Archive for April, 2009

Is skin cancer able to be avoided? Even tough scientists and researchers still have several miles to travel before they will be able to figure out whether or not the three different types of skin cancers may be deterred completely; there is at least one type of skin cancer that is associated with some definite risk factors. The three different types of skin cancer are: squamous cell carcinoma; basal cell carcinoma; and malignant melanoma.

Each three different types of skin cancer are considered to be detrimental to an individual’s health, even though two types of skin cancers out of the three may be cured in the event that they are caught early enough. This type of skin cancer is known to be responsible for ninety percent of all cases of skin cancers within the U.S. The skin cancer known as basal cell carcinoma hardly ever will seep into any other area of the body, even though it may reach the bone if the cancer isn’t eradicated within the appropriate way.

All of those individuals that are at risk for this particular type of cancer are normally Caucasian, light-eyed, fair-skinned, and possess light hair. It is believed also that this particular type of skin cancer only occurs when areas of the body are openly exposed to large quantities of sunlight. Each year two hundred thousand individuals are affected by squamous cell carcinoma. Just the same as with basal cell carcinoma, this particular type of skin cancer may be cured in the event that it is detected early enough.

Usually, the squamous cell carcinoma affects the mouth, lips, face, and ears; this is the main reason why this type of skin cancer is easy to be measured. Even though scientists don’t know exactly why this particular type of cancer occurs, it is found within Caucasians normally with light eyes, light skin, and light hair. It is thought the sun damage may be among the major causes of skin cancer, even though it has yet to be proven as concrete.

The very last type of skin cancer out of all three of the different types of skin cancers, it just so happens that Melanoma is the most dangerous type. Even though Melanoma is a very rare type of cancer, it is also the deadliest. All of those individuals that are at risk for melanoma are known to include: individuals that have red or blond hair, individuals that have a fair complexion and blue eyes, and those that have a family history of skin cancer, or melanoma, and all of those that spend a rather significant amount of time within the sun without using the proper amount of sun block. All-in-all, these are the three different types of skin cancer.
Read more about skin cancer and five signs of skin cancer

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I paid around $2,200 per eye for my lasik eye surgery just under three years ago and that number seems to be close to most price estimates I have viewed lately in additon to quotes from others I know who also had lasik done more recently. My costs covered all the pre lasik visits and the post lasik appointments too. I did not require any enhancements (additional surgery), but if I had needed enhancements I would have been charged an extra few hundred.

Based on my research and experiences, I think it is reasonable to expect the cost to settle roughly $1700 to $3000 per eye. That seems like a big spread, but your final costs depends on the kind of lasik you have, the severity of your eyesight problems and surrounding variables such as services needed. My numbers are derived from my own findings and experiences so you may find that my numbers are off. With the current US economy in a sharp downturn coupled with the inability of almost all health insurance providers to help in paying for the lasik procedure, cost is virtually always an important consideration for anyone researching laser eye surgery.

The range I mentioned could appear to be high if you have been swayed by advertisements promising lasik surgery for less than $1000 per eye. My best advice regarding these supposed underpriced lasik procedures is to be very skeptical of these to good to be true prices. They might be failing to include the cost of for necessary services such as pre surgery testing and aftercare, which is a big part of the lasik recovery process, just to get you to come in where you will likely be given the high pressure sales tactics. When all is said and done and the total price of your procedure and extras are added up their prices are are in the same ballpark or higher than other surgeons. These ads might also be failing to specify the eligibility criteria to actually be eligible for the low cost being touted. Terms may be such that a a tiny number of prospective patients can actually have their surgery at the advertised price. As always, do your investigating completely and ask all the questions you have in order to understand the amount you will be paying and what that cost comes with. Even though lasik prices were a leading concern for me as well, there was no way I would have selected a lasik provider entirely based on cost.

Payment plans are one way many patients elect to pay for their lasik expenses. Most lasik providers typically offer a financing option, but not all will. If you plan to finance, make sure you inquire about and completely understand the terms before you agree to anything. All of the offices I researched locally had payment plans, although ultimately I did not utilize financing.

If you are employed, getting in touch with your Personnel representative could also prove valuable when deciding how to pay for lasik surgery. Your company may have an arrangement with a local lasik center to offer lower prices for company workers. If you are a US resident, your company may additionally offer a flexible spending account program you can join as well. Flex accounts permit you to allocate money for non-reimbursible medical costs on a pre tax basis. Most elective surgery such as lasik in addition to several other common expenses can be reimbursed via an FSA. Check with your employer.

Regardless of economic conditions, the lasik surgery cost is almost always going to be a factor when deciding whether or not to go through with lasik. Price cannot be forgotten but it should obviously not be the only factor shaping the decision. Be suspicious of low prices that look too good to be true. Investigate lasik financing options with any potential provider. Talk to your employer also, as you may be eligible for a discount or alternative arrangement.

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What is isotretinoin ( Accutane )?

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* Isotretinoin is a form of vitamin A. It decreases the amount of sebum (oil) that is released by the sebaceous (oil) glands, and it increases that rate at which the skin renews itself.
* Isotretinoin is used to treat severe nodular acne that has not responded to other treatments, including antibiotics.
* Isotretinoin may also be used for purposes other than those listed in this medication guide.

What should I discuss with my doctor before taking isotretinoin?

* Before taking isotretinoin, tell your doctor if you have
o a personal or family history of mental problems including depression, suicidal behavior, or psychosis (loss of contact with reality, hearing voices, or seeing things that are not there);
o diabetes;
o asthma;
o heart disease;
o osteoporosis (bone loss) or weak bones;
o anorexia nervosa;
o high cholesterol or triglyceride levels (types of fat) in the blood; or
o liver disease.
* You may not be able to take isotretinoin, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
* Do not take isotretinoin if you are pregnant or if you could become pregnant during treatment or for one month after you stop taking isotretinoin. Isotretinoin is in the FDA pregnancy category X. This means that isotretinoin is known to cause severe birth defects in an unborn baby. If you become pregnant, stop using birth control, or miss your menstrual period, immediately stop taking isotretinoin and notify your doctor.
* It is not known whether isotretinoin passes into breast milk. Do not take isotretinoin without first talking to your doctor if you are breast-feeding a baby.

How should I take isotretinoin?

* Take isotretinoin exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
* Isotretinoin is a medication taken to treat severe nodular acne that has not been helped by other treatments, including antibiotics. However, isotretinoin can cause serious side effects. Before starting treatment with isotretinoin, discuss with your doctor how bad the acne is, the possible benefits of isotretinoin and the possible side effects. Your doctor will ask you to read and sign a form indicating that you understand the serious risks associated with isotretinoin therapy.
* You will get no more than a 30-day supply of isotretinoin at a time. Your prescription should have a special yellow self-adhesive sticker attached to it. If your prescription does not have this yellow sticker, call your doctor. The pharmacy should not fill the prescription without this sticker.
* Take each dose of isotretinoin with a full glass of water. This will help prevent the medication inside the capsule from irritating the lining of the esophagus. For the same reason, do not chew or suck on the capsule.
* Take isotretinoin twice a day with food or milk to get the best results from this medication, unless otherwise directed by your doctor.
* Take all of the isotretinoin that has been prescribed for you even if your symptoms start to improve. The acne may seem to get worse at the start of therapy, but should then begin to improve. For the best results, finish all of the medication that has been prescribed. You may require more than one course of therapy with isotretinoin.
* Your doctor may perform blood tests during treatment with isotretinoin to monitor side effects from this medication.
* Due to the serious side effects that may occur with the use of this medication, do not share it with anyone else.
* Store isotretinoin at room temperature away from moisture and heat.

What happens if I miss a dose?

* Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and only take the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

* Seek emergency medical attention.
* Symptoms of an isotretinoin overdose include vomiting, abdominal pain, flushing of the face, inflammation of the lips, headache, dizziness, and clumsiness.

What should I avoid while taking isotretinoin?

* Do not take vitamin supplements containing vitamin A during treatment with isotretinoin. This could cause increased side effects.
* Do not donate blood while taking isotretinoin and for at least 1 month following the end of treatment. Blood donated while taking isotretinoin may be given to a pregnant woman and be harmful to her baby.
* Do not use wax hair removal systems or have any skin resurfacing procedures (such as dermabrasion or laser treatment) performed while taking isotretinoin and for six months following treatment due to the possibility of scarring.
* Avoid exposure to sunlight or UV rays while taking isotretinoin. Isotretinoin may increase the sensitivity of the skin to sunlight and a severe sunburn could result.
* Use caution when driving a vehicle at night. Isotretinoin can cause decreased night vision. The onset of decreased night vision may be sudden.

What are the possible side effects of isotretinoin?

* Stop taking isotretinoin and seek emergency medical attention or contact your doctor immediately if you experience any of the following serious side effects:
o an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);
o changes in vision, blurred vision, or decreased vision (especially at night);
o painful or constant dryness of the eyes;
o depression including feelings of sadness, crying spells, irritability, changes in sleep patterns, unusual tiredness, trouble concentrating, loss of appetite, and/ or suicidal thoughts or other mental problems;
o stomach, chest, or bowel pain;
o rectal bleeding, or severe or bloody diarrhea;
o difficulty or pain when swallowing;
o new or worsening heartburn;
o yellowing of the skin or eyes or persistently dark urine;
o severe headache or dizziness;
o seizures;
o nausea and vomiting;
o joint or muscle pain or bone problems;
o hearing problems or hearing loss;
o trouble breathing;
o fainting;
o increased thirst or urination;
o slurred speech or problems moving;
o leg swelling;
o increased levels of cholesterol or triglyceride (types of fat) in your blood (detected by blood tests).
* Other, less serious side effects are more likely to occur. Continue to take isotretinoin and talk to your doctor if you experience
o inflammation, dryness, or cracking of the lips;
o dry skin, dry mouth, dry or bleeding nose, dryness of the eyes and/ or difficulty wearing contact lenses;
o itching; or
o increased sensitivity of the skin to the sun.
* Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What drug(s) may interact with isotretinoin?

* alcohol
* benzoyl peroxide, salicylic acid, or other drying medicines used for acne
* corticosteroids (example: prednisone)
* medicines for seizures
* orlistat
* other drugs that make you more sensitive to the sun such as sulfa drugs
* progestin-only birth control hormones (examples: ‘Minipills’ like Aygestin®, Micronor®, Nor-QD® or injectable/implantable products such as Depo-Provera® or Norplant®)
* tetracycline antibiotics (examples: doxycycline, tetracycline)
* vitamins and other supplements containing vitamin A
* warfarin

What is the shelf life of the pills?

* The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
accutane and isotretinoin

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