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03-18-2019, 06:16 PM
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#21
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Thinks s/he gets paid by the post
Join Date: Oct 2006
Posts: 4,629
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Quote:
Originally Posted by imoldernu
Rant... Not just for aspirin or eggs, but for the health industry and in particular the pharmaceutical industry.
On my above post,i mentioned some numbers. I'd like to go a little further and get this off my chest.
I have AFIB... as do 34 million others. There have been numerous new medications said to reduce the risk of blood clots, and the meme is that doing this will go far towards protecting those who might be subject to Stroke... The inference is that two of the major drugs will lessen the chance of stroke "significantly"... though at this point, after careful searching of the internet, including medical websites, i can find no definition of "significantly".
The two drugs in question are Xarelto and Eliquis, both of which receive much TV advertising. The cost of these drugs, even with subsidies or GoodRX, comes to from $5,000 to $7500 per year.
The studies that I have read are similar, and though somewhat different, very obscure... as I would expect that taking the drug would reduce my chance of dying for a stroke (risk enhanced by AFIB)... would be like, maybe 10 to 30 percent. Not so... First... the number of AFIB associated deaths is not even mentioned. Second, as far as I could see, the overall risk factor in the expanded studies, was somewhere under 2% in the first place.
Maybe I'm just getting too old to understand this stuff anymore, but I would have hoped that somewhere along the way, there would be enough morality within the pharmaceutical companies to present information in a way that reasonable people could make their decision without be subjected to scare tactics.
end of rant
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I agree that getting data with numbers is very hard. It seems to me that if the drug company is going to advertise directly to the public, they need to put "number of people [getting this benefit] per hundred taking the drug, in excess oft the number reporting the same benefit from a placebo".
i.e. if 20% of the people taking this pain medication report "significant" reductions in pain, and 13% of the people taking a placebo report significant reductions in pain, then the number above is 9.
I'm quite sure that won't happen unless the gov't requires it, because I think " morality within the pharmaceutical companies" doesn't exist.
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03-18-2019, 06:17 PM
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#22
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Thinks s/he gets paid by the post
Join Date: Oct 2006
Posts: 4,629
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This aspirin guideline makes me feel good. I haven't been taking aspirin because I'm concerned about stomach bleeding. In my case, I thought that was a bigger risk than the heart attack.
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03-18-2019, 06:25 PM
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#23
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Full time employment: Posting here.
Join Date: Jun 2018
Location: Brisbane
Posts: 855
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unlike the statins i have been prescribed where i MIGHT be able to persuade the medical to swap to alternative strategies
the 100mg of aspirin daily is MANDATORY until 2022 ( and probably for life ) the co-partner ( Plavix ) of this treatment strategy does have a fall-back strategy ( Warfarin ) if things starts going badly wrong .
*** " if you tell the truth, then you don't have to remember anything". ***
works for me also ( and no one believes me anyway , a double bonus )
i suppose i could always opt for suicide , but would ( the fear of ) aspirin be blamed for that as well
__________________
i hold the Australian listed versions of AU ( Anglo Ashanti ) , BHP , and JHG .
You must learn from the mistakes of others. You can't possibly live long enough to make them all yourself.
Samuel Levenson
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03-18-2019, 06:32 PM
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#24
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Full time employment: Posting here.
Join Date: Jun 2018
Location: Brisbane
Posts: 855
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Quote:
Originally Posted by Independent
This aspirin guideline makes me feel good. I haven't been taking aspirin because I'm concerned about stomach bleeding. In my case, I thought that was a bigger risk than the heart attack.
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i AM bleeding but the tests on urine ( blood ) and gastrointestinal ( bleeding ) persistently return negative results
i guess the next quest for an answer scares them ( the medical professionals )
the hemoglobin count keeps on sliding ( but not enough for a bone marrow biopsy ... yet )
__________________
i hold the Australian listed versions of AU ( Anglo Ashanti ) , BHP , and JHG .
You must learn from the mistakes of others. You can't possibly live long enough to make them all yourself.
Samuel Levenson
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03-19-2019, 05:41 AM
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#25
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Feb 2006
Location: Washington, DC
Posts: 11,331
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Quote:
Originally Posted by Independent
This aspirin guideline makes me feel good. I haven't been taking aspirin because I'm concerned about stomach bleeding. In my case, I thought that was a bigger risk than the heart attack.
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+1 I get nose bleeds a lot in the winter and dropped the aspirin years ago since I didn;t want to exacerbate them. I just turned 70 and the new guidelines suggest I don't take them anyway. Brain bleeds are the risk the daily baby aspirins present.
__________________
Idleness is fatal only to the mediocre -- Albert Camus
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03-19-2019, 07:18 AM
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#26
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Thinks s/he gets paid by the post
Join Date: Jul 2009
Posts: 1,610
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There are a lot of generalizations in this thread. People should be careful about accepting these as the basis for their own medical care.
Any discussion that smells of “staying away from doctors,” should be discounted.
If one does carry aspirin with them to mitigate the effect of heart attack onset they should, from what I’ve read, be full strength, and chewed.
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03-19-2019, 10:52 AM
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#27
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Thinks s/he gets paid by the post
Join Date: Oct 2009
Posts: 1,190
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Quote:
Originally Posted by stephenson
There are a lot of generalizations in this thread. People should be careful about accepting these as the basis for their own medical care.
Any discussion that smells of “staying away from doctors,” should be discounted.
If one does carry aspirin with them to mitigate the effect of heart attack onset they should, from what I’ve read, be full strength, and chewed.
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Ditto.
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03-19-2019, 10:58 AM
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#28
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Gone but not forgotten
Join Date: Jul 2012
Location: Peru
Posts: 6,335
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Quote:
Originally Posted by stephenson
There are a lot of generalizations in this thread. People should be careful about accepting these as the basis for their own medical care.
Any discussion that smells of “staying away from doctors,” should be discounted.
If one does carry aspirin with them to mitigate the effect of heart attack onset they should, from what I’ve read, be full strength, and chewed.
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I agree with all of that. But the idea that all doctors are altruistic, may be a little too trusting. While doctors do not receive "campaign contributions" from the Pharma companies, they may be enrolled in paid studies to report their experience with patients who are taking the drug.
We can draw our own conclusions.
__________________
If you want others to be happy, practice compassion. If you want to be happy, practice compassion.
--Dalai Lama XIV
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03-19-2019, 11:29 AM
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#29
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Jul 2008
Location: Leeward Oahu
Posts: 17,930
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I was on aspirin "just because" until I developed chest pains and got stented. Now I'm on Eliquis. I thought I would bleed and bruise and all kinds of bad things. Instead, just like before, when I cut myself, I clot up instantly. So far, the only think I notice about taking Eliquis is that it hurts a lot less to sit on my wallet. YMMV
__________________
Ko'olau's Law -
Anything which can be used can be misused. Anything which can be misused will be.
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03-19-2019, 02:15 PM
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#30
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Jan 2006
Location: Rio Grande Valley
Posts: 38,154
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Quote:
Originally Posted by donheff
+1 I get nose bleeds a lot in the winter and dropped the aspirin years ago since I didn;t want to exacerbate them. I just turned 70 and the new guidelines suggest I don't take them anyway. Brain bleeds are the risk the daily baby aspirins present.
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This is all very interesting.
I know someone that was very anaemic and it was probably their practice of daily aspirin. You have to be careful.
__________________
Retired since summer 1999.
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03-19-2019, 06:51 PM
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#31
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: May 2008
Posts: 6,506
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Quote:
Originally Posted by imoldernu
Rant... Not just for aspirin or eggs, but for the health industry and in particular the pharmaceutical industry.
On my above post,i mentioned some numbers. I'd like to go a little further and get this off my chest.
I have AFIB... as do 34 million others. There have been numerous new medications said to reduce the risk of blood clots, and the meme is that doing this will go far towards protecting those who might be subject to Stroke... The inference is that two of the major drugs will lessen the chance of stroke "significantly"... though at this point, after careful searching of the internet, including medical websites, i can find no definition of "significantly".
The two drugs in question are Xarelto and Eliquis, both of which receive much TV advertising. The cost of these drugs, even with subsidies or GoodRX, comes to from $5,000 to $7500 per year.
The studies that I have read are similar, and though somewhat different, very obscure... as I would expect that taking the drug would reduce my chance of dying for a stroke (risk enhanced by AFIB)... would be like, maybe 10 to 30 percent. Not so... First... the number of AFIB associated deaths is not even mentioned. Second, as far as I could see, the overall risk factor in the expanded studies, was somewhere under 2% in the first place.
Maybe I'm just getting too old to understand this stuff anymore, but I would have hoped that somewhere along the way, there would be enough morality within the pharmaceutical companies to present information in a way that reasonable people could make their decision without be subjected to scare tactics.
end of rant
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Let me confound you a bit more.
I HAD Afib. Last year, for a while. Cardio docs explained that the cause is unknown and that there is no non invasive cure. Pushed extremely hard the Xarelto, I declined, having seen the effects on late DW. So they said do ASA and stuff to limit heart rate.
After a few months afib went away after I did some changes to what I do take in the nutrient department. I won't discuss them so not to be accused of "practicing medicine without a license". No changes in my workout, dance, skating routines. Never did take ASA and the rate limiter only when afib was active.
It has been over six months since any episode. I concluded that Afib is neither an electrical nor a vascular plumbing problem.
__________________
There must be moderation in everything, including moderation.
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03-20-2019, 06:14 AM
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#32
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Give me a museum and I'll fill it. (Picasso) Give me a forum ...
Join Date: Jun 2005
Posts: 10,252
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How many people used aspirin-taking as a subtle excuse not to exercise, not to maintain weight, and not to have low blood pressure?
It seems that pushing a pill was/is easier than trying to get patients to make lifestyle changes. And complaining about it is even easier.
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03-20-2019, 06:41 AM
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#33
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Thinks s/he gets paid by the post
Join Date: Jul 2007
Posts: 3,229
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Quote:
Originally Posted by LOL!
How many people used aspirin-taking as a subtle excuse not to exercise, not to maintain weight, and not to have low blood pressure?
It seems that pushing a pill was/is easier than trying to get patients to make lifestyle changes. And complaining about it is even easier.
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Taking a baby aspirin was standard preventive medicine many doctors were given all their patients(+50) for a long time, it wasn't restricted to only those in poor health.
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03-20-2019, 07:51 AM
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#34
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Gone but not forgotten
Join Date: Jul 2012
Location: Peru
Posts: 6,335
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After reading another article about aspirin, I wonder whether the older persons... 70+ ... or like me, 80+ will react to the observation that they are inactive, obese, and have very poor diets.
Quote:
Adults should aim for at least 150 minutes of moderate-intensity exercise each week. This could include brisk walking, swimming, dancing or cycling.
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Quote:
For people who are obese or overweight, losing 5 to 10 percent of body weight can decrease their risk of heart disease, stroke and other health issues, according to the ACC.
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Quote:
A diet full of vegetables, fruits, legumes, nuts, whole grains and fish is best for overall cardiovascular health, according to the ACC. Limit eating salt, saturated fats, fried foods, processed meats and drinking sweetened beverages.
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What's left? Oh, yeah... giving up sex.
Just wondering...
__________________
If you want others to be happy, practice compassion. If you want to be happy, practice compassion.
--Dalai Lama XIV
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