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Tuesday, January 19, 2016
Michigan governor apologies for Flint water crisis
From: http://www.cbsnews.com/news/michigan-governor-rick-snyder-apologies-for-flint-water-crisis/
The long-term health effects of Flint water crisis
From: http://www.cbsnews.com/news/doctors-explain-the-long-term-health-effects-of-flint-water-crisis/
Facebook video of preemie twins holding hands goes viral
From: http://www.cbsnews.com/news/facebook-video-of-preemie-twins-holding-hands-goes-viral/
School water coolers may help kids lose weight
From: http://www.cbsnews.com/news/school-water-coolers-may-help-kids-lose-weight/
Catch-up sleep on weekends may affect diabetes risk
From: http://www.cbsnews.com/news/catch-up-sleep-on-weekends-may-affect-diabetes-risk/
Dr. Pritish Tosh Discusses Antibiotics Overuse and Misuse
From: Mayo Clinic http://www.youtube.com/watch?v=tLM4VXGiWWw
From Magician to Lover: Digital Storytelling
From: Mayo Clinic http://www.youtube.com/watch?v=kbfbNOYnVHw
"A moonshot to end cancer"
From: http://www.cbsnews.com/videos/a-moonshot-to-end-cancer/
Parents, schools divided as sex ed controversy erupts
From: http://www.cbsnews.com/news/sex-education-controversy-erupts-in-omaha/
Multiple Sclerosis Stem Cell Treatment: FAQ
Multiple sclerosis experts are welcoming a groundbreaking treatment that shows promise for some people with the disease: autologous hematopoietic stem cell transplantation. WebMD has the details.
From: http://www.webmd.com/multiple-sclerosis/news/20160119/ms-autologous-hematopoietic-stem-cell-transplant?src=RSS_PUBLIC
Multiple Sclerosis Stem Cell Treatment: FAQ
Multiple sclerosis experts are welcoming a groundbreaking treatment that shows promise for some people with the disease: autologous hematopoietic stem cell transplantation. WebMD has the details.
From: http://www.webmd.com/multiple-sclerosis/news/20160119/ms-autologous-hematopoietic-stem-cell-transplant?src=RSS_PUBLIC
When not to use antibiotics
From: http://www.cbsnews.com/videos/when-not-to-use-antibiotics/
Biden: Now's the time for "moonshot" in cancer fight
From: http://www.cbsnews.com/news/biden-nows-the-time-for-moonshot-in-cancer-fight/
Tiny implants monitor brain injuries, then dissolve away
From: http://www.cbsnews.com/news/tiny-sensor-implants-monitor-brain-injuries-then-dissolve-away/
Families give insights into end-of-life choices
From: http://www.cbsnews.com/news/end-of-life-study-gives-insight-into-dying-cancer-patient-preferences/
Monthly Vivitrol treatment helps fight heroin abuse
From: http://www.cbsnews.com/news/vivitrol-vaccine-helps-fight-heroin-addiction/
Families: Hospice Best for Dying Cancer Patients
Doctors need to heed preferences of patients, prepare for end of life sooner, experts say
From: http://www.webmd.com/palliative-care/news/20160119/families-say-hospice-better-than-hospital-for-dying-cancer-patients?src=RSS_PUBLIC
Doctors Choose Less Aggressive Care at End of Life
Findings suggest they understand limits of modern medicine better than the patients they treat do
From: http://www.webmd.com/palliative-care/news/20160119/doctors-choose-less-aggressive-care-at-end-of-life-studies-reveal?src=RSS_PUBLIC
Out-of-Shape Teens May Face High BP Later
Even thin kids are at risk, study says, emphasizing importance of exercise
From: http://teens.webmd.com/news/20160119/out-of-shape-teens-may-face-high-blood-pressure-later?src=RSS_PUBLIC
Trader Joe's recalls cashews for possible salmonella
From: http://www.cbsnews.com/news/trader-joes-recalls-cashews-for-possible-salmonella/
Doctors urged to stop giving antibiotics for colds, flu
From: http://www.cbsnews.com/news/doctors-urged-to-stop-prescribing-antibiotics-for-colds-and-flu/
Teens and medicines that cause birth defects: Do doctors drop the ball?
My 14-year-old daughter recently started taking isotretinoin, a medication that can help severe acne — and that can cause severe birth defects. I knew that there was a process in place for preventing pregnancy in girls taking it, but I was caught off guard by just how many hoops we had to jump through to get her prescription.
There were two pregnancy tests a month apart at the beginning, continued monthly pregnancy tests as well as monthly online questions about contraception and her understanding of the effects of the medicine, and a special ID card that has to be brought to the pharmacy within a very short window after the monthly blood tests. I’d never seen anything like it, and I’m a doctor. It got me thinking: Why don’t we do this kind of thing for all the medications that cause birth defects? Are we dropping the ball?
The answer, says a recent study published in the journal Pediatrics, is yes.
For the study, researchers looked at 4,172 visits to a large Midwestern academic pediatric center. They found that 1,694 girls ages 14 to 25 got 4,506 prescriptions for Category D or X medications. Category D medications can cause birth defects, but in some cases the benefits outweigh the risks for a pregnant woman; for Category X medications, it’s felt that the risks outweigh the benefits.
There were all sorts of Category D and X medications prescribed, mostly by neurologists, dermatologists, and hematologist-oncologists. The five most common were topiramate, methotrexate, diazepam, isotretinoin, and enalapril. And here’s the scary part:
- Less than a third of the girls got a prescription or referral for birth control, or even counseling about birth control.
- Less than a quarter were asked questions about sexual activity.
- Less than a sixth were asked questions about their period (like when they last got it).
What was particularly interesting was that when girls were in programs like the one my daughter is in, they got asked about sex and periods even less. That certainly is true for us: the dermatologist has yet to ask those questions of my daughter — or even to ask to meet with her alone, which is usually the best way to have a confidential conversation with a teen. I suppose she thinks that the monthly pregnancy test and online quiz is enough — but everybody knows how to lie on an online test, and the idea is to prevent the monthly pregnancy test from becoming positive, not just check to see if it is.
Nobody likes to think about their teen daughter having sex. In general, both parents and doctors do a not-so-great job of talking to girls about sexuality and contraception, despite the fact that by their senior year in high school, roughly two-thirds of U.S. teens have had sex. But what worries me is that many of the girls taking these medications might not fully understand the risks — or might have misconceptions about sex or birth control — and unwittingly cause harm to a baby.
Clearly, we doctors have got to get our act together. We need to be more conscientious, ask the awkward questions, offer the education and birth control. But parents can make a difference, too. Here’s what they can do:
- Always ask about all the side effects of any medication your child is prescribed — including whether it causes birth defects.
- Make sure your daughter has the facts when it comes to sex and birth control. Yes, it’s important to pass on your values — but be sure she has the information she needs. Whether she needs it at age 15 or 30, she still needs it. Do it on the early side. Better safe than sorry.
- Encourage your daughter to meet alone, confidentially, with her health care providers. The most important thing isn’t that you know everything; the most important thing is that your daughter be safe and well.
Related Post:
The post Teens and medicines that cause birth defects: Do doctors drop the ball? appeared first on Harvard Health Blog.
From: Claire McCarthy, MD http://www.health.harvard.edu/blog/teens-and-medicines-that-cause-birth-defects-do-doctors-drop-the-ball-201601199043
Average Home Has About 100 Types of Bugs, Critters
Survey of 50 North Carolina houses found diverse communities of flies, spiders, mites in nearly all rooms
From: http://www.webmd.com/parenting/news/20160119/average-us-home-harbors-about-100-types-of-insects-other-critters?src=RSS_PUBLIC
Eagles Co-Founder Glenn Frey Dies at Age 67
Eagles Co-Founder Glenn Frey Dies at Age 67
From: http://www.webmd.com/ibd-crohns-disease/ulcerative-colitis/news/20160119/glenn-frey-dies?src=RSS_PUBLIC
USDA Expands Microloans to Help Farmers Purchase Farmland and Improve Property
From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/01/0015.xml&contentidonly=true
Agriculture Secretary Vilsack to Lead Trade Mission to Chile and Peru
From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/01/0016.xml&contentidonly=true
Antibiotic-Resistant Gonorrhea: A Growing Threat
U.S. officials echo concerns of health experts in Great Britain
From: http://www.webmd.com/sexual-conditions/news/20160118/antibiotic-resistant-gonorrhea-a-growing-threat?src=RSS_PUBLIC
Catch-Up Sleep May Reverse Type 2 Diabetes Risk
But the research is preliminary and only included a small number of healthy young men, experts noted
From: http://www.webmd.com/diabetes/news/20160118/catch-up-sleep-may-reverse-type-2-diabetes-risk-tied-to-sleep-loss-study?src=RSS_PUBLIC
Lyme-Causing Ticks Expand Their Range in U.S.
Residents in nearly half of all counties now at risk, CDC says
From: http://www.webmd.com/arthritis/news/20160118/lyme-causing-ticks-expand-their-range-in-us?src=RSS_PUBLIC
Minorities More Likely To Get Colon Cancer Younger
Researchers say screening guidelines in U.S. should be reviewed
From: http://www.webmd.com/colorectal-cancer/news/20160118/minorities-more-likely-to-be-diagnosed-with-colon-cancer-at-younger-age?src=RSS_PUBLIC
High-Rise Living May Lower Cardiac Arrest Survival
Above the 16th floor, odds of staying alive after heart stops are slim, study finds
From: http://www.webmd.com/heart-disease/news/20160118/high-rise-living-may-lower-your-chances-of-surviving-cardiac-arrest?src=RSS_PUBLIC
Women May Have Better Flu Defenses
Study might explain why men often seem harder hit by the virus
From: http://www.webmd.com/cold-and-flu/news/20160118/women-may-have-better-flu-defenses?src=RSS_PUBLIC
Infant formula: Your questions answered
From: http://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/infant-formula/art-20045782