It seemed logical to get him undressed to get a better look at his injury, but having nailed his pants to his hip, it wasn’t going to be easy. We cut away the pants, long johns and skivvies to reveal the head of the nail penetrating the clothing and indenting the skin.
It seemed logical to get him undressed to get a better look at his injury, but having nailed his pants to his hip, it wasn’t going to be easy. We cut away the pants, long johns and skivvies to
reveal the head of the nail penetrating the clothing and indenting the skin. He said he was a construction worker who had just switched to a night shift job framing an addition to an office structure. This was his first turn working nights.
He said he was always careful with his nail gun, and had so far resisted the temptation to keep the trigger held down and allowing the gun to fire whenever the safety plunger on the nose made contact with a surface. My patient told me that was a sure-fire way to get nailed.
The medical literature is filled with patients whose sleep deprivation led to making poor decisions and a significant increase in the risk of serious injury.
Having seen a few similar cases before, I knew that nail guns could do some serious damage. I rapidly checked him over and found no other injuries. Just a 4-inch framing nail firmly embedded in his hip.
“#Health care professionals should consider DPP-4 inhibitors as a possible cause of severe joint pain and discontinue the drug if appropriate”, said a statement from the FDA.
As a result, a warning will now be added to the labels of all types of DPP-4, inhibitors, including sitagliptin, saxagliptin, linagliptin, and alogliptin, about the risk for joint pain.
Some of the symptoms reported by the patients included fever, chills, rash, and swelling. The symptoms were relieved with the stoppage of the DPP-4 inhibitor medicine.
At least 28 of the patients who complained of the symptoms were taking Januvia (sitagliptin), the drug to treat Type 2 diabetes manufactured by Merck & Co Inc.
“Health care professionals should consider DPP-4 inhibitors as a possible cause of severe joint pain and discontinue the drug if appropriate”, said a statement from the FDA.
The U.S. Food and Drug Administration said on Friday has issued a warning that a class of drugs used to treat Type 2 diabetes may cause severe joint pain, KRWG News 22 reports.
A celebrity campaign to raise awareness for an illness or product can be a wonderful thing. Michael J. Fox has done a lot for Parkinson’s disease research, and Amy Schumer has brought in thousands for the National Multiple Sclerosis Society.
But celebrity endorsements can also become public relations nightmares. Just ask Subway sandwich executives about their former weight-loss hero, Jared Fogle, who was recently charged with sex crimes.
While celebrities used to be patient-advocate groups’ go-to public relations strategy, the risks they bring are convincing some organizations to use the growing power of social media instead to ignite their awareness campaigns.
The celebrity model dates back at least to 1962, when television star Danny Thomas founded St. Jude Children’s Research Hospital in Memphis. The facility is now one of the largest healthcare charities in the United States, with 9 million active individual donors and a $1.9 million daily operating budget.
Michael J. Fox and Amy Schumer have raised awareness for diseases, but celebrities like Kim Kardashian and Subway’s Jared Fogle prove that endorsements can be a double-edged sword.