Re: CSAnecdotal versus laboratory testing methods

2008-10-21 Thread Marshall Dudley

indi wrote:

On Mon, 20 Oct 2008 12:29:47 +0100
Dee d...@deetroy.org wrote:

  
In fact, your question is surely more relevant to most of us.

Unfortunately, clinical double-blind studies are expensive to conduct,
and most of them are financed by companies who make their money from
patent medicines, or researchers working with grant money, so they have
a powerful incentive to skew the results of these studies (it's either
re-qualify for the grant money or get this product approved), and
also often to avoid head-to-head comparisons of (for example) CS and
vancomycin. But the corruption rampant in the pharmaceutical industry
should not be read as an indictment of scientific method. The problem
is Big Pharma doing science theater rather than real science. For
instance the clinical studies *did* catch the big problems with Vioxx,
and the manufacturer simply covered it up. This sort of thing happens
all the time in the pharmaceutical industry. So perhaps it is not
unreasonable to consider anecdotal evidence more trustworthy than
information from the FDA or Upjohn, but it's still not as reliable as
the scientific method. That correlation does not imply causation has
been more than adequately proven. OTOH, where there is smoke there is
fire does work a lot of times, too. :)

  


A very good example of this, with full FDA support, is the formulating 
of the control.  Every wonder why they often report some bad side effect 
of a drug, and then claim that occurance with the medicine is no greater 
than it is with a sugar pill.  Reason is that it is a lie.  They don't 
test with a sugar pill normally. Instead the companies are allowed to 
formulate the placebo to make it supposedly indistinguishable from what 
is being tested.  Then the FDA allows the company to call it a sugar 
pill, suggesting that the average person is too dumb to know what a 
control or placebo is.  So the placebo will not only mimic the color and 
texture of the medicine, but they will add compounds to cause the same 
side effects.  For instance, lets say that they know that the drug 
causes nausea in some people. Then they would add something, like syrup 
of ipecac, to make the placebo nauseate as well.  This does make some 
sense for a double blind study, where you do not want the person to have 
any hint of which is the drug, and which is the placebo.  But there are 
two problems with this.  First they often add stuff that makes the 
condition worse.  Lets say they are testing a medicine for headaches.  
But it can also cause stomach upsets. So they add something that not 
only causes nausea but headaches as well.  The the final result will be 
that the medicine, even if it does absolutely nothing, will from the 
placebo effect or even no effect, score higher than the placebo, which 
is formulated to cause the actual problem that the medicine suppose to 
cure.  Then according to FDA rules, instead of advertising that their 
medicine worked better and had fewer side effects than their placebo of 
say rat poison, they are allowed to say it performed better with less 
side effects than a sugar pill.  Of course they never make this claim 
for diabetes medicine, for them they say a control or placebo; it seems 
that diabetics are the only group the FDA believes knows what a control 
or placebo is.


Marshall


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Re: CSAnecdotal versus laboratory testing methods

2008-10-21 Thread Dee

Scary, isn't it?  dee

Marshall Dudley wrote:
i Then according to FDA rules, instead of advertising that their 
medicine worked better and had fewer side effects than their placebo 
of say rat poison, they are allowed to say it performed better with 
less side effects than a sugar pill.  Of course they never make this 
claim for diabetes medicine, for them they say a control or placebo; 
it seems that diabetics are the only group the FDA believes knows what 
a control or placebo is.


Marshall


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CSAnecdotal versus laboratory testing methods

2008-10-20 Thread Dee
I had a thought about this.  Didn't the latter come about because it 
became somewhat 'undesirable' to test things actually on people?  In the 
early days when things like bella donna and arsenic were used, they must 
have tested the doses on people in order to decide what were the 
beneficial amounts to take, mustn't they?  I presume the poor were used 
as they would have been expendable in those dark times, as they were 
used for a lot of experimentation. 
By this thinking, I would have thought that anecdotal evidence and 
experience, should be superior to laboratory testing because the results 
are irrefutable.  There are too many variables in laboratory tests to be 
accurate when it comes to people actually *using* stuff.  Take Vioxx for 
example, and Thalidomide.  *They* were presumably laboratory tested, but 
look at the disasters caused when given to people!   Just a  notion.  dee



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Re: CSAnecdotal versus laboratory testing methods

2008-10-20 Thread indi
On Mon, 20 Oct 2008 12:29:47 +0100
Dee d...@deetroy.org wrote:

 I had a thought about this.  Didn't the latter come about because it 
 became somewhat 'undesirable' to test things actually on people?  In
 the early days when things like bella donna and arsenic were used,
 they must have tested the doses on people in order to decide what
 were the beneficial amounts to take, mustn't they?  I presume the
 poor were used as they would have been expendable in those dark
 times, as they were used for a lot of experimentation. 
 By this thinking, I would have thought that anecdotal evidence and 
 experience, should be superior to laboratory testing because the
 results are irrefutable.  There are too many variables in laboratory
 tests to be accurate when it comes to people actually *using* stuff.
 Take Vioxx for example, and Thalidomide.  *They* were presumably
 laboratory tested, but look at the disasters caused when given to
 people!   Just a  notion.  dee
 
 

I believe you are addressing the question can a laboratory model make
accurate predictions about the effect of a given substance on a human
body? (to which the answer is, of course, once in a blue moon:)).
That is a very different question from what is the exact chemical
composition of a given substance and how does it behave over time?. 

In fact, your question is surely more relevant to most of us.
Unfortunately, clinical double-blind studies are expensive to conduct,
and most of them are financed by companies who make their money from
patent medicines, or researchers working with grant money, so they have
a powerful incentive to skew the results of these studies (it's either
re-qualify for the grant money or get this product approved), and
also often to avoid head-to-head comparisons of (for example) CS and
vancomycin. But the corruption rampant in the pharmaceutical industry
should not be read as an indictment of scientific method. The problem
is Big Pharma doing science theater rather than real science. For
instance the clinical studies *did* catch the big problems with Vioxx,
and the manufacturer simply covered it up. This sort of thing happens
all the time in the pharmaceutical industry. So perhaps it is not
unreasonable to consider anecdotal evidence more trustworthy than
information from the FDA or Upjohn, but it's still not as reliable as
the scientific method. That correlation does not imply causation has
been more than adequately proven. OTOH, where there is smoke there is
fire does work a lot of times, too. :)

Just my $.02...

indi








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Re: CSAnecdotal versus laboratory testing methods

2008-10-20 Thread Dee
Yes this corruption was highlighted when the tobacco industries (who 
funded the trials) told us all that tobacco was actually *good* for us!  dee


indi wrote:

On Mon, 20 Oct 2008 12:29:47 +0100
Dee d...@deetroy.org wrote:

  






In fact, your question is surely more relevant to most of us.
Unfortunately, clinical double-blind studies are expensive to conduct,
and most of them are financed by companies who make their money from
patent medicines, or researchers working with grant money, so they have
a powerful incentive to skew the results of these studies (it's either
re-qualify for the grant money or get this product approved), and
also often to avoid head-to-head comparisons of (for example) CS and
vancomycin. But the corruption rampant in the pharmaceutical industry
should not be read as an indictment of scientific method. The problem
is Big Pharma doing science theater rather than real science. For
instance the clinical studies *did* catch the big problems with Vioxx,
and the manufacturer simply covered it up. This sort of thing happens
all the time in the pharmaceutical industry. So perhaps it is not
unreasonable to consider anecdotal evidence more trustworthy than
information from the FDA or Upjohn, but it's still not as reliable as
the scientific method. 
  



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