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Regulating the regulators !

Posted Sep 24 2010 8:58am

The world of  medical science is  moving in a alarming speed.In any field , speed is always dangerous ! That’s why we have speed breakers , traffic police , speed cameras , etc etc . The medical world  is flooded with new devices, drugs , procedures . Though the mankind is benefited with many of them , a equal number could do the opposite.

How to identify which is causing benefit and which doing harm ?

It is a horrible fact , this is the most difficult exercise  for the  medical academia   . . . Still worse , harm will masquerade as benefit ! Further ,  beneficial concepts are  often buried alive if  it lacks  glamor  or  commercial value (Eg: The Digoxins,)

Lay public (as well as )  the physicians   are fed with half-baked ( Often quarter baked !) medical information .Many  of the medical journals,  guidelines , sponsored  seminars  ,  some times  even text books do a clandestine  campaign  . Even after a completion of major trial,  real truths rarely  come out . Funnily ,  they call them aptly , as blinded study ! Who is blinding whom is a different issue .

So ,  in  this  new millennium , thousands of innovations are on the pipeline. These pipes are often  infested with trivial , duplicate or even  harmful  concepts waiting for a grand release into human domain.

Take the story of coronary stents

In 1977 , Gruntzig mastered the  opening  of  the obstructed coronary  arteries with a simple balloon without any add ons . That patient is still alive  without  angina  . In the next 30 years we have ridiculed (Rather , we were compelled  to ridicule it ! * Read the related article  Is  there a role for  plain balloon angioplasty ?

Technology made  it  possible to introduce a  gamut of intra coronary  devices .We used (?abused ) all sort of anticancer drugs within the tender human coronary arteries .In 2002 , we claimed to  have climbed the summit and conquered  the restenosis with DES. And in 2010 , every one knows  what is happening to DES .

The malaise is  deep rooted  in every specialty . Next  came the  Stem cell fiasco ? and more  recently huge  conflicts of interest exposed  in the  vaccines  against H1NI

Final message

Who is going to regulate the menace ?  Hmm . . . . then  . . . Who will regulate the regulators ?

Is there a way out for our patients ?  or  they  have to suffer with it  along with the disease . The later is  more realistic option !


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