Pfizer Penalties Will Add Up To $141 Million in Neurontin Racketeering Casee

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Posted on 31st March 2010 by Gordon Johnson in Uncategorized

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Pfizer will have to pay penalties totaling $141 million after being found to have unlawfully promoted the epilepsy drug Neurontin, violating a federal racketeering law. http://www.reuters.com/article/idUSN259778920100325

A Boston jury last Thursday levied a $47 million judgment against Pfizer, the world’s largest drug manufacturer. But under the so-called federal RICO law, standing for Racketeer Influenced and Corrupt Organizations act, such as award is tripled, so the verdict will wind up costing Pfizer $141 million. The drug maker said it would appeal the verdict.

In the case plaintiffs Kaiser Foundation Hospitals and Kaiser Foundation Health Plan charged that Pfizer had unlawfully promoted Neurontin for unapproved uses for which the drug doesn’t work. Those unapproved uses included migraine headaches, pain and bipolar disorder.

Drug makers like Pfizer can just promote drugs for uses approved by the U.S. Food and Drug Administration, although physicians can prescribes medicines as they choose.

“We are disappointed with the verdict and will pursue post-trial motions and an appeal,” Pfizer said in a statement. “The verdict and the judge’s rulings are not consistent with the facts and the law.”

Pfizer alleges that the judge improperly allowed details of a $430 million settlement the drug maker paid for unlawfully marketing Neurontin in 2004 to be considered by the Boston jury.

Obama Expected To Name Vocal Health-Care Critic to Head Medicare, Medicaid

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Posted on 30th March 2010 by Gordon Johnson in Uncategorized

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President Obama’s expected choice to run the nation’s Medicate and Medicaid programs is a maverick who has criticized the U.S. medical establishment for failing to provide better health care at a reasonable price.

The New York Times reported Sunday that Dr. Donald Berwick, who it described as “an iconoclastic scholar of health policy,” would be named administrator of the Centers for Medicare and Medicaid Services, which is part of the Department of Health and Human Services. http://www.nytimes.com/2010/03/28/health/policy/28health.html?ref=health

It would be helpful to get a breath of fresh air into the Washington health-care bureaucracy, we believe.

Dr. Berwick, who is filling in the void left by the exit of Dr. Mark McClellan in 2006, is president of the Institute for Healthcare Improvement in Cambridge, Mass.

Under the health-care overhaul that the president signed into law last week, Medicaid will be expanded to insure 16 million more Americans. But officials were also given a mandate to cut almost a half-trillion dollars out of the Medicare program during the next decade and to test new methods of offering health care.

Dr. Berwick’s nomination will have to be approved by the Senate.

The good doctor isn’t shy about voicing his opinions on the medical establishment. In one quote, he complained about “the insanity of health care that costs too much and achieves too little.”

Dr. Berwick bases some of his comments on his own medical experience. He has osteoarthritis in his right knee, and said, “It comes from medical error, botched surgery when I was a medical student, aggravated by years of jogging.”

Wisconsin Democrats Nix Attorney General’s Plan To Sue Over Federal Health-Care Reform

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Posted on 26th March 2010 by Gordon Johnson in Uncategorized

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Wisconsin Democrats have derailed Republican Attorney General J.B. Van Hollen’s plan to file suit against the federal government over the new health-insurance reform. http://www.jsonline.com/news/statepolitics/89110637.html

If Van Hollen had succeeded, Wisconsin would have joined more than a dozen attorney generals across the nation that are suing to challenge the constitutionality of the health-care reform that’s been approved by Congress.

But Van Hollen couldn’t proceed with a suit unless he had approval from Democratic Gov. Jim Doyle or one of the houses of the state Legislature, which are controlled by Democrats. Neither the governor or legislative leaders would give Van Hollen authorization.

In arguing in favor of the lawsuit, Van Hollen told the Milwaukee Journal Sentinel, “This is an issue of the federal government overreaching beyond what constitutional powers they have, which is an assault on (the Legislature’s) powers.”

But Doyle shot right back in a letter to Van Hollen.

“The lawsuit you suggest is a frivolous and political attempt to thwart the action of Congress and the law of the country,” Doyle wrote. “The State of Wisconsin will not enter into litigation intended to deny health care for tens of thousands of residents.”

Health Care Reform – Congratulations to Us All

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Posted on 22nd March 2010 by Gordon Johnson in Uncategorized

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If it weren’t so important, it would have been hysterically funny. At 6:34 p.m. yesterday, I got an email that started like this:

Frantic Obama Plan’s Sunday ObamaCare Vote! ALERT: Obama and House Democrats are forcing a “suicide run” on ObamaCare with a Sunday vote but are still short the 216 votes they need to pass ObamaCare. Pelosi’s plan is to break down Blue Dog holdouts in a desperate last ditch effort with a vote on the floor of the House. If they don’t have the votes, they will allow the measure to be defeated.

FAX To STOP ObamaCare NOW!

TELL ALL 261 Democrat/Independent Representatives, Blue Dog Democrats AND President Obama To KILL THIS BILL and CUT HealthCare COSTS FIRST.

I didn’t get it until after the vote. By the time I had pulled myself away from the NCAA tournament and other Sunday activities, I had also gotten an email from Obama’s campaign thanking me for my support in getting health care through, stating:

Gordon —

For the first time in our nation’s history, Congress has passed comprehensive health care reform. America waited a hundred years and fought for decades to reach this moment. Tonight, thanks to you, we are finally here.

Consider the staggering scope of what you have just accomplished:

Because of you, every American will finally be guaranteed high quality, affordable health care coverage.

So I guess I now live in a socialist country.   Oh wait, that has been true since I was in grade school, at least if you believe the Republican rhetoric.  According to Ronald Reagan, , we have all lived in a Socialist country since Medicare passed.  He said this about Medicare in 1961, before the days of email and faxes:

What can we do about this? Well, you and I can do a great deal. We can say right now that we want no further encroachment on these individual liberties and freedoms and that you demand the continuation of our traditional free enterprise system. You and I can do this. The only way we can do it is by writing to our congressmen, even if we believe that he’s on our side to begin with, write to strengthen his hand. Write those letters now. Call your friends and tell them to write.

If you don’t, this program, I promise you, will pass just as surely as the sun will come up tomorrow. And behind it will come other federal programs that will invade every area of freedom as we have known it in this country… until one day as Norman Thomas said, we will awake to find that we have socialism. And if you don’t do this and if I don’t do it, one of these days you and I are going to spend our sunset years telling our children and our children’s children what it once was like in America when men were free.”

And if you don’t do this and if I don’t do it, one of these days you and I are going to spend our sunset years telling our children, and our children’s children, what it once was like in America when men were free.

Ironically, Reagan spent his sunset years protecting Medicare, when he was President.   I wonder if he felt less free?

For a historic perspective on this change, listen to the podcast from OnPoint Radio of today, which can be found at http://www.onpointradio.org/ As my friend Jack Beatty said on this show, the Obama plan is not socialism, but more akin to things that have been proposed by Republican presidents Eisenhower and Nixon, in an effort to stall Democratic proposals to do what Obama finally got done last night.

For those who are advocates for the disabled, this is an important step. It isn’t what American’s should have for coverage, Medicare for all, but it is huge step in the right direction. Ultimately, Barack Obama must get the credit. Often criticized from both the right and the left, he used his intelligent, reasonable and conscientious leadership style to patiently get something done that Presidents Johnson, Clinton and Roosevelt could not do.

Obama deserves the credit because he made “Change” something that galvanized the country. He deserves credit because he found a way, without ever losing the moral superiority of his position, to compromise, cajole and lead his party over every obstacle the “party of no” put in his way. He deserves credit because the excellence of his campaign, the inspiration of his ideas gave the Democrats such a landslide victory in November of 2008, that the Republicans could not stop this.

To echo Barack’s words of last night “Because of you, (President Obama), every American will finally be guaranteed high quality, affordable health care coverage.”

Dodger’s Vin Skully Hospitalized After Hitting Head

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Posted on 20th March 2010 by Gordon Johnson in Uncategorized

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Veteran Los Angeles Dodgers announcer Vin Skully was hospitalized Thursday after falling out of bed and bumping his head. http://latimesblogs.latimes.com/dodgers/2010/03/vin-scully-hospital-fall-out-bed-dodgers-.html

Skully, 82, was taken to West Hills Hospital and Medical Center observation, and was expected to be released Friday. The accident took place at his home in Hidden Hills, Calif.

The hospital told reporters that Skully was “doing great,” but let’s hope the facility pays serious attention to the announcer’s head injury, no matter how “great” he seems to be doing now. http://www.dailynews.com/news/ci_14704097?source=rss

We fear that Scully, and team officials, may be in too much of a rush to take proper caution with his injury. That’s because the announcer is due at Camelback Ranch-Glendale in Arizona this weekend for an exhibition game against the Cleveland Indians.

A concussion may be a minor problem which resolves in days, or it can be the beginning of a lifetime of disability. What rushing a “return to play” decision can do (even if the “play” is work) is put undue stress on the brain, not only making healing more difficult, but perhaps worsening the organic injury.

The other part of the picture with Skully is his age. Those over 65 have much worse outcomes than a young person would. The chances of meaningful disability from a significant concussion at that age may approach 50%, rather than the normal 10-15% rate with those under 40.

The best thing for a concussion is rest and daily reevaluation. Skully will likely get the second, but not likely the first. A live radio broadcast, even if he can do it, will put unneccessary stressors on a wounded brain.

CDC Says 1.7 Million TBIs in the U.S. Annually

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Posted on 19th March 2010 by Gordon Johnson in Uncategorized

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The Centers for Disease Control and Prevention this week released the results of an extensive study of traumatic brain injury (TBI), and it offers a wealth of data – some of it disturbing. http://www.cdc.gov/media/pressrel/2010/r100317.htm There are an estimated 1.7 million deaths, hospitalizations, and emergency-department visits related to TBI in the United States each year, according to the CDC report released Wednesday.

“Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Death,” is based on data from 2002 to 2006 and identifies the leading causes of TBI and incidence by age, race, and gender. Here is other landmark information from that report: There were 52,000 TBI-related deaths and 275,000 hospitalizations annually. Almost 1.4 million, or 80 percent, of the people who sustained a TBI were treated and released from an emergency department.

That doesn’t bode well for these people, who may encounter long term, permanent problems stemming from their brain injury down the road.

The CDC report found that TBIs contribute to nearly a third or 30.5 percent of injury-related deaths in the United States.

Here are some other nuggets from the study:

  • •Children from birth to four years old; older adolescents aged 15 to 19 years,;and adults aged 65 years and older are most likely to sustain a TBI.
  • Falls are the leading cause of TBI (35.2 percent). Rates are highest for children from birth to four years and for adults aged 75 years and older.
  • Among all age groups, road-traffic injury is the second leading cause of TBI (17.3 percent) and results in the largest percentage of TBI-related deaths (31.8 percent).
  • In every age group, TBI rates are higher for males than for females.

“This report not only presents TBI numbers, it helps to show the impact of this injury nationwide,” Dr. Richard Hunt, director of CDC’s Division for Injury Response, said in a press release. “These data can help to impact the lives of millions of Americans as they serve as building blocks that guide TBI prevention strategies. They also help to identify research and education priorities and support the need for services among individuals at risk or living with a TBI.”

The CDC said it’s trying to create educational outreach initiatives to increase awareness and improve the prevention, recognition, and response to TBIs.

The CDC’s “Heads Up” educational initiatives have already been y adopted in emergency departments, doctor’s offices, playing fields, homes and schools. These initiatives provide information to health care providers, patients, school professionals, sports coaches, parents, teens, and youth on how to prevent, recognize, and manage TBIs. A free copy of the TBI report can be downloaded at http://www.cdc.gov/traumaticbraininjury/tbi_ed.html.

The problem with this type of epidemiological reporting is that it doesn’t go far enough.  What is needed is a comprehensive statement from the CDC as to how to best diagnose concussion (detailed investigation of amnesia,not just confusion) and to require that accident and fall cases get the same follow up that sport cases do.

Young Boxer Should Think About His Brain Long Term

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Posted on 16th March 2010 by Gordon Johnson in Uncategorized

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A local paper in Louisiana Monday profiled a brave, but it seems, also foolish, young gentleman from Grand Bois. The headline on the story is “Boxer Is Used To Overcoming The Odds.” http://www.houmatoday.com/article/20100315/ARTICLES/100319615?Title=Boxer-is-used-to-overcoming-the-odds

It should be called “Pressing Your Luck.” The piece is about 21-year-old Roland “Jay Paul” Molinere. He was hit by a jet ski at age 10, which fractured his skull. He was in a coma for three days.

After that accident, Molinere underwent years of physical and speech therapy so he could learn to walk and talk again. He came out of that challenging situation OK. But then what sport did he take up, after he got a second chance at life?

High school football, another venue to get your block knocked off. Molinere played cornerback for South Terrebonne High School. After high school, he returned to a sport he “had loved” since he was only six years old, which was boxing.

Today, Molinere is the 2009 Louisiana Golden Gloves Division Champion, and he has other championships under his belt in his weight class, 152 pounds.

We’d be hard-pressed to think of any sport more likely to cause traumatic damage to your brain than boxing.

Molinere said his goal now is to box for the United States in the Olympics. We suggest that he find a passion he can indulge in that won’t put in brain at risk.

We talk on this blog about the miracles and tragedies.  This case is a misguided approach to turn a miracle into another tragedy.  The single biggest risk factor for a bad result from a head injury is a prior head injury.  Any severe brain injury, one that involves coma, has left significant microscopic damage throughout the brain.  A blow to this young man that might only stun someone else, could cause a catastrophic result.  How did any doctor give him medical clearance to fight?

LA Galaxy’s Eskandarian Takes Leave From Soccer Due to Concussions

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Posted on 13th March 2010 by Gordon Johnson in Uncategorized

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Alecko Eskandarian, a former University of Virginia soccer star and LA Galaxy player, is taking an indefinite leave from the game after sustaining multiple concussions. http://www.potomacsoccerwire.com/news/700/10387

Eskandarian, 27, confirmed that he was taking a leave on his Twitter feed.

“As some of you have already heard, I haven’t been medically cleared to play pro soccer and am forced to step away from the game at this time,” he tweeted.

Eskandarian was a star at the University of Virginia and won the Hermann Trophy. He was drafted by D.C. United in 2003, and wound up on the LA Galaxy in 2009.

He has sustained at least two concussions during his soccer career.

Hammering Home the Seriousness of Concussions

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Posted on 10th March 2010 by Gordon Johnson in Uncategorized

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It’s always good for the American public to be made aware of the dangers of brain injury, and that a concussion is not “just” a concussion.” And that’s the message that’s being taught this month, which has been designated Brain Injury Awareness Month. http://www.healthnewsdigest.com/news/Family_Health_210/It_s_Not_Just_a_Concussion_-_It_s_a_Brain_Injury_printer.shtml

It’s never a bad idea, and can’t be stressed too often, that concussions do constitute brain injury. One physician pointed out that of the 1.4 million traumatic brain injuries (TBI) in the United States each year, 75 percent are usually concussions.

Public information about the danger of head injury and concussions doesn’t have to be dry and dull. The Mission Children’s Hospital has put together a clever nine-minute video for kids about why they need to wear helmets to protect against head injury.

http://www.youtube.com/watch?v=yr0YAoWe9XI

A demonstration of how a brain is bounced around in the skull when a head sustained a blow is done with jelly in glass bowl, and makes its point quite vividly.

‘Double Shot of Love’ Star Placed In Coma After Accident

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Posted on 9th March 2010 by Gordon Johnson in Uncategorized

One of the stars of the MTV reality show “A Double Shot of Love,” Erica “Rikki” Mongeon has been put into a medically induced coma after sustaining brain injury in a car accident in Bakersfield, Calif. http://www.seattlepi.com/tvguide/416172_tvgif3.html

She and her 29-year-old twin sister and co-star on “Double Shot,” Victoria “Vikki” Mongeon, were on the side of the road after hitting a tire when their vehicle was struck by a semi-truck.

Rikki hit her head in the accident, and doctors found blood on her brain. Last week physicians put her into a coma, and they are looking to take her out of it this week once her condition has stabilized.

“A Double Shot of Love” was a spin-off of MTV’s “A Shot of Love With Tila Tequila.”