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Feb - Mar 2019

Immune Globulin: Each Product Is Unique

The current availability of multiple immune globulin (IG) products gives providers many choices when prescribing this lifesaving therapy. The benefit of product choice, of course, is that it allows providers to match the best-suited product to the patient. And, this is extremely important because, while all products contain IgG (the most common protein in the body that helps ward off infections) and they all have comparable efficacy, they are not pharmaceutically equivalent... full article

Immune Globulin: Choosing a Delivery Method and Site Location

Today, patients treated with immune globulin (IG) replacement therapy have options about how and where they receive treatment. Historically, this hasn't always been the case. It's been almost 70 years since a medical discovery changed the way many primary immunodeficiency diseases (PIs) and autoimmune diseases (ADs) are treated. This breakthrough occurred when Ogden Bruton, MD, chief of pediatrics at Walter Reed Army Hospital, successfully treated an 8-year-old boy with regular intramuscular (IM) injections of human plasma-derived IG. The boy had agammaglobulinemia characterized by low immunoglobulin (IgG) levels and repeated pneumonia. The new treatment resulted in increased serum IgG levels and an impressive reduction in the number of serious bacterial infections. While few appreciated its implications at the time, Bruton's success was expanded on and IMIG dosages became the standard of care for PI... full article

How Aging Affects Chronic Illness

Aging as a health issue permeates the history of medicine. The Charaka Samhita Sanskrit text from India, dating from the time of the Roman Empire or earlier, prescribes light but nutritious meals for older patients. And, fifth century Greek physician AĆ«tius of Amida specialized in studying the health of the elderly. However, while doctors have always known aging affects all aspects of health, from general fitness to the body's reaction to various illnesses, the formal scientific study of the specific changes in the body as it ages is a fairly recent development... full article

Caring for the Caregiver

Caregiving responsibilities often sneak up on people. When a loved one is diagnosed with a chronic illness, seemingly overnight, caregivers' time is no longer their own. It may begin with an extended hospital stay (and the hope that things will eventually "get back to normal.") But, over time, there are follow-up doctor appointments, prescriptions to fill and errands to run, and gradually, caregivers realize they have inherited an ongoing commitment with no end in sight... full article

Purchasing Life Insurance with a Chronic Illness

Some patients with a chronic illness are under the impression they cannot either obtain or afford a life insurance policy. In fact, a study conducted by Genworth Financial found between 39 percent and 54 percent of adults with pre-existing conditions have no life insurance. According to Ray Dinstel, senior vice president of underwriting at Genworth (an international financial services organization), the fear that the price of a policy will be too high because of their impairments prevents them from buying it.1 But, life insurance companies do not always preclude those with pre-existing conditions from obtaining life insurance... full article

Understanding Small Fiber Neuropathy

Small fiber neuropathy (SFN) remains one of the least understood diseases. Doctors have a challenging time diagnosing it, and treatment options are limited. There is only a cure if a cause is known, and there is no vaccine to prevent it. In addition, researchers hold contradictory views on how SFN progresses, what the risks are, how to diagnose it and how best to treat it... full article