For many people prescription medications are a fundamental necessity to maintaining good health. While some may need it for physical health, others may need it for stabilizing their emotional health. But in either case prescription medications perform a number of important functions; balancing body or brain chemistry, interacting with cells or targeting specific receptors, medication can help manage overall well-being. For some, prescription medications can actually be life sustaining. But no matter the need, they can play an important role in keeping a person healthy. Taking them as prescribed by a doctor is essential. Herbal medications or supplements have become very attractive to a lot of people, including those already on prescription medications, and have expanded in popularity because of their “all-natural” label leading people to believe that it’s better for them. But just because something is natural, doesn’t mean it’s safe, especially when interacting with prescription medications. Knowing which work together is imperative to maintaining your good health. Herbal/Prescription Interaction Awareness Month is “to inform the public that herbal supplements can cause potentially dangerous drug interactions when taken with certain medications.,” according to the American Academy of Family Physicians. They report that 25% of U.S. adults say they are taking prescription and herbal medication (classified as dietary supplements), concurrently. Most doctors will ask what medications you are on each time you go in for a visit. What they don’t always ask is what herbal supplements you may be taking and it’s critical that they are told in order to minimize the risk of serious drug interactions. Whether you have been prescribed medication, are taking over the counter drugs or using herbal remedies, there are risks associated with all medications. And risks increase when taking multiple medications as drug interactions can sometimes prove fatal. Examples of some of the more common supplements used and interactions:

• St. John's-Wort and Goldenseal can cause significant issues when taken with certain prescription medications.
• Fish Oils, can negatively interact with high blood pressure medications, birth control and blood thinners.
• Saw Palmetto, which is a common ingredient in supplements can be dangerous during pregnancy, cause issues with birth control, hormone therapy and also blood thinners.
• Echinacea, used to reduce cold and flu symptoms, can interact with certain chemotherapy agents, caffeine, liver medications, and medications that effect your immune system
• Ginkgo, taken to improve memory, has been shown to have negative interaction with aspirin, diuretics, anticonvulsants, antidepressants and blood thinners.
• Cranberry Extract can interact with blood thinners and should not ever be used while on blood thinners.

Herbal supplements can be a great addition to your healthcare regimen if used correctly, but again can also cause dangerous interactions with other more mainstream medications. The bottom line is to always check with your doctor before introducing any new treatments. Chemicals interact. Be sure to be safe and not sorry; always check with your doctor.    

Ask any teacher, parent, or student right now and they’ll likely tell you that at-home education during COVID-19 has been a significant challenge. Remote learning is simply not a substitute for learning in the classroom; there are too many things that just can’t be accomplished on a Zoom call. For children with disabilities and their parents, who rely on the support of an aide or on modified learning, it’s particularly trying. Even with the best intentions, some delivery of crucial IEP services fell far short of needs, forcing some parents to lodge complaints. The U.S. Department of Education (DOE) has now released guidelines on resolving disputes with school districts amid this crisis. When schools were closed earlier this year, the DOE created protocols for at-home instruction and also announced that they would not waive the bulk of the Individuals with Disabilities Education Act, saying that learning must continue for all students during our national emergency. The DOE acknowledged that services for children with disabilities would not be the same during COVID-19, but that with collaboration, parents and educators could make things work. While the DOE required that schools had to provide each student with a disability the special education and related services identified in the student’s IEP, they were told to do so “to the greatest extent possible,” recognizing that in some situations there could be exceptional circumstances that could affect how a particular service was provided. In a nutshell, children with disabilities were entitled to at least the same options as the general education population during COVID-19, but within the context of the health and other challenges faced by a child and the school staff. Flexibility was necessary, but too many services and students were sacrificed. For teachers of students with disabilities, trying to provide the same kind of hands-on learning, proved impossible. Many educational services, such as occupational therapy, physical therapy and speech therapy, just don’t translate well in an online instruction format, leaving children without the necessary tools for their development and education. To respond to issues that have arisen between parents and school districts, the U.S. Department of Education’s Office of Special Education Programs (OSEP), released new guidance on how states and schools can address special education disputes during the COVID-19 pandemic. A two-part Q&A on the Department of Education’s website answers questions on how to move forward when the recommended informal efforts between parent and educators prove futile. Mediation, state complaint, and due process complaint procedures are all available avenues for resolving issues. Extensions of timelines will be permitted in certain cases, and parties can agree to hold resolution meetings virtually in cases where the pandemic prevents face-to-face discussions. Across the board, the level of education provided to students during COVID-19 has suffered. All children are losing ground, but children with IEP’s are at greater risk. Getting on the case now is critical for the fall and for getting ahead of potential future COVID-19 alternative learning plans. To read the DOE’s full Q&A go to: Part B: https://sites.ed.gov/idea/idea-files/part-b-dispute-resolution-in-covid-19-environment-q-a-document-june-22-2020/ Part C: https://sites.ed.gov/idea/idea-files/part-c-dispute-resolution-in-covid-19-environment-q-a-document-june-22-2020/