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#Recalls

Sanofi US #recalls all Auvi-Q (epinephrine injection, USP) lot no 2299596 thru 3037230 exp 3/16 thru 12/16
Premiere Sales Group #recalls RHINO 7 3000 capsules  ALL LOT NOs WITHIN EXPIRY & Rhino 7 Platinum 3000 Capsules ALL LOT NOs WITHIN EXPIRY.

Drug Shortages and Three Discontinuations from the FDA

October 28, 2015

Shortages

Epinephrine Injection (Updated – Currently in Shortage)
L-Cysteine Hydrochloride Injection (Updated – Currently in Shortage
Leuprolide Acetate Injection (Updated – Currently in Shortage)
Levetiracetam (Keppra) Injection (Updated – Currently in Shortage)
Metoprolol Injection (Updated – Currently in Shortage)
Piperacillin and Tazobactam (Zosyn) Injection (Updated – Currently in Shortage)
Tobramycin Injection (Updated – Currently in Shortage)
Reserpine Tablets (Updated – Currently in Shortage)

Discontiinuations

Dipyridamole (Persantine®) Tablets (New – Discontinuation)
Meloxicam (Mobic) Oral Suspension (New – Discontinuation)
Oxybutynin (GELNIQUE 3%) Gel (New – Discontinuation)

I was just thinking.

An article in this week’s Science Times (NY Times, October 27, 2015) got me thinking. Do you know how your school system treats disabled students? Do you care? You should. Anyone of any age at any time can become disabled. You or a loved one can develop a chronic physical or mental “disease” or incur trauma with long-lasting consequences. A loved one can be born with a congenital condition. Imagine your child or grandchild develops a chronic but manageable illness. Then imagine that her school system refuses to allow her attendance because of it, whether she is attempting enrollment for the first time or has been an exemplary student for ten years.

Impossible! No, it is not. This is a situation that children with Type 1 diabetes face in many schools, public or private. The main reason given is that there is no one qualified to monitor blood sugar and give insulin or glucagon (for very low blood sugar) if necessary.

Type 1 diabetes was formerly known as juvenile or insulin-dependent diabetes. Type 2 diabetes was formerly known as adult onset or non-insulin dependent diabetes. However, the names were somewhat confusing because insulin-dependent diabetes can have its onset in adults and children can develop non-insulin dependent diabetes. It’s much easier to remember that in Type 1 diabetes the individual makes little or no insulin naturally in the pancreas. In Type 2 diabetes the pancreas makes insulin but the individual’s body is resistant to it and needs medication to help with the process.

So, what makes an individual qualified to test the blood for sugar levels and, if necessary, give insulin or glucagon (both injected)? Some school systems maintain (as does The American Nurses’ Association) that only a licensed nurse is qualified. Other school systems are willing to accept as qualified an adult volunteer who has been trained by a health professional. Some school systems, without a licensed nurse on staff, will not accept the volunteers or have no one willing to volunteer. Some schools say that a parent (or parent-designated adult) must come into the school to monitor the child. Other schools simply transfer the child to another school or, if a private school, simply say the child cannot attend.

Back to my thinking. If schools can do this when a child is newly diagnosed with diabetes (please read the Times article for the full story), what stops them from doing this when a child becomes disabled due to an accident? Is the problem the blood monitoring (aka, a “finger stick”) or the injection or the worry about a lawsuit? What happens to a newly disabled child who must have assistance with eating or who must have assistance to expel urine? What happens to any child who no longer fits the picture of “normal”?  What about the Americans with Disabilities Act?

I don’t know the answers to my questions, either in my school system or in any other. I’ve realized that this is a gap in my knowledge as a citizen. An even worse gap is that I don’t know where to find the answers. It’s election season. Maybe I should find out.

November is a busy month!

November is:

  • COPD Awareness Month
  • Lung Cancer Awareness Month
  • American Diabetes Month
  • Diabetic Eye Disease Month
  • National Alzheimer’s Disease Awareness Month
  • National Family Caregivers Month
  • National Hospice Palliative Care Month
  • National Stomach Cancer Awareness Month and
  • National Healthy Skin Month.

Stay Turned –

I’m Back!

A Well Kept Secret: Little Known Benefits

of colonoscopy:

#4. Several hours of deep, dreamless sleep

#3. Colonic cleansing (in the privacy of your own home!)

#2. Twenty-four hours of a clear liquid fast (without going to a spa!)

#1. Screening for colorectal cancer, the fourth most common cancer among American men and women.

 

Colorectal cancer is cancer of the colon (the large intestine) or rectum.  It is more common in persons over 50. Other risk factors include:

 

  • Polyps (growths that may become cancerous) in the colon or rectum
  • A diet high in fat
  • A family or personal history of colorectal cancer
  • Having Crohn’s Disease or ulcerative colitis.

 

Symptoms of colorectal cancer include:

 

  • Persistent abdominal pain or pressure
  • A change in bowel habits
  • Blood in the stool.

 

However, in the early stages, colorectal cancer often causes no symptoms.

 

Treatment for colorectal cancer depends on the stage and category (or sub-stage) of the cancer.  Stages vary from early, 0, to late, IV (Roman numeral 4).

 

Categories include:

T: the extent of spread of the cancer through the wall of the colon (from 0 to 4)

N: how far the cancer has spread into the lymph nodes (from 0 to 2)

M: whether or not the cancer has spread to other organs (from 0 to 1).

 

Treatment may include one or more of the following:

 

  • Surgery
  • Radiation
  • Chemotherapy.

 

As with most cancers, the treatment and eventual outcome of colorectal cancer is easiest and best when it is caught early.

 

At age 50:

Have a stool test for occult (microscopic) blood. Repeat it yearly.

Have a colonoscopy and then repeat the colonoscopy as often as recommended by your healthcare professional.

 

The number one benefit of colonoscopy is screening for the fourth most common cancer among American men and women, colorectal cancer.

 

 

For more information:

 

National Digestive Diseases Information Clearinghouse

 

Medline

 

American Cancer Society

Think those Low-Fat Chips Are Healthy? Think Again

The CDC reports an updated look at an old study. This study, from 2005- 2006, reported that 29% of adults had hypertension (high blood pressure) and 28% of adults had prehypertension (blood pressure higher than normal but not yet high enough to be called high blood pressure). Hypertension is one of the leading contributors to heart disease and stroke.

 

Excessive salt intake is one of the major contributing factors in hypertension. People already at risk for hypertension should consume no more than 15oomg of salt per day.

 

Who are the people at risk? African Americans, all adults over 40 and those who already have hypertension. That’s 69.2% of the population. Adults in general should consume no more than 2300mg of salt per day. LINK

 

Processed foods of all kinds are high in salt. So, re-think those chips!

 

For more on diet see

Dietary Guidelines

 

 

 

 

Allergies

Two recent articles in the New York Times were related to allergies. One brief article agreed that allergies to pollen may lead to food allergies. A longer article discussed an experimental treatment for peanut allergy.

 

An allergy is your body’s mistaken over-reaction to a common environmental or food source. The source of the allergic reaction is called an allergen or a trigger. Your body mistakenly responds to the allergen as if it were a threat. Your body tries to attack and destroy the allergen by producing antibodies. The antibodies trigger your body to produce histamine. The histamine causes your symptoms.

 

  • Symptoms may include:
  • A runny nose (rhinitis)
  • Itching (pruritus)
  • Hives (urticaria)
  • A rash
  • Inflammation, redness or swelling
  • Gastro-intestinal upsets such as diarrhea or vomiting

 

Angioedema is swelling of the tissues below the skin. It can be very serious when this occurs in your throat and mouth.

 

A severe and life-threatening allergic reaction is called anaphylaxis. This is a reaction that affects your whole body. It is a true emergency and requires immediate medical attention.

 

While allergy symptoms are cause by an allergen, the underlying cause is an over-sensitive immune system. This over-sensitivity is hereditary.

 

Allergies can be treated or controlled. The type of treatment depends on the specific allergy and its symptoms.

 

For more information about allergies see:

 

MedlinePlus

American Academy of Allergy Asthma and Immunology


Mary Lou Bernardo, PhD, MSN

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