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  1. Constantine

    Ibuprofen side effects

    Right, you want to give your patients the lowest effective dose while being cognizant of long term effects in chronic use. The less you can get away with the better. C K, MD
  2. Constantine

    Ibuprofen side effects

  3. Constantine

    The camino is boring landscapes, paved roads, traffic…

    The only person who needs to know if you did not "finish" is you. No need for embarrassment. AND you can always come back and do the next stage. Many people walk in stages.
  4. Constantine

    Poll How many km/miles per day do you use to walk in average?

    50km? My body never ‘asks’ me to keep going like that... What does it say the next day? I know what mine would say, hahaha, and I can’t write it here! :-)
  5. Constantine

    Forced Booking Cancellations

    Yes! So many of you seem to know exactly who is being discussed but some of us don't.... Why can't you say? Internet reviews are common across the board! Sure would like to avoid problems if I can, thanks!
  6. Constantine

    A Pack For Those Who Need Everything

    Hahahahaha! That's a good one!
  7. Constantine

    Injections for osteoarthritis in knees

    PT is not futile and if you don't do the exercises consistently they won't work for you. If physiotherapy is too expensive, you can find lots of good sites online for free with videos and gif's of exercises to do for your knees. But if you don't want to do them, then its not a good option for...
  8. Constantine

    Injections for osteoarthritis in knees

    As a physician I have no qualms about giving medical advice :) so here it is. 1) Everybody's knee conditions will be slightly different; it really is in your interest to have a specialist (orthopedist) examine you, get XRays, MRI, etc to try to delineate the source of your pain problem 2)...
  9. Constantine

    What did you forget that you would bring with you the second time?

    Its not just that 1800mg of Ibuprophen (5400 mg per day) is dangerous (stomach ulcers, bleeding, kidney damage)... the extra dosage doesn’t work! There is a ceiling effect above which extra mg don't benefit. 800mg three times per day (2400mg) is the most I would recommend in my pain practice...
  10. Constantine

    Pagan Camino book?

    Right, coterminus with the Diaspora and before the Christianization of Iberia. Yes. I understood you to say before Christianity itself and that confused me.
  11. Constantine

    Pagan Camino book?

    Do you mean pre-dating the beginnings of the Christian pilgrimage? Or predating Christianity itself? I find the later hard to conceive of prior to the first century Diaspora of Jews by the Romans.
  12. Constantine

    How much money should I carry?

    I too lived in Germany and German planning and discipline certainly have their advantages but also their disadvantages.... for example, it was used against them more than once during WWII when German regularity made certain things predictable... The best is to be somewhere in between a German...
  13. Constantine

    All you own is on your back

    ... good answer
  14. Constantine

    What did you forget that you would bring with you the second time?

    Arcoxia is NOT sold in the US but apparently is available in the EU and therefore Spain
  15. Constantine

    What did you forget that you would bring with you the second time?

    The pharmacology is very similar however it was my clinical observation with patients (and myself) that Vioxx was more efficacious. Supposedly this drug is similar to Vioxx. Drugs in the same class have different efficacy in different people. Can’t get any more specific than that. Celebrex is fine.
  16. Constantine

    Tourniquet: Does anyone bring one on the Camino?

    Perhaps that’s good advice if you’re stuck somewhere alone and the bleeding is that bad.
  17. Constantine

    Tourniquet: Does anyone bring one on the Camino?

    I stand corrected ~ when you’re in an OR all day, you’re unaware of what’s going on in the outside world. I rarely do first aid! Scanning Amazon I see some portable tourniquets that should be adequate. Extremities can go a long time without blood flow. The nerves are the most sensitive. In the...
  18. Constantine

    Tourniquet: Does anyone bring one on the Camino?

    As a doctor who uses tourniquets all the time in the operating room for extremity (arms and legs), I don’t think you need to worry about this. Besides the low probability, unless you bring a full sized surgical tourniquet with bulb and manometer (like a blood pressure cuff) you will *not* be...
  19. Constantine

    What did you forget that you would bring with you the second time?

    Next time, try ARCOXIA, its a better COX-2 inhibitor than Celebrex. Available in Spain.
  20. Constantine

    How much road walking on the Camino Frances?

    Sure but its nice to hear fresh answers from here-and-now people!

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