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Thursday, October 30, 2008

Pickled Pink

I think back to Biology 101 and the little pickled animals and parts we dissected, poked, and prodded to "learn" what insides look like and get an idea of how structure and function relate to the electrochemical magic we call "life." It is fascinating but are we pickling ourselves?

Since the dawn of the TV dinner science has produced chemicals that make food stay in an edible form for periods of months to years. We have also seen a steady rise in neurological disease and gastrointestinal cancers. Sure, skeptics would say that the rise in many diseases of aging happen simply because our life expectancy has greatly increased beyond that of people from 200 years ago. I am not so sure.

I looked through a catalog of government approved food additives. There is a whole lot more than color going into those Pop-Tarts, kids. There are pages and pages of protein, fat and sugar substitutes, colors, flavors, antimicrobials, texture stabilizers, etc. I don't even think Kosher hot dogs are "Kosher" anymore because several additives are derived from animal and bacterial origin. I was taken aback by the practically unending array of things you can put in food to make it appeal visually, odoriferously, and tastefully.

Consider colon cancer. The colon is basically the sewer system of the human body. The upper digestive tract breaks down food so nutrients can be absorbed and passes the rest of the material to the small intestine for further processing. The intestines have secretory cells that coat the lining with a mucus layer that assists in moving waste out while bacteria finish processing waste. While the waste is moving out some things get stuck in the mucus layer. If you don't eat enough fiber these trapped wastes can lead to irritation or infection in the intestinal lining. These irritations sometimes form polyps that eventually have the potential to become cancerous years down the road.

The real problem with colon cancer is that you can be asymptomatic for years after the cancer starts. Once it has spread to other areas of the body and you start showing symptoms it can be damn tough to treat and often fatal. This is where routine screenings for certain age groups come in. Sure the test is very uncomfortable but if you can catch it early you can stop it early. How many of the additives in food contribute to this? We have no idea.

Another problem we see more and more is Alzheimer's disease. This neurobiological breakdown of brain tissue leads to serious problems relating to being able to care for one's self or becoming a burden on the family. The saddest statistic is that most of these patient's end up in long term care facilities on a chemical cocktail that keeps them "manageable". It is a horrifying sight to behold and I will die in a well orchestrated "accident" before I let that happen to me. It does run in my family so I will more than likely be afflicted. Tick tock...not sure how long but I know my brain is waiting to turn to useless mush in about another 50 years... Pudding, it is turning into pudding...

Another neurobiological issue is Autism. There are many degrees of cognitive failure in Autism. For the lucky ones the damage is minor and they appear to function on a time delay. Others are not so lucky and seemed trapped in a repetitive nightmare that makes them a burden on the family. Could it be from food additives during a baby's time in the womb that cause this?

I like to think there are many contributing factors. First, neurological problems can be inherited. Alzheimer's, seizure disorders, and several forms of mental retardation are known to be inherited. We all have a "crazy" relative somewhere in the family tree. That one relative is evidence that your genetic stew can go bad when it comes to cooking up a new member of the family.

Second, diet plays a major role in fetal development. There are certain nutrients we know pregnant women need to prevent specific developmental problems. There are also certain foods pregnant women should not eat because they are in a state of decreased immunologic function. I am curious to see what women ate the entire time they were pregnant if the child was diagnosed with autism. I doubt that would be a good study though because people always lie about eating better to scientists or medical personnel.

Third, certain medications are known to cause birth defects and increase the risk of birth defects. I would like to know what prescription and OTC medications women were on along with vitamins, herbal supplements, health drinks, etc. the entire time they were pregnant if their child had neurological problems.

I don't know what the answer is as I have written myself into a vortex of practically unanswerable questions. I think I have to side with the Vegans on this one. Unprocessed foods seem like the best choice to me. Beyond foods, I don't think I will use any medications unless 100% necessary during pregnancy. Not that I am planning on children but you never know when an accident will happen....

Sunday, October 26, 2008

Shame On You, CNN

So I am in Orlando, Florida for a fun weekend of theme park rides and I flip through the channels to find something to amuse until we leave for the parks again. I stop on CNN hoping to get some of "The Most Trusted Name In News" and see a lady (I don't remember her name) talking about how medical doctors are notorious for prescribing placebos when they don't know what is wrong with a patient.

Here is her list of "placebos":

*vitamins
*anti-inflammatories
*antibiotics
*saline
*sugar pills

This is the definition of placebo:


pla⋅ce⋅bo   /pləˈsiboʊ for 1; plɑˈtʃeɪboʊ for 2/ Show Spelled Pronunciation [pluh-see-boh for 1; plah-chey-boh for 2]

–noun, plural -bos, -boes. 1. Medicine/Medical, Pharmacology. a. a substance having no pharmacological effect but given merely to satisfy a patient who supposes it to be a medicine.
b. a substance having no pharmacological effect but administered as a control in testing experimentally or clinically the efficacy of a biologically active preparation.

2. Roman Catholic Church. the vespers of the office for the dead: so called from the initial word of the first antiphon, taken from Psalm 114:9 of the Vulgate.
--------------------------------------------------------------------------------Origin:
1175–1225 for def. 2; 1775–85 for def. 1; ME < L placēbō I shall be pleasing, acceptable



To set this lady on the right path anti-inflammatories, antibiotics and vitamins cannot be placebos because they actually are chemicals that perform a specific function in the body. The case can also be argued for saline. It performs as a tear replacement in eye drops and a fluid replacement intravenously for volume deficiency (ie dehydration) and as a vehicle for medication delivery. So technically saline does have activity in the body so it is not technically a placebo.

Should I go as far as to say that sugar pills can be argued to not be a placebo.... For diabetic patients on insulin therapy drops in blood sugar can be dangerous to the point of being deadly. These people take sugar pills to help in the regulation of blood sugar so in specific cases sugar pills do not count as a placebo unless they are being used as a "control" in an experimental evaluation.

The lady further went on to breed mistrust between patients and physicians when the "interviewer" asked if this was "legal" and she replied that the practice of giving placebos is "..legal but unethical." How do you like them apples...now the "most trusted name in news" wants you to revolt against your primary care physician. Is this how the government plants seeds to discourage "socialized" medicine or is this lady just another ill-informed media puppet?

This post just proves two things: CNN should not be the self-proclaimed "most trusted name in news" and I am an opinionated, angry c*nt.

Monday, October 20, 2008

No Good Deed Goes Unpunished

So I get a call at McDruggies's and a lady wants to know if the rash she has is from her cat. She is elderly and has a "feral" rescued cat that she keeps in her house and has had for a long time. It lets her pet it when it feels like letting her pet it. Other than that she is the "food giver" and "poo box cleaner" in the one-sided relationship. She said sometimes the cat likes to sleep with her on the bed and lounge on the couch. So I ask for more details about the rash.

She has a lot of swelling from the knees down and on her arms. It started this morning and is getting worse. She also has a lot of itching and some "spots" on her upper arms and a couple of "spots" on her face. I ask for more details.

It turns out she was going to be a sort of half-way house and that another "rescue" cat had been left with her two days ago and the rescue worker told her to take a towel and rub the new cat then rub her cat so they would recognize each other's scent. One teeny tiny problem.....the new cat has ringworm (a fungal infection of the skin) that no one told her about. This means that the resident cat has been thoroughly rubbed with the towel from the new cat with the skin infection. You know what happened next...

The last two days played like an outbreak movie in motion where the infected kitty and resident-now-infected kitty have rubbed against the lady's legs and arms from where she wrangled them to put antibiotic ointment around where they had scratched their ears raw. She then took two showers to try and soothe the rash, which makes the skin dry and makes the rash more irritating. The new kitty had gone to another half-way house.

At the point in the evening when I talked to her the new kitty was at a different home and may be coming back to her in a couple of days. I told her to call them in the morning and tell them "No." She now has to treat her infected "feral" cat, treat herself and do some significant cleaning everywhere infected cats have rubbed. That will be a daunting task because my cats are not "feral" and they are on e-v-e-r-y-t-h-i-n-g in the house.

Her next few days will involve a trip to the vet with an angry kitty, a trip to the drugstore/urgent care for her, and a lot of itching. I would rather be in pain than itch and there is only so much OTC products can do. After I talked to her a few times over the course of the evening to reassure her that it is a treatable condition I suffered some psychosomatic empathy itching.

The moral to the story is when taking in "rescue" animals, be sure to ask if there are any medical problems the animal may need treated. Have a vet give all necessary vaccinations, check for ringworm/heartworm/etc., and look for signs of skin infection, parasites, or open wounds. It is also a very good idea not to introduce your pet to a rescue animal without isolating the new animal for at least 48 hours to make sure it does not have anything that could pose a health threat to you or your pet.

Isolation is especially important with birds. They can carry many different respiratory illnesses and parasites that readily jump from bird to bird. When birds get sick they stop eating which leads to dangerous drops in body weight. Birds are like newborn humans, when things go bad they go bad fast and can easily be fatal.

Following these precautions can lead to a very rewarding new addition to your animal family. I know I love each of my little ani-pals like they were my own babies and wouldn't give them up for the world! ....an NO, I am not an animal horder. I have 2 cats that roam the house like they own it and 5 small birds that live in a large metal aviary (mainly to avoid becoming kitty treats). Happy adopting!

Friday, October 17, 2008

Think Happy Thoughts, Warm Safe Place

Sung to the tune of "Witch Doctor"

I told the politician I need some health care
I told the politician life was so unfair
And then the politician, he told me what to do
He said that....

Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang

I told the politician my home would soon be lost
I told the politician I could not bear the cost
And then the politician, he gave me this advice
He said to....

Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang

Now, you've been suffering like me
Just like you were homeless
And I'll admit I don't feel so well
So I went out and found myself
A guy that's so much wiser
And he bought me a bottle of Cuervo

My friend the politician, he took that bottle too
My friend the politician, he beat me black and blue
I know that he will smile while wiping me off his shoe
Oh, baby....

Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang
Ooo eee, ooo ah ah ting tang
Walla walla, bing bang




****Ugh**** No happy thoughts left... Maybe Zach and Miri have it right, the only joy left is making a porno...

Monday, October 13, 2008

Off Topic: Do Not Use Travelocity For A Trip

I have had a terrible, terrible time with Travelocity and changing reservations. You will get f*cked really good because in order to change anything on your reservation after you have booked they will charge the FULL PRICE you paid again for the change. If you cancel the reservation they will also charge you double for a cancellation fee. What douche bags! The only customer service you get from them is rape.

Oh yes, their advertising makes it sound like you are getting a good deal and getting first class service, when in fact they are just greedy bastards taking your money and then fisting you for more later if something happens to need changing.

DO NOT USE TRAVELOCITY FOR ANY TRIPS!!!!!

Wednesday, October 8, 2008

Even More Political Nonsense and Affordable Health Care for All

I was planning another blog when a comment from my last Political Nonsense blog from "flyryan" wanted me to watch a You-Tube video of John Mccain's solution to emergency medical care. My response and then some:

Mccain's plan to have a medical facility in retail outlets has already been put in place by retail establishments with a big pharmacy business. He is just generalizing what private industry figured out many years ago: cheap, quick, readily available health care for everyone. What Mccain fails to see is that these clinics are very limited in scope as to what they can treat, screening equipment, and surgical capabilities. He fails to see that this is not the ultimate answer for emergency care but, as I stated before, it can help to ease the burden on the emergency room to medical care that needs surgical resolution, bone resetting, etc. instead of a six hour wait time because of 300 people with easily diagnosable and treatable ailments are waiting because they do not have a primary medical doctor due to lack of insurance or feel like sh*t and can't wait 3 weeks for an appointment with their primary physician.

Both presidential candidates have fatal flaws in their medical plans because their advisers are so removed from the medical fields they used to practice that they cannot see the forest for the trees. Both candidates need to sit down with emergency workers from poor inner city hospitals, over-crowded and understaffed VA hospitals, nurses that can fully enlighten them to the fallibility of an entire ward with only one or two nurses per shift to care for them all, physicians who are so over booked that patients get very little face time with them, pharmacists who can fully explain the issues and ramifications of non-compliance when copays skyrocket at the beginning of each new year, and patients who have to make a choice between paying for food, a mortgage/rent, gas, utilities, and medications. Only then will they see a small part of what is really happening in the rich country with the worst health care system.

During our last Democratic presidency Hillary Clinton tried to get legislation passed that would ensure every child had health care. Many in Congress fought her because they felt the First Lady had no business trying to enact legislation and was supposed to be a fashion accessory to the President. That just plain sucks! I have a simple solution for Congress. Take a few hundred million in "pork barrel" programs that only benefit a handful of people and fund Medicaid to cover health care for everyone under the age of 18. Medicaid is already subsidized by third party insurers so they won't be losing any money, children will have health care, and it will help out families by cutting costs on their health care plans by dropping coverage for children, not to mention ensuring that insurance lobbyist payouts keep coming so the bureaucrats still get what they want.

I only have to ensure myself because I have no spouse or children and I only pay about $50 per month for decent health/prescription insurance because my employer pays most of the premium. I have seen the premiums for family coverage and spouse coverage. They are far higher than mine, even with the company paying part of it. Independent family plans can go up to $700 or more per month depending on the coverage and the insurer with only the family to cover the premium. Families could save hundreds of dollars per month on health care just by not having to pay family premiums. This is a simple, painless solution to a very important problem. How much easier can it get??? But I have more!

The same can be said for Medicare and its heinous monstrosity of Part D medication coverage. Again, take a few hundred million in pork barrel spending and fund Medicare Part D in such a way as to give every citizen over the age of 55 zero monthly premiums for the program, zero copays for generic medications and a reasonable copay, such as $5 for brand name drugs that have no generic.

This former "pork barrel" money can also be used to ensure faster reimbursement for all Medicare and Medicaid services to pharmacies, medical providers, and hospitals so that independent pharmacies and medical offices no longer have to struggle to pay operating and/or drug replacement costs while waiting years for the government to pay them back and hospitals will have a bigger budget for nursing/medical staff and equipment/supplies, thus increasing quality of patient care and outcomes. This funding will keep jobs, generate jobs, prevent businesses from collapsing, and increase quality and access to medical services in tough economic times. Can there still be more???

My solution does not cover everyone but does ensure health care for those most at risk for medical problems and complications resulting in death. My solution also has the easiest and greatest effective solution for health care that this nation has seen in many years. This is the closest I can get us to nationalized health care that will keep ALL parties happy. In summary, my not so crazy plan accomplishes this:

* Health care for all children under 18 years old.
* Cheaper medications for all people over 55 years old.
* Faster and better reimbursement for all medical goods and service providers.
* Cheaper health care insurance costs for families.
* Insurers still make money.
* Bureaucrats still get perks.
* Job are saved.
* Jobs are created.
* "Pork Barrel" spending is reduced.
* People are healthier.
* People are happier.

And greatest of all:

* Accomplishing "Change we can believe in!"



"The only change we can believe in starts with our ideas and government actually listening to and implementing the mutually beneficial ones!" Big N Tasty, RPh

Saturday, September 27, 2008

Political Nonsense

Another American Presidential debate season is upon us. The air is filled with promises and hope of magical things like nationally regulated health care, affordable drugs, greater access to doctors, happy little bunnies hop-hop-hopping at your feet and cute little birds extolling the virtues of daily life in our wonderful nation. I inhale big lung-fulls of hope and promises until I notice the cancer starting to choke my lungs as the lies in disguise poison me like so many chlorofluorocarbons nibbling away at the ozone layer. That reminds me, I need to buy more sunscreen....

Some promises are being fulfilled by el corpo pharmacia. Easy access to urgent medical care has been a rising trend for all retail pharmacy outlets. Sure there are limits to what can be treated at these urgent care outlets but they help ease the strain on an already overstressed emergency room system. Keep the emergency room for those who really need it: the mangled, the attacked, the coronary events needing immediate attention, broken bones, torn muscles and ligaments, etc. Applause for the initiative, although profit driven but what isn't these days, to ease the pressures on overflowing ERs nationwide.

Another promise being fulfilled by el corpo pharmacia is affordable medications. On the one hand many corporations are offering various pricing incentives or discount plans for cash paying consumers. On the other hand this is choking the life out of the mom and pop pharmacies who cannot survive the competition, piss poor insurance reimbursement rates, super slow payments from medicare and medicaid, and higher replacement costs for medications. Even buying co-ops don't make much of a dent in replacement costs. It is very disheartening that in the "land of opportunity" we slowly but surely cannibalize every independent business. I have worked with several pharmacists who sold their business and now work for McDruggie's. It is a disheartening sacrifice for job security in a rapidly crashing economy.

My favorite thing to hear from politicians that makes me pee my pants with laughter is not to buy drugs from anywhere other than the U.S. of A. This comes right off of the Food and Drug Administration's Website:

FDA's Main concern: Safety
A growing number of Americans obtain their medications from foreign locations, often seeking out suppliers in Canada. But FDA cannot ensure the safety of drugs bought from these sources.

Such a broad statement gives me a fit of the giggles. It should have been worded better. I have no doubt that legitimate pharmacies in Canada are dispensing the same medications that my pharmacy is. The FDA statement conjures the image of Snidely Whiplash in a lab coat pouring tablets from a bottle with a skull and crossbones on it into a medication vial then Dudley Doright rides in on his trusty steed to bust up the operation and somewhere along the line has to avoid a train. Damn, that reminds me how old I am but the Dudley Doright Ripsaw Falls theme ride at Universal Studios in Orlando sure is fun...if you go sit in the front...and take a lot of quarters...it will all become clear when you ride the ride...here's a hint...water cannons...but I digress...and need to take a minute to plan a trip to Universal Studios. Thankfully I am within a reasonable driving distance and the Incredible Hulk roller coaster rocks!

Back to buying drugs from other sources. I am skeptical of most Internet sites that sell drugs, especially the ones only selling Viagra, Levitra, and Cialis. The FDA has a task force systematically investigating and shutting down illegitimate operations. The problem here is that as soon as one is shut down one hundred more pop up. I would not purchase medications from ANY site that is not a legitimate pharmacy operation. Do your research before you buy.

Another way to combat counterfeit drugs entering the market is radio frequency identification tags. This technology is still in the research and testing phases but promises to put a big stop on illegitimate chemicals entering the retail pharmacy system. I am putting my faith in technology because it has never failed me where politicians always have.

Another reason the FDA statement and ill-informed politicians make me laugh is that many pharmaceutical companies are manufacturing their drugs in other countries and importing them back into the U.S. I have seen several bottles from Pfizer labeled Italy, Ambien labeled France, and an ever increasing number of brand and generic drugs labeled India. Maybe the politicians haven't seen the world travel FDA inspection itinerary or maybe big pharma has paid them to be ill-informed. Don't drink the political Kool-Aid kids, more and more drugs are manufactured elsewhere due to cheap labor and tax breaks from the Free Trade Agreement.

There have been warnings, such as the recent Ranbaxy debacle because their factory fell short of FDA standards and practices and is not allowed to import anything from one particular factory until standards and practices are proven to meet FDA guidelines. The point is that these factories still have to meet FDA guidelines in order to be imported back into the U.S. so the drugs are monitored but sometimes the system fails.

The moral to the rambling story is this: An ounce of prevention is worth a pound of cure (Ben Franklin) and I also like to add worth it's weight in platinum (like the credit card you went over limit on to pay for your meds) so eat healthier, take time to exercise by playing sports or other family activities with your children and friends, and adopt a pet because they can help you relax and bring you great happiness and one day you may eliminate your need for blood pressure and Type II diabetes meds which will make your life suck a little less than it did the day before.