Question: I have heard some things about cholesterol drugs in the news recently. I take one, and so does my husband. Are they safe?
I hear this question often. I asked about the use of cholesterol buster drugs, also known as statins, in my initial history for new patients. It is always important to know a patient's drug profile in a health history, but statin drugs have specific impact on what I do because they have musculoskeletal effects.
Growing the profession by embracing a new philosophy
Robert A. Hayden, D.C., Ph.D., spent 20 years in critical care nursing, which he calls a team sport. "All RNs understand that they work together as a team. In Chiropractic, we are in separate clinics and more than 70 percent are single-doctor practices," he says. "That can foster a competitive spirit among clinics."
Charlotte fell one day while walking to her car, landing painfully on her side on a concrete curb divider. The back pain that followed did not go away. In fact, it began to crescendo into sciatic radiation down the left leg along the side of the calf and into the foot. After a month of suffering with this pain, she came to the clinic.
Her physical exam revealed exquisite tenderness over the middle to lower lumbar spine such that I could not palpate the muscles deeply. There were significant muscle spasms in the lumbar spine. Movement was difficult with much guarding when trying to walk. The orthopedic and neurological exam showed evidence that she was getting significant pressure on the fifth lumbar nerve.
Does knowledge that the scandal-ridden Internal Revenue Service (IRS) is the enforcer for Obamacare and will have access to your medical records inspire confidence? How about the report this week that the IRS seized 60 million medical records in California, including those of all state court judges?
I want to introduce you to Amy. She is in her early 30s, working in an office where she does a lot of computer work, data entry, customer service, and other tasks associated with small office work. Her hours are long, but the nature of the work is such that there are seasonal surges with steady work in between. She is a happy, pleasant and well-adjusted young lady, married with two children. She writes magazine articles and sings for enjoyment.
She came to see me because she had pain in the left side of her chest, radiating down the left arm to the fingers. The arm pain was associated with numbness and tingling. The condition caused her some anxiety because it was recurrent. This pain and numbness had begun the day before she came to see me, but it was far from her first episode. She even sometimes awakens with one or both arms numb and tingling, and this is particularly true of her left arm when she sleeps on her left side.
Question: I am confused about this "morning after pill." What is the controversy about? Should I discuss this with my teenagers?
The drug is known as PLAN B One Step. It differs from the original Plan B emergency contraceptive in that it uses only one pill instead of the two doses required in Plan B. It uses a lower dosage of progesterone, so the side effects are smaller.
Plan B One Step is not the same as RU-486, the abortion pill. While RU-486 induced abortion by preventing fetal development, Plan B One Step prevents fertilization or implantation, depending on which study you read. It is 89% effective in prevention of pregnancy when taken up to 72 hours after unprotected sex, or 95% if taken within 24 hours, but does not induce abortion if you are already pregnant. It is not as effective as regular contraception. It is designed for emergencies only, hence the name.