Even as the nation struggles with alcohol and drug abuse, it’s clear that more public health effort needs to be directed at helping expectant mothers understand how much substances they ingest can harm their kids.

The New York Times reported that a new study published in the JAMA medical journal has conservatively estimated that “fetal alcohol spectrum disorders affect 1.1 to 5 percent of children in the country, up to five times previous estimates.”

srabuse-300x150Imagine if Uncle Sam permitted everyone who lives in Newport News, Va., or maybe Fort Lauderdale, Fla., to be chemically restrained, drugged with powerful medications so they fell, day and night, into a speechless stupor. Now, further envision the furor if these 180,000 souls and their families each were forced to pay as much as $100,000 annually  to be reduced to a near vegetative state.

This real situation with over-medicated Americans, in this case seniors in nursing homes, is just one more cruelty happening against the aged. It’s also hard to see federal officials issuing faint praise on how regulations slowly — too painfully so — are reducing abuse of potent anti-psychotics in the nation’s care for the old, especially those with dementia.

The Centers for Medicare and Medicaid Services, aka CMS, has issued new data on its seven-year campaign to slash elder care facilities administering antipsychotics sold under brand names like Abilify, Risperdal, and Zyprexa. Questions also have been raised about a newer drug, the little red pill branded as Nudexta.

carwreck-300x225Although Congressional Republicans and the Trump Administration may not want to stop their relentless assault on the Affordable Care Act, aka Obamacare, there may be other reasons to persuade them to do so.

Researchers at the nonpartisan, not-for-profit RAND Corp., for example, have looked at existing studies and data and asked if the recent GOP move, in the huge tax cut bill, to halt the ACA’s health insurance mandate will have unintended consequences.

They say the repeal of the requirement that all Americans show they have health coverage when they pay their taxes may “ripple out” to other insurances they carry — meaning that tens of millions of motorists may pay more for auto insurance and businesses could see hikes in workmen’s compensation costs they already struggle to pay.

oxy-300x179Purdue Pharma, which built a multi-billion-dollar family empire, in part, by overcoming doctors’ resistance to prescribing powerful painkillers like its own powerhouse  OxyContin, has decided to curb its quarter-century of aggressive and controversial drug marketing — efforts that critics and lawsuits say helped fuel the nation’s opioid drug abuse epidemic.

The company has said that it will cut its sales staff by half and the 200 or so salespeople who stay no longer will haunt doctor’s offices to push OxyContin. Instead, the company said it will direct prescribers to materials on that drug, published by the Centers for Disease Control and Prevention and the office of the U.S. surgeon general.

“We have restructured and significantly reduced our commercial operation and will no longer be promoting opioids to prescribers,” the company, based in Stamford, Conn., said in a statement quoted by Reuters.

cdc-feb10-hospitalflu-300x186The Winter Olympic Games and the Super Bowl can offer fans not just exciting sports spectacles but also important health insights and information— everything from the risks of viruses and the value of hand washing to the dangers of head blows and why Americans may be slowly changing their minds about how they feel about violent recreations.

Let’s start with what can happen when you put more than 2,000 elite athletes from 92 nations in a village setting in Pyeongchang, South Korea. It’s no surprise that  contagious illnesses can break out, and in this case the noxious norovirus. More than 100 cases of the highly infectious viral illness at the Olympic site have been confirmed already, and 1,200 people — many of them security guards for the Games — have been quarantined with disease symptoms. (The South Korean military has sent in forces to assist with security, in place of the quarantined guards).

Norovirus, aka the winter vomiting disease, is a gastrointestinal bug with other symptoms including diarrhea, nausea, and stomach pain, according to the according to the CDC. Its symptoms typically start 12 to 48 hours after patients come in contact with the virus. Symptoms might also include headache and body aches. Fever is uncommon. The sickness is highly contagious, spreading when viral particles get aerosolized over large areas. Hygiene becomes key in outbreaks, as public health experts have emphasized and global cruise lines have discovered.

dexter-300x282All critters great and small may be adorable and adored, but some extreme and unsupported claims for the mental health benefits that pets bring may be launching a needed correction in how so-called emotional support animals get accommodated in public spaces.

It would be tough to make up this story, much less explain why a recent United Airlines passenger, a performance artist, thought it appropriate to try to fly with her pet peacock (he’s shown in a photo taken by his owner and posted on his public Instagram account). She claimed it was an emotional support animal, protected under disability law, and she said she had purchased a separate seat for the hefty bird.

United, which hasn’t endeared itself to the public with its customer service, said it thrice had told this passenger in advance that her peacock wasn’t getting on its jet.

wheartatttack-238x300As cardiologists and oncologists swap cross-fire about the conditions they treat and how they do so, here’s hoping that, above all, their female patients end up helped and not harmed, getting vital information about risks and benefits of therapies for two of the leading killers of women: heart disease and breast cancer.

What’s behind the medical specialists’ cross currents? Cardiologists and the American Heart Association are pointing to a major therapeutic statement published in the medical journal Circulation.

On the one hand, it provides what many see as an important, needed call to doctors of all kinds to recognize that heart disease among women goes “dangerously under-diagnosed and under-treated,” due in no small part because practitioners still fail to see that women suffer heart attacks in different ways than do many men. They do not, for example, suffer stabbing chest pain, radiating into the arm. Instead, as they experience clogs in tiny veins and arteries, they may feel a constant exhaustion and a discomfort as if they were having their chest squeezed or crushed.

immodium-300x169The opioid epidemic has become so pernicious that it can be exhausting to even try to see its expansive harms. But it’s crucial to keep confronting the many ways this lethal scourge affects Americans and their lives, if only to hope that politicians, policy-makers, doctors, hospitals, and many others get off their duffs and do something about it.

This crisis — which includes more than 64,000 overdose deaths in 2017 alone — has reached in a surprising new way into many households’ medicine cabinets. It’s not due to potential abuses of potent pain-killers that many may have stashed there. Nope, now federal officials are fretting about the current dosages of the key ingredient in common, over-the-counter anti-diarrhea medications like Imodium.

It turns out that the substance known generically as loperamide, useful in stopping the runs, happens to be part of the opioid family, an addictive drug class that includes morphine and oxycodone. Drug users have turned now to abusing anti-diarrhea meds, which are sold in high-count packages and at dosages that authorities want reduced.

schuchat-201x300fitzgeraldBrenda Fitzgerald, a rich doctor who not only wouldn’t pull her hand out of her personal cookie jar of investments and instead plunged it even deeper during her conflicted time in public office, finally has quit the top job at the respected federal agency charged with protecting the nation’s health from disease and other dangers.

The appointed chief of the Centers for Disease Control and Prevention (shown at top, left)  was ethically impaired before and during her half-year term, arguably to the major detriment of her job and the public’s health.

She was forced to resign after media disclosures that not only had she slow-walked her divestment in a multi-million-dollar portfolio, owned with her husband, of Big Pharma and other health care enterprises, but, even after she joined the CDC, she was caught buying and selling Big Tobacco stocks.

Nassar-Mich-AG-and-AP
His basic credentials would come under fire, but they were sufficient for the “doctor” to insinuate himself into major institutions, and, worse, into the lives of hundreds of girls and young women on whom he inflicted a tragic toll. His combination of enthusiasm — he was a rah-rah kind of guy— extreme controlling conduct, and horrific “treatments” never seemed to set off the red flags they should have.

Instead, Larry Nassar — an osteopath who served as an athletics and team caregiver for USA Gymnastics and Michigan State University — got away for years with abusing adolescent females put under his  sway. He purportedly provided medical services to them, many in exclusive and demanding athletic camps where young participants were cut off from their friends, family, coaches, and personal physicians. He “treated” aspiring Olympians, at all hours of the night and day, alone and without any other adults around, in their bedrooms, on their beds — not in medical offices or athletic training facilities.

He enthusiastically told his patients, many of whom excelled at their sport because of their willingness to please adults and to be coached, that he could deal with their pains and injuries with what he termed pelvic manipulations in which he digitally penetrated them in their private parts. Without medical cause or justification, he conducted repeated and invasive “exams” of girls and young women’s genitals.

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