Sapulpa Daily Herald (Sapulpa, Okla.), Vol. 102, No. 45, Ed. 1 Tuesday, November 15, 2016 Page: 4 of 8
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4— luesdavNovi-mlM-r 15, 2016, Ngpulpu Dully Herald
1 m S v i*t 11*\ I> ui y Nik
Healthy Living
..— 1 mail your nmi lo: editor* sapulpahrraldonline.com
Senza effective treating chronic pain
Ask Pharmacist Travis Wolff
// If IH Dk) W H\tl)A HhKllJ)
s/ \tt KhPOKls
High frequency electrical stimulation of the
mil coni nu\ relieve severe chronic hack
, ''rt mote effectively than conventional lose
i 'ftiencv stimulation a new dudv finds
In initial testing the device ,ailed the
Sui/a system reduced leg and bask pain
n-s hs at least halt in Hli per
ol patients
Vfter two years, ’h percent
' the patients vc ith chronic
* -1* f pain still had reduced pain,
as did 7' percent of (salients
with chronic leg pain, the
researchers found
The Sen/a SC S Ssstcm
s n/a System! is an implanted,
tech.crgeahle spinal cord xtimu
i! ti system lot tfie treatment
hnniK pain ot the trunk andm limbs that is
.Min ult to manage t inUas tablei IV main com
'••iits include an implanted signal generate>t
h i ic connected lo one or two implanted leads,
uni external doctor and patient controllers
fV Jesice is manutactured he the Ncsro
I* nation ol Menlo Bask California IV
i/a teceised R)A approval as a medical
ne on May H. 201A
\ doctor implants the signal genetulot and
Is iwiresi through j small incision in the
I'l-nt s back Hie implaniCci signal generator
ties radio signals trom the die tor or patient
otfollcr
fhe controller tells the signal generator
' n and how to deliver appreciate cieetncal
nulation to the spinal ceird through the
implanted leads rhe elevice can deliver high
’I querns stimulation i HI kH/i whKh. in com
'jlHin with low vtimulation amplitudes, can
•< be tell by the patient
It can also be programmed to deliver le>w
querns vtimulation that can be felt as a tin
. ling sensation bv the patient, similar to other
ik cues currently on the market
Over the last 40 vearv we have used low
ttofuenev stimulation tor leg and back pain.
ith.1 it was relatively sue cess tul with about AO
c-urnt of patients getting about Art percent of
'•it pain relieved" said lead researcher l)t
Leonardo Kapural of the (enter U<r ( linn at
Resears h and Carolina's Pam Institute in
\k mston Salem N I
Low frequency devices cause a persistent
tingling across the patients back and legs
rparestVsu). Kapural said 'Hie tingling can
me tease in intensity and can shock people So
its not used when driving and many people
turn it oft when they sleep because the mteriM
ty g»rs up when thev lie down "
he said
Lhis new svstem however
uses wry high trequemv spinal
stimulation that people cant
teel. and it suppresses the
nerves that increase pain signals
traveling to the brain, kapural
explained
ITtis new vtudv reported two
years ol follow up comparing
the Scn/a system with tradition
al stimulation IV researchers found that "6 5
percent of the patients with back pain using the
Sen/a svstem continued lo have substantial pain
relief, compared with 4*-! percent of those using
low frequency stimulation
Among those with leg pain 73 percent of
those using the Scn/a svstem had relief com
pared with 4d percent of those using low tre
queries stimulation, the findings showed
(>n a scale of 0 to 10. the Sen/a system
reduced back pain an average of A points, com-
pared to * points for traditional stimulation In
addition, about 60 percent of patients were
very satisfied with the Sen/a system com
pared to 40 percent with conventional stimula
Hon
IV Sen/a system is currently available and
costs including the device and the surgery to
implant it are about $V)000. which is the
same as traditional spinal stimulation. Kapural
said Fhe costs are covered by most insurance
including Medicare he sard
Side effects include mild irritation at the otc
of the implant, awl in about 3 percent of
patients, the lead wires shift and have to he
repositioned, kapural said
"This new system provides better pain relief
without the tingling associated with traditional
spinal nerve stimulation kapural said
Ihrur Pharmacist,
I already signed up lor a different
Sledtcare part l) plan tor 201 . but when I
received my enrollment confirmation with
complete plan mfoiitution it seems it may
not actually he the best plan for me Can
I change again or am I stuck with this plan
all of next year ’
Ikar Part I) enrol Ice.
This is a great question, and
one that I feel several people
wonder Lhe official deadline is
December 7th 201b W ith that
being said, your final decision
needs to be made and notified to
tlie plan by December 7th lhis
means that you can still change
to a different plan if you teel
there is one that suits xout nted
icalion needs better
After making your final
choice by the 7th. the new plan
will nut actually take etfecl until
January 1.201’ hen you call
the final plan you intend to click
w ith tor 2017 just explain the sit
uation and they will help xou take care o| the
rest The one exception applies to those
Medicare recipients who alviqualilv I t hen
efits through our state Medicaid jv gran In
that case you can switch at any time through
iHit the year without the December "th dead
line to worry about
It you need any help comparing plans
please remember to seek <hiI sour pharmacist
or come bv out store at 14 S Mission Street
Sapulpj Dk ijcnvss from the High Sch'«*|i
I bar Pharmacist.
I have been mostly satisfied with my
Medic .tre part 1) plan this year but I want to
make sure it is still the best choke for 201" It
my formulary book trveals that mv drugs are
in the same net as last sear can I assume mv
costs will be the same *
Dear Medicare cost comparer.
first off. I want to make it known that your
premium (the amount of money paid to the
plan whethci sou pkk up ativ prescriptions or
noti max have changed You will want to vet
ify this espec wily il the premium is deducted
out of otir monthly check automatically You
niost likely hase received j lettci >* notifua
lion from youi insurance company, even if
you plan lo vfav with the same plan which
will entail anv premium rate increases You
can expect the new rale lo be taken out in
January Senmd thing entails that
your deductible may have
changed as well As for sour drug
costs, it is a great initial step to
check the bet assignment of your
current medications for 2017
llovsevet it ts imp>Mianl lo also
review tlie copay assignment lo
each tin lor next year Fi* exam
pie let ' sax v>u lake \Y/ drug
that is a tier I medication tor
2ti|b You review youi hwoiularv
hook and find tfiat \Y/ drug iv
classilied as tier I h*r 2017
i tier I medication may be
assigned tis a S' cof'av l«*r 2o|b
and a r cop.iv lot 2017 Some
plans may end up costing the same but mod
likely with the current rising prices ol every
thing there will be some increases here and
there II the hnniulary hook is difficult tor
you to navigate please talk to your pharma
ust ik leel Itee to call out vu*r at Vlh 227
2010
Please \t n<i u>u' questions b\ min/ |<>
kfed World /''i,,/m<ii v H 4i» Jour
Pharma, lit l-l S Million Sir,el \apuifn.
OK VfJb/i r if vou prefer r rrunl sou urn
mii A me al Irani « lapulpapharmo, yc n*n
Please IlkAil Jin/ Phtitnuuisl in iht
\uhje, t hesuliny I hr , onlersl in the Ail four
Pfuirnun i it 11‘Iunin ij meant l,i m, lease
lour knossledg, of i urrent ileselopments in
health Resause esersone n different the
I Jr ill eiprellrd < OHM'I be liifil h> diagnose of
treat in,lt\iduiil health problems ( heik mth
ii'Ur phssniiw lo determine lour beiltarr
V
———
Dear Pharmacist
High dose statin drug regimen cuts death rates of heart disease patients
hKOM Ht KI TH HAY N/- W x
A new ctudy has found (hat increased doses
I statin drugs brought a reduced death risk to
(Mtients with existing heart Jtsea.se
Higher doses of the cholesterol lowering
bugs known as statins appeal to boost survival
dightlv (ik certain people, a large new study
reports
The study followed more than 5O9J0UU
, patients with various lorms of cardiovascular
•Itsease The researchers found that survival
increased by 1 peaent when people tinik high
versus moderate doses of statin for a little over
i seal
High doses also called high intensity statin
therapy included 40 to HO milligrams (mg* of
'tnrsastatin (Lapitor) ik 20 to 40 mg of rosu
istadn (Crestor) daily Examples of moderate
doses include 10 to 20 mg of l.ipikK and A to 10
mg of Crestor. the study reported
Unlike some previous studies, this study
included adults over age 7A The study showed
'hat peviple oxer 7A also have a survival benefit
' with high doses compared to moderate doses
aid study author Dr Fatima Rodrigue/ She's a
cardiovascular medicine fellow at Stanford
I'neveruri School of kfeduinr in Palo Alto.
1 aid
The fxKtom line. Rodrigue/ said, is that "if
you have had a car
diovascular event,
you should hr on
highintensity
statin therapy and
you should he on
the highest dose
you arc able to tol
crate "
Major guide
line issuing orgam
rations havent
come up with con
sistent recommen
dations for statin
dosing. study
authors said
For example in 2013. the American College
of Cardiology and the American Heart
Association jointly recommended a risk based
strategy and giving high doses of statin (herap>
for those with cardiovascular disease with nai
rowed arteries f«K all who were under age 7X j
they could tolerate it
The evidence about statins' benefits lot
those over 7A is limited due to their small num
hers in clinical tnals. the researchers noted in
the study
However, in 2U14 the IS Veterans
Administration
lYAi rccom
mended only
moderate doses,
noting the lack
ol conclusive
evidence that
higher dove
statins are more
beneficial
The current
study mvluded
nearly AOO.OOO
men and about
10jOOti women
Then average
age w as bK A
years at the start of the studs All weir trulttary
veterans
About Rf percent of the studs participants
were receiving high dose statin therapy Around
4X (lcrccnl were on modeiate dose statins And
less than 7 percent were taking low dose
statins Anothcf IH percent wrren t taking
stabile at all. the study said
The new study looked onlv at what experts
call secondary prevention that iv what theta
py is bed if someone has an existing heart proh
lem
Whs did high doses seem li be the better
option ’
Part of it is they lower the 1 D1 the bad
cholesterol Rodrigue/ said Dies also lower
inflammation and plaque, improving heart
health, she said
lhe studs tv published online Nov V in
MAM < atduUoKi
In an editorial accompanying the study
rep«Kt Dr Riibert Honsiw and Dr Clyde Yaiwx
both from N.>nfi»estern I niversilv leinbrt.
Vh'»i! of Medic me wrote (ha! the findings are
xignitic ant
Study researchers provide compelling esi
dense that statins (educe morialitv even when
measured at tmlc one yrar of exposure and that
the reduction in mortality is grealet with high
intensity status therapy. Bonow and Yaiisv
wrote
t hie caveat, however, n that the findings
should be mterjKetcd with caution because thev
tun counter to those from randomized clinical
trials, the editorial said
Die new utfoimatnHi for those over 7S o
welcome. the editorialists wrote Ihese tHidings
should trigger more study, they said
fkvtors should discuss which statin thetaps
is brst JiK each individual patient. R>sltigue/
said
Scores blinded by busted lights
h ROM CDC A Ht RAU) STM t
A mass phatokrraloi onjum hurts outbreak avvv.1
a*etl with damaged metal halide lamps and people, was
fust reported la.xt summer and investigated in India
Metal halide lighting is utilized in many American
poblk school athletic gymnasiums and fields and other
pwbhc facilities
* fit June 13, 2016, tlie Pim/inraja Friman Health
( enter in Aurangabad district Maharashtra State, in
western India reported learning of approximately SKI
persons with red eyes and blurred vision One day ear-
lier. the patients had attended a gathering in Zaita vil-
lage to acknowledge the contributions of a local politi
i al leader
Investigators determined that <42 <12 percent i of the
/'to attendees had symptoms of keratoconjunctivitis,
imf four of six metal halide lamps used for tllumina
non at the gathering were damaged
A case of keratoconjunctivitis was defined as the
'■.vurretke of any of the following eye related symp
turns for event attendees since June 13: redneis. tear
mu?, eyelid fuelling, photophobia, or foreign body sen
wl/l/Vt
|V event occurred on June 12 from 7 .to p m to
•»4< pm inside a temporary covered area Six metal
haffJe lamps affixed to high poles (about 10 frerfmm
the ground i were used for illumination
Two metal halide bmps were on fhe speakers' plal-
t .on I in the speakers and four were in front of the
cjxakers plaitorm. facing the audience i Figure i A
total of 7to prisons, including 16 delegates t who were
seated on the speakers platformi. attended the event
No food or drmk was served during the program
Investigators learned that the metal halide lamps,
which had been purchased for lighting a cricket siadi
urn and were not meant to he used indoors, were mis
takenly utilized tor the political rally event
Metal halide lamps produce an electm arc that trav
els through a mixture of mercury and metal halide
gases, generating an intense white light T Vse lamps
have a coated outer glass envelope surrounding tV arc
lube, which serves to filter out ultraviolet light IV
four damaged lamps had broken outer envelopes
Metal halide lamps with a bniken outer envelope emit
ultraviolet radiation and pose a risk for keratin onjuni
tilths
India as in the United States and many oilier
nations, metal halide lamps are used for sports facili
ties, stadiums, large auditoriums, and convention halls
Any accidental use of damaged lamps can cause eyed
damage vision lose outbreaks
Maintenance personnel handling tVse type of
lamps should V made aware of the health hazards of
damaged lamps and instrxkted not to ever use a lamp
with a broken outer envelope
Editor's Soto: The Sapulpa lhnl\ Herald hai
reported in past editions on metal halide publn light
mg systems Even in local gymnasiums, espe< tally
older smaller facilities court lighting firtures can he
found mth metal caging meant lo protect the dele ale
bulbs within from errant ceiling voiles basketball
breakage
Self Harm & Pregnancy
IH M TH DA) A / M\
In the past decade, veil harm has heen the leading cause of jKegnarxv rrlaie.l
deaths in I'ol.Kado. a new ctudy finds
Of all 211 maternal deaths in Colorado between 2UM and 2012. to pct,eni were
attributed to self harm Ihat included sukides and drug ovtidosec most often in the
year after a woman gave birth
Sell harm wav V mod ,.*1111100 .ause of maternal deaths ahead ol cat a,,i.ki (.
medical condilione and homicide, the researchers said
It » not ,lear whether sell harm deaths are becoming nvKe ci*nmon said U-..
researcher Dr Tom Met/, a maternal fetal mrdisinr epcsialivt at Denser Hr.,
ktedh al ('enter
Nor is it known whether other f S states are showing the same pattern she . .
But the results underscore the imfXKlaiwe of screening pregnant women ft* dcpn s
sion. acctKding to Met/
Guidelines from the 4men, an College Ohstetns tans and (line, oioguts i At < x -
say that all women should he screened at least once for ' perinatal" dcprecci.Ki cvmp
tiKiic that occur during pregnancy or m the first year after a w,*nan goes birth
IV new findings, published in the Deccmbw issue t.| Obstetru, A Gynesoiogs air
based on records of maiemal deaths in Colorado between 2t*H and 2f»l2 They ukIuJ
ed both deaths during pregnant v or in the year afterward
Overall. 63 women died of suiside .k a drug overdtwc considered either acciden
tal <k undetermined IV mint commonlv iletecied drugs were prescription .411.ad
painkillers, which include medications such as oxycodone (Oxycontin) ami
hydrucoduae plus acetaminophen (Yktalini
lhe tact that 30 percent of nutemaJ deaths were attributed to self harm ts |U't
I rrnwf^*^*' v*k1 4 atherme Monk an associate professtK of psychiatry, and i>bctrtri. -
4 gynecology at Columbia I msersits Urdu at Center m New York Cits
A holt*y ol psychiatric conditit*is shtnild he a red flag." she s*k1
Met/s team found that of the 63 women who died o( self-harm just oset halt had
documented menu! health diagmoes - including six women with a previous suicide
attempt
And ckwe to half of the 63 had heen takioi' psychiatric medi ition when '('■
became pH-gnant to. .tly SSR| .....
(V drugs
in) of
Avxncn %iu(i|tc
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Brock, John. Sapulpa Daily Herald (Sapulpa, Okla.), Vol. 102, No. 45, Ed. 1 Tuesday, November 15, 2016, newspaper, November 15, 2016; Sapulpa, Oklahoma. (https://gateway.okhistory.org/ark:/67531/metadc1509389/m1/4/: accessed April 25, 2024), The Gateway to Oklahoma History, https://gateway.okhistory.org; crediting Oklahoma Historical Society.