Re: Cytotec
From: art fougner, md (evsono@pipeline.com)
Wed Apr 24 18:13:40 2002
Newsflash re: the ultimate deep pocket -
http://news.ft.com/ft/gx.cgi/ftc?pagename=View&c=Article&cid=FT3GXKF3E0D&live=true&tagid=ZZZOMSJK30C
art
At Wed, 24 Apr 2002, art fougner, md wrote:
>
>Ashley -
>
>right now John Paul II is coming to grips with the realization that the
>Vatican is the ultimate deep pocket.
>
>just my opinion - i could be wrong.
>
>art
>
>At Wed, 24 Apr 2002, D. Ashley Hill, MD wrote:
>>
>>At Wed, 24 Apr 2002, Richard Chudacoff, MD wrote:
>>>
>>>I actually think I had a great response to this guy, but I just get the
>>>impression he is like all the other closed-minded, neofascist, lily-white
>>>males who want to control the uteri of women he's never met.
>>
>>I also thought about educating Mr (Ms?) Kennedy about the FDA approval
>>process and the obvious motivation behind the cowardly Searle statement
>>regarding cytotec for labor induction, but, as you suggest, why bother?
>>We agreed some time ago to not respond to non-professional posters. His
>>comments, however, made me realize that most who are not in the medical
>>field do not understand the FDA approval process and that physicians use
>>medications commonly that do not have FDA approval for the reason they
>>are using them. I believe that ritordrine is the only FDA approved
>>tocolytic, yet physicians use other medications much more often than
>>ritrodrine for this purpose. There are numerous, well-designed
>>peer-reviewed journal articles from unbiased physicians documenting the
>>safety of misoprostol when, like all medications, it is used
>>appropriately. This research suggests that one should not use it if the
>>patient has had major uterine surgery or a prior cesarean delivery, but,
>>when used as part of a formal protocol, this medication is safe and
>>effective. Searle tried to CYA, knowing that jury awards are going
>>through the roof and that they are the ultimate deep pocket. I am not
>>ignorant, nor do I or other physicians realize any economic gain from
>>using misoprostol for cervical ripening/induction. We use it because
>>it's effective, safe if used appropriately, and often has potential
>>benefits over other medications used for ripening or induction. I
>>discuss the off-label use of cytotec with my patients, and the
>>risks/benefits/alternatives. After hearing this I can recall only one
>>patient who declined it's use and opted for another agent.
>>
>>--
>>D. Ashley Hill, MD
>>Associate Director
>>Department of Obstetrics and Gynecology
>>Florida Hospital Family Practice Residency
>>Orlando, Florida
>>
>--
>art fougner, md
>ich bin ein New Yorker
>
--
art fougner, md
ich bin ein New Yorker
