Healthy Skepticism Library item: 8235

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Schwartz DN.
Management of Helicobacter pylori-positive patients with dyspepsia.
Ann Intern Med 1997 Aug 1; 127:(3):244
http://www.annals.org/cgi/content/full/127/3/244

Abstract:

The opinion that medical endorsements of currently cost-effective empirical therapy for Helicobacter pylori eradication in H. pylori positive patients with dyspepsia may result in increased health care costs if the endorsements open up opportunities for pharmaceutical firms to advertise the treatment resulting in greater numbers of patients seeking medical consultation is presented, and the potential impact of increased antibiotic use on antimicrobial resistance among H. pylori and other pathogens is mentioned.

Keywords:
Dyspepsia/microbiology* Helicobacter Infections/drug therapy* Helicobacter pylori* Humans

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909