Showing posts with label Miscellaneous. Show all posts
Showing posts with label Miscellaneous. Show all posts

Saturday, March 24, 2007

Anonymous awards

I have been tagged for a Thinking Blogger Award by two of the greatest anonymous medical bloggers over the past week - Pharmagossip award and Clinical Psychology and Psychiatry - award. These are two great pharmaceutical blogs. When one is nominated, it is apparently one’s duty to pass along five sites (and only five sites) that make one think.

Here are the rules.

Here is the graphic:


So, in the same spirit I offer up 5 blogs. I have specifically excluded the eight other special blogs already awarded.

Pharmagossip
Clinical Psychology and Psychiatry - a closer look
Furious Seasons
Health Care Renewal
The Last Psychiatrist
Pharmalot
Pharma Giles
Peter Rost Blog

Given the limit of five, I have closen five others that deserve more thinking attention (and with no insult intended to the many other great blogs I read):

  1. The amazing and fearless Vera Sharav at the Alliance for Human Research Protection
  2. Seroxat Secrets A fascinating and excellent example of what our patients can achieve when us doctors don't care about the scientific evidence underlying the drugs we prescribe. A detailed and persistent probing of the functioning and malfunctioning of the UK drug regulator (the MHRA) and GlaxoSmithKline.
  3. From the great John Mack -The Pharma Marketing Blog
  4. Sisyphus’ Ledge by a thoughtful psychiatrist with bipolar disorder.
  5. And the ever amusing and intelligent Rita Pal of NHS Exposed now on the NHS Exposed Blog

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Monday, October 30, 2006

Resistance is futile

A blog comment from reader Odette Lussier is perhaps germane. I thought I would repeat it as a full posting. Comments for and against appreciated. Is there any point resisting the forces of obfuscation, or is it a bit like spitting into the mighty sea?

Aubrey

pharmaceutical research misconductOdette writes: Having had some contact with the world of scientific research, I had just assumed that fraud was standard practice and that no scientist would put good money at risk by publicly admitting that his basic assumptions were wrong when he started planning an experiment. You can't just lose money in blind alleys and you can't be at the mercy of your data. Time and again, I have seen researchers replacing missing data cells with the group average, removing outliers until they get the variance they want, doing linear transformations and even using mind-boggling statistical techniques of their own invention to get a p-value worth publishing.

As one student told me, everybody does it and she has worked hard to get her doctorate. She had no control over the experiment or the technicians doing the analysis and there is no degree for work done, just one for results obtained. That science is a corrupt field populated by frauds, psychopaths, hucksters and hustlers is not news. It just surprises me when someone comes out of the woodwork to complain because I wonder how a person could get their degrees and spend years surrounded by such colleagues without noticing something amiss before now. As another student told me, "Why can't you just play the game?"

And why not? I know someone who bucked the system like you and as a result, the researcher he was complaining about colluded with the university rector to falsify results in order to hide the original delinquent data. He was dismissed from his doctoral studies and threatened with a libel suit. Can't blame everyone else for keeping quiet.

My attitude towards research now is you find what you're being paid to find and if ten years from now someone finds something different, no one will take away your diplomas, awards, funding etc. retroactively. Besides, theories go in and out of fashion and even if you take the pains to do ethical research, it doesn't mean that anyone will even consider it relevant by then.

Furthermore, the moral argument that human lives are at risk is getting shakier every day. This is not a position based on reason, but on an ancient moral code involving notions of sacredness and higher power that have been discredited by liberalism for some time now. Inasmuch as liberalism seeks to subsume all aspects of human life to the power of reason, it is to be expected that those who operate from this framework desire to exercise the power they devoted their mental abilities to obtain. The ultimate power, that formerly reserved for the gods, is the power over life and death. Thus, having stripped the gods of their moral authority via reason, why would one hesitate to appropriate their ultimate power over human life as one's own because a few faceless individuals are standing in the way of boundless good fortune, prestige and even more power. This is the final power that religion refused us and that rationalism can confer, that it is not rational to let a few lives matter more than all that can be obtained by possibly putting them at risk. And that's why we have unsafe products, bad meds, pollution and a host of other ills that actuarial bean counters allow to be foisted on the public because in their estimation, a few faceless lives that could be lost are not worth the cost of doing things "right".

It also helps to remember that "In the long run, we'll all be dead." It's not like there's someone waiting on the other side to hold you to account because you colluded with a pharmaceutical firm in putting out a bad product that harmed someone. These companies have enough money to keep people tied up in court for a long time, especially if they are poor or indigent, which is why product testing in the developing world is such a good idea. Thus, you could probably escape the negative moral consequences of your rational course of self-interest completely, whereas your irrational devotion to a moral position that would keep poor people picking through garbage in Brazzaville while you have an obscure career with little fame and even less money seems to no one's advantage.

If you think the game is fun now, wait 'til all those Chinese researchers who were trained in the west start churning out publications back home with a trillion-dollar economy to back them up. They can drown us in normal curves and powerpoint presentations and we'll never be able to separate the wheat from the chaff.

As it is, why would we believe any white-coated pharmaceutical/government research apparatchik about anything? These people have secured their position over the rest of us for a hundred years by touting their greater capacity for reason. Problem is, I have lost faith in the power of the white coat and the fancy diploma to know better than me. I just expect them to be more arrogant about it, that's all. So, call me superstitious, call me irrational if you like, but my years in data analysis have taught me that I can demonstrate that astrology works, that homeopathic medecine is a panacea, that aliens communicate with us or any else I want, as long as I am financed by deep pockets who find it in their interest to popularize these beliefs. By the way, you might want to keep all this in mind when you see the bible beaters attacking science. The way I see it, scientists brought it on themselves. Now, if they could only figure out how to get research grants from these people, think what amazing new "facts" they could discover.

Odette Lussier

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Wednesday, August 16, 2006

Why pharmaceutical companies need to be prevented from researching clinical aspects of their own drugs

The past month has seen much pontification in medical journals explaining why pharmaceutical companies should no longer be allowed to control and conduct research informing the public and doctors about the efficacy and clinical use of their own drugs. The Sheffield scenario (this blog) is another reason

Here are a few excellent publicly available ones.

Review of Pfizer internal documents relating to manipulation of science and the perception of science
Annals of Internal Medicine, August 2006

Evidence of an industry out of control
Journal of the Canadian Medical Association, August 2006

From optimism to disillusion
Professor Sir Ian Chalmers, Journal of The Royal Society of Medicine, July 2006

Can We Tame the Monster? "Drug companies should not be allowed to evaluate their own products."
Fiona Godley, Editor of the British Medical Journal, July 2006

Medical journals usually bend at the first sign of a legal raised eyebrow from their corporate masters. Are we seeing the start of a new sanity, or yet more fine words?

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Wednesday, July 12, 2006

C.R.E.A.M KnowhatI'msayin?


Pharmaceutical rap.
Cash Rules Everything Around Me (Acronym dictionary)

Legend Of The Wu-Tang: Wu-Tang Clan's Greatest Hits
RCA Records
http://music.msn.com/album/?album=39490547#

Word up, two for fives them niggaz got garbage down the way, word up
KnowhatI'msayin?
(Cash Rules Everything Around Me
C.R.E.A.M. get...)
Yeah, check this ol fly shit out
Word up
(Cash Rules Everything Around Me) Take you on a natural joint
(C.R.E.A.M. get the money) Here we here we go
(dolla dolla bill y'all) Check this shit, yo!
[Chorus -- 4X]

Niggas gots to do what they gotta do, to get a bill
YaknowhatI'msayin?
Cuz we can't just get by no more
Word up, we gotta get over, straight up and down

[Chorus -- 3X]

Cash Rules Everything Around Me
C.R.E.A.M.
get the money
Dolla dolla bill y'aauhhhaaaauhhhhahhhauhhhhll, YEAH

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Wednesday, July 05, 2006

The selective criminalization of research fraud - Eric Poehlman to go to prison

Eric Poehlman to go to prison for scientific misconduct. Assistant U.S. Attorney Steven Kelley told the court:

"This is part of a new era when people are taking this kind of conduct more seriously."

But is that true? Strange that corporate scientific crimes (and the academics who collude in such crimes) are shielded from criminal prosecution.

Justice is always violent to the party offending,
for every man is innocent in his own eyes.
Defoe, Daniel

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