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Whalatane

03/06/22 2:59 PM

#372377 RE: Pharmacydude #372375

Pdude. I assume Dr Bhatt thought the conversation between you and him would be private ...ie between " colleague s" since you are a pharmacist ...ie qualified to dispense drugs .

I doubt he would appreciate you sharing his comments on social media . Anyone doing a deep google search is likely to find your quote .

Regarding why doesn't Kaiser prescribe more for secondary prevention .
This might have something to do with it ...the Vascepa PDF

Bleeding: VASCEPA was associated with an increased risk of bleeding in a double-blind, placebo-controlled trial. The incidence of bleeding was greater in patients receiving concomitant antithrombotic medications, such as aspirin, clopidogrel, or warfarin. (5.3)



I have several friends who have had MI's. When asked why their Cardiologists ( including a Kaiser Cardiologist) did not add Vascepa to max Statin dose ....they said it was because they were also now on Warfarin and their TG's were below 135 mg/dl on their optimal statin dose

Kiwi
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Webster_iam

03/06/22 6:05 PM

#372384 RE: Pharmacydude #372375

YEARS AGO, I commented to Whal what a POS organization KP was/is/still is! Worse than any other.
No surprise Bhatt would suggest they are not into preventative, they're incompetent, all about short term profits, never the lives of their patients.

Bottom line..... Cardiologists are rarely preventative. By the time patients are seeing the cardiologist, the time for prevention is OVER! Cardiologists are procedure driven and thus is their focus, not staying up on the latest prevention drug. The last thing they want to do is see patients often enough to track their lipids and adjust their meds when they spend 70% of their time in the cath lab.

That's where they make the $$$. They patch them up and send them back to the primary care......which is where prevention starts. FP, GP, DO, IM, or lipidologists i.e., lipid experts. These are the specialties where Vascepa will be prescribed. Sure there are some excellent preventative CD's out there, just not very many.....and not typically the one performing your cath or bypass.

Webster