Saturday, April 9, 2011

Share your diet details respectfully.

Praise healthy dishes.

You might think you're being a polite dinner guest by saying you wish you could have some of that creamy artichoke dip. But it's better to leave diet sabotage out of the conversation. It can make the cook feel bad about preparing food his or her guests can't eat. Instead, shift your focus to the fresh fruit salad or the presentation of a low-fat dish.

By treating healthier items like indulgences, the host may be more inclined to foist those on you—or at least let you off the hook when it's time for dessert.

Share your diet details respectfully.

You feel great since you started eating healthier, and naturally you want to share that with others. But if your friends aren't ready to assess their eating habits, pushing them to avoid foods loaded with fat, salt, and sugar could feel like an ambush. Smugly waving food away with an, "I don't eat that garbage," or "Do you know what's in that?" might actually make them redouble their efforts to sway you.

If you don't want to be hassled about your eating choices, don't put your friends on the spot either. Wait until they express interest in your diet. Then humbly share the details.

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Wednesday, September 15, 2010

Something is wrong with this prescription

The words "Clomipramine" and "Clomiphene"  might look similar, but if you work in a pharmacy, you should know that they stand for very different things. Clomiphene is the generic version of the fertility drug Clomid. Clomipramine is a tricyclic antidepressant. A woman in Pittsburgh says that the pharmacy at a Giant Eagle grocery store gave her the antidepressant when she was prescribed the fertility drug. She had a severe allergic reaction and ended up in the emergency room.

I called Giant Eagle immediately and said 'Something is wrong with this prescription,' and they said 'Give me your name,' and they placed me on hold. And when they returned back on the phone they said 'Ma'am, you're right, we gave you the wrong medication,'(the woman) said.

    She said her mother rushed her to the emergency room where doctors gave her five additional medications to keep her from going into anaphylactic shock.


The grocery chain, of course, told a local news station that they are "taking the incident very seriously and are working to rectify the situation."

It appears that the incorrect medication name appears on a pamphlet the customer received. Always carefully check the printed information with your prescriptions, which should include a list of possible side effects and counterindications, a description of what the medication is used for, and sometimes a physical description of what your pills should look like.

Sunday, August 22, 2010

Allergists should also review each patient's symptoms before every injection

Allergists should also review each patient's symptoms before every injection, Nelson said. "Patients shouldn't be actively wheezing, they shouldn't be waking up at night due to asthma symptoms and their pulmonary function should be relatively normal." If symptoms are flaring up, doctors should postpone the injection.

Professional guidelines recommend that patients remain under observation for 30 to 45 minutes after an injection, so that clinicians can recognize any serious reactions and treat them immediately.

The review appears in the current issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates research in all aspects of health care. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing trials on a topic.

The meta-analysis encompasses 88 studies, with 13 published since 2001, and about 3,800 participants. All studies were randomized controlled trials. Most of the studies focus on house mite or pollen allergies, while a few looked at animal dander, mold, latex or a combination of allergens.

"Among allergists there's no question that asthma caused by allergies is responsive to immunotherapy," Nelson said. "The advantage of immunotherapy is that it causes long-lasting, if not permanent, improvement."

Furthermore, most people who have allergy-induced asthma also have nasal symptoms, Nelson said. "They have to inhale steroids into their lungs and spray them into their nose, and a lot of people don't like to do that forever. Immunotherapy treats both the nasal and chest symptoms."