s AWARENESS? WHAT AWARENESS? | I2P: Information to Pharmacists - Archive
Publication Date 03/10/2013         Volume. 5 No. 9   
Information to Pharmacists

Editorial

From the desk of the editor

Welcome to the October homepage edition of i2P - Information to Pharmacists.
Well it seems that change in pharmacy will be continuous and will come from unexpected quarters each time it strikes.
The only way pharmacy can survive this continuous change is to either embrace it with a strong new business plan, sell out or amalgamate with partners who see strength in a strategic partnership.

And while many pharmacists are finding the key to successfully selling clinical services, the lead time to bring a single service on line may be too long to make a suitable financial contribution.
Coupled with the fact that the AMA will fight tooth and nail to prevent pharmacy making any inroads whatsoever, the time has come to take them on.
Vaccination services could be the first disputed service as the AMA has already voiced strong opposition to the possibility of pharmacists providing these services.

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News Flash

Newsflash Updates for October 2013

Newsflash Updates

Regular weekly updates that supplement the regular monthly homepage edition of i2P. 
Access and click on the title links that are illustrated

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Feature Contribution

A new era for American pharmacies has begun

Fiona Sartoretto Verna AIAPP

The birth of the first drugstore in 1929 in the USA represented a big revolution for that time: an innovative store design, a new concept of retail store, fair pricing and a wide exposition of products. 84 years have passed by and nothing has changed in the today’s American pharmacies, with the exception of the most important factor: the customers!In fact, while the new technologies, the computers and the smart phones have created far more attentive, curious, and informed customers, the drugstores and the American pharmacies remained the same: big, wide exposition of products in low gondola shelving without any customer service or help during the buy.

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Access all Areas - Is This a Positive for Pharmacy?

Neil Johnston

That pharmacy is in need of a renewal process is not in dispute.
That every man and his dog become instant pharmacy experts when a debate on pharmacy is opened is an expected phenomenon.
And when it is perceived that the "experts" have little knowledge of pharmacy but want to reduce pharmacists' incomes (already and constantly under siege), without engaging the range of aspirations pharmacists already hold, they wonder why it suddenly becomes a non-event.
If a discussion paper emerged that had genuine pharmacist input I would think that most pharmacists would participate in discussion of it.
In other words don't insult our intelligence by placing us in a pecking order that is uninspiring or menial in its approach.
But do approach us with intelligent conversation that has no hidden agendas and is honest in its approach, and do not try to impose your view of the pharmacist's role from your limited perspective.
Then we can all get on with some form of positive collaboration.

Comments: 1

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CHF Responds to Article

Neil Johnston

The Consumer Health Forum has responded to a recent i2P article on the resignation of Carol Bennett.
The article can be found at:
http://www.i2p.com.au/article/consumers-health-forum-ceo-announces-resignation

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A Misplaced Medical Judgement

Mark Coleman

Approximately two weeks ago a Dr David Smith published an opinion piece in an online medical publication that was very derogatory towards pharmacy's professionalism.
It is one of many articles that seem to be "planted" in unison with other articles or events.
For example, the release of a Grattan Institute paper titled "Access All Areas", hinting at an expanded role for pharmacists in primary health care.
The article was authored by Dr David Smith who describes himself as "a GP and a consultant in clinical and corporate ethics".
Smith's comments are certainly a bit rich when you consider that pharmacy has always been involved with primary health care and when you further consider his client base he loses all credibility.

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A “new way” for PBS supply to all Australians – ANAO told

Rollo Manning

In a submission to the Australian National Audit Office review of the 5th Community Pharmacy Agreement, Pharmacist and PR Consultant Rollo Manning has advocated for a “new way” of supplying Pharmaceutical Benefits Scheme medicines and services to Australian Taxpayers that will:

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Researcher Gains Funding

Judy Wilyman

Editor's Note: Judy Wilyman is a dedicated researcher working her way towards a doctorate in science.
Her research concerns vaccinations but mention the word vaccination, and suddenly the board lights up with what I call "the Skeptic Lunatic Fringe" who spring into action and attack anything that detracts from their "party line".
They will throw out statements like "proven to be discredited" and "not evidence-based"like confetti in the breeze.
The irony of their efforts is that their own statements are not evidence-based, nor are the people involved qualified in any medical discipline. Some statements border on defamation, while others are just outright lies.
One critic making comment on i2P calls himself a doctor.
He is entitled to do, but he is not a medical doctor, having earned his doctorate in another discipline.
Add deception for the lunatic fringe as well.

i2P would like to congratulate Judy on receiving funding to present her current research at the 3rd World Congress on Cancer Science and Therapy to be held in San Franciso in October 2013.
It may prove to be an important wake up call to governments (including the Australian government) who promote and subsidise this form of treatment.

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REGROUP, RE - GROWTH - The dawning of a new reality.

Barry Urquhart

There is an increasing awakening among business owners - big, small and micro - that the consequences of the Global Financial Crisis (GFC), the end of the capital expenditure mining boom and the debt dilemmas of Europe have included unintended, undocumented and non defined changes in business cultures, philosophies, policies and practices.
Customer service standards, relationships and instances of referrals have all been adversely affected

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Eight Key Factors That Will Maximise the Value of Your Business

Chris Foster

One of the major reasons why you start and build or buy a business is to be able to sell it at some time in the future for a profit.
What are the factors that will maximise your selling price?
It's really important to understand this early so that you can put in place the necessary systems to ensure that you build a business that is saleable.

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Acute low back pain - does anything help?

Loretta Marron OAM BSc

Most of us experience low back pain (LBP). When it persists, we look for ways to alleviate it. In Australia, back problems are the most frequently seen musculoskeletal condition by General Practitioners (GPs) and the seventh most common reason for seeking care. National guidelines from the UK suggest that patients should try acupuncture, manual therapy or an exercise program. A range of medical devices are promoted for pain relief. Are they all placebo treatments or do some work?

Comments: 1

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Ex-Patient and a Consultant in Pharmacy Automation

Mark Neuenschwander

My name is Mark Neuenschwander. I have been a patient and I am a consultant in the field of pharmacy automation.
It was 27 years ago that Wrigley's opened the door by putting a barcode on a pack of chewing gum. It was really a statement of faith because grocery stores and drugstores didn't have scanners.  But their faith was not in vain.  Within a decade, virtually every item on the shelves of those drugstores and supermarkets had a barcode, and the vast majority of checkout stands were equipped with scanners to read them.

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Learning business and life lessons at the Farm

Harvey Mackay

I’ve always been a city boy – I can’t even coax a weed to grow.
But I discovered a national treasure, practically in my own back yard, which makes me wish my thumbs were greener.

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AMA Predictably Reacts to Grattan Institute Primary Care Plan

Neil Johnston

It was predictable that Steve Hambledon, AMA president, would be negative to the primary health care solutions as proposed in the Grattan Report published recently.
In my response to the paper Access All Areas co-authored by Stephen Duckett, I pointed out that having pharmacists involved in areas of diagnosis and prescribing produces an extreme response from the AMA plus inferred derogatory comments relating to pharmacy.
As I said in my response, pharmacists are fed up with the medical profession.

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AWARENESS? WHAT AWARENESS?

Staff Researcher

Editor's Note: Recently, in my own home town, the Cancer Council organisation decided to change location to a new office approximately 45 minutes away. The office was  well fitted out with quality furniture and computer equipment, plus miscellaneous office items that included filing cabinets, shredders and photocopiers.
The surprised incoming tenant (an allied health professional) was told that she was now the proud owner of all these assets free of charge so that the Cancer Council could avoid the problems and costs of cartage and storage of the above items.
The value of all the items was estimated at around $25,000.
Needless to say the offer was gratefully accepted but I personally, no longer donate to Cancer Council charity programs.

It seems that in different forms, this phenomenon may be global.


OHMS Newsletter October 11, 2013.
Commentary by Ralph Campbell M.D.
Recently, our local paper promoted a 3K walk/run for "a cure for heart disease" with photos of participants of all sizes and shapes.
For enjoying the camaraderie and the feeling of sacrifice for a good cause, the participants paid a $25 entry fee that went to the American Heart Association (AHA) to promote awareness.

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3D Printing Will Change the Face of Medicine and Pharmacy

Neil Johnston

Pharmacy could be on the verge of a very exciting and rewarding professional pathway with some useful research being conducted in Scotland where 3D printing technology is being married up with stem cells and genomics to produce your own tissue for personalised drug testing and then modifying your drug to create a smooth journey through any lifestyle disorder anticipated in your genes.
The printing technology is cheap.
To create a professional business opportunity, all you are required to do is prepare yourself over the next five years by absorbing suitable education and plotting some medium term investment.
i2P believes that this technology is so important that pharmacy leadership groups should begin immediately to seize the high ground for this issue and not let the opportunities slip away to other health practitioners.
It will be one of the best opportunities to have a "hands-on" participation at the centre of primary health services.

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Health insurance start-up secures VC funding

Staff Writer

Editor's Note: We have previously highlighted Covad Health Insurance as a product pharmacists should consider supporting.
Health insurance has always had a natural fit with pharmacy and there is no doubt that if pharmacists get behind this product, it will be a major success.
The income stream available as commissions on premiums would be a welcome addition in these times of difficulty in achieving financial stability and well-being.
i2P believes that this could also represent an opportunity for a health insurance business to advocate for, and champion, pharmacy clinical services and develop a real working partnership.
That might represent a promising future for both sides of the relationship equation.

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Mental Health Week – pharmacists looking after pharmacists

Kay Dunkley - BPharm, Grad Dip Hosp Pharm, Grad Dip Health Admin, MPS, MSHPA

Editor's Note: It is becoming quite noticeable that business confidence has depleted in pharmacy ranks since economic environments have become tougher.
Poor leadership has also made a contribution.
As conditions for pharmacy employers and employees tighten, stress-related illness begins to emerge as everyone adjusts to the new economic uncertainties.
Depression is the outcome of prolonged stress and anxiety.

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Baby's Neck Not Broken by a Chiropractor

Mark Coleman

Recently, newspaper reports have surfaced relating to an incident involving the chiropractic treatment of a young child.
It was reported that a four-month-old Melbourne baby sustained a fracture to the upper cervical vertebra following an adjustment
In both Sydney and Melbourne papers, an allegation was made that a Chiropractor broke the baby’s neck. The CAA issued a release to all media outlets in all States within hours of the publication rejecting the allegation.
The allegation was subsequently investigated by AHPRA. No finding of inappropriate treatment was made. No finding was made that any treatment performed by the Chiropractor caused a fracture as alleged.

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Professional Pharmacists Pay Tribute to Carol Bennett

Professional Pharmacists Australia Spokesperson

Professional Pharmacists Australia today congratulated Carol Bennett on her time as the CEO of the Community Health Forum, wishing her all the best in her future endeavours.

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Observations on implementing pharmacy clinical services

Peter Sayers

It’s not easy implementing a clinical service program and success is related as to how close the service offered is to traditional dispensing and counselllng services.
Also how long a pharmacist has personally known a patient and how trusted the relationship is with that particular patient.
It shows how much pharmacists have collectively fallen down, because I have found strong relationships are sparse in my own world, and those of my colleagues.
Any attempt to fast-track a relationship is viewed with suspicion and apparent mistrust.
So it’s the long haul that has to be put in place first and forward pharmacy has to be implemented and seen to be in place, well before a new service is able to be sold.

Comments: 1

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3D Printing Will be Disruptive for Vaccine Manufacturers

Staff Writer

Editor's Comment: What pharmacy leadership organisation has the role of actually driving pharmacy practice?
The number of real opportunities (including that of 3D printing as illustrated in the following article) are multiplying as new disruptive technologies emerge.
3D printing represents the ultimate in drug compounding and pharmacy needs to be front and centre here.
How can these technologies be harnessed and absorbed into some form of future pharmacy strategy
that could really advance the profession of pharmacy instead of perpetually "running on the spot"?
Surely there is some sort of practice research going on?

Comments: 3

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Turning plastic bags into high-tech materials

Staff Researcher

University of Adelaide researchers have developed a process for turning waste plastic bags into a high-tech nanomaterial.
The innovative nanotechnology uses non-biodegradable plastic grocery bags to make 'carbon nanotube membranes' ? highly sophisticated and expensive materials with a variety of potential advanced applications including filtration, sensing, energy storage and a range of biomedical innovations.

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Research shows huge potential of sweet sorghum as a multi-product crop

Staff Researcher

A new Australian-based research study into sweet sorghum has shown the huge potential of the crop as a single source of energy, food and animal feed.
Sweet sorghum is receiving significant global interest because of its potential as a multi-product crop, however there has been minimal research under Australian growing conditions or using Australian processing facilities, until now.

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Converting Hand-Written Notes to Digital Notes

Staff Writer

Pharmacists have always been notorious for their penchant for leaving "sticky" notes attached to dispensing benches, cash registers and various other places. While efficient for the moment, long-term display of old notes looks very untidy and eventually deteriorates to inefficiency.
The cloud-based productivity tool, Evernote, (which I believe is a pharmacy essential) has extended its reach into another important branch of note-taking through a partnership with the classic 3M Post-It Notes. In a move similar to the Evernote Moleskine notebook, which was released last year, the note-taking and organization software company is blurring the line between digital and analog again, enabling users to preserve their real-world jottings and access them from anywhere.

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Common Symptom Guide - Android App Review

Staff Writer

Purpose of App Review

 * to review the utility of Common Symptom Guide App for a clinician
 * to evaluate the medical evidence this App uses

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Pharmacist Scope-of-Practice Bill Now Law

Staff Writer

Editor's Note:
The world's legislator's are finally waking up and discovering a very useful and economic health worker called a pharmacist.
Continually overlooked because of medical lobbying, it looks as though medicos are finally pricing themselves out of business.
Initiated in California, a new bill allowing a wider scope of practice in primary health care has been passed and is likely to spread throughout the US and most western economies.
I have often commented in i2P that pharmacists started to become invisible in primary health care around the year2000, and despite energetic lobbying by pharmacy leadership groups, the debate seemed to be consigned to oblivion.
The wheel is turning finally and we may yet see an energetic and useful health system evolve from pharmacy ranks.

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Consumers Health Forum CEO announces resignation

Staff Writer

As a sometimes controversial figure to some leadership segments of pharmacy, Carol Bennett attempted to inflict change upon pharmacy that was not always well-founded.
She co-opted two other partner organisations to assist, both known to be anti-pharmacy in sentiment.
A petition was organised by the CHF to promote their point of view, but it was a dismal failure beside the Pharmacy Guild petition promoting a somewhat opposite view (over 1 million signatures).
On top of this, early enquiries by pharmacists wishing to join the CHF uncovered the fact that the CHF was not a representative forum for individual consumers at all, but an aggregate of large associations and businesses whose interests would not necessarily reflect those of individual consumers.

Comments: 3

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SHPA thanks Carol Bennett

Staff Writer

By Suzanne Newman

SHPA is sad to learn that Carol Bennett has resigned as CEO of the Consumers Health Forum.
SHPA has enjoyed a good working relationship with Carol and has valued her leadership and advocacy for health consumers.

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International digital media expert Jye Smith to guide industry on navigating social media at ASMI’s 2013 Conference

Marie Kelly-Davies

With social media reaching into every aspect of Australian lives, the Australian Self Medication Industry (ASMI) has secured international expert Jye Smith to present key insights on “Social Media and the Healthcare Consumer” at its annual conference in Sydney on Thursday 14 November.

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Good bone health relies on calcium and vitamin D working in combination

Marie Kelly-Davies

The systematic review and meta-analysis of the effect of vitamin D supplements on bone mineral density conducted by the University of Auckland should not discourage Australians from taking a preventative approach to osteoporosis, the Australian Self Medication Industry (ASMI) said today.

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Herbal medicines sold legally in Australia assured of high quality

Marie Kelly-Davies

Consumers can continue to have confidence in the quality and safety of complementary medicines (herbal medicines, nutritional and dietary supplements) that are legally sold in Australia, the Australian Self Medication Industry (ASMI) has today advised.

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Advancing Complementary Medicines in Australia: International regulatory expert Michael Smith to share insights at ASMI Conferen

Marie Kelly-Davies

The Australian Self Medication Industry (ASMI) will leverage the international experience of pharmacist and licenced naturopathic practitioner Michael Smith at this year’s conference to explore the evolving role of complementary medicines in preventative health.
In Australia, vitamins, mineral and supplements (known as complementary medicines) represent the largest and fastest growing segment in the non-prescription sector, with two-thirds of Australians taking them regularly to optimise their health and wellbeing.1

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3D Printing Will be Disruptive for Vaccine Manufacturers

Staff Writer

Editor's Comment: What pharmacy leadership organisation has the role of actually driving pharmacy practice?
The number of real opportunities (including that of 3D printing as illustrated in the following article) are multiplying as new disruptive technologies emerge.
3D printing represents the ultimate in drug compounding and pharmacy needs to be front and centre here.
How can these technologies be harnessed and absorbed into some form of future pharmacy strategy
that could really advance the profession of pharmacy instead of perpetually "running on the spot"?
Surely there is some sort of practice research going on?

Comments: 3

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Primary Health Care and Pharmacy Clinical Services

Neil Johnston

Editor’s Note:

Pharmacy leaders, academics and education providers have suddenly become alert and attentive to a paper recently released by the Grattan Institute.
Although I personally remain cynical as to where the recommendations within that paper (titled Access All Areas ) will take pharmacy, nonetheless it has created a spark of activity across an otherwise bleak landscape.

Governments have long squandered opportunities that have been available to them through the profession of pharmacy.
This has probably come about because of the top heavy list of advisers drawn from the medical profession over a long period of time.

Could this be a signal that policies may finally be changing to embrace the potential that pharmacists could be unleashed over the primary health care community.

I have asked Mark Coleman to comment on the following  Pharmacy News media report item that contains a response from both the PSA and the PGA.

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AWARENESS? WHAT AWARENESS?

Staff Researcher

articles by this author...

Editing and Researching news and stories about Australian and International Pharmacy Issues

Editor's Note: Recently, in my own home town, the Cancer Council organisation decided to change location to a new office approximately 45 minutes away. The office was  well fitted out with quality furniture and computer equipment, plus miscellaneous office items that included filing cabinets, shredders and photocopiers.
The surprised incoming tenant (an allied health professional) was told that she was now the proud owner of all these assets free of charge so that the Cancer Council could avoid the problems and costs of cartage and storage of the above items.
The value of all the items was estimated at around $25,000.
Needless to say the offer was gratefully accepted but I personally, no longer donate to Cancer Council charity programs.

It seems that in different forms, this phenomenon may be global.


OHMS Newsletter October 11, 2013.
Commentary by Ralph Campbell M.D.
Recently, our local paper promoted a 3K walk/run for "a cure for heart disease" with photos of participants of all sizes and shapes.
For enjoying the camaraderie and the feeling of sacrifice for a good cause, the participants paid a $25 entry fee that went to the American Heart Association (AHA) to promote awareness.

open this article full screen

According to the AHA website they want to increase public awareness of their purpose and actions. "Our mission is to build healthier lives, free of cardiovascular diseases and stroke. They fund "innovative" research, fight for stronger public health policies, provide "lifesaving tools" (funding for diagnostic imaging techniques), and information "to save and improve lives". They promote their idea of "heart healthy" foods and other prevention advice: don't smoke, be physically active, maintain a healthy weight, control blood pressure, cholesterol, and blood sugar. How many times have we heard the same advice from other "health" organizations? And how aware can one get about these canned themes?

"Do not let either the medical authorities or the politicians mislead you. Find out what the facts are, and make your own decisions about how to live a happy life and how to work for a better world." (Linus Pauling)

The National Breast Cancer Foundation's operation is along similar lines. They desire to "help women around the world by educating them about breast cancer and the importance of early detection and to provide mammograms for those in need." There is little presentation of means of staying healthy but lots of emphasis on their version of preventive medicine----mainly, early detection with mammograms that they make available to all, rich or poor. Awareness is accented by making October breast cancer awareness month. If you are a NFL football fan, you may have already noticed football players sporting pink wrist bands, socks, gloves, and pink tails. The pink goes beautifully with the Miami Dolphins aqua uniforms. Likewise, The American Diabetes Association works along similar lines with November their awareness month.

We should ask: awareness of what? Evidently, the aim of these organizations is to increase awareness of the ways of the medical industry, which includes diagnostic tests, prescribed medications, and regular doctor visits so that things like blood pressure and cholesterol and blood sugar levels can be monitored. Their admonitions like "eat a healthy diet" and "exercise regularly" seem rather vague. Highly sophisticated diagnostic technology is emphasized as necessary for detection of small problems that may become big.

Health "Charities" are Biased

However, these organizations do not increase awareness of true preventive medicine, obtained through good nutrition and optimal doses of supplements. They misjudge the public. Many people understand the basics of health and the drawbacks to blindly following the medical or pharmaceutical protocol. They know that the basis of many diseases is inadequate function of the immune system, in large part due to poor nutrition. They could blindly follow the advice to "eat your fruits and vegetables" but would rather learn more about why. Discerning people, searching for ways to achieve and maintain good health, are puzzled by the push for drugs that have side effects ranging from moderate to severe. To be most effective, these large public medical organizations should turn their awareness campaigns topsy-turvy, to increase awareness of the healthy side of their story.

"What use do you make of your physician?" said the king to Molière one day. "We chat together, sire; he gives me his prescriptions; I never follow them, and so I get well." (1)

I am a firm believer that bits of information followed blindly are rarely understood. A basic understanding is needed of "why." All health organizations need nutrition 101 made foremost in their awareness campaigns. This is certainly true for the American Diabetes Association, for it is currently finding drawbacks to glucose-lowering medicines. The AHA presents information on its "heart healthy" foods, but its message seems confused. They have embraced the health benefits from omega-3 fatty acids, yet they still emphasize that fats (the all-inclusive word) are bad. Fast food producers pay close attention to what are considered "heart healthy" foods, with little attention paid to providing robust amounts of essential nutrients. The menu offerings appear to change according to what could prove to be financially rewarding, irrespective of what the public wants or needs. A recent fast food ad promotes French fries with a lower fat content. But the TV image, showing the usual sliced potatoes in boiling oil, makes me doubt that the AHA desires to fully educate the fast-food industry or the public. Nor do they seem willing to disclose how one actually achieves making a healthier French fry.

Pharma-medical Propaganda: The Video

Then there is this video of an interview of Dr. Offit by Eric J. Topal.
http://www.medscape.com/viewarticle/811569?src=wnl_edit_specol&uac=15080SY

I had thought Dr. Topal, as new editor of Medscape, was going to consider giving more attention to therapeutic nutrition research, but no. The interview was based on Offit's book, "Do You Believe in Magic." Right from the get-go, the emphasis was on the cons and how well the book is being accepted by the "scientific" community. The interviewer was actually chuckling in agreement about the foolishness of the supplement industry. After less than a minute, I couldn't stomach it any longer. It is hard to believe the lack of discernment and understanding in this stupid media battle against our health.

 

References:

1. Taschereau J. Histoire de la vie et des overages de Molière, 1825. Paris. Translated in: The North American Review, 1828. 27:60, [New Series 18:35]. Boston, p 386)

 

Nutritional Medicine is Orthomolecular Medicine

Orthomolecular medicine uses safe, effective nutritional therapy to fight illness. For more information: http://www.orthomolecular.org

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