Save money on diabetes

Diagram shows insulin release from the Pancrea...

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Looking for an excuse/reason not to pay $100-200/month for diabetic medicine?

Among the expensive diabetic medicines is Avandia, or rosiglitazone. This summer FDA hearings determined that, at least for some patients, taking Avandia may increase the risk of heart attack.

What? You’re taking a drug to control your blood sugar and thus stave off heart attacks, and your medication may actually have the opposite effect?

Apparently so.  Now the FDA has advised doctors not to use Avandia unless it is the only effective option to control a patient’s diabetes (and there are always alternatives.)  Continue reading

Posted in $4 list, Actos, Avandia, Diabetes, Diabetic meds, Heart, Heart attack - MI, chlorpropamide, glimepiride, glyburide, metformin - Glucophage | Tagged , , , , , , , , , , | 2 Comments

Save money on bladder infections

Urinary system

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Was once enough?

No one would voluntarily choose to suffer a second bladder infection. What woman (or man) would want to repeat the burning, the abdominal pain, the frequent urination?

Whereas symptoms are reason enough to avoid a recurrence, the expense is also a significant concern. Although antibiotics to treat such an infection may run only $4, the cost of a doctor’s call plus urinalysis plus culture can easily amount to over $100. Preventing a bladder infection is certainly the best way to save money.

Here are 5 proven tips to lower your risk and save you money:

1. Drink plenty of fluids. Like any plumbing system, the urinary system does best when it is flushed frequently. Too little flow and the fluid stagnates, like a swamp. Aim to drink 8 glasses of water a daily to keep things clean and flowing, like a sparkling stream. Continue reading

Posted in $4 list, Infection, Medical testing, Urinary conditions, Urinary infection, Urinary tract infection, Urine tests, amoxicillin, cephalexin, ciprofloxacin, trimethoprim-sulfa | Tagged , , , , , , | Leave a comment

Save money on hay fever

Canadian goldenrod

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  If it has little to do with either hay or fever, why call it hay fever?

Anyone who suffers from itchy eyes, runny nose, and post-nasal drainage during the summer months knows how hay fever feels, even if they’ve never called it that. Nowadays doctors call hay fever ‘seasonal allergic rhinitis’ instead. In addition to the above symptoms, some patients suffer from cough, fatigue, or wheezing. In over 25 years of medicine, I have yet to see someone who actually runs a fever, at least not in the traditional over-heated sense. Perhaps it was originally called a ‘fever’ because until this past century the difference between infection and allergy was not well-understood.

As for the allergy component, certainly people can be allergic to hay, but most of us are not around hay on a daily basis. However, we are around grass and weeds, and may be allergic to either. Each spring, tree pollen is the earliest environmental allergy trigger, followed by grass, and then weeds. Ragweed is one of the more common weeds that induce symptoms in mid to late summer.

Here are 5 things your doctor would suggest to treat hay fever effectively. Continue reading

Posted in Antihistamine, Benadryl, Cetirizine, Claritin, Decongestants, Eye drops, Sudafed - pseudoephedrine, Zaditor, Zyrtec | Tagged , , , , , , , , , , , | Leave a comment

Save money on pain treatment

Regions of the cerebral cortex associated with...

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Pain. We all hate it. We not only try to avoid pain, but go to great lengths to eliminate it.
 
And the expense can be significant. Long-acting narcotics may cost over $500 monthly, not to mention they run the risk of addiction. Physical therapy is easily $100 per session. Doctor visits also add to the cost of treatment.
 
Ideally, pain is our friend, alerting us to a malfunction in our bodies. If we pay close attention to our pain, we may find our body is trying to tell us something.

Pain isn’t merely a physical problem. It is shaded by our emotions, energy level, and degree of happiness. If the underlying problem causing pain cannot be remedied, controlling secondary factors may help you deal with your pain.

Here are 5 inexpensive tips to decrease your level of pain: Continue reading

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Save money on acute mountain sickness

Cripple Creek CO

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 Akron Fulton International Airport: Elevation: 1067 ft
 
Colorado Springs Airport: Elevation: 6,187 ft
 
Who cares?  For the moment, I do.  As I sit here writing, I am 5,120 feet higher than my usual abode. 
 
Currently it’s not bothering me.  However, yesterday I spent the day in the Colorado mountains, visiting the haunts of the original Dr. Quinn at Cripple Creek, elevation 9,494 ft.  I hadn’t been paying much attention to the additional altitude, but now that I know how high I was, no wonder I couldn’t breathe well.  Sitting still was all well and good, but when I started a mile-long hike through nearby fossil beds, I gave up and turned around.  The effort just wasn’t worth it. 
 
Am I a cripple or what?  Is that how the creek got its name?  (No.)  And, by the way, if you get a chance to visit Cripple Creek, take the train ride for a great view of the abandoned gold mines and the new gold strip mine.  I didn’t know anyone strip-mined for gold.  Before yesterday, I’d only seen the Kentucky coal strip mines. 
 
But back to the point: high altitude sickness.  Continue reading

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Save money by negotiating charges

Dr. Mary Hobart
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It’s one thing to think your doctor charges too much.
 
It’s another to know what doctors charge, on average.

Did you know doctors are not permitted to compare fees?  The fear is this might lead to price-fixing, or gouging, or so they say.  But insurance companies are aware of what every doctor charges.  Somehow that’s OK.  But that’s a blog for another day.

However, you might like to visit a web site where you can compare what the ‘fair price’ for a particular medical procedure is.  (Of course, who determines what is fair?  Continue reading

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Save money on ovarian cysts

Ovarian cyst / Endometriosis

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Even teenagers develop ovarian cysts.  Often the cysts go away on their own, without specific treatment.

Now here’s an interesting thing:  cysts on the left side are 116 times less likely to resolve spontaneously than those on the right side, according to a study presented at the annual meeting of the North American Society for Pediatric and Adolescent Gynecology (see summary in Family Practice News, June 1, 2010).  Why the difference from side to side is unknown, according to coauthor Dr. Jeffrey Wall.

If you are a teenager diagnosed with a right-sided ovarian cyst, what does this mean?   Continue reading

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Save money on diabetes at Giant Eagle

Giant Eagle
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Great news for diabetics living near a Giant Eagle store:  starting July 29th, 2010, five oral medications for diabetes are free!
 
The five drugs are chlorpropamide, glimepiride, glipizide, glyburide, and metformin.  These are all generics, meds that normally sell for $4 a month or $10 for 3 months  – but hey, free is free. 
 
Many patients take both metformin and one of the other 4 listed medications – that’s 8 bucks a month – enough for a meal or two (if you’re on a budget, which you must be if you’re interested in free medicine).
 
Giant Eagle also continues to offer the free antibiotic program.  Giant Eagle stores are located in Ohio, West Virginia, and Pennsylvania.
 
Check out their pharmacy at: http://www.gianteagle.com/pharmacy/home
 
If there’s no store near you, maybe it’s time for a road trip.

Copyright 2010 Cynthia J Koelker, MD

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Posted in $4 list, Diabetes, Diabetic meds, chlorpropamide, glimepiride, glyburide, metformin - Glucophage | Tagged , , , , , , , , , | Leave a comment

Save ways to save money on sinusitis

Maxilar bone with left sided sinusitis (left m...

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Sinusitis is highly overrated.

Picture this scenario. You’re the doctor. Your patient has waited an hour to see you. He complains of congestion, headache, sinus pressure, and post-nasal drainage. Yes, the drainage is yellow. No, he hasn’t missed work. He winces when you tap his sinuses. He wants you to know how miserable he is. You gotta do something, Doc.

Is it sinusitis or is it a cold?

Sinusitis means inflammation of the lining of the sinus cavities. It does not always mean infection. From what I’ve seen in primary care medicine, doctors often – quite often – use the diagnosis “sinusitis” as an excuse to give antibiotics. It’s what our patients want after all, at least most of them. Whether antibiotics work or not, patients believe in them. Continue reading

Posted in $4 list, Antibiotics, Antihistamine, Benadryl, Claritin, Congestion - chest, Congestion - head, Decongestants, Expectorants, Headache, Mucinex, Phenylephrine, Pseudoephedrine, Runny nose, Sinus infection, Sinus infection (sinusitis), Sinus pressure, Sinusitis, Sudafed - pseudoephedrine, Symptoms, Zyrtec, guaifenesin | Tagged , , , , , , , , , | 2 Comments

Save money with humor

 

Mark Twain photo portrait.

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Be careful about reading health books. You may die of a misprint.
- Mark Twain

Signatures of Mark Twain
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Eight ways to save money on asthma

I took this photo myself.
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Get rid of the guinea pig.

My sister, an asthma sufferer, once got a guinea pig for her son.

Loving mother that she is, she didn’t complain when, days later, she found she couldn’t breathe. Nor did she grumble when her medications stopped working. Nor did she fuss when her doctor put her on steroids and she gained thirty pounds.

Gasping and groaning, she did what mothers do, and cared for the guinea pig, day in and day out.

At Christmas she came for a visit. “Isn’t there anything to make my asthma better?” she implored.

Continue reading

Posted in $4 list, Advair, Patient assistance programs, Proventil HFA, Pulmicort, Serevent, Together Rx Access, Uncategorized, Ventolin HFA, Ventolin ReliOn, albuterol HFA | Tagged , , , , , , , , , , | Leave a comment