Sunday, January 27, 2013

#Paleo?

Hi everyone, 

I've been busy mastering paleo and/or gluten-free baking baking, improving my deadlift PRs and slowly integrating studying and homework.  I may not have 27 days of posts, but I definitely have 27 days of pictures to somehow learn how to automatically upload to the sides of the blog

Oh, and did I mention I've been trying to read up on the actual science behind everyone's hashtag #paleo.   Although I've never gone strictly paleo, I've played around with paleo in the past as I've done CF back home and performed tabata style & Olympic weightlifting workouts in late 2008 all the way thru 2010 to train for sports.  Since then, I have experimented with a summer of vegetarianism followed by a  couple months of following "the Warrior."  After reading up on the warrior, I came across Rob Wolf's blog amongst other sports nutrition/lifestyle bloggers.  



Back to the #paleo.  Even if the scrumptious and savory paleo recipe pictures capture the hearts (& #doubletaps of instagram users) across the world, the science of paleo may not be at the top of your interest level.

BUT if it is, (or you have a slight inkling to read more) look up Mat Lalonde and check out his blog recommendations. 

Take a minute and explore some of the following blogs with me: nephropal.blogspot.com, paleonu.com and heartscanblog.blogspot.com, which are all run by actual MDs.

Friday, January 11, 2013

Apixaban is not just pixie dust

Pixie dust is a bit whimsical.  As a child of the 90s, I grew up with the Disney movie Peter Pan and his adventures battling with Captain Hook.  One small but unforgettable character is Tinkerbell.  Known for her signature pixie dust, I thought this post title fitting to describe the recent FDA approval of the anti-clotting drug, Apixaban.   It may not let you fly like pixie dust, but Apixaban has been touted for it's twice daily oral formulation by some clinicians.  Here's a short post on the recent news



Until your next pixie dust encounter, here's a picture of to reminisce about your Disney adventures.

Tinkerbell 


- Nicole

Friday, January 4, 2013

Oreos

 Oreos: an ¿American delicacy? and everyday staple of kid's lunchboxes: black on the outside, white on the inside.   How on Earth is an oreo related to pharmacy in any way?


I read an OC register article about Adrian Thoma and his dog Oreo, a black and white terrier.   Last year, Thomas and his terrier were hanging at a local dog park when suddenly a dog Oreo was playing with snapped and became aggressive.   As Adrian and other park-goers were separating the two dogs, the other dog bit his finger.   Even after taking himself to the hospital, Adrian believed everything to be fine. 

What was once just a dog bite turned out to be a capnocytophaga canimorsus infection that ultimately led to gangrene in his legs and a drug-induced coma.   I've personally never seen that long capno blah-blah-blah word, so as pharmacy students we have online resources such as First Consult, Dynamed that provide helpful point-of-care information.   Although I haven't learned about antibiotic treatment yet (It's part of our P3 curriculum), here's a clip of quick and easy reading.
Easy and clickable options

From the first reference book above.  Straight-forward information with clickable hyperlinks for more information
The information avaialble from this supports what the article stated:
"People with abnormal spleen functions or other immune disorders apparently are particularly susceptible. But a recent study also found capnocytophaga canimorsus in otherwise healthy individuals.
Christopher Cox, with CDC, says, "Antibiotics can treat the disease, but success depends on many factors, such as how quickly the patient can receive the medication and the immune status of the patient."


It's still heartwarming and humbling to know that Adrian still loves his terrir, Oreo, and feels blessed by the outreach of support from his family, church, and neighbors.

You can read the rest of the article here


Until next time,

Nicole



Who doesn't love Costco?

In an effort to blog daily, I found a wonderful article in Costco's monthly reader, Costco Connection.   In an article by Tim Talevick, Costco members and Costco business members learn about the benefits of using Costco pharmcies to fill their prescriptions. 

I found some points of the article interesting considering that many businesses use Costco for their inventory or many business owners shop there for personal items.

"If you're a business owner, Costco has a program that you can save your company and employees money on prescription drugs.  The program, offered through Costco Health Solutions, offers prescription medicines through Costco's in-warehouse pharmacies or through a NETWORK of 64,000 independent pharmacies that have agreed to PRE-NEGOTIATED PRICES.   The program follows Costco's approach for all its products and services.  Prescription drugs are sold for a small price above cost."


I particularly like the bold cover and catchy pictures inside.


What would a blog be without some cost savings?

Yes, 29 million prescriptions per year!



So search "prescription insurance" at costco.com  Thanks Tim!

I've included some excerpts images from the publication, but you can read the entire article here.  

As a quick recap, there are 29 million prescriptions being filled my the national Costco locations.  You can save up to 98% by using Costco's generic and finally, there are 64,000 independent pharmacies partnered within their Healthcare Solutions network!  Talk about options.

Until next time,

Nicole

Wednesday, January 2, 2013

Clotting Factors & Hilary Clinton

How amazing would it be to travel over 1 million miles across 112 different countries in your lifetime?  

Even though this may seem impossible, these facts describe how much Hilary Clinton has accomplished not only as a prior First Lady and two-term Senator , but also as our current cabinet member.  I haven't followed her lately in her position as the U.S. Secretary of State, but in the past, I had a chance to follow her presidential nomination campaign in 2008.   More recently, her husband, former president, Bill Clinton, was a featured speaker at the annual ASHP Midyear Conference less than a month ago.   

The recent news of Hilary's health has been well-documented on today's news and media outlets.   After a recent concussion, Hilary Clinton was at a routine, follow-up visit where her doctors noticed a clot in her brain.   Learning about anticoagulation therapy is kind of a stepping stone in our curriculum, where we are now more focused on clinical application, rather than strictly didactic coursework.  One of final exams of the P2's December finals focused on myocardial infarctions (aka heart attacks) strokes, pulmonary embolisms and deep vein thrombosis in our Internal Organ Systems 5 coursework.  

 In particular, our professor for this section was Dr. Trujillo, who also works at our University's Hospital.  I didn't realize how big of a deal he was until midway through our course we had some excused days of classes while he traveled to Saudi Arabi for a anticoagulation conference.   More information on his background is available at our school's website and here as well.

 Deep Vein Thrombosis, or DVT,  is defined as blood clots in the pelvic, leg, or major upper-extremity veins. These clots can break off from the veins, travel through the heart, and lodge in the lung arteries, causing potentially deadly Pulmonary Embolism (PE).  Often times, these conditions are symptomless, or known as "silent" and may appear to be another diagnosis.  In essence, the discovery by Clinton's New York Presbyterian Hospital Doctors indicates there was something off in how her blood clots, while ultimately puts her at risk for her stroke.   

According to CNN reports, "Clinton was treated with blood thinners to help dissolve the clot and would be released once the medication dose had been established."  All this is part of the standard guideline for prophylaxis, or prevention of events where there may be an occlusion, or stop in blood flow.   The formal term you may hear is "ischemic events,"  where is there is occlusion which causes an oxygen imbalance within your body.    In this case, limited blood oxygen to important organs, such as the brain, can have detrimental and long-term consequences for a patient.   

In all, her doctors and family are expecting a fully recovery.  Just as we know Hilary as the resilent and tough-as-nails politician, we can also expect that her health will be restored and she will be back to her Secretary of State duties. 

Until next time, 

Nicole