Approximately fifty patients required a dose of almost one hundred pounds of this drug, this demand could only be fulfilled over a period of one year with the current manufacturing infrastructure available at Merck. Merck Inc. also posed bottlenecks during the drug development process in form of corporate pressure from the government and AIDS activists. Since Crixivan was one of the most efficient and safe drug in the list of anti-HIV drugs, an emotional pressure from the public health officials and AIDS activists began to mount barriers in the Drug development process of Crixivan. There were multiple aspects that Merck Inc. had to look into before entering the production of the drug. As a precautionary measure Merck had learnt from the bad experience between the AIDS activists and Burroughs Wellcome’s anti-HIV drug AZT pricing and distribution.
Background Approximately 15,000 people die each year by overdosing on opioids, a rate that has more than tripled since 1990 (Wermeling, 2012). The annual incidence of opioid over dose associated mortality on a nationwide scale has been difficult to assess due to incomplete reporting systems (Leavitt, S.2010) as well as more than half of over doses go unreported for fears of repercussions (kuehn,2014). In Massachusetts these over doses have killed more than car crashes each year since 2005 (Wermeling, 2012). The government had tried numerous strategies to reduce the death toll, including imposing stricter regulations on prescribing medications, prosecuting owners of “pill mills” who dispense the drugs without proper medical evaluation, and tracking data bases to monitor and discourage “doctor shopping” among addicts (Szalvitz,2013). Addiction often begins with a legitimate opioid
The statistics of medication error consistently increases in health care sector. A 1999 IOM (Institute of Medicine) estimated that “Medication errors” accounted for 7,000 deaths per year (Phillips et al.2001). According to Malaysia, static show that 10 percent of medication errors occurs by the nurses’ carelessness and not seriously follow the rules in their practice, during drug administration stage (www.straight dope Nov 2007). We mite be think, 10 percent is not a high percentage in medication error but that was the root cause of medication error, were started by the nurses in health care sectors. All errors result in potentially negative outcomes for the client, including a near or actual death.
Also, according to Robin Fields, (2010), the incidence of venous needle dislodgement is one of the most dreadful and yet most preventable problems encountered by patients receiving hemodialysis in the industrialized world. The author is a Clinical Manager of a 16-chair outpatient hemodialysis clinic. He has noted that on a three month review of QRR submitted report from January 2012 to December 2012; his clinic has reported an average of 3 needle infiltrations each month. These needle infiltrations predispose patients to venous needle dislodgement. The average age of the general population at the author’s clinic is 60 and above.
Unnecessary surgery exposed! Why 60% of all surgeries are medically unjustified and how surgeons exploit patients to generate profits Friday, October 07, 2005 by: Alexis Black Every year millions of Americans go under the knife, but many of them are enduring great pain and shelling out thousands of dollars for surgeries they don't really need. In fact, the only people who seem to really benefit from these unnecessary medical procedures are the medical professionals who stand to make exorbitant amounts of money from performing them. An estimated 7.5 million unnecessary medical and surgical procedures are performed each year, writes Gary Null, PhD., in Death by Medicine. Rather than reverse the problems they purport to fix, these unwarranted procedures can often lead to greater health problems and even death.
Jerry still wants to help the patient but as he still knows that he is not licensed to prescribe any medication to any patient. Even if the medication was for controlling high blood pressure or is as small as aspirin Jerry will still not be able to fill or refill and prescriptions. If any of the patients call the office for any prescriptions to be refilled, then Jerry or anyone in that office will need to tell the patient to call in ahead as to get the prescription filled before they run low or run out. In some cases the patient will still need to be evaluated to get a
Abigail Zuger discusses many topics in “We Love Them. We Have Them. We Take Them.” that probably would be denied by most doctors and unknown by most patients. The topic she covers in her essay though does not usually occur on a major scale (doctors do not usually prescribe Vicodin tablets for minor aches and pains), but does occur almost every day on a minor scale, which is usually routinely done for refills prescribed over the phone or for something as simple as a Cortisone shot for a patient to recover from the flu faster. Given this information prescribing medications for a better patient-physician relationship does not seem as serious as it is made out to be or is it?
Going to an emergency room instead of scheduling a doctor's appointment has become a trend in this country. Translated into dollars and cents that means 40.5 million people paid up to three times as much for routine care as they would have paid at a physician's office. They probably wasted a lot of time too because emergency rooms are not set up to care for routine illness, and they do not work on a first-come, first-served basis as many people mistakenly believe. To ensure that the sickest patients get immediate care, emergency rooms use a triage (French for "sorting") system of evaluation so that critical cases, such as people suffering from heart attacks or injuries from serious accidents or violent crimes, are treated first. Everyone else may have to wait quite a while before being seen.
It doesn’t always end with death but more and more people are rushed to the hospital emergency room because of energy drinks. Statistics show that in 2005, 1,128 ER visits were associated with the use of energy drinks. That number went up to more than 16,000 ER visits in 2009 and it is still growing. It’s hard to believe that these drinks that many of us reach for so often can be so dangerous or even fatal. ------------------------------------------------- ------------------------------------------------- I myself reach for these drinks more and more often thinking this is what I need, to get through the day, not realizing the side effects.
As a consequence strategies for health promotion can be influenced by the financial demands to the NHS. The Department of health (DH) (2010) reported over eighty thousand deaths annually are attributed to smoking related diseases alone with a cost to the NHS of £2.7 billion, as a result healthcare professionals are tasked with motivating and assisting every smoker to quit were possible. Description I was working as a student nurse on a busy medical ward when this health promotion activity occurred; my learning outcomes for this placement were admission and discharge of patients and health promotion activities. My supernumerary status sometimes allowed more patient dedicated time, which attributed to this event.