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Quincy, California
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July 15, 2009     Feather River Bulletin
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July 15, 2009
 

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Bulletin, Progressive, Record, Reporter "  Wednesday, July 15, 2009 7B Possible ban on popular painhillers co HERE'S TO Your HEALTH AURA WHFI-rAKER The FDA recently assem- bled a group of experts to vote on ways to reduce liver damage associated with acetaminophen, one of the most widely used drugs in the U.S., but many panelists opposed a sweeping with- drawal of products that are so widely used to control severe, chronic pain. The FDA convened the two-day meeting to ask experts to discuss and vote on a slew of proposals to reduce overdoses with aceta- minophen. The drug has been on the market about 50 years, and many patients find it easier on the stomach than ibuprofen and aspirin, which can cause ulcers. Despite years of education- al campaigns and other feder- al actions, acetaminophen, found in popular over-the- counter pain medicine prod- ucts such as Tylenol and Ex- cedrin, remains the leading cause of liver failure in the U.S., according to the FDA. Just last week the FDA fed- eral advisory panel voted narrowly to recommend a ban on Percocet and Vicodin, two drugs that combine a narcotic with aceta- minophen. High doses of ac- etaminophen are a leading cause of liver damage, and the panel noted patients who take Percocet or Vicodin for long periods often need high- er and higher doses to achieve the same effect. Acetaminophen is included in a vast array of over-the- counter cough and cold products. A small number of accidental poisonings result when people take two or more of these combination products without under- standing the risks they pose. lld change your life A 2005 study found most poisonings resulted from patients' taking Vicodin and similar products that com- bine a narcotic with aceta- minophen. Consumers need to be better educated about the risks of popular medicines. Panelists cited FDA data indicating 60 percent of acetaminophen-related deaths are related to pre- scription products. Acetaminophen is combined with different nar- cotics in at least seven other prescription drugs, and all of these combination pills will be banned if the Food and Drug Administration heeds the advice of its experts. The FDA is not required to follow the recommendations of its advisory panels, but it usually does. In a separate vote, the panel voted overwhelmingly, 36-1, that, if the drugs stay on the market, they should carry a black box warning, the most serious safety label available. The advisory panel's 20-17 vote to recommend a ban on the combination drugs was one of 11 it took at the meet- ing called to advise the FDA on problems arising from the extraordinary popularity of acetaminophen. While aceta- minophen is effective in treating headaches and re- ducing fevers, even the low- est recommended doses can cause liver damage in some people. The committee voted 24-13 to recommend the FDA re- duce the highest allowed dose of acetaminophen in over- the-counter pills like Tylenol to 325 milligrams, from 500. Members also voted 21-16 to reduce the maximum daily dosage to less than 4,000 milligrams. But, they voted 20-17 against limiting the number of pills allowed in each bottle with members saying such a limit would probably have little effect and could hurt rural and poor patients. Bottles of 1,000 pills are often sold at discount chain stores like Costco. Dr. Lewis S. Nelson, a toxi- cologist from the New York University School of Medi- cine who served as the panel's acting chairman, said experts have been warning of the dangers of combination painkillers like Percocet, which is made by Endo Pharmaceuticals, and Vi- codin for years. Still, the recommendation is likely to come as a shock to many patients, who may be unaware of the dangers of high doses of acetaminophen -- even if they know the drugs contain the ingredient. Some doctors already avoid prescribing pills that com- bine acetaminophen with narcotics, such as oxycodone in Percocet, and hydrocodone in Vicodin. The committee also turned its attention to over-the- counter children's medicines containing acetaminophen, voting 36 -1 to limit them to a single formulation• Right now the liquids are sold in two different concentrations, leading to confusion among doctors and parents. The members were divided over which formula to recom- mend, the concentrated or the less concentrated one. FDA officials suggested they would probably settle on the less concentrated formula; if parents make a mistake, they are less likely to overdose. No matter what the FDA decides to do about the rec- ommendation, there are things you can do now to pro- tect yourself. The key to staying safe while taking acetaminophen is to keep track of how much you're taking and not combine it with other combination medicines that may include the same ingre- dient. More is not always better. Read labels and ingredient lists. Pay attention and none of this will be an issue for you. Sources: usatoday.com, nytimes.com Sardine Lookout to become new Reconnecting with your library rental, public comment on fees due LIBRARY VIEWS MARGARET MILES Plumas County Librarian When the going gets tough, the tough go, it appears, to the library. People are reconnecting with their libraries all over the country during these hard times, appreciating the value that's been here all along, and taking the oppor- tunity to utilize our services. In Plumas County, there's additional good news: li- braries will continue to be open, and will not face a re- duction in budget, staff or hours. This is owing to smart planning on the part of our Board of Supervisors, and thanks to their understand- ing of the vital importance of libraries in our communities. Normally such quiet places, the increased use of libraries has attracted national media The Forest Service is inter- ested in the public's com- ments on a proposal to insti- tute a fee for the new rental of Sardine Lookout on the Sierraville Ranger District in the Tahoe National Forest. Sardine Lookout would be the second lookout available for the public to rent in the forest, the first being Calpine Lookout, also on the Sierrav- ille Ranger District. The popularity of the Calpine Lookout made it an easy decision to expand the rental program to include Sardine explained Quentin Youngblood, Sierraville dis- trict ranger. "The Calpine Lookout has been a fantastic recreation op- portunity for the public," said Youngblood. "We feel confi- derff Chat prOvfdifig  dllti0ia] rental opportnitie at the Sardine Look0ut Will provide locals and visitors alike with another excellent opportunity to experience the beauty of the Tahoe National Forest." The Forest Service has made numerous improve- ments to this 1930s era lookout and will use the fees collected under the Federal Lands Recreation Enhancement Act to continue to upgrade the site. Improvements include in- stallation of a propane heater, propane stove and other fea- tures. Ninety..five percent of the funds collected through the rental process would be used at the site to operate, maintain and improve public services. The proposed per night rental fee would be $45, matching the current rental fee at Calpine. Sardine Lookout will prob- ably be available for rental beginning in the fall, 2009. Comments about this fee pr0pbsal shoffldb dtl[ to Michael' Baldrica at mbaldrica@ fs.fed.us or Sierraville Ranger Station, 317 Lincoln Highway, Sierraville, CA 96126. To be most helpful, comments should be received by Sept. 10. real estate auction Now is the time to buy low. Get your next home at the price you set with NO STARTING BID& Today's housing market and low interest rates make this an idea time for you to get a home! Invest in PLUMAS COUNTY Reservations for the look- out rental will be managed through the National Recre- ation Reservation Service. In addition to the $45 per night fee, a reservation fee of $9 would be charged for Internet reservations or $10 for reser- vations through the national call center. All new fee proposals will be presented to a citizen's ad- visory committee, the Cali- fornia Recreation Resource Advisory Committee. The RRAC members repre- sent a broad array of recre- ation interest groups and help to ensure public issues and concerns about recre- ation fees are addressed. The public is welcome to attend and comment at all the advisory committee mee}ings> The neXt'RRAC meefihg is tentatiVely set for September 2009. The meeting time, loca- tion and agenda will be announced on the Forest Service Web site at fs.fed.us/r5/ passes/rrac/and through local media. My boyfriend and I are seventeen. "-d We love each other and want to get married Im when we graduate. We haven't had sex yet - he wants to wait until we get married, I don't. Is there something wrong with him? Call the Plumas/Sierra Crisis Line at 1-877-332-2754 to connect to a confidential resource• j Crisis Line  Resource 283-4333 m:,_ Center II 1-877-332-2754 or 283-5515 A program of Plumas Crisis Intervention & Resource Center williamsauction.com Enjoy the Lassen County Fair ...in Seuss-anville After you've enjoyed a fun day at the fair with your family, stop by Flanigan-Leavitt for a no-obligation quote on your insurance needs. www.flaniganleavitt•com fax: 866,781.3110 CA License 0E05639 NV License 17793 FJ Flanigan-Leavitt hsurarlc, e AgelfcV, ire, RENO 6190 Mae Anne Ave. ,.#e #2 Reno, NV 89523 attention. The Today Show aired a feature called "Libraries Lend a Hand In Tough Times" which can be viewed online at tinyurl.com/ kpromc (you might want to come to the library, where we have high-speed wireless In- ternet access to view it.) As NBC's Peter Alexander points out, many libraries (including ours) are frequently facing lines of people waiting for their doors to open each morning. According to statistics col- lected by the American Li- brary Association, currently 68 percent of all Americans have a library card. In 73 percent of communities, the library is the only place to get free Internet access. In rural areas, such as ours, that number jumps to 83 percent. Our Internet use is up, and more people are telling us they've started checking out books instead of buying them. Libraries aren't just portals to the Internet; we help users find information they're look- ing for, and frequently we're helping new computer users navigate the complicated web. In addition to books, libraries are serving as a great source of free entertain- ment for those who are trying to cut back their budgets. DVDs, videos and music CDs are available to borrow for free. All our branches have free children's programs scheduled this summer (call your local branch for details)• Many libraries in California are reducing hours, staff and services. We are very fortunate that here in Plumas County, this is not the case. What Hen- ry David Thoreau said is still true, "Libraries will get you through times of no money bet- ter thanmoney will get you • . . , through times of no hbrarles, Lake Almanor Home Selling July 20th Other Area Auctions COLFAX RANCHO CORDOVA COPPEROPOLIS ROSEVILLE MODESTO SACRAMENTO MOKELUMNE HiLL VACAVILLE Visit Our Website For Complete Details m m CA RE tIC 261559 KEN SWIT2ER BROKER, W&W -- lira- rl RE LIC 01863253, W&W AUC LIC ,5248201 Nominal Opening Bid: $50,000 LAKE ALMANOR, CA • 709 Timber Ridge Rd 3BR 2BA 1,600+/- sf, Features granite tiles, stainless steel appliances, open beam ceilings, loft, gas ,ireplace and indoor grill Country club setting close to golf course and tennis. Approx .SJac ot. HOA {ees $1121/'(. Open houee: 1-4pro Sun Ju112th, 19th and 2 hours before sale. Set|s: 1:45pm, Mon, Jul 20th 600+ Properties Nationwide Many Available For Online Bidding! 5% Buyer's !!l Premium May WILLIAMS WILLIAM$ Apply worldwide real estate auction 800.801.8003 Due to the delay in producing our EX]mm00X BO000 the entry deadline will be extended to JULY 22nd Copies of the Exhibit Guide can be viewed on line at www.plumas-sierracountyfair.net For more information, call The Plumas-Sierra County Fairgrounds 530-283-6272 QUINCY ] WESTWOOD [ SUSANVILLE PO. Box 3556 530.256.3218 608 Main Street 400 West Main Street $usanvill@ CA 96f30 oiv, CA sszz GRAEAGLE 530.257.7291 530283. I 112 530.836.1150