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Pepin’s Pharmaceutical Prattle for 12-20-2004

 

Quote of the day:  

If you can give your son or daughter only one gift, let it be enthusiasm.                                                           Bruce Barton

Good morning! 

Office gifts

My daughter was faced with office gift giving for the first time this year and asked for some advice.  After I was done responding she thought it sounded good enough to pass on. Hope you agree.

 Gift giving in the office can be a little tricky. If the office is small it can get even trickier. Do they exchange names (to keep costs down and make sure everyone gets something but you don’t have to feel like you must give to everyone?) 

IF ( a big “if”) people do give gifts then you should know about how things went last year. It is more appropriate for the people who make more money to “give down” than the other way.

Avoid alcohol or other gifts that could offend (unless you remembered that I like blended Scotch, not that single malt Scotch-snob stuff). If you give “up” to your boss then keep it smaller that any gift received.  My boss loves golf. I found a golf mouse pad for him (which he still uses). Last year I received Christmas ornaments from some co-worker (cute…odd ones) that I appreciated.

 Whatever gift is given, it should not be so large as to ingratiate the recipient.

In years past I have given unusual pens (carabineer/pen combo, flashlight/pen, contorted pen). Because people write all the time with stick pens or company utensils, having a “special pen” makes them feel special. Last year, in addition to small items, I made up Certificates of Appreciation for the people I work with. It took some time and effort but I colored in the lines and didn't get paste on anything!

The main purpose is to let others know that they are appreciated and that you care enough to give them something special. Keep it small but make it as personal as you can…. and don't forget to have some fun along the way as well!

Oh, if anyone was wondering what I got them this year?…… The ppp is it!

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ps. Best answer this week to the question "How are you?" was "If I was any better I couldn't stand it….

 

1) A real sleeper…   FDA approved it with a name change.

Lunesta™ is FDA approved (drug formerly know as Estorra while trying to gain earlier approval). Doesn't have many restrictions on its use: acute or chronic insomnia or both OK. Smaller doses are used in the aged. As previously mentioned in the ppp: 2005 looks to be the year of the Sleeping Pill Wars. New ones will clash with the old ones and the rest of the new ones about to be approved. I guess we have to fill the air with SOMETHING now that the 2004 election is over…. and if THAT doesn't put you to sleep….

http://phx.corporate-ir.net/phoenix.zhtml?c=90106&p=irol-newsArticle&ID=655288&highlight=

 Click on http://www.prnewswire.com/broadcast/20672/consumer.shtml and then the box with the rumpled bed sheets in upper right corner for a video. Select WINDOWS MEDIA (click on your connection speed)

 2) Some evidence that a stepped approach to COX II's was correct?

Another Celebrex study says everything is fine but another one says there may be trouble. The press is jumping on this "like white on rice". The stock tanked. What is the reality? Celebrex has been shown to NOT increase the risk of heart attack in patients on "normal dosage" but did show some disadvantage in a high dosage clinical study. The drug's final fate will depend on how much the press and public opinion count when weighed against the science. I suspect that the drug will remain on the market but that the warnings or contraindications will include better dosage advice and may mention initial health status as a risk factor. (but that is just my opinion… I could be wrong!)

http://www.comcast.net/News/BUSINESS//XML/1310_General_financial_business_news/d26dac5a-a22e-4574-ab9a-af51bd29dd76.html

 3) Hold off on the Flintstone's vitamins WITH IRON?

ADHD (Attention Deficit Hyperactivity Disorder) linked to low levels of iron in the blood. Before you start giving your children more iron you may wish to consider this. The study measured ferritin levels not iron. Ferritin is a protein that carries iron around the body. Ferritin is very sensitive to nutritional status. Report did not mention if the kids were on drugs or not. If the children are not eating well because they are being treated with medications that also curb the appetite then iron may have nothing to do with ADHD. Not a lot of scientific information in the report on the French report (I may have to pull the scientific article in my copious free time).

http://www.reuters.co.uk/newsArticle.jhtml?type=healthNews&storyID=7108619

 4) Canucks crackdown on carnivorous charlatans

The Canadian government is trying to curb Canadian drug exports to the USA. They are worried about shortages in Canada that jeopardize the health of Canadian citizen (and also the potential to drive up the prices charged to Canadians). They may ban physicians from countersigning prescriptions on patients they have not examined. Sounds like a little sanity is finally breaking out.

http://www.reuters.com/newsArticle.jhtml?type=healthNews&storyID=7118134

 

 

            Call the Senior Lending Specialist I use:

Maria (Pepin) Sifuentes at 1-800-322-4025 Extn 724

msifuentes@affinity-mortgage.com

Mention the Prattle and get $100 off your closing costs.

www.affinity-mortgage.com      

5) Sexually transmitted cervical cancer….Rich versus poor

A sexually transmitted virus (human papillomavirus ) is responsible for a certain type of cervical cancer. In rich countries, women have pap tests and/or specific screening for the virus. In poor countries they are left with vinegar and iodine for tests and few options for treatment.  Several companies are developing a vaccine that will halt this virus but time will tell. Another company is developing drugs to treat the cervix once it is infected which could prevent a hysterectomy and loss of fertility. AIDS is huge but watch developments in this area.

http://www.medscape.com/viewarticle/496141?src=mp

 6) Contraceptive pill studies pregnant with flaws

Earlier studies which claimed a benefit on the heart and cancer protection were wrong according to government analysts.  We do know that they are associated with a higher rate of blood clots, strokes, and heart attacks. Doesn't sound like a great stocking stuffer.

http://www.cnn.com/2004/HEALTH/12/16/the.pill.ap/index.html

 7) More good news about cancer… new drug approved to fight debilitating side effect of treatment… Mucositis

Kepivance now FDA approved to treat the sores and ulcers in the lining of the mouth that are a common side effect of certain cancer treatments. This has made patients generally miserable and prevents them from receiving adequate nutrition. Kepivance is given intravenously so will not likely hit your pharmaceutical budget directly (but will hit your medical spend), This may not seem like a big item but may be available in time for a few souls to enjoy a holiday feast that does not come through a straw.

http://www.nci.nih.gov/clinicaltrials/developments/newly-approved-treatments/page18

 "God Bless us, every one!"

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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 1998-2004 PHARMWORKS, LLC all rights reserved.

 

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