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Jeremy Laurance: A daily aspirin was good for us, then it was dangerous. So when can we trust expert guidance?

Painkillers such as Aspirin have obvious benefits, but they can also cause serious damage to the stomach

Painkillers such as Aspirin have obvious benefits, but they can also cause serious damage to the stomach

Every week, it seems a scientific study appears disproving what last week's study showed. Yesterday saw a classic medical volte face: aspirin, which has been prescribed to millions of people over the decades as a protective measure against heart disease, may have more drawbacks than benefits, according to a review in the Drug and Therapeutics Bulletin.

Although a daily aspirin helps prevent a second heart attack or stroke in people who have already had one, in healthy people any protection against cardiovascular disease may be outweighed by an increased risk of internal bleeding, researchers say. Bleeding is a well-known side effect of aspirin and similar drugs that act as irritants to the stomach lining.

After years of headlines about the benefits of aspirin, yesterday's read: "Aspirin is bad for you". In the last couple of weeks, we have also learnt that a father's presence at childbirth is bad for the mother, that drinking three cups of coffee a day protects against liver disease (for people with hepatitis C) and that consuming alcohol cuts a woman's chances of conceiving by IVF. Yet fathers have been encouraged to attend childbirth for decades, coffee has been implicated in umpteen health scares, and alcohol is known to be good for the heart.

Click here to launch our A-Z guide to the ups and downs of medical research

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question on low sodium/ blood sugar
[info]lillybut945 wrote:
Wednesday, 4 November 2009 at 07:34 am (UTC)
can you reccommend something to treat a low sodium and low blood sugar?

I have both, which make me black-out and give me palpitations.

My G.P. just says eat more salty foods and drink less water!
Re: question on low sodium/ blood sugar
[info]big_les_cov wrote:
Wednesday, 4 November 2009 at 07:54 am (UTC)
Low blood sugar - eating regular meals based on starchy carbohydrates will do the trick on that one;
if you are also gaining weight without eating more and experiencing depression like symptoms - ask for a thyroid function test. without these symptoms then the test is pointless.

Secondly - low sodium means either you are drinking too much fluid, now if you are drinking sugary drinks that can cause low blood sugar as a rebound - which explains both symptoms, if not you can either drink a bit less, or eat foods with natural sodium (vegetables, potatoes) or even add a little salt (there are a very small number of people, usually the very health conscious who actually eat too little sodium)

Those two measures will treat low sodium and low blood sugar :)
Health Advice
[info]big_les_cov wrote:
Wednesday, 4 November 2009 at 07:48 am (UTC)
What we have to watch is not that health advice is conflicting, there are benefits and drawbacks to everything we do. Aspirin is an example - yesterdays news was no news.
The biggest danger to our health is journalists - who report this sort of nothing new news with alarmist headlines and half truths.
The Media is a large part of the problem
[info]mr_scummy wrote:
Wednesday, 4 November 2009 at 08:16 am (UTC)

Surely a large part of the problem isn't that scientists keep changing their minds, but that the media exagerrates scare stories (such as the MMR scare) and reports the often wacky views of self-appointed "experts" - such as health gurus, nutritionists, vitamin supplement pushers etc. - as though they had the same validity as proper scientists and medical specialists. The result is a mass of conflicting stories and advice that leads to public confusion and doubt.
TRUST IT
[info]soaring_eagle1 wrote:
Wednesday, 4 November 2009 at 08:31 am (UTC)
No you can't trust anything these people say, they are forever testing stuff on us to see what will happen, this is OK if they have our permission.
Confusion
[info]bigtim1971 wrote:
Wednesday, 4 November 2009 at 08:33 am (UTC)
Complaining that medical advice changes is equivalent to complaining that medical research happens. If you don't want medical science to advance, I'll prescribe you some leeches and let some blood.

Perhaps if medical journalists tried to understand the scientific process a little more and stopped reporting every poorly designed study as a rewrite of the Gospel, the public would get less confused. Pointing the finger for confusion at the medical profession is easy, but wrong. Perhaps a little journalistic navel gazing is required...?
Aspirin and medical oppinion
[info]cepelli wrote:
Wednesday, 4 November 2009 at 09:05 am (UTC)
I am male in my fifties and I read a lot about whats good for us whats no good,eat this do not eat that.

They have no idea at all. Just eat anything you like,actually we are doing best naturally like we like to eat a lot of different type of foods so whats the point asking people to do that we are already doing it.
If you are an active person just do not read all these rubbish and carry on with your life eating reading making sex and enjoying yourself.
30 years ago they said take supplement now they say not good.
Eating spagetty was not to good now is okay they say using olive oil.In Australia health experts advice us not to eat palm oil now its okay they say better then trans fat. Canada recommend CANOLA oil.Its not vegetable oil its CANADA OIL so when you name it Canola oil it sounds like a vegetable oil and its not.
So considering of promoting national industry and job opportunities and job security of the people whom advice us eat this do not eat this its an insult to our intelligence if you care to believing them.
They must be saying "Thank god for the stupid community so we can getaway with any advice.
Well not me.

Opinion and not fact
[info]bendingm wrote:
Wednesday, 4 November 2009 at 09:20 am (UTC)
I wonder if Jeremy Laurence has considered that some of his "opinion" about vitamins being an expensive waste of time, could actually be based upon the same outdated science he is using as his talking point for this article.

He says vitamins produce only expensive urine. He obviously hasn't done much research except trumpet the main stream medical views.

For a start Mr Laurence might try just looking at the huge amount of scientific data amassed just on vitamin D3. He then might look at all the studies about high dosages of vitamin C, Lysine and Proline and the effects of heart disease and atherosclerosis. Mr Laurence's advice sounds like it is being copied from a Government health pamphlet and bugger all research.

Lift your game JL, start being a reporter and not a repeater!
Leeches
[info]bendingm wrote:
Wednesday, 4 November 2009 at 09:30 am (UTC)
Oh and by the way. Leeches are used for burns victims and loss of limbs, as an enzyme in their saliva is an anticoagulant and can help restore peripheral and cutaneous blood supply to damages tissue. Leeches have also been used to treat heart disease and atherosclerosis as this same saliva helps to break up plaque deposits...

Get with the Game JL
Whats wrong with you all???
[info]smarttog wrote:
Wednesday, 4 November 2009 at 09:47 am (UTC)
A good healthy Mediterranean style diet, no smoking, low alcohol intake and plenty of exercise in the fresh air..

Is the secret to good health and low risk of heart disease...

Or am I just a caveman????
[info]gloops wrote:
Wednesday, 4 November 2009 at 09:52 am (UTC)
P is for painkillers:

You forgot to mention they can all give you 'rebound' headaches if taken too often (more than 3 times a week). Some people suffering from daily headaches don't realise it's the analgesics they're taking causing them, in a viscous cycle. Codeine is an opiate and has a number of nasty side effects and withdrawal symptoms if taken in excess.
[info]loopylu333 wrote:
Wednesday, 4 November 2009 at 10:27 am (UTC)
May be the media has to accept responsibility for distorting the statistical evidence so frequently when research highlights new LINKS or RELATIONSHIPS. In being so hasty they are undermining the essential work that scientists and medical professionals are doing by creating a sense in distrust towards them.
[info]ajwimble wrote:
Wednesday, 4 November 2009 at 11:40 am (UTC)
Most of the time it is not the experts that are the problem, it is the way they are reported. The detailed findings frequently make it clear that the latest study is only looking at one aspect of an item, and is not providing any kind of global statement, but news headlines tend to latch onto the main finding, ignoring any qualifiers. To take Asperin as an example, I remember when a while ago it was pointed out that taking half a tablet a day leads to a reduction in health problems, even for people with normal blood preassure. It ea mentioned at the time that not neccessarily a good idea to start taking asprin regularly as the possible long term side effects were not fully understood, in particular possible risks associated with internal bleeding and stomache problems
Inaccuracies
[info]bath_doctor wrote:
Wednesday, 4 November 2009 at 12:30 pm (UTC)
There are multiple inaccuracies in this article by Jeremy Laurance. I am unsure if it is due to poor research, lack of knowledge on his part or simple arrogance trying to put together an article to a deadline. None of the information is referenced (perhaps because it hasn't actually been researched using reputable medical journals).

I do not think I am being harsh. As referred to in his own article, it is published literature such as his that misinforms the general public and perpetuates myths. He and his editor should be ashamed.

From a concerned specialist medical doctor in Bath.
Journalistic simplification is the problem.
[info]miketones wrote:
Wednesday, 4 November 2009 at 01:48 pm (UTC)
It is the classification of things as simply "good" or "bad" without qualification that is the problem and it is the journalists who create these labels by dumbing things down. A great example here : it is misleading to say that genetic testing is bad for Huntingdon's Disease. There are considerable benefits such as deciding whether and how to have a family, planning your future, and potentially relieving yourself of the fear that you might have the disease etc. The Independent initially set out to treat us like intelligent adults capable of making our own minds up but no longer so.
foods to avoid
[info]victhebrit wrote:
Wednesday, 4 November 2009 at 01:49 pm (UTC)
Wow! All these things I love so much - coffee, booze, sugar, juice, marijuana, cigarettes and now I find they're all bad bad BAD! Even cannabis is lethal (well, according to Gordon who either never smoked or just didn't inhale).
Avoiding all this bed stuff will be the death of me...
[info]jerrywh wrote:
Wednesday, 4 November 2009 at 03:24 pm (UTC)
I do trust the scientific method and I do trust well documented scientific output.

It is journalists I don't trust, and their habit of misquoting and misrepresenting said output in the interests of a good story. As Mr Laurance demonstrates so well..
confusing newspaper reports
[info]terry_hamblin wrote:
Wednesday, 4 November 2009 at 05:10 pm (UTC)
Anyone confused by newspaper reports should visit this site http://www.nhs.uk/news/Pages/NewsIndex.aspx where they will find everything explained.
The New Media
[info]bendingm wrote:
Thursday, 5 November 2009 at 06:16 am (UTC)
Looking at all the comments to this article makes me smile. I am amazed at the high level of informed opinion from the readers.

Compared to the low level of informed opinion from the editor, Jeremy Laurence, it is little wonder why more and more people are moving away from the MSM and getting their information from other more reliable sources.

The informed public are now the new journalists and the journalists are now the new uniformed!

Back to journalistic school for you Mr Laurence!
B is for Birth
[info]tufsoft wrote:
Thursday, 5 November 2009 at 08:08 am (UTC)
Which increases your chances of dying 100%
R is for rubbish
[info]ollivercromwell wrote:
Thursday, 5 November 2009 at 11:59 am (UTC)
This is a very poor description of the impact and worth of targets.

The truth is that whilst the waiting times suggest a lower wait this is misleading.

There is plenty of evidence of gaming in the system, where patients that are going to take longer than the targets allow for are moved into another queue.

Or another trick is that the person in the queue is seen by somebody (even if it isn't the right person), and that this then meets the target.

Also the targets are undermining performance. If it would be possible to do better than 18 weeks, where is the impetus to do this? Surely aiming for perfection is much better?

Plus where do you start the clock? When somebody is referred from their GP? Or sees a nurse? Or sees a specialist consultant? Or it is decided that they require an operation?

This is the biggest government lie ever, please don't fall for the old adage that targets have worked - they haven't.
still confusing
[info]katemk wrote:
Thursday, 5 November 2009 at 07:27 pm (UTC)
OK summary, BUT, for example when saying that yoghurt and probiotics' claims have been refuted by a reputable group, does that mean just the popular, name-brand versions, that probably do not include 'live' cultures' or is it all yoghurt and probiotics?

And with aspirin, alcohol etc. there is no clue as to dosage. One glass a day or a week, versus I bottle of gin a day, 160 mg, or 350 plus mg of aspirin ?

same with coffee...
[info]junuun wrote:
Thursday, 5 November 2009 at 09:46 pm (UTC)
"alcohol is known to be good for the heart" - I cannot believe that I've come upon such a broadly ignorant statement in an article in the Independent...very sad!
Speaking of conflicting health advice...
[info]cazort wrote:
Tuesday, 17 November 2009 at 11:49 pm (UTC)
I just wrote an article which clarifies how health effects of tea vary between different varieties of tea, based in part on a scientific study that I cite in that article. It's more complex than you think. Statements that focus on one type of tea alone (black, green, oolong/wu-long, or pu-erh) are often misleading or wrong.

I'd be grateful if people would check it out the article and let me know what they think!

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