CPR VARIATIONS HAVE SURPRISING EFFECTS

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CPR (Cardio Pulmonary Resuscitation) is the heroics employed when a person collapses and stops breathing.  CPR can take place anywhere, but is often required in hospitalized patients who have unexpected deterioration. Although CPR protocols are standardized among hospitals and doctors, how long to continue CPR is based on the judgement of the physician ‘running the …

XTANDI….NEW MEDICATION FOR ADVANCED PROSTATE CANCER APPROVED

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It is great to have new treatments for patients with advanced cancer, and XTANDI has just been approved for patients with progressive disease who have failed Taxotere (an IV chemotherapy medication). XTANDI (Enzalutamide) is very much like Zytiga…..a previously approved medications for advanced prostate cancer.  The medication is a pill that maximally suppressed all testosterone …

ASPIRIN PREVENTS PROSTATE CANCER RECURRENCE

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A recent study of 6000 men with localized prostate cancer demonstrated a marked reduction in cancer recurrence with the use of aspirin.    A 57% reduction in recurrence was noted. This simple measure is worth employing in anyone with a history of prostate cancer, so tell someone you know who has had either surgery or xray …

HANTAVIRUS FOUND AT YOSEMITE NATIONAL PARK…WE’VE SEEN AT GRAND CANYON BEFORE

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Hantavirus is an infection caused by inhaling rat feces contaminated with the virus. This virus had been found a The Grand Canyon before and recently reaappeared at Yosemite Park recently, with two cases reported among people staying at their Tent Cabins. Although there are no current reported cases in Arizona, this is a good reminder …

PRIMATENE MIST IS BACK….WITH A NEW NAME…..ASTHMANEFRIN!

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Yes….good old Primatine Mist has returned…and it’s been a long time. It was pulled off the market because it contained CFC’s, the propellant that causes a hole in the ozone. Asthmanefrin is the new product takings it’s place, and it is an inhaler of epinephrine. Essentially, this is a rescue inhaler for asthmatics and although …

BARIATRIC SURGERY WORKS TO PREVENT DIABETES—NO SURPRISE

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Type 2 diabetes is due to a relative lack of insulin effect, which is often connected to an individuals weight. We all know that being overweight is a risk for developing diabetes and that losing weight, therefore, should prevent the development of diabetes. In a large study from Sweden, recently published in the New England …

DEFIBRILLATOR WIRES CALLED DANGEROUS–MAY FAIL

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A recent study of implanted defibrillator heart devices, also known as an AICD,  calls into question the safety of the wires (leads) on St. Jude Medical’s Durata and Riata implanted devices.  This a device meant to ‘shock’ the heart out of dangerous or life-threatening arrhythmia.  (It is not a pacemaker…a much more commonly used device.) …

ACTOS GOES GENERIC…..WITH COMMENTS ON SIDE- EFFECTS NOTED

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ACTOS (Pioglitizone) is a medication for Type 2 Diabetes that works by making your own insulin work more effectively in muscle, fat, and liver tissues.   It is a very effective and tolerable medication, but there are some controversies. It has been available for over a decade and is now going generic.  Since this medication is …

BIRTHDAYS FROM 1945-1965 NEED HEPATITIS C SCREENING

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The CDC just released recommendations for Hepatitis C screening for people in the US born during the above years. There is a 3% risk of such ‘hidden’ infection in the US population, and identification and management of risk and treatment is now recommended, as a one time screening test offers the posibility of identifying such …

IN THE BIG PICTURE….ASPIRIN HELPS PREVENT CANCER

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A new study of 100,000 patients shows a small, but significant reduction in cancer in patients who take daily aspirin. There was a 16% reduction in aspirin-takers…..mostly affecting colon and intestinal tract cancers, liver cancer, and bladder cancer. This benefit is statistically small, but fits in with the larger picture for aspirin as a beneficial …

YOU’VE HEARD OF THE PLACEBO EFFECT…..NOW…THE NOCEBO!

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There is a fascinating article in the Sunday NY Times today about a little know doppleganger to the placebo effect….and it’s called the NOCEBO effect. http://www.nytimes.com/2012/08/12/opinion/sunday/beware-the-nocebo-effect.html In the placebo effect, the power of positive suggestion can make an inert medication have beneficial effects, but the contra-effect is also possible; by negative suggestion, we can see …