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Pepin’s Pharmaceutical Prattle for 07-25-2005

Quote of the day:  Life isn't fair. It's just fairer than death, that's all.

                                      William Goldman, "The Princess Bride"

Good morning !

Color

I recently re-sided my house with cement board siding. The old aluminum was taken off and recycled and the new siding came primed. Now that the "easy part" is done (demolition, wrapping the house in Tyvek, making mountains of cement dust using a circular saw, installing 12 foot planks 30 feet in the air using ladders and the infamous air nailer in 90 degree heat) the "hard part" remains. What color should it be painted? I thought (like a guy) you just look at what is available, pick one you like, and paint. I was unaware that the color of the brick, the roof, and every other house within eyesight had to be considered. It has taken over a year and the colors are still not selected. I am still not able to distinguish subtle shade differences and how that will effect our stature within the community, our community in the nation, our nation in the world and our world within the galaxy for all time… but I'm trying.

I am more in tune with another sort of color. Attitude is the color brought to every situation or circumstance of life. The car gets a flat tire, the dog runs away, somebody else got "the" promotion, the copier jams, you get a new client or loose an old one…. and on and on. You can choose to be negative, fatalistic, angry or defensive and make yourself and everyone around you miserable with the wrong attitude. (Like a purple house). Alternatively, you can choose to be thankful (that things did not go worse), resilient ("what doesn't kill you makes you strong"), and generally positive. Think of these many situations as pages in a coloring book…. you don't draw the outlines but the picture isn't complete until colored by your attitude. Grab the "happy-positive colors" and the storybook of your life and those around you will be brighter and easier to read.

That said….the painter will be here in 3 weeks. (Thank goodness for the deadline!)

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ps. Best answer this week to the question "How are you?" was "Superfantastic!" (a devoted reader of the Prattle whom I had not seen for 3 months)

 

pps. Occasionally, some of the links require FREE registration.... I'm sure you can handle THAT slight inconvenience.

 

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1) Cheese heads find tummy drug better

Omeprazole found to be "best". Before you get too excited you have to know that they compared Omeprazole (Generic Prilosec) to Zantac and Propulsid…. not other PPIs. Not new news but thought you'd like to know what was compared before all your patients come running to you for answers. Let's hope their football team makes similar "new" plays.

http://today.reuters.co.uk/news/newsArticle.aspx?type=healthNews&storyID=2005-07-26T122431Z_01_DISTRIBUTE-REUT_RTRIDST_0_HEALTH-INDIGESTION.XML

2) Piranhas start to feed on the pinky dipped into the water

Lester Crawford was approved only last week and already being excoriated. Hey… give him at least a moth after confirmation!

http://news.yahoo.com/news?tmpl=story&u=/nm/20050726/hl_nm/fda_dc_1

3) It one…two..three strokes… out

Many of the people who have second strokes could have avoided them by taking antihypertensive drugs. Physicians did not provide prescriptions for a huge percentage at discharge. If you, or someone you love, have a stroke… be sure to get treatment. If you have high blood pressure and have not YET had a stoke…. keep taking the medicine even if it makes you feel "yucky". There are so many antihypertensives out there that you should be able to find at least ONE that is tolerable.

http://today.reuters.com/news/newsArticle.aspx?type=healthNews&storyID=2005-07-29T172913Z_01_B690873_RTRIDST_0_HEALTH-STROKE-HYPERTENSION-DC.XML

 4) Oral contraceptives increase risk of more cancers.

French study showed higher rates of some cancers… and if the French talk about "l'amour" the world usually listens.

http://today.reuters.com/news/newsArticle.aspx?type=healthNews&storyID=2005-07-29T170901Z_01_L29202163_RTRIDST_0_HEALTH-CANCER-DC.XML

 5) Wait until Hershey, PA hears about this…

The MARS candy people say they have some hot properties…. cocoa based products that could treat diabetes and heart disease…. they aren't saying whether they would melt in your mouth or hand.

http://www.washingtonpost.com/wp-dyn/content/article/2005/07/25/AR2005072501615.html

 6) Uncle Sam says "ENOUGH!…(sniff)… (sniff)"

Methamphetamine production and use have been way out of hand and the Fed is following the lead of some states in banning the sale of straight out over the counter sale of cough and cold preparations containing the precursors need to "cook" a batch. Pseudoephedrine will be available in limited quantities with ID from behind the pharmacists' counters.

http://yahoo.reuters.com/financeQuoteCompanyNewsArticle.jhtml?duid=mtfh52210_2005-07-28_20-21-50_n28380168_newsml

 7) Railroad job

Railroads have to pay for contraceptives under their health plans. Judge is using flawed logic in equating pregnancy with disease. (a sperm infestation in her book). When are "they" going to get it…. a drug benefit is a "perk" offered by an employer … not a government entitlement. In the case of unions… EVRYTHING is negotiated! Expect this to go to a higher court. If it stands then you can expect the railroads to cut back in other areas. .. maybe offer benefit ONLY to employees and not spouses? (Did anybody read item 4 above?)

http://yahoo.reuters.com/financeQuoteCompanyNewsArticle.jhtml?duid=mtfh68907_2005-07-25_20-02-44_n253747_newsml

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 Have a SUPER-FANTASTIC week. Steve

Disclaimer: "Pepin's Pharmaceutical Prattle" (AKA "The Prattle") is the property of PHARMWORKS, LLC and Steven M. Pepin, Pharm. D, BCPS. The opinions expressed are those of the bald-headed author. To start or stop any drug without the advice and supervision of your physician would be stupid. So don't do anything based upon what you read here without professional advice. To be added to or removed from the distribution list please e-mail your request to spepin@pharmworks.com . All insightful comments from readers are thoughtfully considered (the rest are callously discarded). Copyright 1998-2005 PHARMWORKS, LLC all rights reserved.

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