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You can go off drugs......

Doctors are slaves to fashion in the same way as everyone else is.



When new drugs are introduced, you get a surge of use, then a tailing off, and eventually the new drug becomes established and we all get used to it.



When it comes to new drugs, the Jobbing Doctor is a late adopter. I don't always rush into using the new agent, relying on others to try them with their patients.



Sometimes my therapeutic cautiousness means that my patients don't get the new online pharmacy as soon as they might; it does work both ways as I have rarely had to stop medication that has been withdrawn.



Take Calcium Channel blockers. They have been around for a long time now (greater than 30 years) and have not been my favourite group of blood pressure tablets. Especially the dihydropyridine group [all those drugs - there are 20 of them - that end in -ipine]. Over the last few years I have seen what seems like hundreds of patients with bad leg swelling (full of fluid), and I have often stopped the medication.



On one of my house calls today I have done it again.



I really feel that we overmedicate the elderly.

Huge hospital markups burden patients

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Drew Sheward was installing a yard sprinkler system for a customer when he felt pain in his stomach.

The next day Sheward, twisting in agony, drove himself to Northside Hospital-Forsyth and had his appendix removed.



Weeks later Sheward, a small business owner who said he cannot afford expensive private insurance, received a cheap cialis bill for $23,483. This is the hospital’s full charge, which only the uninsured and a few other groups are expected to pay.



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