Are You a Risky Drinker?

The rate of one type of risky drinking -- binge drinking -- for example, has increased for all adults aged 30 and up over the last 10 years.

From: https://www.webmd.com/mental-health/addiction/news/20180430/are-you-a-risky-drinker?src=RSS_PUBLIC

Giving veterans healthier smiles

This is the sixth in a series featuring graduates of the ADA Institute for Diversity in Leadership and how these dental leaders continue to affect their communities.

From: By Kimber Solana
https://www.ada.org/en/publications/ada-news/2018-archive/april/giving-veterans-healthier-smiles

Mayo Clinic Minute: The A, B, C, D, Es of skin cancer

From: Mayo Clinic https://www.youtube.com/watch?v=J5pXNQ_sKs4

Dr. Carrie Krieger - What makes opioid medications so dangerous?

From: Mayo Clinic https://www.youtube.com/watch?v=ZZJlKW9w2sI

How Can I Help Someone Quit Smoking Cigarettes?

You quit smoking. Now it’s time to pay it forward and help someone else who wants to kick the habit. Do you know what will really help them, and what won’t?

From: https://www.webmd.com/smoking-cessation/features/mentor-quit-smoking?src=RSS_PUBLIC

Phase 2 Clinical Trial Update 3

From: Mayo Clinic https://www.youtube.com/watch?v=RRTlT_Eml4Y

El minuto de Mayo Clinic: La terapia con gorros hipotérmicos ayuda a los pacientes con cáncer

From: Mayo Clinic https://www.youtube.com/watch?v=16Fq4SSQqL4

From: https://www.ada.org/en/publications/ada-news/2018-archive/may

High or Low Weight May Worsen Rheumatoid Arthritis

The investigators found that the disease advanced more quickly among those who were very obese. This was true regardless of the level of inflammation in their joints.

From: https://www.webmd.com/rheumatoid-arthritis/news/20180430/high-or-low-weight-may-worsen-rheumatoid-arthritis?src=RSS_PUBLIC

Past ADA trustee Dr. James N. Clark dies at 85

Dr. James Nagel Clark, a former 10th District ADA trustee from 1988-92, died April 6. He was 85.

From: By Michelle Manchir
https://www.ada.org/en/publications/ada-news/2018-archive/april/past-ada-trustee-dr-james-n-clark-dies-at-85

Aerobic exercise or tai chi for fibromyalgia–which is better?

Follow me on Twitter @RobShmerling

Fibromyalgia is a common condition that causes chronic body-wide pain and affects millions of people. The cause is unknown, and medications approved to treat it often aren’t effective, cause side effects, or both. To say we need better treatments for fibromyalgia is an understatement.

Non-medication treatment of fibromyalgia — especially exercise — is an essential part of treatment. But the last thing people with this condition want to do is exercise! Their pain and fatigue, so typical of this disease, make physical activity more wishful thinking than reality for most fibromyalgia sufferers. Even so, studies suggest that as long as people start “low and slow” (exercising at low intensity and for short duration, and very gradually increasing both), physical activity can be tolerated and even enjoyed.

Is there a “best” type of exercise for fibromyalgia?

A new study compared two types of physical activity among people with fibromyalgia: aerobic exercise (such as brisk walking, as commonly recommended) and tai chi, an ancient form of martial arts often practiced for health benefits. Past studies have demonstrated that tai chi can be effective for people with fibromyalgia.

Researchers enrolled 226 adults with fibromyalgia and randomly assigned 151 to learn and practice tai chi (once or twice a week for 12 or 24 weeks), while 75 were assigned to participate in standard “moderate intensity” aerobic exercise (twice a week for six months, with an aim of raising the heart rate during exercise to an aerobic range). Study subjects were representative of “real world” patients who varied in age, had other health problems, and took a number of medications.

What did the study show?

Compared with aerobic exercise, study participants assigned to the tai chi groups:

• attended their assigned exercise classes more reliably
• reported significant improvement on a standard survey of fibromyalgia symptoms when asked six months after treatment began
• had less anxiety
• felt better able to cope and had higher self-efficacy (a belief that they were able to improve their symptoms through their own actions)
• reported more improvement after 24 weeks of tai chi (vs. 12 weeks of tai chi)

Both groups reduced their use of pain relievers to a similar extent. And no serious injuries or side effects of the treatments were reported.

Does this mean everyone with fibromyalgia should try tai chi?

As is true for most treatments, there is not a single best option in all circumstances. It may not work well for those who don’t like tai chi (or don’t give it a chance), or feel they cannot participate due to poor balance, weakness, or other health problems.

In addition, the study itself is not the last word on which activities are best for people with fibromyalgia. Not everyone will have access to high-quality tai chi instructors (though in this study, results were consistent across three instructors). Skeptics will point out that since study subjects knew which treatment they were getting, the placebo effect could account for the findings. And, of course, there are countless other exercise programs that were not included in this study.

Stand by for more on exercise and other treatments for fibromyalgia

This new research suggests that instead of current recommendations to get aerobic exercise (as with taking brisk walks), tai chi might be just as good or better for many people with fibromyalgia.

In the near future, it’s likely that we’ll have better ways to diagnose and treat fibromyalgia. In addition, a better understanding of why it develops in the first place could lead to preventive approaches. Until then, I’ll keep telling my patients what I’ve been telling them for years: when fibromyalgia gets better, it’s usually because of something the patient is doing, not because of a medication I prescribed. Being physically active does seem to be a particularly necessary part of the approach. Based on the results of this latest research, tai chi may be a good place to start.

The post Aerobic exercise or tai chi for fibromyalgia–which is better? appeared first on Harvard Health Blog.

From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/aerobic-exercise-or-tai-chi-for-fibromyalgia-which-is-better-2018043013744

Take These 5 Steps to Live 10 Extra Years

The key factors include the usual suspects: not smoking; eating healthy; exercising regularly; maintaining a normal weight; and drinking only in moderation.

From: https://www.webmd.com/healthy-aging/news/20180430/take-these-5-steps-to-live-10-extra-years?src=RSS_PUBLIC

5 habits that could help you live 10 years longer

New research shows just how big a difference a few basic lifestyle changes can make

From: http://www.cbsnews.com/news/5-habits-that-could-help-you-live-10-years-longer/

Rare eye cancer affects two groups of people in N.C. and Alabama

Researchers want to know what may be causing ocular melanoma, a rare eye cancer in two states. First, a group of 18 patients were identified in Huntersville, North Carolina. Now there's a second group in Auburn, Alabama, home of Auburn University. Anna Werner reports.

From: http://www.cbsnews.com/video/rare-eye-cancer-affects-two-groups-of-people-in-north-carolina-and-alabama/

"What's going on?" Extremely rare form of eye cancer detected in 2 groups

Ocular melanoma, usually found in just six of every one million people, has been identified in patients from Huntersville, N.C., and in a group of former Auburn University students

From: http://www.cbsnews.com/news/ocular-melanoma-eye-cancer-detected-two-groups-huntersville-north-carolina-auburn/

E. coli outbreak spreads to 3 more states

The nationwide E. coli outbreak from contaminated romaine lettuce is now the worst multi-state outbreak in more than a decade. It has sickened 98 people in 22 states. CBS News chief medical correspondent Dr. Jon LaPook reports.

From: http://www.cbsnews.com/video/e-coli-outbreak-spreads-to-3-more-states/

Jaw pain and TMJ disorders: Mayo Clinic Radio

From: Mayo Clinic https://www.youtube.com/watch?v=jvPQqt9u_fM

Endometriosis: Mayo Clinic Radio

From: Mayo Clinic https://www.youtube.com/watch?v=v-J-vQU7ARo

Congenital Heart Defects: Mayo Clinic Radio

From: Mayo Clinic https://www.youtube.com/watch?v=rTrjbPbObJo

Teens enter rehab for social media addiction

Fifty percent of teens say they feel addicted to their mobile devices, according to Common Sense Media, a non-profit organization

From: http://www.cbsnews.com/news/social-media-addiction-teens-enter-rehab-paradigm-malibu/

How Transplanted Livers Help Stop Organ Rejection

The study showed those who received both organs or just a liver had fewer immune cells that respond to foreign invaders than those who only received a new kidney.

From: https://www.webmd.com/digestive-disorders/news/20180427/how-transplanted-livers-help-stop-organ-rejection?src=RSS_PUBLIC

Can You Avoid Foodborne Illness?

Any food can be infected with more than 250 foodborne diseases. Bacteria, parasites, viruses, chemicals, and toxins can contaminate food.

From: https://www.webmd.com/food-recipes/food-poisoning/news/20180427/can-you-avoid-foodborne-illness?src=RSS_PUBLIC

Mayo Clinic Grand Rounds – Robotic Approach to Mitral Valve Repair: Mayo Clinic Experience

From: Mayo Clinic https://www.youtube.com/watch?v=H0yOPS3mPKg

E. coli outbreak tied to romaine lettuce is largest since 2006

Outbreak has spread to three more states and sickened 98 people

From: http://www.cbsnews.com/news/e-coli-outbreak-tied-to-romaine-lettuce-is-largest-since-2006/

Don't Rely on Plastic Surgeons' Online Reviews

The researchers also found that in reviews by patients who had breast augmentation, their treatment by the surgeon's staff was nearly as important to them as the outcome of the surgery.

From: https://www.webmd.com/a-to-z-guides/news/20180427/dont-rely-on-plastic-surgeons-online-reviews?src=RSS_PUBLIC

Soda During Pregnancy May Not Help Baby's Brain

Diet soda wasn't much better. Drinking it during pregnancy was linked to poorer fine motor, visual, spatial and visual motor abilities in early childhood (around age 3). By mid-childhood (age 7), kids whose moms drank diet sodas while pregnant had poorer verbal abilities, the study findings reported.

From: https://www.webmd.com/baby/news/20180427/soda-during-pregnancy-may-not-help-babys-brain?src=RSS_PUBLIC

CDHP introduces multigenerational policy initiative

The Children's Dental Health Project announced April 25 a policy initiative focused on addressing oral health needs for the whole family.

From: https://www.ada.org/en/publications/ada-news/2018-archive/april/cdhp-introduces-multigenerational-policy-initiative

New 'Superblood' Treatment Targets Deadly Cancers

Researchers collect red blood cells from patients, modify them so anti-cancer or other medicines can be enclosed, then inject them back into patients. The goal is improve the medicines' effectiveness while reducing harmful side effects.

From: https://www.webmd.com/cancer/news/20180427/new-superblood-treatment-targets-deadly-cancers?src=RSS_PUBLIC

New technology offers hope for people with tinnitus

FDA-cleared therapy trains the brain to ignore the sound of ringing in the ears

From: http://www.cbsnews.com/news/tinnitus-ringing-in-ears-new-technology-offers-hope/

Why one woman broke out in hives when co-workers cranked up the AC

When she visited the doctor, the 40-year-old woman got some startling news: She was allergic to the cold

From: http://www.cbsnews.com/news/woman-hives-air-conditioner-allergy/

ADA asks Congress for $44 million in funding for CDC, HRSA programs

The ADA on April 26 testified before the House Appropriations Subcommittee on Labor, Health and Human Services, and Education to request oral health funding for fiscal year 2019.

From: By Jennifer Garvin https://www.ada.org/en/publications/ada-news/2018-archive/april/ada-asks-congress-for-44-million-in-funding-for-cdc-hrsa-programs

4 ways to protect against skin cancer (other than sunscreen)

It’s almost May and here in the northeast, front-of-the-pharmacy aisles are filled with myriad brands and types of sunscreen. While sunscreen is essential to lowering your risk for skin cancer, there are other simple, over-the-counter options you can incorporate into your summer skin protection routine.

Nicotinamide may help prevent certain skin cancers

Nicotinamide is a form of vitamin B₃ that has been shown to reduce the number of skin cancers. In a randomized controlled trial performed in Australia (published in the New England Journal of Medicine), the risks of basal cell carcinoma and squamous cell carcinoma were significantly reduced — by 23%. Nicotinamide has protective effects against ultraviolet damage caused by sun exposure. The vitamin is safe and can be purchased over the counter. We recommended starting the vitamin (500 mg twice a day) to all our patients with a history of a basal cell carcinoma or squamous cell carcinoma, or with extensive skin damage due to sun exposure. One caveat is that the vitamin must be taken continuously, as the benefits are lost once stopped.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

NSAIDs, such as ibuprofen and aspirin, may have a modest effect on skin cancer prevention. A systematic review showed that the risk of squamous cell carcinoma was reduced by 15% with non-aspirin NSAIDs, and by 18% with any NSAID. Some studies of melanoma have also shown positive results; one found a 43% reduction in melanoma with continuous aspirin for five years, while other studies have failed to show any risk reduction. NSAIDs are known to inhibit an enzyme responsible for inflammation and pain, known as COX-2, which is overexpressed in squamous cell carcinomas. A limitation to many of the studies on NSAIDs in skin cancer is that the amount of NSAID taken varied. Especially at higher doses, NSAIDs are associated with other side effects, such as ulcers, and so I do not routinely recommend that my patients take these drugs to lower skin cancer risk.

Polypodium leukotomos

Polypodium leukotomos is a tropical fern found in Central and South America that has antioxidative, immunomodulatory, and anti-inflammatory effects, and is being marketed as an oral “sunscreen.” A recent small study of 22 patients showed that the fern extract altered the effects of UVB light (the more carcinogenic form of ultraviolet light) in 17 of the 22 patients to varying degrees. However, it is important to recognize that there are limitations to this study. First, it was unable to evaluate UVA light, which also causes skin cancer. Second, it is difficult to determine the most appropriate dose from the study. The participants received two doses of 240 mg of polypodium leukotomos two hours and one hour before ultraviolet exposure, but it is not clear how best to advise patients to use it. So, you may wonder whether I recommend this to my patients. The answer is, not yet. But I do plan to try the extract myself and on my husband (who has a history of skin cancer) this summer. Just keep in mind, this does not replace sunscreen and sun-protective clothing.

Watch your alcohol intake

Although alcohol is not a classic “over-the-counter” product, it has been in the spotlight in the past year, as alcohol is estimated to be responsible for 3.5% of all cancer deaths. Two meta-analyses suggested an association between skin cancer and alcohol intake. One study found that the risk of basal cell carcinoma increased by 7% and squamous cell carcinoma by 11% for every standard beer or small glass of wine each day. Another study showed a 20% increase in melanoma in drinkers, and the risk increased with the number of drinks. However, these studies didn’t take into account other factors that could affect the results, some of which cannot be measured. One example is that ultraviolet light is the main factor that increases basal cell carcinoma and squamous cell carcinoma, and alcohol consumption has been associated with behaviors that increase one’s risk of getting a sunburn. So what is the recommendation? The American Cancer Society recommends limiting alcohol consumption to one drink per day for women and two drinks per day for men.

And you still need sunscreen!

Since we have yet to find a magic pill that completely prevents sunburns and eliminates skin cancer risk, this is my plug for good old-fashioned sunscreen. Sunscreen has been shown to reduce both melanoma and squamous cell carcinoma. Randomized prospective studies in Australia showed that individuals who used daily sunscreen had a 50% reduction in melanoma and a 40% reduction in squamous cell carcinoma, compared to individuals who used sunscreen intermittently. So when the sun and warm weather beckon, remember to apply a broad-spectrum sunscreen with at least SPF 30 prior to going out in the sun, reapply every two hours, and apply liberally: 1 teaspoon to each arm, head and neck, front torso, and back; and 2 teaspoons to each leg.

The post 4 ways to protect against skin cancer (other than sunscreen) appeared first on Harvard Health Blog.

From: Emily S. Ruiz, MD, MPH https://www.health.harvard.edu/blog/4-ways-to-protect-against-skin-cancer-other-than-sunscreen-2018042713722

"Significant" increase in kids with autism

A new report from the CDC estimates that 1 in 59 children in the U.S. live with autism spectrum disorder. That's a 15 percent increase over a four-year period. CBS News' Laura Podesta reports on some of the possible reasons behind the rise.

From: http://www.cbsnews.com/video/significant-increase-in-kids-with-autism/

More U.S. Kids Being Diagnosed With Autism

The new estimate means that autism rates have more than doubled since 2000, the researchers reported.

From: https://www.webmd.com/brain/autism/news/20180426/more-us-kids-being-diagnosed-with-autism?src=RSS_PUBLIC

A Bit of Dark Chocolate Might Sweeten Your Vision

The observed change in vision was small, but significant. However, the study authors stressed that it's too early for ophthalmologists to recommend chocolate as medicine for the eyes.

From: https://www.webmd.com/eye-health/news/20180426/a-bit-of-dark-chocolate-might-sweeten-your-vision?src=RSS_PUBLIC

Breast Cancer Genes a Real Risk for Men, Too

BRCA1 and BRCA2 gene mutations put women at high risk for breast and ovarian cancers, but  these mutations also increase men's risk for certain cancers.

From: https://www.webmd.com/breast-cancer/news/20180426/breast-cancer-genes-a-real-risk-for-men-too?src=RSS_PUBLIC

May JADA: Researchers seek long-term solutions to access after studying Mission of Mercy events

Incorporating systematic data collection into Mission of Mercy events could help build lasting solutions such as developing emergency department referral programs that find patients a dental home, according to research in the May issue of The Journal of the American Dental Association.

From:

By Michelle Manchir

https://www.ada.org/en/publications/ada-news/2018-archive/april/may-jada-researchers-seek-longterm-solutions-to-access-after-studying-mission-of-mercy-events

Doctors Fret as Firm Stops Making Cancer Drug Pump

The Codman pump is implanted in the abdomen and sends high doses of chemotherapy directly into the liver for cancer that has spread there, typically from colorectal tumors, The New York Times reported.

From: https://www.webmd.com/cancer/news/20180426/doctors-fret-as-firm-stops-making-cancer-drug-pump?src=RSS_PUBLIC

Genetic sleuthing helps investigate food poisoning outbreaks

Researchers hope the technique will help the ongoing E. coli outbreak linked to romaine lettuce

From: http://www.cbsnews.com/news/genetic-sleuthing-latest-tool-in-investigating-food-poisoning-outbreaks/

Autism may be more common than previously thought

About 1 in 59 children in the United States live with autism spectrum disorder, according to the latest estimates – a significant jump

From: http://www.cbsnews.com/news/autism-higher-than-previously-thought-cdc-1-in-59-children/

Veterans push lawmakers to legalize hemp products

Hemp is derived from the cannabis plant, but does not contain THC, the chemical that makes you high

From: http://www.cbsnews.com/news/veterans-push-congress-to-legalize-hemp-cbd-oil-from-cannabis/

A Better Clot-Buster Drug for Strokes?

The researchers specifically looked to see which drug was better at restoring blood flow to clot-blocked blood vessels in the brain, and which drug resulted in patients having better outcomes.

From: https://www.webmd.com/stroke/news/20180426/a-better-clot-buster-drug-for-strokes?src=RSS_PUBLIC

Unused Meds? Saturday Is National Drug Take Back Day

Last fall, more than 912,000 pounds of prescription drugs were turned in at more than 5,300 Take Back Day sites operated by the DEA and nearly 4,300 state and local law enforcement partners.

From: https://www.webmd.com/drug-medication/news/20180426/unused-meds-saturday-is-national-drug-take-back-day?src=RSS_PUBLIC

Heart attack versus cardiac arrest

If you’re confused by the terms used to describe heart attacks, you’re not alone. They’re often described as “mild” or “massive,” or even the ominous-sounding “widow maker.” But these terms are not necessarily helpful, and they may create confusion and anxiety.

The good news: most people who have a heart attack survive. The bad news? “Any heart attack can be fatal, no matter how big, how small, or where it occurs in the heart,” says Dr. James Januzzi, a cardiologist at Harvard-affiliated Massachusetts General Hospital. “Furthermore, there’s a lot of misunderstanding among the general public about what a heart attack actually is,” he says.

The connection between heart attack vs. cardiac arrest

Perhaps the most common source of confusion is the difference between a heart attack and cardiac arrest. A heart attack (what doctors call a myocardial infarction or MI) is defined as damage to part of the heart muscle caused by inadequate blood flow to that area. Most of the time, this happens due to a blockage in one of the heart’s arteries. Known as a type 1 heart attack, such blockages typically occur when cholesterol-laden plaque lining an artery ruptures. A clot forms, obstructing the vessel.

While a heart attack is a plumbing problem, a cardiac arrest is an electrical problem. Cardiac arrest happens when the heart’s electrical system malfunctions, causing it to beat rapidly and chaotically — or to stop beating altogether. Without blood circulating to the brain, lungs, and other organs, the person gasps or stops breathing and becomes unresponsive within seconds.

A heart attack is a common cause of cardiac arrest, but most heart attacks do not lead to cardiac arrest. Other possible causes of cardiac arrest include heart failure, a clot in the lungs, a serious imbalance of potassium, magnesium, or other minerals in the blood, a drug overdose, or a blow to the chest.

Does size matter?

Some heart attacks cause more harm than others. During a heart attack, blood levels of a protein released by damaged muscle (troponin) give some sense of severity. Afterwards, an ultrasound of the heart (echocardiogram) can reveal the extent of the damage. “A large heart attack will significantly reduce the squeezing strength of the heart muscle,” says Dr. Januzzi.

The term “widow maker” refers to a heart attack caused by a blockage near the top of the left anterior descending (LAD) artery, the main artery that supplies blood to the front of the heart. However, heart attacks that involve the LAD are not necessarily fatal, and those involving other arteries can be deadly, too.

What to do

Call 911 right away if you or someone near you has symptoms of a heart attack or cardiac arrest. Common heart attack symptoms include:

• uncomfortable pressure, squeezing, or pain in the chest
• pain or other uncomfortable sensations in an arm, the back, neck, jaw, or stomach
• shortness of breath
• sudden nausea or vomiting
• lightheadedness or dizziness
• unusual fatigue.

Signs of cardiac arrest are a sudden loss of responsiveness and abnormal breathing (either not breathing or only gasping). Give hands-only cardiopulmonary resuscitation (CPR) until help arrives.

The post Heart attack versus cardiac arrest appeared first on Harvard Health Blog.

From: Julie Corliss https://www.health.harvard.edu/blog/the-difference-between-a-heart-attack-and-cardiac-arrest-2018042613711

Terminally ill toddler's parents want to bring him home

23-month-old Alfie Evans has incurable degenerative neurological condition, and doctors say he should be allowed to die

From: http://www.cbsnews.com/news/alfie-evans-update-parents-want-terminally-ill-toddler-home-united-kingdom/

Veterans push Congress to legalize hemp treatments

Veterans are twice as likely as non-veterans to die from accidental overdoses involving prescription opioids. In an effort to lower opioid intake, some veterans are turning to hemp products like CBD oil to treat chronic pain and PTSD. Nancy Cordes reports.

From: http://www.cbsnews.com/video/veterans-push-congress-to-legalize-hemp-treatments/

E. Coli Outbreak Tied to Romaine Lettuce Grows

Illnesses include 18 cases in Pennsylvania, 13 cases in California, 10 in Idaho, seven cases each in Montana and New Jersey, five cases each in Alaska and Arizona, three in Ohio, two cases each in Colorado, Connecticut, Michigan, New York and Washington, and a single case each in Georgia, Illinois, Louisiana, Missouri, South Dakota and Virginia.

From: https://www.webmd.com/food-recipes/food-poisoning/news/20180425/e-coli-outbreak-tied-to-romaine-lettuce-grows?src=RSS_PUBLIC

HIV Drug Appears Safe During Pregnancy

The study found no difference in the risk for premature birth, low birth weight or other serious complications among those who didn't receive TDF and those who got TDF along with emtricitabine and lopinavir/ritonavir.

From: https://www.webmd.com/hiv-aids/news/20180425/hiv-drug-appears-safe-during-pregnancy?src=RSS_PUBLIC

Many Opioid Overdoses May Be Suicides

According to the U.S. Centers for Disease Control and Prevention, the national suicide rate rose by 24 percent between 1999 and 2014 -- from 10.5 deaths per 100,000 people, to 13 per 100,000.

From: https://www.webmd.com/mental-health/addiction/news/20180425/many-opioid-overdoses-may-be-suicides?src=RSS_PUBLIC

Restless Legs Linked to Brain Changes

The people with restless legs syndrome also had a decrease in the brain region where nerve fibers connect the two sides of the brain, according to the study published online April 25 in the journal Neurology.

From: https://www.webmd.com/brain/restless-legs-syndrome/news/20180425/restless-legs-linked-to-brain-changes?src=RSS_PUBLIC

Vaccines Work - Statement by WHO Director-General for World Immunization Week

From: World Health Organization https://www.youtube.com/watch?v=jVTN2zTATiQ

More people sickened after eating romaine lettuce tainted by E. coli

The Centers for Disease Control and Prevention reports that 31 more people have fallen ill after eating romaine lettuce contaminated with E. coli. An investigation is underway to determine the source of the vegetable, but officials say it likely came from the Yuma, Arizona, region. CBS News' Nikki Battiste reports.

From: http://www.cbsnews.com/video/more-people-sickened-after-eating-romaine-lettuce-tainted-by-e-coli/

Fetal Immune System May Trigger Premature Birth

A new study suggests some preterm births occur because the fetus rejects the mother, after its immune system is triggered too early and senses maternal cells as foreign invaders.

From: https://www.webmd.com/baby/news/20180425/fetal-immune-system-may-trigger-premature-birth?src=RSS_PUBLIC

Medicare to Require Hospitals Post Prices Online

Currently, hospitals must make their prices public, but the new rule requires the information to be posted online in a format that can be easily processed by computers, the Associated Press reported.

From: https://www.webmd.com/health-insurance/news/20180425/medicare-to-require-hospitals-post-prices-online?src=RSS_PUBLIC

Boy overcomes autism to build Titanic replica

Despite "titanic" challenges, the teen built a record-breaking replica; now, he's building a better world

From: http://www.cbsnews.com/news/autistic-boy-overcomes-obstacles-to-build-largest-lego-replica-of-the-titanic/

Can Diabetes Lead to Irregular Periods in Teens?

In the long-term, irregular periods can also increase the risk of endometrial cancer, the researchers pointed out in the new report.

From: https://www.webmd.com/diabetes/news/20180425/can-diabetes-lead-to-irregular-periods-in-teens?src=RSS_PUBLIC

Exercise Your Blues Away

High levels of physical activity were associated with a lower risk of depression in all age groups during the follow-up, the investigators found.

From: https://www.webmd.com/depression/news/20180425/exercise-your-blues-away?src=RSS_PUBLIC

Alliance of the ADA gathers for conference in Texas

The Alliance of the American Dental Association welcomed dentists, dental students and spouses to Fort Worth, Texas, April 19-21 for its annual conference.

From: https://www.ada.org/en/publications/ada-news/2018-archive/april/alliance-of-the-ada-gathers-for-conference-in-texas

Advil + Tylenol Better Than Opioids for Dental Pain

In the study, Aminoshariae's team reviewed more than 460 published studies and found that a combination of 400 milligrams of ibuprofen (such as Advil or Motrin) and 1,000 milligrams of acetaminophen (Tylenol) was more effective than opioid medications (for example, Vicodin, Oxycontin) for adults.

From: https://www.webmd.com/oral-health/news/20180425/advil-tylenol-better-than-opioids-for-dental-pain?src=RSS_PUBLIC

Kids with rare rapid-aging disease get hope from study drug

The experimental drug may help patients live longer, new research suggests

From: http://www.cbsnews.com/news/progeria-kids-rare-rapid-aging-disease-get-hope-from-study-drug/

Infectious Diseases A-Z: Antibiotics in our food supply

From: Mayo Clinic https://www.youtube.com/watch?v=q5AlJuPBYQg

Mind "reboot"? How sensory deprivation impacts the brain

The average person scrolls through 300 feet of mobile content a day – so we explored one of the ways people are trying to short-circuit the noise

From: http://www.cbsnews.com/news/pay-attention-sensory-deprivation-impact-on-brain/

Big Decline in Births to Girls Under 15, CDC Says

Overall, "the number of U.S. births to females aged 10 to 14 was a record low in 2016, dropping to 2,253 from 8,519 in 2000," a team from the U.S. Centers for Disease Control and Prevention wrote.

From: https://www.webmd.com/baby/news/20180425/big-decline-in-births-to-girls-under-15-cdc-says?src=RSS_PUBLIC

After a death, how much can "broken heart" hurt survivors?

Stress might not be to blame for former President George H.W. Bush's hospitalization a day after his wife's funeral​, but it does the body no favors, experts say

From: http://www.cbsnews.com/news/after-a-death-how-much-can-broken-heart-hurt-survivors/

Mayo Clinic Minute: Combat allergies like a pro by learning how to use your nasal spray properly

From: Mayo Clinic https://www.youtube.com/watch?v=ICqBAN28Tgo

Nominations sought for evidence-based dentistry awards

The ADA and the American Association for Dental Research are in search of dental educators and clinicians who have made significant contributions to implement and advance evidence-based dentistry.

From: https://www.ada.org/en/publications/ada-news/2018-archive/april/nominations-sought-for-evidence-based-dentistry-awards

Medical Marijuana May Not Help Your Sleep Apnea

In the United States, nearly 30 million adults are affected by sleep apnea. This condition occurs when the upper airway repeatedly collapses during sleep, resulting in snoring and daytime sleepiness.

From: https://www.webmd.com/sleep-disorders/sleep-apnea/news/20180424/medical-marijuana-may-not-help-your-sleep-apnea?src=RSS_PUBLIC

Meditation Can Soothe the Soul in Just One Session

Anxiety can raise the risk for heart disease: Previous studies have shown that arterial stiffness may be worsened by traumatic life events, job strain, depression and either short-term or chronic anxiety, the researchers said.

From: https://www.webmd.com/anxiety-panic/news/20180424/meditation-can-soothe-the-soul-in-just-one-session?src=RSS_PUBLIC

Apple cider vinegar diet: Does it really work?

Follow me on Twitter @RobShmerling

People search for information on a wide variety of health topics in Google and other search engines. That’s no surprise.

But I was surprised to learn that “apple cider vinegar weight loss diet” was among the fastest-rising health topic searches for Google in 2017. And then I found out that apple cider vinegar has been used medicinally for centuries!

Why the renewed interest? And, more importantly, does it work?

What is the apple cider vinegar diet?

Apple cider vinegar comes from apples that have been crushed, distilled, and then fermented. It can be consumed in small quantities or taken as a supplement. Its high levels of acetic acid, or perhaps other compounds, may be responsible for its supposed health benefits. Although recommendations for “dosing” vary, most are on the order of 1 to 2 teaspoons before or with meals.

What can the apple cider vinegar diet do for you?

For thousands of years, compounds containing vinegar have been used for their presumed healing properties. It was used to improve strength, for “detoxification,” as an antibiotic, and even as a treatment for scurvy. While no one is using apple cider vinegar as an antibiotic anymore (at least, no one should be), it has been touted more recently for weight loss. What’s the evidence?

Studies in obese rats and mice suggest that acetic acid can prevent fat deposition and improve their metabolism. The most widely quoted study of humans is a 2009 trial of 175 people who consumed a drink containing 0, 1, or 2 tablespoons of vinegar each day. After three months, those who consumed vinegar had modest weight loss (2 to 4 pounds) and lower triglyceride levels than those who drank no vinegar. Another small study found that vinegar consumption promoted feeling fuller after eating, but that it did so by causing nausea. Neither of these studies (and none I could find in a medical literature search) specifically studied apple cider vinegar.

In all, the scientific evidence that vinegar consumption (whether of the apple cider variety or not) is a reliable, long-term means of losing excess weight is not compelling. (On the other hand, a number of studies suggest that vinegar might prevent spikes in blood sugar in people with prediabetes and type 2 diabetes by blocking starch absorption — perhaps that’s a topic for another day.)

Is there a downside to the apple cider vinegar diet?

For many natural remedies, there seems to be little risk, so a common approach is “why not try it?” However, for diets with high vinegar content, a few warnings are in order:

• Vinegar should be diluted. Its high acidity can damage tooth enamel when sipped “straight” — consuming it as a component of vinaigrette salad dressing is a better way.
• It has been reported to cause or worsen low potassium levels. That’s particularly important for people taking medications that can lower potassium (such as common diuretics taken to treat high blood pressure).
• Vinegar can alter insulin levels. People with diabetes should be particularly cautious about a high vinegar diet.

So what?

If you are trying to lose weight, adding apple cider vinegar to your diet probably won’t do the trick. Of course, you’d never suspect that was the case by the way it’s been trending on Google health searches. But the popularity of diets frequently has little to do with actual evidence. If you read about a new diet (or other remedy) that sounds too good to be true, a healthy dose of skepticism is usually in order.

The post Apple cider vinegar diet: Does it really work? appeared first on Harvard Health Blog.

From: Robert H. Shmerling, MD https://www.health.harvard.edu/blog/apple-cider-vinegar-diet-does-it-really-work-2018042513703

USDA Secretary Sonny Perdue: Year One

From: USDA https://www.youtube.com/watch?v=k9BiblAtAQY

ADA asks Senate to update FDA drug monograph

The ADA on April 23 offered "enthusiastic support" for S. 2315, the Over-the-Counter Drug Safety, Innovation, and Reform Act — legislation that would modernize the Food and Drug Administration's system for regulating OTC drugs.

From: By Jennifer Garvin
https://www.ada.org/en/publications/ada-news/2018-archive/april/ada-asks-senate-to-update-fda-drug-monograph

Medical Marijuana May Not Help Your Sleep Apnea

In the United States, nearly 30 million adults are affected by sleep apnea. This condition occurs when the upper airway repeatedly collapses during sleep, resulting in snoring and daytime sleepiness.

From: https://www.webmd.com/a-to-z-guides/news/20180424/medical-marijuana-may-not-help-your-sleep-apnea?src=RSS_PUBLIC

How sensory deprivation and floating impacts the brain

Our series Pay Attention looks at how to retrain our focus and recapture our attention under the bombardment of technology and information that distracts us. "CBS This Morning" co-host John Dickerson explores if sensory deprivation can short-circuit the noise.

From: http://www.cbsnews.com/video/how-sensory-deprivation-and-floating-impacts-the-brain/

"My senses were awake": John Dickerson reflects on sensory deprivation

"CBS This Morning" co-host writes about his floating experience

From: http://www.cbsnews.com/news/floating-sensory-deprivation-tank-john-dickerson-reflection/

E-cigarette maker Juul to spend $30M to combat teen vaping

The announcement comes one day after the FDA said it was cracking down on teens' use of the devices

From: http://www.cbsnews.com/news/e-cigarette-maker-juul-promises-to-donate-30m-to-fight-underage-vaping/

Drones delivering blood could be in health care's future

Palo Alto, California, hopes to become the first U.S. city to use unmanned aircraft to deliver blood from a blood bank to a hospital. The FAA is reviewing the city's proposal along with about 150 others. The agency will approve 10 pilot projects to move forward next month. Mireya Villarreal reports.

From: http://www.cbsnews.com/video/drones-delivering-blood-could-be-in-health-cares-future/

Drones may soon deliver unlikely cargo in medical emergencies

One drone delivery company showed us how blood could be delivered to a hospital in a matter of 10 minutes or less; FAA weighs proposal

From: http://www.cbsnews.com/news/drone-faa-pilot-projects-commercial-use-delivery-blood-to-hospital/

New twist in saga over terminally ill U.K. toddler

Alfie Evans' parents say he's improving and want him flown to Italy for treatment, but court says last ruling "represents the final chapter"

From: http://www.cbsnews.com/news/alfie-evans-appeal-life-support-decision-british-court-italy-pope-francis/

Mayo Clinic Nurses Champion Healthy Nurse Health Nation Challenge

From: Mayo Clinic https://www.youtube.com/watch?v=V0Mtk4dqhBU

Exotic tick species arrives in U.S., could carry virus

Type of tick that's never been seen before in the United States could carry a dangerous viral disease

From: http://www.cbsnews.com/news/east-asian-tick-exotic-species-arrives-in-new-jersey-sfts-virus/

Anesthesia Doesn't Seem to Harm Child's IQ: Study

At ages 8 to 12 and 15 to 20, all three groups were similar in terms of IQ, memory and several other measures of brain function, according to the study authors.

From: https://www.webmd.com/children/news/20180424/anesthesia-doesnt-seem-to-harm-childs-iq-study?src=RSS_PUBLIC

4-year-old nearly died from "dry drowning"

A Florida mom is warning others about the signs of "dry drowning" after her daughter nearly died days after gulping water at a swimming pool. WTSP's Garin Flowers reports.

From: http://www.cbsnews.com/video/4-year-old-nearly-died-from-dry-drowning/

Mom warns of "dry drowning" after child nearly dies

The young girl was hospitalized after accidentally swallowing pool water days earlier

From: http://www.cbsnews.com/news/family-warns-of-dry-drowning-after-4-year-old-nearly-dies-from-swallowing-pool-water/

Heavy drinking linked to "bad" bacteria, study finds

New research suggests that people who drink more than the recommended daily limit of alcohol may harbor an unhealthy mix of bacteria in their mouths

From: http://www.cbsnews.com/news/heavy-drinking-bad-bacteria-gum-disease-risk-study-finds/

New Hope Vs. Disease That Prematurely Ages Kids

Affecting just 1 in every 20 million people, progeria is driven by a genetic mutation that results in a vast surplus of a protein known as progerin.

From: https://www.webmd.com/children/news/20180424/new-hope-vs-disease-that-prematurely-ages-kids?src=RSS_PUBLIC

Kids Are Naturally as Fit as an 'Iron Man'

Unfortunately, the findings also suggest that much of this youthful advantage fades with age.

From: https://www.webmd.com/children/news/20180424/kids-are-naturally-as-fit-as-an-iron-man?src=RSS_PUBLIC

Common Colon Cancer Test Helps Men More Than Women

Flexible sigmoidoscopy looks at about a third of the colon, as compared to the whole colon as is seen in colonoscopy. But unlike colonoscopy, sigmoidoscopy does not typically require sedation.

From: https://www.webmd.com/colorectal-cancer/news/20180424/common-colon-cancer-test-helps-men-more-than-women?src=RSS_PUBLIC

ADA prioritizes 7 sections of Opioid Crisis Response Act

In continuing efforts to keep prescription opioid pain medications from becoming a source of harm in communities, the ADA is supporting several proposals highlighted in the Opioid Crisis Response Act of 2018.

From: By Jennifer Garvin
https://www.ada.org/en/publications/ada-news/2018-archive/april/ada-prioritizes-7-sections-of-opioid-crisis-response-act

Her Dog Kept Sniffing a Bump on Her Nose. It Was Cancer

You’ve heard of dogs sniffing out hidden drugs, explosives, or missing people. Can some of our four-legged friends spot cancer by its scent, too?

From: https://www.webmd.com/features/cancer-smell-dogs?src=RSS_PUBLIC

Heavy Drinking Could Raise Your Gum Disease Risk

Researchers found that compared with nondrinkers, those who drank relatively heavily had fewer "good" bacteria in their mouths. They were also hosting more "bad" bacteria -- including bugs that have been linked to gum disease, heart disease and cancer.

From: https://www.webmd.com/oral-health/news/20180424/heavy-drinking-could-raise-your-gum-disease-risk?src=RSS_PUBLIC

Champions of fluoridation recognized

An internationally recognized expert on fluorides, oral biology, cariology and periodontology and a longtime member of the ADA National Fluoridation Advisory Committee was recognized in April for his achievements at the 2018 National Oral Health Conference.

From: By Michelle Manchir
https://www.ada.org/en/publications/ada-news/2018-archive/april/champions-of-fluoridation-recognized

Mayo Clinic Minute: Why breakfast may be key to trimming your belly

From: Mayo Clinic https://www.youtube.com/watch?v=2ObMWWjFMJ4

U.S. cracks down on Juul e-cigarette sales to kids

Health officials issued warnings to 40 stores as the first steps in a crackdown on underage e-cigarette sales

From: http://www.cbsnews.com/news/feds-crack-down-on-juul-e-cigarettes-popular-in-schools/

Meditation Can Soothe the Soul in Just One Session

Anxiety can raise the risk for heart disease: Previous studies have shown that arterial stiffness may be worsened by traumatic life events, job strain, depression and either short-term or chronic anxiety, the researchers said.

From: https://www.webmd.com/balance/news/20180424/meditation-can-soothe-the-soul-in-just-one-session?src=RSS_PUBLIC

Don't Wait to Take MS Drugs

The new guidelines, issued by the academy, took into account studies on MS drugs and concluded that it's best to start use of MS drugs as early as possible.

From: https://www.webmd.com/multiple-sclerosis/news/20180423/dont-wait-to-take-ms-drugs?src=RSS_PUBLIC

Electric Cars Don't Jolt Implanted Heart Devices

The study from Germany found that the technology used to power the cars won't interfere with pacemakers or implantable defibrillators.

From: https://www.webmd.com/heart-disease/atrial-fibrillation/news/20180423/electric-cars-dont-jolt-implanted-heart-devices?src=RSS_PUBLIC

George H.W. Bush Hospitalized Due to Blood Infection

Bush has a form of Parkinson's disease and uses a wheelchair and electric scooter. In recent years, he has been hospitalized several times for respiratory problems, the AP reported.

From: https://www.webmd.com/parkinsons-disease/news/20180424/george-hw-bush-hospitalized-due-to-blood-infection?src=RSS_PUBLIC

Too Much Drinking May Be Tied to PMS: Study

The researchers also estimated that about 21 percent of PMS cases might be attributed to alcohol use among American and European women, whose drinking rates are especially high.

From: https://www.webmd.com/women/pms/news/20180423/too-much-drinking-may-be-tied-to-pms-study?src=RSS_PUBLIC

Can Caffeine During Pregnancy Raise Kids' Weight?

And one expert noted that caffeine itself may not be the culprit, since many of the women in the study consumed it by drinking sodas and eating candy.

From: https://www.webmd.com/fitness-exercise/news/20180423/can-caffeine-during-pregnancy-raise-kids-weight?src=RSS_PUBLIC

Opioid treatment gap in Medicare: methadone clinics

Despite the nation's deepening opioid crisis, the Medicare drug program for the elderly covers methadone only when prescribed for pain

From: http://www.cbsnews.com/news/opioid-treatment-gap-in-medicare-methadone-clinics/

White Sox pitcher remains hospitalized after suffering hemorrhage

"About two percent of the population will have them, so in a room of 50 at least one person has a brain aneurysm, they may not know about it"

From: http://www.cbsnews.com/news/danny-farquhar-white-sox-reliever-remains-hospitalized-after-suffering-cerebral-hemorrhage-2018-04-23/

Skipping breakfast linked to weight gain, belly fat

Researchers analyzed the eating habits of hundreds of adults and found weight differences among people who regularly eat breakfast and those who skip it

From: http://www.cbsnews.com/news/eat-breakfast-gain-less-weight-belly-fat-study/

Woman's kidney fell into her pelvis whenever she stood up

She told doctors she felt like "a ball was rolling inside of her" when she would go from lying down to standing up

From: http://www.cbsnews.com/news/womans-kidney-fell-into-her-pelvis-whenever-she-stood-up/

Wounded veteran receives first penis-scrotum transplant

Surgeons at Johns Hopkins University perform first-of-its-kind operation to address "an unspoken injury of war"

From: http://www.cbsnews.com/news/veteran-who-survived-blast-receives-penis-scrotum-transplant/

Questions about pancreatitis linger after Avicii's death

In light of the music star's tragic death at 28, a look at what pancreatitis is and the potential complications that can come with it

From: http://www.cbsnews.com/news/what-is-pancreatitis-the-condition-avicii-suffered-from-years-before-death/

At least 64 infected in E. coli outbreak tied to romaine lettuce

Federal health officials warn you not to eat any romaine lettuce unless you know where it's from, as an E. coli outbreak spreads across the country. CBS News confirms at least 64 people were infected in 16 states. Anna Werner reports.

From: http://www.cbsnews.com/video/at-least-64-infected-in-e-coli-outbreak-tied-to-romaine-lettuce/

University closes after 100 students fall ill

Officials do not know what's causing the illnesses but say they're "confident" it's not E. coli

From: http://www.cbsnews.com/news/western-connecticut-state-university-closes-100-students-sick/

A decade's impact of Alzheimer's on one couple

The toll from Alzheimer's is growing in this country with more than five million people suffering from the disease. On Sunday's "60 Minutes," Dr. Jon LaPook followed the personal story of Alzheimer's impact on one couple over the course of a decade. LaPook joins "CBS This Morning" to discuss his report.

From: http://www.cbsnews.com/video/a-decades-impact-of-alzheimers-on-one-couple/

N.Y. health officials issue measles warning for tri-state area

Officials are concerned Sunday about residents who may have come into contact with two tourists from Europe who have the disease

From: http://www.cbsnews.com/news/measles-warning-new-york-state-health-officials-today-2018-04-22/

E. coli outbreak prompts warning about romaine lettuce

CBS News confirms at least 64 people have been infected in 16 states; 31 have been hospitalized

From: http://www.cbsnews.com/news/e-coli-outbreak-cdc-romaine-lettuce/

Questions about pancreatitis linger after Avicii's death

In light of the music star's tragic death at 28, a look at what pancreatitis is and the potential complications that can come with it

From: http://www.cbsnews.com/news/what-is-pancreatitis-the-condition-avicii-suffered-from-years-before-death/

Girl With Rare Disease Races Time Via Virtual Tech

Pediatric brain disease patients the latest to gather data for clinical trials from the comfort of their own home.

From: https://www.webmd.com/brain/news/20180423/girl-with-rare-disease-races-time-via-virtual-tech?src=RSS_PUBLIC

Wounded veteran receives first penis-scrotum transplant

Surgeons at Johns Hopkins University perform first-of-its-kind operation to address "an unspoken injury of war"

From: http://www.cbsnews.com/news/veteran-who-survived-blast-receives-penis-scrotum-transplant/

USDA Responds to Opioid Crisis in Rural America

From: USDA https://www.youtube.com/watch?v=Y3WUcWubU8I

Mayo Clinic Minute: Why breakfast may be the key to trimming down your belly

From: Mayo Clinic https://www.youtube.com/watch?v=2LzZsgc3ajk

Aging Brains Gain More From Exercise With Good Hydration

The researchers noted that previous studies have shown that dehydration reduces exercise performance and brain function in young people, but less is known about its impact on seniors.

From: https://www.webmd.com/brain/news/20180423/hydration-may-be-key-to-a-beneficial-workout?src=RSS_PUBLIC

CDC Broadens Romaine Lettuce Warning as E. Coli Outbreak Continues

The sweeping advisory came after information tied to some new illnesses prompted health officials to caution against eating all kinds of romaine lettuce that came from the city of Yuma, Ariz., where the outbreak began.

From: https://www.webmd.com/food-recipes/food-poisoning/news/20180423/cdc-widens-romaine-warning-as-e-coli-fears-continue?src=RSS_PUBLIC

El minuto de Mayo Clinic: 4 mitos sobre los fibromas

From: Mayo Clinic https://www.youtube.com/watch?v=pT--2oD1uXs

Sonny Perdue Speaks at 4H National Conference

From: USDA https://www.youtube.com/watch?v=7L_f_zvNI6k

E-Cig Liquid Remains a Poisoning Danger to Kids

The annual rate of exposures skyrocketed by nearly 1,400 percent from 2012 to 2015, then fell by 20 percent from 2015 to 2016, the researchers said.

From: https://www.webmd.com/parenting/news/20180423/e-cig-liquid-remains-a-poisoning-danger-to-kids?src=RSS_PUBLIC

How a False Alarm Affects Future Cancer Screenings

These scares are common. They affect about half of women who get annual mammograms; almost one-quarter of those who get regular stool tests for colon cancer; and 10 to 12 percent of men who have regular prostate cancer tests, the researchers said.

From: https://www.webmd.com/cancer/news/20180423/how-a-false-alarm-affects-future-cancer-screenings?src=RSS_PUBLIC

Positioning During Radiation Key to Heart Risks

The researchers used the images to assess how precisely the radiation was delivered, and to determine if it shifted closer or farther away from the heart.

From: https://www.webmd.com/cancer/news/20180423/positioning-during-radiation-key-to-heart-risks?src=RSS_PUBLIC

Mucus Test May Help Doctors Treat Sinusitis Better

The mucus was analyzed for cytokines, which are proteins that enable cells to talk to each other. Based on the cytokines findings, the researchers categorized the patients into six different groups.

From: https://www.webmd.com/allergies/news/20180420/mucus-test-may-help-doctors-treat-sinusitis-better?src=RSS_PUBLIC

Chrissy Metz perseveres, shows that she's one of us.

Actor Chrissy Metz, star of the wildly popular NBC television series This Is Us, talks about overcoming childhood difficulties, anxiety, and other setbacks.

From: https://www.webmd.com/a-to-z-guides/features/chrissy-metz-perseveres?src=RSS_PUBLIC

10 Questions for Marcia Gay Harden

Marcia Gay Harden talks about her mother's Alzheimer’s disease, the latest 50 Shades movie, age, fitness, and Hollywood.

From: https://www.webmd.com/a-to-z-guides/features/10-questions-marcia-gay-harden?src=RSS_PUBLIC

University closes after 100 students fall ill

Officials do not know what's causing the illnesses but say they're "confident" it's not E. coli

From: http://www.cbsnews.com/news/western-connecticut-state-university-closes-100-students-sick/

How to talk to your doctor about medication

Pharmacology has changed the practice of medicine. Scientists are continually working on new and better drugs to manage medical conditions, from high blood pressure to autoimmune diseases to cancer. The mechanism of a drug — how it actually works on the condition it is mean to treat — is one important factor, but drug delivery, meaning how the medication arrives at the target it is meant to affect, is also key.

As a patient, it’s your right to understand everything about a medication prescribed for you. That doesn’t mean you have to become a scientist or pass an exam about pharmacology. But you can and should ask your doctor to explain to you why she has selected this medication for you, how it works, and what side effects you should expect. An article in Pharmacy World and Science explores what medications mean to patients and why it’s important to think about these concepts. Do I need this medicine? How will it impact my body? What control do I have over the effects of the drug?

Find out why this particular medication

No matter what the health condition is, there is always more than one choice of medication to treat it. Ask why the one your doctor recommends is the best choice for you. You want to know what the medicine is expected to do and how that will be monitored. Will you be expected to keep a log of your pain, symptoms, blood pressure, or blood sugars? Is this a medicine your doctor has used before and is familiar with? It’s a red flag if he says, “Well, I haven’t tried it before with a patient, but it seems like the right choice.”

Sometimes a physician will try a drug that is new to the market, but you need to know exactly what makes this medicine special for your condition. Be wary of medicines that are “brand name only.” That means they are newer to medical practice, will likely be more expensive, and that there is less experience using them. Sometimes, a newer brand name drug is a great choice, but if your doctor just heard about it and isn’t yet familiar with potential side effects and clinical response, you need to know that.

Be sure you know how to take the medication

Morning or evening? Empty stomach or after a meal? What if you miss a dose? Can you have a glass of wine while taking this medicine? Is it okay to drink grapefruit juice (which interacts with many medicines)? Will you need to “titrate up” (meaning to increase slowly until you get to the right dose)?

Your doctor should carefully review medication side effects

All drugs have potential side effects, even acetaminophen (Tylenol). Fatigue, weight gain, and headache are common, but there are lots of others. Some drugs can make your urine turn a different color — scary unless you know to expect it. Your GI system may move more quickly, resulting in diarrhea. Hair loss is an unpleasant drug side effect that can sometimes be prevented by taking supplements with the medicine. Tremor is another side effect that can limit how much of a medicine you’re able to tolerate.

Whatever you experience is real, so make sure you keep a list and let your doctor know. Anyone can be allergic to a medicine (and sometimes it’s just a simple rash that fades when you stop the drug), but a more serious and potentially life-threatening side effect is anaphylaxis. That means that you can actually stop breathing as your body goes into crisis mode. Don’t ignore any new symptoms when you start a drug.

Keep track of your experience and ask questions

It’s often useful to keep a list of questions in a notebook you take to medical appointments, or on your phone. Phone apps are great ways to track responses and side effects, so be sure to ask about options. Make sure you have all the answers about your medication, including how long you’re expected to try it before an adjustment or change.

Medicine can be life-altering. Taking medication prescribed for you can help you feel better or prevent health problems down the road (or both). But if a drug isn’t working for you or you are concerned about new symptoms or side effects, speak up. Your doctor needs to know in order to change the drug or dose, or consider other options.

New choices offer patients incredible options to improve their health. Your job is to understand your medicine and to tell your doctor if you can’t tolerate it or don’t want to take it. Medication adherence starts with you, but treatment is a partnership, so ask the questions you need to understand your treatment.

Source

Understanding the meaning of medications for patients: The medication experience, Pharmacy World and Science, January 2008.

The post How to talk to your doctor about medication appeared first on Harvard Health Blog.

From: Carolyn A. Bernstein, MD, FAHS https://www.health.harvard.edu/blog/how-to-talk-to-your-doctor-about-medication-2018042313696

#AsktheMayoMom about Prenatal Cardiac Interventions

From: Mayo Clinic https://www.youtube.com/watch?v=TYZu7v-loG4

A decade's impact of Alzheimer's on one couple

The toll from Alzheimer's is growing in this country with more than five million people suffering from the disease. On Sunday's "60 Minutes," Dr. Jon LaPook followed the personal story of Alzheimer's impact on one couple over the course of a decade. LaPook joins "CBS This Morning" to discuss his report.

From: http://www.cbsnews.com/video/a-decades-impact-of-alzheimers-on-one-couple/

E. coli outbreak prompts warning about romaine lettuce

CBS News confirms at least 64 people have been infected in 16 states; 31 have been hospitalized

From: http://www.cbsnews.com/news/e-coli-outbreak-cdc-romaine-lettuce/

When Does Online Gaming Become an Addiction?

The new review looks back at more than 40 investigations conducted worldwide between 1991 and 2016. It concludes that -- like other types of addiction -- internet gaming disorder is a complex condition that arises when fun morphs into a loss of control, turning into an obsession.

From: https://www.webmd.com/parenting/news/20180420/when-does-online-gaming-become-an-addiction?src=RSS_PUBLIC