Sunday, September 10, 2017

Study on Statins...


Originally published September 6, 2017

Monday, August 28, 2017

Studies Reveal How Shingles Vaccine Should Be Used in Arthritis Patients



Kevin L. Winthrop Ann Wouters, Ernest Choy, Koshika Soma, Jennifer Hodge, Chudy Nduaka, Pinaki Biswas, Elie Needle, Sherry Passador, Christopher Mojcik, and William Rigby. Arthritis & Rheumatology; Published Online: August 28, 2017(DOI: 10.1002/art.40187).


New research indicates that the live varicella-zoster vaccine—which is given to protect against shingles—elicits robust immune responses in patients when administered several weeks prior to the start of treatment with the arthritis drug tofacitinib. The Arthritis & Rheumatology findings are encouraging because patients with rheumatoid arthritis have a higher risk of developing shingles than other adults, and tofacitinib and certain other disease-modifying antirheumatic drugs are thought to further increase this risk. Importantly, however, the virus should not be given to patients who have not had the chicken pox in the past.

Saturday, August 26, 2017

Naturopath: Healthcare visit #63


We had another healthcare appointment with Dr. Jenn, hubby's naturopath. The purpose of the meeting was an update on recent tests (Bone scan, CT Scan, PSA, ultrasound), and upcoming anti-androgen intermittent therapy.
He handed her all the reports we had, a hard copy is a good thing.
Since his surgery we've been watching and waiting.
Anti-hormone therapy began Wednesday, with pills. In a couple of weeks we'll go to the doctor, taking the medication we pick up at the pharmacy, and they'll do the deed. This will happen every three months.

(All of this is based on excellent research, by Canadian researchers, who determine the course of action. It would be different if his cancer had progressed, as it often does, to bone cancer. This isn't the case. His cancer cells are limited to his lymph nodes in his groin, near the prostate site.)

We went back to Dr. Jenn, and handed over report after report, she stapled them, taking notes on her laptop.
The good news is, his cholesterol is down, he's reduced his meds for that. 
While the tests showed he has a small gallstone, Dr. Jenn said that probably with crappy diet he'd have pain. 

Side effects of anti-androgens: bone mass? Bone density?
Fatigue, lethargy, bone loss, calcium, anemia, weight gain less common. Hot flashes. Won't preclude activities, fully expect doing these (therapeutic riding volunteer, Meals on Wheels).

July , 2014 first mtg!
Volunteering, lots of standing, no lifting. 79.5 kg.
Margerine?
Non-dairy.vegan diet, with meat, no yeast. She suggested we keep hormone exposure minimal by eating organic meat.
Diet is good. 
Bioenzyme also, liquid calcium, pectosol .
More cofactors for absorption: osteo, cow bones, bigger molecule, boron-free. 
Thursday or Friday, should be here.
Renew mushroom, shiitake , herecium. Mushroom complex, mitigation if side effects. More modulating than stimulating, three times day. 
Made up a chart. 

CT Scan


Crappy photos in the waiting room. It's in a gym!

Wednesday, August 23, 2017

ODPRN Opiod Report Data


Access the full report and associated resources

This report is the first to link data from the Narcotic Monitoring System (NMS) to information from other health databases to obtain detailed information about characteristics of opioid users and also builds on the Health Quality Ontario report, 9 Million Prescriptions, which was the first report to use the NMS data.
The report, Behind the Prescriptions, describes characteristics and patterns of opioid use in the entire population of Ontario, including demographics, use of health services, and geographic variations across three broad indications: pain, cough, and addiction.

Wednesday, July 26, 2017

World Hepatitis Day is on July 28

Canadian Liver Foundation (CLF)

Hepatitis C affects approximately 300,000 Canadians - and 44% of those affected are unaware.

That is why Hepatitis C is commonly referred to as a silent disease -- often no symptoms appear until the liver is severely damaged, and can lead to liver disease, cancer, and death.
  • According to a 2016 survey, over 80 per cent are unaware of this increased risk, and only 25 per cent have been tested.
  • Canadian Liver Foundation’s recent survey also uncovered that 35% of Canadians don’t know what steps to take to get tested. 
  • Take the Hepatitis Risk Assessment quiz. 

Canadians born between 1945-1975 should get tested as per a recommendation issued by the Canadian Liver Foundation because:

  • Those born between 1945 and 1975 are up to five times more likely to be infected by hepatitis C than other adults.
  • Those who might be infected might not know because there may be no symptoms.
  • Many infected people live up to 20 or 30 years without ever feeling sick.
  • Hepatitis C can be contracted through contact with the blood of an infected person, but those infected by an infected individual might not be remember or know when this could have happened.
  • There are new treatments available that can cure hepatitis C and prevent further liver damage.
  • To access our Publication Library or to order some of our materials, click here. 

What is Hepatitis C?

Hepatitis C is a liver disease caused by the hepatitis C virus that attacks the liver. It is known as a silent disease because often no symptoms appear until the liver is severely damaged. Many people who are infected never feel sick and/or recover completely - whereas others experience brief, acute illness with fatigue, loss of appetite, and jaundice. Some people cannot fight the virus and develop chronic hepatitis, which can lead to cirrhosis (liver scarring), liver failure and/or liver cancer.

Brain tumour surgery

When my late father had his brain tumour removed, I must admit there was some shock. When I saw him, both of his eyes were bruised. He had a large semicircle of staples at the time. The scars remained. No one told me that this bruising was from the surgery. I cried, as I thought dad had fallen.

What they also didn't tell us, was the headaches are common with brain tumours. He had many signs of pain, which I thought at the time. Staff were reluctant to relieve his pain.

John McCain, after his surgery. You can clearly see his bruising.

Monday, July 24, 2017

Your Doctor App Could Amplify Your Health Anxieties


This is the most patronizing piece. Just because patients have questions and concerns doesn't make them hypochondriacs/means they have anxiety disorders https://t.co/TBW2nNdawa
— Erin Gilmer (@GilmerHealthLaw) July 23, 2017

Friday, July 14, 2017

Complaints about Retirement homes

This is the crux of the matter. Vulnerable residents, people with severe and chronic issues shouldn't be placed in a Retirement Home.

Public Register


Moment Manor Orleans

Orléans seniors' home inspected 28 times in last 3.5 years

Provincial agency 'watching' Moments Manor, where an elderly man wandered off and was later found dead

"since Moments Manor opened in November 2013, it has been visited 28 times by provincial inspectors."


Call 1·800·361·7254 to reach an experienced Information Officer.
Important Notice
Reporting requirements under the Retirement Homes Act, 2010 (the “Act”) came into force on May 17, 2011. Under the Act, there is an obligation to make a report to the Registrar of the Retirement Homes Regulatory Authority (the “RHRA”) if you suspect any harm or risk of harm to a resident resulting from improper care, abuse or neglect, or unlawful conduct. There is also an obligation to report suspicions of misuse or misappropriation of a resident’s money. Residents may make a report, but the Act does not require them to.
To make a report, call the CRIS line at 1-800-361-7254

Tuesday, July 4, 2017

Poison Ivy and contact dermatitis

Another bout: June, 2017

My history of poison ivy. It was July, 2011, the nurse identified the first infection in triage, but I didn't get strong enough salve to eradicate it. The ointments got it if it was an small infection.

2012-01-31 Lyderm ointment
2013-09-08 Prednisone. Bad bout: back for more: 6 tabs for four days; 5 tabs 2 days; 3 tabs @ 2 days, 2 tabs @ 2 days; etc. (54 x 5mg=  270mg ttl)
2014–08–01 Prednisone, 5mgs/5 days, didn't work.
2014–08–05 Prednisone  Dosage: 8 tabs for three days; 6 tabs for three days; 4 tabs for three days, 3 tabs @ 3 days; etc. (63 x 5 mg = 315mg total) 
2015-08-19 Prednisone, 5mg. Take  8 tabs for two days; 6 tabs 2 days; 4 tabs for 2 days, 2 tabs @ 2 days (40 x 5mg = 200mg total)
2017-06-20 Betaderm ointment didn't work.
2017-01-01 Prednisone, 50 mgs  @ 7 days = 350mg. Feeling pretty woozy.


Treatment of Severe Poison Ivy: A Randomized, Controlled Trial of Long Versus Short Course Oral Prednisone . 2014 Dec; 6(6): 429–434.

Published online 2014 Sep 9. doi:  10.14740/jocmr1855w
PMCID: PMC4169084




Verdict is in... poison ivy. Put the citiot in the country and see what happens!

First bout in the summer: July, 2011.

poison ivy rash = contact dermatitis
It took two months to percolate in my system.
It spread where ever the blisters opened.
I used cremes to stop the itching, pain killers to sleep.
It spread from arm to arm, then to my stomach, up my arms, down my belly and so on.


The full story;


  • 3 ER visits, 
  • 2 GP visits, 
  • 1 dermatologist, 
  • total 6 doctors, 
  • 3 nurses, (the first one, triage nurse, said poison ivy, but no one listened!)
  • 1 student Phys. Assistant-Ben Affleck-look-alike to do the biopsy, 
  • 2 cremes, 
  • 4 pain Rx. 
The worst is over. But it took months to hibernate in my system.

Delightfully spreading ivy; poison ivy patch
I mistakenly used the same gloves to stack wood, a month after the plants had died and I had touched some to remove them.
Here are the healthy plants close up!


Lesson learned!
biopsy on my belly,
where it spread

Saturday, June 24, 2017

US Healthcare ACA vs. Trumpcare