Tag Archives: medication

If it’s not real

Yes the is something that we don’t really consider. At least I am not one of those people. You see, I get whatever medications  need from a pharmacy, as such It was never a consideration for me. But the Dutch NOS reported last Saturday ‘Gevolgen verkoop neppillen nog ernstiger dan gedacht: zeker 13 doden’ which amounts to ‘Consequence sales of fake medication more serious than thought, at least 13 dead’ The article gives us “The Netherlands Forensic Institute (NFI) recently reported six deaths and four serious poisonings linked to counterfeit medications. At least six other suspicious deaths have been reported, according to a survey of the Netherlands Poisons Information Centre, the Trimbos Institute, the NFI, and hospitals that can test for hazardous substances. There are also very strong suspicions in a seventh case.” With the addition of  “The main culprit in these deaths and poisonings is nitazene, a synthetic opioid so potent that it poses a significant risk of overdose. Therefore, nitazene is prohibited from use in pharmaceuticals. However, it’s not uncommon for counterfeit pills loaded with the dangerous nitazene to be sold by online retailers as oxycodone available in legitimate pharmacies.” It puzzles me as the Dutch have a great medical setting with additional pharmacy settings. It is slightly better than the Commonwealth, at least it was 20 years ago. As such I don’t understand the need to ‘rely’ on online retailers. 

As such we were given “The parents of a Slaappillen.net victim, who wish to remain anonymous, are making the same plea. Their 29-year-old daughter died on April 8th in Amsterdam after experiencing severe lower abdominal pain, reaching for a pill she thought was oxycodone, which she had left over from a previous order on Slaappillen.net.” and for me the puzzling fact is why they went to this ‘slaappillen.net’ whilst the Dutch pharmacies are top notch. It seems weird how the setting is absent from serious questions. So whilst we consider the quote “The parents also hope that the publicity will prompt the police and the judiciary to prioritize unraveling the networks behind these sites and their “horrible business models,” as the father calls them. “The suffering they cause by doing so apparently doesn’t interest these criminals.”” But the hidden part becomes why the parents resorted to ‘these criminals’ whilst the pharmacies in the Netherlands are of such high quality. As such the question is perhaps not as easy as we might think. We might look at the networks (which is basically an essential step), but the setting why the parents took this step, for the simple setting that most places in the Netherlands (which is perhaps the size of Rhode Island) and has pharmacies usually in a few blocks radius of any city the Netherlands has. As such I am left with questions and the article does not bare this out. It leaves us with unanswered questions and that is not a good thing as these criminals are set on a practical grid foundation, so something, or someone is helping them and that is the setting that is missing. In the Commonwealth you can get Oxycodone Hydrochloride Tablets in a setting of 5 mg tablet (size 20 pack): approximately £1.95, in Australia it is a little less than $7, so what is actually going on? Has the price of Dutch pharmacies gone up by a ridiculous amount? It used to be a lot less than either the UK or Australia. As such I am left with questions. And the NOS did address them in another article. In the story (att https://nos.nl/artikel/2592446-tweede-webshop-voor-de-rechter-na-leveren-neppillen-nfi-ziet-meer-sterfgevallen) are we left with the fact that web shops (online pharmacies) we are given “Besides Funcaps.nl, the Public Prosecution Service is also taking action against another website that sold unlimited amounts of medication without a prescription. The web shop Slaappillen.net is linked to at least one death after the delivery of a counterfeit version of the powerful painkiller oxycodone. These pills contain the life-threatening synthetic substance nitazene.” The other place also got prosecuted, but as far as we are given “In that case, the suspects are linked to the deaths of possibly 49 people, but they too are currently only being prosecuted for violating the Medicines Act.” It apparently is too hard finding evidence of this and the people arrested at present, will most likely be set free which gives us any kind of setting when we come to think of it. 

It seems like a weird setting for prosecution, especially given the facts. As far as I know the Dutch have a great pharmacy setting, so what drives any person to take such a weird risk, especially when we see that there are dozens of deaths. One would think that this would be enough to drive people away from these online retailers. But that might merely be me.

Have a great day, my breakfast is a mere 180 minutes away.

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A handjob at twice the price

It started 8 hours ago, the stage that we have been watching on Hydroxychloroquine, an anti malaria drug. The article ‘Influential study on hydroxychloroquine withdrawn’ leaves me with a lot of questions. The quote “An influential article that found hydroxychloroquine increases the risk to death in coronavirus patients” should leave us all with a lot of questions. That is even before we get to the data concerns. Consider that the coronavirus had its initial cases last december (optionally a little earlier), so in January we knew that there was a problem, we also knew that there was NO vaccine at this stage. This was 5 months ago, now we see “Research for the article, published last month in medical journal the Lancet, involved 96,000 coronavirus patients across 671 hospital worldwide. Nearly 15,000 were given hydroxychloroquine – or a related form” In this light, we need to consider that there were enough patients in April, around 3 million, yet as we realise that reporting of Corona cases have been all over the field, so getting 671 hospitals to set up treatments, testings patients and reporting to a source takes time, the incentive for a vaccine started in january/february, and even as they might be on top of their game, the entire setting would require time. As far as I can tell, the situation does not add up. Consider for a moment that there are 4008 forms of approved medication (to coin amere small fat), someone decided to set the stage where hydroxychloroquine was an optional solution, I will not fault that reasoning (as I never studied medicine). So the medication is ‘offered’ as an optional partial solution, there is no vaccine, so still we are all OK. Consider that this started in January, so any negative feedback would not be there until February the earliest. As such, it takes time for possible patterns to form, as such February/March is the start. Now consider that in a period of 60 days, a report was filed with the foundation of ‘hydroxychloroquine increases the risk to deaths in coronavirus patients’, and keep in mind the ‘increases risk’ part, it matters.

You see the timeline to assess and identify ‘increases risk’ is not done in 90 days, the entire path would require all kinds of data on multiple levels and under larger scrutiny, the entire matter should be under scrutiny and should be up for debate in many places

Now we are in a stage where in under 90 days 96,000 patients are measured, 15,000 are documented on the effects of hydroxychloroquine on these patients and the effect and evidence of death due to medication. The timeline does not make sense, so personally, I would state Yes! I very much want to test and scrutinise that data. I would in addition make a memorandum with critical questions to Surgisphere, the timeline leaves me with questions and the data and evidence path would require investigations (in multiple ways), as such when I see this article, I am left with several questions, I also have questions in the direction of Harvard professor Mandeep Mehra. Not in a hostile way, but the entire setting leaves me with a bad taste in my mouth and the professor could end up answering questions. 

So in all 96,000 patients over 90 days at the max, gives us well over 1050 patients a day, after that we have the stage of 166 patients on the drug a day and over a period of 90 days, not all have been properly tested, the stage of data gathering and data collection with tests and setting the proper stage of analyses, verification and reporting. I see a whole range of issues from a distance. Oh, and with the lockdown, how many resources would have been available? We see nothing of this entire field in the BBC article or anywhere else. 

Did someone look into the matter on an empty stomach? 

These managers chasing quick wins are shown to be be lacking in a few ways, I hope that the professor has a good explanation, he most likely does, and perhaps Surgisphere, but the entire data matter is not as I personally see it some ‘client agreement’ issue, I see it as something a lot more serious, and if it was up to me at this stage, unless Surgisphere cannot answer all questions to the satisfaction of all, they should never ever be allowed near medical data ever again. I am not alone in this, some people have been asking serious questions for days, some have has question marks on a few items that I mentioned and most include issues of data collection, it is time for serious organisations to step in, we would ask the WHO, but it seems that America is not paying that bill, so who would properly vet data of this magnitude?

 

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