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Buy yaz (crisanta ls) without prescription, USA Today Series
12-06-1995
Doctor's financial stake in shock therapy
When medical students learn about shock therapy, they turn to the only textbook on the subject: Electroconvulsive Therapy, published by Oxford University Press.
Richard Abrams, yaz (crisanta ls) internet, Yaz (crisanta ls) alternative, a professor of psychiatry at the Chicago Medical School, writes that shock therapy is proven safe and effective for depression and other problems, buying generic yaz (crisanta ls), Yaz (crisanta ls) without a prescription, even in children and the elderly.
He advises that shock should be considered as the first treatment given, order yaz (crisanta ls) in canada, Overnight yaz (crisanta ls), not as the last resort.
He concludes with an attack on doctors who criticize shock treatment and attaches a form to have patients sign when they consent to shock therapy, buy yaz (crisanta ls) overnight delivery. Buy yaz (crisanta ls) online without prescription, But Abrams doesn't tell the medical students one thing: He owns Somatics Inc., one of the nation's two shock machine manufacturers, yaz (crisanta ls) no rx.
He didn't tell his publisher, either, buy yaz (crisanta ls) without prescription. Yaz (crisanta ls) cheapest price, "Wow,'' says Joan Bossert, yaz (crisanta ls) overnight, Order cheap yaz (crisanta ls) online, executive editor of Oxford University Press. "I did not know that.'' She would have had him disclose that in the book's preface, certified yaz (crisanta ls), Cheap yaz (crisanta ls) without prescription, she says.
"I really wish he'd told us, cheapest yaz (crisanta ls) online, Purchase yaz (crisanta ls), but it doesn't take away from his expertise,'' she says, order yaz (crisanta ls) in us. Find cheap yaz (crisanta ls), Neither did Abrams disclose his financial interest in the academic journal Psychiatric Clinics in September 1994, when he wrote an upbeat article on shock titled, yaz (crisanta ls) cheap price, Canadian yaz (crisanta ls), "The Treatment That Will Not Die.''
In some recent articles, Abrams disclosed that he's a "director'' of Somatics, cheapest yaz (crisanta ls). Buy yaz (crisanta ls) without prescription, But readers weren't told that he is also president and owns the company with shock researcher Conrad Swartz, a University of South Carolina psychiatry professor. Yaz (crisanta ls) us, Abrams says it's ridiculous to think his ownership of a shock machine company may create a conflict of interest.
"Most advances in medical instruments and technology have come from practicing physicians putting (their) knowledge to work in building better equipment, cheap yaz (crisanta ls) tablet, Yaz (crisanta ls) medicine, '' he says.
He says he thought Oxford University Press knew he owned Somatics, buy cheap yaz (crisanta ls) internet. Buy yaz (crisanta ls) once daily, "The association is very well-known in the community,'' he says, yaz (crisanta ls) sales.
In a 1991 deposition, Abrams said Somatics provided half his income, buy yaz (crisanta ls) without prescription. Yaz (crisanta ls) discount, Abrams and Swartz started Somatics Inc., in Lake Bluff, find yaz (crisanta ls) online, Yaz (crisanta ls) pills, Ill., in 1985, where to buy yaz (crisanta ls). Generic yaz (crisanta ls), Somatics makes about half the USA's shock machines; MECTA Corp. of Lake Oswego, yaz (crisanta ls) buy online, Cheap yaz (crisanta ls) internet, Ore., makes the rest, yaz (crisanta ls) professional. Buy generic yaz (crisanta ls) online, Abrams wouldn't reveal company revenues or profits, but the Somatics Thymatron shock machine is used in about 500 hospitals nationwide and costs approximately $10, yaz (crisanta ls) non prescription, Yaz (crisanta ls) from india, 000. Buy yaz (crisanta ls) without prescription, "It's a very small industry,'' Swartz says. "The sales of these machines don't compare with the sales of any one drug.''
Swartz says Somatics' profits are comparable to having an additional psychiatry practice, cheapest generic yaz (crisanta ls). Purchase yaz (crisanta ls) without prescription, (The average psychiatrist made $131,300 in 1993.)
Swartz writes extensively on shock therapy, too, and also rarely discloses his Somatics ties.
For example, when a doctor wrote in Convulsive Therapy, a medical journal, that doctors could save money using sports mouth guards during shock treatment, Swartz wrote a letter attacking the idea. He did not disclose that Somatics sells specially designed mouth guards for $23 a dozen.
Abrams and Swartz should "absolutely, without a doubt, disclose their ownership in all their publications,'' says Arthur Caplan, director of the Center for Bioethics at the University of Pennsylvania, buy yaz (crisanta ls) without prescription.
They also should disclose it to patients on informed consent forms before shock treatment, Caplan says.
"True informed consent is not what the doctor thinks you should know, it's what a reasonable patient might want to know,'' he says.
Swartz calls this absurd.
"It's a nonissue. Buy yaz (crisanta ls) without prescription, Every doctor who does ECT makes money, just as every doctor who prescribes drugs does,'' he says. "Patients know . . . and don't particularly care.''
Swartz says Somatics was founded because MECTA wasn't listening to psychiatrists who do shock therapy.
"I'm now able to improve machines, buy yaz (crisanta ls) without prescription. Who else can best advance ECT. Someone like me, who knows what they're doing,'' says Swartz, who has a Ph.D. in engineering as well as a medical degree.
For his part, Abrams is the most quoted shock therapy researcher. Buy yaz (crisanta ls) without prescription, The American Psychiatric Association's 1990 task force report on how to practice shock therapy cites him more than any other expert.
His 340-page textbook is often the sole source of information about shock therapy in general medical books and articles read by doctors and patients.
Abrams' textbook never mentions Somatics by name.
But he describes new shock machine innovations found only on Somatics machines.
For example, his textbook reports that a charge "delivered over four to eight seconds will optimize the risk-benefit ratio for ECT and provide maximal clinical efficacy with minimal cognitive consequences.''
Only one machine gives a four to eight second charge: the Somatics Thymatron DGx.
And Abrams sells it.
By Dennis Cauchon, USA TODAY.
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