tag:blogger.com,1999:blog-7323692122514281455.post1545375024338345155..comments2024-03-22T17:05:55.267-04:00Comments on MD Whistleblower: Polypharmacy in the Elderly: Who's Responsible?Michael Kirsch, M.D.http://www.blogger.com/profile/07555280388086931097noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-7323692122514281455.post-55569797967467085902017-12-07T09:36:45.896-05:002017-12-07T09:36:45.896-05:00Loved your article Dr. Kirsch! Thanks for helping ...Loved your article Dr. Kirsch! Thanks for helping to raise awareness of this massive but preventable problem. My organization was founded on and is dedicated to providing the solution for polypharmacy. With the creation of the Bennett Polypharmacy Panel (BPP), we have successfully helped many practices and clinics better identify and eliminate polypharmacy issues from their patient populations. I would love to connect and discuss with you.<br /><br />Thanks!<br /><br />Brian Bibb<br />Primary Diagnostic Systems<br />(904) 477-8456Brian J. Bibbnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-21443395041448728552017-11-16T12:59:25.667-05:002017-11-16T12:59:25.667-05:00Good comment above. Why the anonymity? Much of t...Good comment above. Why the anonymity? Much of this blog is devoted to the perils of overdiagnosis and overtreatment and I invite you to a leisurely perusal.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-41963847970805367832017-11-16T08:29:37.147-05:002017-11-16T08:29:37.147-05:00Oh yes, the number of older people on a whole slew...Oh yes, the number of older people on a whole slew of medications seems to be the norm. I know it was for my in-laws. What about overtreatment / "prescribing" in the way of unnecessary procedures? There's a lot of that too especially in the Ob/Gyn specialty. There are only ~80,000 annual cases of gynecologic cancers (endometrial, cervical, ovarian) yet there are 700,000-800,000 hysterectomies and 500,000-600,000 oophorectomies, many of which involve removal of both ovaries. You've probably seen the after effects of hysterectomy on bowel displacement and function in your practice. That is just one of the many harms of hysterectomy and oophorectomy has another whole set of harms as shown by numerous studies and medical literature going back over a century. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-88822649573729661912017-11-12T07:41:49.885-05:002017-11-12T07:41:49.885-05:00Thanks, Joe. Two pleasures I enjoy are removing a...Thanks, Joe. Two pleasures I enjoy are removing an unnecessary medication, and deleting a diagnosis of some disease that has 'pasted' in year after year, but is not accurate. I've seen many patients, for example, who have 'lupus', 'rheumatoid arthritis' or 'Crohn's disease' erroneously listed. Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-44551241055330014412017-11-10T22:01:18.527-05:002017-11-10T22:01:18.527-05:00One of the most useful interventions I have found ...One of the most useful interventions I have found as a physician is to "unprescribe". Its interesting how many symptoms can be cured with the removal of even one or two medications, particularly those with anti-cholinergic activity.Dr Joehttps://www.blogger.com/profile/03536579611946585510noreply@blogger.com