QUOTE (edlee @ Aug 17 2009, 02:15 PM)

E,, timing is the biggest problem with the stuff the FDA does. If that same procedure had killed your friend,, you might think it wasn't all that good. If it is ineffective or harmful in 5 out of 10 cases,, should it be used,,, how about 8 out of 10,, or 2 out of ten?
Somebody needs to make that decision,,, that's why we have them. But to find this stuff out takes time,, if you want it done right. There's the rub,,, some people are protected from worthless/harmful procedures,,, some can't get the good ones in time.
How does anyone fix that? Speeding up the approval process has been an ongoing effort almost since it started.
Happy to hear your friend got successfully treated.
ed
I second E-Dog's post!
If you want to get into a harmful numbers question, you are going to find that the FDA has approved plenty of harmful shit in their pursuit of helping big pharma execs to make those huge bonuses.
Yes, somebody needs to make the decisions, but plenty of those FDA decisions have been awfully suspicious at best. They haven't tried to speed up the approval process on anything really successful in DECADES.
Don't believe me?
How about procedures that are effective in the positive in 8 out of 10 cases, and ineffective (not negative or positive) in 2 of 10? (I'll start with what I know a bit about.) Like the adult autologous repair cell treatments for SCI. Granted, they're not getting people walking out right after surgery (which would be a ridiculous expectation), but they are helping in bowel/bladder function, sensation, and even hand function (for quads).
That treatment was available a decade ago in other countries, but the clinical trials didn't even start here until this year. Interestingly enough, the FDA has deemed the adult autologous cells as "drugs" that will be regulated and sold by pharmaceutical companies. All that's done with the cells prior to injection is culturing. Culturing is done daily for tons of tests in the local doctors' offices. No extra drug company purchase necessary.
It's the same with olfactory mucosa autografts, which were effective in the positive for 6 of 7 (1 was some positive, some slightly negative effect) in Dr. Lima's study. The procedure has been available in Lisbon since late '03-early'04, but they haven't even tried it here, partly because of the FDA's "intervention." Hell, they haven't even tried the chondroitinase here. (That's the protein used to promote neuron regeneration and scar tissue removal.) They're finally starting to in the UK, but with rats. It's been used in humans for several years in other countries.
Then, how about the harmful stuff they've approved? Like some of the birth control meds that have a chance of causing life-threatening blood clots? They're still FDA approved. How about the anti-depressants? FDA approved anti-depressants are the topic of some debate. Partly due to the FDA not making sure they are prescribed according to guidelines, but partly because the antidepressant market is HUGE. I used to take Zoloft. I can tell you firsthand that it's
not the drug I want to be taking. Zoloft is actually the reason I hate taking pills. It caused the worst hangover I've ever had for the entire time I took it. I hadn't had a drink in months, hadn't done a drug for 3 months, and still the Zoloft made me feel so hungover I couldn't function. I'm talking about the migraine-level headache, the blurred vision, the inability to keep food down. It was horrible. Even the low dose the doc put me on at the first caused this stuff. I'm aware that every body reacts differently to some things, but the scrip info didn't even mention anything about migraine headache and extreme nausea being possible side effects.
Or ADD drugs. Ritalin? I think most of us have a little bit of an idea about the Ritalin issues, but for those that don't--Ritalin has caused about the same number of problems as solutions (maybe more problems). Again, partly due to the FDA not doing their watchdog duties, but due in bigger part to it basically being
speed (Yeah, that's a real good thing to give kids. Tell them not to do drugs, but feed them speed.

WTF is going on here?!). Adderall? Same concept-"Let's feed little Johnny some speed. That oughtta be good for him."
How about radiation and chemotherapy? I've never actually had them, and won't have them as long as I have a say in the matter. I'd rather they just give me the morphine. I've seen too much of what chemo and radiation do to the body. For many, the chemo and radiation cause worse effects than the cancers they're supposed to treat. What, with all the vomiting, inability to eat, hellish pain, confusion, hair loss, skin problems, etc; chemo and radiation are some of the most barbaric things we've used on people since freaking crucifixion. But still, they're FDA approved (Unlike crucifixion, which could be a really good crime deterrent.).
Viagra is one used by some on here. I could point out the possible side effects of it, but I'm sure everyone got warned of all those possible side effects by their doctors. Maybe... I know my doc forgot to warn me of a few things with Caverject. Good thing I read that manual they gave me at the pharmacy.
Point being, there are plenty of drugs/treatments that are FDA approved that have "side" effects that are no better than the conditions they're used to treat. Some are worse. I could pick up my wife's Nursing Drug Guide and pick you out tons of them. So, where are all the "safe drugs" that the FDA and pharma companies claim are being made? Isn't that what the FDA is supposed to be making sure they all are? At least reasonably safe? Who
really decides what's "reasonably" safe? The FDA, or the pharma execs? Why are there so many approved treatments/drugs that are harmful?
There are also some new and wonderful treatments/drugs that the FDA just refuses to help make available (even for trials), regardless of the proven safety and effectiveness. It's like they're just putting up as many obstacles as possible for some things, like (again, back to ones that apply to many of us here) olfactory mucosa transplantation and autologous repair cell injections. What has the FDA done to help get proven safe and effective treatments/drugs approved and stop the BS treatments/drugs? Nothing really. If they did, they wouldn't be getting their pockets lined by big pharma, which is what seems more every day to be the case.
Again, don't get me wrong. I'm for having competing pharma companies that help us out, provide lots of jobs, etc, but the FDA shouldn't be working for them. The FDA should work for US. They were established to work for
our best medical interests, not the best interests of the pockets of the pharma execs or themselves either.