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Health Insurance Medicare Info 1-877-255-SVHS Free individual information session about Medicare and related insurance; assistance with appeals. No appointment necessary. There should be little surprise that such supporters still exist despite evidence that, with the exception of a few select diseases, phlebotomy does more harm than good. After all, despite many skeptics throughout history, bloodletting has a long history as a respected and valid therapy for a wide range of ailments. Documentations of the technique can be seen as early as the Egyptian papyri, where it was observed that a hippopotamus rubbed its leg against a sharp reed until it bled, to remove excess blood from its body. Likewise, ancient Peruvians theorized that a goat would pick a place near its diseased eye for relief King, 1971 ; . These early civilizations were among the first to begin treatments of bloodletting, inspired by spontaneous forms of bleeding such as nosebleeds and menstruation. Hippocrates and Beyond Documentation of opinions regarding the practice of venesection had begun to increase by the time of Hippocrates in the 5th century BC. For example, Diogenes of Applolonia, the man credited with the first description of the vena cava, encouraged the technique, a view also shared by Hippocrates himself. In contrast, Aegimious of Eris, the author of the first treatise on the pulse, opposed bloodletting Davis, 1979 ; . Erasistratus 300-260 BC ; was one of the earliest physicians to document his reasons behind opposing bloodletting, stating the risk of severing an artery or nerve, and the difficulty in estimating the amount of blood to be withdrawn. His belief that veins carried blood and arteries carried air created an additional fear that air could be accidentally transferred from the arteries to veins Pendergraph, 1988 ; . Despite such criticisms, bloodletting had become a standard medical practice by the time of Galen 130-200 AD ; . Over a century earlier, Aulus Cornelius Celsus, a Roman encyclopedist, stated, "To let blood by incising a vein is no novelty; what is novel is that there would be scarcely any malady in which blood may not be let." Davis, 1979 ; To attempt to quiet any followers of Erasistratus who still remained in opposition of the procedure, Galen wrote Against Erasistratus and Against the Erasistrateans Dwelling in Rome. These books were supplemented by his Therapeutics of Venesection, which together presented his views on bloodletting. The theories and recommendations in these works came to be so accepted in society that they would not be effectively challenged until the seventeenth century. The Humoral Theory Part of the strength behind Galen's arguments in favour of bleeding came from his use of the humoral theory. The theory has its roots in the concept of the four elements proposed by Pythagoras 580-489 BC ; : fire, earth, air and water. Empedocles and Hippocrates would be among those who would later build this theory to include four humours: blood, phlegm, yellow bile and black bile. The humoral theory proposed that each of these components corresponded with both an essential element and a season of the year. Good health came as a result of the humors being in good balance, with an excess, or "plethora" of a humour manifesting itself as inflammation or fever. For example, winter colds were thought to be due to phlegm, summer diarrhea due to bile, and mania due to bile boiling into the brain Mettler, 1947 and tylenol, for example, tenormin overdose.

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Regulators in major markets look to move leading products from Rx to OTC as a way to reduce drug reimbursements at the industry's expense. Biogenerics are on the horizon, first in Europe, but not far behind in the US. Major drivers are not as robust, especially for Global companies. Old drug discovery technology is no longer productive enough whereas the new science lacks critical mass, leading to shrunken near term R&D pipelines while redundant investments reduce profits. Longer term outlook based on new science is however bright indeed. Many current products require heavy marketing, forcing industry managers to spend twice as much on selling as on R&D a ratio which should ideally be reversed. Generics are growing worldwide. In the US no stone is left unturned to invalidate major drug patents, something that innovation-based companies have proven ill-prepared for. Poor patenting history from the cozy days when such challenges did not even seem possible, makes even major patents vulnerable. The US is now well over 50% of the world pharma market, which seems untenable. Price hikes of 510% annually are also not justifiable. Canadian and other parallel imports have been put off for now, but will likely return in some form.
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