Can Depression Medication Decrease Your Pain Levels?

Although doctors have been prescribing antidepressants for pain for years, this practice is becoming more frequent.  The use of Cymbalta has been shown to be effective in certain cases of pain where anti-inflammatories, muscle relaxers and physical therapy have failed.  Cymbalta blocks pain signals making it the only antidepressant currently approved by the Food and Drug Administration for chronic musculoskeletal pain.  The drug is used largely after the healing process has begun in order to shut down continuing pain signals, sometimes described as chronic pain.

Antidepressants are classified on how they work and their chemical structure, which is why the antidepressants are moderately effective for the treatment of pain.  The dosage is started at a low dose and slowly increased, however is generally lower in dose than that prescribed for depression.  Normally, patients suffer few side effects from the use of antidepressants for pain.  If you think you may benefit from the use of antidepressants for your pain, consult your treating physician.

Chrysler Recalls Over One Million Jeep SUVs

CHRYSLER RECALLS MORE THAN ONE MILLION JEEP SUVS
The National Highway Traffic Safety Administration formally requested Chrysler to recall up to 2.7 million Jeep Grand Cherokee and Jeep Liberty SUVs in early June. At that time, Chrysler refused to initiate a recall, however last week the auto maker announced a safety recall on more than one million Jeep SUVs. The alleged problem is the location of the fuel tanks behind the rear axle, which causes a potential fire risk in a rear end crash. Although it appears that Chrysler’s opinion on the recall had changed, they actually ended up making a deal with the NHTSA which allows Chrysler to recall fewer vehicles than initially requested, while making no admission of a defect in the vehicles. This could make it more difficult for anyone involved in a fire or crash to sue Chrysler.

The agreement also does not require Chrysler to develop any new components. Chrysler has made concessions as well by agreeing to recall nearly 1.6 million vehicles, rather than fighting the action in Court. Chrysler won a similar lawsuit in the 1990s, however they no longer have the strength of brand that Ford and Toyota do, so they are not in as strong of a position to fight the recall. Whether the decision to compromise was made to avoid bad publicity, or out of concern for the consumer, Chrysler has agreed to address the problem.

How real is the danger if you have one of these vehicles? The Center for Auto Safety has documented at least three cases where young children in car seats died in a blaze after a Jeep was rear-ended. While Chrysler and the government work to resolve the issue of the recall, Inserra & Kelley urges you to keep an eye out for recall notices for your vehicle.

CYCLIST ASSISTED BY OMAHA CYCLING COMMUNITY

It is inspiring when we get to read about, or even experience the kindness of strangers, but even better when you live in the city and are able to experience that kindness firsthand by someone who shares your passions.  In Omaha, cycling has become a passion shared by many, and the City of Omaha has taken that passion seriously, especially in recent years as new bike lanes have been added to give cyclists even more opportunities to stay healthy and enjoy their passion.  Unfortunately, cyclists still must use the street system for commuting, accessing the trails, recreational trips and other purposes.

On May 20, 2013, a rider was using the street system on “L” Street to train for RAGBRAI, the annual bike ride across Iowa, when he was struck by a car, which immediately sped away.  Thankfully, he survived, despite massive injuries and complications from those injuries and is grateful to a fellow cyclist for stopping to render aid.  The rider called 911, issued emergency first aid to prevent shock and distracted him from pain while they waited for an ambulance.  But this good Samaritan wasn’t the only cyclist to come to the victim’s aid after his hit-and-run.  The local cycling community has offered support and donations to help with his medical bills.

As much as the City of Omaha has progressed and decreased the number of bicycle-vehicle crashes since the 1990s, there are still around 250 per year.  According to Craig Kelley, co-founder of the Dundee Chain Gang Cycling Club and accident attorney, the new bicycle lanes in Omaha offer more room for bicyclists, but care and attention is still a priority for motorists in order to avoid accidents such as this.

Inserra & Kelley wishes the victim a quick and complete recovery!

TORNADO SAFETY IN THE MIDWEST

 

It was March 23, 1913.  Five twisters across Nebraska and Iowa killed 115 people in total.  At this time, there was no such thing as a tornado warning .  In fact, the first tornado warning system was made by United States Air Force Captain Robert C. Miller and Major Ernest Fawbush on March 25, 1948.  Time and technology brought sophistication to the tornado warning systems and today, Doppler weather radar can detect rotational funnel cloud formations earlier than is typically possible by trained spotters.  On May 29, 2013, the National Weather Service reported nearly a dozen tornadoes in south-central and southeastern Nebraska, however reported no injuries, which speaks volumes to the advances in warning systems.

Growing up in rural Nebraska, I learned at a very young age the dangers of the devastating winds and tornadoes.  I remember being ordered to the cellar when the warnings would come on our small television, where we could find blankets, a radio, flashlights and yes, even an old camping lantern and some matches and would wait out the storm.  Today we receive our warnings much more efficiently with the invention of computers and the internet, but how many of us actually know how to prepare for a tornado or stay safe once one is forecast?  The American Red Cross not only responds to these disasters, they offer safety tips and a free lifesaving tornado application available for download on the iPhone and Android.  Just search for “Tornado by American Red Cross” in your applications store.

You can prepare for a tornado by gathering important emergency supplies, such as food, water, medications, batteries, flashlights, and a portable radio.  If you are in a tornado watch, you will want to keep a close monitor on the television, internet or radio for updates that may warn you when your tornado watch is upgraded to a tornado warning.  A tornado watch means that conditions are favorable for a tornado, while a tornado warning means a tornado or funnel cloud has actually been sighted.  It is important to know the signs of a tornado.  Look and listen for a strong, persistent rotation in the cloud base, whirling dust or debris on the ground under a cloud base (as some tornadoes have no funnel), hail or heavy rain followed by either a dead calm or a fast, intense wind shift, or a loud continuous roar or rumble which doesn’t fade in a few seconds like thunder.

When a tornado is approaching, you should immediately take shelter in a basement or first-floor room or hallway.  Avoid windows and large, open rooms (such as a gym or an auditorium).  Seek protection by getting underneath large, solid pieces of furniture, such as a mattress or a solid oak table.  Avoid automobiles and mobile homes and if you do happen to get caught outside, lie flat on the lowest ground you can find while you wait for the storm to pass.  Avoid seeking shelter under bridges, as there can be deadly traffic hazards while the bridge actually provides very little protection against flying debris.  Stay away from trees, as they can be picked up by the tornado and tossed.  Most importantly, do not panic.  Crouch down and cover your head when you have found your safe place.  Tornadoes are a frightening reality of living in the Midwest, however if you stay alert, prepared and calm, you have a better chance of surviving the storm.

SHOULD MOTORCYCLES HAVE A SPECIAL EXCEPTION TO RED LIGHTS?

The Nebraska unicameral is currently exploring a proposed bill, introduced by Nebraska State Senator Paul Schumacher, which would allow motorcyclists to drive through red traffic lights if the rider had already waited at least two minutes for the light to change.  Advocates of the proposed bill suggest that traffic sensors are not triggered as easily by lightweight motorcycles as other vehicles, causing a delay in the change of the light for motorcycles.

The bill, LB 85, was introduced and indefinitely postponed, however its proposal offers an interesting perspective regarding the ability of traffic lights to “sense” traffic weighing less than 1,000 pounds.  An additional element of the proposed bill requires no other cars to be present as well as the two minute delay prior to travelling through a red light.  Opponents of the bill argue that the law would be too difficult to enforce as it would be nearly impossible to keep track of the two-minute time requirement.  In 2011, Illinois suggested a similar measure for cities with populations of less than two million.  The Illinois law passed in 2012.  South Carolina also passed a similar law in 2008.  According to USA Today, at least seven other states already have similar regulations.

Although not everyone agrees with the length of time spent waiting for red lights, is there really a good argument to be made for allowing motorcycles special exceptions to the rules of the road?  Will these types of proposed laws increase traffic accidents caused by violation of red lights?  Will liability be more difficult to prove in cases involving a motorcycle which runs a red light?  These are all considerations the Unicameral will have to consider in debating LB 85, should it be reintroduced in the future.