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iatrogenic /iat·ro·gen·ic/ resulting from the activity of physicians; said of any adverse condition in a patient resulting from treatment by a physician or surgeon.
[1]
As few as 5% and only up to 20% of Iatrogenic acts are ever reported. (16, 24, 25, 33, 34) This implies that if medical errors were completely and accurately reported, we would have a much higher annual Iatrogenic death rate than 783,936.
[2]
The number of people having in-hospital, adverse drug reactions (ADR) to prescribed medicine is 2.2 million. (1) Dr. Richard Besser, of the CDC, in 1995, said the number of unnecessary antibiotics prescribed annually for viral infections was 20 million. Dr. Besser, in 2003, now refers to tens of millions of unnecessary antibiotics. (2, 2a)
[2]
According to the article [Knight/Ridder Jan 7 2001], it is estimated that US drug fatalities runs 100,000 a year. There is no way of confirming the numbers because there is no reliable way to track and investigate problems with drugs. Doctors are not even required to report bad drug interactions.
[3]
According to a USA Today study, more than half of the experts hired to advise the government on the safety and effectiveness of medicine have financial relationships with the pharmaceutical companies that will be helped or hurt by their decisions.
[3]
malaise
1. A feeling of general bodily discomfort or unpleasantness, often at the onset of illness.
2. An ambiguous feeling of mental or moral depression.
[1]
symptom
1. Anything that indicates, or is characteristic of, the presence of something else; especially a perceived change in some function, sensation or appearance of a patient that is indicative of a disease or disorder.
[2]
Stress
Emotional problems
Fatigue
Depression
Depressive disorders
Poor diet
Inadequate sleep
Illness
Virus
Chronic sinusitis
Toothache
Anemia
[3]
Irritability, restlessness
Fatigue and decreased energy
Insomnia, early–morning wakefulness, or excessive sleeping
Persistent aches or pains, headaches, cramps or digestive problems that do not ease even with treatment
[4]
Two 1998 reports validate the continued truth that there is an approximately 40% discordance between what clinical physicians diagnose as causes of death antemortem and what the postmortem diagnoses are. In one recent study with such results (44.9% discordance) at the University of Pittsburgh, Pa, two thirds of the undiagnosed conditions were considered treatable. This diagnostic discordance rate compares with 35% in 1938, 39% in 1959, 43% in 1974, and 47% in 1983. No improvement!
George D. Lundberg, JAMA, Oct. 14, 1998 [5]
So, jump in and enjoy this ride with Ian and myself as we explore and examine this fascinating topic.
If we, as advocates, educators, and debaters do our jobs properly, we should not fear or discourage doubt and questions, but rather encourage them, as hallmarks of the honest pursuit of truth.
symptoms should not be treated, but rather used as evidence in formulating a diagnosis, which, if accurate, allows the causative disease to be treated. To do otherwise can be a form of iatrogenesis: medical malpractice and incompetence via mis-diagnosis and mis-prescription.
Here is a list of 253 diseases that mention 'malaise':
Almost any possible condition - Almost every illness makes people feel unwell.
I will continue to carefully make the distinction between physical or mental cause and physical or mental effect in my discussion.
a doctor's diagnosis and prescription is required to obtain pharmaceuticals.
phar•ma•ceu•ti•cal (fär'mə-sōō'tĭ-kəl) Pronunciation Key
adj.
Of or relating to pharmacy or pharmacists.
n. A pharmaceutical product or preparation.
A 40% discordance! And no improvement in over 60 years of medical and pharmacological 'advances'!
Thus I believe we have seen: the path of pharmacological treatment cannot be considered adequately effective for the treatment of general symptoms such as malaise.
Aspirin: Old Standby is the New Wonder Drug
It's been said that aspirin is so powerful, if were just being introduced today, it might be available only as a prescription drug. But aspirin was introduced to the world in 1897, and the white tablets - touted for their pain-relieving, fever-reducing and anti-inflammatory properties - became readily available over the counter in 1900.
Drugs that have helped treat millions of rheumatoid arthritis sufferers may hold the key to many more medical conditions, including atherosclerosis -- a leading cause of heart disease -- says the researcher who jointly invented and developed them.
When the U.S. population reached 100 million in 1915, the average lifespan was 54 years. When we hit 200 million in 1967, it was around 70.
Today, the average lifespan of someone living in the U.S. is just months shy of 78, and there is little reason to think that we won't continue to push the life expectancy envelope.
"Life expectancy worldwide has been rising pretty steadily since 1840, at a rate of about two years per decade," Daniel Perry, who is executive director of the Alliance for Aging Research, tells WebMD. "In 1840, the longest-living people in the world were women in Sweden, and they lived an average of 45 years."
Which method do you believe is the best and most effective way to treat Hemorrhoids, Positive Thinking or Preparation H?
Here is a list of 253 diseases that mention 'malaise':
Did you look at that list prior to posting it my friend?
Do you really want to contend that “Lack of Sleep” is a disease? Or “Poor Diet”?
I fail to see the significance here; perhaps you would like to enlighten us?
Headaches or backaches
Muscle tension and stiffness
Diarrhea or constipation
Nausea, dizziness
Insomnia
Chest pain, rapid heartbeat
Frequent colds
[1]
Research shows the benefits of optimism and a positive frame of mind are huge: optimists enjoy better health, stronger relationships, are more productive, and experience less stress, among other things.
[2]
Health benefits that positive thinking may provide include:
Decreased negative stress
Greater resistance to catching the common cold
A sense of well-being and improved health
Reduced risk of coronary artery disease
[3]
Superior Health
In a study of 99 Harvard University students, those who were optimists at age 25 were significantly healthier at ages 45 and 60 than those who were pessimists. Other studies have linked a pessimistic explanatory style with higher rates of infectious disease, poor health, and earlier mortality.
[2],[4]
Positive attitude correlates strongly with increased ability of the immune system to fight pathogens.
...
A study with the common cold and emotions showed that participants with happy emotions exhibited a greater ability to fight off the cold when given a squirt of the rhinovirus.
...
Correlations were observed in the number of lymphocyte cells and the person's level of optimism.
[5]
When you have a headache, do you think positive thoughts to stop the pain, or do you personally take medicine?
In regards to your statement quoted above, do you advocate NOT treating the symptoms of a disease we have no treatments for?
Do you consider the application of pharmaceuticals to alleviate pain “iatrogenesis” when we do not completely understand the cause of the pain?
Statistically we are living far longer than at any other time in recorded history; we are also statistically using modern medicines more. Is this a coincidence? Hardly.
Which method do you believe is the best and most effective way to treat Hemorrhoids, Positive Thinking or Preparation H?
I would not presume to offer you personal medical advice, my friend. I would suggest you keep a positive attitude, and consider consulting a doctor. Our prayers are with you; I am sure everything will clear up in time.
'malaise', in itself, is not a disease that can be medically cured. When present as a symptom, malaise itself is not treatable by pharmaceuticals.
But what diseases could be indicated by symptoms that include malaise? My research indicates several hundred. Here is a list of 253 diseases that mention 'malaise':
If a patient describes multiple symptoms, one of which is malaise, that is definitely not the primary symptom, and should not be treated as such. "Blinding pain" is the relevant symptom of a migraine, not malaise.
The symptoms may include sleepiness, irritability, fatigue, depression or euphoria, yawning, and cravings for sweet or salty foods. Patients and their family members usually know that when they observe these warning symptoms that a migraine attack is beginning.
Malaise is the symptomatic description that doctors resort to when a patient complains "I've just been feeling kinda blah"
malaise cannot be best treated with drugs. Let's examine in more detail:
positive thoughts and optimism, is the best cure for stress, not pharmaceuticals:
Positive thinking results in superior overall health, as no drug can:
So, can physical malaise be conquered by pharmaceuticals? Absolutely, yes! Show me a person who is 'feeling blah', and I guarantee you that, after a shot of intravenous morphine, they will be feeling juuust fine! Malaise cured. But, is that the 'better' solution? Obviously, for long-term health, it is not.
So, can physical malaise be conquered by pharmaceuticals? Absolutely, yes!
Consider an occasional cause of physical malaise: oncoming viral infection such as the common cold. How many pharmaceuticals conquer the common cold? Here's a hint: the answer is less than one. The best any do is alleviate some of the symptoms, such as runny nose, fever, etc. They can, at times, alter a person's feeling of well-being from 'absolutely horrible' to one of simple 'malaise'. That's far from conquering malaise, though, isn't it?
yes, I do take the occasional aspirin to correct lingering symptoms.
Yes I do, when the root cause of the pain has not been adequately diagnosed.
The following lists give examples of the diseases and conditions that can cause malaise.
ACUTE INFECTIOUS DISEASE
* Acute bronchitis or pneumonia
* Acute viral syndrome
* Infectious mononucleosis (EBV)
* Influenza
* Lyme disease
CHRONIC INFECTIOUS DISEASE
* AIDS
* Chronic active hepatitis
* Parasitic disease
* Tuberculosis
CARDIOPULMONARY DISEASE
* Congestive heart failure
* COPD
ORGAN FAILURE
* Acute or chronic kidney disease
* Acute or chronic liver disease
CONNECTIVE TISSUE DISEASE
* Rheumatoid arthritis
* Sarcoidosis
* Systemic lupus erythematosus
ENDOCRINE or METABOLIC
* Adrenal gland dysfunction
* Diabetes
* Pituitary gland dysfunction (rare)
* Thyroid disease
NEOPLASTIC
* Leukemia
* Lymphoma (cancer that starts in the lymph system)
* Solid tumor malignancies, such as colon cancer
BLOOD DISORDERS
* Severe anemia
PSYCHIATRIC
* Depression
* Dysthymia (a long-lasting depressed mood, less severe than depression)
MEDICATIONS
* Anticonvulsant (antiseizure) medications
* Antihistamines
* Beta blockers (medications used to treat heart disease or high blood pressure)
* Psychiatric medications
* Treatments involving several medications
...Preparation H?
Please directly answer my Socratic Question.
When a person has Diabetes and begins feeling the symptoms of rising blood sugar, (Malaise), would you recommend positive thoughts, or pharmaceuticals?
Call Your Health Care Provider if
Malaise is accompanied by other symptoms indicating a significant illness
Malaise persists longer than one week, with or without other symptoms
[1]
One of the major hazards of diabetes is depression.
Long-term, your health depends on maintaining a positive attitude as much as anything else.
[2]
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; wheezing; muscle pain); changes in vision; chest pain; chills; confusion; dizziness; drowsiness; fainting; fast or irregular heartbeat; headache; loss of consciousness; mood changes; seizures; shortness of breath; slurred speech; swelling; tremor; trouble breathing; trouble concentrating; unusual hunger; unusual sweating; weakness.
[3]
depression or mood problems, tiredness, and sleepiness
dizziness or loss of muscle coordination
effects on thinking and alertness
confusion, problems with concentration, attention, memory, and/or speech
loss of appetite, nausea, a change in the way foods taste, diarrhea, weight loss, nervousness, aggression, upper respiratory tract infection
[4]
Stage One included training in and application of problem analysis, goal setting, self-recording, self-monitoring, environmental planning and manipulation, muscle, mental and differential relaxation, self-desensitization and self-evaluation of change. Stage Two continued with training in 13 additional self-change skills.
...The training for Stage One of behavioral self-management resulted in a 52% reduction in headaches, while for Stages One and Two, 72% reduction was noted. Over an eight month follow-up period the incidence of migraine was reduced to zero.
[5]
When a person has feelings of Malaise, and knows this to be a result of the onset of Influenza, would you recommend positive thoughts or proper Pharmaceuticals?
Now looking at that list, I can only see maybe two that I would not the application of Pharmaceuticals to treat the Malaise associated with them.
As I have shown in my previous posting, the end result of our treatment of Physical Malaise is the lengthening of our natural life spans.
And to clarify my answer, I personally believe that may be the best treatment: not rubbing the wrong way.
Original Socratic Question From Semperfortis:
Which method do you believe is the best and most effective way to treat Hemorrhoids, Positive Thinking or Preparation H?
"Conquer Physical Malaise", not "Cure All Disease And Injury". I think that's quite clear and I will waste no more time addressing distractions.
malaise
1. A feeling of general bodily discomfort or unpleasantness, often at the onset of illness.
2. An ambiguous feeling of mental or moral depression.
When asked a question, a debater must give a straight forward answer in his next post. Explanations and qualifications to an answer are acceptable, but must be preceded by a direct answer.
Migraine headache and diabetes (and gunshot wounds) are serious illnesses, with many obvious and serious symptoms. Labeling them 'malaise' is like labeling a hurricane 'a vague sprinkling of rain'. Yes, it may include rain, but it's really not vague.
Originally posted by Ian McLean
malaise
1. A feeling of general bodily discomfort or unpleasantness, often at the onset of illness.
2. An ambiguous feeling of mental or moral depression.
I must ask: Have pharmaceuticals 'conquered' your illnesses?
I have avoided headaches, poor health, and yes, malaise, many many more times via positive thinking than any aspirin has ever helped with.
With regard to calling hyperglycemia mere 'malaise',
I would recommend you not ignore blood sugar imbalance for an entire week. In the interest of your health, please do not label it 'malaise'.
If you are thinking of attempting to prevent migraines with drugs, beware of side effects there, too:
Reduced to zero. Those results are simply amazing, and I would venture to say, very scary to the pharmaceutical industry.
A variety of drugs have been specifically designed to treat migraines. In addition, some drugs commonly used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:
* Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms that have already begun.
* Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
A healthy, active immune system can conquer the viral threat of influenza in ways that no pharmaceutical can.
About Influenza and Vaccination
Influenza, also called “the flu,” is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, and at times can lead to death. The best way to prevent this illness is by getting an influenza vaccination each year.
I must question your medical judgement. Your offer your opinion, label it 'truth', 'proof', and 'fact', without detail of supporting evidence. Many of the diseases on your list are caused by viral agents, for which there is no 'conquering' other than via the patient's immune system. Many others are congenital in nature, or the result of organ failure.
optimists are healthier overall, and suffer fewer minor and major incidents of poor health.
”Positive Thought Can Conquer Physical Malaise Better than Pharmaceuticals."
One entire category on your list shows that in many cases, malaise is caused by pharmaceuticals.
I will assume you have not comprehended my previous posts
Top Treatments
Preparation H: Helps 76% of the time
Positive Thinking: Helps 100% of the time
[1]
By your own admission you have never had a Migraine.
influenza vaccination
Mild fever, malaise, muscle pain, swelling or soreness at the site of injection
[2]
What is scary is you comparing your source, “Wiley Interscience” with the “Mayo Clinic”, if of course you in fact researched what you posted.
This was a fascinating debate with both fighters showing debate skills of a very high calibre.
Ian presented his argument well, and skillfully argued his point with good evidence and the best use of the definition of the debate, rightly concentrating on the word "malaise" and building his case around it.
Despite Sempers attempts to throw him off track and change the focus of the debate, Ian stuck to his guns very well and did not allow himself to be sidetracked by sempers spoiling tactics.
Semper, as ever, used rhetoric as a potent weapon and was unceasing in his attempts to throw Ian off track.
The fact that he was unable to do this speaks volumes about his opponent, and despite sempers superb use of logic based arguments to try and refute his opponents position, he was unable to do this.
Semper seemed to concentrate a little too much on picking his opponents arguments apart, rather than fire up the rhetoric and evidence to support his position more fully.
This was the key for me, and is again a reflection of a fighter being reactive rather than proactive.
This told in the final analysis, and for the weight of evidence presented as well as presentation of the evidence the debate goes to Ian McLean by the narrowest possible margin.
To say that this was a close debate would be an understatement - the fighters were separated by the tiniest margin and it was a very tough debate to judge.
Congratulations to both fighters.
Judgment; The win goes to Ian McLean.
Brief reasoning- Ian set the tone for the argument by showing us that malaise was a symptom of a broad range of things rather than an ailment in its own right. And he introduces the idea that it can have either physical or emotional or mental causes.
Semper tries to counter this by saying that treating an underlying ailment with pharmaceuticals is the same as showing that malaise itself is best treated with pharmaceuticals. Unfortunately, it did not, and really, could not work. It only addressed malaise that accompanied physical ailment and left utterly untouched Ians other points about malaise as a result of depression, lack of sleep, stress, etc. Semper was obviously struggling once Ian set the tone, and he never really found the way out of that trap.
Had Ian been less diligent about addressing all Sempers arguments, and less skilled at setting the tone, Semper might have won perhaps on the strength of his will alone. Unfortunately Ian was a match for Semper in constructing argument AND he had the side of the argument that lent itself best to success in the context of the debate as issued.
There was a problem with Ian being a bit cagey with the Socratic questions, but it was not enough to tip the argument to Semper.
Ian drifted a bit into cheerleading for alternative health, and Semper tried to use brute force to win the argument.
Those are the only real aesthetic criticisms I had. Sempers assertive stance I think was an attempt to make up for the weakness of his position, which I understand, but unfortunately I am not really susceptible to bluster.
These were two fine fighters, I think however the topic worked against the con position, and Ian and Semper were too well matched for Semper to overcome that.
Ian's condescending tone loses him points right off the bat. After lecturing us on the superiority of his sources, he runs off not to the original articles, but to anti-drug industry sites with article summaries, trusting that those sources are correct and correctly interpreted the material that they were reading. (small pause for raised eyebrows...)
Semper's opening is charming, frankly. He raises the exact same questions to Ian's opening that caused me to raise my eyebrows. His examples are on the mark and well considered.
Ian's discourse then simply turns into an "answer the questions" but it's obvious he's debating without fact checking. Semper nails him rather neatly on the "headache" question. The rebuttal which mentions positive thinking and diabetes horrified me.
Aside from the OMG! moments, it's a clear win for Semper. Ian never actually proves the point he begins with -- he simply scampers after details and never mentions studies that prove his points (after saying he would.) Semper sticks to the topic and he correctly reads original resources.