Drug Information Needed

MH900215352‘Knowledge is power’ (attributed to Francis Bacon) however it can also be life saving. Often by personal desire or medical prescription we put chemicals into out system believing they are safe and that all will be better. Naive? Yes!

Your body, your job to find out all you can about a drug you are taking or will take. Where can you learn about the medication? Yes a doctor should explain about what chemical(s) you are given BUT they do not explain beyond you need “this should help”. Yes perhaps it will help but at what cost, what should you watch for, side effects, interactions contraindications to name a few.

Yes the pharmacist asks if this is the ‘first time’ you are taking this medication and hands you a few printed pages (very small font) info with your ‘order’. You do read these?

Resources beyond your doctor and pharmacist are definitely needed – greater insight is needed beyond what is written for the general population.

A few recommendations:

- Consumer Reports now has a dedicated section on ‘drugs’ that includes ‘off label’ uses and safety issues. Learn about splitting pills (some you can not), about generics and plenty more.

- A service of the U.S. National Library of Medicine and National Institute of Health is Medline Plus and Drug Information Portal

- Drugs. com

- WebMD

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Chronic Back Pain

IMG_2024This week’s blog aims to show that chronic back pain (CBP) is quite complex. This phrase is thrown around so frequently one might think it is one thing in everyone. I want to help you ID the difference between the major types of ‘chronic back pain’: mechanical and inflammatory. There are many causes for each type but I am not diving into that here.

Knowing the type and specific cause allows tailored care. Nearly a third of adults with CBP have an inflammatory cause. This can be a sign of serious inflammation elsewhere in the body.

Characteristics of mechanical back pain (ex. disc disease, nerve pinched) include:

  • any age although usually older
  • sudden onset
  • AM stiffness <30 minutes
  • no night pain
  • worsens with activity

Characteristics of inflammatory back pain include:

  • age younger than 40
  • slow onset
  • AM stiffness >30 minutes
  • nighttime pain
  • improves with activity

Screen Shot 2014-06-22 at 11.40.28 AMWhen you talk to your medical care provider explain your symptoms (ex. stiffness, numbness, location) and offer specific from the list above. If your back pain has lasted more than 3 months, feels stiff when you wake up and hurts the most when you rest perhaps it is caused by an inflammatory condition (ex. ankylosing spondylitis).

Again you are your best advocate!

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Labeled ‘Natural’ Means?

Must Americans (June, 2014 – Consumer Reports) equate the use of the word ‘natural’ on processed food labeling as equivalent to ‘organic’. This short blog is just a rudimentary base so please read everything on products, research on-line and if not there, call the number on the product, I have had to do so to gain needed specific information.

Americans spend over $40 billion on food a year. It would be nice if there was truth in labeling.

There is no specific or official requirement/definition that needs to be met to use ‘natural‘ nor is that product subject to examination. There is a loose concept that labeling natural implies no added artificial color but this is not verified.

To label ‘organic’ a verification of specific criteria is necessary. The process requires renewal and re-verification – not a one-time deal.


 - genetically modified organism -(esp. GMO seeds)

 - sewage

 - synthetic fertilizers

 - ionizing radiation

 - antibiotic use

 - growth hormone (ex. in bovine use of r-BST)

Other common buzz phrases:

‘free-range‘ only means animals had access to open space – the option – they need never have been outside!

‘no nitrates’ can mean natural nitrates were used. When we eat foods with preservative sodium nitrate our digestive tract converts it to sodium nitrite. Celery juice is used as a ‘natural’ sodium nitrate! While there is controversy over cancers’ relationship to nitrites, realize it is over the fact that no ‘direct’ proof exists for humans. Pretty hard to ever prove ‘behind a shadow of doubt’ a ‘direct’ cause and effect given the complex human body.

What is good for humans to eat is not a straightforward issue!

Read lots and keep current by using reputable websites and sources.



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NSAID Drugs = OTC Dangers

You, I hope,quiz11-14Q3 do not equate an over the counter (OTC) medication as being totally  safe? Read this blog very carefully, especially if you take non steroidal anti-inflammatory - NSAID meds like aspirin, naproxen (Aleve), Ibuprofen (Advil, Motrin). The FDA has a ‘black box warning’ on this class of drugs. This severe warning is issued as the step before pulling the drug off the market.

Americans use over 30 billion NSAID pills each year; think everyone has a few tablets nearby, airports, Costco and even school nurse. No surprise that 16,500 die 100,000 end up in hospitals from the most common side effect bleeding. NSAIDs can erode the esophagus and stomach linings and cause bleeding. Many high-profile athletes have developed kidney disease from overuse of these OTC ‘pain killers’. Specific organ damage may or may not cause symptoms, may effect some and not others.

Another very serious side effect is the triggering of an autoimmune response in some individuals with a genetic predisposition. Let me explain ‘leaking gut syndrome’ that occurs as NSAIDs can prevent food from being fully broken down, the bowels then start to leak amino acids which the body does not recognize, hence thinking it is foreign it launches an immune response. Immune illness like Asthma, Lupus, Thyroiditis, Celiac disease, Scleroderma, or Rheumatoid Arthritis (RA) can result.

Do not forget the well-known heard effect these OTC can have – please re-read my previous blog an NSAIDs’ negative heart effects.

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Gluten-Free & Carbs

Screen Shot 2014-05-29 at 3.48.22 PMI recently an email from my favorite wine bar saying they now serve ‘gluten-free bruschetta’. I am confident you have noticed the increasing number of gluten-free products? Gluten-free breads, pastas, pizza dough, crackers, sounds good but remember they all still a powerful sources of carbohydrates. Do not think gluten-free means fewer calories via carbs.

Avoiding gluten is not just for the 1% of US population with Celiac disease (small intestine can not absorption gluten). Celiac disease is a genetic disease.

Eating too much gluten is bad for anyone! It is metabolized (broken down) in the human body creating loads of ‘free radicals’. Free radicals are well established as causes inflammation and especially bad for our nervous system including the brain.

Yes almost everything contributes to the daily max. of ‘Carbs’. My recommendation is to try to keep the total daily carbohydrates to 60-80 grams unless you are a diabetic or on a special diet.

FACT : Fruit = lots of carb – your AM OJ – 12-ounces freshly squeezed has 34-36 grams of pure carbohydrates (9 tsp of pure sugar). If you have 2 glasses of orange juice, you’ve already consumed 72 grams of pure carbohydrate.

Think a bit more before putting anything into your body.

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Halitosis = Oral Malodor

Many of us have had bad breath (oral malodor) hopefully infrequently so here comes a quick blog with a few pearls.mouth

Temporary relief toothpaste/mouthwash does not get to the root of the problem. Masking the result of hundreds of bacterial species metabolizing in all our mouths is impossible. These bacteria digest our diet esp. proteins, after several smelly substances arise, hence bad breath and even deposits on our tongues’ surface.

Have you heard of any of these ‘folk’ cures? I found that eggshells (China), parsley (Italy), guava peels (Thailand), and cloves (Iraq) are in the ‘lore’. Sulfur is the culprit, a by-product of bacteria breaking down protein.

It is not always your mouth that is cause postnasal drip from your sinuses can result in a malodor. Another possible cause is a belch from an esophagus that is not closed well, bringing up stomach odors.

So let’s get to prevention – naturally good dental hygiene – especially flossing as a deterrent, along with brushing or scraping your tongue surface or chewing gum. Stimulation of saliva, which contains lysozymes, inhibits of bacterial growth.

Check for postnasal drip and take steps to stop it. Should you suffer from frequent belching have your esophagus evaluated.

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Know About Sunblocks

A recent Consumer Reports study of 20 popular sunscreen brands found that only 2 meet SPF claimed after water emersion. Some brands tested had as much as 40% less then advertised.

Screen Shot 2014-05-29 at 4.43.00 PM

Screen Shot 2014-05-29 at 4.38.52 PMBasics on sun protection –  protect your body against both UVA (long wave-cause wrinkles, skin cancer) & UVB (short waves). UVA rays are less intense than UVB but penetrate deeper  also going thru clouds and glass! UVA accounts for 95% of the rays that reach the earth.

SPF means Sun Protection Factor and refers ONLY to UVB ray blocking. An SPF 15 rating blocks 93% while a SPF 100 rating blocks 99%. Realize that NO sunscreen can block 100% of UV rays.

Sunscreens on the market can work in one of two manners: absorb the rays or scatter/reflect them before they can enter your skin. For a product to be labeled ‘broad spectrum‘ the FDA requires that a critical wavelength of at least 370 nanometers (nm) of rays be blocked.

POI  (point of information -not a Hawaiian dish of taro root)

UVA 400 nm – 320 nm

UVB 320 nm – 290 nm

Important ALSO is your actions:

- use a ‘broad-spectrum’ water-resistant sun protector and reapply every 2 hours/when sweat/when come out of water- cover up wherever you do not apply sunscreen

- increase water intake -not alcohol or soda

- avoid sun 10am -2pm sun -find shade!

Have fun in the sun!

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Diet and Depression

elm_cvr-lgI would never have guessed in my ‘out there’ imagination that I would find worthwhile medical information reading a fashion magazine while waiting for my car to be serviced!
I had not read nor for that matter seen a copy of “ELLE” for a very long time, never mind the June 2014 issue! Arizona is not LA or NYC!
Here was the scoop Harvard School of Public Health followed 43,685 women for 12 years looking at depression as it relates to diet. At the onset no one had a diagnosis of; nor were taking anti-depressents.
The researchers evaluated a ‘pro-inflammatory diet’ versus one that was not.

Let me share with you the diets – before the findings – as you will probably be able to guess outcome:

  • ‘pro-inflammatory’ diet – soft drinks, red meat, margarine, refined grains
  • ‘non inflammatory’ diet – red wine, coffee, olive oil, green and also yellow veggies

OK you guessed:

  • 29 a 41% of those on ‘pro-inflammatory’ diet were more likely to be depressed then those on non inflammatory diet.

I did not feel the need to verify this blurb shared with ELLE readers, it is so intuitive. Gluten is a well-known pro- inflammatory agent to human body especially the brain. Know I feel very responsible when blogging so yes here is a good link for more details!

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Dental Hygiene For Children

Prevention Worth Allot! Every day, thousands look for dental care in an ER, sadly almost always they do not receive the definitive care they need.

Nationally, in 2010 more than 2.1 million people, (adults mostly) show up in ERs with dental pain, double the number just a decade prior, according to the National Hospital Ambulatory Medical Care Survey. Nearly 80% of these ER visits are for common and preventable conditions like tooth abscesses and cavities.

Do not take for granted your or your child’s oral health. Most dental problems are preventable. Simple measures can make the difference and are in your hands.

A fluorinated water supply helps prevent decay however only 27 states (2010) had that. Scary statistic – a quarter of Americans over 65 have lost all their teeth!

In this blog I want to share a few pearls for children dental health.

Start with the young – ask dentist about ‘dental sealants‘ to protect your child’s back teeth from decay. Sealants last 5-10 years. Find and use a fluoride toothpaste if your child is older than 6, if younger use a ‘pea’ size amount of toothpaste and be sure they rinse well. Too much fluoride can cause white spots on permanent teeth.

Watch your child brush till you are sure they are doing it correctly.

MH900426501Be sure the dentist’s staff instruct both you and your child on proper technique so it is not just you ‘bossing’ your child. Be patient!

I will blog pearls for adult dental hygiene in the future especially since oral cancer is on the rise in the US.

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Macular Degeneration

The leading reason folks over 50 loss their vision even go blind is from age related macular degeneration (AMD).  The ‘macula’ is in back of the retina where vision is keenest, it allows us to filter damaging blue light from smartphones, computers, LED screens and increases our ability to handle glare. There are 2 types of AMD – @90% are dry (less damaging) or wet (growth of abnormal blood vessels in sub surface) worst type! AMD has caused visual impairment in an estimated 1.7 million of the 34 million Americans over age 65, according to the National Eye Institute.Screen Shot 2014-05-12 at 8.15.24 AM

As we age our body ‘degenerates’ almost everywhere including our eyes resulting in distortion of vision and loss of central vision and commonly in both eyes blindness can occur.

Yes age is a big risk factor but also race, ethnicity, smoking, sunlight exposure and diet! Less common in blacks and Hispanics with hereditary possibly playing a role. Dietary nutrients as a factor has been extensively studied (AREDS -1, 2)*.IMG_1838

A diet that includes foods high in these 2 chemical: broccoli, spinach green beans corn baby carrots would have to be monstrous in volume  daily amount (10mg lutein, 2mg zeaxanthin) necessary would have us eating daily  8 cups uncooked broccoli, 11 cups green beans -you get the point. Dietary nutrients as a formula (AREDS -1, 2)* is  prominently displayed on OTC preparations. Retinal specialists do not recommend any brand but suggest supplements of: Vitamin C, E, zinc, cooper, lutein and zeaxanthin must be included. You are already on a high antioxidant diet high in Vitamin C, E, B carotene, I hope.photo

 Ask your eye health professional if they have a ‘MPOD’ that measures the amount lutein/zeaxanthin in your eyes and an Optical Coherence Tomography (OCT) that maps the sub-surface of the retina to ID AMD. It would be good to find out before you loose central vision in one eye! So demand an evaluation.

*doses used in the study were 5 – 15 x the recommended daily dose (RDA). By now I hope you know the RDA is a dated figure.


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