Medicine Constellation

Medicine Notes

• Modern medicine tends to target the pathology of an illness rather than preventing it
• Metabolic syndrome is a complex multifactoral condition with multiple morbitities
• Weight gain occurs after metabolic syndrome
• You can still have metabolic syndrome even if your thin
• There are overweight people without who are not sick
• Most people at risk for diabetes cannot prevent it with diet and exercise
• Relatively high LDL-C doesn’t usually lead to a heart attack for most people
• Low-fat diet and statins do not change LDL-C levels much
• Low fat diet and statins do not prevent heart attack because they only lower levels of large boyant LDL-C
• Refined carbohydrates and sugar increase levels of small dense LDL
• Triglyceride levels are a better biomarker for heart disease than LDL-C
• Insulin resistance inhibits sodium excretion by the kidney
• Reducing sugar intake is a better way to fix high blood pressure than lowering salt
• Diabetes
• Medications for high blood glucose lead to increased mortality in type-2 diabetics
• High insulin levels cause diabetes rather than high blood glucose itself
• Insulin can be both good and bad for you
• US medicine in the 19th century lacked standardization
• Johns Hopkins medical school adopted the German educational structure in the late 19th century in an attempt to establish itself as a beacon of evidence-based medicine and science
• Simon Flexner
• Abraham Flexner
• In the late 19th century, John D. Rockefeller’s buisness advisor Fredrick Gates had him to open a medical research institute
• The successful pharmaceutical industry esblished by Auschwitz nerve gas creator IG Farben motivated John D. Rockefeller to fund the restructuring of American medical school
• Abraham Flexner was assigned to direct John D. Rockefellers restructering of American medical school
• Flexner Report
• Government and university medical research has been cut back in favor of Big Pharmas own research
• Big Pharma’s own research is often biased toward their own drug
• Big Pharma influnces doctors by funding medical schools
• Big Pharma uses their own medical symposiums or reps to bypass institutions co-opt prescribers directly
• Ketones can help prevent neurodegenerative disease
• Eugenics began with SIr Francis Galton’s assumption that desirable traits could be selected for in humans by selectively breeding the population
• Genetic theories of medical or mental conditions can enable people or society to absolve themselves from responsibility
• Stress-related disease among the poor usually has more to do with feeling poor than actually being poor
• Income inequality is a strong predictor of poor health because it is about being made to feel poor
• Income inequality does not predict poor health as much in more egalitarian countries
• If you adjust for absolute income, income inequality still predicts poor health
• There is a steep rise in health from very poor to lower middle class, but it flattens out in the upper SES range
• Societies with more income equality, both the poor and the wealthy are healthier than their counterparts in a less equal society with the same average income
• The low social capital that comes with income inequality can lead to more stress and poor health
• Dramatic income inequality gets rid of the possibility for there to be lots of social capital in a society, leading to more stress and poor health
• More social capital in a society can improve the health of the society
• To really address the poor health of the poor, we would have to uproot the stressors involved in low rank rather than give people more money
• Unlike monkey’s, humans who rank low in the hierarchy almost always have a disproportionate share of disease
• Modern medical science has struggled to develop a solid definition for “health” and “illness”
• Drug companies will alter existing drug compounds very slightly to extend patent life
• Pharma raises revenue and extends patents by finding new markets for existing drugs

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