vol2 - Page 292
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I in my patient 9 who have Kaposi's sarcoma, and are ˘_ylng of
• 2 thls illness And %hey ask me about some of the questions
3 like what will these drugs do and what if I don't take its
4 and so on, and isn't their a randomized study. And the
5 answer is that if there's indication for treatment, it _
@ _he_experlment _0 not treat is tolerable only in the
7 _rad-itlon of =y people in gas chambers, and in prison
, 8 camps°
9 One cannot wi_hho!d treatment that ts
10 palliative or life-saving for people who are dylng, And
11 one cannot run the kind of studles to wlthhold these kinds
12 of medications.
13 So, _ tell my patients that I ca_t tell them
I
_ 14 whether Velban or Vincis_rine is goln_ _o make their tumor
15 go away, and nobody else can. All we can say _s that
18 within ou_ experience it seems to help, but we're not going
17 to randomize people to _e_ sugar water instead of Velban.
_8 _n _he same way, _ c_n_ take.people who need
19 chemotherapy when X have an effacE.lye anti-nausea, and by
20 my clinical experiences not by my z'esearch experience, and
21 say well some of you w_ll _et placebo and you can.throw up
22 and maybe not come back for your treatment and X'II let 7o_
23 _n on _he sec_e_ _he next _Ime _ha_ you _eally got placebo,
24 _ don't think _hat_s e_hlcal. _ don't thank
25 it's moral, _ think i%_s inhumane °_o be honest.
-k
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