Archive for the ‘CHILD ABUSE - METH’ Category

SUPER BOWL DOMESTIC VIOLENCE — C.A.G.E. THIS HOP’S FOR YOU

Saturday, February 3rd, 2007

THE DEBATE OF SUPER BOWL ASSOCIATED EVENTS RAGES ON.  THE DEBATE OF DOMESTIC VIOLENCE RAGES ON.  WHERE AND WHEN THE TWO MEET IS CONTROVERSIAL.  EXAMINATION OF THE DATA IN MANY PLACES DOES NOT EQUATE TO A HIGHER RATE.  AGENDA AND POLITICAL ACTIVISM RAISES THE RELATIONSHIP MOSTLY.  HOWEVER…..

AND YEARS AGO, EVERYTHING WAS LINKED TO THE "FULL MOON CONSPIRACY" OF ILLNESS, INJURY, PSYCHIATRIC MALADIES, AND JUST PLAIN WEIRDNESS IN THE EMERGENCY ROOM…..AND SHOWN TO BE DATA INSUFFICIENT TO PROVE THE POINT…..CAN'T BLAME THE MOON THIS SUPERBOWL, AS THAT WAS A DAY OR TWO AGO….. 

DOMESTIC VIOLENCE DOES OCCUR AS WELL AS ALCOHOL OVERUSE AND ABUSE – ALL HAPPEN ON SUPER BOWL SUNDAY.  BUT THESE EVENTS HAPPEN ON NON-SUPER BOWL SUNDAYS ALSO, AND MONDAYS, AND TUESDAYS, AND WEDNESDAYS, AND THURSDAYS, AND FRIDAYS, AND SATURDAYS.  SO…..

WHAT MATTERS IS THAT ALL THOSE SUPERBOWL COMMMERCIALS SPONSORED BY THE BEER INDUSTRY CERTAINLY ENCOURAGE THE "FUN" OF THE ALCOHOL OVERUSE AND ABUSE.  WHAT THEY DO NOT ADVERTISE IS THE DARK SIDE OF THE ALOCHOL OVERUSE AND ABUSE…AND THE SUBSEQUENT POSSIBILITIES OF DOMESTIC VIOLENCE, CRIME, DUI, CHILD ABUSE, AND FAMILY DISCORD – NOT TO MENTION JOB LOSS, WORKPLACE INEFFICIENCY, FINANCIAL RUIN, AND HIGH PERSONAL RISK.  SO…..

TAKE THE TEST ON THIS SUPERBOWL SUNDAY:

Screening Test Questions:

  • Have you ever thought you ought to Cut down on your drinking or drug use?
  • Do you feel Annoyed at criticism of your drinking or drug use?
  • Do you feel Guilty about your drinking or drug use?
  • Do you ever take an Early-morning drink (eye-opener) or use drugs upon awakening  ("a little hair of the dog that bit you") to start the day or to feel better?

SOME SAY AT LEAST ONE-THIRD OF ALL WOMEN WILL BE INVOLVED IN SOME FORM OF DOMESTIC PARTNER VIOLENT BEHAVIOR IN THEIR LIFETIME.

AN ESTIMATED 5 MILLION INCIDENCES OCCUR ANNUALLY.

AN ESTIMATED 1500 WOMEN DIE YEARLY FROM DOMESTIC VIOLENCE.

EMPLOYEES MAY REPRESENT 20-25% OF VICTIMS OF THIS TYPE OF LIFESTYLE.

IMPACT ZONE:  INTERVENE WITH A FELLOW EMPLOYEE, ASSOCIATE, FRIEND IF YOU THINK THE QUESTION IS APPROPRIATE.   "ARE YOU SAFE?"  "CAN WE HELP?"  "HOW CAN WE HELP?"

CYANIDE ANTIDOTE – FDA APPROVED RECENTLY – WILL IMPROVE FIRE AND POISONED VICTIMS’ CHANCES OF SURVIVAL WITH EARLY EMS AND KEY TO BIOTERRORISM MONITORING *** CYANOKIT (C)

Monday, January 15th, 2007

Fire victims, EMS providers, methlab remediation teams, and firefighters will be greatly served by this medical advancement in the United States.  This cyanide antidote replaces the "lilly kit" that had been used for years, which used early, was lifesaving but medically cumbersome at best.  Three medicines quickly had to be given to these severely critical patients – and the antidote itself had poisoning problems itself.  This new antidote uses an extremely novel idea.  Vitamin B12, hydroxycobalamin, likes cyanide.  With a little molecular twist, the new antidote drug, hydroxocobalamin, simply exchanges a part of the drug and binds the cyanide with impressive results.  Dr. Steve Borron, well know to some of us, and definitely an international leader in this arena, has done significant and life changing research on this new antidote to get the approval through the FDA.  This antidote has been used in Europe for over a decade with great success.  Others like Dr. Hall in Denver has done work on the FDA project years ago.  Many have contributed to this landmark success of getting this drug in a workable form into the United States.  Congrats to all of them!

 

FDA News

FOR IMMEDIATE RELEASE
P06-205
December 15, 2006

Media Inquiries:
Press Office, 301-827-6242
Consumer Inquiries:
888-INFO-FDA

FDA Approves Drug to Treat Cyanide Poisoning

The Food and Drug Administration (FDA) today approved Cyanokit (containing the drug hydroxocobalamin, intravenous tubing and a sterile spike for reconstituting the drug product with saline) for the treatment of known or suspected cyanide poisoning.  The approval, which is based on evidence of the drug's effectiveness when tested in animals, improves the nation's ability to respond to emergencies, including a potential attack by terrorists.

"Cyanide is a potent poison and one of the substances that could be used in a chemical attack," said Dr. Steven Galson, Director of FDA's Center for Drug Evaluation and Research.  "Today's approval is yet another measure to counter the threat of terrorism, which is a critical component of FDA's public health mission."

Cyanokit received a priority review and was approved under the Animal Efficacy Rule, which  allows use of animal data for evidence of a drug's effectiveness for certain conditions when the drug cannot be ethically or feasibly tested in humans. 

In a controlled study in cyanide-poisoned adult dogs, the use of Cyanokit reduced whole blood cyanide concentration by approximately 55% by the end of the infusion, and significantly improved survival of the Cyanokit-treated dogs compared with dogs receiving placebo.

The safety, metabolism and excretion of Cyanokit were evaluated in 136 healthy adult humans.  At the proposed starting dose of 5 grams, the drug was found to be generally well tolerated with side effects that were mild to moderate.  The drug exits the body unchanged in the urine.  In the presence of cyanide, Cyanokit's active drug takes up the cyanide and becomes a form of vitamin B12.

The most frequently reported adverse reactions in the trial were red urine, skin redness (both from the drug's coloration itself), a temporary increase in blood pressure, headache, nausea and injection site reactions.  Allergic reactions were observed in a small number of individuals but were relatively mild and responded quickly to treatment.

Cyanokit is manufactured for EMD Pharmaceuticals, Inc by Merck Sante s.a.s. in Semoy, France and packaged by Dey Laboratories of Napa, California.

More information about FDA's efforts to counteract bioterrorism is available on FDA's website at http://www.fda.gov/oc/opacom/hottopics/bioterrorism.html.

 

(photos courtesy: google images)

 

METH LABS — smurfing — AFTER THE CLEANUP IS RISK REAL? TOXIC TALE?

Friday, January 12th, 2007

Methlabs continue to plague society. Costs continue to rise.  New laws embedded.  New techniques on how to get the drugs to help make meth continue, for example:

Typical mechanisms that the non-cartel methlab cooks get pseudoephedrine are: smurfing and shelf sweeping.  Individuals that “smurf” go to a large number of stores and buy amounts at each retailer of pseudoephedrine that are under the legal limit but in the aggregate are much more.  A less sophisticated version of smurfing involves sending many individuals into the same store to buy amounts of pseudoephedrine just below the legal limit.  “Shelf sweeping” occurs when an individual or a group goes into a store and remove all the pseudoephedrine on the shelf and then exit without paying.

 

 

photo courtesy srhd

 

 

Recently, radio listening to a report of the "significant" risks to persons entering into methlab areas that already have been cleaned up or decontaminated or remediated.  The report left me believing that any site with any amount of meth activity is the same.  Not true.

The report said after the cleanup process has occurred, the persons are still able to be "poisoned" and become "toxic" from being in the decontaminated room.  Not probable either.

The epidemic of methlabs across the country have spawned the entire "cleanup industry" making many companies extremely wealthy in the "abatement industry."  One operator told me, "If I just turn on the truck, the fee is $2500 dollars, then the bill goes up depending on what we do."

Most ingredients of methlabs are dangerous.  Some can be flammable.  Some have bombs or incindary devices. However, after the cleanup has occurred, risk is minimal, probably non-existent.

Do you clean out your garage or shed as a methlab decon project – the spaces that have been storage for such contaminants of lawn mower gasoline, oil, garden chemicals, camping or cooking supplies, glass cleaner, carburator fluids, drain cleaners, windshield washer fluids, antifreeze, and other highly toxic day to day chemicals of household use?

The risk of financial collapse for cleanup is hard hitting for any owner that needs to hire a "cleanup" company.  It is estimated that a methlab cleanup can cost from $1000 to hundreds of thousands, depending on cartel activity or the mom-pop variety.

Google "methlab cleanup companies" (remediation) and nearly 60,000 hits arrive at the "deal or no deal" option.

Searching and searching, little is found on "risk of after-cleanup toxicity."   Colleagues in this area have been surveyed.  An anwer is in waiting.  Thus far, experience has not shown me one person ill, sick, contaminated, physically harmed, toxic from a space declared "clean."

 

IMMEDIATE CARE urgent care CLINICS – WHY WAIT IN THE ER * MINOR EMERGENCY WALK IN * URGENT CARE * INJURY ILLNESS – WORKER OCCUPATIONAL CARE – DRUG-FREE WORKPLACE TESTING – MRO REVIEW – SPORTS CARE – FAMILY CARE – URGENT CARE

Tuesday, December 26th, 2006

IMMEDIATE CARE urgent care CLINICS – WHY WAIT IN THE ER  * MINOR EMERGENCY WALK IN * URGENT CARE * INJURY ILLNESS – WORKER OCCUPATIONAL CARE – DRUG-FREE WORKPLACE TESTING – MRO REVIEW – SPORTS CARE – FAMILY CARE – URGENT CARE

  • OVER THE PAST DECADE AT LEAST 400 (FOUR HUNDRED) OR MORE EMERGENCY ROOMS HAVE CLOSED
  • GREATER 120 MILLION PEOPLE WERE TREATED IN ERS A FEW YEARS AGO – GROWING
  • GROWTH IS AN ALARMING 20-30% EVERY 5-10 YEARS
  • COMPLICATED PATIENTS CONTINUE TO GROW – AIDS, TB, CANCER, ADVANCED DIABETES, STROKE, HEART DISEASE COMPLICATIONS, TRAUMA, SHOOTINGS, DRUGS OF ABUSE
  • NEARLY 50 MILLION AMERICANS HAVE NO INSURANCE OR LIMITED ACCESS

click on link -  http://www.nimcc.com

WHAT TO DO:

BRING A LIST OF YOUR ALLERGIES, MEDICATIONS, PAST MEDICAL HISTORY, EKG IF YOU HAVE IT, AND NAMES AND PHONE NUMBERS OF SIGNIFICANT OTHERS, AND INSURANCE INFO IF IN DATE 

 

GO TO IMMEDIATE CARE IF UNSURE  – IF NOT SEVERELY ILL OR INJURED

IF YOU MUST GO TO THE ER, GO IN THE MORNING…LESS BUSY USUALLY

WHEN IN DOUBT –  IF ILLNESS OR INJURY IS SEVERE…CALL 911

TELL THE TRIAGE NURSE YOUR SYMPTOMS…ALL OF THEM

KNOW THE CREDENTIALS OF YOUR DOCTOR…EXPERIENCE

IS THE EMERGENCY PHYSICIAN RESIDENCY TRAINED IN EMERGENCY MEDICINE

IS THE EMERGENCY PHYSICIAN BOARD-CERTIFIED IN EMERGENCY MEDICINE

BRING AN ADVOCATE TO WATCH, LISTEN, AND ASK QUESTIONS – ESPECIALLY IF VERY ILL

MANY IMMEDIATE CARE CLINICS CAN TAKE CARE OF MANY ILLNESSES AND MINOR EMERGENCIES – CALL IF UNSURE

MANY IMMEDIATE CARE CLINICS CAN STABILIZE AND TRANSFER TO THE HOSPITAL

MANY IMMEDIATE CARE CLINICS HAVE BOARD CERTIFIED ER DOCS AND ER EXPERIENCED DOCS

CARBON MONOXIDE (CO) POISONING EPIDEMIC * prevention – WARNING – CAUSES – SYMPTOMS – THERAPY – GOAL – LONG TERM EFFECTS – **mandatory reporting effort by Washington State Public Health and Washington Posion Center

Friday, December 22nd, 2006

 

 

Preventing Carbon Monoxide Poisoning   *  Emergency

 

(fires photos from:  nifc.gov)
(product photos from:  web general sites)
(house photo from: kltv, texas)

 

Generators, grills, camp stoves, or other gasoline, propane, natural gas, or charcoal-burning devices should never be used inside a home, basement, garage, or camper – or even outside near an open window. 

Every home should have at least one working carbon monoxide detector. The detector’s batteries should be checked twice annually, at the same time smoke detector batteries are checked.

Carbon monoxide (CO) is an odorless, colorless gas that can cause sudden illness and death if inhaled.
When power outages occur during emergencies such as hurricanes or winter storms, the use of alternative sources of fuel or electricity for heating, cooling, or cooking can cause CO to build up in a home, garage, or camper and to poison the people and animals inside.

Every year, more than 500 people die in the U. S. from accidental CO poisoning.
CO is found in combustion fumes, such as those produced by small gasoline engines, stoves, generators, lanterns, and gas ranges, or by burning charcoal and wood. CO from these sources can build up in enclosed or partially enclosed spaces. People and animals in these spaces can be poisoned and can die from breathing CO.

How to Recognize CO Poisoning
Exposure to CO can cause loss of consciousness and death. The most common symptoms of CO poisoning are headache, dizziness, weakness, nausea, vomiting, chest pain, and confusion. People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms.

Important CO Poisoning Prevention Tips

  • Never use a gas range or oven to heat a home.
  • Never use a charcoal grill, hibachi, lantern, or portable camping stove inside a home, tent, or camper.
  • Never run a generator, pressure washer, or any gasoline-powered engine inside a basement, garage, or other enclosed structure, even if the doors or windows are open, unless the equipment is professionally installed and vented. Keep vents and flues free of debris, especially if winds are high. Flying debris can block ventilation lines.
  • Never run a motor vehicle, generator, pressure washer, or any gasoline-powered engine outside an open window, door, or vent where exhaust can vent into an enclosed area.
  • Never leave the motor running in a vehicle parked in an enclosed or partially enclosed space, such as a garage.
  • If conditions are too hot or too cold, seek shelter with friends or at a community shelter.
  • If CO poisoning is suspected, consult a health care professional right away.

 

Educational materials

 

(adapted from CDC website)

 

Indications for Hyperbaric Oxygen

Hyperbaric oxygen therapy is a specialized medical treatment in which the patient breathes 100 per cent oxygen while inside a chamber at increased atmospheric pressure. HBO is used for specific medical conditions. HBO has long been (PHOTO: hcmc hbo ctr) recognized as vital in the resolution of critical medical conditions such as gas gangrene, carbon monoxide poisoning, air embolism due to diving, trauma, or surgical procedures, and decompression sickness. It is also an important adjunct for specific wound healing conditions.

 

The Hyperbaric Oxygen Committee of the Undersea and Hyperbaric Medical Society (UHMS) lists the following indications: approved uses for Hyperbaric Oxygen therapy:

  • Air or gas embolism
  • Carbon monoxide poisoning and smoke inhalation
  • Clostridial myonecrosis (gas gangrene)
  • Crush injury, compartment syndrome, and other acute traumatic ischemias
  • Decompression sickness
  • Enhancement of selected problem wounds
  • Exceptional blood loss anemia
  • Necrotizing soft tissue infections
  • Chronic refractory osteomyelitis
  • Radiation tissue damage (Osteoradionecrosis)
  • Skin grafts and flaps (compromised)
  • Thermal burns
  • Adjunctive HBO in intracranial abscess

 

 (adapted from:  HCMC HBO Ctr)

 

 

Carbon monoxide poisoning: Reporting required

Due to the ongoing severe cold weather conditions and associated increase in carbon monoxide (CO) poisoning among King County (PHOTO: hcmc hbo ctr)  residents, Public Health is making suspected CO poisoning immediately reportable to Public Health by hospitals and healthcare provi
ders for seven days from today, through Dec. 24, 2006
. This period will be extended if necessary.

The most common symptoms of CO poisoning are headache, dizziness, weakness, nausea, vomiting, chest pain, and confusion. Inhalation of carbon monoxide gas typically leads to headache, dizziness, and confusion, which might progress to dyspnea, tachypnea, syncope, and metabolic acidosis.  Laboratory criteria for diagnosis: A case in which carboxyhemoglobin concentration exists >5% in venous or arterial blood in nonsmokers and >10% in smokers, as determined by hospital or commercial laboratory tests. The typical range of carboxyhemoglobin concentrations in smokers is 6%-10%.

 

Advice regarding diagnosis and treatment management of CO intoxication is available 24/7 through Washington State Poison Center at 1-800-222-1222.

This health order impacts primarily emergency departments (ED) and the information should be disseminated to all ED staff in King County hospitals immediately. A designated person on each shift should be identified to report cases of CO poisoning to Public Health.

 (adapted from the Seattle/King County Public Health Announcement) 

THE CONTROVERSY CONTINUES:  DOES THE HYPERBARIC OXYGEN HELP?

Current assessment and treatment of CO poisoning in the
emergency department is grossly inadequate to prevent serious
neurologic complications. HBOT speeds removal of CO from
tissues and counters a number of its deleterious effects. Past studies
have demonstrated efficacy of HBOT for reducing the incidence of
neurologic sequelae, even though only three sessions of HBOT
were used. Clinical experience such as that reported here shows that
HBOTtreatment late in the course of established impairments from
CO can lead to clinical improvements. Improvement is documented
by evidence of increased brain metabolism on functional brain
imaging by SPECT after HBOT. Further study as well as wider
availability of HBOT, particularly for persons such as firefighters
who are at high occupational risk of CO poisoning, is warranted. 

AND THESE TREATMENTS ARE NOT CONCLUSIVE IN MANY STUDIES THUS FAR…(editorial comment by castMD.com)

Richard A. Neubauer, M.D.
Virginia Neubauer
Alan Ko Chi Nu,
M.D. William S.
Maxfield, M.D., FACNM
, is Medical Director, Ocean Hyperbaric
Neurologic Center, Lauderdale-by-the-Sea, FL. is
Research Director, Ocean Hyperbaric Neurologic Center.
, is a hyperbaric physician practicing in Taipei, Taiwan.
, is a radiologist and Chief of Nuclear Medicine at
Ocean Hyperbaric Neurologic Center.

(adapted from:  Journal of American Physicians and Surgeons Volume 11 Number 2 Summer 2006)

PHARMACEUTICAL ADVERTISING TO THE PUBLIC – GAO WEIGHS IN ON THE FDA – WWW GROWTH TOO FAST – PATIENTS SMOTHERING IN DRUG ADS

Thursday, December 14th, 2006

WWW.CASTMD.COM HAS BEEN HOT Guns TRACKING THIS ONGOING MASSIVE PATIENT BOMBARDMENT. 

NOW YOU TOO CAN READ THE WARNING LETTERS FROM THE FDA SITE.

http://www.fda.gov/cder/warn/warn2006.htm

 http://www.fda.gov/foi/warning.htm

LIKE PREVIOUS CASTMD.COM BLOGS, http://www.castmd.com/?p=86 THIS LEVEL OF MARKETING PLACES RISK ON PATIENTS AND PHYSICIANS THROUGH THE USE OF THE OLD MARKETING PLOYS AND SILENT ADVERTISING - "SUBLIMINAL SUGGESTION."  http://www.castmd.com/?p=79   Annoyed

FDA officials are issuing fewer offense warnings to drug companies for false and misleading advertisements and are taking longer to do it, a congressional report says.

Annual spending on direct-to-consumer drug advertisements at $4.2 billion and growing, the government has limited ability to curb distribution of ads that violate federal rules, according to the report being released Thursday.

From 2002 through 2005, it took the FDA four months on average to draft, approve and send warning letters and other correspondence to companies that were in violation of the rules, government auditors said.

Between 1997 and 2001, before FDA lawyers began reviewing the letters as a matter of policy, it took just two weeks on average to issue the letters. The number of letters fell off by about half between the two time periods.

The GAO also said the FDA lacks an effective way to screen, review and track the more than 10,000 ads and Web sites brought to the agency's attention each year. The amount has doubled in just four years.

(adapted from fxnws/fda/gao)

smokers CALL 911 * LIFE-SAVING DISTANCE ADDED TO SMOKERS BAN BUBBLE – SOME SMOKE IS HEALTHIER THAN OTHER SMOKE IN COEUR D ALENE AND THE IDAHO LEGISLATORS AND LOBBYISTS

Wednesday, December 13th, 2006

AS CASTMD.COM HAS OPINED PRIOR ON THE ONGOING LUNG ASSAULT FROM THE AGENTS OF FIELD BURNING  IN NORTHERN IDAHO AND OTHER CLOSE AREAS, NOW THE COUNTY COMMISSIONERS ARE ADDING "LIFE-SAVING" DISTANCE TO THE CIGARETTE SMOKERS BANNED AREAS.  

I BELIEVE, IDAHO STATE LAW STATES THAT SMOKING IS ALLOWED ONLY BEYOND 20 FEET FROM A PUBLIC DOORWAY OR ENTRANCE.  THE KOOTENAI COUNTY COMMISSIONERS CHANGED IT TO 20 FEET FROM ANY BUILDING.

ONE OF THE LOCAL PAPERS QUOTED A COMMISSIONER SAYING, "IT'S AN EMPLOYEEE, RISK MANAGEMENT ISSUE."

WHAT IS THIS?  THE COMMISSIONERS CONTINUE TO ALLOW FIELD BURNING SO PATIENTS, EVEN WITH SEVERE LUNG DISEASE AND HEART DISEASE AND KIDS WITH CYSTIC FIBROSIS, ASTHMA, AND ALLERGIES – CAN BREATHE POLLUTED AIR IN THE BEAUTIFUL SUMMER AND FALL MONTHS.

IN THE LOCAL PAPER, THE STORY CONTINUED THAT SOMEONE EVEN STATED IT [THE SMOKE] "PERMEATES THE BUILDING."   AMAZING TO SAY THE LEAST……

RISE UP FOLKS…DO THE FIELD BURNING AND THE FOREST FIRES BOTHER YOU?  CALL YOUR LEGISLATORS ABOUT THE THOUSANDS OF TONS OF PARTICULATES CREATED AND THAT YOU MUST INHALE WITH THOSE PROBLEMS.   (SEE PREVIOUS BLOGS FROM WWW.CASTMD.COM)

SO, IT IS NOT A MYTH.  IT IS TRUE. 

IN IDAHO'S LEGISLATORS AND LOBBYISTS, SOME SMOKE IS HEALTHIER THAN OTHER TYPES.   SIMPLY AMAZING ! 

OSTEOPOROSIS AND TREATMENT SIDE-EFFECTS * Jaw Osteonecrosis

Tuesday, December 12th, 2006

THE GOOGLE SEARCH FOR FOSAMAX AND OTHERS BRINGS FORWARD MANY PAID ADVERTISING LAW FIRMS REGARDING LAWSUIT INVITATION AND CONSULTATION REGARDING THIS CONCERN.

WWW.CASTMD.COM LOOKED TO SEE IF THIS IS A PROBABILITY OR POSSIBILITY FOR LITIGATION AND JURY AWARD.  WHAT DOES SOME OF THE LITERATURE SAY? 

MANY COMMENTS ARE BEING MADE OF THE RISK OF TAKING OSTEOPOROSIS MEDICATION FOR PREVENTING BONE LOSS, AND REBUILDING BONE.  MOST, IF NOT ALL OF THE CONTROVERSY IS RELATED TO JAW BONE LOSS, OSTEONECROSIS OF THE JAW.  THE CONTROVERSY ALSO RELATES TO THE POSSIBILITY OF THE MEDICINES CALLED "BIPHOSPHONATES" SUCH AS FOSAMAX, AREDIA, AND ZOMETA, AND POSSIBLY OTHERS.

OSTEONECROSIS OF THE JAW IS A DEVASTATING CONDITION.  THE BONE LOOKS AND ACTS INFECTED.  MOST CASES COME FROM THE ILL EFFECTS OF INFECTION DUE TO DENTAL PROBLEMS OR DENTAL SURGERIES.  MANY CASES, IF NOT ALMOST ALL, COME FROM THE USE OF INTRAVENOUS USE OF THE MEDICINES, WITH CASES OF METASTATIC BONE CANCER.

MERCK PUBLISHED THEIR CONTROLLED TRIALS OF OVER 17,000 PATIENTS, WITH 10 YEARS' DATA USING FOSAMAX, SHOWING NO REPORTS OF ONJ.  IN POST-MARKETING USE, MERCK ESTIMATES BY MARCH 31, 2006 THE CUMMULATIVE RISK FROM ALL SOURCES OF CAUSE WAS ESTIMATED AT LESS THAN 1/100,000 PATIENT-TREATMENT YEARS.

CURRENTLY, THE NATIONAL OSTEOPOROSIS FOUNDATION SEES THE RISK AS RARE IN PERSONS TAKING ANY ORAL FORM OF THE MEDICINE FOR OSTEOPOROSIS.  THE FOUNDATION ALSO STATES THAT IT BELIEVES THAT THE RISK OF FRACTURES AND BONE LOSS IS MUCH GREATER TO MOST PATIENTS THAN ANY RISK OF DEVELOPING THE ONJ PROBLEM DUE TO THE MEDICINES FOR OSTEOPOROSIS. 

PLEASE, IF YOU ARE ON A MEDICINE FOR REDUCTION OF OSTEOPOROSIS RISK, A BIPHOSPHONATE, TALK WITH YOUR DOCTOR AND STAY INFORMED.  HOPEFULLY THIS HAS ASSISTED YOU IN YOUR DECISION TO BE AND STAY HEALTHY.Cool

THE PRESTIGIOUS NEW ENGLAND JNL OF MED WILL SPEAK TO THE ISSUE THIS NEXT WEEK, I AM ANTICIPATING.