Statin medications- what's not to like

Wednesday, December 3, 2008 by KwikMed Medical Director
A category of medications called statins has revolutionized therapy for elevated cholesterol. 

Prior to the introduction of the first statin, Mevacor, in the mid-80's, therapy for elevated cholesterol involved several different medications with limited effectiveness and generally unpleasant side effects.  While the statins can certainly have some side effects as well, they are usually well tolerated, particularly if periodic lab tests are conducted.  The benefits of lowering cholesterol in preventing heart disease, stroke, and peripheral vascular disease are well established.
  
Recently, even more potential benefits have been associated with the statins.  They may offer a protective effect against the development of prostate cancer.  In addition, statin therapy has been show to reverse the development of erectile dysfunction in a significant subgroup of men.

Unfortunately, many younger men, seemingly healthy, have never even been evaluated for elevated cholesterol and it's impossible to know if you have it without a lab test.  The sooner the diagnosis is made and treatment initiated, the better. 

ED and the young

Sunday, November 30, 2008 by KwikMed Medical Director
 A recent population based study found that ED is not as uncommon in young men as previously thought.  Perhaps 7% of men under the age of 30 are affected. As with all categories of ED patients, the key is to obtain a detailed medical history provided by the patient in a non-threatening environment. 

While many cases of ED in young men have a psychogenic causes, ie. depression or anxiety, other causes including diminished testosterone blood levels and diabetes can be uncovered with simple lab tests.
 
As you might guess, the ED drugs are highly effective and safe in treating this population of men with ED.

Healthcare Today

Wednesday, November 19, 2008 by Peter Ax

Health care is the topic du jour as it has rightfully gained its leading position in our vernacular.  Let's face it, if the cost of health care delivery continues to rise at its current rate and the quality continues to slide at its current rate, in a few years we will see a catastrophe that rivals the sub-prime loan market.  I like to think about health care as a bicycle wheel with many elements that combine to make it successful.  Each spoke is a key element: access to care being a spoke, physician medical practices being a spoke, pharmacies being a spoke, the patient being a spoke, hospital treatment being a spoke, health innovation a spoke, sickness research a spoke...on and on.  Many factors contribute to our health system to make it successful and many factors contribute to make it fail.  We must now review the system from point to point and dissect how each spoke must change in order to reinvent our health system in a manner which makes it effective and efficient for the long term.  We must create industry-wide standards for electronic medical record systems so that data collected in a physician's office can be uploaded to a patient's electronic medical record.  Industry standards will allow for the integration of all providers and payers.  We must create transparency by publishing the costs of drugs, devices, procedures and consultations and allow consumers to make informed decisions about where and how they will accept care.  Consumers will quickly find that alternative delivery venues like the Internet will save significant health care dollars.  By having an on line medical record available to patients at all times, patients can decide what information needs to be given to a health care provided.  There will be less duplication of laboratory tests, less confusion as to a patient's medical history and an ability for health care professionals to see baseline data.  An integrated system will allow us to have superior care for fewer dollars.