Medication

Dr. M’s SPA Newsletter Audiocast Volume 12 Issue 25

Coronavirus Update 63 plus other stuff – Lots on boosters today while the persistent world of Covid exposure drags on. Omicron US strains: newer variant BA.2 makes up 35% of current case volume based on different parts of the country while omicron BA BA 1.1.529 is at 6% and B 2.12.1 is 59%. Delta is gone by competition. Cases are increasing in some cities with little increase in hospital morbidity and mortality. In essence we are still fairing quite well in the new norm. Quick Hits and other musings!
Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 12 Issue 7, Covid Updates 54

Coronavirus Update #54 – This audiocast is a deeper dive into policy and opinion based on the same for Omicron.

In my opinion, our children’s mental and physical health need to take primacy over pandemic fear at this time. They are in a very very very low risk scenario from COVID, however, they remain in a high risk scenario from a mental and metabolic health perspective. The scales do not favor current school based mitigation measures based on risk and health from Omicron and the downstream events relate to it. If you are a young person, boosting is questionable, especially if you are a male with myocarditis risk. The WHO and European Union are not recommending it at this time. The CDC is recommending down to age 12. Let us say that you are 18 years old and male. If a young adult receives a third dose of an mRNA vaccine which provides marginal to no transmission benefit for 90 to 110 days and minimal disease severity reduction because it is already almost zero after a 2 dose series, what is the point. Are our youth supposed to protect the unvaccinated? The vaccinated and boosted with risk factors? For how long? Then what? Do it again, and again every three months as immunity wanes rapidly? Has this ever been done before or well studied? Nope.
Be well,
Dr. M

Dr. M’s Women and Children First Podcast – Omicron Update

COVID Omicron Update:
There is a ton of interesting information flying around about Omicron and the pandemic in general. Today, I breakdown the new variant and what we know overall. It is time to get the facts out there and not just the case volume hype.
COVID Omicron Update: Let’s breakdown the new variant and what we know overall.We need a new look at this situation. The world according to SARS2 Covid 19 Delta is changing to a newer Omicron reality. What does this mean?
Enjoy,
Dr. M

Less Cold and Cough Medicine in Children Means Fewer ED Visits (Article)

 

Cold and cough medications (CCMs) have been linked to a high number of emergency department visits and rare cases of deaths in infants and children. It is for this reason that manufacturers and government agencies stopped recommending these medications be used for children less than four years of age. In 2007, manufacturers voluntarily withdrew infant cough and cold medications sold over the counter from the US market. In 2008, the US government acted to revise labels of over the counter CCMs to warn against use by children < 4 years. These new recommendations and labeling revisions have been followed by efforts to educate parents about the dangers of giving over the counter CCMs to infants.

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New Treatment for Migraine (Article)

If you are one of the 37 million Americans who suffer from migraines, you know the symptoms all too well: pounding pain in a specific area in your head, nausea, and sensitivity to light and sound. You continually reach for the Advil to relieve your pain, but it doesn’t always work, or sometimes even causes additional discomfort from side effects. Some other prescription anti-migraine drugs have side effects that numerous patients can’t handle. For example, pregnant women, women who certainly require relief from migraines, often cannot take some of these drugs because some cause birth defects and other potential side effects of the medicines. Shouldn’t there be a more effective, less risky solution? Now there is for adult migraine sufferers and hopefully children as well soon.

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Why Vitamin K for Newborns You Ask? (Article)

 

Ask any mother or grandmother who was alive 1900, and they would tell you about a disorder that is rarely seen today, that of Vitamin K Deficiency Bleeding (VKDB) in a newborn baby. A simple single dose of vitamin K, given to almost all babies born in the U.S., made this disease just a bad memory… until recently. Parents today just don’t worry about this disease anymore but imagine you were a mother who had a perfectly normal pregnancy and delivery, had a healthy infant who was thriving at home, and suddenly at about 2 months of age, they had a devastating bleeding event in their brain with seizure and other devastating effects or began bleeding to death from a gastrointestinal hemorrhage. Unfortunately, in today’s hyper informed world, many parents have become more worried about theoretical risks of harm to their newborn from a simple dose of vitamin K that is recommended for newborns at birth, than the known risk of hemorrhagic disease in a newborn who don’t receive this therapy.

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Doctors Flunk Pee Pee 101 (Article)

Aside from the common cold and stomach bug, parents should add the term urinary tract infections (UTIs) to their shortlist of worrisome common illness, especially if they have daughters. To effectively treat urinary tract infections, pediatricians need accurate diagnosis and tailored therapy. Unfortunately, this information is often lacking. A recent survey of how healthcare providers diagnose and treat urinary infections in children, published in the journal Pediatrics, found that pediatricians, family doctors, and nurse practitioners treating children frequently do not order the necessary tests needed for accurate diagnosis and treatment. Experts recommend a course of antibiotics to treat a UTI, only after the child’s urine has been analysed and cultured. As it turns out, appropriate laboratory confirmation is only being done in about 50% of the time when various outpatient settings were analyzed. Antibiotics were being prescribed without knowing for sure that a child had a urinary tract infection. Amazing.

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