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Hawkeye,

No offense meant to all my friends that are "merely" RPh's, but I do put a PharmD in a different class. And so would they for the most part.

I had to watch it, sort of like one of those horror movies you won't stop watching and yell at yourself for being stupid enough to watch.

I had to see what he was going to drag out next, and it was compelling (well to anybody to do with pharmacy or medicine; I don't think it would have won Neilson ratings against the Super Bowl.)

The only thing I object to is that I have never before seen Peter Jennings being a part of the "media elite" in respect to medicine. Way back when, he was brave enough to host the AIDS Quarterly on PBS, sponsored heavily by the RWJ Foundation, when nobody else would touch it. In his understated way, he talked about awful things, and made the disease an illness instead of a God-sent plague, in interviewing patients, families, and caregivers; as well as giving whatever the most up to date information was in terms of treatment.

I was very disappointed in him, in that his coverage was so uneven, and managed to be unfair to both 'sides', whatever those sides are, in this last show.

Presuming he knew a bit of what he was talking about, his shots (pardon the pun, unintentional) against:

sublingual immediate release CCB's
sudenafil (Viagra)
and perhaps one or two other matters

were okay, if a bit overblown

his attack against the COX-2 class of drugs was incredible and totally ignored the reason the drugs were developed, to more specifically (I don't need to tell you this) inhibit prostaglandins involved in joint and inflammatory pain, while leaving those needed in the GI tract alone. Not as some new money grubbing scheme. Of course, you could take an old NSAID like Naprosyn, indomethacin, ibuprofen, etc and the PGE blocker-blocker Celltec (?) or whatever and work it that way. Don't plan on getting pregnant or anything

Yeah, I could take 2 generic naproxen tid for inflammatory pain and it would be cheaper than Vioxx or Celebrex. Too bad if I had a bad stomach or other GI problems. But I can, I'm not an 80 year old patient with a bad GI history.

I bet (but pray not) that there will be scads of patients that decide to abandon their COX-2 medications and take the "cheaper, and never proven inferior in pain relief" ibuprofen, naproxen, or aspirin because of this, and if God forbid something happens to a patient because of this program, I hope they or their estate sue.

The COX-2's do cost a fortune, and with someone like Peter Jennings saying "there is no proof they help pain any more than cheaper, over the counter medications like...", what is your guess?

Medcare covers none of this, even my mother's HMO does not cover most Rx meds, so {she used this as an excuse to go back into Nursing, I think}, if PJ says the OTC stuff that costs 10% of the Rx stuff works as well or better?

You are quite right to say that the Enron matter and related matters regarding lax business accounting deserve far more attention and scrutiny, but 'that's old news'.

RSH.

Totally irresponsible.

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