Articles Posted in Cancer

fdachiefgottlieb-150x150The Trump Administration has lost yet another top health official: So, what happens now with key policies pushed by Scott Gottlieb, the departing federal Food and Drug Administration commissioner, to battle teen nicotine abuse, cut skyrocketing drug costs, and attack the opioid crisis?

Administration officials insist Gottlieb wasn’t ousted, and the physician and onetime Big Pharma insider said he resigned from his post after a year on the job because he wanted to spend more time with his family (they hadn’t moved from Connecticut to join him in the nation’s capital).

Though Gottlieb received mixed or favorable media coverage as he leaves, his effect on the nation’s health is as cloudy as many high school vaping spots.

davincirobot-300x176The federal Food and Drug Administration finally has pushed back at surgeons and hospitals for experimenting on patients, spending $3 billion a year for surgical robots. The devices should not be used for mastectomies and other cancer-related procedures without caution, regulators warn.

The FDA acted after studies have shown that minimally invasive procedures for early-stage cervical cancer, many robot-aided, were more likely than standard, large-incision surgeries to result in recurrences of the disease and deaths.

Regulators also may have been prodded by their poor history in halting harms to women with so-called keyhole procedures, particularly the nightmares the FDA was slow to react to involving minimally invasive hysterectomies and a tissue-grinding tool called a morcellator.

fdachiefgottlieb-300x300Punked, dunked, and owned — if you’re young enough, that’s how you say your team has crushed a competitor. The lingo might well describe, too, the situation for now between e-cigarette maker Juul and Scott Gottlieb, commissioner of the federal Food and Drug Administration.

He has talked tougher and tougher with Juul as part of the FDA’s crackdown on vaping and e-cigarettes, a craze among the young that is eroding decades of efforts by health advocates to reduce Americans exposure to and abuse of nicotine and cancer-causing cigarettes and other tobacco products.

Gottlieb has told Juul officials he may summon them to his offices in the nation’s capital for more scoldings, this after the agency has chased and chastised vendors across the country, including Walgreen’s and Circle K stores, about keeping vaping products, e-cigarettes, and tobacco out of minors’ hands.

mdepressionRoughly 1 in 7 moms, who, during or after pregnancy, suffer debilitating depression — losses of energy or concentration, changes in sleeping and eating patterns, feelings of worthlessness or suicidal thoughts — now may get counseling that has proven helpful to women and their babies.

Preventive health experts have called on medical providers to guide women to this specialized care that could benefit 180,000 to 800,000 mothers each year. Because this treatment has been put forward this way, women also can get help affording it. As the New York Times reported, the recommendation for maternal depression counseling, by the United States Preventive Services Task Force, means insurers must cover the services — with no co-payments — under the Affordable Care Act.

Experts told the newspaper the USPSTF action was an important step on perinatal depression, noting:

puffdad-265x300The federal Food and Drug Administration failed to protect the nation’s young against Big Tobacco’s harms with slow-poke responses to the rise of e-cigarettes, as well as tardy regulation of flavorings for combustible cigarettes and liquids used in “smokeless” vaping, health advocates say.

The American Lung Association, in its annual “State of Tobacco Control” report, ripped FDA Commissioner Scott Gottlieb and his agency for postponing oversight of e-cigarettes and vaping — a hard-won crackdown approved in the Obama Administration — to further study the harms of the devices and practices.

While the agency dawdled, e-cigarette makers, notably the firm behind the small Juul device, stormed the youth market, luring American teens to a raging, e-cigarette fad. Many became addicted to vaping and harmful nicotine, as a result. As the lung association describes it:

cancerdeathrates2018-271x300Cancer hasn’t gotten knocked out of its spot as Americans’ No. 2 killer, but health officials have delivered some good news about the disease that once was considered irreversible in its lethal course: Cancer deaths rates have fallen now for a quarter of a century.

The American Cancer Society, pointing to 1991 as a peak year, says that death rates from the disease declined by 27 percent, “meaning more than 2.6 million deaths [were] avoided between 1991 and 2016.”

Still, 1.7 million Americans likely will be diagnosed with cancer this year, and the disease will kill more than 600,000 patients — meaning 1,666 people per day in this country will die of cancer.

juulcig-300x159When the reviews of 2018 get written, here’s hoping that health experts castigate the federal Food and Drug Administration and Scott Gottlieb, its chief, for a major blunder that continues to harm the well-being of the nation’s teenagers and young adults.

That’s because Gottlieb and his agency held a regulatory door wide open as the maker of the e-cigarette device Juul stormed through, campaigning to hook teen-agers and collegians on vaping. That’s the practice of using e-cigarettes to catalyze commercially prepared solutions to get a high, typically from nicotine, a powerfully addictive substance that carries a range of risks, especially for the young.

Big Tobacco loves Juul so much that, as a holiday gift, Altria, a major player in the industry, has cut a $12.8 billion deal with the e-cigarette maker that includes a $2 billion bonus to be split by the company’s 1,500 employees.

prostate-300x173A large, long-running study on treating prostate cancer, a leading killer of men, has supported both “watchful waiting” with most men diagnosed with the disease, and aggressive therapies — especially surgery — for patients at higher risk of the disease’s spread.

Parsing the results of this research, however, may send men to a key source of information: Their own doctors, with whom they should consult closely.

That’s because the study’s duration and the information it produced requires nuanced interpretation, depending on patients and their specifics. Just consider how news organizations differed in the headlines for their stories on the research:

jjbabypowder-300x300Johnson & Johnson, now facing thousands of lawsuits asserting ties between its famed baby powder and patients’ cancers, has campaigned for decades to keep from wide public view information that its talc was tainted with asbestos, a naturally occurring substance and an established cause of some cancers, news media reports say.

Reuters news service published its investigation of J&J’s long efforts to deny and downplay scientific evidence it had about asbestos in a product that has helped to create and define the company as one of the nation’s family friendly consumer product and pharmaceutical giants.

Tens of millions of Americans grew up, with grown-ups dusting them as infants with Johnson’s baby powder, now contributing just “$420 million to J&J’s $76.5 billion in revenue last year,” Reuters reported.

puff-e1541870832659-230x300Uncle Sam will rip a page from Big Tobacco’s marketing playbook, targeting the taste and buying-ease of nicotine-containing products with tough new restrictions aimed at better protecting kids. Will these latest steps, however, snuff out the increasingly risky youth vaping craze and long problematic menthol cigarettes and cigars? Or are officials too late and being more helpful than not to tobacco interests?

The Washington Post first reported the outlines of plans by the federal Food and Drug Administration to crack on the hot youth trend of using e-cigarettes by barring sales at gas stations and convenience stores like 7-Eleven of certain flavored liquids and devices used in vaping.

But the FDA, in its formal policy announcement, retreated from that tough stance. Instead, the agency says it will require gas stations and convenience stores to require age verification and keep specified products away from the under-aged. It is unclear if this means vendors simply can stash these items under the counters, or if they must be kept in separate adults-only areas.

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