Heart drugs and supplements a risky mix
November 15th, 2010
08:30 AM ET

Heart drugs and supplements a risky mix

Herbal and dietary supplements are found in the aisles of supermarkets and health-food stores rather than behind a pharmacy counter, and they can be  dangerous when mixed with the wrong drug.

A new survey suggests that a majority of heart patients taking the popular blood-thinning drug warfarin are risking potentially dangerous complications by combining it with supplements such as fish oil, glucosamine and chondroitin, coenzyme Q10, and multivitamins.

The survey, which included 100 heart patients in Utah, found that more than two-thirds were taking dietary supplements in addition to their prescribed blood thinner, in most cases unbeknownst to their doctor. Nearly half of the patients didn't view supplements as drugs.

Health.com: Heart trouble? 30 herbal remedies to avoid

"More and more patients are self-medicating with these supplements," says Jennifer Strohecker, a clinical pharmacist at Intermountain Medical Center, in Salt Lake City. "Many of us will Google something and then go out and try it, and our doctor would never know."

In a previous study, Strohecker and her colleagues found that nine of the 10 most commonly sold supplements had the potential to conflict with warfarin. The offenders included St. John's wort, melatonin, glucosamine and chondroitin, and fish oil.

"Even your multivitamin can interact with warfarin," says Strohecker, who presented her research Sunday at the American Heart Association's annual Scientific Sessions meeting in Chicago, Illinois.

Health.com: Supplements for cholesterol: what works?

Some supplements have the ability to either enhance or negate warfarin's effects, which could potentially trigger one of two dangerous complications: severe bleeding or a blood clot.

"People think that a supplement is always natural and safe," Strohecker says. "They don't realize that the body sees it as a chemical." (As she likes to tell her patients in an effort to set them straight, warfarin itself was originally derived from a plant called sweet clover.)

Perhaps the most alarming finding of the survey was the apparent communication gap between doctors and patients. Less than one-third of the survey respondents said that their doctors had specifically asked them about supplement use, though nearly all said they would discuss it if asked. (Patients who don't view supplements as drugs tend not to list them on standard doctor's office paperwork, Strohecker says.)

Health.com: How to use supplements safely

In addition to recommending that doctors ask patients about supplement use, Strohecker suggests that patients who choose to take supplements do so consistently.

"I also fully believe that there should be some cautionary statements or some labeling changes on the supplements themselves," Strohecker says. "It's a communication thing."

The Scientific Sessions meeting highlights the latest heart-related research and treatment advances. Unlike studies published in medical journals, the research presented at the meeting has not been vetted by independent experts in the field.

Copyright Health Magazine 2011

soundoff (207 Responses)
  1. Marianna

    Blood thinners have a very narrow therapeutic index. Even changes in a diet may interfere with their effectiveness. For example the amount of green leafy vegetables in a diet may have an effect on the way some blood thinners are working.


    November 15, 2010 at 08:51 | Report abuse | Reply
    • Jesus

      If the Lord wants to take you out, He will. It's all up to Him, not your pills. Believers, eat plenty of sweets, fats, and don't bother to exercise. It's a waste of time. Just enjoy!

      November 15, 2010 at 20:38 | Report abuse |
    • Chase

      The Lord also says that your body is His temple. Now I'm sure he meant something deeper also, but doesn't that mean that we should take care of our bodies?

      November 21, 2010 at 18:35 | Report abuse |
    • Mark

      eh – all bs

      November 25, 2010 at 23:40 | Report abuse |
  2. gradyp

    I've been on blood thinners for 10 years dues to a series of blood clots in my left leg after an accident. I get my pro-time check quarterly and adjust dosage as needed.

    November 15, 2010 at 09:15 | Report abuse | Reply
    • Doc Justice

      Take Omega 3 Fish Oil so you don't have the chance of death from Warfarin!!!

      November 15, 2010 at 14:16 | Report abuse |
  3. oddjob

    You said heart drugs as in plural, but then only mention 1, warfarin.

    November 15, 2010 at 09:35 | Report abuse | Reply
    • Sarah

      That's because Warfarin is a VERY dangerous drug. I love how they make it sound like the supplements are the problem. Warfarin should not be taken with anything, including air and water (hahaha, that's a joke). If you need Warfarin, take it, and take nothing else. If you don't need it, do ANYTHING you can to keep from needing it!

      November 15, 2010 at 23:23 | Report abuse |

    This article on usage of supplements is very much useful to the common man who is under the impression that supplements are holy good things and are panacea for all ailments. Being a health professional I am the lone fighter in my department for some sort of control over the manufacture and use of supplements. I am of the view that any substance whether of plant/animal/chemical origin shall only be used by humans only after proper advise from his/her Physician. No matter whether it is declared as drug or supplement. Here in India I am fighting for strict vigil over the manufacture for sale of supplements. One reason being the unscrupulous manufacturers are taking advantage of less vigil over these products and passing on substandard / spurious products in the guise of supplements at exorbitantly high prices to the gullible public. I hope CNN will concentrate more on the subject and throw more light on the subject for the benefit of the global citizens.

    November 15, 2010 at 10:13 | Report abuse | Reply
    • Bryon

      In that same regard then, all vaccines that are given at the same visit should be studied in conjuction with each other. This is much larger neglect, much more dangerous, and will be ignored... How about that rat poison, warifin?...maybe lesser of that mess and more fish oil? But, the pharmaceutical rep doesn't sell it like that, I'm sure fish oil is now "bad" and rat poison is "good." Maybe patients are getting smarter than the pharmaceutical companies, and doctors are in the middle of the battle.

      November 15, 2010 at 10:28 | Report abuse |
    • roberto lv

      dig deeper and u will discover that supplements are being manufactured by the same group of pharmaceutical giants who at the same time are behind the latest media hype or scare whatever the case maybe. these giants have lobbyists and mouthpieces all over the globe including India. they know what to do when inquiries like yours surface. corporate greed rules in this increasingly growing evil world. ignore and move on and pray to your higher power that the consequences are not too painful. there will be an end to all these insanity.

      November 15, 2010 at 11:52 | Report abuse |
    • Larry

      If only mainstream physicians had a clue about supplements, we could discuss it with them. If you mention a herbal remedy, they will not know anything about and will proceed to look it up on an online database. Their knowledge comes from a brief glance while you sit there, and their recommendation is usually to avoid it since its effects with mainstream drugs are not known. It's CYA mode for them, and the patient is left to make an informed choice on their own. I do all my own research and my holistic physician usually approves.

      November 15, 2010 at 12:22 | Report abuse |
    • Healthcare Professional

      You are not alone...... many true healthcare professionals are aware of medications and supplements that are just "money marketing schemes" and pass this information on to our patients. Warfarin is an old medication but it is still being used because it is cheap and effective..The whole problem with supplements is that there is very little monitoring.The FDA thought they would have it under control by 2003 but the problem is only get worse.I could go out to my backyard and package my lawn clippings and call them a food supplement and market them as a "wonder lawn clippings supplement" There would be very little resistant regulation wise to stop me and long as I stated there is no daily requirement of my now famous lawn clippings.It would be UNETHICAL though.....and I would never do it..
      This article is talking about warfarin and the first poster is correct.Warfarin has a NARROW therapeutic index which means it is very easy to go above and below the right blood level. Drug and Food supplements INTERACTIONS(vitamin K especially) with warfarin are very common.The best thing to do is talk face to face to a healthcare professional you know and trust and keep a list of all the medications and supplements you take on an index card. More importantly STAY healthy ....eat right and exercise...it is your choice........PEACE

      November 15, 2010 at 12:56 | Report abuse |
    • charles s

      Warfin was developed at the University of Wisconsin to kill rats. It cause rats to bleed to death. It also does the same thing to humans. How many hospitalizations occur due to Warfin?

      The recommendation that you ask your doctor before ingesting anything is absurd. You said "I am of the view that any substance whether of plant/animal/chemical origin shall only be used by humans only after proper advise from his/her Physician." Do you realize what you just said? People eat all sorts of food without asking a doctor before they do it. I am sure that you have eaten hundreds of foods and beverages without consulting a doctor before each meal.

      Vitamin E can be used as a blood thinner and it is much safer than Warfin. Even aspirin acts a blood thinner. Go to http://www.doctoryourself.com/drugalt.html for more information.

      Can supplements cause problems? Sure but nothing like medicines. Almost 100,000 Americans are killed by prescription drugs every year.

      November 15, 2010 at 13:55 | Report abuse |
  5. Gene

    I will take Omega 3 Fatty Acids over warfarin, actually I already do. Fish oil will "thin" our blood, and our bodies require it, we do not require warfarin in our diets. Big pharmacy now has a Rx O3FA, not that is any better that the regular O3FA, that they claim will help thin our blood. And with O3FA we can still eat green veggies, and take other supplements that we cannot with the rat poison. They cannot take a multi with warfarin??, geeezzz. IMO the "risky" part is the Rx drugs, not the supplements.

    November 15, 2010 at 10:38 | Report abuse | Reply
  6. ConcernJ

    I have a concern with the title of this report, because "Heart drugs and supplements a risky mix", leads you to believe that you are speaking of all heart medications. When actually this report is on the effects of supplements and Warfarin. Maybe there is just a normal mistake or was there some type of colussion to keep Warafin out of the title?
    Though I think it was good reporting, please be specific throughout, including the title.


    November 15, 2010 at 10:52 | Report abuse | Reply
    • Kirstyloo

      I'm guessing that the more general title would bring in more readers...and hits to the site. Many people on heart meds don't take warfarin...and wouldn't visit. Its sensationalism of the media at work...again.

      November 15, 2010 at 12:46 | Report abuse |
  7. Robert Roy

    This is not even a question for a person in their right mind. Pharmaceuticals are poisons, they create most of modern day illness and take the lives of millions of people around the world every year. Modern medicine is a failed system, get rid of it. Eat organic, take your natural supplements, stay away from GMO foods and just say NO to pharmaceutical drugs. The human body was created by God and is your temple, keep it clean and healthy.

    November 15, 2010 at 11:01 | Report abuse | Reply
    • JohnW

      The spread of extreme misinformation like what you espouse here would lead to millions of deathsif everyone followed it. Thank goodnes most folks are in their right mind and take such dribble as your's with a very small grain of salt. Such extreme claims as your require exreme proof. Please produce credible sources - not self referential links.

      November 15, 2010 at 11:22 | Report abuse |
    • Ken in Maryland

      ... and you'll live to the ripe old age of 38, like we did in the days before medicine.

      November 15, 2010 at 12:05 | Report abuse |
    • ATLdoogie

      John, that word would be DRIVEL.......not dribble. Look it up.

      November 15, 2010 at 12:43 | Report abuse |
    • I'm Healthy

      Let’s cool it on the ridiculous generalizations… I live a very healthy life style, and I always have. At a very young age I was diagnosed with type 1 diabetes. This could not have been prevented. For years now “Big Bad Pharma” has been keeping me alive with a little thing called insulin. I eat very well and I am very active. I have always been at a healthy weight and I am rarely sick. I will be on this medication for the rest of my life. Yes, I realize that there are HUGE flaws in the pharmaceutical industry, but please take a deep breath and realize that some medications are necessary. Thanks.

      November 15, 2010 at 12:55 | Report abuse |
    • stars

      1. extremist views do not help anyone.
      2. If your body needs nothing other than good diet and exercise (and I will add, clean water) then why would you need supplements??? Your argument falls short.
      3. All things can be over-used-pharmaceuticals, definitly, but also natural things, like too many carrots, too much sugar (sugar is a naturally occurring product) and too much meat. All are healthy in proper use and moderation.
      4. Implying no one ever needs medication is ignorant and short sighted. God gave man brains to figure out penicillin, insulin, anti siezure medications, and so on. Not all disease is caused by diet or lifestyle. Improved diet and lifestyle can lead to greater resistance, but will not eradicate it. As someone said, yes, and you can die at the ripe old age of 38 like they did in the pre-pharmaceutical days.
      5. Be healthy. Be judicious. But be reasonable.

      November 15, 2010 at 14:17 | Report abuse |
    • Keith

      Over the last 50 years, life expectancy has increased by over 20 years. Do you attribute that to organic foods and supplements? If you do, then you are grossly misinformed. Supplements do absolutely nothing except drain your wallet. The only 3 supplements that have been scientifically PROVEN to help people are Vitamin D, Calcium and folic acid for pregnant woman. Other than that, they just go right through your system and are never absorbed. That doesn't mean you don't need vitamins, you just need to get them in your food. I would just like to say that herbals and alternative medicine is the biggest crock of S**T out there. Next time you buy one of these produces, look at the label. There will be a little atrick that will read something like "this product has not been proven to be effective" That doesn't mean it hasn't been tested because it has. A matter of fact, alternative medicine gets more federal money than autism research and has never been proven to be effective. The government does not regulate it. By the way organic food is ruining the earth and has also not been proven to be healthier. There is scientific evidence to say that organic food carries more disease than non organic.

      Anyone interested in educating themselves read the book "Denialism" by Spector.

      I could rant all day about this stuff, just dont have any more time. I will let everyone go back to drinking their vitamin water which by the way is just a coca-cola dressed up in a physicians gown.

      November 23, 2010 at 16:46 | Report abuse |
  8. becca

    make lifestyle changes so you don't have to rely on medications or supplements.

    November 15, 2010 at 11:12 | Report abuse | Reply
  9. Emile Zola

    Stupid is as stupid does. I'm not a pharmacist, nor a MD, but I do know that before one starts any thing, I have to check the fine print, the facts. And the opposite is also true. Just because a doctor says one thing, I do it. No siree. I check the facts and the warnings. Let's remember that doctors were the ones that prescribed Thalidomide.

    November 15, 2010 at 11:17 | Report abuse | Reply
    • Kirstyloo

      But they have done a number of things right too! It is all about keeping things in perspective.

      November 15, 2010 at 12:49 | Report abuse |
  10. MamaBear

    I completely agree w/Bryon. We all know who the big money makers are and the influence they have over the government & docs. The doctors think nothing of giving a tiny baby four shots at one time. That is just crazy! Now the government is trying to force flu shots into the mix and doctors trying to frighten parents by telling them their child is at great risk of childhodd Leukemia and other conditions w/o the flu shot.....By the way, the title of this article is misleading. It only talks about warfarin, a blood thinner, not several heart drugs.

    November 15, 2010 at 11:23 | Report abuse | Reply
    • Kirstyloo

      No physician has discussed childhood leukemia and the flu vaccine. Keep to the facts.

      November 15, 2010 at 12:51 | Report abuse |
  11. Arizona Ironman

    Not the best article. Doesn't say much other than "people" don't know anything. An example: "People think that a supplement is always natural and safe," Strohecker says. "They don't realize that the body sees it as a chemical." Also, if you read the "Health.com: Supplements for cholesterol: what works?" sub-article, it infers that supplements really don't work. I assume then that you MUST buy the "scientific" solutions that the pharmaceutical industry is pushing on us. I think this "article" is really an infomercial brought to you by big pharma.

    November 15, 2010 at 11:30 | Report abuse | Reply
    • Ann

      Ri-ight, because the people making and selling the supplements have NO interest in making a profit, right?

      At least conventional medications have to show some research supporting that they are safe and effective before they are prescribed. They also have to meet certain standards in production so you know you're actually buying what it says on the label.

      True, science isn't perfect, but compare that to buying some plant supplement based on nothing more than the fact it was used for centuries by some exotic-sounding culture (bear gall bladder, anyone?), is "pure and natural" (like opium), or, even worse, is recommended by some celebrity you wish you looked like. Even if you believe the claims, there are no regulations to ensure that you are even getting the same substance they're advertising. They could be selling you chalk pills and laughing all the way to the bank.

      I'll stick with the science, thank you very much.

      November 15, 2010 at 11:57 | Report abuse |
    • charles s

      Niacin which is a vitamin also lowers cholesterol. How many of you have been to a doctor who recommended it? This information has been around for over 50 years. Read it yourself: http://doctoryourself.com/hoffer_niacin.html

      November 15, 2010 at 14:01 | Report abuse |
    • Pharmacy employee

      Arizona, I have worked with Dr. Strohecker for years. She is not employee by big pharma. She is a clinical pharmacist with years of education, working for the number one healthcare systems in the U.S., Intermountain Healthcare. It is amazing to see free valuable, lifesaving information snubbed by those with no knowledge of the field. Ignorance perpetuates fear. This is an opportunity for you to learn and maybe save your life one day. Or maybe not. Thanks heavens there are trained, educated professionals out there like Dr. Strohecker. They save lives. Warfarin is not a perfect drug. But we know that because of the FDA and research that has gone into it. Dosing and drug therapy are closely monitored. There is no such research and information for supplements. Hmmmmm..to me it's pretty simple.

      November 15, 2010 at 23:11 | Report abuse |
  12. Jo

    Pretty much sounds like supplements are the competition for warafin so they are being made to look bad to increase its acceptability and sales.

    November 15, 2010 at 11:31 | Report abuse | Reply
    • Ann

      Nah, it pretty much sounds like conventional medicines are the competition for the supplements so they are being made to look bad to increase acceptability and sales.

      November 15, 2010 at 12:01 | Report abuse |
  13. ruth

    seems like bryon doesn't understand how warfarin works. the reason it's used as "poison" is because taken in excess, it causes bleeding, which is what kills rats. people who take warfarin in correct doses are merely anti-coagulating their blood to reduce the chance of clotting in people who have increased risk of clotting. they aren't ingesting poison. but they are using a medication that taken in excess can kill rodents. with proper monitoring, this medication can save a life. and i dont think anyone at this site is saying fish oil is bad, merely that there is a drug interraction w/warfarin and that many patients dont consider supplements as medications therefore they forget to tell their practitioner and that could be dangerous. stop being so paranoid bryon.

    November 15, 2010 at 11:46 | Report abuse | Reply
    • Dan

      Actually warfarin has many side effect. According to the Mayo clinic, regardless of dosage, "Warfarin side effects that require immediate medical attention are":

      ■Severe bleeding
      ■Black stool or bleeding from the rectum
      ■Skin conditions such as hives, a rash or itching
      ■Swelling of the face, throat, mouth, legs, feet or hands
      ■Bruising that comes about without an injury you remember
      ■Chest pain or pressure
      ■Nausea or vomiting
      ■Fever or flu-like symptoms
      ■Joint or muscle aches
      ■Difficulty moving
      ■Numbness of tingling in any part of your body
      ■Painful erection lasting four hours or longer
      "Although rare, warfarin can also cause skin tissue death (necrosis) and gangrene requiring amputation. This complication most often happens three to eight days after you start taking warfarin. If you notice any sores, changes in skin color or temperature, or severe pain on your skin, notify your doctor immediately." Less serious warfarin side effects to tell your doctor about

      ■Feeling cold
      ■Pale skin
      ■Changes in the way foods taste
      ■Hair loss

      November 15, 2010 at 12:25 | Report abuse |
    • Doc Justice

      RUTH – you must be BigPhara... Why are you so FOR Warfarin? It has the side affects that it can kill!!!!!! There is NO side affect that says that Omega 3 Fish Oil can kill. It has NEVER killed a single person. There have been over 200,000 deaths due to Warfarin. Get a life... drugs kill and they take our free will... as we are seeing from this article!

      November 15, 2010 at 14:19 | Report abuse |
  14. Kenneth Sachs

    I understand that statins affect the liver. Coenzyne 10 is supposed to prevent this. Also, Omega 3 is good for one's heart.
    I taje a number of supplements. My MD is also an Internist. He has not said to drop these drugs. My INR regularly runs about 2.2 which is supposed to be good. What solid eveidence is there that these supplements are a danger to warfarin takers like myself. I was trained as a scientist. I'd like to see some data.

    November 15, 2010 at 12:24 | Report abuse | Reply
    • Gene

      Statins prevent cholesterol from being produced by the liver, or at least some of it. While it stops cholesterol, statins also stop/slow the production of testosterone and estrogen, vit D biosynthesis, CoQ10, Bile acids and other products. So statins reduce our CoQ10, and warfarin takers cannot take coQ10, which is heart healthy. How screwed up is that?

      With you on warfarin, you should not take Omega 3 Fatty Acids, because it too "thins" the blood. Either one or the other, not both. As far as I know warfarin does not help with Alzheimer's Disease, which O3FA may play a big roll.

      November 15, 2010 at 12:40 | Report abuse |
  15. Aaron

    I call total BS.

    November 15, 2010 at 12:26 | Report abuse | Reply
  16. robertwatt

    what about micardis and other heart drugs

    November 15, 2010 at 12:38 | Report abuse | Reply
  17. Mark

    Warferin is the obvious problem . Get rid of it!

    November 15, 2010 at 12:48 | Report abuse | Reply
    • Geraldine Carbone

      I am an RN. warfarin is given to thin blood post heart surgery,prolonged bedrest, post recovery from fractures and prosthetic surgery.It is not usually given for prolonged periods of time unless there is a problem. Omega3, Vit E , aspirin
      will thin blood.The reason warfarin is given and not an over the counter med is that it acts immediately and therapeutic value can be measured immediately via blood test.If you take more than one type of blood thinner you risk danger of ulcers and hemmorhagic stroke.To say that this medical knowledge is BS makes me ask u what degree yoy have?

      November 15, 2010 at 16:10 | Report abuse |
  18. logan

    STOP taking pharmesuedicals, go vegan, CURE all!

    November 15, 2010 at 12:56 | Report abuse | Reply
  19. Jo

    Nah, as fish oil, having been around for a very long time, thins the blood with no 'poison' possibilities, warafin is, therefore, the encroacher with possible danger to the partaker. Don't see any 'supplement' commercials, do we?

    November 15, 2010 at 12:59 | Report abuse | Reply
  20. Frances

    I know warfarin and aspirin are different but both anticoagulants. Would taking supplements have the same effect if taken with aspirin taken on a daily basis.


    November 15, 2010 at 13:00 | Report abuse | Reply
    • Marianna

      Taking a daily aspirin may increase the risk of bleeding. Taking some supplements such as Fish oil (http://www.healthialist.com/answer/417/pwhat-is-the-difference-between-fish-oil-and-cod-liver-oilp) may prolong bleeding time. Theoretically if you combine these supplements with aspirin there is a higher potential for bleeding. That is why you should always tell your doctor about any vitamins, minerals, herbs or supplements that you are taking so he or she can evaluate if they can be safely combined with your medications and monitor for potential adverse effects.

      November 15, 2010 at 14:09 | Report abuse |
  21. Bryon

    Sounds like Ruth is a pushover who believes paid off pharmaceutical research that they decide to publish (note they do not publish the results that make the drug look bad). Maybe you also believe Boniva or Fosamax are useful drugs... Avandia? Vioxx?... .... You sound paranoid of natural healthcare. Go get a flu shot that includes your low dose carcinogens like formaldehyde, ether, and enjoy the detergent and mercury while you are at it.

    November 15, 2010 at 13:05 | Report abuse | Reply
  22. Maryann

    My grandfather made spaghetti with thick GRAVY with pork, beef and whatever else he could throw in, not that wimpy sauce,topped it with plenty of cheese, lots of ricotta and mozzarella, drank homemade wine with a raw egg everyday, and ate canolli and other pastries. He lived to be 92 and never saw a "specialist" and never took a pill. All in the genes!!!!!

    November 15, 2010 at 13:06 | Report abuse | Reply
  23. Lee C.

    One of my doctors prescribes all my supplements and most of my prescription drugs. The others do not ask about supplements nor do they want you to clutter up their e-patient database with what they consider extraneous entries for supplements. When I bring the entire list, their medical assistants enter the Rx drugs and toss the piece of paper – there isn't even a way to enter the supplements if you supply them.

    November 15, 2010 at 13:13 | Report abuse | Reply
  24. Griffin

    Fine idea, take Warfarin (rat poison) and through out your vitamin supplements....it just gets crazier!

    November 15, 2010 at 13:17 | Report abuse | Reply
  25. MamaBear

    @ Kristyloo – mine has brought it up more than once and I feel she is trying to guilt me into something I don't want.

    November 15, 2010 at 13:28 | Report abuse | Reply
  26. T. Lee

    It would be interesting to know – WHO FUNDED THE STUDY???

    The medical community does have a legitimate concern about public health and interactions between medications, foods, and supplements – BUT – the medical community is also very aware that since they don't control the distribution of supplements – THEY ARE LOSING THE PROFIT gained from the sale of such products.

    So – again – WHO FUNDED THE STUDY – and was it really neutrally-based??? One would hope so – but do we know for sure?

    November 15, 2010 at 13:31 | Report abuse | Reply
  27. Elizardbeth Crowin Big Dog Medical gossip spreader

    *************************************************breaking NEWS*********************************************
    *******************************************************************************Warfarin KILLS*****************************
    **************MORE TO COME LATER*********************************************

    November 15, 2010 at 13:47 | Report abuse | Reply
    • Doc Justice


      November 15, 2010 at 14:15 | Report abuse |
  28. Enlightener

    The real message behind this article is stop using supplements, because they are a threat to the profits of pharmaceutical corporations.

    November 15, 2010 at 14:00 | Report abuse | Reply
  29. Doc Justice

    There is NO risk with these supplements that they are saying are bad... it is 100% the Warfarin that we should be scared of!!! Do you see the WAR in the name of this drug... it brings wreck (WAR) to your body... no need for some stupid A** drug like this. We take Omega 3 and many other supplements and let me say – I have one of the healthiest familes in the country – and we DO NOT have a single prescription drug in the house and we NEVER go to a medical doctor. Can you explain that? Why should we take a drug if we have natural "things" from this earth that work better and are much safer. Looks like BigPharma is trying to SCARE us "stupid" Americans into believing what they want us to believe. We ARE NOT THAT stupid... if someone has blood clots... TAKE OMEGA 3 – it works the SAME WAY and has ZERO side affects. Just can't believe this BullS***!!!

    November 15, 2010 at 14:14 | Report abuse | Reply
    • Roger

      Known side effects of Omega-3 include:

      • Belching
      • Nausea
      • Diarrhea
      • Bloating
      • Intestinal gas
      • Fishy body odor
      • Fish breath
      • Fishy burps
      • Increased “bad” cholesterol (LDL) levels
      • More difficult to control blood sugar levels especially in diabetics
      • Blood-thinning effect, dangerous to those with a bleeding disorder
      • Excessive blood thinning
      • Bleeding
      • Vitamin A toxicity
      • Vitamin D toxicity
      • Inclusion of rancid oil
      • Inclusion of contaminates such as heavy metals
      • Degradation by oxygen exposure
      • Confusion by consumer with fish oil liver

      So no thanks, I'll stick with warfarin, which has been studied in multi-center placebo-controlled double-masked prospective statistically significant peer-reviewed studies – unlike omega-3, for which we have inadequate science and very likely further unkown and as-yet undiscovered side effects.

      November 15, 2010 at 14:41 | Report abuse |
    • Former clot patient

      Speaking from experience, when you have three feet of large veins that are not carrying any blood on account of being completely blocked, you are very happy to take warfarin. And very strong painkillers.

      November 15, 2010 at 15:30 | Report abuse |
    • Doc Justice

      ROGER..... how about a BigPhara man yourself... I am sure your salary is a nice salary to get on these blogs after your compaines post the "news" to give people the "other" side to your story. You all are all scams and you all should be put in jail for what you do to the American public! You rape people over a bare stone to "sell" your "legal" drugs! Approved Murder – is what you all do!!!

      November 15, 2010 at 15:46 | Report abuse |
    • Roger

      You're a bit weird, "Doc Justice." Very opinionated and prejudiced with many erroneous assumptions and conclusions. I'm a currently out-of-work musician – which gives me a lot of time to read and become educated, so that my opinions are based upon fact and I refrain from jumping to conclusions about other people so hastily. Like you apparently do. Have a wonderful day.

      November 15, 2010 at 16:03 | Report abuse |
    • Doc Justice

      Roger – thanks man! I love it when I can get that from someone like you... who is NOT a doctor. Your as bad as the report of this article.

      Do you want to study?

      Go to http://www.anndeweesallen.com

      Pick through all of her research and information and studies and learn something brother. The FDA and Drug Company research is flawed and is all about how many drugs can be produced, patented, distributed, and consumed.

      Sorry to say – it is going to take you longer to educate yourself than a few months to years of being out-of-work. Go to college – and learn that the Med Schools are mostly taught by BigPharma Sales Reps. Sorry – that is not a true education.

      Wow – you have alot of education left to do!

      November 15, 2010 at 16:29 | Report abuse |
    • Kirstyloo

      So Doc Justice, what medical school did you study? Roger did a great job, and I applaud him in his study. I sincerely question how you selected your name...because it clearly doesn't match your knowledge base. While Warfarin shouldn't be used broadly in the population, there is clearly a patient population where its use is critical. Fish oil and the like only go so far.

      November 15, 2010 at 17:20 | Report abuse |
    • Sarah

      Roger, compare the side effects of Omega-3's (many of which are corrected by adding lemon juice to aid digestion) with the side effects of Warfarin:

      Severe bleeding
      Black stool or bleeding from the rectum
      Skin conditions such as hives, a rash or itching
      Swelling of the face, throat, mouth, legs, feet or hands
      Bruising that comes about without an injury you remember
      Chest pain or pressure
      Nausea or vomiting
      Fever or flu-like symptoms
      Joint or muscle aches
      Difficulty moving
      Numbness of tingling in any part of your body
      Painful erection lasting four hours or longer
      Although rare, warfarin can also cause skin tissue death (necrosis) and gangrene requiring amputation. This complication most often happens three to eight days after you start taking warfarin. If you notice any sores, changes in skin color or temperature, or severe pain on your skin, notify your doctor immediately.

      Less serious warfarin side effects to tell your doctor about

      Feeling cold
      Pale skin
      Changes in the way foods taste
      Hair loss

      I don't want to lose my hair, or have to have a limb amputated, or having my rectum bleeding.

      Don't just buy any supplements – buy quality, tested supplements from a reputable producer. Just like everything, you get what you pay for, and quality IS a factor.

      November 15, 2010 at 23:36 | Report abuse |
  30. James Monaghan

    Just more b.s. to bring the vitamin industry under the control and big pharma and gov't so that it too can be treated as a prescribed medication and then marked up 100 times (or more) for maximum profit. Don't laugh. It's coming. Has already begun in Europe and heading to the west very soon.

    November 15, 2010 at 14:20 | Report abuse | Reply
  31. Roger

    Pharmaceutical companies are required by law to run their products through six stages of testing: pre-clinical, then phases 0 through IV. If they fail any stage, "game over." And, they are required to list every single side effect found in the stages – whether that headache was from the drug or not. Due to a 1994 law, however, supplements do NOT have these requirements. Therefore, they are untested and we don't even know their side effects. That's why pharmaceuticals are expensive for the consumer, and why supplement companies are raking in billions of dollars every year. I heard Navy physician "Doc" Dalitsch say, "You can put dirt in a jar, label it and market it right, and you've got a best-selling supplement. Presto – millionaire!"

    November 15, 2010 at 14:21 | Report abuse | Reply
    • Bob

      Testing, who does the testing of these drugs???. Big Pharma! Like letting the fox gaurd the hen house.. Companies only see $$$$, not lives lost..

      November 15, 2010 at 14:40 | Report abuse |
    • Roger

      You forgot about the FDA oversight on the pharmaceutical testing – oversight which is absent for supplements. Why is it absent? Because more money was spent on pushing DSHEA through in 1994 than any other law before or since. And who spent the billions of dollars to get this law passed? The supplement companies. Why? Because the law allows them to market untested supplements – so they spend NOTHING for testing, and what they make is nearly 100% profit. Capitalism at its finest! And let's not even start on "energy" drinks – biggest rip-off ever! People are still falling for these snake oil salesmen...and only because instant gratification never comes quickly enough for humans.

      November 15, 2010 at 14:51 | Report abuse |
    • Doc Justice

      ROGER – your a scam! Your a BigPharma pig! Your a "legal" drug dealin crook! You have no clue but to sell a drug and the drug compaines stock and future! If your salary wasn't paid by the BigPharma – you would not be saying what you do – yours words are too smart in order for you to try and fool people that you are not apart of BigPharma.

      November 15, 2010 at 15:51 | Report abuse |
  32. valver

    I love my warfarin. It keeps me alive. I have two mechanical heart valves which require me to be therapeutically anticoagulated. Fish oil won't do that, aspirin won't do that – at least not enough for someone in a high risk category. The new to the market anticoagulants coming out lately are not approved yet for people with mechanical valves.
    Why don't you stop talking about drugs you know nothing about? When you have a medical condition which requires use of Warfarin, and after you've studied it, and lived with it for years, then you get to have an opinion.
    I eat all the greens I want, take multivitamins, and aspirin. I do my own blood tests and adjust my own dosage, with my doctor's blessing. I stay in therapeutic range and I am safe. I love my rat poison.

    November 15, 2010 at 14:49 | Report abuse | Reply
  33. Thurston Murray

    I read this article with some interest. If the medical community would get out of the pocket of Big Pharma then it would make a lot more sense to me. You see, instead of finding a cure for blocked blood vessels, such as Drano for your sink, they continue to swallow Big Pharma Pills called money. As long as no cure is being seriously chased, the American People will have to stay hostage to Big Pharma, some physicians, and Those always profitable CABAGE surgeons and hospitals that encourage slice first, then be sure to collect the bill-because it really is all about money.

    November 15, 2010 at 14:52 | Report abuse | Reply
    • Former clot patient

      Just so you know, "Big Pharma" already has products to unclog your veins. Of course, you have to have a catheter within you for 24 hours and it takes 2-3 doctors and nurses to install the thing and you have to remain rather motionless while it's in there. And it probably costs about a hundred times of what a year's supply of generic warfarin might cost.

      But hey, your call.

      November 15, 2010 at 15:26 | Report abuse |
    • Roger

      Average physician salary: $143,000/year
      Average physician workweek: 69 hours
      Average hourly wage with two weeks vacation: 143,000/50/69 = $41.45
      Average hourly wage for a plumber: $110.00
      Average loans owed upon medical school graduation: $140,000
      Average age a heart surgeon completes education and is qualified and working on his or her own: 35

      I'm sure you can figure out the rest of the math. As for me, I'm glad I'm not living the life of a physician, but I have a lot of respect for them putting off gratification until age 35, trying to pay back all those loans, staying in school and training – just to keep the rest of us healthy. No wonder physicians have a higher rate of alcoholism, drug abuse, and suicide than the rest of the general population. They're working their a** off just for the personal satisfaction of helping ungrateful patients, 'cause it sure ain't for the money!

      November 15, 2010 at 15:27 | Report abuse |
  34. It's just advice, not a praise of Warfarin or condemnation of supplements

    The article is simple, basic advice to those on Warfarin – don't mix it with supplements or vitamins unless you've told your doctor and you and your doctor take time to research the interactions. For some who don't have the means, desire, or knowledge to handle their medical issues with non-traditional treatment, Warfarin prevents blood clots that could cause stroke. I have an aging parent on Warfarin for a heart issue. I'd prefer an alternate treatment, but they wanted the Warfarin as they are scared of having a stroke. BUT, they did almost die this year due to a gastric bleed from Warfarin and combo of numerous vitamins and supplements. When I asked "did you tell your doctor" or research first, the answer was "no, I didn't think something over the counter was dangerous as you don't need a prescription. Take this article at its simplest. If you are on Warfarin (and other medications) make sure you know how it interacts to avoid problems. My parent was within 2 hours of bleeding out and only a search of the home resulted in finding all the supplements – many described in this article – that were being used inappropriately in this case with Warfarin.

    November 15, 2010 at 15:20 | Report abuse | Reply
  35. Smitty

    Well I'd be damned!!!!!!!!!!!!! I have never seen such trash in my life. And yes.... I am a Doctor. Now for those of you bashing warfarin, i would like to see your response when a good old chunk of clot is sitting in your pulmonary artery (Called a Pulmonary Embolus) causing the right side of your heart to be under strain..( Look up McConnell's sign) and you are on the brink of death. Then i would want to know if you would want Omega 3, and vitamin E...which i agree thins the blood...but to what extent????? No one knows !!!!!!!!!!! Do we have a test to measure so that we know when the blood is thin enough? No. Have we thoroughly studied Omega 3 as we have done warfarin...No, The reason we know the warfarin interactions is because it has been studied !!!!!!!!!!!!!!!!!!!!!. We know what doses to give, in what conditions to overlap with heparin or enoxaparin and YES.....its interactions.
    Now ..google coagulation cascade.....see all the components involved in forming a clot and identify in that cascade where aspirin , heparin, plavix, integrelin and coumadin work. Then try finding where Omega 3 works. When you do..post it and this debate will continue. OOOOHHHH!!!!!!!!!!!!!! I have had patients reluctant to start warfarin but now they are thanking me 10-20 yrs after.

    November 15, 2010 at 15:48 | Report abuse | Reply
    • Doc Justice

      Smitty ol Dr. Smitty – please start taking Warfarin yourself and let me know. Take the "dose" that your last patient you mentioned is taking and let me know how you are doing. Make sure you tell me all your side affects and how you feel.

      I will take my Omega 3 Fish Oil and I will let you know how I feel. I can have the same blood tests done as you before the start and after the start – and we can compare. Also, we will see how dangerous it is for you to take Warfarin and for me to take Omega 3 Fish Oil and we will document those interactions and reactions.

      Warfarin is to treat
      Omega 3 is to prevent
      If someone wants to use Omega 3 to treat – power to them; however, Omega 3 is used for defense against what Warfarin is supposed to be correcting...

      None-the-less: Let's start our trials on ourselves and we will see how is more happy with our own personal results. If you can't give Warfarin to your child – I for sure would not want to give it to my patients.

      I do give Omega 3 fish oil to my child and we have tested the results and seen the results and she has no side affects and has not died.

      When do you want to start our own personal trial on ourselves?

      November 15, 2010 at 15:58 | Report abuse |
    • Old Timer

      You are so correct!!! I am not sure if being a well informed person is empowerment if the source of the information is questionable or misleading. Misinformation is just as dangerous as ignorance. Elizabeth Cohen the co-creator of this ""blog" is not a medical doctor and does have a license so it is basically like getting medical advice from your neighbor.

      CNN please put up the tape of Elizabeth Cohen telling Haitians to "wash their hands" to stop the spread of cholera.Hey psuedo doctor did you ever think that the water the Haitians are using is the problem!!!

      Elizabeth Cohen CREATES medical stories to get her stories on CNN.......A real journalist presents both sides of the story...

      no blood thinner with some patients can result in DEATH...Great job empowering people with scare tactics!!!

      November 15, 2010 at 16:08 | Report abuse |
  36. Dr. Jaime

    This is a great example why doctors need to better communicate with their patients. Spending a few extra minutes with a patient on blood thinning medications to discuss with them ALL of the lifestyle modifications that can effect the drugs theraputic index is important. Biased attackes on one aspect is not the answer. Physicians that are going to prescribce warafin or coumadin should have the knowledge to guide the patient on diet, supplements, activities and side effect!

    November 15, 2010 at 16:11 | Report abuse | Reply
  37. Dr. Jaime

    This is a great example of the importance of doctors communicating with their patients. Any physician prescribing blood thinning medications should have the knolwedge to educate their patient on all side effects, lifestlye modifications, diet and supplements that correlate with the drug. Biased attacks on one of these parameters is not the answer but rather demonstrates incompetence on the part of the doctor for not thoroughly discussing with the patient the important associated facts!


    November 15, 2010 at 16:17 | Report abuse | Reply
    • Old Timer

      Face to face communication is the key!!! It is said that almost 40 percent of patients are illiterate........
      The tricky thing about this is vitamin K is found in green leafy vegetables BUT it interacts with warfarin...so they may understand this as "do not eat salads"

      November 15, 2010 at 16:23 | Report abuse |
  38. Old Timer

    no doctor wants to put their patients on warfarin but smitty is right ...a pulmonary embolism is NOT a diagnosis I wish on my family and friends...even people who I dislike....Pulmonary embolism or the RISK of it has an outcome that is not POSITIVE and the patient may not get a second chance..Aspirin,Plavix,Praxeda(new)( Lovenox,Fragmin,Heparin=injectables) and of course the outdated but still effective warfarin.....still beats DEATH....What does Dr.Gupta think?

    November 15, 2010 at 16:18 | Report abuse | Reply
  39. Smitty

    In fact I DO TAKE WARFARIN... I have Atrial fibrillation. My CHADS2 score is 3 so i take warfarin to keep my INR between 2-2.5. I also take Metformin for my diabetes, lipitor for my high cholesterol and Viagra when i need to. Never had a problem with any of those. What about my question on the coagulation cascade. Found ot yet???

    November 15, 2010 at 16:39 | Report abuse | Reply
  40. Smitty

    Oh by the way...CHADS2 is a score used to measure ones risk of a stroke. You see i practice EVIDENCE BASED MEDICINE...the key of course being EVIDENCE.

    November 15, 2010 at 16:46 | Report abuse | Reply
  41. Gail Hunsaker

    Is it OK to take Atenolol with Warfarin?

    November 15, 2010 at 17:25 | Report abuse | Reply
  42. Pharmacy employee

    No one funded the study. Dr. Strohecker is a clincial pharmacist in a major medical center. Counseling patients is part of her job. She recognized common issues with her patients. She followed patients thru anti-coagulation therapy. She did research on those issues and the common links. Easy enough.

    November 15, 2010 at 23:22 | Report abuse | Reply
    • Sarah

      Really? Because doctors don't study nutrition, herbs, supplements, and only a small amount even about drugs, and certainly not about new drugs. How can you recommend any of these things when you are not educated about them? And notice that the WARFARIN is what interfering with everything else. All the other items get along with each other (and the body) just fine. It's only the Warfarin causing a problem.

      I'm not saying not to take Warfarin if you need it. I'm saying do healthier things so you don't need it. As a doctor, you should keep your nose out of nutrition, since you are not trained in it. Stick to what you are trained in – diagnosing symptoms as diseases, and prescribing drugs. In emergencies, doctors have an amazing ability to save lives, but in day to day terms, no.

      November 15, 2010 at 23:29 | Report abuse |
    • anonymous2

      Sara you are WRONG about nutrition...a pharmacist can calculate a little thing called HYPERALIMENTATION that goes thru a central line that keeps PATIENTS alive and have their daily nutritional caloric needs met because they do have a functional G.I. tract.Pharmacists and all healthcare providers are required by law to maintain their license in good standing by taking continuing educational educational classes each year. all good medical schools gave us the knowledge on how to research new medications and new technology.I will give you this...It is hard to keep up but we believe in Drugs:Facts and Comparisions,PDR, Harrisons, Mercks, ,Goodman and Gilmans..In other words books that are updated yearly and the average person does not have access too unless they want to spend 1 grand.

      Sara why don't you take all your little herbs and subject them to a double blind test? The new research is out and it is not looking to good for some of your long standing so-called supplements like St Johns wort,Glucosamine,Ginkgo, Echinacea(all being outed by UNIVERSITIES across the world) so you better go find a whole new batch of psuedo-super herbal hololistic remedies for patients to waste their money on...and don't forget to buy those late late night time slots to market your bunch OF CRAP to patients who just what some relief.......would you consider yourself ethical?

      November 16, 2010 at 13:52 | Report abuse |
    • anonymous2

      most good doctors call for LICENSED REGISTERED Dietitian consultation.........hopefully a person with a bachelors degree in it!

      November 16, 2010 at 14:04 | Report abuse |
  43. JBird

    I am 30 years old 5' 11" 175lbs very muscular and had over 600LDL 15HDL and triglycerides near averaging nearly 1,500. I tried to get these numbers down to normal for 2 years by going to the head cardiologist at one of the leading hospitals in the U.S. This doctor of course prescribed me pharmaceuticals, which caused side effects and only cut my numbers in half. Since I am a chemist and biologist, I know that many of these drugs are derived from natural occuring compunds in which the structure is slightly changed so the pharmaceutical companies can patent the drug. When the structure is slightly changed this can cause these harmful side effects; however, not all natural occuring compounds are good for humans. Anyway, the doc told me that there is no way that diet and supplements alone could never make ones numbers that high and that is was likely genetic.

    I decided to do a study on myself see below:

    1st Test:
    Two days prior to having my lipid panels done I ate many sweets, drank wine, ate many breads and junk carbs, After fasting for 14 hours, my numbers were 463 LDL 23HDL and over 3,000 triglycerides(main number to look at for heart disease). The doctors good not believe it.

    2nd test:
    After the first set of numbers came back, I eliminated 90% of the sweets, breads and junk carbs (hard to do 100%). Eliminated all alcohol. I ate a high protein, high beneficial fat (fish oil, nuts, coconut oil, medium chain fatty acids) and many fruits and vegetables. I took some supplelents like magnesium, fish oil, Co-enzyme Q10 and a few others. My numbers 2 weeks later were 190LDL 33HDL and my triglycerides were 140 (high end of normal range).

    The medical field are being indoctrinated and controlled by big pharma; they have been taught to use the "bogus genetics excuse" and downplay diet, excercise, vitamins and essential minerals. Does it really make since to put these synthetic chemicals in our bodies, that have a list of 1000 side effects or should we just eat healthy? I should have this published.

    November 16, 2010 at 00:54 | Report abuse | Reply
    • Smitty

      Come on J Bird. Lets leave the old wives tales for people who dont know better. With a Triglyceride level of 3,000 you wouldn't be able to walk, talk, eat or drink. You would have had the worse pain of your life radiating from your stomach to your back, and would puke your life out. Your pancreas would have been SEVERELY inflamed from triglyceride induced pancreatitis. If that was not the case, you are one special human being who would never need medicines and ....yes.....your case should be published. Another point... Triglyceride is not the main munber to look for in heart disease.

      November 16, 2010 at 04:04 | Report abuse |
  44. Heart Defect

    I was born with a heart defect. Nobody knows why. My parents did not use drugs, smoke, drink, etc. I have five other siblings that were all born with healthy hearts. My mother was in her twenties when she had me. I can eat a proper diet and exercise but that's not going to cure my heart. I take Warfarin to prevent clots that could form due to a-fib. Aspirin would have been too hard on my stomach, unfortunately. I had surgery to repair my heart many years ago, but it wasn't a complete fix. Without heart meds I would have a very poor quality or dead. For those that think eating right and exercising is the cure for everything, try walking in my shoes. If you can come up with a dietary supplement or herbal remedy that will fix my heart, I'm all ears. Problem is, you can't. You can suggest natural remedies all you want, but I'm not going to risk my life by dumping my meds and taking something that hasn't been proven to be a cure. I'm not going to be your guinea pig, especially since you're most likely not a doctor or scientist.

    November 16, 2010 at 01:09 | Report abuse | Reply
  45. JBird

    Oh by the way, the root cause of my problem is fatty liver caused by about many years of binge drinking in college (6 nights a week) and soft drinks. The medical schools don't have any incentive to teach finding the "root cause" of the problems, just treat the symptoms, just keep buying these pills and paying for office visits ever 3 months.

    November 16, 2010 at 01:10 | Report abuse | Reply
    • Heart Defect

      Would you have stopped binge drinking in college had you known better? Maybe, maybe not. Many young people smoke cigarettes. They know it could lead to cancer and other problems but they do it anyway.

      November 16, 2010 at 01:15 | Report abuse |
  46. JBird

    I am a scientist.

    November 16, 2010 at 01:12 | Report abuse | Reply
  47. Andy Palmer

    I have observed you rise up, keep in mind you were chatting on that television station and that man in America consideration you were truly pretty. Thanks 😉 supllements

    November 16, 2010 at 02:01 | Report abuse | Reply
  48. jjay

    Why go after supplements that have been used for centuries? If used as advised they are much safer than most of what is sitting in your medicine cabinet.How many people die per year from prescription drugs, when used AS PRESCRIBED?? Many.Very many. Have you seen the effects of warfarin on patients? It is evil, and most certainly over-prescribed. I wouldn't give it to my worst enemy, and this is from years of first hand observation.

    November 16, 2010 at 03:21 | Report abuse | Reply
  49. JBird

    Smit....Actually in the past I have had those radiating pains and pancreatitis was suspect, but when my TG's were 3,000 I did not have any pains. Give me a fax number and I will fax my lipid panel for you to see yourself.....and yes TG's are the single most important indicator of heart disease. I suspose you have been listening to the mainstream media for your information with their phony studies paid for by big pharma.

    November 16, 2010 at 06:23 | Report abuse | Reply
  50. Smitty

    No J Bird, I am not listening to mainstream media. I am a practicing cardiologist specialized in lipidology for 25 years. I have published lipid and other cardiac research in reputable journals like JAMA, NEJM, Lancet and BMJ. Have you heard about the Frammingham study and the Frammingham risk score for cardiovascular disease. Take some time, read real scientific, well organized, double blinded, randomized controlled, multi center studies. That is much different than anecdotal "evidence"...maybe you will be enlightened and would be better able to share from a scientifically solid base.

    November 16, 2010 at 10:32 | Report abuse | Reply
    • anonymous

      I believe you...and yes I have heard of the Framingham study but I think there is strong push (maybe the so-called medical writers) that are putting/spinning doubt in people's head against conventional medicine.The writers can state what they want on a blog because it is based on entertainment.Medicine is not an exact science and it is far from perfect. I want to see one of these anti-conventional medicine preachers go to a holistic quack when they are experiencing chest pain, high fever, coughing up blood etc.

      how a man suffering a myocardial infarction was cured by an herbal root only found in the mountains of Chile!!!!
      we never hear these stories......do we?
      because it is Bullshit...and these psuedo doctors just want your money like so many of you accuse big pharma and big insurance of........
      we never hear these stories......do we?

      the writers of this stupid blog probably have M.D's phone numbers. as in licensed medical doctors in their cell phone just in case because those are the people they are going to call when a true medical emergency arises....

      why don't they call the empowered ones? hahahahahahahahahahahahahahaha

      November 16, 2010 at 13:15 | Report abuse |
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.