BRIAN S. KAHAN, D.O. CURRICULUM VITAE Business Address: Business Phone: BOARD CERTIFICATION American Board of Physical Medicine and Rehabilitation American Board of Physical Medicine and Rehabilitation- Pain Subspecialty Fellow Interventional Pain Physicians American Osteopathic Board of Physical Medicine and Rehabilitation American Board of Pain Med
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Microsoft word - 44db6e96-58ec-28ea5a.docAnti-Anti-Inflammatory Medications
by Dr. Daniel Shaye, Chiropractic Physician
Pain is valuable: It’s the body’s way of warning you something’s wrong. Like pain, inflammation has its value. Inflammation is part of the normal healing process. Inflammation brings white blood cells into an area, clearing that area of damaged tissue. We take a risk when we interfere with nature. Is the benefit to your drug worth the risk to liver, kidney, and stomach? If you’re a runner, are the pills worth the risk to ligaments and other tissues? And is there a drugs would make me a proponent of “anti-anti- 1. Aspirin can damage the GI tract, especially the Aspirin was once considered a wonder drug… until we realized it causes ulcers. Then came steroids and their cousins, the Non-Steroidal Anti-Inflammatory 3. Like NSAIDs, Acetaminophen (Tylenol) may Drugs (NSAIDs). NSAIDs include Celebrex, Daypro, Feldene, ibuprofen (Advil, Motrin, Nuprin), Lodine, Indocin, Naprosyn, Orudis, Relafen, Toradol, 5. Ice never, ever destroyed a liver, kidney, or Voltaren, and others. Though NSAID abuse in stomach; nor has it caused high blood pressure; arthritis patients causes an estimated 16,500 deaths every year,* healthy people suffer in other, less obvious ways. NSAIDs are the most commonly used NSAIDs don’t have some of the problems associated anti-inflammatories, and acetaminophen (referred to with aspirin… but they caused side effects. The in my article asTylenol) fights pain through a newer NSAIDS didn’t cause the problems the older different mechanism. A recent study* links both to ones did… but they caused still more, different high blood pressure (“hypertension”). The study of complications. Beware tomorrow’s wonder-drug, 80,020 women age 31-50 who took NSAIDS 22 or which won’t have the problems of yesterday’s magic more days a month revealed an 86% increased risk of bullet but will bring its own costs. “Let thy food be high blood pressure compared to those who avoided thy medicine” said Hippocrates. Add ice, some good the drugs altogether! Tylenol “only” boosted the risk sleep, and smart training, and you’ve got something. 50%. It bears noting that the NSAID risk did not Drugs have their place, but be judicious with them. Another study took a different angle on NSAID risk. Cox-2 inhibitors, a class of drug that includes Celebrex, may weaken soft tissue. We’ve long known that cortisone injections can do this, but this year 2001 study* showed that rats who used these NSAIDS after injury had 32% lower ligament Fellow, International Academy of Medical Acupuncture strength! If this study is extrapolated to the human runner (we are not that unlike rats when running on a treadmill!), consider that a sprain might take LONGER to heal if the athlete takes certain NSAIDS. Do you have a question you’d like answered in this Stated differently: The drugs may help you feel column? Mail your questions c/o Performance better, and may make re-injury more likely. Chiropractic, 1307 Jamestown Road, Ste. 103, Williamsburg, VA 23185; or e-mail email@example.com
HIGHLAND SCHOOL DISTRICT Minutes of the Regular Meeting of the Board of Education—Open Session April 14, 2010 Call to Order – The regular meeting of the Highland School District Board of Education was called to order at 7:00 p.m. by Board President Lori Olson-Pink. Roll Call by Clerk – Members present: Greg Biba, Jim Drury, Tom Johanning, J.J. Linscheid, Lori Olson-Pink, L