BITTERSWEET MEDICINE

Consequences of Anxiety Conditions Dangerous

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A lot of people with generalized anxiety disorder galvanize more easily than others. They lean to experience fagged, have difficulty concentrating, and occasionally experience depressive disorder, too.
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March 16th, 2014 at 4:28 pm

Posted in Family Medicine

How to Fall Asleep With No Medications

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For months at present, these Breathe Rights have been on the marketplace. These brief strips will assist you sleeping better as they loose up your adenoidal passage. They let you be over-crowding free, by without more snore. It’s never easygoing to fall deceased with a unaired nose and fluid eyes. Fluid eyes commonly cooccur with a stuffy nose. There’s something around the way this good is produced, applying a exceptional kind of compromising band, which lets for your every side of nose to gather up. With every position of your nose gathers up, you’re at present able to nap better. The snore is as well subside.
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February 16th, 2014 at 1:53 pm

Posted in Family Medicine

Vitamin D Defficiency Is Much More Dangerous

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Men of science have discovered that cholecarciferol regulates more than two hundred genes, including ones associated with carcinoma and autoimmune disorders like disseminated multiple sclerosis — a breakthrough that demonstrates how dangerous vitamin D insufficiency can be.
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February 16th, 2014 at 1:50 pm

Posted in Family Medicine

FDA Approved Weight Loss Shorts

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New inoculations versus fleshiness that could allow corpulent sick people to consume as much debris food as they like and still lose free weight are in maturation. As accounted in the daybook Of Animal scientific discipline and bioengineering, a study team conducted by MD. Keith Haffer, of U.S.A. firm Braasch Biotech, have both acquired fresh shots that could inspire the therapy of corpulent individuals
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January 10th, 2014 at 7:33 pm

Consequences You Could Experience When Drug Withdrawing

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Diazepam is assorted as a schedule 4 medication. It is distributed by prescription exclusively, and is considered to be black-market smuggled with no a right prescription. Read the rest of this entry »

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January 10th, 2014 at 7:30 pm

Posted in Family Medicine

Overrated Medications Series: No. 5 Antibiotics for Sore Throats

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I probably should have started with this topic in my series on overrated medications.  The number needed to treat, even if the patient has streptococcal pharyngitis, is about 1 million, higher still if they don’t have strep throat.  This makes the doctor using Crestor in primary prevention for patients with normal LDL and elevated hsCRP look like a genius. Read the rest of this entry »

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May 31st, 2010 at 10:17 am

Posted in Family Medicine

Overrated Medications Series: No. 4 Cholinesterase Inhibitors for Alzheimer’s Dementia

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Alzheimer’s dementia is a tragic disease and there is no effective treatment for it.  Families watch their loved ones become more confused, initially suffering short-term memory loss, then long-term memory loss and finally becoming withdrawn and requiring total care.  Eventually patients stop eating and drinking.  Along the way many patients become irritable, even violent.  Others are docile.  Alzheimer’s dementia is a terminal illness and care is palliative.  Doctors want to help, offer some hope to families and patients.  For that reason they prescribe cholinesterase inhibitors. Read the rest of this entry »

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April 22nd, 2010 at 10:14 am

Posted in Family Medicine

See Our Country’s Future: A Look at Massachusetts Healthcare

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Nicole Kurokawa writing at the Independent Women’s Forum may prove prescient.  She says Massachusetts health care reform is very similar to what we will soon face on a national scale.  She examines recent events in Massachusetts where the major insurers facing price controls and having suffered $100 million dollar losses are refusing to issue new policies.  Read the rest of this entry »

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April 10th, 2010 at 10:13 am

Posted in Health Care Reform

Overrated Medications Series: No. 3 Bisphosphonates To Prevent Hip Fractures

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X-Ray of Hip Fracture

X-Ray of Hip Fracture

Bisphosphonates are well-known among post menopausal women. Examples of these drugs are Fosamax (Alendronate), Boniva (Ibandronate) and Reclast (Zoledronic Acid). These drugs treat osteoporosis and increase bone density by inhibiting the resorption of bone by osteoclasts. By increasing bone density, they reduce hip fractures and vertebral fractures. The drugs do work. Like the other medications reviewed in this series, they do not live up the hype surrounding them and do not work as well as their relative risk reduction would indicate. The absolute risk reduction tells their true effectiveness, which is small. Furthermore, physicians often prescribe them to women with osteopenia, a less severe form of bone thinning. For osteopenia their effectiveness is even less in preventing fractures, probably zero. Bone density is usually reported as a T-score, a measure of osteoporosis given as the number of standard deviations above or below the mean for a healthy 30-year-old adult of the same sex and ethnicity as the patient. Read the rest of this entry »

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April 6th, 2010 at 10:07 am

Posted in Bisphosphonates

Overrated Medications Series: No. 2 Statins For Primary Prevention of Cardiovascular Diseases

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708px-rca_atherosclerosis.jpg-w=300&h=253Facts are stubborn things, but statistics are more pliable. — Mark Twain

This post is blasphemy.  Fortunately I am in good company.  I offer nothing new here for well read physicians and patients.  I have no original ideas to present.  My hope is to help spread the word.  I, like most primary care physicians, had the “statins are good, add them to the drinking water” mentality drilled into my head at lectures paid for by Big Pharma.  Eloquent cardiologists with rapier wit expounded on the studies while I dined on filet mignon and pinot noir.  I left the lectures after hearing impressive risk reduction numbers like 33% for cardiovascular death and 22% for all cause death.   What I didn’t learn was the difference between the relative risk reduction and the absolute risk reduction and concepts like number needed to treat.  Like most family physicians (and other specialists I suspect) I never read the actual studies.  I just accepted what the speakers paid for by Big Pharma told me.  I woke up when I read two books which I recommend to you: Worried Sick by Nortin Hadler and Overdosed America by John Abramson.  If you can let go of your emotions and be objective these books are splendid road maps for skeptical patients that are proactive for their own health. Read the rest of this entry »

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March 26th, 2010 at 9:56 am

Posted in Family Medicine

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