FDA approves home test for Alzheimer's risk

The DNA test kit from 23andMe can let users know their genetic risk for 10 diseases

From: http://www.cbsnews.com/news/fda-dna-home-test-23andme-genetic-risk/

Almost 1 Billion Worldwide Still Smoke Daily

Many countries have seen big declines, but more work needs to be done, researchers say

From: http://www.webmd.com/smoking-cessation/news/20170407/1-billion-smoke-daily?src=RSS_PUBLIC

U.S. Blood Supply Safe From Zika Virus: Officials

They detail steps being taken to protect people who need transfusions

From: http://www.webmd.com/a-to-z-guides/news/20170407/us-blood-supply-safe-from-zika-virus-officials-say?src=RSS_PUBLIC

Multivitamins May Not Help Men's Hearts

Study found no preventive benefit, but more research might still be warranted

From: http://www.webmd.com/men/news/20170407/multivitamins-may-not-help-mens-hearts-even-when-diet-is-poor?src=RSS_PUBLIC

Mayo Clinic Minute: Can lifestyle changes help with MS?

From: Mayo Clinic https://www.youtube.com/watch?v=98J9tiacb2M

Grassroots award winners announced at Lobby Day

Dr. Richard Andolina, ADPAC committee chair, presented grassroots advocate awards March 28 during the ADA Dentist and Student Lobby Day.

From: http://www.ada.org/en/publications/ada-news/2017-archive/april/grassroots-award-winners-announced-at-lobby-day

Can Smog Raise Breast Cancer Risk?

Exposure to fine-particle air pollution linked to dense breast tissue, a risk factor for tumors, study finds

From: http://www.webmd.com/breast-cancer/news/20170406/can-smog-raise-breast-cancer-risk?src=RSS_PUBLIC

Syphilis Rates Spike Among Gay, Bisexual Men: CDC

Awareness and practicing safe sex are key to curbing the growing rate of syphilis, sexual health experts say

From: http://www.webmd.com/sexual-conditions/news/20170406/syphilis-rates-spike-among-us-gay-bisexual-men-cdc?src=RSS_PUBLIC

Men More Prone to Severe Psoriasis: Study

Researchers say this may explain why more males seek treatment for the skin disease

From: http://www.webmd.com/skin-problems-and-treatments/psoriasis/news/20170406/men-more-prone-to-severe-psoriasis-study?src=RSS_PUBLIC

A Surprising Culprit Behind Celiac Disease?

Study suggests harmless viruses may set stage for immune system response to the grain protein gluten

From: http://www.webmd.com/digestive-disorders/celiac-disease/news/20170406/a-surprising-culprit-behind-celiac-disease?src=RSS_PUBLIC

FDA OKs 1st At-Home Genetic Tests for 10 Disorders

Saliva analysis can indicate higher risk of Parkinson's disease, among others, agency says

From: http://www.webmd.com/alzheimers/news/20170406/fda-oks-1st-at-home-genetic-tests-for-10-disorders?src=RSS_PUBLIC

Spring allergy season started early, getting worse

Allergy experts across the country talk pollen counts, the impact of climate change, and what to do if you're suffering now

From: http://www.cbsnews.com/news/spring-allergies-hay-fever-tips-advice/

WHO Live Q&A on depression

From: World Health Organization http://www.youtube.com/watch?v=NJFqCR4TP4c

Treating pain after opioid addiction: A personal story

Follow me on Twitter @Peter_Grinspoon

As a primary care physician at Massachusetts General Hospital (MGH), I am profoundly grateful for my 10 years in recovery from opiate addiction. As detailed in my memoir Free Refills, I fell into an all too common trap for physicians, succumbing to stress and ready access to medications, and became utterly and completely addicted to the painkillers Percocet and Vicodin. After an unspeakably stressful visit in my office by the State Police and the DEA, three felony charges, being fingerprinted, two years of probation, 90 days in rehab, and losing my medical license for three years, I finally clawed my way back into the land of the living. I was also able to return, humbled, to a life of caring for patients.

There is one question that I invariably get asked, by my doctors, colleagues, friends, family members, and at lectures and book talks: now that you are in recovery from opiates, what are you going to do when you are in a situation such as an accident or surgery, when you might need to take opiates again? I have blithely answered this question with platitudes about how strong my recovery is these days, and how I will thoughtfully cross that bridge when I come to it. In other words, I punted consideration of this difficult issue into some unknown future time.

Unfortunately, that future is now, and that bridge is awaiting my passage.

Last week I slipped on my top outside step, which was covered in ice, went into free fall, and managed to completely tear my left quadriceps tendon. This required a surgical repair in which doctors drilled three holes into my kneecap and then tethered what was left of my quadriceps muscle to the kneecap. Taking Tylenol or Motrin for this kind of pain is kind of like going after Godzilla with a Nerf gun. I was sent home with a prescription for one of my previous drugs of choice: oxycodone.

My leg was hurting beyond belief. I literally felt as if it were burning off. But, I had spent the last 13 years of my life conditioning myself, almost in a Clockwork Orange kind of way, to be aversive to taking any and all opiates.

What is a person who used to suffer from a substance use disorder (SUD) to do? There are millions of us in this country who may eventually face this choice.

Fortunately, I am not the first person who has confronted this issue. There exist safeguards one can put in place. It is important that all of your doctors know about your history of SUD. It is also helpful if you have a significant other or partner at home who can manage the pills for you, and dole out two of them every four to six hours as directed, to avoid the temptation to take more than prescribed in order to get high. (Old habits die hard.) Finally, the key to all addiction treatment is being open and honest. It is critical to check in with one’s support network about medications, cravings, and fears, and to use all of the recovery tools that are available to you, such as asking for help if you need to, and not trying to control things that can’t be controlled.

In the end, my level of pain was so great that there really wasn’t any choice but to take the oxy. My nerve receptors made the decision for me. I’m sure there are Shaolin monks somewhere who can block out high levels of pain, but that just isn’t me.

I am reassured, and even pleasantly surprised, by several aspects of having taken the oxycodone. First, it worked well for the pain. Second, I did not get high from the pills. I guess that taking two pills is different from taking (or snorting) 10 or 20, as we tend to do when we are addicted. Finally, it was very easy to stop taking them, and I have had absolutely no cravings or dreams about using since stopping.

This is a critical issue. It would be cruel and inhumane to not sufficiently treat any patient’s pain, especially after surgery, and it is important not to discriminate against people with SUDs. There are millions of people in recovery from opiates in the United States alone, and they are as deserving of pain control as anyone else.

Finally, I am grateful beyond belief to have survived my opiate addiction, and to not have become one of those all too common overdose stories we all read about in the newspapers. I am also grateful to my excellent doctors at MGH for fixing my wounded knee, and for providing me adequate pain control. Fortunately, my recovery and my pain control do not seem to have been mutually exclusive.

The post Treating pain after opioid addiction: A personal story appeared first on Harvard Health Blog.

From: Peter Grinspoon, M.D. http://www.health.harvard.edu/blog/treating-pain-opioid-addiction-personal-story-2017040711345

Protein in urine

From: http://www.mayoclinic.org/symptoms/protein-in-urine/basics/definition/sym-20050656