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Specialty Pharmacy Times
Приєднався 20 лис 2014
How Vertical Integration Will Change Health Care Administration
How Vertical Integration Will Change Health Care Administration
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Відео
How Myeloma Link Closes the Gap on Racial Disparity
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Melvin D. Mann, MBA, MEd, community outreach coordinator for Myeloma-Link of the Leukemia and Lymphoma Society, discusses how Myeloma-Link helps to close the racial disparity for African American patients with CML at the Hematology/Oncology Pharmacy Association Annual Conference at Fort Worth, TX.
Reducing Negative Effects of Polypharmacy
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Ginah Nightingale, PharmD, BCOP, associate professor Pharmacy Practice at the Jefferson College of Pharmacy at Thomas Jefferson University discusses how pharmacist-led interventions help to reduce adverse events of polypharmacy during the American Society of Clinical Oncology Annual Meeting in Chicago, IL.
Increased Specialization in Pharmacy and Education
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Ali McBride, PharmD, BCOP, president of the Association of Community Cancer Centers, discusses how increased specialization within oncology affect pharmacists during the American Society of Clinical Oncology Annual Meeting in Chicago, IL.
Importance of Patient Counseling in Chronic Myeloid Leukemia Treatment
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Jorge Eduardo Cortes, MD, Deputy Chair and Professor of Medicine in the Department of Leukemia at MD Anderson Cancer Center in Houston, Texas, discusses his recommendations for pharmacists who may be counseling a patient with CML during the American Society of Clinical Oncology Annual Meeting in Chicago, IL.
Specific Patient Populations Benefit from Nivolumab/Ipilimumab Combo Therapy
Переглядів 455 років тому
Michael Atkins, MD, director of the Georgetown Lombardi Cancer Center at Georgetown University, discusses how pharmacists should counsel patients with advanced melanoma and how a combination therapy of nivolumab and ipilimumab works in a treatment plan during the American Society of Clinical Oncology Annual Meeting in Chicago, IL.
Longterm Benefits from Nivolumab and Ipilimumab Combination Therapy
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Michael Atkins, MD, director of the Georgetown Lombardi Cancer Center at Georgetown University, discusses the results of a recent trial that examined the long-term benefits of the nivolumab and ipilimumab combination therapy during the American Society of Clinical Oncology Annual Meeting in Chicago, IL.
Pearl 2: The Risk Evaluation and Mitigation Strategies (REMS) Program
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Pearl 2: The Risk Evaluation and Mitigation Strategies (REMS) Program
Pearl 1: Oral Parity Laws and Their Impact on Cost
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Pearl 1: Oral Parity Laws and Their Impact on Cost
Pearl 1: The Use of Co-Pay Cards to Solve an Economic Burden
Переглядів 1395 років тому
Pearl 1: The Use of Co-Pay Cards to Solve an Economic Burden
The Role of Specialty Pharmacy in Delivering Quality Cancer Care
Переглядів 815 років тому
The Role of Specialty Pharmacy in Delivering Quality Cancer Care
Specialty Pharmacies Can Leverage New Technologies to Improve Cancer Care
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Specialty Pharmacies Can Leverage New Technologies to Improve Cancer Care
How Is Walgreens Advancing Cancer Care for Patients?
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How Is Walgreens Advancing Cancer Care for Patients?
How Pharmacists Can Proactively Help Manage Costs in Cancer Care
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How Pharmacists Can Proactively Help Manage Costs in Cancer Care
Growth, Consolidation Among Top Trends in Specialty Pharmacy
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Growth, Consolidation Among Top Trends in Specialty Pharmacy
The Role of Specialty Pharmacy in Delivering Quality Cancer Care
Переглядів 415 років тому
The Role of Specialty Pharmacy in Delivering Quality Cancer Care
Specialty Pharmacies Can Leverage New Technologies to Improve Cancer Care
Переглядів 245 років тому
Specialty Pharmacies Can Leverage New Technologies to Improve Cancer Care
Growth, Consolidation Among Top Trends in Specialty Pharmacy
Переглядів 465 років тому
Growth, Consolidation Among Top Trends in Specialty Pharmacy
How Pharmacists Can Proactively Help Manage Costs in Cancer Care
Переглядів 275 років тому
How Pharmacists Can Proactively Help Manage Costs in Cancer Care
The Future of Axial Spondyloarthritis Treatment
Переглядів 2615 років тому
The Future of Axial Spondyloarthritis Treatment
AxSpa Treatments: TNF Inhibitors, NSAIDs, and Opioids
Переглядів 935 років тому
AxSpa Treatments: TNF Inhibitors, NSAIDs, and Opioids
Patient-Specific Factors to Consider in CLL Treatment Management
Переглядів 315 років тому
Patient-Specific Factors to Consider in CLL Treatment Management
Factors Affecting Patient Selection for AML Therapies
Переглядів 765 років тому
Factors Affecting Patient Selection for AML Therapies
Challenges Facing Use of Targeted Therapies in AML
Переглядів 175 років тому
Challenges Facing Use of Targeted Therapies in AML
CLL Treatment Paradigm Evolving with Availability of Oral Chemotherapy
Переглядів 435 років тому
CLL Treatment Paradigm Evolving with Availability of Oral Chemotherapy
Personalized Medicine as an Emerging Trend in Cancer Care
Переглядів 175 років тому
Personalized Medicine as an Emerging Trend in Cancer Care
ACS Screening Guideline Updates for Colorectal Cancer
Переглядів 145 років тому
ACS Screening Guideline Updates for Colorectal Cancer
It attacks way more than hands and feet. It might start there but it ends up affecting every single part of you. Every joint.
I have been diagnosed with RA 30 years ago. Because I no longer want to take the biologics I cannot get a Rheumatologist. The one I had retired. I have been on Prednisone for the last 2.5 years. I eat a very healthy diet. I can go almost 2 weeks after being on prednisone for 11 days before an another flare up. I do everything to keep active. Today I woke up with a swollen left foot and ankle, two shoulders swollen left I could barely move while on prednisone.
I'm listening to this as a potential RA sufferer. I haven't been diagnosed, but I'm getting tested today. I feel that my doctor has overlooked my symptoms, and it's frustrating. Thank you so much!!! I needed this.
I completely cured severe seropositive Rheumatoid arthritis by going carnivore. It's been over a year with no signs of inflammation in my bloodwork, no pain or stiffness at all and have not had to take the biologic medications ever since I changed my diet. I was initially very sceptical as previous dietary changes had made no difference at all, even going completely organic whole foods plant based vegan as espoused by the Paddison program for Rheumatoid Arthritis and the McDougall Starch solution (which both gave me temporary improvements from cutting out junk food, but very quickly made me worse). The key is to cut out all sugars and carbs (which are also sugar like fuels) My rheumatologist still won't accept that the carnivore diet cured me...🤯
How does he know it's the RA is causing cardiovascular events and not the suppression of the immune system or the medications? I mean people have RA for awhile before diagnosis but the cardio numbers don't increase at that time, only years later when most patients should have had the inflammation in regression except for some flare ups? 🤔 Also, he said this was also found in Corona in the US. Where or what is Corona US? Pretty curious on these statements I see no real causality offered to back up the claims. There could be, it's just not validated at the 13:00 minute mark. I'll watch the rest to see. I'm also not sure why he looks so happy sharing this very bad news. Dude is weird! Don't trust him. My discernment of deceit is off the chart right now. JS. 😢
Just diagnosed with sevonegitive RA. Begun a carnavior diet, no plants/fruit, and and try to keep moving. Im feeling better they I have in a long time.
You really feel the carnivore diet is helping? I have been low carb but thinking of trying carnivore to see if it helps my horrible RA. So many talk about how going plant based helps. It’s all so confusing
Chronic Fatigue...a most difficult RA symptom that gets little attention, and many people are suffering in silence. Still looking for solutions here, it's a difficult thing to cope with. I watch and listen with an open mind to any sincere soul, we must be ready to accept and make changes. I found the greatest relief so far by adopting a grain free diet first...and then finally went plant free, and doing so helped reduce 50-80% of the RA associated pain symptoms but still struggling with chronic fatigue. I have learned, if one just stops consuming seed/vegetable oil, carbs, especially from grains, they will do so much better managing RA and better health in general, no matter the issue!
I've had ra since I was 26. I'm 42 now. I can manage it with Rinvoq. Just don't like taking these medicines that causes cancer. All of them are like this
I have RA. I’m considering calling it a wrap. 41 yrs is a good run in my book.
Lmao
Oh my goodness, I hope to get a rheumatologist who is as smart as this Dr. I have been treating the symptoms of Sjogrens Syndrome for decades when I probably have RA. I recently asked for a referral to a rheumatologist to better treat my "Sjogrens" symptoms. After talking to my cousin today, who was misdiagnosed with Sjogrens, I learned that RA has many of the same symptoms as Sjogrens. Thanks for such an educational video!!
As well as Lupus.
I have ulna deviation. Methotrexate did not help. I have several synovectomies and it still occurred.
Lyme disease
I have positive ANA and several other tests my rheumatologists (super young) ran. All started five months ago VERY suddenly but leaves me unable to walk, shower, get out of bed, even use toilet unaided. Shocking stuff!! I am on high level steroids to function. This doc STILL won’t diagnose RA because it’s “atypical” to have the shoulder, wrist, hands/fingers, knees, ankles/feet all swollen at the same time. She is so timid. She says ‘you don’t see thumbs effected with RA usually so let’s just wait’. WBC count also high, but she won’t even try a round of antibiotics. I am not going to drag this thing out because she is afraid. I am going to try and see if I can get an appointment with you or get a recommendation of a doctor from you. Also calling Johns Hopkins for the same. 56 years old and ain’t nobody got time for this!!!
I have RA l changed my diet gave up sweets no white flour items take tumeric supplements. No sugar drinks and l drink alot of water l feel better than I have for a long time just remember all drugs are poisonous
Chylimida pneumonia lung infection causes arthritis and Alzheimer's disease
Finding a very educated in a college natural path to help you get your immune system balanced and get the inflammation down is key, then find a myofascial release practitioner to release the restrictions in the muscles tendons and allow fluids to flow into the joints
I presented at 28 years old with shoulder, elbow, hip inflammation. Doctor outright refused to consider RA despite family history (my mom in a wheelchair with it and was his patient). He blamed it on having two toddlers and told me to take Tylenol and that I must have strained my thumb joint (also implied this was all in my head) when it swelled up and turned red. Finally changed doctors. New doctor immediately asked about family history of RA and ran an arthritis panel. RA Factor positive. Bingo. So much relief. Biologics have kept me walking but I have had lung and heart involvement….Rheumatologist insisted the lung involvement was MAC which meant going off Humira……it wasn’t - it was classic RA Lung….had to change doctors, again to get appropriate treatment.
My symptoms srarted at 10 months old. My fingers and toes were red and swollen. But it wasnt diagnosed until i was 2 and the joint damage started to become obvious. My elbows quit straightening literally overnight and theyve been stuck like that since. Im 45 now and not coping well honestly. My body and mind are worn out. I can't imagine having to deal with this for decades more as it gets even worse. Of course its progressed more and spread to many joints since then and I'm always absolutely exhausted already. It takes everything in me just to exist. Ive been hoping for a cure my entire life. I haven't worked in nearly 10 years either. I appreciate this video because you wouldn't believe how many people think its the same as osteoarthritis. I often get invalidated with "me too" when i mention my RA. 🙄
Look for allergies
@@tammekremer2138 I am allergic to penicillin. That's the only thing I know of.
Yes. Everyone compares me as well...saying they know someone with arthritis and they are older and healthy and power walk, etc. I tell them...that RA is not like regular arthritis.
There are thousands of auto immune diseases and so called health science is totally useless. All they do is prescribe drugs with horrific side effects. There is so far no cure...unfortunately. They can suppress your immune system but that leaves you open for all kinds of other diseases.
This man saved my life 😭❤❤❤
I have RA and take methotrexate. RA also has a connection to mycoplasma bacterial infection which I tested positive for and take minocycline daily. There is also a connection to the vagus nerve and there is a surgery to implant a stimulator next to the nerve which has eliminated RA. In RA the body’s parasympathetic nerve system is inflight or fight mode causing the body to produce cytokines. There are techniques available on UA-cam to calm the vagus nerve without the surgery as well as a couple companies that sell external vagus nerve stimulators. I also take low dose naltrexone at 4.5 mg a day. My rheumatologist wouldn’t prescribe it but I got an online prescription for it. I was at a point last January where I had to be helped out of a chair by two friends because I couldn’t generate enough strength to cut through the pain. I had just gotten the LDN three days before, you’re supposed to take it at 1.5 for 10 days, then 3 for 10 then 4.5 max dose. I maxed it out that night and was able to get out of bed the next day, I had only been on methotrexate a week at that time. LDN is basically narcam at a low dose, it shuts down your opioid receptors in your body for a few hours which tricks your immune system into producing it’s own endorphins and floods your body with your own bodies painkillers. I hope this helps someone as this is from my research to try and help myself.
I’ve been dealing with this for 22 years. I’m finally good! I take methotrexate by injection once per week plus folic acid 6 days a week and a weekly injection of Brenzys (biological drug). But the kicker for me was the keto diet! 4 years now. Lost 100 pounds and kept it off. My rheumatologist is astounded by my progress!
Its the diet partly
I found the greatest relief when I went PLANT FREE (aka carnivore) Not started any of the meds yet.
I am happy for you that Brenzys worked for you. Enbrel worked great from 2003 to 2020. I could count on one hand and have fingers left as to how many flare ups while on Enbrel. That is when we were switched from Enbrel to Brenzy and my flare ups were more often, more painful and reduced by quality of life tremendously. My rheumatologist confirmed that his Brenzy patient’s are all complaining about this medication. I would do my Brenzys infection and a half hour later have swollen wrist and brands. Worse flare up I have ever had.
@@BrenD3437 , sorry to hear that. It sure works for me. It’s been about 5 years.
He never gave the food to avoid I guess that wad was hook😤
It's very upsetting when the meds make you feel sick and my anxiety over methotrexate. And I have only had one clinician who truly understood my pain, nausea and tiredness...impacting on struggles with normal daily tasks. All over pain, not just the joints. Painful feet for years too. Until my pain became unbearable by 2020... eventually diagnosed with RA, by blood tests and x-rays. The specialists do not even understand or want to understand. And for the rest of everyone who are not involved in my life. It's just a bit of joint pain...and they're older than me. Why do I get tired and struggle...😥. These videos are so great, and wish hospital specialist and doctors would understand our suffering. And not brush everything away, it's somehow my fault, the nausea, the poor appetite, the anxiety and depression I suffered from anyway. And not always following my treatment for those reasons at times. We live in a world where drinking lots of water and exercise will miraculously aid in improving our health problems. Very important of course. If only a healthy life only depended on drinking lots of water and exercising. Keep moving keep moving...yeah ok. I have always been active in my job role and as a non driver, lots of walking. But have bad days and need to rest for exhaustion, needing to recharge and weak and anxiety too.
Prior to diagnosis, I became so crippled in pain my upper arms, my hands, wrists, loss of grip.. Struggled to even hold my toothbrush or come my hair. My left arm had become a dead weight which was scary and I was worried, that it's definitely not a bit of wear and tear from being told so years prior about my pain and my feet. Again was told, keep moving my fingers. So I was reluctant to see the doctor and self medicated but nothing helped. Creams, special tablets for muscle pain. I'm lucky I work with the most wonderfully kind colleagues. My work family, without their support, I wouldn't have my job. 🙏...and be faced with loneliness and financial worries, and to my family and loved ones that I need to be strong for. Everyday is a physical and mental struggle for me. I'm Blessed with much love and kindness as I battle through each day. Pity the specialists don't care.
Methotrexate causes Non Hodgkins Lymphoma and ironically it is a chemo drug. Make it make sense.
I got diagnosed with RA at the age of 29 years old, I'm 34 now, my I started treatment with Dolquine and Sulfasalazine, I was diagnosed with RA lung nodules in 2020, now I'm on Sulfasalazine/Salazopyrin whichever I find in Lebanon... I'm a smoker, work full time job, and the tiredness rarely goes away, hot summer days are very hard, and cold winter days too... I wish people would understand this disease instead of saying "stop thinking about it and you will be fine"...and my RA factor is 229
Protect your lungs please stop smoking even if its difficultto stop.better for your health
Yes. I am constantly being told to stop speaking negative when I'm literally asked about it...people don't want to hear it.
I wanted to understand this as I have a review with my consultant next week. The problem though was I couldn't read any of the script on the slides as too small.😒 Im in the UK, suffered for twenty years now, 79 y, in remission and injecting 162mg RoActemra weekly and Metotrexate 20mg and folic acid. My consultants (Bath RNDH) have never been able to define my RA, I have the physical symptoms but all the tests show negative. Im disappointed they wont discuss anything in depth. Why is the ring finger the only one completely unaffected while all other fingers (but not thumbs) have affected joints? So is the silver ring altering any electrical signals to that finger?
What????
I have a question; is it common in colder states? I just got diagnosed after a bunch of misdiagnosis. I live in Wisconsin
No. I live in Florida.
in fact Dr Aluda on UA-cam is a good herbalist and a trusted Dr. my wife shrunk her multiple fibroids with his herbal medicine..
In medicine , familiarity breeds contempt and kills.
U just describe what I am living. I just have my second surgery in my left ankle. The first one was In the right one. Pls help me, I got enough, I also have polychondritis. HELP ME!! B
Thank you for your share. You have shed some lite on this horrible disease
Please try ayurveda medicines they cure permanently. A friend of mine with lupus got cured completely in 1 years time.
I had juvenile arthritis which I didnt outgrow as was expected. Now close to my 40s and its been wreaking havoc to my gut health.
most of the problem is what you eat limit transfats I have to limit and avoid phosphorus foods aka anything already in a box or Tinned products. Bread, Pasta even fizzy water carbonated drinks like cola, and coffee tea I love my tea got rid of drinking coffee. mine was low level of calcium it is the opposite for me i can not absorb vitamin D and calcium.
My oldest son is in his early 20's and he has type 1 diabetes. But thank God for this piece of article ua-cam.com/users/postUgkxVYhghKWmrUgXARZ_ydZTvmmcrw5L0I5i At first he thought he had the flu and was lying down on the bed for three days until his sister took him to the hospital. They took his blood and it was 600. What I do not understand is how he could have gotten it, since no one in the family has it. But he is winning the battle now. This is good stuff.
RA care pack by planet ayurveda consists of natural herbs such as shallaki, Guggulu, Ashwagandha etc. which is very beneficial in managing rheumatoid arthritis
I was diagnosed with rheumatoid arthritis at 40 years old but suffered with severe leg pains as a child, I had to give up my nursing job in a hospice at 45 years old as I couldn’t do my job anymore it has affected my organs I get frequent pleural effusion, pericardial effusion and a pneumothorax of my left lung which never re inflated I got a blood clot in my groin had a filter fitted in my IVC which became embedded so couldn’t be removed which caused severe ascites in my abdomen and veins swelled in abdomen and became very painful I have severe anaemia and on anticoagulants for life. The problem is all the treatments I have tried for rheumatoid arthritis has caused severe side effects so all I am taking is calcium supplements, oxynorm slow release, prednisone, iron supplements, I was on fentanyl patches but caused problems so won’t take anymore I had an emergency total hysterectomy but can’t take HRT I am in constant pain I cry myself to sleep every night because of pain my drs and specialist do seem to know what to do with me, I have other problems too but just get on with it I have nodules in my esophagus and have to have my lung drained regularly, I have synovitis in my wrists and ankles I am wheelchair bound at moment what can I do I need help desperately
Thats terrible I hope your doing better .
8 hour fasting daily
I am so happy that i cured from HIV / AIDS ....... Dr forture on UA-cam shipped his herbal Treatment to me in USA that cured me from my HIV i am now living my normal life without any form of sigma i recommend his UA-cam to you he also have cure to HD4 STD , STI and many more ..... dr forture
Interesting. Thanks for the explanations.
Diagnosed at age 38. I also have lupus. Autoimmune diseases are hard to deal with
The fatigue and pain is just horrible I’m almost 42 I can’t take it no more. Have had symptoms since 5 years old got diagnosed in my 20s. I’m on Coestynx injections after methotrexate didn’t help…I’m crossing my fingers
I inject this and it doesn’t hurt at all. Very tiny needle and I hate shots. No side effects at all and I never started pills only injections.
No I have R.A. and it has been affecting my eyes. My ankles are swollen all of the time.
I am only a week into this after being blindsided with pain and paralysis.After much research i am over the shock and moving toward the depression.I am 64. Now on a positive note i have noticed changes in my bowel.I have been doing keto for high bp.I have had two teeth pulled years ago and an additional root canal.I used to use peroxide as a mouthwash.I believebibruined or killed my gut bacteria my flora no doubt in my mind.I am in a rebuilding stage,no meat or dairy,prebiotics and probiotics.Green banana and cabbage then saur kraut,kimchi,yogurt, kefir and fresh veggies and fruit...wish me well and good luck to you all.
Diet is part of the problem with autoimune deseases
Mine was caused by hidden chronic root canal infection. It stole my health.
I got my wife a herbal supplement from Dr Aluda on UA-cam which helped her shrunk her fibroids and made her conceived 2 years back, am now a Father of twin after so many years of miscarriages due to fibroids. all thanks to Dr Aluda💙
Ahhhhh he just made me realize/explained why my iron is always low and the newer constant dry eye 😑🤦♀️
And what about proper diet...? This is a drug guy pushing drugs and making matters worse... Lowering your needed natural immunity is harmful. Best to correct the immune system and that is the proper direction for research NOT drugs alone... All the very best in healthy and happiness
I was wondering if anybody out there with r a i Am 77 and was diagnosed a few months ago doctor wants me to start Methotrexate I'm a little bit Leery and that's why I'm listening to different doctors on UA-cam can anybody tell me if they get lightheaded or a little dizzy with this condition I'd appreciate your feedback thank you
Hi there. I'm 60, got diagnosed in November and started Methotrexate in January. Can't say I have had any unpleasant effects. I did 10mg for the first month and after blood tests to check liver/kidney, I started 15mg 2 weeks ago. Am beginning to have less pain and stiffness although it is definitely variable from day to day. Best wishes, sending a hug.
@@JF-kv1gm thank you JF how are you doing now are you still on the mess out trexate and how are you feeling
Don't do it. Studies prove it causes Non Hodgkins Lymphoma. Happened to my dad too. RIP.