Regulations which required an osteopathic physician to obtain a written waiver from the State Board of Medicine or a medical doctor or the State Board of Osteopathic Medicine for treatment of patients with drugs known as sympathomimetic amines, beyond a 45-day period, was an unreasonable exercise of bureaucratic authority and the regulations were void and unenforceable. Pennsylvania Medical Society v. State Board of Medicine , 546 720 (Pa. Cmwlth. 1988).
§ . Disciplinary guidelines for use of anabolic steroidsstatement of policy.
Under section 4 of the act of December 22, 1989 (P. L. 702, No. 93) (35 P. S. § ), known as the Anabolic Steriod Law:
(1) A medical doctor or other Board regulated practitioner may not prescribe, administer or dispense an anabolic steroid for the purpose of:
(i) Increasing muscle mass, strength or weight, without medical necessity.
(ii) Improving a persons performance in an exercise, sport or game.
(2) The Board may impose disciplinary sanctions within the following range against the license, certificate or registration to practice in this Commonwealth of a medical doctor or a Board regulated practitioner who violates section 4 of the Anabolic Steriod Law:
(i) First violation.
(A) Minimum: 3-month suspension.
(B) Maximum: revocation.
(ii) A subsequent violation.
(A) Minimum: 1-year suspension.
(B) Maximum: revocation.
Steroids shattered the limitations of my body. I first sensed their effects while bench-pressing dumbbells. I usually peak at 85lb each, or 170lb total. But after 10 repetitions with the 85s I was stunned: it felt like a warm-up! With a degree of trepidation - we're talking weights that, if mishandled, could break a wrist or some ribs - I picked up the 90-pounders, which I'd never attempted. They went up easily and I ripped out 10 reps. It was an out-of-body sensation: somebody else's arms were pushing those weights, someone else's pectorals flexing and contracting.
For any disturbance of gas tensions in arterial blood, a compensatory system exists to maintain homeostasis. In a metabolic disorder, where HCO 3 ˉ may be retained or excreted by the kidneys, respiratory compensation can occur almost immediately to alter the rate and depth of ventilation to retain or remove CO 2 . This occurs due to the exquisite sensitivity of chemoreceptors in the medulla to carbonic acid (H 2 CO 3 ) or H + . Renal compensation in response to a respiratory disorder takes much longer, sometimes between three and five days, to retain or remove HCO 3 ˉ as required.