle syndromes. And, they say, certain
    patients - smaller people, women, the elderly, and athletes and people
    who exercise a lot - may be more vulnerable. People of Japanese
    descent also are at higher risk, as are patients with some other
    medical complications.

    "I think the muscle part of the statins is underappreciated," said Dr.
    Paul Thompson, director of preventive cardiology at Hartford Hospital
    and author of a paper on statin-associated muscle disease published in
    the Journal of the American Medical Association in April 2003. "Some
    people - not everybody, but a fair number of people - get a mild
    myalgia [muscle pain] on the drug. With some of these patients, it can
    be extreme."

    Public Citizen Health Research Group, a consumer organization, called
    on the Food and Drug Administration in 2001 to add a new warning,
    known as a black box warning, to the labels on statins, emphasizing
    that patients must notify their doctors if they experience muscle
    pain, tenderness and weakness, the symptoms that may precede
    rhabdomyolysis. The FDA has not taken any action, and an FDA official,
    Dr. Mary Parks, would not comment on the issue last week. At the time
    Public Citizen made its request, 72 deaths during a three-year period
    had been linked to statin use; 20 of those were linked to Baycol,
    which the FDA withdrew from the market the same year.

    Dr. Robert Rosenson, director of preventative cardiology at
    Northwestern's Feinberg School of Medicine in Chicago, whose review of
    statin-induced myopathy was published in the American Journal of
    Medicine in March, said 3 percent to 5 percent of statin patients
    experience muscle problems. He often tries switching drugs or lowering
    the dose, he said, but "some people can't tolerate any dose of a
    statin."

    Still, not all physicians recognize the link between the drugs and the
    muscle syndromes, Thompson said, and some of his colleagues dismiss it
    as insignificant. "A lot of lipid experts say: 'The myalgia stuff you
    talk about doesn't exist,'" he said. "I say, 'You're not taking care
    of enough patients.'"

    Jeanne Bruderman is one patient whose physicians did not recognize a
    link: After going through surgery to treat back problems, she
    experienced pain, weakness and cramps in her arms and legs and
    tingling in her fingers. She sought help from a rheumatologist, a
    neurosurgeon and a pain-management doctor. Finally, a physician's
    assistant mentioned the symptoms could be related to statins and
    ordered a blood test to measure levels of the enzyme creatine kinase,
    an indication of muscle damage. "I nearly fell off my chair," said
    Bruderman, who lives in Bellport, is only 39 and had been put on
    Lipitor 19 months earlier. She quit the drugs and says the tingling in
    her fingers has subsided.

    Wonder drugs?

    Many cardiologists consider statins to be wonder drugs - especially
    for people who are at high risk for cardiovascular disease. "You can't
    go to a cardiology meeting and ask who's on the drug without
    everyone's hand going up," Thompson said. He takes a statin himself,
    and acknowledged that he serves as a consultant to several
    pharmaceutical companies that make them. But, he said, "they do have
    nagging side effects in some people."

    That description doesn't quite capture the experience of Rena Sweeney,
    a physical education teacher in upstate Kinderhook who was raised in
    Yonkers and now lives in what she calls "a whirlwind of pain."
    Sweeney, who is 53, started taking a low dose of Lipitor around the
    end of October, after blood tests showed her total cholesterol was
    239. By the time her family came to visit around Thanksgiving, she
    said she couldn't even enjoy their company.

    "I was feeling old and shriveled up, fatigued," she said. Until then,
    Sweeney said, she had been the kind of person who rarely even suffered
    a cold. "I'm a P.E. teacher, and I am in very, very good shape; I work
    out all the time."

    Her leg muscles had started twitching, and her legs had started
    feeling weak, "like rubber." A blood test showed she had elevated
    creatine kinase levels, an indication of muscle damage, but the level
    was not high enough to convince her doctor that it was related to the
    medication. Her doctor thought she was having panic attacks.

    Once an avid skier, Sweeney was barely able to complete two runs down
    the mountain last winter. The pain in her legs was so intense at
    times, she said, "I was crying, the fronts of my calves, my shins,
    were killing me. I felt poisoned." She feared she may have developed
    lupus or a neurological illness, and saw several specialists to rule
    out connective-tissue diseases.

    An acquaintance who is an orthopedic surgeon was the first to ask
    whether she had started taking any new medications - and advised her
    to quit the drug immediately.

    Sweeney stopped taking Lipitor on New Year's Eve and said her weakness
    and the "shriveled-up feeling" are gone, though she still has muscle
    pain after exertion, even gardening.

    A spokeswoman for Pfizer, maker of Lipitor, declined to comment on the
    product's safety. In clinical trials, 5.6 percent of patients taking a
    20-milligram dose of Lipitor reported myalgia or muscle pain, compared
    to 1.1 percent of subjects taking a placebo, according to the
    prescribing information. At a 40-milligram dose, 5.1 percent of
    patients taking Lipitor reported arthralgia or joint pain, compared to
    1.5 percent on placebo.

    Sweeney said doctors have been unable to give her a definitive answer
    about what triggered her symptoms. Such myalgia can occur without the
    elevated enzyme levels that mean muscle damage has resulted in protein
    leaking out of the muscle cells into the blood. Doctors who followed
    four patients at Scripps Mercy Hospital Clinical Research Center in
    San Diego found the patients were able to guess correctly whether they
    were given statins or placebos, based on their muscle pain and
    performance on strength tests, even though they had normal creatine
    kinase levels in their blood.

    A number of other small studies have shown statins may exacerbate
    muscle injury during exercise. A study of 58 healthy men at the
    University of Pittsburgh in 1997, for example, found that those taking
    Mevacor (lovastatin) had much higher creatine kinase levels after 45
    minutes of downhill walking on a treadmill than a group taking a
    placebo.

    Jim Baggett, a housing inspector in Wilmington, N.C., said he started
    taking Zocor in July 2002 and became unable to do yardwork, couldn't
    get through his usual 2 1/2-hour weekend workouts and developed a
    cough, numbness in his feet, joint aches, weakness and tremors.

    Baggett, who is 58, underwent thousands of dollars' worth of tests to
    rule out Lyme disease, chronic fatigue syndrome, tuberculosis and
    amyotrophic lateral sclerosis, among other diseases. All of the test
    results were negative. Since quitting the drug, Baggett said, his
    health has improved, but he is not yet symptom-free.

    "I'm not one to say, 'Don't take it' - I'm not a doctor," Baggett
    said. "But at least be aware of what the problems are."

    Tony Plohoros, a spokesman for Merck, which makes Zocor and Mevacor,
    said side effects from both drugs are rare. "Both Mevacor and Zocor
    have excellent safety profiles," he said, adding that Merck is seeking
    FDA permission to sell Mevacor without a prescription. "The 20
    milligram dose has shown in clinical trials to have roughly the same
    side effects as a placebo."

    Risks and benefits

    The risk-to-benefit ratio of taking a statin must be evaluated for
    each patient individually, said Dr. Sidney Wolfe, director of Public
    Citizen.

    "There are millions of people getting statins who shouldn't be getting
    statins," Wolfe said. "These drugs have been especially useful for
    people when they are used for secondary prevention," in patients with
    established heart disease who are at risk for another heart attack, he
    said - and for them, "the benefits outweigh the risks."

    For people who don't have heart disease and who have no other risk
    factors, he said, "the risks outweigh the benefits."

    Dr. Mary Parks, deputy director of the FDA's division of metabolic and
    endocrine drug products, said she could not comment on the consumer
    group's 2001 petition to the agency to strengthen warnings on statins.
    She said the labels contain warnings already, and doctors need to
    convey the information to their patients.

    "People need to be aware that with any drug, there are going to be
    side effects," Parks said. "If you're taking this product and having
    aches and pains and it is in some way affecting daily activity, you
    need to contact your physician and talk about it. You may need to do a
    trial and go off the medicine. It may go away. It may also not be the
    medication.

    "Even in milder cases, it's worth people paying attention to it and
    not ignoring it," she said. In some cases of rhabdomyolysis, "if you
    can stop it early on, it may be of benefit to the patient."

    1) This wasn't normal for me...My muscles were screaming.' - Eileen
    Mulvey, right, who was unable to climb stairs for two weeks after she
    started taking Crestor 2) 'The symptoms were dramatic. I had pain in
    my arms and my legs I felt like I had arthritis all over my body.' -
    Harvey Gardner, who began having symptoms after taking a few does of
    Zocar 3) 'A lot of lipid experts say: "The myalgia (pain) stuff you
    talk about doesn't exist." I say: "You're not taking care of enough
    patients.'' - Dr. Paul Thompson, director of preventive cardiology at
    Hartford Hospital 4) 'With any drug, there are going to be side
    effects. If you're taking this product and having aches and pains and
    it is in some way affecting daily activity, you need to contact your
    physician and talk about it It may also not be the medication.' - Dr.
    Mary Parks of the FDA's division of metabolic and endocrine drug
    products.
    Copyright © 2004, Newsday, Inc.

  2. Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    TC

    [email hidden] (fresh~horses) wrote in message news:<[email hidden]>...

    Quoted message said:

    When statins cause problems
    http://www.newsday.com/news/health/ny-dscovn3924010aug10,0,5063441.story?coll=ny-health-big-pix

    Side effects of cholesterol-fighting drugs get attention in wake of
    concern about Crestor

    "I think the muscle part of the statins is underappreciated," said Dr.
    Paul Thompson, director of preventive cardiology at Hartford Hospital.

    BY RONI RABIN
    STAFF WRITER

    August 10, 2004

    Eileen Mulvey is a spry 70-year-old who's usually up and down the
    steps to her second floor co-op a dozen times a day. But in February,
    two weeks after she started taking Crestor to lower her cholesterol,
    she couldn't make it up the stairs.

    "My legs were throbbing and I would have to stop midway, and I'd have
    to sit down," said Mulvey, of Oakdale, who stopped taking the
    medication even before her doctor ran a blood test showing she had
    suffered muscle damage from the statin. "This wasn't normal for me. I
    wasn't short of breath - my muscles were screaming.

    "And I'm a very vigorous person," Mulvey added. "For me to be
    complaining about something is unusual."

    Harvey Gardner, a 73-year- old from Huntington, started taking a
    different statin, Zocor, March 10. After just a few doses, he said, he
    started feeling "lousy."

    "The symptoms were dramatic," Gardner said. "I had pain in my arms and
    my legs. ... I felt like I had arthritis all over my body."

    The pain subsided when he quit taking the drug, but now he wonders
    whether the numbness he's had in his toes for several years might be a
    side effect of another statin, Mevacor, that he took several years
    ago. Doctors have diagnosed the numbness as peripheral neuropathy,
    which is listed as one of the potential side effects of statins.

    Millions of Americans now take statins, a class of medications whose
    remarkable ability to lower blood cholesterol levels has endowed them
    with virtual miracle drug status. But many who take the drugs worry
    about the effects they may have on their kidneys, liver and muscles,
    and a consumer advocacy group's call in June to ban Crestor, the
    newest statin, has reawakened concerns about the potential side
    effects. Officials for AstraZeneca, which makes Crestor, have
    dismissed the consumer group's allegations as inaccurate and
    misleading. "Statins overall are remarkably safe," said Gary Bruell, a
    spokesman for AstraZeneca. "Every drug ever invented has adverse
    effects."

    A rare side effect

    Rhabdomyolysis, a breakdown of muscle fibers that can cause kidney
    damage and may be fatal, is an extremely rare side effect, occurring
    in one in 10,000 patients, drug manufacturers say. But up to 5 percent
    of statin patients suffer non-life-threatening muscle pain disorders
    that can nevertheless be debilitating, according to doctors who have
    studied statin-related muscle syndromes. And, they say, certain
    patients - smaller people, women, the elderly, and athletes and people
    who exercise a lot - may be more vulnerable. People of Japanese
    descent also are at higher risk, as are patients with some other
    medical complications.

    "I think the muscle part of the statins is underappreciated," said Dr.
    Paul Thompson, director of preventive cardiology at Hartford Hospital
    and author of a paper on statin-associated muscle disease published in
    the Journal of the American Medical Association in April 2003. "Some
    people - not everybody, but a fair number of people - get a mild
    myalgia [muscle pain] on the drug. With some of these patients, it can
    be extreme."

    Public Citizen Health Research Group, a consumer organization, called
    on the Food and Drug Administration in 2001 to add a new warning,
    known as a black box warning, to the labels on statins, emphasizing
    that patients must notify their doctors if they experience muscle
    pain, tenderness and weakness, the symptoms that may precede
    rhabdomyolysis. The FDA has not taken any action, and an FDA official,
    Dr. Mary Parks, would not comment on the issue last week. At the time
    Public Citizen made its request, 72 deaths during a three-year period
    had been linked to statin use; 20 of those were linked to Baycol,
    which the FDA withdrew from the market the same year.

    Dr. Robert Rosenson, director of preventative cardiology at
    Northwestern's Feinberg School of Medicine in Chicago, whose review of
    statin-induced myopathy was published in the American Journal of
    Medicine in March, said 3 percent to 5 percent of statin patients
    experience muscle problems. He often tries switching drugs or lowering
    the dose, he said, but "some people can't tolerate any dose of a
    statin."

    Still, not all physicians recognize the link between the drugs and the
    muscle syndromes, Thompson said, and some of his colleagues dismiss it
    as insignificant. "A lot of lipid experts say: 'The myalgia stuff you
    talk about doesn't exist,'" he said. "I say, 'You're not taking care
    of enough patients.'"

    Jeanne Bruderman is one patient whose physicians did not recognize a
    link: After going through surgery to treat back problems, she
    experienced pain, weakness and cramps in her arms and legs and
    tingling in her fingers. She sought help from a rheumatologist, a
    neurosurgeon and a pain-management doctor. Finally, a physician's
    assistant mentioned the symptoms could be related to statins and
    ordered a blood test to measure levels of the enzyme creatine kinase,
    an indication of muscle damage. "I nearly fell off my chair," said
    Bruderman, who lives in Bellport, is only 39 and had been put on
    Lipitor 19 months earlier. She quit the drugs and says the tingling in
    her fingers has subsided.

    Wonder drugs?

    Many cardiologists consider statins to be wonder drugs - especially
    for people who are at high risk for cardiovascular disease. "You can't
    go to a cardiology meeting and ask who's on the drug without
    everyone's hand going up," Thompson said. He takes a statin himself,
    and acknowledged that he serves as a consultant to several
    pharmaceutical companies that make them. But, he said, "they do have
    nagging side effects in some people."

    That description doesn't quite capture the experience of Rena Sweeney,
    a physical education teacher in upstate Kinderhook who was raised in
    Yonkers and now lives in what she calls "a whirlwind of pain."
    Sweeney, who is 53, started taking a low dose of Lipitor around the
    end of October, after blood tests showed her total cholesterol was
    239. By the time her family came to visit around Thanksgiving, she
    said she couldn't even enjoy their company.

    "I was feeling old and shriveled up, fatigued," she said. Until then,
    Sweeney said, she had been the kind of person who rarely even suffered
    a cold. "I'm a P.E. teacher, and I am in very, very good shape; I work
    out all the time."

    Her leg muscles had started twitching, and her legs had started
    feeling weak, "like rubber." A blood test showed she had elevated
    creatine kinase levels, an indication of muscle damage, but the level
    was not high enough to convince her doctor that it was related to the
    medication. Her doctor thought she was having panic attacks.

    Once an avid skier, Sweeney was barely able to complete two runs down
    the mountain last winter. The pain in her legs was so intense at
    times, she said, "I was crying, the fronts of my calves, my shins,
    were killing me. I felt poisoned." She feared she may have developed
    lupus or a neurological illness, and saw several specialists to rule
    out connective-tissue diseases.

    An acquaintance who is an orthopedic surgeon was the first to ask
    whether she had started taking any new medications - and advised her
    to quit the drug immediately.

    Sweeney stopped taking Lipitor on New Year's Eve and said her weakness
    and the "shriveled-up feeling" are gone, though she still has muscle
    pain after exertion, even gardening.

    A spokeswoman for Pfizer, maker of Lipitor, declined to comment on the
    product's safety. In clinical trials, 5.6 percent of patients taking a
    20-milligram dose of Lipitor reported myalgia or muscle pain, compared
    to 1.1 percent of subjects taking a placebo, according to the
    prescribing information. At a 40-milligram dose, 5.1 percent of
    patients taking Lipitor reported arthralgia or joint pain, compared to
    1.5 percent on placebo.

    Sweeney said doctors have been unable to give her a definitive answer
    about what triggered her symptoms. Such myalgia can occur without the
    elevated enzyme levels that mean muscle damage has resulted in protein
    leaking out of the muscle cells into the blood. Doctors who followed
    four patients at Scripps Mercy Hospital Clinical Research Center in
    San Diego found the patients were able to guess correctly whether they
    were given statins or placebos, based on their muscle pain and
    performance on strength tests, even though they had normal creatine
    kinase levels in their blood.

    A number of other small studies have shown statins may exacerbate
    muscle injury during exercise. A study of 58 healthy men at the
    University of Pittsburgh in 1997, for example, found that those taking
    Mevacor (lovastatin) had much higher creatine kinase levels after 45
    minutes of downhill walking on a treadmill than a group taking a
    placebo.

    Jim Baggett, a housing inspector in Wilmington, N.C., said he started
    taking Zocor in July 2002 and became unable to do yardwork, couldn't
    get through his usual 2 1/2-hour weekend workouts and developed a
    cough, numbness in his feet, joint aches, weakness and tremors.

    Baggett, who is 58, underwent thousands of dollars' worth of tests to
    rule out Lyme disease, chronic fatigue syndrome, tuberculosis and
    amyotrophic lateral sclerosis, among other diseases. All of the test
    results were negative. Since quitting the drug, Baggett said, his
    health has improved, but he is not yet symptom-free.

    "I'm not one to say, 'Don't take it' - I'm not a doctor," Baggett
    said. "But at least be aware of what the problems are."

    Tony Plohoros, a spokesman for Merck, which makes Zocor and Mevacor,
    said side effects from both drugs are rare. "Both Mevacor and Zocor
    have excellent safety profiles," he said, adding that Merck is seeking
    FDA permission to sell Mevacor without a prescription. "The 20
    milligram dose has shown in clinical trials to have roughly the same
    side effects as a placebo."

    Risks and benefits

    The risk-to-benefit ratio of taking a statin must be evaluated for
    each patient individually, said Dr. Sidney Wolfe, director of Public
    Citizen.

    "There are millions of people getting statins who shouldn't be getting
    statins," Wolfe said. "These drugs have been especially useful for
    people when they are used for secondary prevention," in patients with
    established heart disease who are at risk for another heart attack, he
    said - and for them, "the benefits outweigh the risks."

    For people who don't have heart disease and who have no other risk
    factors, he said, "the risks outweigh the benefits."

    Dr. Mary Parks, deputy director of the FDA's division of metabolic and
    endocrine drug products, said she could not comment on the consumer
    group's 2001 petition to the agency to strengthen warnings on statins.
    She said the labels contain warnings already, and doctors need to
    convey the information to their patients.

    "People need to be aware that with any drug, there are going to be
    side effects," Parks said. "If you're taking this product and having
    aches and pains and it is in some way affecting daily activity, you
    need to contact your physician and talk about it. You may need to do a
    trial and go off the medicine. It may go away. It may also not be the
    medication.

    "Even in milder cases, it's worth people paying attention to it and
    not ignoring it," she said. In some cases of rhabdomyolysis, "if you
    can stop it early on, it may be of benefit to the patient."

    1) This wasn't normal for me...My muscles were screaming.' - Eileen
    Mulvey, right, who was unable to climb stairs for two weeks after she
    started taking Crestor 2) 'The symptoms were dramatic. I had pain in
    my arms and my legs I felt like I had arthritis all over my body.' -
    Harvey Gardner, who began having symptoms after taking a few does of
    Zocar 3) 'A lot of lipid experts say: "The myalgia (pain) stuff you
    talk about doesn't exist." I say: "You're not taking care of enough
    patients.'' - Dr. Paul Thompson, director of preventive cardiology at
    Hartford Hospital 4) 'With any drug, there are going to be side
    effects. If you're taking this product and having aches and pains and
    it is in some way affecting daily activity, you need to contact your
    physician and talk about it It may also not be the medication.' - Dr.
    Mary Parks of the FDA's division of metabolic and endocrine drug
    products.
    Copyright © 2004, Newsday, Inc.

  3. Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    TC

    [email hidden] (fresh~horses) wrote in message news:<[email hidden]>...

    Quoted message said:

    When statins cause problems
    http://www.newsday.com/news/health/ny-dscovn3924010aug10,0,5063441.story?coll=ny-health-big-pix

    Side effects of cholesterol-fighting drugs get attention in wake of
    concern about Crestor

    "I think the muscle part of the statins is underappreciated," said Dr.
    Paul Thompson, director of preventive cardiology at Hartford Hospital.

    BY RONI RABIN
    STAFF WRITER

    August 10, 2004

    Eileen Mulvey is a spry 70-year-old who's usually up and down the
    steps to her second floor co-op a dozen times a day. But in February,
    two weeks after she started taking Crestor to lower her cholesterol,
    she couldn't make it up the stairs.

    "My legs were throbbing and I would have to stop midway, and I'd have
    to sit down," said Mulvey, of Oakdale, who stopped taking the
    medication even before her doctor ran a blood test showing she had
    suffered muscle damage from the statin. "This wasn't normal for me. I
    wasn't short of breath - my muscles were screaming.

    "And I'm a very vigorous person," Mulvey added. "For me to be
    complaining about something is unusual."

    Harvey Gardner, a 73-year- old from Huntington, started taking a
    different statin, Zocor, March 10. After just a few doses, he said, he
    started feeling "lousy."

    "The symptoms were dramatic," Gardner said. "I had pain in my arms and
    my legs. ... I felt like I had arthritis all over my body."

    The pain subsided when he quit taking the drug, but now he wonders
    whether the numbness he's had in his toes for several years might be a
    side effect of another statin, Mevacor, that he took several years
    ago. Doctors have diagnosed the numbness as peripheral neuropathy,
    which is listed as one of the potential side effects of statins.

    Millions of Americans now take statins, a class of medications whose
    remarkable ability to lower blood cholesterol levels has endowed them
    with virtual miracle drug status. But many who take the drugs worry
    about the effects they may have on their kidneys, liver and muscles,
    and a consumer advocacy group's call in June to ban Crestor, the
    newest statin, has reawakened concerns about the potential side
    effects. Officials for AstraZeneca, which makes Crestor, have
    dismissed the consumer group's allegations as inaccurate and
    misleading. "Statins overall are remarkably safe," said Gary Bruell, a
    spokesman for AstraZeneca. "Every drug ever invented has adverse
    effects."

    A rare side effect

    Rhabdomyolysis, a breakdown of muscle fibers that can cause kidney
    damage and may be fatal, is an extremely rare side effect, occurring
    in one in 10,000 patients, drug manufacturers say. But up to 5 percent
    of statin patients suffer non-life-threatening muscle pain disorders
    that can nevertheless be debilitating, according to doctors who have
    studied statin-related muscle syndromes. And, they say, certain
    patients - smaller people, women, the elderly, and athletes and people
    who exercise a lot - may be more vulnerable. People of Japanese
    descent also are at higher risk, as are patients with some other
    medical complications.

    "I think the muscle part of the statins is underappreciated," said Dr.
    Paul Thompson, director of preventive cardiology at Hartford Hospital
    and author of a paper on statin-associated muscle disease published in
    the Journal of the American Medical Association in April 2003. "Some
    people - not everybody, but a fair number of people - get a mild
    myalgia [muscle pain] on the drug. With some of these patients, it can
    be extreme."

    Public Citizen Health Research Group, a consumer organization, called
    on the Food and Drug Administration in 2001 to add a new warning,
    known as a black box warning, to the labels on statins, emphasizing
    that patients must notify their doctors if they experience muscle
    pain, tenderness and weakness, the symptoms that may precede
    rhabdomyolysis. The FDA has not taken any action, and an FDA official,
    Dr. Mary Parks, would not comment on the issue last week. At the time
    Public Citizen made its request, 72 deaths during a three-year period
    had been linked to statin use; 20 of those were linked to Baycol,
    which the FDA withdrew from the market the same year.

    Dr. Robert Rosenson, director of preventative cardiology at
    Northwestern's Feinberg School of Medicine in Chicago, whose review of
    statin-induced myopathy was published in the American Journal of
    Medicine in March, said 3 percent to 5 percent of statin patients
    experience muscle problems. He often tries switching drugs or lowering
    the dose, he said, but "some people can't tolerate any dose of a
    statin."

    Still, not all physicians recognize the link between the drugs and the
    muscle syndromes, Thompson said, and some of his colleagues dismiss it
    as insignificant. "A lot of lipid experts say: 'The myalgia stuff you
    talk about doesn't exist,'" he said. "I say, 'You're not taking care
    of enough patients.'"

    Jeanne Bruderman is one patient whose physicians did not recognize a
    link: After going through surgery to treat back problems, she
    experienced pain, weakness and cramps in her arms and legs and
    tingling in her fingers. She sought help from a rheumatologist, a
    neurosurgeon and a pain-management doctor. Finally, a physician's
    assistant mentioned the symptoms could be related to statins and
    ordered a blood test to measure levels of the enzyme creatine kinase,
    an indication of muscle damage. "I nearly fell off my chair," said
    Bruderman, who lives in Bellport, is only 39 and had been put on
    Lipitor 19 months earlier. She quit the drugs and says the tingling in
    her fingers has subsided.

    Wonder drugs?

    Many cardiologists consider statins to be wonder drugs - especially
    for people who are at high risk for cardiovascular disease. "You can't
    go to a cardiology meeting and ask who's on the drug without
    everyone's hand going up," Thompson said. He takes a statin himself,
    and acknowledged that he serves as a consultant to several
    pharmaceutical companies that make them. But, he said, "they do have
    nagging side effects in some people."

    That description doesn't quite capture the experience of Rena Sweeney,
    a physical education teacher in upstate Kinderhook who was raised in
    Yonkers and now lives in what she calls "a whirlwind of pain."
    Sweeney, who is 53, started taking a low dose of Lipitor around the
    end of October, after blood tests showed her total cholesterol was
    239. By the time her family came to visit around Thanksgiving, she
    said she couldn't even enjoy their company.

    "I was feeling old and shriveled up, fatigued," she said. Until then,
    Sweeney said, she had been the kind of person who rarely even suffered
    a cold. "I'm a P.E. teacher, and I am in very, very good shape; I work
    out all the time."

    Her leg muscles had started twitching, and her legs had started
    feeling weak, "like rubber." A blood test showed she had elevated
    creatine kinase levels, an indication of muscle damage, but the level
    was not high enough to convince her doctor that it was related to the
    medication. Her doctor thought she was having panic attacks.

    Once an avid skier, Sweeney was barely able to complete two runs down
    the mountain last winter. The pain in her legs was so intense at
    times, she said, "I was crying, the fronts of my calves, my shins,
    were killing me. I felt poisoned." She feared she may have developed
    lupus or a neurological illness, and saw several specialists to rule
    out connective-tissue diseases.

    An acquaintance who is an orthopedic surgeon was the first to ask
    whether she had started taking any new medications - and advised her
    to quit the drug immediately.

    Sweeney stopped taking Lipitor on New Year's Eve and said her weakness
    and the "shriveled-up feeling" are gone, though she still has muscle
    pain after exertion, even gardening.

    A spokeswoman for Pfizer, maker of Lipitor, declined to comment on the
    product's safety. In clinical trials, 5.6 percent of patients taking a
    20-milligram dose of Lipitor reported myalgia or muscle pain, compared
    to 1.1 percent of subjects taking a placebo, according to the
    prescribing information. At a 40-milligram dose, 5.1 percent of
    patients taking Lipitor reported arthralgia or joint pain, compared to
    1.5 percent on placebo.

    Sweeney said doctors have been unable to give her a definitive answer
    about what triggered her symptoms. Such myalgia can occur without the
    elevated enzyme levels that mean muscle damage has resulted in protein
    leaking out of the muscle cells into the blood. Doctors who followed
    four patients at Scripps Mercy Hospital Clinical Research Center in
    San Diego found the patients were able to guess correctly whether they
    were given statins or placebos, based on their muscle pain and
    performance on strength tests, even though they had normal creatine
    kinase levels in their blood.

    A number of other small studies have shown statins may exacerbate
    muscle injury during exercise. A study of 58 healthy men at the
    University of Pittsburgh in 1997, for example, found that those taking
    Mevacor (lovastatin) had much higher creatine kinase levels after 45
    minutes of downhill walking on a treadmill than a group taking a
    placebo.

    Jim Baggett, a housing inspector in Wilmington, N.C., said he started
    taking Zocor in July 2002 and became unable to do yardwork, couldn't
    get through his usual 2 1/2-hour weekend workouts and developed a
    cough, numbness in his feet, joint aches, weakness and tremors.

    Baggett, who is 58, underwent thousands of dollars' worth of tests to
    rule out Lyme disease, chronic fatigue syndrome, tuberculosis and
    amyotrophic lateral sclerosis, among other diseases. All of the test
    results were negative. Since quitting the drug, Baggett said, his
    health has improved, but he is not yet symptom-free.

    "I'm not one to say, 'Don't take it' - I'm not a doctor," Baggett
    said. "But at least be aware of what the problems are."

    Tony Plohoros, a spokesman for Merck, which makes Zocor and Mevacor,
    said side effects from both drugs are rare. "Both Mevacor and Zocor
    have excellent safety profiles," he said, adding that Merck is seeking
    FDA permission to sell Mevacor without a prescription. "The 20
    milligram dose has shown in clinical trials to have roughly the same
    side effects as a placebo."

    Risks and benefits

    The risk-to-benefit ratio of taking a statin must be evaluated for
    each patient individually, said Dr. Sidney Wolfe, director of Public
    Citizen.

    "There are millions of people getting statins who shouldn't be getting
    statins," Wolfe said. "These drugs have been especially useful for
    people when they are used for secondary prevention," in patients with
    established heart disease who are at risk for another heart attack, he
    said - and for them, "the benefits outweigh the risks."

    For people who don't have heart disease and who have no other risk
    factors, he said, "the risks outweigh the benefits."

    Dr. Mary Parks, deputy director of the FDA's division of metabolic and
    endocrine drug products, said she could not comment on the consumer
    group's 2001 petition to the agency to strengthen warnings on statins.
    She said the labels contain warnings already, and doctors need to
    convey the information to their patients.

    "People need to be aware that with any drug, there are going to be
    side effects," Parks said. "If you're taking this product and having
    aches and pains and it is in some way affecting daily activity, you
    need to contact your physician and talk about it. You may need to do a
    trial and go off the medicine. It may go away. It may also not be the
    medication.

    "Even in milder cases, it's worth people paying attention to it and
    not ignoring it," she said. In some cases of rhabdomyolysis, "if you
    can stop it early on, it may be of benefit to the patient."

    1) This wasn't normal for me...My muscles were screaming.' - Eileen
    Mulvey, right, who was unable to climb stairs for two weeks after she
    started taking Crestor 2) 'The symptoms were dramatic. I had pain in
    my arms and my legs I felt like I had arthritis all over my body.' -
    Harvey Gardner, who began having symptoms after taking a few does of
    Zocar 3) 'A lot of lipid experts say: "The myalgia (pain) stuff you
    talk about doesn't exist." I say: "You're not taking care of enough
    patients.'' - Dr. Paul Thompson, director of preventive cardiology at
    Hartford Hospital 4) 'With any drug, there are going to be side
    effects. If you're taking this product and having aches and pains and
    it is in some way affecting daily activity, you need to contact your
    physician and talk about it It may also not be the medication.' - Dr.
    Mary Parks of the FDA's division of metabolic and endocrine drug
    products.
    Copyright © 2004, Newsday, Inc.

  4. tcomeau said:


    Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    And folks in the adjoining thread wonder why U.S. medical costs continue
    to beat out rates of inflation.

    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

  5. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    tcomeau said:


    Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    And folks in the adjoining thread wonder why U.S. medical costs continue
    to beat out rates of inflation.

    As you know Andrew I am not a proponent of the business as usual and
    then when they kill and disable people see if you can catch them
    system.

    I am a proponent and advocate of changing the system and the pharma
    way of doing "business", getting regulatory agencies to do their jobs
    and stop collusion with industry and bringing meds formularies back to
    sanity. The WHO meds formulary lists approximately 400 essential
    proven medications. There are about 4,000 medications, most me-too
    drugs, being schlepped by pharma.

    We *know* why medical costs beat out rates of inflation: Stockholders
    share not healthcare.

    Zee

    Quoted message said:

    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

  6. "tcomeau" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    TC

    I agree.

    MONTREAL -- Anahit Cilinger won't soon forget her despair in the fall and
    winter of 1999. Fresh from surgery to have a cancerous tumour removed from
    her breast, the Montreal grandmother anxiously awaited an appointment to
    begin radiation treatment.
    Ms. Cilinger called her Montreal hospital every day for a slot. Sometimes,
    she called twice a day. Every time, the answer was the same: There was no
    room for her.

    "I waited one month, two months, three months," she recalled in an interview
    yesterday. "I just felt rage and anxiety."

    Ms. Cilinger decided to do more than seethe: She turned to the courts to
    initiate a class-action suit against those who made her wait. And this week,
    Mr. Justice John Bishop of the Quebec Superior Court gave the suit the green
    light -- setting the stage for what is believed to be the first collective
    lawsuit against a fundamental aspect of Canada's medical system; the
    maligned hospital waiting list.

    "I don't want other sick people to have to go through the kind of suffering
    I did," Ms. Cilinger said.

    The lawsuit seeks damages on behalf of 10,000 eligible breast-cancer
    patients in Quebec who have waited more than eight weeks for radiation
    therapy since October of 1997. Named in the suit are 12 Quebec hospitals. In
    all, damages could come to as much as $50-million.

    "This is the first time someone has decided to attack the source of
    problems -- the waiting list," said lawyer Michel Savonitto, who is
    representing the cancer victims. "We're lucky to have the system we do in
    Canada. But if we want to supply proper care and commit to doing it, then we
    can't do it halfway."

    At the heart of the lawsuit is the question of what is considered a
    reasonable delay before getting radiation treatment after surgery. Breast
    cancer health-care specialists recommend radiation within eight weeks after
    an operation, and no more than 12 weeks.

    According to the Fraser Institute, which conducts an annual survey of
    hospital waiting lists, Quebec has the second-longest waiting time for
    radiation therapy for breast cancer sufferers -- 10 weeks, according to the
    2003 survey.

    Quebec Superior Court accepted eight to 12 weeks as the medically acceptable
    delay.

    For Ms. Cilinger and Johanne Lavoie, the wait was too long. It isn't known
    whether their wait worsened their disease -- they say they are in good
    health -- but both say the lengthy delay was excruciating, physically and
    psychologically.

    "It was an inhuman thing to live through," said Ms. Lavoie, who was
    diagnosed with invasive breast cancer in 1999. Like other patients in Quebec
    at the time, Ms. Lavoie waited for months, and then was sent by the
    provincial health authorities to the United States because treatment
    couldn't be provided in the province. She travelled every week with her
    five-year-old son to southern Vermont, a four-hour bus ride away.

    "Any compensation I get from this lawsuit is secondary,' she said. "The long
    delays were hell. I was living with a sword of Damocles over my head. I want
    to give women hope that they won't have to live through the same thing I
    did."

    Ms. Cilinger, three months after her operation, finally called her daughter
    in her native Turkey for help. Within 24 hours, she had secured a radiation
    appointment at an Istanbul hospital. She returned to Canada $15,000 poorer
    and decided to take action.

    Hospitals named in the suit declined to comment. But the lawsuit means
    hospital administrators would have to get in the witness box and defend
    their decisions.

    Michael McBane of the Canadian Health Coalition said the lawsuit shows
    citizens are trying to hold governments accountable for cuts to health care.
    "It points to the fact that governments in Canada have abdicated their duty
    of care, and citizens are going to hold their governments to account," he
    said.

    "If people's health is being jeopardized in terms of extensive waits for
    cancer care, that's irresponsible. At the end of the day, these are
    decisions that are consequences of federal budgets and provincial budgets,
    where the economists and the MBAs cut health-care budgets."

    Quebec has been described as a paradise for class-action suits. Still,
    experts say the suit could have repercussions across Canada.

    "To the extent that people are using legal mechanisms to try to put pressure
    on governments, this could have ripple effects throughout the health-care
    system," said Nola Ries of the University of Alberta. "It may be an
    incentive for other people to say they'll try the courts if political
    pressure is not having the effect of shortening waiting lists."

  7. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    tcomeau said:


    Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    And folks in the adjoining thread wonder why U.S. medical costs continue
    to beat out rates of inflation.

    Servant to the humblest person in the universe,

    Andrew

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

    Now if you want to let multi billion dollar industries use the fact of
    having to compensate those they have harmed and killed as an excuse
    for their OBSCENE greed then you are a fool. The fact is that if
    there was no ability for the nearly powerless public to hold multi
    billion dollar industries and corporations acountable they would have
    absolutely no insentive to even consider the well being of the public
    at all! They are bad enough in that area already and mostly consider
    harming and killing people just another cost of doing business. You
    really are a hipocritical moron. And you claim to be a follower of
    jesus??? what a joke. What do you think he would say about what is
    going on in this society? Did he believe in screwing the masses so
    that the few can become richer and more powerful? The drug industry
    is the most profitable in the world and you have the NERVE to claim
    they charge so much because of lawsuits???!!! If Jesus were here
    today he would be out their with his freakin whip laying waste to the
    most greedy and corrupt among us as he did 2000 years ago. Where do
    you think is the first place he would go.

    … Jesus brandished the whip with so much fury that the four elders
    fled through the door where they had first appeared. When Jesus
    reached the top, he shouted with authority....

    Jesus: Get out of here, merchants of Satan, out of here!!

    (that is exactly what the drug industry is by the way)

    The uproar was frightening. Jesus overturned the tables full of
    money which rolled down the stairway. The people threw themselves at
    the money and the money changers were so enraged that they, too,
    jumped over the people. Again and again Jesus hurled his whip at the
    tax scales. The cows and sheep were so terrified they ran in all
    directions…. People screamed and the vendors cursed at the top of
    their voices. Pigeons as well as fists flew into the air…. As the
    tumult got more intense, soldiers from the Antonia Tower began to
    mobilize. But Jesus continued talking with a passion…

    Jesus: Tell Caiphas we shall confront him tomorrow in his palace, and
    tomorrow afternoon, we shall accuse Herod in his den. And then,
    Pontius Pilate will be next. God will triumph on the third day! The
    great day of the Lord has come, the Day of Liberation

    (I can picture him today saying something like "we shall confront the
    drug industry and tomorrow the food industry, and then the polution
    industry, and George Bush will be next."😉

    I think you need to get a reality check if you are going to keep
    claiming you are a follower of Jesus.

  8. "Wolfbrother" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:
    Quoted message said:
    tcomeau said:


    Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    And folks in the adjoining thread wonder why U.S. medical costs continue
    to beat out rates of inflation.

    Servant to the humblest person in the universe,

    Andrew

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

    Now if you want to let multi billion dollar industries use the fact of
    having to compensate those they have harmed and killed as an excuse
    for their OBSCENE greed then you are a fool. The fact is that if
    there was no ability for the nearly powerless public to hold multi
    billion dollar industries and corporations acountable they would have
    absolutely no insentive to even consider the well being of the public
    at all! They are bad enough in that area already and mostly consider
    harming and killing people just another cost of doing business. You
    really are a hipocritical moron. And you claim to be a follower of
    jesus??? what a joke. What do you think he would say about what is
    going on in this society? Did he believe in screwing the masses so
    that the few can become richer and more powerful? The drug industry
    is the most profitable in the world and you have the NERVE to claim
    they charge so much because of lawsuits???!!! If Jesus were here
    today he would be out their with his freakin whip laying waste to the
    most greedy and corrupt among us as he did 2000 years ago. Where do
    you think is the first place he would go.

    He would go to court? He would go to Rome and have the laws changed?
    He went to court remember and what happened?
    His whole message was to give to God was is Gods and forget the rest of your
    rant.

    Quoted message said:


    . Jesus brandished the whip with so much fury that the four elders
    fled through the door where they had first appeared. When Jesus
    reached the top, he shouted with authority....

    Jesus: Get out of here, merchants of Satan, out of here!!


    There were in the temple area and should have not been there as part of the
    temple. I do believe some thing about a tax collector as one of his friends.

    Quoted message said:


    (that is exactly what the drug industry is by the way)

    The uproar was frightening. Jesus overturned the tables full of
    money which rolled down the stairway. The people threw themselves at
    the money and the money changers were so enraged that they, too,
    jumped over the people. Again and again Jesus hurled his whip at the
    tax scales. The cows and sheep were so terrified they ran in all
    directions.. People screamed and the vendors cursed at the top of
    their voices. Pigeons as well as fists flew into the air.. As the
    tumult got more intense, soldiers from the Antonia Tower began to
    mobilize. But Jesus continued talking with a passion.

    Jesus: Tell Caiphas we shall confront him tomorrow in his palace, and
    tomorrow afternoon, we shall accuse Herod in his den. And then,
    Pontius Pilate will be next. God will triumph on the third day! The
    great day of the Lord has come, the Day of Liberation

    (I can picture him today saying something like "we shall confront the
    drug industry and tomorrow the food industry, and then the polution
    industry, and George Bush will be next."😉

    I think you need to get a reality check if you are going to keep
    claiming you are a follower of Jesus.


    You forget the solidarity movement in Poland. Your communist friends don't
    believe in Christianity. The first thing that goes along with socialism is
    the loss of religion.

  9. fresh~horses said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    tcomeau said:


    Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    And folks in the adjoining thread wonder why U.S. medical costs continue
    to beat out rates of inflation.

    As you know Andrew I am not a proponent of the business as usual and
    then when they kill and disable people see if you can catch them
    system.

    Nor am I. However, there are systems in place that prevent harmful drugs of questionable benefit from ever
    reaching the marketplace. Lawsuits are not part of these systems.

    Quoted message said:


    I am a proponent and advocate of changing the system and the pharma
    way of doing "business", getting regulatory agencies to do their jobs
    and stop collusion with industry and bringing meds formularies back to
    sanity. The WHO meds formulary lists approximately 400 essential
    proven medications. There are about 4,000 medications, most me-too
    drugs, being schlepped by pharma.

    Imho, lawsuits won't change the system.

    Quoted message said:


    We *know* why medical costs beat out rates of inflation: Stockholders
    share not healthcare.

    Lawsuits do drive up healthcare costs.

    You remain in my prayers, Zee whom I love.

    May you accept Christ as your personal Lord and Savior, someday, so that you too will have the unimaginable peace
    of His everlasting kingdom.

    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

  10. Wolfbrother said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    tcomeau said:


    Time for a few massive class-action lawsuits. Lawyers need to get onto
    this gravy train.

    And folks in the adjoining thread wonder why U.S. medical costs continue
    to beat out rates of inflation.

    Servant to the humblest person in the universe,

    Andrew

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

    Now if you want to let multi billion dollar industries use the fact of
    having to compensate those they have harmed and killed as an excuse
    for their OBSCENE greed then you are a fool.

    This is not about my wants or needs.

    Quoted message said:

    The fact is that if
    there was no ability for the nearly powerless public to hold multi
    billion dollar industries and corporations acountable they would have
    absolutely no insentive to even consider the well being of the public
    at all!

    In a democratic society where there is government for the people and by the people, the people are hardly
    powerless.

    Quoted message said:

    They are bad enough in that area already and mostly consider
    harming and killing people just another cost of doing business.

    Most (if not all) pharma corporations consider the costs of extensive testing and drug trials to be the cost of
    doing business. They would like nothing better than to hold the patent on medications that have proven benefits
    with zero potential for side effects. The side effects are a potential liability rather than an predictable cost
    of doing business.

    Quoted message said:

    You
    really are a hipocritical moron.

    Ouch. You may have at the other cheek. Sorry, you dislike what I have written.

    Quoted message said:

    And you claim to be a follower of
    jesus???

    It is not a claim.

    Quoted message said:

    what a joke.

    Nor a joke.

    Quoted message said:

    What do you think he would say about what is
    going on in this society?

    Christ teaches from John 12:

    25The man who loves his life will lose it, while the man who
    hates his life in this world will keep it for eternal life. 26Whoever
    serves me must follow me; and where I am, my servant also will be.
    My Father will honor the one who serves me.

    Quoted message said:

    Did he believe in screwing the masses so
    that the few can become richer and more powerful?

    No.

    Quoted message said:

    The drug industry
    is the most profitable in the world

    Does the richest man in the world work for the drug industry?

    Quoted message said:

    and you have the NERVE to claim
    they charge so much because of lawsuits???!!!

    Sorry you do not like my writing truthfully.

    Quoted message said:

    If Jesus were here
    today he would be out their with his freakin whip laying waste to the
    most greedy and corrupt among us as he did 2000 years ago.

    In truth, Jesus would be wined and dined by the greedy and corrupt and He would eat with them. And, this would
    anger you.

    Quoted message said:

    Where do
    you think is the first place he would go.

    The home of a greedy and corrupt sinner.

    Quoted message said:

    … Jesus brandished the whip with so much fury that the four elders
    fled through the door where they had first appeared. When Jesus
    reached the top, he shouted with authority....

    Jesus: Get out of here, merchants of Satan, out of here!!

    (that is exactly what the drug industry is by the way)

    Last I checked, the drug industry is not selling their wares in churches or other places where God is worshipped.

    Quoted message said:


    The uproar was frightening. Jesus overturned the tables full of
    money which rolled down the stairway. The people threw themselves at
    the money and the money changers were so enraged that they, too,
    jumped over the people. Again and again Jesus hurled his whip at the
    tax scales. The cows and sheep were so terrified they ran in all
    directions…. People screamed and the vendors cursed at the top of
    their voices. Pigeons as well as fists flew into the air…. As the
    tumult got more intense, soldiers from the Antonia Tower began to
    mobilize. But Jesus continued talking with a passion…

    Jesus: Tell Caiphas we shall confront him tomorrow in his palace, and
    tomorrow afternoon, we shall accuse Herod in his den. And then,
    Pontius Pilate will be next. God will triumph on the third day! The
    great day of the Lord has come, the Day of Liberation

    (I can picture him today saying something like "we shall confront the
    drug industry and tomorrow the food industry, and then the polution
    industry, and George Bush will be next."😉

    (It seems you do not know Christ).

    Quoted message said:


    I think you need to get a reality check if you are going to keep
    claiming you are a follower of Jesus.

    It is not a claim. It remains my choice to walk with Him.

    It also remains choice to pray for you, neighbor whom I love.

    May you accept Christ as your personal Lord and Savior, someday, so that you too will have eternal life and the
    unimaginable riches of His everlasting kingdom.

    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

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    http://makeashorterlink.com/?R20632B48

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    http://makeashorterlink.com/?N69721867

  11. Dr. Andrew B. Chung said:

    This is not about my wants or needs.

    Everything is about you.

  12. Carey Gregory said:


    Dr. Andrew B. Chung said:

    This is not about my wants or needs.

    Everything is about you.

    No.

    Everything is about the person whom I serve.

    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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    http://makeashorterlink.com/?L26062048

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  13. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message

    Quoted message said:
    Quoted message said:

    The fact is that if
    there was no ability for the nearly powerless public to hold multi
    billion dollar industries and corporations acountable they would have
    absolutely no insentive to even consider the well being of the public
    at all!

    In a democratic society where there is government for the people and by the people, the people are hardly
    powerless.

    Quoted message said:

    They are bad enough in that area already and mostly consider
    harming and killing people just another cost of doing business.

    Most (if not all) pharma corporations consider the costs of extensive testing and drug trials to be the cost of
    doing business. They would like nothing better than to hold the patent on medications that have proven benefits
    with zero potential for side effects. The side effects are a potential liability rather than an predictable cost
    of doing business.

    What the hell?? This is some scary stuff. And I thought you could
    say nothing more that would shock me with its total idiocy. How is it
    that such an ignorant naive moron can exist?? I am totaly
    flabbergasted. Do you have any concept of what you are saying?? The
    fact that you make claims like this just demonstrates how utterly
    clueless you are. Only naive morons believe the myth that we live in
    a real democracy where "the people have the power." What the hell is
    wrong with you. You can not be this dumb it is just not possible.
    Actualy do not even bother responding to my post I know how you will
    do it already.

    Quoted message said:

    What the hell??

    That is where the Devil lives.

    Quoted message said:

    How is it that such an ignorant naive moron can exist??

    I exist because god made me.

    Quoted message said:

    Do you have any concept of what you are saying??

    Yes.

    Quoted message said:

    What the hell is wrong with you.

    I serve jesus and tell the truth.

    Quoted message said:

    You can not be this dumb it is just not possible.

    With god anything is possible.

    ok so maybe not 100% what you would say but close enough.

  14. Wolfbrother said:


    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message

    Quoted message said:
    Quoted message said:

    The fact is that if
    there was no ability for the nearly powerless public to hold multi
    billion dollar industries and corporations acountable they would have
    absolutely no insentive to even consider the well being of the public
    at all!

    In a democratic society where there is government for the people and by the people, the people are hardly
    powerless.

    Quoted message said:

    They are bad enough in that area already and mostly consider
    harming and killing people just another cost of doing business.

    Most (if not all) pharma corporations consider the costs of extensive testing and drug trials to be the cost of
    doing business. They would like nothing better than to hold the patent on medications that have proven benefits
    with zero potential for side effects. The side effects are a potential liability rather than an predictable cost
    of doing business.

    What the hell?? This is some scary stuff.

    Sorry the truth frightens you.

    Quoted message said:

    And I thought you could
    say nothing more that would shock me with its total idiocy. How is it
    that such an ignorant naive moron can exist?? I am totaly
    flabbergasted. Do you have any concept of what you are saying?? The
    fact that you make claims like this just demonstrates how utterly
    clueless you are. Only naive morons believe the myth that we live in
    a real democracy where "the people have the power."

    It is your choice not to vote.

    Quoted message said:

    What the hell is
    wrong with you. You can not be this dumb it is just not possible.
    Actualy do not even bother responding to my post I know how you will
    do it already.

    It would appear that you don't... not even close.

    You remain in my prayers, dear neighbor whom I love.

    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

  15. On Wed, 11 Aug 2004 11:29:07 -0700, "Robert" <[email hidden]>
    wrote:

    snip...

    Quoted message said:

    MONTREAL -- Anahit Cilinger won't soon forget her despair in the fall and
    winter of 1999. Fresh from surgery to have a cancerous tumour removed from
    her breast, the Montreal grandmother anxiously awaited an appointment to
    begin radiation treatment.
    Ms. Cilinger called her Montreal hospital every day for a slot. Sometimes,
    she called twice a day. Every time, the answer was the same: There was no
    room for her.

    As if this kind of thing never happens in the United States?? Please.
    It is MUCH worse here.

    43+ million of us don't even have the opportunity to MAKE this call.
    No insurance.

  16. [email hidden] (Wolfbrother) wrote in message

    <snip>

    Quoted message said:

    Now if you want to let multi billion dollar industries use the fact of
    having to compensate those they have harmed and killed as an excuse
    for their OBSCENE greed then you are a fool. The fact is that if
    there was no ability for the nearly powerless public to hold multi
    billion dollar industries and corporations acountable they would have
    absolutely no insentive to even consider the well being of the public
    at all! They are bad enough in that area already and mostly consider
    harming and killing people just another cost of doing business. You
    really are a hipocritical moron. And you claim to be a follower of
    jesus??? what a joke. What do you think he would say about what is
    going on in this society? Did he believe in screwing the masses so
    that the few can become richer and more powerful? The drug industry
    is the most profitable in the world and you have the NERVE to claim
    they charge so much because of lawsuits???!!! If Jesus were here
    today he would be out their with his freakin whip laying waste to the
    most greedy and corrupt among us as he did 2000 years ago. Where do
    you think is the first place he would go.

    ? Jesus brandished the whip with so much fury that the four elders
    fled through the door where they had first appeared. When Jesus
    reached the top, he shouted with authority....

    Jesus: Get out of here, merchants of Satan, out of here!!

    (that is exactly what the drug industry is by the way)

    The uproar was frightening. Jesus overturned the tables full of
    money which rolled down the stairway. The people threw themselves at
    the money and the money changers were so enraged that they, too,
    jumped over the people. Again and again Jesus hurled his whip at the
    tax scales. The cows and sheep were so terrified they ran in all
    directions?. People screamed and the vendors cursed at the top of
    their voices. Pigeons as well as fists flew into the air?. As the
    tumult got more intense, soldiers from the Antonia Tower began to
    mobilize. But Jesus continued talking with a passion?

    Jesus: Tell Caiphas we shall confront him tomorrow in his palace, and
    tomorrow afternoon, we shall accuse Herod in his den. And then,
    Pontius Pilate will be next. God will triumph on the third day! The
    great day of the Lord has come, the Day of Liberation

    (I can picture him today saying something like "we shall confront the
    drug industry and tomorrow the food industry, and then the polution
    industry, and George Bush will be next."😉

    <snip>

    Good one. So Jesus was a socialist and an anti-greed activist. Right
    on.

    Wouldn't it be great to see the American Religious-Right and other
    American christians follow Jesus' example?

    TC

  17. GMCarter <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    On Wed, 11 Aug 2004 11:29:07 -0700, "Robert" <[email hidden]>
    wrote:

    snip...

    Quoted message said:

    MONTREAL -- Anahit Cilinger won't soon forget her despair in the fall and
    winter of 1999. Fresh from surgery to have a cancerous tumour removed from
    her breast, the Montreal grandmother anxiously awaited an appointment to
    begin radiation treatment.
    Ms. Cilinger called her Montreal hospital every day for a slot. Sometimes,
    she called twice a day. Every time, the answer was the same: There was no
    room for her.

    As if this kind of thing never happens in the United States?? Please.
    It is MUCH worse here.

    43+ million of us don't even have the opportunity to MAKE this call.
    No insurance.

    In truth, you could make the call. Most physicians in the U.S. do not
    turn away folks because someone is uninsured.

    If you receive professional services of *any* kind, you should pay for
    them whether you are insured or not.

    Truth is simple.

    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

  18. GMCarter <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    On Wed, 11 Aug 2004 11:29:07 -0700, "Robert" <[email hidden]>
    wrote:

    snip...

    Quoted message said:

    MONTREAL -- Anahit Cilinger won't soon forget her despair in the fall and
    winter of 1999. Fresh from surgery to have a cancerous tumour removed from
    her breast, the Montreal grandmother anxiously awaited an appointment to
    begin radiation treatment.
    Ms. Cilinger called her Montreal hospital every day for a slot. Sometimes,
    she called twice a day. Every time, the answer was the same: There was no
    room for her.

    As if this kind of thing never happens in the United States?? Please.
    It is MUCH worse here.

    43+ million of us don't even have the opportunity to MAKE this call.
    No insurance.

    Hi George

    I suspect the OP is lifting stuff off the Fraser Think Tank (snort)
    website. Anyway. As you know Quebec plays it's own game with it's own
    rules. Who knows what venue....

    Mrs. Cilinger has my sympathy. Let's hope she doesn't march out the
    door at the next election and vote for the politicians who brought
    this mess to being: conservative governments. You'd be surprised
    George, how many people whine about what these govts do, then vote for
    them because, at the last minute prior to a provincial election, for
    example, they decide to cover, for seniors say, what they de-insured
    just after the last election.

    I suspect Mrs. Cilinger was put down on the waiting list for these
    reasons:

    1. Conservative ideology is pushing cut backs to the health care
    system so that people can't get timely access and demand private
    for-profit clinics be opened. The governments who made the cutbacks
    have busy busy little Goebbel's practitioners filling the media with
    that as solution. Little known is the fact that these private for
    profit (read, not you or me Georgie) clinics will be funded by public
    health care money from those who wouldn't be able to afford to cross
    the threshold.

    2. She had a type of breast cancer that is less dangerous than someone
    at the top of the list. Triage, as Bob pointed out in another thread.

    I have a friend who was diagnosed with a very invasive and dangerous
    type of breast cancer last summer. Within a week she had a mastectomy.
    Within two she had begun subsequent treatment which included radiation
    and chemo.

    The shortages and long waiting lists, if they exist, have been created
    by a government eager to dip it's hands and those of it's cronies in
    the largest money maker going.

    It would all be solved if governments which made cuts to the public
    system put the money back there, instead of in private care.

    Healthcare not stockholders share.

    Zee
    (zwalanga@yahoodotcom)

  19. Dr. Andrew B. Chung said:

    GMCarter <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    On Wed, 11 Aug 2004 11:29:07 -0700, "Robert" <[email hidden]>
    wrote:

    snip...

    Quoted message said:

    MONTREAL -- Anahit Cilinger won't soon forget her despair in the fall and
    winter of 1999. Fresh from surgery to have a cancerous tumour removed from
    her breast, the Montreal grandmother anxiously awaited an appointment to
    begin radiation treatment.
    Ms. Cilinger called her Montreal hospital every day for a slot. Sometimes,
    she called twice a day. Every time, the answer was the same: There was no
    room for her.

    As if this kind of thing never happens in the United States?? Please.
    It is MUCH worse here.

    43+ million of us don't even have the opportunity to MAKE this call.
    No insurance.

    In truth, you could make the call. Most physicians in the U.S. do not
    turn away folks because someone is uninsured.

    Right. And who would know better than someone who has a vested
    interest in believing that? You can't get into most doctors' offices
    without an appointment. They ask lots of questions up front, including
    how will you pay for services. Tell them you're uninsured and tell
    them you're not able to pay much and see how fast they show you the door.

    You'll be given warm and cordial directions to the health department
    where you can talk all you want about your poverty. When you can get
    an appointment with an administrative type. And when they can fit you
    in. And when you go for appointments and have to wait four hours with
    no explanation.

    I've walked people through these hallowed Hippocratic halls. And guess
    how wonderful it is if your English is accented.

    Quoted message said:

    If you receive professional services of *any* kind, you should pay for
    them whether you are insured or not.

    The Chung 2MillionDollarSelfInterestDiet. It's his personal variation
    of that old Christian "Love thy neighbor" injunction. He adds, "But
    make sure to present the bill. And ask for collateral up front."

    Yesterday he did his "let them eat cake" about people who can't afford
    insurance. The post went like this:

    Quoted message said:
    MikeV said:

    What do you recommend for the 40 or so percent of Americans who can
    no longer afford insurance because it is increasing at 20% or so per
    year?

    I would recommend folks shelter a portion of their income (that
    portion they have from the difference in premiums between a $100
    deductible policy and high deductible policy) with an HSA/MSA
    *before* they become chronically ill.

    Did Chung even read the question?

    Whether it's an insurance premium or a savings account or the
    combination, the money still has to be available to do this. No money,
    no plan. Not enough money, no plan.

    And an HSA/MSA requires the purchase of insurance, anyway. It still
    costs essentially the same as a low-deductible policy as outlined by
    Chung. Yes, over time, if people keep putting in savings and don't use
    them, the dollars will multiply. But those dollars will be needed for
    all the things not covered by the high-deductible policy. Dental,
    optical, routine visit copays, major med copays, etc.

    Here's a good bit of simplified info about these plans. It doesn't
    work quite like Chung implies.
    <http://internetinsuranceinc.com/msa.html> Notice that it includes the
    implication of a 28% tax bracket. The highest. They're saying it's for
    the well-to-do. They expect people to put in more than $10,000 a year.

    An excerpt from the page:
    "To have a Health Savings Account (Medical Savings Account), a
    taxpayer must be under 65, the age of Medicare eligibility, when
    opening an account.
    ***The HSA (MSA) can only be opened once a high-deductible health
    insurance policy has been purchased.***
    Your HSA (MSA) health premiums may not be paid from deposits made to
    the HSA (MSA) account; the cost of the major medical insurance is
    separate from those funds held in the Health Savings Account (Medical
    Savings Account)."

    *** emphasis mine.

    Chung seems to think that money is easy to come by for everyone. He
    has boasted that he's well-paid. I'm happy for him that he makes a
    good living, but he has zero information about the middle and lower
    middle class life. If he ever did, he has forgotten. And he certainly
    shows no compassion for them.

    Bob

  20. Bob (this one) said:


    Dr. Andrew B. Chung said:

    GMCarter <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    On Wed, 11 Aug 2004 11:29:07 -0700, "Robert" <[email hidden]>
    wrote:

    snip...

    >MONTREAL -- Anahit Cilinger won't soon forget her despair in the fall and
    >winter of 1999. Fresh from surgery to have a cancerous tumour removed from
    >her breast, the Montreal grandmother anxiously awaited an appointment to
    >begin radiation treatment.
    >Ms. Cilinger called her Montreal hospital every day for a slot. Sometimes,
    >she called twice a day. Every time, the answer was the same: There was no
    >room for her.

    As if this kind of thing never happens in the United States?? Please.
    It is MUCH worse here.

    43+ million of us don't even have the opportunity to MAKE this call.
    No insurance.

    In truth, you could make the call. Most physicians in the U.S. do not
    turn away folks because someone is uninsured.

    Right.

    Glad you agree.

    You remain in my prayers, neighbor whom I love.

    May you accept Christ as your personal Lord and Savior, someday, so that
    you too will have eternal life and the unfathomable riches of His
    everlasting kingdom.

    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

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    http://makeashorterlink.com/?R20632B48

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