Showing posts with label semantics. Show all posts
Showing posts with label semantics. Show all posts

Monday, November 23, 2009

Sharethis: Migraine Increases Likelihood of Stroke - US News and World Report

Heeheehee! Oh heck yeah, I'm a spoil-sport! An article about STROKE RISK on Thanksgiving!

Yeeebuddy, you got that right. When you're a walking stroke waiting to happen like I am, you don't get time off for holidays from vigilance.

The study appears to have missed the two most crucial bits of information that could have been gleaned had anyone thought to look for them: whether the stroke sufferers had taken any triptan therapy in the preceding 48 hours, and whether any were on Migraine prevention medication (or medication with Migraine preventative effects). I believe triptans may contribute to Migraine progression (including contributing to strokes) but without tracking it or mining it out of previous studies we won't know. All we'll have are the prescribing information warnings and contraindications from the drug manufacturers.

Hmmm...that might be a good project: to put links to all the triptan prescribing information here on this blog.

Full disclosure: I have prescribed for me a triptan called Axert, but not for Migraine. Triptans do not provide any Migraine relief for me. I've been diagnosed with cluster headaches for which Axert is a miracle and they're what the doc prescribed Axert for. I've needed fewer than 12 doses in the last 18 months, one of which I took this week. One Axert and the cluster cycle is busted. That is utterly amazing. Cluster headaches are also called "suicide headaches" because that's an apt description of how they affect some of us. I have no other triptans and they are not in the Migraine portion of my doctor-and-me-drawn-up management plan.

I'm not totally opposed to triptan usage. I believe it should not be the first rescue medication a person reaches for in an attack and I believe it should not be written into Migraine management plans that way. The much-maligned health insurance industry frequently limits the number of doses of triptans that they'll pay for in a month's time. I can't help but wonder if that's because triptans are not harmless.

Anyhow...eat turkey, or tofurduken if you're Weird Al, rest after dessert, take a nice long walk in the fresh air, and know that the Sparkling One is thankful that you read her thoughts.

Wait...that doesn't sound exactly the way I mean it...some people do read thoughts...never mind, the dressing's getting cold. XD



[Article at least number 1,801 Editorial note] Migraine Increases Likelihood of Stroke
Migraine Increases Likelihood of Stroke - US News and World Report
Source: health.usnews.com



Parin Stormlaughter sent this using ShareThis.

Wednesday, February 11, 2009

Oh what a tangled web we weave, or Are you the real thing?

"Are you for real?"
The question guys most frequently ask Yours Truly.


It appears that Oprah Winfrey is going hormonal again. If you missed the recent episode with Suzanne Somers (and I did--I've missed every episode of The Oprah Winfree Show ever shown!), then you might be interested in the Newsweek review of it. Unfortunately, Newsweek isn't offering free linking to online articles or I'd point you there. But, I've read it and it was interesting.

Bottom line: Newsweek assessed her TV show as not fair and balanced, but her concurrent Oprah magazine article on the same topic as far better.

But what were they about? Bioidentical hormones compared to conjugated equine estrogens (CEE) and synthetic conjugated estrogens (CSE) for women in menopause, either natural or surgically induced.

I am most assuredly not as studied-up on bioidentical hormones as Suzanne Somers and Oprah Winfrey. I wouldn't dream of giving anyone, male or female, any opinion about the state of his or her own hormones. I just learned from reading around today that even without hormone or estrogen replacement, a woman's body will produce a small amount of estradiol through her adrenal cortex tissue whether she has any functioning ovaries or not.

I'm writing this article mostly to gripe about--marketing and words.

I had a TVH-BSO (total vaginal hysterectomy-bilateral salpingo-oophorectomy) in 2004. Gone were the evil ovaries that patently and categorically refused to give me peace. In the month leading up to my surgery, I did intensive reading and pondering about post-surgical ovarian secretion substitutes. Only for my own self did I do this, so don't anyone run to a doctor and say "Well, Parin Stormlaughter said such-and-such was the best..."

Anyhow...

Conjugated equine estrogens are made from the urine of pregnant horses--mares. The drug industry calls them the "natural" estrogens. Synthetic conjugated estrogens are made from plants and plant extracts and the drug industry does not consider them to be natural.

Please take a moment to glance at this chart from the Premarin website. Notice the page is entitled "Common Alternate Estrogen Replacement Therapy Products in the U.S." Notice that in the URL string it's "synth". Is that short for synthetics?

Ladies and gentlemen (and guys, I hope for the love of the women in your life that you're still with me here), there is nothing synthetic about a yam. Or soybeans, unless they're genetically-modified soybeans and that's for another column...

In my opinion, there is nothing more naturally human or "real" about equine estrogen nor anything "synthetic" about plant-based estradiol. There, I've said it.

There are arguments to be made on both sides. One could validly point out inconsistencies between people who eat horse meat but refuse to take CEEs. One could validly point out that putting a yam through the processing necessary to conjugate an estrogen is about as far from the tuber as you can get.

I see both sides. I am repelled by the thought of putting anything derived from mare urine in my mouth, which is what one does when taking Premarin. I try to be consistent, though. I'm repelled by the thought of ever needing a pig valve for my heart for example, and someday I may be faced with that decision depending on how my mitral valve prolapse goes.

I don't use placenta products on my hair. There are all sorts of skin care products that use what they euphemistically call "DNA" in their products designed to be absorbed through skin capillaries. I'll eat a burger now and then but I could easily be a happy lacto-ovo vegetarian (and was for a few years).

I'm a true child of the land. Horse manure makes marvelous compost (although really, chicken manure is better if you can get it). My sister-in-law was a state champion equestrian in her teenage years. She and I used to ride, she on her rescued thoroughbred racehorse who had fractured his leg and would have been destroyed if she had not taken him in, and me on her old childhood quarter horse. The quarter horse retired to the loving home of a child with skeletal difficulties where he made the child's life bloom--that's a story I want to write someday. Love, love, love horses.

I guess I'm complaining that mare-urine-derived estrogen does NOT seem more natural for humans than plant-derived estradiol. Sounds like a marketing strategy designed to pull in people who otherwise have no opinion but feel like "natural health" is better than synthetic health. Gripes the left side of my behind to see marketing strategies of this sort.

I use Vivelle-dot, whose estradiol is derived from yams. I had nearly completed very early menopause when I had my surgery at 43 years of age. When I started Vivelle-dot, I was suddenly in a world that I never knew could be so...even. Any menopausal woman needing to feel better deserves to, and I'll stand right beside you on that.

And I won't criticize you for what you choose. We all have very important decisions to make about our bodies. I'm there.

Be aware that drug-industry generated labels may or may not conform to your own beliefs. Read, study, ponder, sift it all through your belief system, and be able to explain your decision if you are challenged. Keep up with the latest information.

And know that the Sparkling One will be here to share what gripes the left side of her behind. It's big enough for plenty of things to gripe it, that's for sure. :D

The answer to my most FAQ is yes, I'm very much as I appear to be. If you like me on the outside, you'll love me on the inside. Dadgum head in the beehive...must be Valentine's Day in the air.




Copyright 2008-2009 Parin Stormlaughter, Sparkling With Crystals, ALL RIGHTS RESERVED. I do not grant reprint permission under any circumstances. Contact me to request permission to link. And remember that if my work gets published anywhere else, I'll pray for you. And perhaps take legal action. Rest assured, prayer is far more effective.