Senate report links Avandia to increased risk of heart attacks, death. What am I telling my Avandia patients to do?

Men's Health, Woman's Health
In a front-page story, the New York Times reported, "Hundreds of people taking Avandia [rosiglitazone], a controversial diabetes medicine, needlessly suffer heart attacks and heart failure each month, according to confidential government reports." A Senate Finance Committee review cites internal FDA documents that highlight a dispute among regulators that "has been brewing for years but has been brought to a head by disagreement over a new clinical trial." The Wall Street Journal reports that the Senate committee concluded that Glaxo was aware of the risks, but minimized the issue and attempted to suppress concerned physicians. The FDA's documents also indicate that agency scientists said the drug should be pulled from the market in 2008, but FDA chiefs rejected the recommendations. Now, agency commissioner Margaret Hamburg is expected to meet "with FDA scientists…
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Osteopathic care may ease late-pregnancy back pain

Woman's Health
Low back pain in pregnancy is extremely common and manipulative therapy has been shown in a number of studies to be very helpful -- especially for a condition called sacroiliac subluxation. Now, comes a story from Reuters Health confirming that gentle manipulation from an osteopathic doctor may relieve late-pregnancy back pain that frequently hinders bending, lifting, or walking. The findings came from a small study hint and was performed by doctors in osteopathic medicine (DOs), who are medical doctors additionally trained in gentle manipulative techniques to help restore function, range of motion, and lessen pain in bones and adjoining muscles supporting the neck, back, chest, shoulders, and hips. Osteopathic manipulation may particularly benefit pregnant women seeking medication-free back pain relief, note Dr. John C. Licciardone and colleagues at University of…
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Are heels OK for little girls? Parents, doctors debate!

Children's Health, Parenting, Woman's Health
The AP had a report carried in USA Today that I thought you parents of girls might find helpful. Basically, not only do I not recommend heels for girls, I don't recommend them for women. You can read more about this in my blog, "Do you want more back and foot pain? Wear heels!" Now, for the information for your daughters. A pair of sparkly, peekaboo shoes with heels 2 inches high are favorites of 6-year-old Helena Bell ever since she got them for a wedding. "She's worn them to the point where the jewels have fallen off," says Helena's mother, Dana Bell of Woodland Hills, Calif. "It's not my preference, but I've stopped fighting it." The heels aren't allowed at school, but the first-grader slips on her white treasures…
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