Untrustworthy NIH

This is what the horror movie outbreak looked like. The real one? We don’t know.

In Barry Levinson’s (terrific, scary) eco-horror movie “The Bay,” slug-like sea creatures mutated by toxic waste eat their way through the faces and bodies of the residents of a Chesapeake Bay community, as medical authorities carefully keep the story under wraps from the rest of Maryland and the nation. At the National Institutes of Health Clinical Center in Bethesda last year, a different kind of monster bug was on the loose: the antibiotic-resistant bacteria known as Klebsiella pneumoniae.  For six months the bacteria spread, eventually infecting 17  NIH patients, killing at least six of them. Doctors took extraordinary precautions to keep the so-called “superbug” from getting out into the population, but such measures didn’t include telling the city, county or state what was happening, or informing non-physician staff, many of whom were at risk of infection, about the bacteria outbreak. The full story didn’t come to light until August of this year, when NIH researchers published a scientific paper describing the advanced genetic technology they used to trace the outbreak. Continue reading

Making Sure Your Shrink Has Only Your Needs in Mind

Psychiatry and psychoanalysis were supposed to transform humanity for the better by allow us to understand what makes us happy, sad and crazy and to control it, rather than to let it control us. But after a century that witnessed  Woody Allen undergoing intense treatment for decades that resulted in his marrying his step-daughter (and feeling darn good about it!), the profession is increasingly resorts to a shrug and a prescription. The good news is that many of the new drugs seem to do the job a lot better than Dr. Freud’s couch; the bad is that psychiatrists are often conflicted by their financial ties to drug companies.

Writing in the current issue of the Journal of the American Medical Association, Dr. Thomas Insel, Director of the National Institutes of Health, states that American psychiatrists need to reform a “culture of influence” that has been nurtured by too many goodies offered to doctors by pharmaceutical companies and happily accepted, including big ticket items like research grants, trips, fees for writing friendly journal articles and entertainment, and smaller trinkets like coffee mugs. Continue reading

Ethics Heroes: “Pharmed Out”

A group of 100 medical ethicists, physicians and others calling themselves Pharmed Out have written the head of the National Institutes of Health and requested that the NIH fund studies examining the effect financial and industrial conflicts of interest have on medical research. Continue reading