MATURE MATTERS (C) – Page 5

OSTEOPOROSIS AND TREATMENT SIDE-EFFECTS * Jaw Osteonecrosis

THE GOOGLE SEARCH FOR FOSAMAX AND OTHERS BRINGS FORWARD MANY PAID ADVERTISING LAW FIRMS REGARDING LAWSUIT INVITATION AND CONSULTATION REGARDING THIS CONCERN.

WWW.CASTMD.COM LOOKED TO SEE IF THIS IS A PROBABILITY OR POSSIBILITY FOR LITIGATION AND JURY AWARD. WHAT DOES SOME OF THE LITERATURE SAY?

MANY COMMENTS ARE BEING MADE OF THE RISK OF TAKING OSTEOPOROSIS MEDICATION FOR PREVENTING BONE LOSS, AND REBUILDING BONE. MOST, IF NOT ALL OF THE CONTROVERSY IS RELATED TO JAW BONE LOSS, Aurogra no prescription required OSTEONECROSIS OF THE JAW. THE CONTROVERSY ALSO RELATES TO THE POSSIBILITY OF THE MEDICINES CALLED can you buy stromectol over the counter "BIPHOSPHONATES" SUCH AS FOSAMAX, AREDIA, AND ZOMETA, AND POSSIBLY OTHERS.

OSTEONECROSIS OF THE JAW IS A DEVASTATING CONDITION. THE BONE LOOKS AND ACTS INFECTED. MOST CASES COME FROM THE ILL EFFECTS OF INFECTION DUE TO DENTAL PROBLEMS OR DENTAL SURGERIES. MANY CASES, IF NOT ALMOST ALL, COME FROM THE USE OF INTRAVENOUS USE OF THE MEDICINES, WITH CASES OF METASTATIC BONE CANCER.

MERCK PUBLISHED THEIR CONTROLLED TRIALS OF OVER 17,000 PATIENTS, WITH 10 YEARS' DATA USING FOSAMAX, SHOWING NO REPORTS OF ONJ. IN POST-MARKETING USE, MERCK ESTIMATES BY MARCH 31, 2006 THE CUMMULATIVE RISK FROM ALL SOURCES OF CAUSE WAS ESTIMATED AT LESS THAN 1/100,000 PATIENT-TREATMENT YEARS.

CURRENTLY, THE NATIONAL OSTEOPOROSIS FOUNDATION SEES THE RISK AS RARE IN PERSONS TAKING ANY ORAL FORM OF THE MEDICINE FOR OSTEOPOROSIS. THE FOUNDATION ALSO STATES THAT IT BELIEVES THAT THE RISK OF FRACTURES AND BONE LOSS IS MUCH GREATER TO MOST PATIENTS THAN ANY RISK OF DEVELOPING THE ONJ PROBLEM DUE TO THE MEDICINES FOR OSTEOPOROSIS.

PLEASE, IF YOU ARE ON A MEDICINE FOR REDUCTION OF OSTEOPOROSIS RISK, A BIPHOSPHONATE, TALK WITH YOUR DOCTOR AND STAY INFORMED. HOPEFULLY THIS HAS ASSISTED YOU IN YOUR DECISION TO BE AND STAY HEALTHY.

THE PRESTIGIOUS NEW ENGLAND JNL OF MED WILL SPEAK TO THE ISSUE THIS NEXT WEEK, I AM ANTICIPATING.

BABY BOOMER BREAKDOWN MEDICAL CLINIC & OXYGEN BAR *** A Health Screening Survey A MEDICAL PARODY

HEALTH SCREENING SURVEY

ARE YOUR HEMORRHOIDS HURTIN’ FROM TOO MUCH HARLEY RIDIN’

ARE YOU DRINKIN' MORE PRUNE JUICE THAN BEER

ARE YOU ASKIN' FOR DIRECTIONS CUZ YOU CAN’T SEE

ARE YOU PALPITATIN’ WHEN MAMA ISN’T EVEN THERE

ARE YOU CREAKIN’ MORE THAN THE FLOOR

ARE YOU BEDDIN’ DOWN BEFORE THE ‘LATE SHOW’

ARE YOU WONDERIN' ABOUT BUYIN’ THE RV

ARE YOU BUYIN' CROAKIES FOR YOUR READIN’ GLASSES

ARE YOU INVESTIN' IN FLAX AND FIBER COMPANIES

ARE YOU DRIBBLIN’ UNTIMELY INSTEAD OF BASKETBALLS

ARE YOU SHOPPIN’ WALMART AND GETTIN’ LOST

ARE YOU BORN BETWEEN '46 AND '64

IF YES

COME TO THE NEW AND UNIQUE

“BABY BOOMER BREAKDOWN

MEDICAL CLINIC & OXYGEN BAR”^©

(a select pathway)

(Based on the Vegas Oxygen Bars only with Medicare coverage)

YOU’LL LOVE THE TALKIN’

WITH LITTLE WALKIN’

SIP YOUR JUICE

AND PLAY SOME FOOS

NOT ONLY MEDICARE D CLASSES

BUT KENO AND LOTTO FOR THE MASSES

COME ONE COME ALL

BEFORE YOU TAKE THAT NEXT FALL

CALL FOR APPOINTMENTS NOW…BEFORE YOU FORGET

HEADACHE – MIGRAINE HELP YOUR DOCTOR HELP YOURSELF

MANY PATIENTS HAVE HEADACHES. SOME PATIENTS HAVE MIGRAINE HEADACHE. THERE ARE CONSENSUS INTERNATIONAL CRITERIA FOR MIGRAINE HEADACHE. THEY ARE:

RECURRENT, EPISODIC, LENGTH 4 TO 72 HOURS, QUALITY OF UNILATERAL OR THROBBING OR MOTION WORSENING OR MODERATE TO SEVERE RATING – MATCHED WITH NAUSEA, VOMITING, LIGHT-SENSITIVITY OR SOUND SENSITIVITY.

WORRISOME TYPES OF SYMPTOMS TO TELL YOUR DOCTOR ARE:

SYSTEMIC DISEASES SUCH AS DIABETES, NEUROLOGIC CONCERNS, SUDDEN ONSET, ONSET OVER 50 YEARS OLD OR UNDER 5 YEARS, PATTERN OF HEADACHE CHANGES.

OTHER THOUGHTS TO REVIEW BEFORE TALKING WITH YOUR DOCTOR ABOUT YOUR HEADACHE ARE THE FOLLOWING:

FIRST, WORST, FREQUENCY, DIFFERENCE, IMPROVED BY, WORSENED BY, ONSET, RADIATION, QUALITY OF PAIN, PAST MEDICAL HISTORY, CURRENT PRESCRIPTION DRUGS, OTC DRUGS, HERBALS, AND WHOLISTIC MEDS, ALONG WITH ANY INJURY OR TRAUMA BOTH RECENT OR IN THE PAST.

NEW MEDICINES EXIST FOR MIGRAINE HEADACHES BOTH FOR TREATMENT AND PREVENTION. TALK WITH YOUR DOCTOR ABOUT YOUR OPTIONS AND A PLAN OF ACTION.

BE HEADACHE FREE

PHARMACEUTICAL COMPANIES AND ADVERTISING FOR ILLNESS

WITH THE RECENT EXPLOSION IN MASS MARKETING AND ADVERTISING FOR PHARMACEUTICAL MEDICINES AND ILLNESS, DO YOU THINK IT IS MORALLY AND ETHICALLY CORRECT?

WITH WWW.CASTMD.COM SHOWING THE RECENT EXPLOSION OF ONE EXAMPLE OF ILLNESS MADE PROFIT, MAYBE THE "OLD" DAYS OF PHARMA ADVERTISING SHOULD BE RETURNED. THAT IS – WHEN LIMITED ADS COULD BE RUN.

THUS THE QUESTION: SHOULD WE AS CONSUMERS BE BOMBARDED WITH ILLNESS ADS AND DRUG THERAPIES THAT MAY OR MAY NOT HELP? IT DOES CREATE HIGHER COSTS FOR THE MEDICINES THAT MANY PATIENTS NEED.

SOCIALIZED MEDICINE LIKE MEDICARE AND MEDICAID PROGRAMS WILL CONTINUE TO LIMIT ACCESS AND COSTS WITH SUCH BACK ROOM ADS GOING ON TO RUN UP COSTS AND USAGE.

VOTE IN THE CURRENT READER POLL IF YOU WISH.

DIARRHEA -TOXIC EPIDEMIC STRAIN – infection – diarrhea – ANTIBIOTIC OVERUSE ABUSE: DO YOU REALLY NEED THAT ANTIBIOTIC…DO YOU REALLY WANT IT ?

CLOSTRIDIUM DIFFICILE IS THE MOST COMMON IDENTIFIABLE REASON THAT PERSONS GET ANTIBIOTIC ASSOCIATED DIARRHEA (CDAD). THIS IS A GRAM POSITIVE ANAEROBIC BACILLUS.

THIS EMERGENCE OF A HIGHER TOXIC, MORE RESISTANT STRAIN (B1/NAP1) IS THOUGHT TO BE DUE TO THE WIDESPREAD USE OF FLOUROQUINOLONES, POTENT ANTIBIOTICS USED FOR LESS SERIOUS INFECTIONS AND EVEN VIRAL INFECTIONS, WHEN PATIENTS DO NOT REALLY NEED ANY ANTIBIOTIC. USE OF TIER TWO AND THREE CEPHALOSPORINS, AMPICILLIN, CLINDAMYCIN OR THE FLUROQUINOLONES HAVE LED THE PROBLEM OF CDAD.

JUST LIKE WITH METH OR OTHER "DOA" SKIN POPPING – MRSA (METHICILLIN RESISTANT STAPH A. INFECTIONS) CONTINUES TO PLAGUE THE INFECTIOUS DISEASE COMMUNITY AT ALL LEVELS.

SO HOW HAS THIS PROBLEM OF SEVERE DIARRHEA CHANGED?

IN THE PAST, JUST STOPPING THE ANTIBIOTIC WOULD STOP THE DIARRHEA IN A FEW DAYS. OVER THE PAST YEARS, WE HAD TO START TREATING THE INFECTIOUS DIARRHEA WITH ANOTHER ANTIBIOTIC TO KILL THE C. DIFF. BUG FROM THE BOWEL.

NOW, THE ROUTINE ANTIBIOTIC OF METRONIDAZOLE IS LIMITED IN ITS EFFECTIVENESS, THUS MAKING THE DOCTOR GO TO THE LAST RESORT ANTIBIOTIC OF VANCOMYCIN, A VERY STRONG, EXPENSIVE, AND POTENTIALLY DANGEROUS LAST RESORT.

WHAT CAN HAPPEN TO THE PATIENT? INITIALLY, BAD DIARRHEA. IF IT WORSENS, EVEN FULMINANT C. DIFF. ASSOCIATED DIARRHEA CAN BECOME TOXIC TO THE COLON, CAUSE SHOCK, AND EVEN COLON RUPTURE. AT THIS STAGE MORTALITY APPROACHES 50% OF PATIENTS.

THE CENTERS FOR DISEASE CONTROL (CDC) ARE EVEN RECOMMENDING THE VANCOMYCIN AS A FIRST LINE MED FOR SOME HOSPITALS FOR CERTAIN BACTERIA. NO ROOM TO WIGGLE HERE…

ABOUT 1/3 OF PATIENTS WITH ONE OCCURRENCE GET ADDITIONAL REOCCURENCES, THUS ACCELERATING THE PROBLEM OF LIMITED OR NO THERAPY LEFT IN THE DOCTOR'S MEDICAL BAG.

THUS THE STORY…TOO MUCH USE OF ALL ANTIBIOTICS HAS LED US DOWN THIS DANGEROUS PATH FOR PATIENTS. RECENTLY, A REPORT SUGGESTED WAITING A DAY OR TWO ON ALL ANTIBIOTICS FOR CHILDREN'S "RED EAR" POSSIBLE INFECTIONS. MANY ARE VIRAL.

ALL IN ALL, CAUTIOUS AND JUDICIOUS USE OF ALL ANTIBIOTICS IS A MUST. PATIENTS MUST ASSIST THEIR PHYSICIAN ON THE DECISION TO MAYBE CAUTIOUSLY WAIT…VERSUS THE DOCTOR VISIT MANTRA REQUESTING: "I WANT AN ANTIBIOTIC."

BREAST SILICONE IMPLANTS released by FDA — DID WE LEARN ENOUGH OR STILL LEARNING

OVER 14 YEARS THE SILICONE IMPLANT STORY HAS BEEN ON HOLD. BUT THE MANUFACTURERS HAVE LOBBIED TO REGAIN THE STRONG APPROVAL. DESPITE THE NEW IMPLANTS UNDER A GUIDELINE OF FURTHER STUDY, THE IMPLANTS CAN BE USED. ACTUALLY, THEY HAVE BEEN USED OVER THIS PERIOD FOR CANCER OR TRAUMA INJURIES FOR RECONSTRUCTION ALL ALONG.

THE GROWTH IS EXPECTED TO BE A DOUBLE DIGIT NUMBER FROM NOW ON, UNDER TEN PERCENT A YEAR OVER THE PAST YEARS. THE MARKET IS HUGE – GREATER THAN ONE-HALF BILLION DOLLARS PER YEAR.

THE NATIONAL ACADEMY OF SCIENCE'S REPORT REACHED A "NO CONVINCING EVIDENCE" SUMMATION OF THE PROBLEM OF LEAKAGE, RUPTURE, OR DISINTEGRATION CAUSING AN INCREASE OF OTHER DISEASES SUCH AS LUPUS, IMMUNOLOGICAL DISORDERS, OR CANCERS.

IN ONE STUDY HOWEVER, OF NEARLY 1000 WOMEN, ABOUT ONE-THIRD HAD TO HAVE REPLACEMENT OR REMOVAL OF THE "DEVICE." OF OVER 300 WOMEN, HAVING MRI STUDIES, SHOWED 69 PERCENT WITH LEAKAGE AT ONE POINT.

OVER 260,000 WOMEN HAD BREAST IMPLANTS LAST YEAR WITH THE SALINE-FILLED DEVICES, NOT THE SILICONE TYPE. NEW RULES ONLY ALLOW WOMEN OVER AGE 22 YEARS OR THOSE NEEDING BREAST RECONSTRUCTION TO USE THE DEVICES.

SILICONE DEVICES HAVE BEEN USED FOR ABOUT THREE DECADES NOW. THE "HOLD" WAS AFTER MANY WOMEN HAD LEAKAGE, DEFORMITY, PAIN, AND ILLNESS WHEN THE DEVICES FAILED.

MANY WOMEN HAVE CONTRACTURE, FALLING, SCAR TISSUE, AND DEFORMITY.

ONE COMPANY IS REPLACING RUPTURED DEVICES AND PAYING FOR THE SURGERY AND NEW DEVICES. HEALTH INSURERS DO NOT ROUTINELY COVER SUCH DEVICES OR SCANS TO CHECK FOR LEAKS, RUPTURES, OR OTHER PROBLEMS.

SO – WHERE ARE YOU ON THE SUBJECT…..TIME TO READ THE "SEQUOIA SEED."

(some portions adapted from SeaTim-FDA contributions)

METH BODY PACKIN’ ELMO EXTREME – BUSTED IN COLORADO

One of the best stories for the holiday season, is the recent bust of the California to Colorado methamphetamine bust.

It was reported by the DEA in Colorado, the drug ring was using the Sesame Street character "Elmo" for the meth "mule."

None other than "Tickle Me Elmo Extreme" was apprehended with the pre-street loot !

Just like meth, able to cause the toxic agitation, convulsions, repetitive movements – the Elmo Extreme character laughs, rolls, and hits the ground uncontrollably…or until it shuts off.

Unfortunately, the infamous "war on drugs" has not shut off the resources, money, or mules for meth, cocaine, crack, crank, weed, or other drugs of abuse – especially at the southern US border. With the Afghanistan poppy crop at one of its highest production years, the disconnect of drug curtailment and drug support continues within our own government. And that is a "mind stretch."

IMMEDIATE CARE urgent care CLINICS – WHY WAIT IN THE ER MINOR EMERGENCY WALK IN URGENT CARE INJURY ILLNESS – WORKER OCCUPATIONAL CARE – DRUG-FREE WORKPLACE TESTING – MRO REVIEW – SPORTS CARE – FAMILY CARE – URGENT CARE

OVER THE PAST DECADE AT LEAST 400 HUNDRED OR MORE EMERGENCY ROOMS HAVE CLOSED
GREATER 120 MILLION PEOPLE WERE TREATED IN ERS A FEW YEARS AGO – GROWING
GROWTH IS AN ALARMING 20-30% EVERY 5-10 YEARS
COMPLICATED PATIENTS CONTINUE TO GROW – AIDS, TB, CANCER, ADVANCED DIABETES, STROKE, HEART DISEASE COMPLICATIONS, TRAUMA, SHOOTINGS, DRUGS OF ABUSE
NEARLY 50 MILLION AMERICANS HAVE NO INSURANCE OR LIMITED ACCESS

click on link – http://www.nimcc.com

WHAT TO DO:

BRING A LIST OF YOUR ALLERGIES, MEDICATIONS, PAST MEDICAL HISTORY, EKG IF YOU HAVE IT, AND NAMES AND PHONE NUMBERS OF SIGNIFICANT OTHERS, AND INSURANCE INFO IF IN DATE

GO TO IMMEDIATE CARE IF UNSURE – IF NOT SEVERELY ILL OR INJURED

IF YOU MUST GO TO THE ER, GO IN THE MORNING…LESS BUSY USUALLY

WHEN IN DOUBT – IF ILLNESS OR INJURY IS SEVERE…CALL 911

TELL THE TRIAGE NURSE YOUR SYMPTOMS…ALL OF THEM

KNOW THE CREDENTIALS OF YOUR DOCTOR…EXPERIENCE

IS THE EMERGENCY PHYSICIAN RESIDENCY TRAINED IN EMERGENCY MEDICINE

IS THE EMERGENCY PHYSICIAN BOARD-CERTIFIED IN EMERGENCY MEDICINE

BRING AN ADVOCATE TO WATCH, LISTEN, AND ASK QUESTIONS – ESPECIALLY IF VERY ILL

MANY IMMEDIATE CARE CLINICS CAN TAKE CARE OF MANY ILLNESSES AND MINOR EMERGENCIES – CALL IF UNSURE

MANY IMMEDIATE CARE CLINICS CAN STABILIZE AND TRANSFER TO THE HOSPITAL

MANY IMMEDIATE CARE CLINICS HAVE BOARD CERTIFIED ER DOCS AND ER EXPERIENCED DOCS

KNIGHTLY POETRY

THERE ONCE WAS A COACH NAMED KNIGHT
ALWAYS COACHING HIS WAY TO FIGHT,
TRUTH A CHANCE
WITH VERBAL DANCE.

WARNING OH WARNING
FACIAL SCOURNING,
PLAYERS LOOK
FORCE THAT SHOOK.

THE TEACHER, THE MENTOR,
THE COACH, THE TORMENTOR,
LEADING WINNING EDGE
CRUSH SOUND POUNDING SLEDGE.

FOR MONEY GAINS
DISCORD REMAINS,
YOUR SONS OF ROUNDBALL
WATCH PUBLIC CALL

TECHNICAL – AT LEAST A FOUL
PLAYER’S REACTION DISEMBOWEL,
FOR AGES OF THE TRUE KNIGHT
COURAGE, VALOR, HONORABLE FIGHT.

BUT OF THIS KNIGHT
OPPORTUNE BRIGHT,
BUT DIMS WITH AGE
NOW MINIMAL SAGE…

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