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Saturday, June 20, 2020 11:14:10 PM
Quote: "They (Covington) did not hiring an expert to write a summary about:
(i) what is drug
(ii) what is LDL-C
and so on ..."
Agree and perhaps one of the problem for Amarin was..The legal profession was making the mistake that progress and knowledge in the medical field is similar to the way it develops in the law..The law is far more democratic and judgments and precedence are tabulated into all those big books and virtually any of them can be cited. Based on their logic and merits..Rather than the status of those in making the the statements..or even their inventions and discoveries..
Medicine is more of a hierachy..more like the army. The whole Vascepa story is a classical example...Citing Mori..the way a lawyer might bring forth a determination, a trial verdict or a precedence. Dosen't work in medicine...In the vast world of medical science or clinical medicine Mori simply does not exist..What Mori said or did had no effect on the progress of medicine. Mori was just some guy working in Australia and his opus..Was posted in an obscure Journal of Nutrition..The idea that Mori's ideas or trials did or could frame the accepted physiology of EPA is ridiculous..
Academic medicine and Peer reviewed journals are the only sources that anyone in clinical medicine pays any attention to and nothing could be considered "obvious" unless it was declared so in these elite circles...
Look at JELIS...JELIS was a righteous CVOT..Sure it had some drawbacks..not double blinded..Race and sex were limitations..But the results (in retrospect) were very impressive..So what happened ??
The AHA "reviewers Beatrice Rodriguez and HMS reviewer Mozafarian tore the whole study apart line by line and page by page...And when it was over..nobody in Academic medicine paid any attention to JELIS..Nobody thought putting patients on high doses of EPA would obviously result in dramatic reductions of CVD events including strokes and even Death from MIs..
If medicine was like the law..where the merits of precedence are determined by reason and logic..Then we would have Vascepa on the market twelve years ago...In medicine we don't have those big books full of court talk with which to frame our arguments or decisions..That is reality....
":>) JL
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