Category Archives: Women’s Health

DR. C’S MEDICINE CABINET: ‘CELEBREX’ (NSAID)

NSAIDs are a  common pain medication. Younger people with no underlying diseases take them all the time for headaches, sprained ankles, and other injuries.

I have an underlying stomach problem that makes me want to minimize the gastrointestinal side effects when I need an NSAID medication, and for that reason I have 100 mg Celebrex, or celecoxib in my medicine cabinet.

I am fortunate not to have much severe pain, although I do have osteoarthritis in my hand, and infrequent abdominal pain from a small bowel surgery.

Celebrex is my magic bullet whenever I have pain from diverse causes such as in my legs; I do have a very active exercise program of an hour a day in the morning and a half an hour in the evening.

The Cox 2 inhibitor‘s were initially touted as being able to avoid the stomach problems caused by the non-selective  NSAIDs. Unfortunately, several of them, such as vioxx, were associated with more heart attacks, a 45% increase, and they were removed from the market . Celebrex was a survivor from this group, but it still tends to cause an increase in blood pressure.

Whenever you take any medication, it’s always a trade-off;  relief from the problem at hand, traded for the inevitable side effects. There is no powerful medication that has only the desired activity, and  most people are better off with a healthy lifestyle than taking medication.

Another advantage with medication avoidance is that when you take the medication, it tends to work a whole lot better. At least I have found that to be true, and celecoxib is my magic pain medication, which has salvaged countless nights of sleep.

—Dr. C.

Heart Health: What Is Cholesterol? (AHA Video)

There are two types of cholesterol: LDL cholesterol, which is bad, and HDL, which is good. Learn why too much cholesterol and elevated triglycerides can lead to heart disease and stroke. Make it a priority to have your cholesterol checked.

Procedures: Preparing For A Colonoscopy (Mayo)

A colonoscopy is an exam used to detect changes or abnormalities in the large intestine, or colon, and rectum. It’s an important exam that’s performed to check for colon cancer. But some would agree that preparing for the colonoscopy is worse than the exam itself.

In this Mayo Clinic Minute, Dr. James East, a gastroenterologist at Mayo Clinic Healthcare in London, explains what patients will need to do to prepare for this exam and how to make it a little easier.

Health: Why Dental Care Costs So Much In The U.S.

Americans have a tendency to avoid the dentist. More than 40% of Americans said they don’t see a dentist as often as they would like, according to a 2018 survey by the American Dental Association. Their number one reason for skipping visits is cost, even among those with dental insurance. Dental insurance policies can be confusing and difficult to use, making some Americans wonder whether dental insurance is worth investing in at all. Watch the video to find out to learn what it actually costs to go to the dentist, whether dental insurance is worth investing in and what patients and policymakers can do about it.

Video timeline: 0:00 – Introduction 1:42 – How dental insurance works 4:15 – Dental care costs 6:17 – Is dental insurance worth it? 9:49 – Solutions

DR. C’S JOURNAL: SIGNS & SYMPTOMS OF NARCOLEPSY

Narcolepsy is a sleep disorder with daytime drowsiness, sudden episodes of falling asleep, sometimes sudden loss of muscle control, and occasionally hallucinations.

If this sounds like the bad, overbearing, uncontrolled brother of REM sleep, that is because it is. The features of REM sleep are there; sleepiness, muscle paralysis(cataplexy) and Hallucinations(dreams). This combination of symptoms can often disrupt jobs, and can be dangerous, leading to accidents.

The cause of narcolepsy is unknown, but there is an association with decreased blood levels of the neurochemical hypocretin. The disease starts in youth, and sometimes occurs and families. The patients are often overweight, and can have sleep apnea in addition.

The Diagnosis is usually made in specialist sleep centers, which find an unusually rapid entrance  into sleep, beginning in the REM stage. Normally REM sleep occurs later in the 90-minute sleep cycle.

There are a lot of different stimulants and some sleep-restoring and paralysis-reducing medications used to treat narcolepsy. This and other information may be found on the accompanying Mayo clinic article.

—Dr. C.

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Brain Research: The Many Benefits Of Healthy Sleep

Covid-19 & Flu Can Spark Sepsis, Endangering Heart

Healthcare: Pros & Cons Of Medicare Advantage

Medicare Advantage is an all-in-one managed care plan, typically an HMO or PPO. Advantage plans provide the benefits of Part A and B, and most also include Part D, or prescription drug coverage. Some offer extra benefits not available through Original Medicare, such as fitness classes or vision and dental care.

If you opt for Medicare Advantage, you typically continue to pay your Part B premium as usual, but you will pay little or no additional premiums for your coverage.  You generally have copays or coinsurance, but once you reach your out-of-pocket limit, the plan will pay 100 percent of your medical costs covered under Medicare for the rest of the year. The out-of-pocket limit does not apply to prescription drugs or extra benefits.

To keep premiums low, Advantage plans generally require you to get your care from a network of doctors, hospitals, and other providers, and you typically need pre-authorization for specialized care. 

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