Warfarin and Chinese Herbs: Concern or Knee-jerk Conservatism?

These studies support my clinical experience, and are in line with others that have concluded many common herbs are safe to use with warfarin. There is a prevailing trend to over focus on in vitro studies and theoretical concerns about drug-herb interactions that do not account for the complex interactions found in Chinese herbal formulations.

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ER nurses are leaving. Patient satisfaction is a major reason why.

“American health care now focuses on patient satisfaction as a marker of quality care. Numerous studies have shown this practice to be unfounded, yet it continues. It continues because it is easier and cheaper to provide pedicures, gourmet food, and valet parking than increase the number of FTEs. Numerous studies (like this one spearheaded by Dr. Linda Aiken) and articles (like this one by Alexandra Robbins) have shown the increased morbidity and mortality in hospitals and wards where nurses are required to care for an excessive number of patients.

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Adjuvanted influenza-H1N1 vaccination reveals lymphoid signatures of age-dependent early responses and of clinical adverse events

Vaccination offers protection against infectious diseases, yet pre-existing criteria that predict vaccine efficacy or adverse events remain unknown. Hayday and colleagues identify cellular and molecular signatures in humans immunized with adjuvanted swine flu vaccine.

Wide-ranging adverse clinical events can seriously confound vaccine adoption, but whether there are immunological correlates of these is unknown. Here we identify a molecular signature of adverse events that was commonly associated with an existing B cell phenotype. Thus immunophenotypic variation among healthy humans may be manifest in complex pathophysiological responses.

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Death of Glenn Frey Highlights Concern about Rheumatology

Disease-modifying anti-rheumatic drugs (DMARDs) suppress patients’ immune systems, which can make them vulnerable to infection. Scrambling the immune system is a Bad Idea. You may see short term relief, but there are serious and potentially fatal dangers involved. Numerous treatment strategies exist that are safe, effective, less costly, and non toxic to patients and the environment.

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