Monday, August 18, 2014

Press Announcements FDA study helps provide an understanding of rising rates of whooping cough and response to vaccination

Press Announcements FDA study helps provide an understanding of rising rates of whooping cough and response to vaccination



Taken from this FDA press release...."This research suggests that although individuals immunized with an acellular pertussis vaccine may be protected from disease, they may still become infected with the bacteria without always getting sick and are able to spread infection to others, including young infants who are susceptible to pertussis disease."



This may to explain the increase in Whooping Cough.  When I asked our Pediatrician about the DTaP vaccine, she said the recent variation drives the allergists crazy with all the side effects. Wow.

Thursday, August 14, 2014

Neglected Blog

Oh my poor neglected blog.  I'm so sorry for the long delays in posts.  I really do have the best intentions.  Part of the reason for my slacking is that allergies and eczema are not controlling our lives these days, and the other part is due to internet browser issues (I.E. won't allow me to write new posts, so I'm forced to visit this blog via a seldom used browser on my part.)

I do have a couple updates.  The baby's skin is continuing to look lovely.  Aside from a reaction after she rubbed against my husband who had deet bug spray on his clothes which caused this terrible outbreak:


Given her brother's history and the bug spray reaction, the Ped recommended that the baby see an allergist.  The allergist skin tested her for a handful of environmental and food allergies.  Only egg came back as potentially problematic.  This doesn't mean much to me seeing how my son's skin test showed absolutely no reaction to peanuts. Crazy that in this day and age that this is still the best that they have to offer.  Fortunately the baby didn't make a peep during this entire test, it didn't even phase her:

The upper left is the positive control (histamine), just underneath is the negative control (water I think).  You can see the bottom right is very inflamed--this is egg.

The allergist also recommended that we refrain from the multiple disease/combination vaccines for now, and stick to the single vaccines.  He didn't deem Polio or Hep B necessary (neither do I), although he does recommend the HIB and the Prevnar.

Friday, May 30, 2014

Baby Naet Treatment & Reaction

My baby girl had another NAET treatment.  After explaining to the doctor how her skin cleared up while on chicken broth, the doctor treated her for 'small intestines' since that's where food is absorbed.  Within 2 hours baby was hot to the touch and then she vomited.  After that she was fine.  If you've read this blog for any length of time, you know that we've seen reactions like these in the past and the end result has always been positive.  It's been a week, and so far so good.

Wednesday, May 21, 2014

Chicken Soup, It's Good for What Ails You

Hello...anybody still out there?  My apologies on neglecting this blog.  I knew having a baby would keep things hopping around here, but Whoa!  I don't even have time to jump on the computer after I get home from work.

Baby is now 5 months old!  She pretty much stopped nursing after I returned to work. She figured out that it was much easier to be fed from a bottle, and that-was-that.  Unfortunately, just like my son, once she went to formula full time eczema reared it's ugly head.  She was getting the giant welt like patches on her arms and legs.  I was having terrible flashbacks and was hell-bent on preventing another nightmare.

I realize a baby's immune and digestive systems are immature and need time to develop.  From what I've gathered, a baby's stomach is permeable to allow the antibodies from breast milk to enter the baby's system.  The stomach will eventually 'seal up'; however, prior to doing so other foods can more easily seep through and the body may attack the foods in the form of an allergic reaction.  If this is all true, it makes sense to me that the baby's system was not liking the formula components and was creating inflammation in the form of eczema.

So what to do about this?  Changing formulas is an option, but to me that's not getting to the root cause.  I was looking for ways to help 'seal up' the stomach.  Was that even possible?  With some digging, I discovered that homemade bone broths have the potential to do just that.  Homemade broths are gelatinous and are chock full of nutrients and minerals that help aid with the digestive system, among other things.  We turned to homemade chicken broth when my son was going through the worst of his crisis to help heal his body.

So with that, homemade chicken broth was baby's first food.  After three days her skin showed marked improvement.  My neighbor who initially thought I was nuts for feeding the baby broth, is completely sold on the idea after seeing the undeniable difference.  It's been 3 weeks now, and baby's skin is smooth and soft and her cradle cap has cleared up.  It reminds me of how dog owners are told to feed dogs chicken soup to get their shiny coats.

So how does one make homemade chicken broth?  It's so simple.  I take a whole, organic chicken and toss it in the crock pot on high for 4-6 hours.  I add a little sea salt.  If this wasn't for baby, I'd add some veggies and spices.  After it's cooked (the legs start to separate form the body when it's done), de-bone the chicken and use the meat for whatever.  Put the bones and joints back in the crockpot, fill with 6-8 cups of water, add 1-3T apple cider vinegar, and cook on low over night.  Strain into containers.

Baby loves it.  She gets 1-2 ounces prior to a formula bottle 3-4 times a day.


Friday, February 21, 2014

Baby's First NAET Visit

Not Allergic?  Can that be possible?  I took the baby for her first NAET consultation and she was tested against all of the basics (about 16), plus a slew of other items including seafood, nuts, and the Baby's Only formula.  Amazingly she held strong to everything and no treatments were recommended at this time.  HUH?  I'll take it.  I decided to bring her in as she had some baby acne and a little cradle cap going on, which is pretty standard stuff at this age.  But I wanted to make sure I wasn't in denial that there were some deeper underlying issues given our past experience. I couldn't have asked for a better outcome at this time.

So far she has been a textbook baby.  At 9 weeks she's very content, calm, happy, and alert.  She has a routine already, where she takes a 90 minute nap in the morning and a 2-3 hour nap in the afternoon, followed by a shorter nap later in the day, then bed time by 9pm  She wakes at 5:45am for a snack, and then sleeps for another 2 hours.  If she would have been my first I probably would have had 3 or 4 babies. She's absolutely amazing.

Next week we have her 2-month appointment (a bit late due to scheduling conflicts.) Then the following week she's having her hip ultrasound as we want to rule out hip dysplasia as it runs in the family (so far there really is no concern, just family history.)

Thursday, January 30, 2014

What's in that baby formula?

When I was pregnant with my first I always thought I would breastfeed and that would be that.  I mean, it's how our bodies provide for our babies so it must be the best and easiest way to nourish them.  Well, that's only half correct.  It is the best way, but I found it to be a far cry from easy!  Breastfeeding turned out to be the most challenging thing I had ever taken on in my life.  It was literally like having the life sucked right out of me.  My son was so sleepy, he could have cared less about eating.  We had to torture him with cold, wet wash clothes to try to wake him up enough to eat.  "They" say babies will eat when they're hungry, they won't die.  Well, my husband and I are convinced this one would have and given the amount of weight he was rapidly losing his nourishment was a huge concern during the early days.  Feeling defeated on the breastfeeding front, I resorted to pumping.  That lasted all of 4 months before my supply dried up and he was put on formula (Similac.)  It was then that the eczema first appeared and the rest is history.

Fast forward to baby number two.  She's been a great eater from the start.  She wakes, latches, and eats.  It's been awesome.  But prior to her birth I was well aware that I may need to formula feed so I started doing my research.  I seriously considered making my own following the Weston A. Price recipe, but the thoughts of seeking out raw milk and going through the whole process was overwhelming to me.  I then started to look at organic formulas, and this article stood out on the Food Babe's website.  It's absolutely astounding what goes into formula.  GMO's, palm oil that forms a soap in the baby stomach, synthetic nutrients, to name a few.  Even the word "organic" does not guarantee a healthy formula. In the end I decided that if I have to supplement it would be with the Baby's Only brand, but there are still a few areas that are left to be desired.

Friday, January 24, 2014

What we do to Stay Healthy!

With a newborn in the house and a school age kid I find it even more important to stay on top of our health.  I try not to let all the talk of this year's flu scare me, but I'm the first to admit that it is down right scary when you hear about 20 & 30 year-olds dying from the flu.  It's then that I have to take a step back and remind myself that it comes down to keeping one's immune system functioning optimally.  Last last year's flu shot was only about 56% effective overall according to the CDC, and the effectiveness for the media hyped H1N1 vaccine was 47% overall. So basically about the toss of a coin.  It comes down to the fact that although it would be nice to rely on a medical intervention to keep us healthy, in the end we are responsible for our own health.

Some steps that my family takes to optimize our health include:

  • Healthy eating--we try to minimize sugar and cook from scratch as much as possible so we can control what goes into our food while avoiding processed foods to a large extent, and focusing on antioxidant rich vegetables.  We recently bought a Nutramix blender and have been adding greens to our smoothies.  We also add coconut oil and local raw honey to our foods when possible.  The nice thing about making healthy dinners is that we always save enough left overs for lunches the next day.
  • Vitamins--Each day starts with probiotics to help with immune function. We all take vitamin D, Astaxanthin, Omega 3s, and a multi.
  • We take a homeopathic flu remedy as a preventative strategy twice a month called Mucococcinium. It's formulated to elevate the body’s immune system to combat all types of influenza and respiratory colds.  It’s clinically proven to be 88% effective at preventing the flu and 82% effective at treating the flu-- more effective than the flu vaccine.  
  • Hand washing, which we've taken to a new level now that we have a baby in the house.  Thank goodness for coconut oil to lather on afterwards to help with the dryness!
  • Rest.  It's not the easiest thing to get with a newborn around, but we try.
  • Moderate exercise.  I've learned over the years that my body needs to take things in moderation, and that goes for exercise, too.  As a hobby, I've been teaching group fitness for over a decade.  At one point I was teaching 11 classes per week.  I can honestly say that I was in the best shape of my life teaching only 2 classes per week than the ll (or anytime I wasn't allowing my body the recovery time it needed.)  I've read studies on long distance runners, too, that are at risk for severe health issues due to over-training.  The key is MODERATION!  You can get too much of a good thing.
Those are all I can think of right now, what are some of things your family does to stay ahead of cold and flu season?

Monday, January 6, 2014

Witch Hazel for Skin Care

I'm not sure how good witch hazel works on eczema, but it does seem to work really well on diaper rash!  My little girl has a huge appetite, making it nearly impossible to keep a dry diaper on her.  She's only 3 weeks old and has had her first diaper rash despite our best efforts.  It was looking pretty bad, and then I sprayed on some witch hazel, patted her dry, and followed that up with using a hair dryer on a warm/cool setting to completely dry her after her diaper changes.  I then applied diaper cream, either Butt Paste or my homemade cream of shea butter, coconut oil, & zinc (recipe is here).  Within 24 hours she was almost as good as new!

Wednesday, January 1, 2014

What I've Been Working on in 2013

We had a little unexpected surprise in 2013.  In April I found out that we would be having a special Christmas present, and we welcomed our baby girl 10 days early on December 15th.
So far she has been polar opposite from my son.  She eats a ton!  She sleeps.  She goes back to sleep after eating.  She has tons of wet diapers.  And she poops!  Since having her I can see why people decide to have more children.  With my son, I could never understand that concept.  He was such a challenge for us and I never would have willingly decided to have another one.  Quite the contrary.  But what a pleasant surprise she's turned out to be.  I count my blessings everyday.

Going into this pregnancy, my body was so much healthier than with my first.  I religiously take probiotics and vitamin D, I have avoided process foods as much as I can, and also avoid soy and GMOs to a large extent.  I also try to use more pure cosmetics and skin care products.  Earlier this year I also started NAET in case it could positively impact the baby, and I was able to make it through the basic 16--hormones took me 3 treatments to pass.

So far breastfeeding has been a breeze (aside from the initial pain that it causes.)  Baby seems to actually enjoy nursing, which is apparent when my husband tries to top her off with a bottle and she looks at him like he's crazy if he thinks she'll drink it (she's so hungry she'll eat for an hour+ and sometimes I just need a break.)

When she was born we declined the  HepB vaccine and opted for oral Vitamin K (the Vitamin K shots have a large amount of aluminum.)  We delayed cord cutting, which we had planned on only for a minute or two but ended up being much longer as the doctors worked on stitching me up and she just laid on my chest during that time.  The cord was bone dry by the time it was cut.

All-in-all it's been a very positive experience so far, and I'm optimistic about what the New Year has in store for us.  Big brother is so proud and helpful, it really is a joy watching him interact with her.

Happy New Year from my family to yours!

Tuesday, December 10, 2013

What's actually in that vaccine?

Stumbled upon this gem of information taken from the CDC's own website.    Take a look at the additives and adjuvants that the vaccines contain.  Watching my child suffer after an anaphylactic reaction to the DTaP, I personally find this very disturbing.  I mean, if I left these substances out and my child were to ingest them, wouldn't that require a call to poison control?  Instead, I held him down as a "healthcare" provider injected him with such poison. http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/b/excipient-table-2.pdf

Vaccine Excipient & Media Summary

Excipients Included in U.S. Vaccines, by Vaccine
This table includes not only vaccine ingredients (e.g., adjuvants and preservatives), but also substances used during the manufacturing process, including vaccine­production media, that are removed from the final product and present only in trace quantities. In addition to the substances listed, most vaccines contain Sodium Chloride (table salt).
Last Updated February 2012

All reasonable efforts have been made to ensure the accuracy of this information, but manufacturers may change product contents before that information is reflected here. If in doubt, check the manufacturer’s package insert.

Vaccine
Contains
Source: Manufacturer’s P.I. Dated
Adenovirus
sucrose, D­mannose, D­fructose, dextrose, potassium phosphate, plasdone C, anhydrous lactose, micro crystalline cellulose, polacrilin potassium, magnesium stearate, cellulose acetate phthalate, alcohol, acetone, castor oil, FD&C Yellow #6 aluminum lake dye, human serum albumin, fetal bovine serum, sodium bicarbonate, human­diploid fibroblast cell cultures (WI­38), Dulbecco’s Modified Eagle’s Medium
March, 2011
Anthrax (Biothrax)
aluminum hydroxide, benzethonium chloride, formaldehyde, amino acids, vitamins, inorganic salts and sugars
December, 2008
BCG (Tice)
glycerin, asparagine, citric acid, potassium phosphate, magnesium sulfate, Iron ammonium citrate, lactose
February, 2009
DT (Sanofi)
aluminum potassium sulfate, peptone, bovine extract, formaldehyde, thimerosal (trace), modified Mueller and Miller medium
December, 2005
DTaP (Daptacel)
aluminum phosphate, formaldehyde, glutaraldehyde, 2­Phenoxyethanol, Stainer­Scholte medium, modified Mueller’s growth medium, modified Mueller­Miller casamino acid medium (without beef heart infusion)
July, 2011
DTaP (Infanrix)
formaldehyde, glutaraldehyde, aluminum hydroxide, polysorbate 80, Fenton medium (containing bovine extract), modified Latham medium (derived from bovine casein), modified Stainer­Scholte liquid medium
November, 2011
DTaP (Tripedia)
sodium phosphate, peptone, bovine extract (U.S. sourced), formaldehyde, ammonium sulfate, , aluminum potassium sulfate, thimerosal (trace), gelatin, polysorbate 80 (Tween 80), modified Mueller and Miller medium, modified Stainer­Scholte medium
December, 2005
DTaP­IPV (Kinrix)
formaldehyde, glutaraldehyde, aluminum hydroxide, Vero (monkey kidney) cells, calf serum, lactalbumin hydrolysate, polysorbate 80, neomycin sulfate, polymyxin B, Fenton medium (containing bovine extract), modified Latham medium (derived from bovine casein), modified Stainer­Scholte liquid medium
November, 2011
DTaP­HepB­IPV (Pediarix)
formaldehyde, gluteraldehyde, aluminum hydroxide, aluminum phosphate, lactalbumin hydrolysate, polysorbate 80, neomycin sulfate, polymyxin B, yeast protein, calf serum, Fenton medium (containing bovine extract), modified Latham medium (derived from bovine casein), modified Stainer­Scholte liquid medium, Vero (monkey kidney) cells
November, 2011
DTaP­IPV/Hib (Pentacel)
aluminum phosphate, polysorbate 80, formaldehyde, gutaraldehyde, bovine serum albumin, 2­phenoxethanol, neomycin, polymyxin B sulfate, Mueller’s Growth Medium, Mueller­Miller casamino acid medium (without beef heart infusion), Stainer­Scholte medium (modified by the addition of casamino acids and dimethyl­beta­cyclodextrin), MRC­5 (human diploid) cells, CMRL 1969 medium (supplemented with calf serum).
July, 2011
Hib (ActHIB)
ammonium sulfate, formalin, sucrose, Modified Mueller and Miller medium
May, 2009
Hib (Hiberix)
formaldehyde, lactose.
December, 2010
Hib (PedvaxHIB)
aluminum hydroxphosphate sulfate.
December, 2010
 
Vaccine
Contains
Source: Manufacturer’s P.I. Dated
Hib/Hep B (Comvax)
yeast (vaccine contains no detectable yeast DNA), nicotinamide adenine dinucleotide, hemin chloride, soy peptone, dextrose, mineral salts, amino acids, formaldehyde, potassium aluminum sulfate, amorphous aluminum hydroxyphosphate sulfate, sodium borate
December, 2010
Hep A (Havrix)
aluminum hydroxide, amino acid supplement, polysorbate 20, formalin, neomycin sulfate, MRC­5 cellular proteins
July, 2011
Hep A (Vaqta)
amorphous aluminum hydroxyphosphate sulfate, bovine albumin, formaldehyde, neomycin, sodium borate, MRC­5 (human diploid) cells
December, 2010
Hep B (Engerix­B)
aluminum hydroxide, yeast protein, phosphate buffers.
October, 2011
Hep B (Recombivax)
yeast protein, soy peptone, dextrose, amino acids, mineral salts, potassium aluminum sulfate, amorphous aluminum hydroxyphosphate sulfate, formaldehyde.
July, 2011
Hep A/Hep B (Twinrix)
formalin, yeast protein, aluminum phosphate, aluminum hydroxide, amino acids, phosphate buffer, polysorbate 20, neomycin sulfate, MRC­5 human diploid cells
November, 2011
Human Papillomavirus (HPV) (Cerverix)
vitamins, amino acids, lipids, mineral salts, aluminum hydroxide, sodium dihydrogen phosphate dehydrate, insect cell and viral protein..
July, 2011
Human Papillomavirus (HPV) (Gardasil)
yeast protein, vitamins, amino acids, mineral salts, carbohydrates, amorphous aluminum hydroxyphosphate sulfate, L­histidine, polysorbate 80, sodium borate.
March, 2011
Influenza (Afluria)
beta­propiolactone, thimerosol (multi­dose vials only), monobasic sodium phosphate, dibasic sodium phosphate, monobasic potassium phosphate, potassium chloride, calcium chloride, sodium taurodeoxycholate, neomycin sulfate, polymyxin B, egg protein
November 2011
Influenza (Fluarix)
sodium deoxycholate, formaldehyde, octoxynol­10 (Triton X­100), ­tocopheryl hydrogen succinate, polysorbate 80 (Tween 80), hydrocortisone, gentamicin sulfate, ovalbumin
April, 2011
Influenza (Fluvirin)
nonylphenol ethoxylate, thimerosal (multidose vial–trace only in prefilled syringe), polymyxin, neomycin, beta­propiolactone, egg proteins
May, 2011
Influenza (Flulaval)
thimerosal, ­tocopheryl hydrogen succinate, polysorbate 80, formaldehyde, sodium deoxycholate, ovalbumin
December, 2011
Influenza (Fluzone: Standard, High­Dose, & Intradermal)
formaldehyde, octylphenol ethoxylate (Triton X­100), sodium phosphate, gelatin (standard formulation only), thimerosal (multi­dose vial only) , egg protein
May, 2011
Influenza (FluMist)
ethylene diamine tetraacetic acid (EDTA), monosodium glutamate, hydrolyzed porcine gelatin, arginine, sucrose, dibasic potassium phosphate, monobasic potassium phosphate, gentamicin sulfate, egg protein
May, 2011
Japanese Encephalitis (Ixiaro)
aluminum hydroxide, Vero cells, protamine sulfate, formaldehyde, bovine serum albumin, sodium metabisulphite.
September, 2010
Meningococcal (MCV4­Menactra)
formaldehyde, phosphate buffers, Mueller Hinton agar, Watson Scherp media, Modified Mueller and Miller medium
November, 2011
Meningococcal (MCV4­Menveo)
formaldehyde, amino acids, yeast extract, Franz complete medium
March, 2011
Meningococcal (MPSV4­Menomune)
thimerosal (multi­dose vial only), lactose, Mueller Hinton agar, Watson Scherp media
January, 2009
MMR (MMR­II)
vitamins, amino acids, fetal bovine serum, sucrose, sodium phosphate, glutamate, recombinant human albumin, neomycin, sorbitol, hydrolyzed gelatin, chick embryo cell culture, WI­38 human diploid lung fibroblasts
December, 2010
MMRV (ProQuad)
sucrose, hydrolyzed gelatin, sorbitol, monosodium L­glutamate, sodium phosphate dibasic, human albumin, sodium bicarbonate, potassium phosphate monobasic, potassium chloride, potassium phosphate dibasic, neomycin, bovine calf serum, chick embryo cell culture, WI­38 human diploid lung fibroblasts, MRC­5 cells
August, 2011
Pneumococcal (PCV13 – Prevnar 13)
casamino acids, yeast, ammonium sulfate, Polysorbate 80, succinate buffer, aluminum phosphate
January, 2012
 
Vaccine
Contains
Source: Manufacturer’s P.I. Dated
Pneumococcal (PPSV­23 – Pneumovax)
phenol.
October, 2011
Polio (IPV – Ipol)
2­phenoxyethanol, formaldehyde, neomycin, streptomycin, polymyxin B, monkey kidney cells, Eagle MEM modified medium, calf serum protein
December, 2005
Rabies (Imovax)
albumin, neomycin sulfate, phenol, MRC­5 human diploid cells
December, 2005
Rabies (RabAvert)
­propiolactone, potassium glutamate, chicken protein, ovalbumin, neomycin, chlortetracycline, amphotericin B, human serum albumin, polygeline (processed bovine 14 gelatin)
October, 2006
Rotavirus (RotaTeq)
sucrose, sodium citrate, sodium phosphate monobasic monohydrate, sodium hydroxide, polysorbate 80, cell culture media, fetal bovine serum, vero cells [DNA from porcine circoviruses (PCV) 1 and 2 has been detected in RotaTeq. PCV­1 and PCV­2 are not known to cause disease in humans.]
September, 2011
Rotavirus (Rotarix)
amino acids, dextran, , sorbitol, sucrose, calcium carbonate, xanthan, Dulbecco’s Modified Eagle Medium (DMEM) [Porcine circovirus type 1 (PCV­1) is present in Rotarix. PCV­1 is not known to cause disease in humans.]
February, 2011
Smallpox (Vaccinia – ACAM2000)
human serum albumin, mannitol, neomycin, glycerin, polymyxin B, phenol, Vero cells
August, 2007
Td (Decavac)
aluminum potassium sulfate, peptone, formaldehyde, thimerosal, bovine muscle tissue (US sourced), Mueller and Miller medium,
March, 2011
Td (Tenivac)
aluminum phosphate, formaldehyde, modified Mueller­Miller casamino acid medium without beef heart infusion
December, 2010
Td (Mass Biologics)
aluminum phosphate, formaldehyde, thimerosal (trace), ammonium phosphate, modified Mueller’s media (containing bovine extracts)
February, 2011
Tdap (Adacel)
aluminum phosphate, formaldehyde, glutaraldehyde, 2­phenoxyethanol, ammonium sulfate, Mueller’s growth medium, Mueller­Miller casamino acid medium (without beef heart infusion)
December, 2010
Tdap (Boostrix)
formaldehyde, glutaraldehyde, aluminum hydroxide, polysorbate 80 (Tween 80), Latham medium derived from bovine casein, Fenton medium containing a bovine extract, Stainer­Scholte liquid medium
January, 2012
Typhoid (inactivated – Typhim Vi)
hexadecyltrimethylammonium bromide, phenol, polydimethylsiloxane, disodium phosphate, monosodium phosphate
December, 2005
Typhoid (oral – Ty21a)
yeast extract, casein, dextrose, galactose, sucrose, ascorbic acid, amino acids
August, 2006
Varicella (Varivax)
sucrose, phosphate, glutamate, gelatin, monosodium L­glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, sodium phosphate monobasic, EDTA, residual components of MRC­5 cells including DNA and protein, neomycin, fetal bovine serum, human diploid cell cultures
August, 2011
Yellow Fever (YF­Vax)
sorbitol, gelatin, egg protein
January, 2010
Zoster (Shingles – Zostavax)
sucrose, hydrolyzed porcine gelatin, monosodium L­glutamate, sodium phosphate dibasic, potassium phosphate monobasic, neomycin, potassium chloride, residual components of MRC­5 cells including DNA and protein, bovine calf serum
June, 2011

A table listing vaccine excipients and media by excipient can be found in:
Grabenstein JD. ImmunoFacts: Vaccines and Immunologic Drugs – 2012 (37th revision). St Louis, MO: Wolters Kluwer Health, 2011.