Some months ago I was asked by Paul Rosenfeld, who directs psychiatric training at Mount Sinai Hospital Morningside West, to give a lecture. This took place on January 18. There was a Q and A afterwards. The talk was recorded and the video is here - Relationship Based Medicine. There will be two related talks, which will also feature in posts soon. Relationship Based … [Read more...] about Relationship Based Medicine
Study 329
Study 329 Trick, Treat or Treximet
The plan this morning was to continue coverage of the Opioid Epidemic but perhaps because it is Halloween a link to a Wall Street Journal story on how Drug Makers Turn Cheap Generics into Expensive Pills arrived by email. It was difficult to resist. Here's why. The article features Treximet, a combination of sumatriptan and naproxen, used for migraine. These two drugs are … [Read more...] about Study 329 Trick, Treat or Treximet
Go Figure: Murder or Accident?
Harold Shipman was a doctor in Britain, who was arrested for murder in 1998. He turned out to be a true Angel of Death, the most prolific known serial killer, who killed it is thought between two and three hundred of his patients by prescribing opioids in large doses. After his trial and conviction and jailing, he committed suicide in jail with no-one any the wiser as to why … [Read more...] about Go Figure: Murder or Accident?
Go Figure: Study 329
Editorial Note: This post merges the Go Figure sequence of posts from several weeks ago with the 329 series. In the wake of the French Revolution of 1968, the government was still tottering when on February 4 1970, sixteen miners died with twelve others maimed in an explosion at a mine in Lens in France. The mine owners pitched the event as an accident. It didn’t help their … [Read more...] about Go Figure: Study 329
Study 329 Taper Phase
Editorial Note: It was tempting not to run a post today for fear it might get lost in the wash of the Clinton-Trump debate. But today is the fourteenth anniversary of the day FDA issued an approvable letter for Paxil for children, as well as the fifty-fourth anniversary of the 1962 FDA Act that created the playing field on which Study 329 happened. It's also World Mental Health … [Read more...] about Study 329 Taper Phase
Study 329 Continuation Phase
Editorial: We interrupt the Go Figure series of posts to return for two posts to Study 329. We will then return to Go Figure. All the fuss about Study 329 centers on its 8 week acute phase. But this study had a 24 week Continuation Phase that has never been published. Until Now. We might have Marty Keller to thank for this Continuation Phase. His big deal was the long term … [Read more...] about Study 329 Continuation Phase
Go Figure: Sally’s Problem with Whinging about Medicines
Two weeks ago in response to the last post in the Study 329 series, Sally MacGregor added the comment - that features as a post below. It's spot on. The problem is how to avoid being marginalized, becoming part of a 1%. How to capture the attention of the 99% for whom the meds work just fine thanks. There will be more on this theme over the next few posts. The whole point … [Read more...] about Go Figure: Sally’s Problem with Whinging about Medicines
Club 329: Part 4
Editorial Note: This post perhaps should be called: There's Something about Leonie. The image above is of a Rapid Response she submitted to a BMJ editorial by Richard Smith and Fiona Godlee that BMJ published and unpublished and republished and re-unpublished. The full story is here. It again hinges around Study 329. The full transcript of her exchanges with Ben G is below. … [Read more...] about Club 329: Part 4
Club 329: Part 3
Editorial Note: This post by Leonie Fennel carries on from parts 1 and 2 in this series. There will be one more post. I dreamt I met my son Shane last night - in a jewelry shop, of all places. I was admiring the beautiful costume jewelry, when I overturned the dainty display and went clambering to pick up all the pieces. It seems I don’t escape my klutziness in the land of my … [Read more...] about Club 329: Part 3
Club 329: Part 2
Following last week's post, Club 329: Part 1, Ben Goldacre went into orbit claiming his views on medicalization and Study 329 had been misrepresented. He offered a SoundCloud as evidence. The link can be found in the comments after the last post. Seems to me Leonie got the content of the Q & A right. In the course of listening to the BG SoundCloud though something else … [Read more...] about Club 329: Part 2