April Articles

Alzheimer's Disease.There is hopeful news from researchers about a possible vaccine against Alzheimer's disease. The vaccine causes an immune response against the amyloid protein that causes the damage in the brain. An article was published in the British Medical Journal.
Read this article at: www.bmj.com/cgi/content/full/322/7277/9

New Approved Medicine for Alzheimer's Disease.Janssen Pharmaceutical announces a new medicine for the treatment of Alzheimer's disease that improves the cognitive function in patients. It will be called Reminyl.
Read this article at: www.medscape.com/reuters/prof/2001/03/03.02/20010301rglt010.html

Risk of Ulcers Increase With Arthritis Medicine Combination.Fosamax (Alendronate) and Naproxyn (NSAID) both have been shown to increase risk for ulcers. When combined there is a dramatic increase in the risk of ulcer. The authors of the study do not recommend the combination use of these medicines.
Read this article at: www.bmj.com/cgi/content/full/322/7281/258/c

Congestive Heart Failure in the Elderly and Treatment Options.In the January issue of Annals of Long-Term Care, Dr. Aronow presents a review article covering CHF and treatments based on left ventricular ejection fraction. Considered medicines include ACE inhibitors, bete blockers, digoxin, spironolactone, and isosorbide.
Read this article at: www.mmhc.com/nhm/articles/NHM0101/aronow.html

Drug Abuse and Oxycontin

There has been much ado about drug abusers use of Oxycontin. Oxycontin is not a bad medicine-drug users behavior is bad behavior, and seems always to make good news for the hungry media. Millions of people continue to live and die in pain because of "well meaning" news reporters or pharmacist who "should" be experts in their field, or even doctors who tell family members that they themselves are afraid the dying patient will get addicted to the medicine. Many restaurants sell beer, but the waiter does not hand a customer a beer and say "now, this might make you an alcoholic"; but there are more alcoholics than drug addicts in the world.

Can you complete these sentences?

"This b___'s for you." or "Less filling-More ___." Alcoholics drink beer, but the beer did not make the alcoholic. Drug users use drugs, but a medicine does NOT make an addict. There are drug abusers who are in pain, who have legitimate reasons to hurt, and they will misuse prescription medicines, but this is no reason to turn our backs on the millions who suffer daily. If a doctor would spend more than 5-10 minutes a month with a patient, he/she could discern who is drug seeking and who is in pain, and could actually manage pain medicines. I have The Arthritis and Pain Clinic, and we have had many many drug seekers come through our office. We have discharged over one hundred patients based on medication misuse. The patients I have are people, people in pain, good people who hurt. They do not want to be "stone-headed", they want to work, and enjoy their families, and work in their yard, and sleep in peace to awake refreshed-living and managing their pain-not living in daily dread with their pain managing them. Real pain management for real people is in a pathetic state in American medicine. End.