At 22:04 +0100 on 06-10-1996, Dr David J Plews wrote:
> At 17:29 05/10/1996 +1200, John wrote:
> >I don't entirely agree with David Plews on this..
> >For example David hasn't mentioned that age is the single most important
> >risk factor, and the studies have only documented risks for MI/CAD.
> I thought that the WOSCOPS study looked at primary prevention and death from
> any cause? I could be wrong.
>
> >The funding of the drugs is a totally separate issue.
> Absolutely right, I was just trying to show the enormous importance and
> implications of these trials. Not only will the drug bill increase, but just
> think of the extra workload. Who is going to treat and monitor all these
> people :-(
>
> >My father is 72 years and if he had a cholesterol of 9 mmol/L I would most
> >certainly be seeking treatment with the best EBM-medicine (EBM sometimes
> >has its uses when the evidence is convincing).
> This is the problem facing us. At what level of risk do you set the
> treatment intervention level? 2% or 1%? For the later the increase in total
> national drug bill is probably 50%. I think the trials evidence for over the
> over 70s is not here yet, but extraploation of risk seems reasonable. If you
> love your dad (or mum) then go for it.
Or better still...
put the proven medicine in the water from the tap.
And add some other proven medicines as well.
Keep smoking, drinking to much alcohol, and driving to fast.
Don't stand on a chair, watch out not to step on the peelings of a banana,
be carefull of thieves and rapers, and live happy for everafter in good
health, untill your teeth fall out, your bones crumble and you meet your
Maker at last.
Greetings and a very good extremely long life in good health to you all! :-)
Believe me!
I'm your doctor.
I care for you.
I know what's best for you!
You must use my medicine!
I feel happy and content, you live longer, the industry prospers, and we
all pay the expenses and taxes.
Simple, isn't it?
Gerard Freriks,huisarts, MD
C. Sterrenburgstr 54
3151JG Hoek van Holland
the Netherlands (31) 174-384296/ Fax: -386249
ARS LONGA, VITA BREVIS
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