I posted this one several months ago, but with a few new readers and friends, didn’t want this hilarious pill song to go unenjoyed. Be sure to enjoy the ”Disclaimer” at the end.

You tube version(lower quality):

Original Shockwave version (click this is a much higher quality version)
http://www.cafeoflifepikespeak.com/Videos/Licensed%20To%20Pill.swf

I’ve been on quite the blogging hiatus as of late. I have plenty of half finished, unpublished story, but have one that really put things over the top.

March 2009 was an eventful month. Started out a bilateral acute otitis media(for you lay people, that’s an ear infection) about a week prior to a scheduled orthopedic surgery. I immediately went on a course of antibiotics, and my ears were clearing and surgery day came.

The orthopedic surgery was done in an outpatient setting. Although I was fully under, intubated and whole nine yards, I woke up and was ready to enjoy the day. I probably would have grabbed my skis if anyone let me. I had my mother accompany me that day, and on the way to my house we stopped and I had a burger. My appetite was great and I was feeling great. I had anticipated I would sleep all day – nope, I was awake chatting on the phone and playing flash games the majority of the day.

As evening approached, I went to bed. Slept through the night, through the next day, and the next night before thinking I had enough sleep. On the second night of my extended slumber, I awoke with searing hunger pain. I got up and munched on three slices of plain bread. That helped satisfy the hunger pains.

Three days after surgery I was ready to head to work and start getting stuff done at the office. I only lasted for about two hours that first day. I was feeling very run down, tired, etc. Figured it was possibly a side effect of the antibiotic for the OM, or perhaps the body just needed some caffeine in the form of Dr Pepper to wake me up. All I could think to do was go home, curl up in a fetal position and sleep. At some point in the day I had gone to the bathroom and figured having the business result being black in color was just the side effect of a med, either the antibiotic before the surgery, something during, or perhaps something I ate. For several more days, no daily business, but I figured it was just constipation secondary to pain meds.

One week and a day after surgery I got up, still feeling run down. I nuked some mac and cheese I made the night before and had that for breakfast. It has not been an hour since eating it and I just got to feeling nauseous. That morning, I brought my cell in the bathroom with me, likely intuition that I knee something was wrong. Episode of coffee ground emesis followed by melena. At this point, having become completely diaphoretic, pale including my tongue looking whiter by the day, and having a rather weak thready pulse, I finally quit denying the symptoms and realized I had a GI bleed going on.

Luckily I had my phone with me. I was too weak to stand up. Any effort result in increased tachycardia and a feeling of being ready to pass out. I called my mom telling her I needed a ride to the hospital. I probably would have driven myself, except I could tell that I was in no condition to get behind the wheel.

After a week of circling toward the drain, I could tell I needed to get help. When I got out of the car, I basically had to squat against the wall outside and rest for a couple of minutes so that I would not black out. I got up, walked to the triage desk and was leaning up against, positioned so that I would not hurt myself if I were to pass out.

I obviously looked as terrible as I felt. Someone grabbed a wheelchair and asked me to sit in it. The waiting room and all bed in the ER were full, yet barely clinging to consciousness must have been obvious since I was not in the waiting room but a minute or two while they cleared out a room and took me back right away.

My self diagnosis of a GI bleed was very correct. Vitals which were basically in the toilet were taken, blood drawn. They set up doing a blood draw to cross and type match my blood, as it was very obvious what was going on, even before getting gastroscoped.

Got scoped, duodenal ulcers cauterized, and admitted where 4 units of life saving blood were transfused. Never in my life would I have expected to be on the receiving end of blood, but I also can not be more thankful to the donors who altruistically went to the local blood bank and gave.

About a month has passed, and life always throws an adventure or something new my way. This was just the latest chapter.

http://www.wiki-security.com/wiki/Parasite/Antivirus2008 (screenshots and more than what’s below in this link)  I’m posting certain items so google searches will bring up and expose this sneaky malware.

From Wiki-Security Encyclopedia:

Detection of Antivirus 2008 (Recommended)
Antivirus 2008 is difficult to detect and remove. Antivirus 2008 is not likely to be removed through a convenient “uninstall” feature. Antivirus 2008, as well as other spyware, can re-install itself even after it appears to have been removed.

You also run the risk of damaging your computer since you’re required to find and delete sensitive files in your system such as DLL files and registry keys. It is recommended you use a good spyware remover to remove Antivirus 2008 and other spyware, adware, trojans and viruses on your computer.

Run a Antivirus 2008 scan/check to successfully detect all Antivirus 2008 files with the SpyHunter Spyware Detection Tool. If you wish to remove Antivirus 2008, you can either purchase the SpyHunter spyware removal tool to remove Antivirus 2008 or follow the Antivirus 2008 manual removal method provided in the “Remedies and Prevention” section.

Method of Infection
*** IN LINK http://www.wiki-security.com/wiki/Parasite/Antivirus2008

Symptoms
Antivirus 2008 may attempt to change your computer’s desktop, hijack your browser, monitor your Internet browsing activities, change system files, and can do this without your knowledge or permission. Therefore, it is strongly recommended to remove all traces of Antivirus 2008 from your computer.

Remedies and Prevention
Antivirus 2008, as well as other Spyware, are constantly evolving and becoming more advanced to avoid detection. Antivirus 2008 along with its variants can install in different locations and even when you try to uninstall it you find they reappear when you reboot your computer.

Install a good anti-spyware software

When there’s a large number of traces of Spyware, for example Antivirus 2008, that have infected a computer, the only remedy may be to automatically run a Spyware scan from a good anti-spyware software designed to detect Antivirus 2008 and other types of spyware.

Remove Antivirus 2008 manually
Another method to remove Antivirus 2008 is to manually delete Antivirus 2008 files in your system. Detect and remove the following Antivirus 2008 files:

Processes
* Antvrs.exe
* AntvrsInstall.exe
* AntvrsInstall[1].exe
* Win Antivirus 2008.exe
* av2008xp.exe
* Antivirus-2008.exe
* xpa_2008.exe
* lwpwer.exe

Other Files
* AntiVirus 2008.lnk
* AntiVirus 2008.lic
* %ProgramFiles%\ANTIVIRUS 2008
* Uninstall Antivirus.lnk
* Antivirus Pro 2008
* %ProgramFiles%\Antivirus2008y
* Uninstall Antivirus 2008.lnk
* %AppData%\Antivirus2008y
* %ProgramFiles%\Win Antivirus 2008
* s9201
* %UserProfile%\Start Menu\Antivirus2008y
* %ProgramFiles%\Antivirus 2008 XP
* %AllUsersProfile%\Application Data\SoftLand Ltd\Antivirus 2008 XP

Registry Keys **** in LINK http://www.wiki-security.com/wiki/Parasite/Antivirus2008

Known Variants

VirusBurst is a re-branded variant of other well-known rogue anti-spyware programs, including SpywareQuake, SpyFalcon, SpywareStrike, SpySheriff, SpyHeal and many other pseudonyms.

Recently, I have had to assist others in removing it. My firewall picked up the hijack attempt. I will not say which firewall or scanner I use, as I do not want to publicly educate evil ones who write these things, but if you need assistance removing it beyond the wiki-site, drop me an email at idaho kat blog (all one word) at yahoo -dot- com.

I’d suggest being on the look out for a 2009 varient as well. As far as I know, there is a legit anti-virus software with a very similar name, however, I would be hesitant, unsure of which was the real thing or not to give advice on or use the real one myself.  Hope the legit company finds the malware writers and destroys those who have given them a potenal bad name.

For reference, fellow MT’s, and others searching the web looking for the correct spelling, etc., here’s my latest list. These lists are an ongoing growing thing I’ve created for my use over the years, but providing it online in case anyone else can benefit. Obviously, nothing on this blog or that I write is ever to be constituted as medical advice.

Main Meds Llist (proper spellings and indications)
* indicates med known by other common names as well
(Things with their own list= antibiotics, birth control pills/ocps, OTC meds, oncology(cancer) medicines; topical/non-oral skin meds)

MAIN LIST:
Abilify (aripiprazole) – schizophrenia and bipolar disorder
Accolate (Zafirlukast) -tabs for asthma aka:, Accoleit, Vanticon
Accupril (quinapril HCI)
Accuretic (quinapril HCI/hydrochlorothiazide)
ACTOplus MET (Pioglitazone Hcl and Metformin Hcl) – DM 2 (NID only)
Advicor (extended-release niacin/lovastatin) – cholesterol lowering
Afeditab (Nifedipine) – vasodilator / CV
*Albuterol; aka Ventolin, Proventil – asthma/airway dz
Allopurinol (Zyloprim) – gout
Aldactazide (spironolactone and hydrochlorothiazide)
Aldactone (spironolactone)
Ambien (Zolpidem Tartrate); & CR – sleepy time
*Amoxicillin aka Amoxil
Antivert (meclizine HCI)
Amitiza (lubiprostone) – chronic idiopathic constipation
Apidra (insulin glulisine {rDNA origin}) – dm 1 – fast acting insulin
Aplenzin (bupropion hydrobromide) – major depression disorder
Apokyn (apomorphine hydrochloride) – Parkinson’s related
Aricept (donepezil hydrochloride) – dementia
Aromasin (exemestane tablets)
Arthrotec (diclofenac sodium and misoprostol) -muscular skeletal med
Artane (Trihexyphenidyl), aka Benzhexol, Aparkan – antiparkinsonian agent
Asacol – see mesalamine
Ativan (Lorazepam) – anti-anxietal
Avandamet (Rosiglitazone Maleate and Metformin HCl) – DM 2
Avandaryl (rosiglitazone maleate/glimepiride) -combo of Avandia & Amaryl – DM 2
*Avapro (Irbesartan) – aka Avalide – tx Diabetic neuropathy / DM 2
Avelox (moxifloxacin hydrochloride) – abx tx respiratory/lung infections
Avitsa is a utility company. See Evista for the osteoporosis med
Avinza (Morphine Sulfate) -pain
AzaSite (azithromycin) – bacterial conjunctivitis
Azilect (Rasagiline) – Parkinson’s
Azor (amlodipine besylate; olmesartan medoxomil) – htn
Azulfidine (sulfasalazine, enteric coated)
Banzel (rufinamide); tx seizures associated with Lennox-Gastaut syndrome in peds & adults
Boniva (ibandronate) – osteoporosis prevention
Brovana (arformoterol tartrate) – COPD
*BuSpar (Buspirone) aka Ansial, Ansiced, Anxiron, Axoren, Bespar, Buspimen, Buspinol,
Buspisal, Narol, Spitomin, Sorbon – for anxiety
Byetta (exenatide) – adjunctive treatment of Type 2 DM
Bystolic (nebivolol) – ß1- htn
Caduet (amlodipine/atorvastatin) -HTN & stable angina
Campral (acamprosate calcium) – ETOH tx/cessation
Carafate (Sucralfate) – duodenal ulcer
Carisoprodol – aka Soma – muscle relaxer
(Carvedilol) – aka Coreg
Celebrex
Cephalexin – aka “Keflex”
Chantix (varenicline) – nicotine addiction
Cimzia (Certolizumab Pegol) – Crohn’s
Cialis (tadalafil); ED
Ciloan Ophthalmic Ointment (Ciprofloxacin HCl Ophthalmic Ointment)
Cimzia (Certolizumab Pegol) – Crohn’s disease
Citalopram (Citalopram Hydrobromide -aka Celexa) – depression, etc.
Clonidine -aka Catapres – htn
Clonazepam (Klonopin) anti-anxiety.
Codeine – pain (E comes before I)
Colchicine – gout (usually)
Colestid (Colestipol) – lipid lowering
Combivent – copd
Coreg (Carvedilol) – heart med, CHF, etc
Coumadin (Warfarin Sodium) – anticoagulation “blood thinner”
Cozaar (Losartan Potassium – htn
Cymbalta (duloxetine) – bipolar
Darvocet-N 100 – pain
Depakote (Sodium Valproate and Valproic Acid) – bpd & seizures
Desonate (desonide) – atopic dermatitis
* dicyclomine (Bentyl, Byclomine, Dibent, Di-Spaz, Dilomine) – IBS
Diovan (Valsartan) – Htn (Hypertension) = high blood pressure
Doribax (doripenem); intraabdominal infections & UTI’s
Duetact – combined pioglitazone (Actos) & glimepiride (Amaryl)
Enbrel (etanercept) – RA, ankylosing spondylitis, psoriasis
Eraxis (anidulafungin) – Candida fungal infections
Evamist (estradiol); severe vasomotor instability from menopause
Evista (Raloxifene) – tx/prevent osteoporosis
Exelon (rivastigmine tartrate) – Alzheimer’s and Parkinson’s disease-related dementia
Exforge (amlodipine besylate/valsartan) – htn
Extina (ketoconazole) – seborrheic dermatitis
Fenofibrate – lipids
* finasteride - (aka Proscar, Propecia, Fincar, Finpecia, Finax, Finast, Finara, Finalo, Prosteride, Gefina, Appecia,Finasterid IVAX, Finasterid Alternova.) – hair loss, now also for BPH
Flexeril (cyclobenzaprine HcI) – muscle relaxant
Fosamax (Alendronate Sodium) – tx osteoporosis
Fulvicin (Griseofulvin Microsize) – aka Grivosin. – skin infections.
Gemfibrozil – generic for Lopid
* Gentamicin / Garamycin – abx
Glucophage (Metformin Hydrochloride) – DM
Glucovance (Glyburide and Metformin) – DM 2
Glumetza (metformin hydrochloride extended release tablets) – DM 2
* Griseofulvin – see Fulvicin. Comes in oral & topical
Hydrochlorothiazide – diuretic “water pill” a.k.a. HCTZ, HCT.
*Hydrocodone (Hydrocodone Bitartrate and Acetaminophen) – narcotic pain killer – some drug names that med may be listed as are: Anexsia, Anolor DH5, Bancap HC, Dolacet, Lorcet, Lortab, Norco, Vicodin, Vadunk, Vicoprofen(buffered with ibuprofen instead of acetaminophen) T-Gesic, or Zydone.
Hyzaar (Losartan Potassium and Hydrochlorothiazide) – htn
Imitrex (Sumatriptan Succinate) – migraines
Increlex (mecasermin) – endocrine something or other
Ismo (Isosorbide Mononitrate) – angina pectoris d/t CAD
Janumet (sitagliptin/metformin HCl) – DM 2
Januvia (sitagliptin phosphate) – dm type 2
Kadian (morphine sulfate XR)- chronic pain
Klonopin (clonazepam) – anti anxiety
*Labetalol (Normodyne, Trandate, HCTZ, Normozyde) – htn
Lasix (Furosemide) – “water pill” / decrease edema
Letairis (ambrisentan) – pulmonary htn
Levitra (Vardenafil HCl); ed
Levothyroxine – see Levoxyl below – for thyroid disorder
Levoxyl (Levothyroxine Sodium) – tx thyroid
*Lisinopril – for htn. Other names= Prinivil, Tensopril, Zestril
Lipitor (atorvastatin calcium) – lower cholesterol
Lithium (disambiguation); BPD
Lopid (gemfibrozil) (less common aka Gemcor) – lipids /low HDL and/or triglycerides/mixed
Lopressor – see “Metoprolol” – htn
Lorazepam – see Ativan (same thing)
Lovaza – formerly labeled Omacor (omega-3-acid ethyl esters) – triglyceride reduction
Lotrel (Amlodipine Besylate and Benazepril HCl) – htn
*Lovastatin– generic for brand names of Mevacor, Altocor – lipid reduction
Ludiomil (Maprotiline) – tricyclic antidepressant aka Deprilept, Ludiomil, Psymion
Lunesta (eszopiclone) – insomnia
Lyrica (pregabalin) – DM neuropathy & postherpetic neuralgia
Macugen (pegaptanib) – “wet” macular degeneration
Maxzide / Dyazide – aka. hydrochlorothiazide Note the “Z” in Maxzide
Medrol (Methylprednisolone)
*mesalamine – aka Pentasa, Rowasa, Asacol – colitis
Metoprolol – generic for Toprol – HTN
Mircera (methoxy polyethylene glycol-epoetin beta) – tx anemia associated w/C Renal failure
Minoxidil (Rogaine) – hair regrowth
Mirapex (Pramipexole) – restless legs / Parkinson’s
*Morphine – very powerful analgesic. Some med names are: MS Contin, Oramorph SR
Mysoline (primidone) – epilepsy
Nabumetone – a.k.a. Relafen – NSAID
Namenda (memantine) – moderate to severe Alzheimer’s
Neupro (rotigotine) – Parkinson’s
Neurontin (gabapentin) – PHN (post herpetic neuralgia)
Nexium (esomeprazole magnesium) – gerd
Noxafil (posaconazole) – tx fungal infections
Nuvigil (armodafinil) – tx excessive sleepiness
Ogen (Estropipate) – vasomotor sx,
Omnaris (ciclesonide) nasal spray for allergic rhinitis, etc.
Opana ER (Oxymorphone Hydrochloride) – pain
Orencia (abatacept) – Adult R.A. & Idiopathic RA in peds.
* Oxazepam (aka: Alepam, Murelax, Opamox, Oxascand, Serax, Serepax, Seresta, Sobril, Vaben -benzodiazepine
OxyContin (oxycodone HCl controlled-release) – narcotic pain med
Patanase (olopatadine hydrochloride) – seasonal allergic rhinitis
Paxil (Paroxetine Hydrochloride) – depression ,panic disorder
Pilocarpine hydrochloride —— see Salagen
Plaquenil (hydroxychloroquine) – R.A. tx arthrits, inflammation
* ProQuin XR (Ciprofloxacin Hcl) – simple UTI’s
Pristiq (desvenlafaxine) – major depression
Protonix (pantoprazole) – GERD
Quinine – used for leg cramps
Ranexa (ranolazine) – chronic angina
Ranitidine – generic for Zantac – gerd/pud
Razadyne (galantamine Hbr) -formerly labeled Reminyl until 2005 – for mild Alzheimer’s
Reclast (zoledronic acid) – Paget’s disease, & postmenopausal osteoporosis
Relafen (nabumetone) – NSAID
Requip (Ropinirole Hcl) – RLS
Revlimid (lenalidomide) – myelodysplastic syndromes
Rifampin (rifampicin) – abx, aka Rifadin, Rimactane
Robaxin (Methocarbamol) – muscle relaxant
Rocaltrol – generic of (calcitriol) – synthetic vit D.
Rosuvastatin – Generic Crestor (lipids)
Rozerem (ramelteon) – insomnia
Salagen – Pilocarpine ophthalmic to tx glaucoma; oral to tx dry mouth sx’s (Sjogren’s, etc.)
Sanctura (trospium chloride) – overactive bladder/urge incont
Septra (Trimethoprim and Sulfamethoxazole) – abx
Sensipar (cinacalcet) – 2ndry hyperparathyroidism & hypercalcemia in parathyroid CA pts
Seroquel (quetiapine) – Bipolar
Simcor – niacin extended-releated/simvastatin tablets
Singulair (Montelukast Sodium)- allergy/asthma (“Cingular” is/was a phone company)
Skelaxin (Metaxalone) – non-narcotic/ muscle relaxer
Soliris (eculizumab) – tx paroxysmal nocturnal hemoglobinuria
Soma (Carisoprodol) – muscle relaxer
Soriatane (acitretin) – psoriasis
Stadol (Butorphanol Tartrate) – injected/ analgesic for pain
Strattera (atomoxetine) – this med spelled w/2 T’s *not* two R’s – is for ADD
Stavzor (valproic acid delayed release) – tx bipolar manic disorder, seizures and migraine headaches
*Subutex buprenorphine hydrochloride) & Suboxone(same but with naloxone) – opioid dependence
Sular(nisoldipine) – tx HTN & angina / calcium channel blocker
Symbyax (fluoxetine and olanzapine) – bipolar disorder (Prozac-Zyprexa combo)
Symlin (pramlintide) – DM type 1 & 2
Synthroid (levothyroxine) – hypothyroid
Tekturna (aliskiren) – HTN
Tenuate Dospan (diethylpropion) – weight loss
Teveten HCT (eprosartan mesylate/hydrochlorothiazide) – htn
Tikosyn (Dofetilide) – Atrial Fibrilation/Atrial Flutter
Tindamax, tinidazole – tx microbial infections, including trichomoniasis, giardiasis, and amebiasis
Tracleer (bosentan) – Pulmonary arterial hypertension
Tramadol – see Ultram
*Trazodone (trade names Desyrel, Molipaxin, Trittico, Thombran, Trialodine) – depression, etc.
Trental (Pentoxifylline) – PVD, intermittent claudication
Trexima (Sumatriptan Succinate and Naproxen Sodium) – acute migraines
TriCor (fenofibrate) tablets – elev. cholesterol, triglycerides, etc
Triglide (fenofibrate) – lipid lowering
*Trihexyphenidyl – see Artane -Parkinsons’s
Toradol (Ketorolac Tromethamine) often given as injection for migraine headaches, analgesic
Toviaz (fesoterodine fumarate); tx overactive bladder
Tysabri (natalizumab) – moderate to severe Crohn’s (remarketed for this)
*Ultram (tramadol) – non-narcotic analgesic. aka tramdol
Uroxatral (alfuzosin HCl extended-release tablets) – BPH
Valium (Diazepam) – anti-anxietal / muscle relaxant
Valtrex (Valacyclovir Hydrochloride) – genital herpes
Vaprisol (conivaptan) – nephrology / uvolemic hyponatremia
Vaseretic (hctz) ACE inhibitor (htn) combo of Enalapril & hctz
Veregen (kunecatechins) – external genital and perianal warts
Vesicare (solifenacin succinate) – overactive bladder
Vicodin – narcotic pain killer – see “hydrocodone” above
Vimpat (lacosamide) – tx partial-onset seizures in epileptic adults
Vfend (voriconazole) – fungal infections
Voltaren (Diclofenac Sodium) – pain
Vytorin (Ezetimibe & Simvastatin) – two drugs combined in one – lowers cholesterol
Vyvanse (Lisdexamfetamine Dimesylate); ADHD
WelChol (colesevelam hydrochloride) – lipids tx & 2008 also for DM-2
Wellbutrin (Bupropion Hcl) – SSRI /tx depression, anxiety, etc.
Xalatan (latanoprost ophthalmic solution) – ocular htn / tx “high eye pressure”
Xanax (Alprazolam) – – short term med / anti-anxiety
Xenazine (tetrabenazine) chorea due to Huntington’s disease
Xifaxan (rifaximin) – Travelers’ diarrhea caused by noninvasive strains of Escherichia coli / IBS
Xyzal (levocetirizine dihydrochloride) – seasonal/perennial allergic rhinitis & urticaria
Zegerid (Omeprazole, Sodium Bicarbonate) – ulcers & heartburn
Zetia (Ezetimibe) – high cholesterol
Zocor (Simvastatin) – lower cholesterol
Zofran (Ondansetron Hydrochloride) – anti-nausea med w/o drowsiness.
Zoloft (Sertraline HCI) – anti-depressant/anti-anxietal
Zonegran (zonisamide) – epilepsy
Zomig (Zolmitriptan); migraine HA’s

NON-Oral/ inhalers/nasal sprays…
*Albuterol; aka Ventolin, Proventil – asthma/airway dz
Alvesco (ciclesonide) – Asthma / maintenance and prophylactic
Asmanex Twisthaler (asthma maintenance therapy – not rescue)
Azmacort – (Triamcinolone Acetonide (inhalation aerosol)
Flonase (Fluticasone propionate) – steroid nasal spray
Foradil (formoterol) \ Foradil Aerolizer (Formoterol Fumarate Inhalation Powder)
Patanase Nasal Spray (Olopatadine Hydrochloride Nasal Spray)
ProAir HFA inhaler (Albuterol Sulfate Inhalation Aerosol)
Rhinocort Aqua (Budesonide)
Spiriva HandiHaler (tiotropium bromide) – COPD/ broncho, etc
Symbicort (budesonide/formoterol fumarate dihydrate) inhalation aerosol – combo of Oxis and Pulmicort – asthma
Veramyst (fluticasone furoate) – seasonal and perennial allergic rhinitis (ok for Ped. use)
Xopenex HFA (levalbuterol tartrate) – inhaler / asthma

NON-Oral/primarily topical Meds/patches/immunizations: (this list currently does NOT include inhalers or nasal sprays)
Akten (lidocaine hydrochloride) – anesthesia during ophthalmologic procedures
Apidra (insulin glulisine) – DM 1 – rapid acting insulin injection
Altabax (retapamulin) – topical tx impetigo due to Staphylococcus aureus or Streptococcus pyogenes
Azopt (Brinzolamide) – eye drops / lower eye pressure (glaucoma)
BenzaClin Topical Gel – acne
Cleviprex (clevidipine) – IV therapy for HTN when med not able to be taken orally
Daytrana (methylphenidate) – patch for ADHD in peds, but can be ok for adults
Desoximetasone Cream USP, 0.25% – topical corticosteroid
Duragesic (Fentanyl Transdermal) – pain patch
Durezol (difluprednate) – tx pain & inflammation after ocular surgery
Efudex (Fluorouracil) – basal, squamous cell carcinomas & pre-cancerous skin lesions
Elidel (pimecrolimus cream, 1%) – eczema
Flector patch – (diclofenac epolamine topical patch) 1.3% – rx topical nsaid
Gardasil (quadrivalent human papillomavirus ( types 6, 11, 16, 18 ) recombinant vaccine) – HPV vac
Lantus (insulin glargine injection) – DM 1 & 2
Lotrisone (Clotrimazole and Betamethasone) – cream and lotion
NovoLog (insulin)
Olux (Clobetasol Propionate) topical – psoriasis
Restasis (cyclosporine ophthalmic emulsion) 0.05% – tx “dry eyes”/^ tear production
Rotarix (Rotavirus Vaccine, Live, Oral) – prevention of rotavirus gastroenteritis caused by G1 and non-G1 types (G3, G4, and G9) in peds
Rotateq (rotavirus vaccine)
Sancuso (granisetron); For chemotherapy-induced nausea and vomiting (patch)
SilvaSorb Gel/Hydrogel
Temovate (Clobetasol Propionate) – cream /topical corticosteroid – skin conditions
Tobradex (Tobramycin and Dexamethasone) – ophthalmic
Travatan (Travoprost) ophthalmic for glaucoma
Tretinoin Emollient Cream 0.05% (generic) for Renova
*Triamcinolone (Kenalog, Kenacort, Aristocort, Atolone) – “anti allergy” (comes in creams, injection, etc)
-*Triamcinolone -{Tri-am-cin-o-lone} … Kenalog, Kenacort, Aristocort, Atolone, Azmacort // cream, injectable, etc.
* Triazolam (Halcion, Novodorm, Songar) derivative of benzodiazepine
Vaniqa – cream for hirsutism
Verdeso (desonide) – atopic dermatitis
Vigamox (moxifloxacin HCl ophthalmic solution) 0.5% as base /a 4th-generation fluoroquinolone antibacterial
Voltaren Gel (diclofenac topical) – topical pain.
VoSol HC (Hydrocortisone and Acetic Acid) otic aka Acetasol, Burrow’s, Vasolate – “swimmers ear”
Zonalon (Doxepin) cream – relieve itching from some eczemas
Zostavax – live virus vaccine for tx herpes zoster

MISC LIST OF MEDS:
(this list for meds that have been FDA recalled and/or unlikely to be something I have use for knowing. This list is mainly for things not already listed above).
Accretropin (somatropin rDNA Original) -Tx of growth failure in peds
Amicar (Aminocaproic acid) – (is NOT Omacor) given IV and for bleeding disorder w/surg. probs
Ansaid (flurbiprofen) – post op pain
Aptivus (tipranavir) – HIV-1 infections
Avastin (bevacizumab) – metastatic colon CA
Baraclude (entecavir) – chronic hepatitis B infections
Bextra (Valdecoxib) – anti-inflammatory – recalled in 2005
BiDil (isosorbide dinitrate/hydralazine hydrochloride) – heart failure in black patients
Cinryze (C1 Inhibitor (Human)) – tx angioedema attacks in adolescents/adults with Hereditary Angioedema
Dacogen (decitabine) – Myelodysplastic Syndromes
Elaprase (idursulfase) – mucopolysaccharidosis II (Hunter Syndrome)
Entereg (alvimopan) – tx postoperative ileus
* Euflexxa injections (highly purified hyaluronan) – aka Synvisc – inj for OA
Fosrenol, lanthanum carbonate – hyperphosphatemia d/t kidney dysfunction
Intelence (etravirine) – Tx HIV-1
Isentress (raltegravir); tx HIV 1
Lucentis (ranibizumab)- neovascular “wet” age related macular degeneration
Myozyme (alglucosidase alfa) – Pompe disease (glycogen storage disease type II) – peds
Naglazyme (galsulfase) – (musculoskeletal drug – mucopolysaccharidosis VI (Maroteaux-Lamy syndrome)
Nplate (romiplostim) tx thrombocytopenia in patients with chronic immune (idiopathic) thrombocytopenic purpura
Prezista (darunavir) – treatment-resistant HIV infections
Selzentry (maraviroc); – CCR5-tropic HIV-1
Solu-Medrol (Methylprednisolone sodium succinate) – has multiple indications. Link with thorough info=http://www.drugs.com/pro/solu-medrol.html
Somatuline Depot (lanreotide acetate); acromegaly
Supprelin LA (histrelin acetate); central precocious puberty
TYSABRI (natalizumab) – *released 11/04 – DC’d 2/05 …for relapsing MS
Tyzeka (telbivudine) – tx Hep B virus
Valcyte (valganciclovir HCl tablets) – transplant recipients, immunosuppressant, CMV, HIV, etc.
Viread (tenofovir disoproxil fumarate) – hepatitis B
Vidaza (azacitidine)- myelomonocytic leukemias & myelodysplastic syndromes
Zingo (lidocaine hydrochloride monohydrate); – peds/local analgesia before vp or iv insertion

OCP’s/BCP’s:
Alesse (100 mcg levonorgestrel/20 mcg ethinyl estradiol tablets)
Aviane
Brevicon (norethindrone and ethinyl estradiol tablets)
Cyclessa (Desogestrel Ethinyl Estradiol Tablets)
Demulen (Ethinyl Estradiol; Ethynodiol Diacetate) aka Zovia
Desogen (desogestrel and ethinyl estradiol)
Enpresse
Femcon Fe (Norethindrone and Ethinyl Estradiol Tablets)
Jolivette (norethindrone tablets)
Leena (norethindrone and ethinyl estradiol tablets)
Lessina
Levlen
Levlite (levonorgestrel and ethinyl estradiol tablets) aka Levora
Levora (levonorgestrel and ethinyl estradiol tablets)
Loestrin 24 Fe (Norethindrone Acetate and Ethinyl Estradiol)
Low-Ogestrel (norgestrel and ethinyl estradiol tablets)
Lo Ovral (ethinyl estradiol and norgestrel)
Lutera (Levonorgestrel and Ethinyl Estradiol Tablets)
Lybrel (levonorgestrel and ethinyl estradiol) – eliminates menses as long as pill taken.
Microgestin Fe 1/20(norethindrone acetate and ethinyl estradiol tablets and ferrous fumarate tablets*)
Microgestin 1/20 (norethindrone acetate and ethinyl estradiol tablets)
MicrogestinFe 1.5/30 (norethindrone acetate and ethinyl estradiol tablets, and ferrous fumarate tablets*)
Microgestin 1.5/30 (norethindrone acetate and ethinyl estradiol tablets)
Mircette (Desogestrel, Ethinyl Estradiol and Ethinyl Estradiol)
Mirena (Levonorgestrel-Releasing Intrauterine System) -IUD
MonoNessa (norgestimate and ethinyl estradiol tablets)
Necon (norethindrone and ethinyl estradiol tablets)
Necon 7/7/7 (norethindrone/ethinyl estradiol)
Nora-Be (norethindrone tablets)
Nordette
Norinyl 1+35 (norethindrone and ethinyl estradiol tablets)
Norinyl 1+50 (norethindrone and mestranol tablets)
Nor-QD (norethindrone tablets)
Norinyl (norethindrone and ethinyl estradiol tablets)
Nuvaring (Etonogestrel, Ethinyl Estradiol Vaginal Ring) – q.monthly
Ogestrel (norgestrel and ethinyl estradiol tablets)
Ortho-Cept
Ortho Evra (Norelgestromin, Ethinyl Estradiol) – once per week patch
Ortho-Novum (Norethindrone and Ethinyl Estradiol)
Ortho Tri-Cyclen (norgestimate/ethinyl estradiol) / Ortho Tri-Cyclen Lo
Ovcon (Norethindrone and Ethinyl Estradiol Tablets)
Plan B – aka “the morning after pill” (levonorgestrel)
Portia
Reclipsen TM (desogestrel and ethinyl estradiol tablets)
Seasonale (ethinyl estradiol and levonorgestrel) \ aka: Jolessa Quasense, Seasonique
Sronyx
Tri-Levlen
TriNessa (norgestimate and ethinyl estradiol tablets)
Tri-Norinyl (norethindrone and ethinyl estradiol tablets)
Triphasil = Brand Names: Alesse, Aviane, Enpresse, Lessina, Levlen, Levlite, Levora, Lutera, Lybrel, Nordette, Portia, Sronyx, Tri-Levlen, Triphasil, Trivora
Trivora (levonorgestrel and ethinyl estradiol tablets)
Yasmin (drospirenone and ethinyl estradiol) aka Yaz
Yuzpe (another morning after type regimen)
ZenChent (progestin – estrogen combo)
Zovia (ethynodiol diacetate and ethinyl estradiol tablets)

HRT’s:
(Obviously this is one of my newest lists I’ll be adding to over time)
Enjuvia (Synthetic Conjugated Estrogens, B)
Vivelle-Dot (Estradiol Transdermal System)

Oncology Meds:
Alimta (pemetrexed for injection) – malignant pleural mesothelioma
Arranon (nelarabine) – T-cell acute lymphoblastic leukemia
Avastin (bevacizumab) – colon ca
Clolar (clofarabine) – acute lymphoblastic leukemia in peds
Efudex (Fluorouracil) – skin
Erbitux (cetuximab) – metastatic colon CA
Fluorouracil (5-FU or f5U) – colon, pancreas, digestive, misc. Old school chemo med.
Gleevec (Imatinib Mesylate) – Chronic Myeloid Leukemia (CML) and Gastrointestinal Stromal Tumors (GIST).
Hycamtin (topotecan); small cell lung ca
Ixempra (ixabepilone); breast ca
Neulasta (pegfilgrastim) – WBC’s
Neupogen (filgrastim) – tx neutropenia
Nexavar (sorafenib) – renal ca
Sensipar (cinacalcet) – parathyroid carcinoma
Sprycel (dasatinib) – imatinib-resistant chronic myeloid leukemia
Sutent (sunitinib) – kidney & GI tumors
Tarceva (erlotinib, OSI 774) – metastatic non-small cell lung ca
Tasigna (nilotinib hydrochloride monohydrate) – chronic myelogenous leukemia
Treanda (bendamustine hydrochloride) – CLL (chronic lymphocytic leukemia)
Torisel (temsirolimus) – renal carcinoma
Tykerb (lapatinib) – breast ca
Vectibix (panitumumab) – colon

Antibiotics & ANTIVIRALS:
Avelox (moxifloxacin hydrochloride) – abx tx respiratory/lung infections
Bactocill (Oxacillin Sodium) – in PCN class. tx staph aureus
Cephalexin – aka “Keflex”
*Cipro – Ciprofloxacin – abx
Demeclocycline (Declomycin) – tetracycline tx bacterial infx’s
Doribax (doripenem); intraabdominal infections & UTI’s
*Doxycycline – (in tetracycline antibiotics group). Brand names= Monodox®, Periostat®, Vibramycin®, Vibra-Tabs®, Doryx®, Vibrox®, Adoxa®, Doxyhexal® and Atridox® (topical doxycycline hyclate for Periodontitis)
Efavirenz, Emtricitabine, and Tenofovir Disoproxil Fumarate
Epivir (Lamivudine)
EryTab (erythromycin delayed-release tablets)
Grisovin (griseofulvin) Fulvicin, Grifulvin V, Gris-Peg, Grisactin) – skin infections, ala dermatophytosis
Keflex (Cephalexin) – abx
Ketek (telithromycin) – abx
Moxatag (amoxicillin) – tonsillitis and/or pharyngitis d/t Streptococcus pyogenes
Rifampin (rifampicin) – abx, aka Rifadin, Rimactane
Sustiva (Efavirenz)
Terramycin (Oxytetracycline) & HCI – ophthalmic uses; tx bacterial infections; ok in dogs
Tindamax, tinidazole – tx microbial infections, including trichomoniasis, giardiasis, and amebiasis
Xifaxan (rifaximin)
ZINOTIC Otic (Chloroxylenol/Pramoxine/Zinc Acetate) – ear drops to stop growth of bacteria & fungus
Zyvox (linezolid) – abx tx of MRSA infections

SMALL misc. list of OTC meds and Remedies:
acidophilus
Alli (orlistat) – weight loss
Aspercreme.
Black Cohosh (with an O, not an A) – tx vasomotor instability
Burrow’s solution is aluminum salts(domeboro tablets)
Capzasin cream (topical analgesic)
Cepastat – sore throat
Cetaphil – skin moisturizer/cleanser
Chloraseptic – sore throat
CholestOff
chlorpheniramine – antihistamine /sample=Actifed.
Citrucel (Methylcellulose) laxative
Dulcolax
Endurolyte
Epsom salt
Estroven
Garlique
Gas-X
Kava Kava (Piper methysticum Forster) / herb.. tx anxiety, etc
Lanacane Aerosol Spray – anti-itch/skin protection
Lipozene -supposed ‘fat burner’(author note; only ECA stacks are actually effective)
Monistat – vaginal cream for yeast infx
NyQuil
Pedialyte
Psyllium seed husks – bulk forming laxative
Rohto eye lubricating drops
Saw palmetto (not sal) – prostate/BPH
Senna (natural herbal laxative)
Systane – Lubricant Eye Drops
URISTAT® (phenazopyridine) – otc UTI relief
Zostrix cream – contains cayenne pepper -topical analgesic
Zyrtec (Cetirizine) – allergies… now otc

For additional med names not listed ~or~ if you stumbled by seeking more information on a specific med, Click here for the PDR Health.com website

Some life events can be easily linked to incidences occurring in the past. This takes in place some eight years ago. So references will make more sense when I blog, here is one I have written about in the past (old blog) that had different impacts on my life, and the person I am both physically and mentally today. Life has taken me through many journey’s and often, more adventures than the average person, hence the need to share my life with the world, as it seems I have more adventures regularly than I have time to write about.

Prologue on event leading to my spinal injury:
In the late 90’s, I had moved to the paradise I now call home.  No sunny beaches, so it was time to find a way to enjoy the snow, seeing how I was living in it. That was the point where I discovered the joy of snowboarding.  I was doing other things in life during those years including working a regular job, volunteering with the county EMS in my area, (Emergency Medical Services/ambulance) as an EMT (eggcrate mattress technician, every menial task, or Emergency Medical Technician, your choice).

It was in the winter of 2001 when I made a HUGE mistake, but a  life-changing event that has opened my eyes and world in many ways. With under 10 hours of snowboarding experience under my belt, and a huge dose of being over confident, I had a potentially fatal accident. Of course, had it not happened, there is a good possibility I never would have gotten into instructing a couple years after that, teaching and inspiring many how to snowboard, and many more on how not to repeat my very mistake.

Learning to snowboard (pre-accident of course):
In 2006, I moved to the pacific northwest and now back in the area I refer to as home.  It will be another blog entry, another time, when I write about what forced inspired the move. It was at this point in life I was trying to decide what I wanted to do. Roughly 2 years of college in the south, taking general classes just was not leading me anywhere. The more I explored careers, the more becoming a paramedic appealed to me. The local EMS agency was doing classes for EMT-basic training in exchange for volunteer hours. Despite having to wash the rigs, sweep, stock supplies, run reports, etc., I enjoyed what I was doing.

While trying to get involved and established in the community, I had signed up and started basic EMS training. At that same time I starting working a regular job, and found a local church where I got involved with the college age/singles group. It was my first or second winter (I don’t entirely remember), and there was ski/snowboard night at a nearby ski hill. I had NEVER snowboarded in my life, but it looked like fun and was something I wanted to try. I rented a set up and with the group I went. The “friends” in my group who were experienced skiers and riders were telling me from the bottom of the chairlift, “come up, it’s easy”. Not knowing any better, I bypassed the beginner slopes and I followed them up and rode up the chairlift. I remember the edges of the board catching and dragging and getting yelled at by the liftie the first time I tried to go up the chair; zero experience, so I didn’t have a clue what I was doing.

I ate it hard getting off the chairlift – again, never had done it, so made every newbie mistake in the book. I scooted out of the way and spent time floundering like a fish, trying to figure out how to steer this goofy thing called a snowboard attached to my feet. Within 20-30 minutes, I figured out how to do what in snowboarder terms is a heelside falling leaf. I was standing, going down the hill and at least had control of my speed and direction. Although not pretty or perfected – I was hooked!

A little more experience, changes, etc.:
Life goes on. The agency I volunteered with had been dissolved, and after plenty of politics, it was no longer a desirable outfit to volunteer with. Family events, job changes, etc., all played in many parts leading to the point in life where I was.

It was the winter of 2000 and I bought my first ever season pass to a nearby resort, “Ski Area X”. At that point, not having more then 10 hours combined in riding since the first time I had made the mistake of teaching myself how to ride. I had the worlds fastest heelside falling leaf and traverses, but wanted to “learn to ride my toe edge”.

I had been out 2 or 3 other times that season and decided to sign up for an intermediate group lesson being offered, thinking since I could slide down and push the snow down and off any run, that I was another expert rider. I observe others now who are at that same point. Ski Area X has an accredited AASI(American Association of Snowboard Instructors) program, but I obviously had been paired up with an inexperienced or new instructor who had little teaching experience. I let him know that my goal of the lesson was to learn to ride that toe edge. The number one worst advise ever was when he said/taught the method of “kick the rear foot” (How I shudder when I hear a person say that sloppy edge catching horrible technique to someone). I got to riding that toe edge, but it was not very good. I now know for a fact that due to fear, I was riding all the way back with my weight aft(tail) of the board, causing limited/less control. It’s amazing what knowledge I have gained since becoming a snowsports instructor – but this was some time after splatting myself into the snow.

The accident:
At the time of my accident, I was in my EMT-Intermediate training. It was the result of the spinal injury that sufficiently ended the idea of testing and graduating from it. My new found over-confidence at snowboarding is what got me into trouble. I saw others going off jumps and I thought to myself, hey, that looks easy and like fun. Hence, being too confidence and inexperienced at snowboarding got the best of me.

A broken mess for the ski patrol:
*SLAM* Smacking firm object at high speed from high height is going to result in a lot of pain from injuries. Thankfully, though my whole respiratory system was initially paralyzed from impact, I did spontaneously begin breathing on my own again. The two employees below building a new feature in the terrain park who witnessed the whole thing came up running towards me. I’ve later been told I was a good 20+ feet in the air before landing on hard packed ice. My only memory is that they were below one second and instantaneously at my side calling for patrol the next. My immediate concern was if any other rider were to have gone off that jump and landed on me; especially considering how wounded I was. I could not move at first which was VERY frightening.

In what I estimate was under 5 minutes, ski patrol was there. I’m sure I had a concussion which would attribute to my being argumentative, plus my stubbornness I was born with, but I somehow convinced and managed to refuse to be put on a backboard (not a smart move in retrospect, but this is the reason I know that when I have a patient with a suspected head injury, to NEVER cave in to their demands). I know us medical people type make the worst patients, and I think I was a well defined example of such.

I was not able to hardly move, yet the patrols at ‘Ski Area X’ courteously and gently helped me on the toboggan. They slowly took me down the hill. At this point, I had feeling and plenty of it – holy moly I was in pain. They helped me up and examined me in the patrol room upon helping me sit up on a bed. Then they helped me into my car because I decided I wanted to go home. While I was driving down the mountain, it hurt to breathe and I felt like I was getting worse. Instead of driving home, I realized I was in trouble and better go to the emergency room to be seen. The whole way down, I kept wondering if I would even make it. In hindsight, VERY STUPID idea, but likely I was concussed and not thinking too clearly. The drive from Ski Area X down the road to a Level 2 trauma center was not too far, but far enough. At that point, I think I was running off endorphins(for you non-med types, a natural substance the body makes in response to pain temporarily). Of note, yes I was sober.

I made it to the hospital. I pulled up right outside the emergency room door, car was valeted by staff. I couldn’t even get myself out of the car. Some nurses had to help me out of the car and into a wheelchair. Their nonchalant attitude didn’t impress me, but something that can be a lesson if you are reading this – You may have seen the same thing hundreds of times before, but this is an experience possibly new to patient. Of course, take a read at any of the nursing/ems/er blogs to the right in my blogroll, and the reasons for burnout, etc., make it obvious why my perceived attitudes of ER staff were so negative.

Incompetence at its finest in the ER:(or ED if you’re Dr. WhiteCoat)
We all make mistakes, but one particular emergency room doctor who obviously does not know his elbow from the fecal hole he eliminates from, needs to find a different career. The triage nurse was acting like she didn’t believe me when I told her what happened…. some of this plays in to what is a real issue in society. I should have allowed ski patrol to secure me on a backboard and be taken in by ambulance. Someone with an “anxiety attack” or BS reason in town who didn’t need an ambulance was in it instead. I despise people who abuse the system, as that is the most direct cause for my being mistreated.

Fortunately for me, it was a slow weekday night at the ER(or ED if you’re Dr. WhiteCoat), at the level 2 trauma center, and my wait time was only an hour or so while I sat in that waiting room in a wheelchair in unbelievable pain before being taken into the back. Not sure how many people break themselves in half and drive themselves to the ER, but realistically, I can understand her disbelief.

Once taken to an exam room, the nurses attempted to help me get my jacket off. I was just hurting too bad to move. The incompetent doctor ordered 1 milligram of Morphine. Pompous, arrogant, so many words to describe. I think seekers often get more than that. Fellow med bloggers – input on this dose please?

“…and then it gets worse….”
Next it was off to get an x-ray of my back. I was still complaining of pain (ya think?). Apparently that burned out ER doc had missed the courses with regards to mechanism of injury(which was quite substantial). He gave me what I think were 5 mg hydrocodone tablets. They took the x-rays by helping from the gurney onto a slider board to get me on the x-ray table. Upon returning to the exam room, my roomate/close friend was contacted and was there, we BOTH saw the x-ray, showing a clear wedge deformity with displacement at the T7 level and adjacent thoracic fractures. At that time, the broken ribs and sternum were not apparent/disclosed. Only so much can be told from an x-ray though.

As if inadequate pain control and bad staff attitudes weren’t enough, — minutes later, the pompous doc returned room, handed me a sheet with the diagnoses of……. *drum roll please* “back sprain”. WTF!?!?! When my friend and I asked about the x-ray, Dr. ER-burned out doc just got in a tizzy and stormed out of the room. Hopefully this level of burned out incompetence doesn’t reflect the level of neglect so many caring ER physicians out there. It’s scary to know this particular one is STILL in practice.

I have no reasonable for his behavior, but I do have the sheet on “care of back sprain” with that date. Then I was discharged to go die at home. Home!?! Excuse me! It hurts to breathe, it’s difficult to move secondary to pain, I can’t do any of my ADL’s and I’m being sent home? I had excellent full coverage medical insurance at the time, so that certainly could not have been the case for such negligence. Oh, and that “generous” doc sent me home with a bottle of #10 vicodin tablets. I’ve heard of people getting more than that for a papercut.

Return to the ER:
My roommate was such a gem! (Some roommates end up hating each other, but he was amazing, going above and beyond what most would do!) He helped me into my bed where I laid for two days, increasingly short of breath where it was a challenge just to breathe. I was in such intense agony, I could not even get up to help myself to the bathroom. Considering I had the master suite of the house with an adjoined bathroom, this was pretty serious stuff. At some point, he helped me to the side of the bed and I urinated in a bucket. Even that was quite challenging and I remember the pain. The body’s natural endorphin process was long wore off. After two days of this painful torture of slowly deteriorating right there in my bed, he could see I was declining, so he somehow helped me to his car and took me back to the hospital, as I obviously was progressively declining with each passing hour. My friend/roomie pulled the car up close as possible to the front door. Before leaving the house I pre medicated(as much was possible) with 2 hydrocodone tablets (it’s difficult to stretch ten tablets of vicodin by day three with these kinds of injuries and pain).

We arrived at the ER(or ED if you’re Dr. W….oh you get the idea, I’ll quit picking on him now) around 7pm that evening. It was another slow weekday night. Maybe 2-3 other people in the lobby was all. I was doing much worse than a couple days prior when this happened. Nurse K is tough, but has sense, unlike the triage nurse on duty that night. I told my chief complaint. Now for the second time in my life I was at the ER, so I guess that made me a frequent flier perhaps since I was there a couple of days later?

Within 15-60 minutes, I was wheeled to the FAST TRACK room. What really irks me about that night, was in this pathetic situation, while laying most of the night in an uncomfortable fast track gurney, my roomie(bless him for staying with me) overhead and where it turned out they triaged and prioritized a kid with PINK EYE over me. It wasn’t until 3:30 a.m. the ER doctor(fortunately one with sense and not the one from the first visit) after seeing a kid with conjunctivitis, before ever checking on me came in. A little math here, and this wasn’t a busy weeknight like some ER’s in larger cities — 7:pm and sit then lay suffering without meds until 3:30 am — 8 hours. But the kid who came in after me with pink eye was seen first. I see a problem with the triage system here. The ER system sure failed me in this case.

The wonderful ER doc:
When the educated physician came in at 3:30, we explained what had happened to him. He looked at the char. The evil triage nurse I was mentioned above had written “fell out of bed” — talk about a nurse with both poor bedside manner and poor listening skills!

That does explain why I was sent to fast track, since from a medical perspective, an otherwise healthy 20-something year old female is not going to have morbid injuries from a fall out of bed. In retrospect, I’m certainly not angry with this doctor for taking all night, as he had no way of knowing the seriousness of the situation based on the misinformation he was given before seeing me. I can’t blame him since the triage nurse had been such a failure that night(and the doc three days before).

When we explained to this doc what happened – a 20+ foot fall onto ice from a snowboard jump with landing gone very wrong, he went to go review my records from a couple days prior and during that time, sent a nurse in to give me an intramuscular shot of morphine. (as opposed to IV, so didn’t work real fast, but even that much was a relief and I think a closer to appropriate dose than the first night two days prior). It wasn’t the best relief, but after being sent home to die and suffering for a couple days, anything was surely better than nothing.

ER Physician came back in the room and even commented on the “back sprain” as being the diagnosis written in the chart the couple days before. I speculate he was still in some degree of disbelief with all these discrepancies, but he iimmediately ordered a CT scan and did give another intramuscular shot of Morphine before sending me on my way.

Back from CT, and the tone of things change:
I was sent off for a CAT scan. They used a slider board to help me on that table, and even before putting me back on the gurney and taking back to the ER, the tone of everything suddenly changed. It was no longer a case of neglect and being treated like a liar, as the CT results revealed the seriousness of injury. Lungs completely contused, four thoracic vertebral fractures and one with minor displacement, two ribs, and sternum in several pieces. See! Told you so, I didn’t fall out of bed. Still leaves me speechless how that triage nightmare came up with that.

The tone of everything had changed to my being told told to “lie still, do not move.” While waiting for a room, doc ordered a PCA. An IV was started, PCA hooked up, and suddenly, I discovered nurses in the ER and a doctor could actually be human beings and decent people – of course when you’re on the good stuff, the whole world is painted a lovely rosy color.

My friend says that when he stepped out into the hallway, he actually overhead the doctor saying something to the effect of “what kind of idiot would have sent this patient home”. About 6 a.m.- about 11 hours since my arrival and now three days later since the accident I was taken upstairs and finally getting some relief and being cared for, immobilized, etc., and was in the hospital for a little over three weeks.

I’m usually not one to write about or get heavy into any politics, but one thing I disagree with is the electoral process. Populations are exploding and growing in cities everywhere.  The current system is broken.  Each state should have *1* electoral vote. Like the current system, the overall popular vote is the electoral vote the state gets. In the event of tie with each party getting 25 electorals, then go by the overall nationwide majority vote, hence actually making every vote actually count. The current system for voting is broken, last election most of us remember how Florida’s counting process was broken, current healthcare crisis is broken. After this recent Barack Obama vs. John McCain election, the economy and all the above, etc., are going to be some pretty hefty issues regardless of winner.

I sincerely wonder how campaigning efforts would go if the voting system were a little bit different; so candidates wouldn’t just work the states with the most electoral votes.

It’s time to vote for a new voting process.

Per my norm, I’ve been reading others blogs, and organizing my own in general today. Just look to your right in the blog lings, and I’ve added more today, recategorized, etc. For my comprehensive medcation list, I’ve actually done some division of the main one, have an enormous OTC list, and resources. It’s becoming so large, that I’m thinking about starting a new blog and splitting things into two – making the new one an organized list, with the categories being so that you can click on specific items, alphabetic, etc. and then I’ll leave this blog which I sporadically update as my personal one with all my blogroll links, etc..

There are blogs for 10 out of 10, and 20 out of 10, so for the ‘educational’ blog, I’m thinking about making one and calling it 30 out of 10. Give me your thoughts, since once I make it and name it, I”ll probably keep it that way

I also just added a WordPress avatar, so when I post comments, a picture shows up. I’m 100% female, but Puss n’ Boots, introduced in Shrek 2, is my favorite character. I’m Kat, he’s a cat, so, it’s all good.

This month, for the first time ever, at the pushing and begging of family members, I have finally signed up on Facebook. I kind of hate the fact it uses real names, as I don’t care to reveal my last name here.

(I’m still too busy to upload my main database, so here are the latest releases until I make the time

Nplate (romiplostim) tx  thrombocytopenia in patients with chronic immune (idiopathic) thrombocytopenic purpura
Stavzor (valproic acid delayed release) – tx bipolar manic disorder, seizures and migraine headaches
Viread (tenofovir disoproxil fumarate) – hepatitis B
Xenazine (tetrabenazine) chorea due to Huntington’s disease

*Viread added 9/4 to above

Alesse (100 mcg levonorgestrel/20 mcg ethinyl estradiol tablets)
Aviane
Brevicon (norethindrone and ethinyl estradiol tablets)
Cyclessa (Desogestrel Ethinyl Estradiol Tablets)
Demulen (Ethinyl Estradiol; Ethynodiol Diacetate) aka Zovia
Desogen (desogestrel and ethinyl estradiol)
Enpresse
Jolivette (norethindrone tablets)
Leena (norethindrone and ethinyl estradiol tablets)
Lessina
Levlen
Levlite (levonorgestrel and ethinyl estradiol tablets) aka Levora
Levora (levonorgestrel and ethinyl estradiol tablets)
Low-Ogestrel (norgestrel and ethinyl estradiol tablets)
Lutera (Levonorgestrel and Ethinyl Estradiol Tablets)
Lybrel (levonorgestrel and ethinyl estradiol) – eliminates menses as long as pill taken.
Microgestin Fe 1/20(norethindrone acetate and ethinyl estradiol tablets and ferrous fumarate tablets*)
Microgestin 1/20 (norethindrone acetate and ethinyl estradiol tablets)
MicrogestinFe 1.5/30 (norethindrone acetate and ethinyl estradiol tablets, and ferrous fumarate tablets*)
Microgestin 1.5/30 (norethindrone acetate and ethinyl estradiol tablets)
Mircette (Desogestrel, Ethinyl Estradiol and Ethinyl Estradiol)
Mirena (Levonorgestrel-Releasing Intrauterine System) -IUD
MonoNessa (norgestimate and ethinyl estradiol tablets)
Necon (norethindrone and ethinyl estradiol tablets)
Necon 7/7/7 (norethindrone/ethinyl estradiol)
Nora-Be (norethindrone tablets)
Nordette
Norinyl 1+35 (norethindrone and ethinyl estradiol tablets)
Norinyl 1+50 (norethindrone and mestranol tablets)
Nor-QD (norethindrone tablets)
Norinyl (norethindrone and ethinyl estradiol tablets)
Nuvaring (Etonogestrel, Ethinyl Estradiol Vaginal Ring) – q.monthly
Portia
Ogestrel (norgestrel and ethinyl estradiol tablets)
Ortho Evra (Norelgestromin, Ethinyl Estradiol) – once per week patch
Ortho-Novum (Norethindrone and Ethinyl Estradiol)
Ortho Tri-Cyclen (norgestimate/ethinyl estradiol) / Ortho Tri-Cyclen Lo
Ovcon (Norethindrone and Ethinyl Estradiol Tablets)
ReclipsenTM (desogestrel and ethinyl estradiol tablets)
Seasonale (ethinyl estradiol and levonorgestrel) \ aka: Jolessa Quasense, Seasonique
Sronyx
Tri-Levlen
TriNessa (norgestimate and ethinyl estradiol tablets)
Tri-Norinyl (norethindrone and ethinyl estradiol tablets)
Triphasil = Brand Names: Alesse, Aviane, Enpresse, Lessina, Levlen, Levlite, Levora, Lutera, Lybrel, Nordette, Portia, Sronyx, Tri-Levlen, Triphasil, Trivora
Trivora (levonorgestrel and ethinyl estradiol tablets)
Yasmin (drospirenone and ethinyl estradiol) aka Yaz
Zovia (ethynodiol diacetate and ethinyl estradiol tablets)

This isn’t all of them, but is a list of several birth control pills/oral contraceptives