Which patients will we be tomorrow? Promises of personalization: from alternative medicine to transhumanism.

The festival Sciences infuses , which takes place from September 17 to October 14 under the title “What health for tomorrow? “. This is the general question, common to the events on which you can inform yourself from this page .

Saturday, October 7 at 17:00 will be held at the library Elsa Triolet de Pantin a round table under the title ” What patients will we be tomorrow?” , which I will have the pleasure of intervening to discuss with Caroline BARRY , researcher at INSERM, member of a team charged with evaluating alternative practices. This team has already made several scientific evaluation reports of certain practices (so-called soft, alternative, natural pseudo-medicines, …) such as osteopathic, auriculotherapy, hypnosis, etc. Caroline Barry will present and comment on the results of these assessments and future prospects. As for me, I will talk about the technosciences in medicine, from the point of view of ethical issues and the necessary critical reading of the promises …

Before commenting on and discussing the criticisms of a psychoanalysis which is the typical example of pseudo-scientific mystification , here is the presentation of the round table on this page of the Pantin libraries website, which also contains all the practical information :

“A custom-made medicine is the promise of personalized medicine Thanks to the progress of genetics, pharmacy and computer science, a scientific revolution is announced: treat each patient according to his genetic profile, his environment.

But this predictive medicine is also worrying: is it really reliable? Predicting a disease that may be declared in 20 years, does not spoil the lives of patients who moreover are turning more and more to alternative medicine: hypnosis, fasting, osteopathy …

Philosopher, host of the blog Pharmacists, Elena Pasca of the association Sciences Citoyennes is known as a whistleblower , she will exchange with Caroline Barry, researcher at INSERM who works on the evaluation of alternative medicine.

Image: CC BY-CN-ND 2.0 Richard Ricciardi “

médecine personnalisée,caroline barry,inserm médecines douces,transhumanisme médecine,homme bionique,don d

I would like to read these two aspects otherwise, I would like to be able to say that this festival is questioning this year on  the forms of health that are set up on the one hand by the growing influence of pseudo-sciences (“alternative medicine”, “alternative medicine”, complementary medicine), on the other hand by changes in medicine coming from technosciences and technological applications. Because these two aspects are essential in the answer on the patients that we will be tomorrow: be believers and accepting all that comes from the technosciences and goes towards the transhumanism and the increased man, the strengthened capacities, etc. This theoretical augmented man will have a very unequal and differential impact: he will benefit from a few very rich sources, but his development will be done by creating and extending more and more a market of the human body redefined as a capital, a database and possessions to capitalize, to fructify, to transform from value of use into exchange value, which begins with the body broken up and deconstructed into components (organs, tissues, genes, cells, intracellular components, etc.).

this page , starting with this one ) on their physiological states, diktats of the modes, of the Jeunisme, thus undergoing injunctions to “not let go, “to use plastic surgery and regenerative medicine, etc. The latter being at the crossroads between conventional medicine and pseudo-medicines (alternative, complementary, soft and other abusive terms, since it is not about medicine).

The interests of many industries depend on the hold of sexist and differential stereotypes and clichés (on different abilities, so different functions) on women. So, in the end, these interests depend on the hold of psychoanalytic theories on all the domains involved in one way or another in the discussion of the nature of women and the consequences (various applications). Especially since, being a lack, an absence, a negative, an enigma in the pejorative sense of the term, a perverse without superego, envious of the penis, hysterical by definition, etc. every woman must experience psychic problems because of the inherent destructiveness of her nature, her overflowing of amorphous affects, and so on. All this comes from an anatomy reconstructed by psychoanalysis according to the needs of the cause, and erected into destiny: the absence of external sexual organs (?!), Because psychoanalysis sees the woman as an anatomical hole, doubled by ‘a hole in culture and civilization’ …

We must stop the woman, says Jacques Lacan, since we can only “half-say” of this bitch described by the absence of all the properly human capacities, held by men (reason, logic, form (versus affects amorphous ), capacity of abstraction, ethics and morality) who are the only ones to put in place and to be able to perpetuate the symbolic order, the Law of the human species, guaranteed by the equation intended to place the Name-of-the-Father on the desire of the mother … Equation that Yann Diener , another Lacanian in position of power and the public money that psychoanalysts do not want to lose, we regularly rehash in Charlie Hebdo , with other dogmas and some quotes from the master charlatan Jacques Lacan. He said everything and his opposite.

Why are males the only ones endowed with human faculties? Given the anatomy as destiny , it is inevitably in the anatomy that the answer is found: the males have nothing to prove, to accomplish to be worthy of the name “being human”, “humanity” . On the contrary, in view of the risks to mankind posed by the new women’s rights, including the “belly empire,” men should physically show who is the leader, to assert the Law against all that destroys them. legal-symbolic frame of masters. This has the consequence that they lose their superb, “the foreclosure of the Name-of-the-Father” which endangers children … See the rants of an incredible hatred of women and their families. rights, in addition to the usual misogyny and gynophobia, in the Lacanian psychoanalyst Gilbert Levet , for example in his book Enfant hyperactif, enfant bethe .

So men have nothing to prove because they possess the only psychoanalytic symbol, the guarantor of noble human capacities: the penis, the only organizer of sexuality, the unconscious and culture , according to Lacanians … women with their Penisneid (penis desire) live in perversion even if they prove to have all the abilities and know how to use them … There, they are phallic and must be mate, brought to accept “the feminine position” and to make the apology. Psychoanalysis is a therapy in this sense. Mater women. Maintain the symbolic order, the privileges of males, guarantors of the Law.

The whole psychoanalytic sect mobilizes itself not to give up an inch of the enormous cultural influence – all the psy culture results – from total control over medicine and care in general. This is what the unpardonable Gerard Pommier – another author of misogynistic lucubrations dubbed pseudo-scientific verbiage, as master gurus Freud and Lacan have always done – called ” the empire of psychoanalysis “, recalling among others, the majority of child psychiatrists have psychoanalytic training. Gérard Pommier is the president of the association “Pour la psychanalyse”, which leads the battle to keep a total grip on the entire culture psy, and nothing to give in hyperactivity and autism. I will come back to this again and again, explaining in detail that the defense of helpless children is a pretext – a noble cause, which is better in the media than direct sexism – to attack women, responsible for the diseases of their children (mother crocodile, mother spider, causing havoc on girls, …) and, as hysterics, also their …

In 2004, INSERM published an evaluation report on psychoanalysis (which can be downloaded from this page ), which made the psychoanalysts furious and mobilized to censor it. Censorship, intimidation, pressure, verbiage and smoking all over the media and thanks to the relays of their positions of power – that’s what psychoanalysis is, as we still see it in the attempt to disrupt the holding of a conference on hyperactivity, on September 29th. Because Gérard Pommier and the others do not support that other approaches are evoked. There is a smell of disappearing public money to finance medical-educational centers, medical-psychological centers and other structures in which the psychoanalyst settles and leaves a child with autism stay in one corner during the whole session , if he wants.

We hear such statements from them in Sophie Robert’s documentary , The Wall. Psychoanalysis challenged by autism . Documentary that psychoanalysts have tried to censor, by suing the director, by launching a campaign of disinformation and denigration unprecedented. The High Health Authority has classified psychoanalysis among the methods that have not proved their effectiveness in autism, and it is a precedent that psychoanalysts do not want to see reproduce and whose consequences they want to limit. And, incredible as it may seem, they managed to drown everything in a communication 100% psychoanalysis, victimizing themselves, saying that it is their critical potential, their status beyond the control, the specificities of a science that is set to standardization and the big bad DSM, in short, what would be the exceptional virtues of psychoanalysis in terms of therapeutics, social criticism (where?), critical vision of the world, resistance, the last bastion of humanity and listening to the suffering of the subject, blah blah, which would have the gift of irritating all those who want to serve the interests of the pharmaceutical industry, want to stay in their neurosis to draw secondary benefits (especially women, all hysterical but claiming to be somatic patients), etc.

Medicine is reproached, including by psychoanalysts, dehumanization, depersonalization, the coldness of a technical platform and expeditious acts eliminating the most important, namely listening to a person suffering. It is not only from the point of view of the verbalization of suffering that listening is crucial. Because studies of the causes of medical errors have shown that more than 90% result from insufficient listening, because the patient is interrupted after thirteen seconds on average. This lack of humanity, this side expeditious explanations are discussed elsewhere, which are also co-responsible for over-medicalization (see the introduction to Workshop No. 2 on the causes of over-medicalization, and my presentation that develop it at the 2012 Bobigny symposium on this page ). Because instead of taking the time to listen to the description of the symptoms by the patient, the doctor prescribes additional examinations, which can lead to an endless spiral, for example if we discover an incidentaloma, which will give rise to other imaging tests, blood tests, etc.

Then the technosciences – the height of dehumanization – come to the aid of medicine and promise to be the vector by which humanity and the totality of the person will be reintegrated into care. If, and only if, we accept that medicine integrates technosciences to profoundly change its raison d’être, to go even further in what I have called the misuse of the social function of medicine, in presentation on the causes of over-medicalization already mentioned .

The boundaries are unclear between a commodity health and well-being that is highlighted by the WHO definition and allows for an infinity of forms of marketing and trade, and on the side of the complex medico-industrial and the complex side naturo-psycho-holistic. Both use the same marketing strategies of misinformation, the same techniques of the communication of influence, consisting among others to scare us to handle, sell us more and more expensive products. Both fall under the same logic of medicalization and overconsumption. It must be emphasized, because the merchants and ideologues of nature canned and psychic decoding (according to prejudices and beliefs) we smoke by presenting the alternatives as off-market system, or even anti-system. With them, it is the products sold that change, not the logic, nor the commodification. In addition, these products can multiply infinitely, despite the lack of any evidence of effectiveness, because they fall under the regulations on food supplements … No guarantee, no control. Neoliberalism reaches its peak with this trade, on the one hand, and on the other, with the biotechnological applications that pave the way for transhumanism. Contrary to the illusions sold under phrases such as “personalized medicine”, preventive medicine, etc., these medico-industrial practices deny the person and fragment it until dissociating the body and transforming it into a database (tissues, cells, genes , organs, …). Each individual would be a self-entrepreneur, holding a “health capital” that he must maintain, increase, grow. The conceptions of social protection, medicine and care in general are transformed, altered at the same time as the notions of causality, normality, pathology versus deviance, responsibility … Reinforce one’s capital with the help of the technique presented as an extension of the human and allowing to develop and multiply the capacities, it is the first step towards the acceptance of the increased man . But neither the augmented man nor the bionic man will be for everyone. The poor will be guinea pigs and donors, as was seen in the case of John Moore, who gave particular leukocytes to allow the development of an anti-cancer drug. He has been totally excluded from all that is the valuation of his “gift”, namely patents, profits, etc.

Neoliberal individualism seems to place the individual at the center, as if everything were put at his service, to better render him responsible and guilty of the defects of an economic system over which he has no real hold. A system that puts a majority of poor (who come to sell organs, tissues, gametes, in addition to their work force) to serve the few rich who can pay and have a personalized medicine … Various strategies are put in place to recover and exploit all that is ethical and humane, including giving . But it is always the poor who give (or sell at a price close to zero), such as poor women who rationalize the rent of their bodies in surrogacy, oocyte donation, etc., under the pretext of helping rich women. The ideology arrives to present such acts as a valorization: such a saleswoman would thus have more value … A value almost null on the market, and a work force obviously so little valorized that they must put even their bodies in sale or rental. As for prevention and the preventive medicine triad , predictive medicine, prescriptive / proscriptive medicine (in the ethical sense, thus specifying the role of social control agent exercised by medicine), I have addressed them in the articles on this subject ( “prevention, abuse of prevention”), based on Sackett’s criticisms, but also in the theoretical context of the writings of Critical Theory, Michel Foucault, Ivan Illich and others. A book that I particularly recommend is Céline Lafontaine’s Le Corps-marché. The commercialization of human life in the era of the bioeconomy (Seuil 2014).

A summary of the critical positions on preventive medicine and the triad as well as other references are in my 2012 presentation already cited dealing with the misuse of the social function of medicine. Elena Pasca

 

The Benefits of Online Pharmacy

A simpler and more extensive choice

We can not say that choosing a product in a pharmacy is the simplest thing, except when you already know what you want precisely. In most cases we leave it to the seller. If you want to be able to choose your own product among those in the same category, the online pharmacy should suit you. Not only is it easier to choose, but it is often more important than in a conventional pharmacy.

An online pharmacy is like an online store. The different articles are grouped under different categories and sub categories. Just click on one of them to reveal the choice of products available. Not to mention that all online pharmacies have a search tool. Thus, the user will be able to type the name of the product in a search bar and see appear on the screen the corresponding articles. Otherwise, it is also possible to sort by different criteria: price, category, type of care, type of container, etc.

In a few clicks you can easily sort the different articles on the site of the online pharmacy and find the one that interests us. Especially for each of them we can read a small description. It is therefore we who choose the product by comparing it to others of the same category.

Online pharmacies also provide access to a huge selection of over-the-counter medications and other wellness products. You can choose between more different items than in a traditional pharmacy. We find everything we need when it comes to a product that does not require a prescription.

And thanks to the simplified sorting, despite this huge choice, finding a product is quick and easy in just a few clicks. Just add the ones you need in the basket and confirm the order. The items will then be delivered to the indicated address or to the selected parcel relay within a few days.

Better prices

Do you know that for non-prescription drugs it’s the pharmacists themselves who set the prices. If in some pharmacies there is no abuse, in others prices can be multiplied by 3 or 4. The problem is that we rarely compare prices between different pharmacies in our city . In addition, sometimes the city may contain only one pharmacy. By going on the internet, the comparison is simpler and prices are very often lower.

Online pharmacy is not the only place where you can see better prices online than in classic stores. This phenomenon is present in most e-commerce. This is even one of the main advantages to buying its products on the internet. Online pharmacies are no exception to the rule, so it is generally cheaper to buy non-prescription drugs over the internet than in a conventional boutique.

In order for this price gap to be really interesting, we advise you to group your purchases in one order. Indeed, we must not forget that home delivery is financed by postage. The more items an order contains and / or the higher the order amount, the lower the shipping costs. For example, it is not the same thing to pay € 5 shipping fee for an order of € 20 for an order of € 50. Especially since very often, from a certain amount of purchase the costs are free.

We do not encourage you to buy any product to increase the order amount. No, the goal is to try to group the different products that will be needed in a single order instead of making an order such month, another the following month, etc. We must anticipate the next purchases that will be necessary to include them in the next order. It’s a bigger expense right now, but you only pay the delivery costs once instead of a few times.

With this method, we benefit more from lower prices offered by online pharmacies. Otherwise, some online pharmacies offer withdrawal at the pharmacy, that is to say at no extra cost.

Secure purchases

For those who are reluctant to shop at online pharmacy sites for fear of insufficient security. Know that online pharmacies use the same security processes that large e-commerce sites. There is virtually no risk of being stolen bank details when you make a transaction on an online pharmacy. At least, no more risk than a site like Amazon for example.

Clarification that only pharmacists by profession are allowed to sell medicines without prescriptions on the internet in France ( List available here ). In other words, when you visit the site of an online pharmacy, the available products are sold by a pharmacist and not any individual selling articles on the web.

If you fear not to be on a real pharmacy online, do not hesitate to type the name of it on the internet and to look at the opinions of the Internet users. A fraudulent site is quickly detected on the internet, and word of mouth is so fast that these sites are quickly closed by the authorities.

But again, always buy your medications without prescriptions from recognized online pharmacies. There is a list available on the internet and gathering all sites authorized to sell drugs online in France. Only pharmacists with a pharmacy, those managing a mutual pharmacy or a mining pharmacy can have an e-commerce activity.

The over-the-counter medications found on online pharmacies are the same as those available in conventional pharmacies. Online pharmacies must also always offer the site the opportunity to contact a pharmacist.

Regarding online payment, it benefits from the same security tools as most e-commerce sites. So there is no need to worry about it.

Ibuprofen: question of dose and price?

“We have ibuprofenizado to the Spanish society”, admitted the doctor Jose Luis Llisterri , president of the Spanish Society of Doctors of AP, after knowing the warning of cardiovascular risk associated to the consumption of high doses of ibuprofeno (equal or greater to 2,400 mg / day ) and dexibuprofen issued by the Spanish Agency of medicines and health products (AEMPS), on April 13.

Professionals have quickly warned of the risks of self-medication or of dispensing over-the-counter 600 mg ibuprofen. Let’s open here again a parenthesis to insist: always with a recipe! Do not give, please, no excuse.

Having said that, one has the feeling that everyone takes their hands to their heads when there are alerts of this type that affect mass-consumption drugs, as is the case. It’s like remembering Santa Barbara only when it thunders.

ibuprofen

Reviewing the sales figures, ibuprofen appears as the sixth most consumed active ingredient in the Spanish medicine cabinet. Between August 2013 and July 2014, only in the National Health System were prescribed 17.9 million containers of this drug, worth 48.2 million euros, not counting the containers that were bought without a prescription and that they can double that value. Health authorities would do well to control the use of other blockbusters, such as omeprazole, paracetamol, simvastatin, acetylsalicylic acid or atorvastatin, the top five in the number of containers .

All these medicines have a common denominator, which is their low price. They are low prices that place your treatment cost day between 0.1 and 0.2 euros. It may well be happening, and it is convenient to analyze it thoroughly, that with these prices we are banalizing the use of these drugs in the eyes of some professionals and also of citizens. It is already known that what does not cost, is not valued and ends up being used imprudently and unduly.

It is what may be happening with these medications that, let us not forget, have their interactions and that in high doses, as has happened with ibuprofen , may be associated with an increased risk of arterial thrombosis.

Professionals are responsible for influencing the education of citizens in this area and improving their training, but the authorities should know that they can not continue to sink prices at the risk of a large part of the population confusing the pills with innocuous colored jellybeans. anyone can be prescribed.