A recent story on NPR accused the drug manufacturer Merck of inventing a disease, osteopenia, in order to sell its drug Fosamax. It showed how the definition of what constitutes a disease evolves, and the role that drug companies can play in that evolution.
Osteoporosis is a reduction in bone mineral density that leads to fractures. The most serious are hip fractures, which require surgery, have complications like blood clots, and carry a high mortality. Many of those who survive never walk again. Vertebral fractures are common in the osteoporotic elderly and are responsible for dowager’s hump and loss of height. There is also an increased risk of wrist and rib fractures. Read more »
*This blog post was originally published at Science-Based Medicine*
Susie Essman, aka Susie Greene of Larry David’s HBO program, “Curb Your Enthusiasm,” has written a hilarious book (and yes, I actually read it) called What Would Susie Say?: Bullsh*t Wisdom About Love, Life and Comedy. For this week’s CBS Doc Dot Com, I talked to Susie about some of her health issues covered in the book, including menopause, fear of germs, and hypochondria. “So far this month,” she told me, “I’ve had Lyme disease, hysterical blindness, enlarged prostate….”
If any woman could actually have an enlarged prostate – either her own or snatched in a fit of pique from her beleaguered television husband played by Jeff Garlin – it would be Susie Green. But as we discussed her real and imagined symptoms, it became clear that Susie Essman can be easily talked down from her flashes of hypochondriacal thinking. So she doesn’t actually meet the official psychiatric definition of “hypochondriasis,” in which a misinterpretation of symptoms leads to a preoccupation with having a serious illness that interferes with daily functions and lasts at least six months despite reassurances from a doctor. In fact, her belief that she’s a hypochondriac is hypochondriacal. Read more »