Withdrawal from Vicodin
Your Guide to Vicodin Addiction and Vicodin Withdrawal Hydrocodone (also known by the brand name Vicodin®) has been the second-most commonly encountered opioid pharmaceutical in drug evidence since 2009, as reported by the Drug Enforcement Administration (DEA). Withdrawal from Vicodin can vary in length and symptoms depending on the length and severity of the addiction. Vicodin is relatively easy to obtain and is perceived as safe when prescribed by a medical professional. If the drug is taken as prescribed for a limited time, Vicodin withdrawal symptoms will be either minimal or nonexistent. However, Vicodin is considere...
Source: Cliffside Malibu - October 28, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Recovery Drug Treatment Painkiller Substance Abuse painkillers prescription drug abuse prescription drug addiction prescription drug detox prescription drug use prescription drugs prescription medication prescription pills Source Type: blogs

Recurrent headaches in children: What to know and do
Headaches are very common in children. By the time they reach 18, essentially all kids will have had at least one. Most children get them rarely, usually with an illness. But some children get recurrent headaches. About 5% of kindergartners experience this problem, and the percentage goes up as children get older. By the time they get to the end of high school, that number is up to more than 25%. Recurrent headaches often run in families. There are two types: primary and secondary. Primary headaches come from the nervous system itself, while secondary headaches are caused by something affecting the nervous system, such as ...
Source: Harvard Health Blog - October 18, 2019 Category: Consumer Health News Authors: Claire McCarthy, MD Tags: Adolescent health Children's Health Headache Source Type: blogs

What is Vicodin Withdrawal Like?
When someone has an addiction to Vicodin and is ready to become sober, there are many questions that may arise. These can include: Where should I go for treatment? How much will it cost? How long will treatment take? What is Vicodin withdrawal like? Since there are many unknowns when it comes to getting treatment for addiction, it is very important to do research and find out as much as you can. This way, you will feel more prepared when you enter treatment and will be able to become much more comfortable throughout the process. This includes knowing what to expect when you are detoxing from Vicodin and what it might feel...
Source: Cliffside Malibu - October 15, 2019 Category: Addiction Authors: Jaclyn Uloth Tags: Addiction Addiction to Pharmaceuticals Substance Abuse anxiety in withdrawal detox opioid opioids vicodin withdrawal symptoms Source Type: blogs

Antibiotic-resistant urinary tract infections are on the rise
There is a global crisis of antibiotic resistance, and urinary tract infections (UTIs) may be the canary in the coal mine. UTIs are one of the most common types of infections; at least one in two women and one in 10 men will experience a UTI in their lifetime. Like many human infections, UTIs are usually caused by bacteria living on or in our bodies, and require treatment with antibiotics. What’s alarming the medical community now is that UTIs are becoming ever harder to treat with common antibiotics. Antibiotic overuse leads to antibiotic resistance At some point, most people have taken a course of trimethoprim/sulfamet...
Source: Harvard Health Blog - October 14, 2019 Category: Consumer Health News Authors: Lisa Bebell, MD Tags: Drugs and Supplements Health Infectious diseases Kidney and urinary tract Women's Health Source Type: blogs

If you have migraines, put down your coffee and read this
During medical school, a neurologist taught me that the number one cause of headaches in the US was coffee. That was news to me! But it made more sense when he clarified that he meant lack of coffee. His point was that for people who regularly drink coffee, missing an early morning cup, or even just having your first cup later than usual, can trigger a caffeine withdrawal headache. And considering how many daily coffee drinkers there are (an estimated 158 million in the US alone), it’s likely that coffee withdrawal is among the most common causes of headaches. Later in my neurology rotation, I learned that caffeine is a ...
Source: Harvard Health Blog - September 30, 2019 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Headache Health Source Type: blogs

Getting the Toe Out of a Jam
Toe jam injuries are extremely painful because the feet have sensitive parts and a delicate anatomy. Patients, especially women, care about cosmetic results. EPs should consider the emergency concerns of foot wound closure and cosmetic results when attempting repair. More importantly, patients with neuropathies, diabetes, and vascular diseases warrant close attention to detail to prevent complications. High-risk patients can develop serious infections, which could result in the loss of a toe or limb. It might be excessive to call a plastic surgeon to consult on a foot wound, but it may be appropriate to consult podiatry or...
Source: The Procedural Pause - August 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Opioids for acute pain: How much is too much?
In this study, the researchers looked at opioid prescriptions in 2016, and the numbers are shocking. In the US, 22% of prescriptions written by dentists were for opioids, compared with just 0.6% for British dentists, and US dentists prescribed about 35 opioids per 1,000 population, compared to just 0.5 opioid prescriptions per 1,000 population in England. Additionally, the opioid prescribed in England was a relatively weak codeine-like drug, whereas in the US the majority of prescriptions were for hydrocodone, a stronger opioid with greater abuse potential. When does an opioid prescription make sense? It is simply impossib...
Source: Harvard Health Blog - July 24, 2019 Category: Consumer Health News Authors: Scott Weiner, MD Tags: Addiction Pain Management Source Type: blogs

Kidney stones: What are your treatment options?
If you’ve been diagnosed with kidney stones (urolithiasis), you may have several options for treatment. These include medical therapy, extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotripsy (PCNL), and ureteroscopy. A brief anatomy of the urinary tract The urinary tract includes kidneys (two organs that filter waste and extra water from the blood) ureters (two tubes bringing urine from each kidney to the bladder) bladder (organ that collects urine) urethra (a single tube through which urine in the bladder passes out of the body). The evaluation for kidney stones If your symptoms suggest kidney sto...
Source: Harvard Health Blog - July 18, 2019 Category: Consumer Health News Authors: Kevin R. Loughlin, MD, MBA Tags: Kidney and urinary tract Men's Health Women's Health Source Type: blogs

When Police Officers Are On the Job … and On Drugs
A police officer who is using opioids illegally is breaking the very laws that he or she has sworn to uphold. This makes it even more difficult to reach out and get help for an addiction that may be spinning out of control. No one ever said being a police officer was easy. The job alternates between crushing boredom, bizarre situations, and unimaginable danger. When you’re a cop, much of the population that you’re paid to protect is afraid of you. You’re always being judged, whether it’s in the media or when you go to the corner store. Your hours are usually pretty awful, which means you don’t get to spend as muc...
Source: World of Psychology - July 6, 2019 Category: Psychiatry & Psychology Authors: Psych Central Guest Author Tags: Addiction Publishers The Fix Drugs Law Enforcement opiods Police Officers Source Type: blogs

Acute MI, pain onset 24-48 hours ago. Should the patient go for emergent angiogram/PCI?
DiscussionWhich subacute STEMI should go to the cath lab?Simplified:IF there is subacute STEMI by ECG or other criteria AND:1. Symptoms onset is within 48 hours AND2. There are persistent symptoms OR persistent ST ElevationThen the patient should go for emergent angiogram/PCI.I think it makes sense to extend this beyond 48 hours because ischemia can be so intermittent.Schomig et al. randomized patients with:STEMI12-48 hours of symptomsNo persistent symptomsPersistent ST ElevationNo hemodynamic or electrical instability, no pulmonary edemaThe patients who received emergent PCI had significantly smaller median left ventricul...
Source: Dr. Smith's ECG Blog - July 4, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs

A Troublesome Cup of Tea
A 45-year-old woman presented to the emergency department with nausea and vomiting. Her symptoms had started seven days earlier and steadily worsened. She reported generalized abdominal pain and distention and that her eyes appeared yellow.The patient had no past medical history, took no medications, and said she did not drink or use drugs. Her history showed that she had been drinking an herbal preparation every day for the past five months to ameliorate her heavy menstrual periods.The patient had mild right upper quadrant tenderness but no distention, rebound, or guarding. Her lungs were clear, and her heart rate and rhy...
Source: The Tox Cave - July 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Thunderclap headache: The “worst headache of my life”
Not all headache disorders are the same. An excruciating, sudden-onset headache known as thunderclap headache (TCH) is a medical emergency, very different from more common headache disorders such as migraine and tension headache. If you develop TCH, you should call 911 or immediately go to the closest hospital. TCH is associated with a variety of causes, ranging from benign to potentially fatal. Urgent evaluation in an emergency setting is needed to quickly identify and treat any underlying condition. Diagnosing and treating secondary thunderclap headache When you arrive at the hospital, the medical team will want to confi...
Source: Harvard Health Blog - June 25, 2019 Category: Consumer Health News Authors: Aneesh Singhal, MD Tags: Headache Health Source Type: blogs