Cancer

October 1, 2019

Health care plagued by cases of a persistent pathology — unmitigated gall

There seems to be a never-ending outbreak of a certain kind of pathology in the United States. Big Pharma has it and spreads it around, a lot. So, too, do public health figures. Let’s call this scourge what it is — unmitigated gall.

The problem with this nasty condition is that it afflicts the rest of us. Just consider how stomach-churning these shenanigans can be:

Penalties for bogus prescribing of ‘little red pills’ on elderly dementia patients

September 27, 2019

A toast to clear and simple advice: Parents, it’s just milk and water for the kids

by Patrick A. Malone

Milk and water — it’s that simple. That’s the latest and official recommendation for what children 5 and younger mostly should drink.

For parents, if any doubt persists, that advice comes from leading health authorities, including Healthy Eating Research, a nutrition advocacy group funded by the Robert Wood Johnson Foundation. The group developed the kids’ drink guidelines with the backing of the American Academy of Pediatrics, the Academy of Nutrition and Dietetics, the American Heart Association, and the American Academy of Pediatric Dentistry.

The experts cautioned grown-ups about giving children sugary drinks, including, in a sure-to-be-contested suggestion, recommending a hard cap on fruit juices: for 100% juice, less than a cup a day.

September 24, 2019

Administration actions give us all plenty of reasons to not breathe easy

by Patrick A. Malone

Even as investigations deepened into the harms caused by vaping and e-cigarettes, the Trump Administration confounded those concerned with public health and the environment with rollbacks of legal ways to get vehicles to be cleaner and less polluting and of measures to ensure food safety, notably via changes in inspections of long problematic pork producers.

Voters in the 2020 elections may wish to take note of these and other mounting issues — including proliferating “skimpy” health insurance plans — in which the administration zigs and zags on policies that it promises are intended for the public good, despite considerable evidence to the contrary.

President Trump made public his administration’s decision to revoke federal approval of California setting industry-leading vehicle emission standard even as he fund-raised in the Golden State.

September 15, 2019

Trump administration now seeks to vaporize vaping, banning candy flavorings

by Patrick A. Malone

After standing to one side while vaping hooked a generation of young Americans on nicotine, the Trump Administration has now abruptly decided to try to vaporize youthful vaping by banning candy-like flavorings favored by e-cigarette users.

The president and Alex Azar, the chief of the Health and Human Services agency, announced the latest e-cigarette and vaping crackdown. It still must be defined in regulations, practices, and the financial support for the federal Food and Drug Administration to enforce it. FDA Commissioner Ned Sharpless and First Lady Melania Trump also participated in the Oval Office session.

The White House announcement came as public officials add daily to the toll of a sudden outbreak of reported deaths (at least a half dozen) and serious respiratory harms (hundreds of cases in three dozen or so states) blamed on vaping. Investigations continue as to the cause of the e-cigarette-related fatalities and injuries.

September 8, 2019

As deaths and lung damage cases rise, isn’t it clear that vaping is unhealthy?

by Patrick A. Malone

How well does Scott Gottlieb, the former federal Food and Drug Commissioner, sleep at night? Or does he even pause to think much about his role in opening the door to what has become a widening and lethal health menace: vaping and e-cigarettes?

The federal Centers for Disease Control and Prevention has joined with respected specialists in public health and lung disorders to urge the public, most especially young Americans, to stop vaping and using e-cigarettes at least until authorities can sort out an outbreak of serious problems connected with the trendy practices involving inhaling of substances catalyzed by electric devices.

Vaping suddenly has been implicated in 450 cases in 33 states and it has been tied to at least five deaths. Dozens of young people have been hospitalized, some with significant and sustained lung damage requiring extensive medical treatment.

August 28, 2019

U.S. task force refines guidelines for women’s genetic cancer screening

by Patrick A. Malone

Many more women would benefit if their doctors took time to put them through a relatively easy screening using readily available questionnaires to determine if they might need further specialist assessment and a medical test for a genetic mutation linked to breast and other forms of cancer.

Women, however, should not routinely be subjected to the assessment, counseling, and testing for the BRCA 1 and BRCA 2 mutation, the influential U.S. Preventive Services Task Force has recommended, based on its blue-chip review of medical evidence. The task force gave the broad, routine approach its D grade, as in it should not be done.

The panel gave the careful and appropriate BRCA screenings its “B” grade, meaning they have moderate to significant benefits. The screening by primary care doctors is best suited for women with “a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations.”

August 23, 2019

To fight smoking and drug abuse, Uncle Sam will try gross images and screenings

by Patrick A. Malone

fda3smokewarns-300x166 The U.S. government will try to tackle two of the toughest health care challenges around with new pushes involving graphic imagery and smoking prevention and the encouragement for doctors to screen their adult patients to better detect, avert, and treat drug abuse.

Both initiatives have their soft spots.

But officials say they must act in as many ways as they can. That’s because 480,000 people in the United States die each year from illnesses related to tobacco use, the American Cancer Society reports, adding, “This means each year smoking causes about 1 out of 5 deaths in the US.” Drug abuse and overdoses, meantime, killed more than 68,000 Americans in 2018 alone, exceeding the nation’s peak annual deaths from car crashes, AIDS or guns, the New York Times reported, based on data from the federal Centers for Disease Control and Prevention (CDC).

August 15, 2019

Safety concerns more than skin deep with consumer products like sunscreens

by Patrick A. Malone

It probably should not have come as such a shock. But consumers are learning the hard way — notably through lawsuits in the civil justice system — that substances they slather on their skin don’t just stay there. They can move deeper into the body, causing bad things to happen.

Judges and juries have accepted the argument that this occurs with baby powder, with asbestos-tainted talc contributing over long periods of frequent application to claimants’ genital cancers. Plaintiffs have won sizable judgments, asserting their cancers were tied to extensive, sustained exposure to the chemical used in the weed killing product Roundup.

August 5, 2019

Defense bill may offer active service personnel a way to win back key rights

by Patrick A. Malone

Although members of Congress have fled the nation’s capital for their annual August recess, there’s guarded optimism that lawmakers may be open to reversing a seven-decades-old U.S. Supreme Court ruling that bars active duty military personnel from their constitutional right to pursue in the civil justice system claims that they have suffered harms while seeking medical services.

Advocates of this change saw cause for optimism that President Trump met briefly in July in North Carolina and encouraged Army Sgt. 1st Class Richard Stayskal, a terminally ill Green Beret who has become the focus of efforts to fixing the Federal Tort Claims Act (FTCA), Bloomberg news service reported. Jackie Speier, a California Democratic congresswoman, introduced a bill named after Stayskal and that would allow troops to file medical malpractice suits in federal court, because, as Bloomberg said:

“Stayskal went to Womack Army Medical Center at Fort Bragg in 2017 after feeling suffocated and coughing up blood, but the hospital misdiagnosed him with pneumonia during two visits, according to his congressional testimony before the House Armed Services Committee. By the time he saw a civilian doctor six months later, the lung tumor causing the problems had doubled in size. The tumor had showed up in X-rays done before he went to dive training, but nobody told Stayskal or diagnosed him.”

July 30, 2019

Voluntary recall of textured device raises more alarms about breast implants

by Patrick A. Malone

An Irish medical manufacturer voluntarily withdrew its textured breast implant and related tissue expanding devices from markets after the federal Food and Drug Administration tracked a spike in a rare cancer and deaths tied to the products and asked that they be recalled.

U.S. regulators, the New York Times reported, lagged their European counterparts by almost a year in acting to protect women seeking cosmetic and reconstructive procedures involving the Allergan implant:

“Worldwide, 573 cases and 33 deaths from the cancer have been reported, with 481 of the cases clearly attributed to Allergan Biocell implants, the F.D.A. said. Of the 33 deaths, the agency said its data showed that the type of implant was known in 13 cases, and in 12 of those cases the maker was Allergan.”