Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Archive for the ‘Medicine’ Category

A New Scoliosis Test

Friday, November 13th, 2009

scoliosis-picTreatment of scoliosis – a condition that creates a sideways curve in the spine – is a wait-and-see proposition. For the more than 100,000 kids diagnosed each year, it goes something like this: wear an embarrassing back brace daily, visit a spine specialist every four to six months for a checkup and X-rays, and when you’ve stopped growing you’ll find out whether or not you need surgery.

“There is often a great deal of anxiety, and it’s so universal,” explains orthopedic surgeon Baron Lonner, M.D., director of Scoliosis Associates in New York City. While he maintains that bracing is still a good form of treatment, and still necessary for many kids, he acknowledges the stigma kids in braces can feel. “They feel incarcerated,” he says.

But a new genetic test called Scolioscore has the potential to put an end to the waiting and wondering. For some kids it could mean less time in the brace and fewer doctor visits, while others get needed surgical treatment sooner. Read on …

Dosing Info On Tamiflu

Tuesday, September 29th, 2009

rx-symbolIf someone in your family has a serious case of the flu – especially this season – there is a chance your doctor will prescribe Tamiflu (oseltamivir) to help dampen influenza symptoms and keep the illness mild.

Before you leave the pharmacy, check to make sure the dosing dispenser you are given matches the dose on the drug’s packaging. If your prescription is in milliliters (mL), make sure that is how the dispenser is marked.

The FDA last week issued a public health alert to doctors and pharmacists, pointing out that while doctors generally write prescriptions in milliliters or teaspoons, the dosing dispensers packaged with Tamiflu are marked only in milligrams. This could lead to dosing errors when parents try to follow directions but have the wrong dispenser.

Giving too little could mean the drug is ineffective, while overdosing could lead to serious side-effects.

What Are You Coughing About?

Wednesday, August 5th, 2009

coughThe flu is big news this year. And with the first rounds of H1N1 vaccine – not to mention the regular seasonal flu shots – not due out until mid-October, those little coughs are likely to get a little extra attention during the next couple of months.

If you’ve got a cough, it’s likely for one of two reasons, says Erika Schwartz, M.D., Medical Director of insurance provider Cinergy Health, general internist and preventive health expert. It’s either a viral infection, or an allergy.

Virus or Allergy?

To figure out which you’re dealing with, first make note of the time of day (or night) you are coughing. “The timing of the cough is crucial,” says Schwartz. A cough that just shows up at specific times – such as first thing in the morning, only during the night, or afternoons on the playground – is likely an allergy. A cough that persists day and night is more likely a virus.

Both viruses and allergies are self-limiting in some way. A virus will run its course, and if it is an allergy, you can identify and limit your exposure to the allergen. Either way, Schwartz suggests some basic steps to take before you head to the doctor’s office – especially since a stint in the waiting room means exposing yourself to everyone else who has decided to come in that day, and whatever viruses they’ve brought with them. Read the doctor’s self-care tips …

A Needle-Free Vaccine Against Ear Infections

Wednesday, July 22nd, 2009

When my daughter was small, it seemed like we were at the doctor’s office every six weeks – for a new ear infection and a new round of antibiotics. And judging by the bustling waiting room, we weren’t alone. Experts estimate that 83% of kids have a middle-ear infection (also called “otitis media”) before they turn 3.

That puts a vaccine that would prevent ear infections high on the list of parental fantasies. Even better would be a vaccine that doesn’t require your kids to get one more shot. And that’s just what researchers at Nationwide Children’s Hospital in Ohio are developing, a vaccine for ear infections that is simply rubbed on the outside of the ear.


Click here to read my Q&A with Lauren Bakaletz, developer of the vaccine.

H1N1 Flu May Be More Dangerous Than Suspected

Tuesday, July 14th, 2009

The pandemic H1N1 flu virus (red) has been shown to be more virulent than scientists previously believed. The filamentous shape of the virus, which in this image have recently budded from infected cells, is also unusual.

The pandemic H1N1 flu virus (red) has been shown to be more virulent than scientists previously believed. The filamentous shape of the virus, which in this image have recently budded from infected cells, is also unusual.

 

The H1N1 influenza virus isn’t like our regular seasonal flu, and could be more dangerous than experts previously thought, according to a report published yesterday in the journal Nature. Animal studies show that the virus can infect cells deep in the lungs, causing pneumonia and even death. Seasonal flu, meanwhile, typically infects only the upper respiratory system. Research conducted by leading flu authority and virologist Yoshihiro Kawaoka of the University of Wisconsin found that H1N1 is similar to other pandemic viruses, such as the 1918 virus that killed tens of millions of people. H1N1 is expected to return in force during the fall and winter flu season. Kawaoka’s research also found that at least three existing and experimental antiviral drugs are effective against H1N1. Learn more … 

 

 

From the Wire – Rapid HIV Test Sometimes Unreliable In Teens

Wednesday, June 24th, 2009

hiv-teenIf your teen comes down with unexplained sore throat, fever, aches and pains and your doctor orders an HIV test, it’s worth finding out which kind, according to Allison Agwu, M.D., pediatric infectious disease specialist at Johns Hopkins Children’s Center. Flu-like symptoms are common during the earliest stages of HIV infection, but the most commonly used rapid HIV test often results in false negatives at that stage. Experts estimate that around 14 teens become infected with HIV every day in the U.S. If your teen shows severe flu-like symptoms, and a few pointed questions lead you to believe she or he is sexually active or has used injectible drugs, consider asking your doctor about a polymerase chain reaction (PCR) test, which can accurately detect the virus during those early weeks. Learn more …

 

From the Wire – FDA Says Don’t Use Zicam Cold Remedies

Wednesday, June 17th, 2009

zicamIn a consumer alert published yesterday, the U.S. Food and Drug Administration (FDA) warned that using Zicam Cold Remedy Nasal Gel, Zicam Cold Remedy Nasal Swabs, or Zicam Cold Remedy Swabs, Kid Size could permanently take away your sense of smell. The products contain zinc and are intended to treat the common cold, but the agency says they haven’t been shown to be effective. What’s more, since they came on the market in 1999, FDA has received more than 130 reports of people losing their sense of smell after using them. The agency recommends that consumers stop using these products and throw them away. Learn more … 

 

From the Wire: Citalopram Ineffective Against Autism Symptoms

Monday, June 1st, 2009

wireA National Institutes of Health (NIH)-sponsored study has concluded that citalopram – sold under the brand name Celexa and one of the more frequently used medications for children with autism – is ineffective in decreasing repetitive behaviors, and could even increase them. The 12-week clinical trial included 149 kids ages 5 to 17 with autism, and researchers said the result was “not at all” what they expected.

Citalopram is one of a class of medications called selective serotonin reuptake inhibitors (SSRIs), and some preliminary studies had showed encouraging results for the drug. But this large-scale scientific study, part of the NIH-sponsored Studies To Advance Autism Research and Treatment and published in the June 29 issue of Archives of General Psychiatry, found no real difference in improved behavior between children taking the drug and those taking a placebo. In addition, the children taking citalopram were more likely to experience increased energy level, impulsiveness, difficulty concentrating, hyperactivity, increased repetitive movements and behaviors, and other side effects.

Researchers concluded that citalopram is “not an effective treatment” for children on the autism spectrum with repetitive behaviors.

Learn more about STAART …

From the Wire: FDA Report Recommends Acetaminophen Warnings

Friday, May 29th, 2009

wireAcetaminophen, branded as Tylenol in its most popular OTC form, has long been relied on by parents to bring down fevers and quell aches and pains (including Mom’s headache). But a report released this week by the U.S. Food and Drug Administration (FDA) recommends adding warnings to labels and making changes to dosing to help reduce chances of overdose and the liver damage it can cause.

Overdose is especially risky when people take multiple over-the-counter medications that might contain acetaminophen, such as a combination cold medicine plus Tylenol. Another concern is risk to adults who regularly drink three or more drinks per day while taking acetaminophen, thus placing additional stress on the liver.

The report’s recommendations include increased efforts to educate the public about the risk, warnings for alcohol users and people with liver disease on product packaging, and more prominent display of the word “acetaminophen” on product labels. The report also recommends limiting maximum daily adult doses and tablet strengths to help reduce chance of overdose, and eliminating combination products.

The agency will further discuss the report findings in June.

Learn more about acetaminophen and handling it safely … 

CAM and Kids

Wednesday, January 14th, 2009

72_NCCAM_charts_7

It might be a simple dose of Echinacea or a complex set treatments from an acupuncturist. You could be trying to knock out a common cold, vanquish symptoms of ADHD, or offer aid and comfort for any number of childhood illnesses and afflictions.

Either way, complementary alternative medicine (CAM) is serious medicine, according to experts. And parents should treat it that way.

Nearly 12% of U.S. children use some form of CAM, the National Institutes of Health reported in December. And a report out the same month from the American Academy of Pediatrics placed estimates even higher: at 20-40% of healthy children and more than 50% of children with chronic, recurring and incurable medical conditions.

That same report found that 66% of parents and caregivers didn’t tell their child’s pediatrician about CAM treatments they were using, and this presents serious problems, according to Ruth McCarty, co-founder of the complementary and alternative medicine program at CHOC Children’s Hospital in Orange County, one of the few such programs in the country. “There are huge risks involved in that,” says McCarty. Read on …