tag:blogger.com,1999:blog-6173393362223742012.post1055273196826753757..comments2023-08-24T08:30:25.608-07:00Comments on Gene Sherpas: Personalized Medicine and You: NIH Conference and Lightning Bolts!Steve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-6173393362223742012.post-79420756548378567522009-08-25T07:56:21.720-07:002009-08-25T07:56:21.720-07:00Steve,I think I hear you saying this - "Caria...Steve,<br><br>I think I hear you saying this - "Cariaso is not allowed to look at his DNA until we get his GP up to speed on genetics".<br><br>Is that correct?cariasohttp://www.blogger.com/profile/00896615627788687683noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-5360305848241942802009-08-25T08:33:05.760-07:002009-08-25T08:33:05.760-07:00Not exactly. You have your data. I don't think...Not exactly. You have your data. I don't think we need a gatekeeper here, but we need one of these things........<br><br>1) these DTC companies need to CLEARLY STATE "THIS IS NOT FOR MEDICINE" I.E. Not to be used as a flotation device<br><br>2) Someone needs to have a public effort to engage about this lack of utility and how DTC should not be used I.E. Don't bring this to your doctor.....<br><br>3) DTC companies need to assume liability if this test does result in a bad outcome if they do not place HUGE labels on the package re: DTC not for Medicine<br>Like cigarettes<br><br>Otherwise, I think there needs to be a moratorium on DTC sales until this gets hashed out.<br><br>Why? Because when this penetrates the public market we will have a BIG RISK to the public, because we have failed to educate clinicians. Government's fault and mess, so they should clean it up. Profession's fault too and they too should clean it up.<br><br>There are several examples here, where the government encouraged removal of a test/treatment due to public health risk:<br><br>-ZYCAM<br>-HIV testing kits<br>-Ovarian Cancer risk testing<br>-Diet pills<br><br>This case is unique because it is a test that already NOT FDA approved. <br><br>IMHO marketing as if DTC genomics is to be used for medicine is akin to <br><br>http://www.questia.com/googleScholar.qst;jsessionid=KJCN5bdf2srL4bJlNN7lJ2Cjv4PrQP2hZzJ6H028nvQhLD9nHqkT!343156199!-1934322800?docId=5002321290 <br><br>This testing was brought to market prematurely and it was only a matter of time before doctors started inappropriately guiding therapy based on a test, which the patient has been primed to "think" is for medical care.<br><br>So, no, you should be allowed to look. But you should NOT be bringing this in to your doctor. Because most doctors are ignorant on this subject.<br><br>This is not a HUGE deal now because of the small numbers. But if the percentages are to be extrapolated, we could have big problems.<br><br>This is not your fault. It is not the patient's fault.<br><br>It is the marketing teams of these companies faults.<br><br>END OF STORY. Punish the companies until they change their marketing in such a way that they do not put the public at risk.....<br><br>Are you punished to protect someone else?<br><br>Maybe, but what did you gain that outweighs the risk of harm?Steve Murphy MDhttp://www.blogger.com/profile/11774190000307343476noreply@blogger.comtag:blogger.com,1999:blog-6173393362223742012.post-72985900953093710642009-08-25T11:33:53.433-07:002009-08-25T11:33:53.433-07:00Related:PLoS Medicine: The Dawning Era of Personal...Related:<br><br>PLoS Medicine: The Dawning Era of Personalized Medicine Exposes a Gap in Medical Education http://bit.ly/dbnBAAnonymousnoreply@blogger.com