Question: I have a lot of headaches, so I take a lot of Tylenol. How safe is it? It's an over-the-counter drug, so wouldn't it have passed the FDA approval process?
I do a lot of DOT physicals in the practice. One commercial trucking school student I examined was a twenty-five year old Caucasian male who looked very healthy in most respects. His urinalysis showed that his kidneys were leaking blood and protein in significant amounts. His blood pressure was in the 220/110 range, and he felt fatigued. He was having to urinate two to three times hourly and was craving water. When I probed his history, I found that because he suffered from chronic sinusitis, he had taken Tylenol Sinus formula three times daily for about a year and a half. His kidneys were ruined. I called a nephrologist for him from the trucking school parking lot.
Rhonda once visited with me in the clinic a couple of times every month with lumbar pain. She was active physically, and stressed, so she needed some maintenance work. She took a six-month hiatus from care before I saw her the next time. She was a different person. She was relaxed, de-stressed, flexible, happy, and about 40 pounds lighter. What had Rhonda done to create such a metamorphosis? She had found a yoga/Pilates class, and she continued her stretching at home. She looks 20 years younger than her stated age.
Jokingly, I mentioned to some of our patients for the past couple of weeks that the Christmas shopping season is good for our business. It increases patient volume because people frequently hurt themselves at this time of year. Shopping, walking across concrete floors, getting in and out of the car, putting heavy packages into trunks, assembling swing sets, cutting down just the right Christmas tree, leaning over the stove while cooking, etc., stresses our backs, shoulders, necks, hands, knees, and feet. Sitting for three hours at a time while watching football games can amplify back pain. Add to that the notion that we are usually in a hurry and crazed during the holiday, and we are all the more prone to injury.
Question: Is there a provision in the Affordable Care Act (Obamacare) that forces doctors to ask about gun ownership as part of a health history? A pediatrician told me it is included in Obamacare.
In the wake of Newtown, several noted pediatric specialists have called on their colleagues to ask parents about gun ownership and safe storage of firearms as a part of their medical history for children. The assumption is that owning a gun is a health risk to all of the family in the residence. The American Academy of Pediatrics also recommends that doctors talk with families about safe gun storage.
Robert A. Hayden, DC, PhD, FICC
The election looms. We are being bombarded on paper, on television, on radio, and maybe in personal visits with ideas, pleas, promises, slogans, talking points, etc. It's like a movie that you would like to fast-forward to the end to get past the slow, laborious parts to see how it ends.
The health care issue is not the driver of this election, but it is a point of concern to the main issue, the economy. I have written on related topics a couple of times already, but I read a survey of doctors' opinions that deserves repetition and amplification. Please bear with me one more time. After the election, maybe this awful subject will be less relevant, and I can move back to something clinical.
With the holidays here, families are gathering in one place to celebrate from distant places-- exposing family members to germs from across the country. We can expect colds and flu to make the rounds. Flu vaccine—the most effective way to prevent the flu, according to the Centers for Disease Control and Prevention—remains a controversial subject. Why?
First, most flu vaccines still contain thimerosal, a mercury-based preservative. This preservative is found in many household and over-the-counter preparations, including many contact lens solutions. It is not uncommon to have or develop an allergy to this preservative.