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By
Joseph Mercola, D.O.
At one time, the
main title of my Web site read:
Doctors
are the Third leading Cause of Death
Many of you reading this have read or seen this in many places
other than my Web site. This article, available on my home
page, was widely circulated on the Internet and was one of
the reasons why my Web site was initially popular. What you
may not realize is that I am the one who made this analysis
and popularized it. The original study was published by Dr.
Starfield, a full professor of public health at the most prestigious
hospital in the United States, Johns Hopkins. Her study never
had the headline in it, but instead listed the published research
documenting the various causes of deaths that doctors contributed
to. I simply added them all up and compared them to cardiovascular
diseases and cancer and came up with the above headline, which
was widely circulated on the Internet.
Interestingly, when I contacted Dr. Starfield by e-mail she
disagreed with the headline I had come up with. She did not
feel that doctors were the third leading cause of death, but
thought they were the number one cause of death because of
their failure to inform their patients about the truth of
health. Now this might be a bit too harsh as even if people
understand health truth they have freedom of choice and can
choose to use sugar, soda and drugs (legal and illegal) to
compromise their health and longevity.
However, JAMA actually
published a study a year earlier that could support that doctors
may be the leading cause of death in the United States.
This finding is
more of a speculation though, so below I have provided some
other studies to support this assertion.
- In 1994, an
estimated 2,216,000 (1,721,000 to 2,711,000) hospitalized
patients had serious adverse drug reactions (ADRs) and 106,000
(76,000 to 137,000) had fatal ADRs, making these reactions
between the fourth and sixth leading cause of death.
- Fatal ADRs accounted
for 0.32 percent (95 percent confidence interval (CI), 0.23
percent to 0.41 percent) of hospitalized patients.
JAMA
April 15, 1998;279(15):1200-5
BMC
Nephrol. December 22, 2003
-
Medication-related problems (MRP) continue to occur at
a high rate in ambulatory hemodialysis (HD) patients.
-
Medication-dosing problems (33.5 percent), adverse drug
reactions (20.7 percent), and an indication that was not
currently being treated (13.5 percent) were the most common
MRP.
-
5,373 medication orders were reviewed and a MRP was identified
every 15.2 medication exposures.
Nurs
Times. December 9-15, 2003;99(49):24-5.
- In 2002, 16,176 adverse drug reaction reports were received,
of which 67 percent related to reactions categorized as
'serious.'
Pharm
World Sci. December, 2003;25(6):264-8.
-
Medication administration errors (MAEs) were observed
in two departments of a hospital for 20 days.
-
The medication administration error rate was 14.9 percent.
Dose errors were the most frequent (41 percent) errors,
followed by wrong time (26 percent) and wrong rate errors.
Ten percent of errors were estimated as potentially life-threatening,
26 percent potentially significant and 64 percent potentially
minor.
Serious
and Fatal Drug Reactions in US Hospitals
- Drug-related
morbidity and mortality have been estimated to cost more
that $136 billion a year in United States. These estimates
are higher than the total cost of cardiovascular care or
diabetes care in the United States. A major component of
these costs is adverse drug reactions (ADE).
Am
J Med August 1, 2000;109(2):122-30
- About 0.05 percent
of all hospital admissions were certainly or probably drug-related.
- Incidence figures
based on death certificates only may seriously underestimate
the true incidence of fatal adverse drug reactions.
Eur
J Clin Pharmacol October, 2002;58(7):479-82
- In one study
of 200 patients, ADRs may have contributed to the deaths
of two (one percent) patients.
J
Clin Pharm Ther October, 2000;25(5):355-61
- In a survey
of over 28,000 patients, ADRs were considered to be the
cause of 3.4 percent of hospital admissions. Of these, 187
ADRs were coded as severe. Gastrointestinal complaints (19
percent) represented the most common events, followed by
metabolic and hemorrhagic complications (nine percent).
The drugs most frequently responsible for these ADRs were
diuretics, calcium channel blockers, nonsteroidal antiinflammatory
drugs and digoxin.
J
Am Geriatr Soc December, 2002;50(12):1962-8
Dr. Mercola's Comment
As health reporter
Nick Regush said
last year:
"There
is no way to be nice about this. There is no point in raising
false hopes. There is no treatment or vaccine in sight.
There is no miracle breakthrough on the horizon.
Medicine,
as we know it, is dying. It's entering a terminal phase.
What began
as an acute illness reached the chronic stage about a decade
ago and progression toward death has been remarkably swift
and well beyond anything one could have predicted.
The disease
is caused by conflict of interest, tainted research, greed
for big bucks, pretentious doctors and scientists, lying,
cheating, invasion by the morally bankrupt marketing automatons
of the drug industry, derelict politicians and federal and
state regulators - all seasoned with huge doses of self-importance
and foul odor."
Currently, the
United States spends
about 1.5 trillion dollars for healthcare, and the projections
are that it will double in less than 10 years.
The sad tragedy
is that we are spending all of this money on disease management
focused on drugs and surgery, and our return on this investment
is profoundly poor. More and more people do not have the energy
they need to get through the day while millions of others
are suffering with painful crippling diseases because they
have violated basic health principles.
Often, negative
health and lifestyle choices are made because of a lack of
knowledge, and it's my passion to increase the public's awareness
of the health tragedies facing the nation. I will give you,
the consumer, the tools to become a major force for good health
and to alleviate disease and suffering.
At Mercola.com,
we have been steadily working to introduce innovative software
that will accelerate this process, but finishing the manuscript
of my book pushed the project back a bit. The beta version
will be released shortly and I hope to have the full version
out very soon.
The software
will help all of us to transform the system together.
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