Word: clinics
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Dates: during 1990-1999
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Batista's income is as modest as his clinic. He receives about $80 for performing each heart procedure; a doctor in a U.S. hospital would charge about $50,000 to perform the same operation. When he gets paid to talk at a conference, he donates the fee to charity. Foreign surgeons frequently try to wine and dine him at the finest restaurants, but he is happiest chewing corn on the cob at his favorite restaurant, Kentucky Fried Chicken. Batista's chief wish is to set cardiac surgery in a direction that will benefit both the developed and the developing world...
Despite the continuing controversy over Batista's theories and procedures, some American doctors have adopted, and adapted, his work. Chief among them is Dr. Patrick McCarthy of the prestigious Cleveland Clinic Foundation in Ohio, who has done the most extensive testing of the procedure. He has performed close to 60 operations since April 1996. "When I first heard about this procedure, I had to go see it for myself, it sounded so improbable," he says. "But after a few days in Curitiba, we were ready to start trying it out in Cleveland...
Then the bubble burst. In July, Mayo Clinic doctors reported finding serious heart-valve damage in 24 fen/phen users. Several had to have valves replaced. Alarmed by the Mayo reports, other doctors began looking more closely at their fen/phen patients and found similar problems. The FDA sent a warning to physicians but stopped short of further action. Barely two months later, heart-valve problems were reported in 30% of 291 patients taking fen/phen or Redux, and the agency asked the companies to recall the drugs...
...Jasanoff, head of science and technology studies at Cornell University. "As a result, you're getting court-driven findings as opposed to true science." But even "true" science may sometimes not be enough to sway a jury. Dow Chemical lawyers are armed with studies by Harvard and the Mayo Clinic, assessments from the Food and Drug Administration and the American Medical Association, and testimony from respected scientists, all saying there is no evidence of a significant link between silicone and systemic disease in women with implants. Yet twice before, in trials similar to the one that will unfold in Louisiana...
...Mayo Clinic released another preliminary study two months ago linking the drugs to a rare form of heart disease. Determining the relationship between valve damage and taking fen-phen or Redux will be difficult, since several of the women examined in the Mayo study were taking higher-than-prescribed doses. Ultimately, the studies confirm FDA recommendations that these medications should only be prescribed to the dangerously obese...