Iatrogenic Death
By Kenneth E. Loy, Jr., CN
Have you lost control of your health and
fitness? Have you made it someone else's responsibility to keep you healthy? Do
you depend entirely on a process where you become ill through poor diet and
lack of exercise and then turn to prescribed medications to make you feel
better? Iatrogenic death, according to Webster, means, "induced unintentionally
by the medical treatment of a physician." This category would also include
mistakes made in surgery and hospital care by doctors and nurses. Iatrogenic
deaths are estimated to be at least 225,000 per year, placing it as the number
three cause of death in America. Shouldn't you be taking responsibility and
doing whatever it takes to achieve optimum health and fitness? Excluding
accidents, all of the other top ten causes of death in the United States are
caused by poor diet and lifestyle choices.
Over two million people die in America every
year. According to the National Vital Statistics Reports, 2,337,256
Americans died in 1998 (NVSR. Vol. 48, No. 11. July 24, 2000). They also report
the ten leading causes of death in the United States. The table below
summarizes the last three years.
Top 10 Causes of Death in
the United States
Cause of Death |
1996 |
1997 |
1998 |
Heart disease |
733,361 |
726,974 |
724,859 |
Cancer |
539,533 |
539,577 |
541,532 |
Stroke |
159,942 |
159,791 |
158,448 |
Chronic obstructive pulmonary disease |
106,027 |
109,029 |
112,584 |
Accidents |
94,948 |
95,644 |
97,835 |
Pneumonia/influenza |
83,727 |
86,449 |
91,871 |
Diabetes |
61,767 |
62,636 |
64,751 |
Suicide |
30,903 |
30,535 |
30,575 |
Kidney disease |
23,147 |
25,331 |
26,182 |
Chronic liver disease and cirrhosis |
25,047 |
25,175 |
25,192 |
Total of All Deaths |
2,314,690 |
2,314,245 |
2,337,256 |
Besides accidents, which kill less than
100,000 Americans each year, the remaining deaths are caused by poor diet and
lifestyle choices. We are literally digging our graves with our teeth! If every
American made a simple change in diet and lifestyle, the list above would
greatly diminish.
Instead of making this change, we make an
appointment with the doctor when we experience uncomfortable symptoms. The
doctor, who is not required to take a nutrition class in college, prescribes
drugs to help alleviate our symptoms. Whether the drugs lessen the symptoms or
not, at least one side-effect is likely to occur. The Physicians Desk
Reference contains over 3,000 pages of adverse reactions--including
death--that may result in patients that take these drugs.
Often, a patient may enter the hospital with
symptoms of heart disease and actually die of pneumonia. The medication given
to that patient may cause the elimination organs to become so clogged that the
lungs fill up with fluid and drown the patient. Notice the upward trend in
deaths caused by pneumonia. As Americans begin to rely more and more on drugs
instead of sensible nutrition, these numbers will continue to rise.
Even the American Medical Association's own
medical journal admits that over 106,000 Americans die each year from reactions
to prescription drugs. Dr. C. Everett Koop, former U.S. Surgeon General,
confirmed that over 2,000,000 people are hospitalized from the side-effects as
well.
Prescription-drug-related deaths fall under
the category of iatrogenic deaths. Iatrogenic, according to Webster,
means, "induced unintentionally by the medical treatment of a physician." This
category would also include mistakes made in surgery and hospital care by
doctors and nurses. Iatrogenic deaths are estimated to be at least 225,000 per
year, placing it as the number three cause of death in America.
Dr. Barbara Starfield of the Johns Hopkins
School of Hygiene and Public Health in Baltimore, Maryland wrote an article for
the July 26, 2000 issue of the Journal of the American Medical
Association (JAMA), volume 284, no. 4. She entitled her article, "Doctors
and Their Drugs Could be the Number One Cause of Death in America, Causing
Almost 500,000 Deaths Every Year." She listed the following categories of
iatrogenic deaths:
- 12,000 deaths/year from unnecessary
surgery
- 7,000 deaths/year from medication
errors in hospitals
- 20,000 deaths/year from other
errors in hospitals
- 80,000 deaths/year from infections
in hospitals
- 106,000 deaths/year from non-error,
adverse effects of medication
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Dr. Starfield notes, "These total to 225,000
deaths per year from iatrogenic causes. Three caveats should be noted. First,
most of the data are derived from studies in hospitalized patients. Second,
these estimates are for deaths only and do not include adverse effects that are
associated with disability or discomfort. Third, the estimates of death due to
error are lower than those in the IOM [Institute of Medicine] report. If the
higher estimates are used, the deaths due to iatrogenic causes would range from
230,000 to 284,000. In any case, 225,000 deaths per year constitutes the third
leading cause of death in the United States, after deaths from heart disease
and cancer."
She further states, "One analysis overcomes
some of these limitations by estimating adverse effects in outpatient care and
including adverse effects other than death. It concluded that between 4% and
18% of consecutive patients experience adverse effects in outpatient settings,
with 116 million extra physician visits, 77 million extra prescriptions, 17
million emergency department visits, 8 million hospitalizations, 3 million
long-term admissions, 199,000 additional deaths, and $77 billion in extra
costs."
Using Dr. Starfield's numbers on additional
deaths and the IOM's higher estimates, deaths due to iatrogenic causes range
from 429,000 to 483,000 per year. That is very close to the number of people
who die from cancer. Incidentally, many cancer patients actually die from the
chemotherapy and radiation treatments rather than the cancer itself. God simply
did not design our body to be healed by drugs. They are toxic to our system! If
we eat His way, our miraculous bodies that are "fearfully and wonderfully made"
will heal themselves.
The point to be taken from these statistics
is that our health is our own responsibility. Our doctor is not infallible. He
should merely be a coach to us after we have done our own research. Ask
questions. Many more alternatives than drugs or surgery exist for most
ailments. Get a second opinion. Judging from the thousands of deaths from
medical mistakes each year, we owe it to ourselves to be well informed. Dr.
Bernard Jensen often says, "It is better to educate than to medicate."
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