Prince William Gets Vulnerable, Talks ‘Pain Like No Other’ After Diana Died

No more stiff upper lip. Prince William opened up about the grief he experienced upon losing his mother, Princess Diana.

The royal, 36, sat down with soccer pros to discuss men’s mental health for BBC’s A Royal Team Talk: Tackling Mental Health, which will air on Sunday, May 19. “I think when you are bereaved at a very young age, anytime really, but particularly at a young age — I can resonate closely to that — you feel pain like no other pain. And you know that in your life it’s going to be very difficult to come across something that is going to be an even worse pain than that,” he said. “But it also brings you so close to all those other people out there who have been bereaved.”

William shared how his vulnerability is a comfort to those who have gone through similar trials. “So you instantly, when you talk to someone else, you can almost see it in their eyes sometimes. It’s a weird thing to say, but somebody — particularly me — someone who’s desperate to talk about bereavement, you can kind of pick up on it quite quickly,” he explained. “They want to talk about it. But they want you to go first, they want you to say, ‘It’s OK,’ they want to have your permission. In that particular conversation, one-on-one it’s OK to talk about bereavement.”

The Duke of Cambridge went on to point out that British people find this difficult because they are conditioned to hide how they truly feel. “I think particularly in Britain as well, we are nervous about our emotions. We are a bit embarrassed sometimes,” he reasoned. “The British stiff upper lip thing, that’s great and we need to have that occasionally when times are really hard. There has to be a moment for that. But otherwise, we’ve got to relax a little bit and be able to talk about our emotions because we’re not robots.”

Princess Diana died in August 1997 after being involved in a car crash in Paris. William was 15 at the time of his mother’s death, while Prince Harry was 12.

Princess Diana and Prince William
Prince William at confirmation with Prince Charles and Princess Diana at Windsor Castle. Tim Graham Picture Library/Getty Images

The eldest prince married Duchess Kate in April 2011. The couple are parents of Prince George, 5, Princess Charlotte, 4, and Prince Louis, 12 months.

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Reduce the Pain at the Pump With These 20 Ways to Save Money on Gas

Filling up the gas tank can be a thoroughly miserable experience as you watch the counter flip past $ 40, then $ 50, and keep on going.

But you can save money on gas based on where you fill up, how you pay, when you visit the gas station, how you drive and even the condition of your car.

We’ve compiled 20 smart tips to help you spend less on fuel that could save you hundreds of dollars over the course of a year.

How to Save Money on Gas at the Pump

The biggest savings will be evident in the price you pay at the gas station. So it’s worth shopping around and employing a bit of strategy before filling up.

1. Use Apps to Find the Cheapest Gas

You don’t want to buy gas at one place and then come across a station with cheaper fuel just down the street. Several websites and apps tell you the price of gasoline at the stations in your area. GasBuddy and Waze are two popular options.

Look for the cheapest gas stations along any of the routes you normally drive for work or shopping. Don’t wait until your tank is near empty and be forced to buy gas wherever is closest.

The price of gas can vary significantly across state lines, so if you’re planning a trip, check where prices are lower throughout your route. Avoid getting gas at stations just off a highway exit or in the middle of a major city, as stations in those locations tend to charge more than ones a little more out of the way.

2. Skip the Premium Option

Higher-octane gas isn’t necessary or beneficial in most cars, so you’re just spending more money when you buy premium. Premium gas can cost about 20 cents per gallon more than regular-grade fuel. Use regular-grade gasoline unless your car’s manufacturer specifically requires premium.

3. Join a Fuel Rewards Program

Many gas station chains and grocery stores across the country offer fuel rewards programs to try to turn you into a loyal customer. Each gas station fuel rewards program and grocery store fuel rewards program has its own set of rules on how much you can save and what you have to spend in order to get the rewards, so read up on the details.

GasBuddy also offers its own fuel savings program called Pay with GasBuddy. You can save 5 cents per gallon by signing up for free, or you can save 20 cents per gallon by signing up for one of its paid versions. (Note: Exxon Mobil, BJs, Costco, Sam’s Club, H-E-B, select Walmart stations, select Arco stations and some small, local gas stations don’t accept the Pay with GasBuddy card.)

4. Use a Rewards Credit Card

A woman owns a Capital One Ventures rewards credit card

When you go to fuel up, choose a credit card that pays you cash back or one where you can earn rewards points when you purchase gasoline. Just be sure you know what you’re getting into before opening a rewards credit card. Pay the fuel charges off in full each month so you’re not paying interest on your gas purchases.

5. Use Cash Instead of a Card

Some gas stations charge a lower price per gallon if you pay with cash rather than a card. It’s their way of avoiding card processing fees. While some stations will let you pay the cash price if you use a debit card, others won’t. Check with the gas station before you swipe your card, or simply use cash when it’s time to fill up.

6. Use Free or Discounted Gift Cards

You can earn gift cards or cash from survey sites like Swagbucks or Survey Junkie. You can also purchase discounted gift cards from sites like Raise or Gift Card Granny.

7. Fill Up Early in the Week

According to a 2018 GasBuddy gas price analysis, gas prices tend to be the lowest on Mondays. Sundays and Tuesdays are other good days to buy cheap gas. Avoid filling your tank on Thursdays or Fridays when gas prices tend to be the most expensive.

How to Save Money on Gas With Better Driving Habits

How frequently you drive and how you operate your vehicle both play a role in how much you spend on gas.

8. Share Rides

If you live near your co-workers and have similar schedules, take turns driving so you can all drive less each week. Organize a carpool with neighbors or friends to transport your children to school or extracurricular activities, and swap driving duties among the parents. Less time on the road means less gas used and more money saved.

9. Plan Routes

Plan your shopping trips and other outings in efficient ways to reduce your drive time. If the grocery store is near your job, do your shopping after work rather than waiting until the weekend. Do your errands all in one day rather than making several trips on different days.

Cutting a few miles several times weekly can add up to hundreds of miles saved annually. That could save a fill-up or two.

10. Reduce Your Idle Time

Don’t start the car and then leave it running for a long time while you wait for everyone to get in or to fiddle with your navigation. Make sure you’re ready to go before starting your engine. Idling just wastes gas and causes more air pollution.

11. Accelerate Slowly and Coast More

Be gradual when you’re speeding up or slowing down. Generally, the faster you accelerate, the more gas you use. Be gentle on that pedal when getting up to highway speed. You’ll also get better mileage by coasting more, so plan ahead for stops and turns. Take your foot off the gas a bit sooner, and slowly glide to a stop. This actually works.

12. Use Cruise Control — Sometimes

When it’s hilly you might get better mileage without cruise control, because the system will tend to downshift too much and waste gas. But otherwise, cruise! Staying at a steady speed with cruise control has been shown to save on fuel usage — plus you can make sure you don’t go over the speed limit.

13. Reduce the Use of Your Heater and Air Conditioning

Blasting the heat in the winter or the A/C in the summer has an effect on your fuel economy, so keep that in mind.

There a long-running but still inconclusive debate about whether using air conditioning or rolling down the windows contributes more to increased fuel consumption — as the wind resistance from open windows creates drag on your vehicle.

When driving low speeds you may want to cool down by lowering your car windows. But if you’re driving on the highway (or even driving above 30 miles per hour), you might be better off with the air conditioner on and the windows up.

14. Slow Down

Following the speed limit or driving just under it can pay off in more ways than you might think. The faster you drive, the more wind resistance you face, which reduces your fuel economy.

How Your Car Affects How Much You Spend on Gas

A person pumps gas in St. Petersburg, Fla.

The condition of your car makes a difference in gas consumption. Learn how to keep your ride in money-saving shape.

15. Check Tire Pressure

Having underinflated tires can lower your gas mileage and cause you to lose about 2 cents per gallon, according to the U.S. Department of Energy. To find the proper tire pressure for your car, check your owner’s manual or the sticker in the driver’s side door jamb or in the glove box.

16. Check Your Gas Cap

A bad seal or missing cap can allow gas to evaporate from your tank. Besides costing you money, this pollutes the air. Replace your gas cap if the rubber seal seems worn or damaged. You can buy one at an auto parts store for under $ 20.

17. Lighten Your Car

The less you have weighing down your vehicle, the better gas mileage it gets. Look at what you’ve got in your car and remove anything you don’t need. No, this does not mean your mother-in-law. But that neglected sports equipment in your trunk can go.

18. Remove Racks

If you don’t use that bicycle rack, remove it. Take off that ski rack while you’re at it. Racks are extra weight and create more wind resistance — both of which reduce gas mileage.

19. Use the Right Oil During Oil Changes

Using the wrong grade of motor oil can cost you 3 to 5 cents per gallon, according to the U.S. Department of Energy. Be sure to use your manufacturer’s recommended grade of oil, and look for motor oil designated as “energy saving.” AutoGuide says synthetic motor oil (which may cost two or three times more than conventional motor oil) reduces friction better and improves your gas mileage.

And while you’re getting your oil changed, make sure to check your air filters. A clogged air filter can reduce your gas mileage.

20. Buy a More Efficient Car

Making your next vehicle one that has a higher MPG (miles per gallon) rating is a sure-fire way to spend less on gasoline. Consider a hybrid car — or an electric one, if you never want to worry about buying gas again. A vehicle with a manual transmission tends to have better fuel efficiency than an automatic. Plus, driving a stick-shift is cool.

Steve Gillman is the author of “101 Weird Ways to Make Money” and creator of EveryWayToMakeMoney.com. He’s been a repo-man, walking stick carver, search engine evaluator, house flipper, tram driver, process server, mock juror, and roulette croupier, but of more than 100 ways he has made money, writing is his favorite (so far).

Nicole Dow, a senior writer at The Penny Hoarder, contributed to updating this post.

This was originally published on The Penny Hoarder, which helps millions of readers worldwide earn and save money by sharing unique job opportunities, personal stories, freebies and more. The Inc. 5000 ranked The Penny Hoarder as the fastest-growing private media company in the U.S. in 2017.

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Get Well Wednesday: Your Foot Pain May Be Plantar Fasciitis

About two million people suffer with plantar fasciitis ((plant-ar fash-ee-itis)) one of the most common causes of heel pain and very common in runners. It usually occurs between the age of 40 and 60.

WHAT IS PLANTAR FASCITIS?

Inflammation of the plantar fascia, the bowstring-like tissue that stretches from the heel bone to the base of the toes. Plantar fasciitis can be due to calcaneal spurs, which typically cause localized tenderness and pain that is made worse by stepping down on the heel.

Plantar fasciitis may be related to physical activity overload, abnormal foot mechanics, or may be due to underlying diseases that cause arthritis, such as Reiter disease, ankylosing spondylitis, and diffuse idiopathic skeletal hyperostosis. Treatment is designed to decrease inflammation and avoid re-injury.

Icing reduces pain and inflammation. Anti-inflammatory agents, such as ibuprofen and injections of cortisone, can help. Infrequently, surgery is done on chronically inflamed spurs. A donut-shaped shoe insert can take pressure off a calcaneal spur and lessen plantar fasciitis.

WHAT ARE THE SYMPTOMS OF PLANTAR FASCITIS?

Plantar fasciitis typically causes a stabbing painin the bottom of your foot near the heel. The pain is usually the worst with the first few steps after awakening, although it can also be triggered by long periods of standing or rising from sitting. The pain is usually worse after exercise, not during it

HOW IS PLANTAR FASCITIS DIAGNOSED?

Diagnosis is primarily based on history and physical examination. … Use of ultrasonography and magnetic resonance imaging is reserved for recalcitrant cases or to rule out other heel pathology; findings of increasedplantar fascia thickness and abnormal tissue signal the diagnosis ofplantar fasciitis

WHAT CAUSES IT?  ARE THING LIKES WEIGHT OR AGE A FACTOR?

You’re at a greater risk of developing plantar fasciitis if you’re overweight or obese. This is due to the increased pressure on your plantar fascia ligaments, especially if you have sudden weight gain.

WHAT TREATMENT OPTIONS ARE AVAILABLE FOR PLANTAR FASCITIS?

Most people who have plantar fasciitis recover with conservative treatments, including resting, icing the painful area and stretching, in several months.

Medications

Pain relievers such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) can ease the pain and inflammation associated with plantar fasciitis.

Therapies

Stretching and strengthening exercises or use of specialized devices may provide symptom relief. These include:

  • Physical therapy. A physical therapist can instruct you in a series of exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles, which stabilize your ankle and heel. A therapist might also teach you to apply athletic taping to support the bottom of your foot.
  • Night splints. Your physical therapist or doctor might recommend that you wear a splint that stretches your calf and the arch of your foot while you sleep. This holds the plantar fascia and Achilles tendon in a lengthened position overnight and facilitates stretching.
  • Orthotics. Your doctor might prescribe off-the-shelf or custom-fitted arch supports (orthotics) to help distribute pressure to your feet more evenly.

Surgical or other procedures

When more-conservative measures aren’t working after several months, your doctor might recommend:

  • Injections. Injecting a type of steroid medication into the tender area can provide temporary pain relief. Multiple injections aren’t recommended because they can weaken your plantar fascia and possibly cause it to rupture. More recently, platelet-rich plasma has been used, under ultrasound guidance, to provide pain relief with less risk of tissue rupture.
  • Extracorporeal shock wave therapy. In this procedure, sound waves are directed at the area of heel pain to stimulate healing. It’s usually used for chronic plantar fasciitis that hasn’t responded to more-conservative treatments. This procedure might cause bruising, swelling, pain, numbness or tingling. Some studies show promising results, but it hasn’t been shown to be consistently effective.
  • Tenex procedure. This minimally invasive procedure removes the scar tissue of plantar fasciitis without surgery.
  • Surgery. Few people need surgery to detach the plantar fascia from the heel bone. It’s generally an option only when the pain is severe and all else fails. Side effects include a weakening of the arch in your foot.

ONCE DIAGNOSED, HOW LONG WILL IT LAST?

A: Your healing time depends on the severity of your condition. One of the best things you can do for your feet is to rest. The natural history of pain from plantar fasciitis can last up to 24 months.

DOES DIET PLAY A ROLE IN PLANTAR FASCITIS, IF SO WHAT TYPES OF FOOD NEED TO BE AVOIDED?

The main way our diet affects plantar fasciitis is through our consumption of foods that have either inflammatory or anti-inflammatory qualities. … Spinach, while not one of the most popular foods, is one of the most effective anti-inflammatories, as it contains calcium, magnesium, Vitamin C, and MSM.

Dr. Hunter answers your “Text Tom” questions on the next page.

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Felicity Huffman Adresses College Entrance Scandal After Pleading Guilty: ‘I’m Ashamed Of Pain I Caused My Daughter’

After pleading guilty in her massive college entrance fraud case, Desperate Housewives actress, Felicity Huffman opened up about the whole thing for the first time. Here’s what she had to say!

Huffman broke her silence on the drama and made it very clear that she accepts ‘full responsibility’ for what she’d done.

In an official statement the star released earlier today, she said: ‘I’m in full acceptance of my guilt, and with regret and shame over what I’ve done, I accept the full responsibility for my actions and I will accept all of the consequences that stem from those actions.’

Felicity went on to say that what causes her the most regret and shame is the hurt her daughter has been feeling because of her.

But of course, she is not the only one affected by the scandal, something the actress acknowledged by saying that ‘I am ashamed of the pain that I have caused my daughter, family, friends, colleagues and the educational community. I want to apologize to them and to all the students who work hard every single day to get into college, as well as to their parents who make immense sacrifices to support their children and do so honestly.’

As for whether or not her daughter was aware of the illegal way in which she managed to get into college, Felicity insisted that she knew nothing about it, which makes her feel even more like she’d ‘betrayed’ her.

She concluded her statement by expressing a deep regret that will stay with her forever: ‘This transgression toward her and the public I’ll carry for the rest of my life. My desire to help my daughter is not an excuse to break the law or engage in dishonesty.’

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High Times: Seniors Use Marijuana For Pain Relief

LAGUNA WOODS, Calif. (AP) — The group of white-haired folks — some pushing walkers, others using canes — arrive right on time at the gates of Laguna Woods Village, an upscale retirement community in the picturesque hills that frame this Southern California suburb a few miles from Disneyland.

There they board a bus for a quick trip to a building that, save for the green Red Cross-style sign in the window, resembles a trendy coffee bar. The people, mostly in their 70s and 80s, pass the next several hours enjoying a light lunch, playing a few games of bingo and selecting their next month’s supply of cannabis-infused products.

“It’s like the ultimate senior experience,” laughs 76-year-old retired beauty products distributor Ron Atkin as he sits down to watch the bingo at the back of the Bud and Bloom marijuana dispensary in Santa Ana.

Most states now have legal medical marijuana, and 10 of them, including California, allow anyone 21 or older to use pot recreationally. The federal government still outlaws the drug even as acceptance increases. The 2018 General Social Survey, an annual sampling of Americans’ views, found a record 61 percent back legalization, and those 65 and older are increasingly supportive.

Indeed, many industry officials say the fastest-growing segment of their customer base is people like Atkin — aging baby boomers or even those a little older who are seeking to treat the aches and sleeplessness and other maladies of old age with the same herb that many of them once passed around at parties.

“I would say the average age of our customers is around 60, maybe even a little older,” said Kelty Richardson, a registered nurse with the Halos Health clinic in Boulder, Colorado, which provides medical examinations and sells physician-recommended cannabis through its online store.

Its medical director, Dr. Joseph Cohen, conducts “Cannabis 101” seminars at the nearby Balfour Senior Living community for residents who want to know which strains are best for easing arthritic pain or improving sleep.

Relatively little scientific study has verified the benefits of marijuana for specific problems. There’s evidence pot can relieve chronic pain in adults, according to a 2017 report from the National Academies of Sciences, Engineering and Medicine, but the study also concluded that the lack of scientific information poses a risk to public health.

At Bud and Bloom, winners of the bingo games take home new vape pens, but Atkin isn’t really there for that. He’s been coming regularly for two years to buy cannabis-infused chocolate bars and sublingual drops to treat his painful spinal stenosis since the prescription opiates he had been taking quit working.

It was “desperation” that brought him here, he said, adding that his doctors didn’t suggest he try medical marijuana. But they didn’t discourage him either.

The dispensary is filled with the 50 people from the bus as they peruse counters and coolers containing everything from gel caps to drops to cannabis-infused drinks, not to mention plenty of old-fashioned weed.

Adele Frascella, leaning on her cane, purchases a package of gummy candies she says helps keep her arthritic pain at bay.

“I don’t like to take an opioid,” said Frascella, 70.

Fashionably dressed with sparkling silver earrings, Frascella confirms with a smile that she was a pot smoker in her younger days.

“I used to do it when I was like 18, 19, 20,” she said. “And then I had a baby, got married and stopped.”

She took it up again a few years ago, even investing in a “volcano,” a pricey, high-tech version of the old-fashioned bong that Gizmodo calls “the ultimate stoner gadget.” But these days, like many other seniors, she prefers edibles to smoking.

Renee Lee, another baby boomer who smoked as a youth, got back into it more than a dozen years ago after the clinical psychologist underwent brain surgery and other medical procedures that she said had her taking “10 meds a day, four times a day.”

“And I wasn’t getting any better,” she said, adding that she asked her doctors if she might try medical marijuana as a last resort. They said go ahead and she found it ended her pain.

In 2012 she founded the Rossmoor Medical Marijuana Club in her upscale San Francisco Bay Area retirement community.

“We started with 20 people, and we kept it really quiet for about a year and a half,” she said, noting that although California legalized medical cannabis in 1996, it was still seen in some quarters as an outlaw drug.

Her group has since grown to more than 1,000 members and puts on regular events, including lectures by pro-cannabis doctors and nurses.

People Lee’s age — 65 and over — are the fastest-growing segment of the marijuana-using population, said Dr. Gary Small, professor of psychiatry and aging at the University of California, Los Angeles.

He believes more studies on the drug’s effects on older people are needed. And while it may improve quality of life by relieving pain, anxiety and other problems, he said, careless, unsupervised use can cause trouble.

“We know that cannabis can cause side effects, particularly in older people,” he said. “They can get dizzy. It can even impair memory if the dose is too high or new ingredients are wrong. And dizziness can lead to falls, which can be quite serious.”

Richardson said Colorado saw an uptick in hospital visits by older users soon after the state legalized cannabis in 2012. The problem, he said, was often caused by novices downing too many edibles.

That’s a lesson Dick Watts, 75, learned the hard way. The retired New Jersey roofing contractor who keeps a winter home at Laguna Woods Village began having trouble sleeping through the night as he got into his 70s. He attended a seniors’ seminar where he learned marijuana might help, so he got a cannabis-infused candy bar. He immediately ate the whole thing.

“Man, that was nearly lethal,” recalled Watts, laughing.

Now when he has trouble sleeping he takes just a small sliver of candy before bed. He said he wakes up clear-headed and refreshed.

“And I have it up on a shelf so my grandkids can’t get to it,” Watts said.

___

Associated Press Writer Krysta Fauria contributed to this story.

PHOTO: AP


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‘Empire’ Hits Series Low + Lee Daniels Speaks Out About Cast’s ‘Pain and Anger’ After Jussie Smollett Scandal [Video]

Empire‘s fall is brutal. Variety reported this morning:

The second episode of Empire after the arrest of one of its stars, Jussie Smollett, was the lowest rated in the series’ history.

The March 20 episode scored a 1.1 rating in the 18-49 demo, and was watched by just under 4 million total viewers. Last week’s midseason premiere also struggled, with a 1.3 rating and 4.4 million viewers, which means the show dipped by 11% in the ratings and 10% in total viewership since last week.

Empire creator Lee Daniels took to Instagram to speak on the Jussie Smollett fallout: “Me and my cast have experienced pain, anger, sadness and frustration, and really don’t know how to deal with it.”

Take a look below.

 

The post ‘Empire’ Hits Series Low + Lee Daniels Speaks Out About Cast’s ‘Pain and Anger’ After Jussie Smollett Scandal [Video] appeared first on lovebscott – celebrity news.

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These tech companies aim to cure pain without pills

Companies such as Bioness, Cefaly and Sana are developing technology to reduce pain — and the need for addictive painkillers.
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Poor sleep at night, more pain the next day

After one night of inadequate sleep, brain activity ramps up in pain-sensing regions while activity is scaled back in areas responsible for modulating how we perceive painful stimuli. This finding provides the first brain-based explanation for the well-established relationship between sleep and pain.
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Scientists Seek Ways To Finally Take A Real Measure Of Pain

(AP Photo)

WASHINGTON (AP) — Is the pain stabbing or burning? On a scale from 1 to 10, is it a 6 or an 8?

Over and over, 17-year-old Sarah Taylor struggled to make doctors understand her sometimes debilitating levels of pain, first from joint-damaging childhood arthritis and then from fibromyalgia.

“It’s really hard when people can’t see how much pain you’re in, because they have to take your word on it and sometimes, they don’t quite believe you,” she said.

Now scientists are peeking into Sarah’s eyes to track how her pupils react when she’s hurting and when she’s not — part of a quest to develop the first objective way to measure pain.

“If we can’t measure pain, we can’t fix it,” said Dr. Julia Finkel, a pediatric anesthesiologist at Children’s National Medical Center in Washington, who invented the experimental eye-tracking device.

At just about every doctor’s visit you’ll get your temperature, heart rate and blood pressure measured. But there’s no stethoscope for pain. Patients must convey how bad it is using that 10-point scale or emoji-style charts that show faces turning from smiles to frowns.

That’s problematic for lots of reasons. Doctors and nurses have to guess at babies’ pain by their cries and squirms, for example. The aching that one person rates a 7 might be a 4 to someone who’s more used to serious pain or genetically more tolerant. Patient-to-patient variability makes it hard to test if potential new painkillers really work.

Nor do self-ratings determine what kind of pain someone has — one reason for trial-and-error treatment. Are opioids necessary? Or is the pain, like Sarah’s, better suited to nerve-targeting medicines?

“It’s very frustrating to be in pain and you have to wait like six weeks, two months, to see if the drug’s working,” said Sarah, who uses a combination of medications, acupuncture and lots of exercise to counter her pain.

The National Institutes of Health is pushing for development of what its director, Dr. Francis Collins, has called a “pain-o-meter.” Spurred by the opioid crisis, the goal isn’t just to signal how much pain someone’s in. It’s also to determine what kind it is and what drug might be the most effective.

“We’re not creating a lie detector for pain,” stressed David Thomas of NIH’s National Institute on Drug Abuse, who oversees the research. “We do not want to lose the patient voice.”

Around the country, NIH-funded scientists have begun studies of brain scans, pupil reactions and other possible markers of pain in hopes of finally “seeing” the ouch so they can better treat it. It’s early-stage research, and it’s not clear how soon any of the attempts might pan out.

“There won’t be a single signature of pain,” Thomas predicted. “My vision is that someday we’ll pull these different metrics together for something of a fingerprint of pain.”

NIH estimates 25 million people in the U.S. experience daily pain. Most days Sarah Taylor is one of them. Now living in Potomac, Maryland, she was a toddler in her native Australia when the swollen, aching joints of juvenile arthritis appeared. She’s had migraines and spinal inflammation. Then two years ago, the body-wide pain of fibromyalgia struck; a flare-up last winter hospitalized her for two weeks.

One recent morning, Sarah climbed onto an acupuncture table at Children’s National, rated that day’s pain a not-too-bad 3, and opened her eyes wide for the experimental pain test.

“There’ll be a flash of light for 10 seconds. All you have to do is try not to blink,” researcher Kevin Jackson told Sarah as he lined up the pupil-tracking device, mounted on a smartphone.

The eyes offer a window to pain centers in the brain, said Finkel, who directs pain research at Children’s Sheikh Zayed Institute for Pediatric Surgical Innovation.

How? Some pain-sensing nerves transmit “ouch” signals to the brain along pathways that also alter muscles of the pupils as they react to different stimuli. Finkel’s device tracks pupillary reactions to light or to non-painful stimulation of certain nerve fibers, aiming to link different patterns to different intensities and types of pain.

Consider the shooting hip and leg pain of sciatica: “Everyone knows someone who’s been started on oxycodone for their sciatic nerve pain. And they’ll tell you that they feel it — it still hurts — and they just don’t care,” Finkel said.

What’s going on? An opioid like oxycodone brings some relief by dulling the perception of pain but not its transmission — while a different kind of drug might block the pain by targeting the culprit nerve fiber, she said.

Certain medications also can be detected by other changes in a resting pupil, she said. Last month the Food and Drug Administration announced it would help AlgometRx, a biotech company Finkel founded, speed development of the device as a rapid drug screen.

Looking deeper than the eyes, scientists at Harvard and Massachusetts General Hospital found MRI scans revealed patterns of inflammation in the brain that identified either fibromyalgia or chronic back pain.

Other researchers have found changes in brain activity — where different areas “light up” on scans — that signal certain types of pain. Still others are using electrodes on the scalp to measure pain through brain waves.

Ultimately, NIH wants to uncover biological markers that explain why some people recover from acute pain while others develop hard-to-treat chronic pain.

“Your brain changes with pain,” Thomas explained. “A zero-to-10 scale or a happy-face scale doesn’t capture anywhere near the totality of the pain experience.”

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‘The Pain Is Too Much.’ Andy Murray Says Australian Open Could Be His Last Tournament

(MELBOURNE, Australia) — A tearful Andy Murray says the Australian Open could be his last tournament because of a hip injury that has hampered him for almost two years.

The three-time Grand Slam champion says he plans to start his opening match against No. 22-ranked Roberto Bautista Agut at the Australian Open, where he has reached the final five times but never won the title.

“I’m going to play (in Australia) — I can still play to the level,” Murray said. “Not a level I’m happy playing at — but also, it’s not just that. The pain is too much really.”

Murray had right hip surgery in January 2018 and, after two brief attempts to return to the tour, played only 12 matches in the year.

He returned at the Brisbane International last week, where he won his opening match but lost in the second round to Daniil Medvedev, showing visible signs of limping between points.

The 31-year-old Murray, who ended long Grand Slam droughts for British men and also won the Olympic gold medal, had hoped to play the first half of 2019 and make a run at Wimbledon.

“That’s where I’d like to stop playing … but I’m also not certain I’m able to do that,” Murray said. “I don’t want to continue playing that way. I’ve tried everything I could to get it right and that hasn’t worked.”

Murray held a news conference Friday at Melbourne Park, and had to leave the room for a while soon after it started to compose himself as he fronted the media.

He said he’s considering another hip operation, more to improve his quality of life than as a way to return to the top level in tennis.

The Australian Open starts Monday.

Sports – TIME

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Up To A Third Of Knee Replacements Pack Pain And Regret

Danette Lake thought surgery would relieve the pain in her knees.

The arthritis pain began as a dull ache in her early 40s, brought on largely by the pressure of unwanted weight. Lake managed to lose 200 pounds through dieting and exercise, but the pain in her knees persisted.

A sexual assault two years ago left Lake with physical and psychological trauma. She damaged her knees while fighting off her attacker, who had broken into her home. Although she managed to escape, her knees never recovered. At times, the sharp pain drove her to the emergency room. Lake’s job, which involved loading luggage onto airplanes, often left her in misery.

When a doctor said that knee replacement would reduce her arthritis pain by 75 percent, Lake was overjoyed.

“I thought the knee replacement was going to be a cure,” said Lake, now 52 and living in rural Iowa. “I got all excited, thinking, ‘Finally, the pain is going to end and I will have some quality of life.’”

But one year after surgery on her right knee, Lake said she’s still suffering.

“I’m in constant pain, 24/7,” said Lake, who is too disabled to work. “There are times when I can’t even sleep.”

Most knee replacements are considered successful, and the procedure is known for being safe and cost-effective. Rates of the surgery doubled from 1999 to 2008, with 3.5 million procedures a year expected by 2030.

But Lake’s ordeal illustrates the surgery’s risks and limitations. Doctors are increasingly concerned that the procedure is overused and that its benefits have been oversold.

Danette Lake walks her dogs, Zoe and Chloe, in her rural Iowa neighborhood in early December. One year after having knee replacement surgery to treat arthritis, she says she’s “in constant pain.”(Rachel Mummey for KHN)

Research suggests that up to one-third of those who have knees replaced continue to experience chronic pain, while 1 in 5 are dissatisfied with the results. A study published last year in the BMJ found that knee replacement had “minimal effects on quality of life,” especially for patients with less severe arthritis.

One-third of patients who undergo knee replacement may not even be appropriate candidates for the procedure, because their arthritis symptoms aren’t severe enough to merit aggressive intervention, according to a 2014 study in Arthritis & Rheumatology.

“We do too many knee replacements,” said Dr. James Rickert, president of the Society for Patient Centered Orthopedics, which advocates for affordable health care, in an interview. “People will argue about the exact amount. But hardly anyone would argue that we don’t do too many.”

Although Americans are aging and getting heavier, those factors alone don’t explain the explosive growth in knee replacement. The increase may be fueled by a higher rate of injuries among younger patients and doctors’ greater willingness to operate on younger people, such as those in their 50s and early 60s, said Rickert, an orthopedic surgeon in Bedford, Ind. That shift has occurred because new implants can last longer — perhaps 20 years — before wearing out.

Yet even the newest models don’t last forever. Over time, implants can loosen and detach from the bone, causing pain. Plastic components of the artificial knee slowly wear out, creating debris that can cause inflammation. The wear and tear can cause the knee to break. Patients who remain obese after surgery can put extra pressure on implants, further shortening their lifespan.

The younger patients are, the more likely they are to “outlive” their knee implants and require a second surgery. Such “revision” procedures are more difficult to perform for many reasons, including the presence of scar tissue from the original surgery. Bone cement used in the first surgery also can be difficult to extract, and bones can fracture as the older artificial knee is removed, Rickert said.

Revisions are also more likely to cause complications. Among patients younger than 60, about 35 percent of men need a revision surgery, along with 20 percent of women, according to a November article in the Lancet.

Yet hospitals and surgery centers market knee replacements heavily, with ads that show patients running, bicycling, even playing basketball after the procedure, said Dr. Nicholas DiNubile, a Havertown, Pa., orthopedic surgeon specializing in sports medicine. While many people with artificial knees can return to moderate exercise — such as doubles tennis — it’s unrealistic to imagine them playing full-court basketball again, he said.

“Hospitals are all competing with each other,” DiNubile said. Marketing can mislead younger patients into thinking, “‘I’ll get a new joint and go back to doing everything I did before,’” he said. To Rickert, “medical advertising is a big part of the problem. Its purpose is to sell patients on the procedures.”

Rickert said that some patients are offered surgery they don’t need and that money can be a factor.

Knee replacements, which cost $ 31,000 on average, are “really crucial to the financial health of hospitals and doctors’ practices,” he said. “The doctor earns a lot more if they do the surgery.”

Ignoring Alternatives

Yet surgery isn’t the only way to treat arthritis.

Patients with early disease often benefit from over-the-counter pain relievers, dietary advice, physical therapy and education about their condition, said Daniel Riddle, a physical therapy researcher and professor at Virginia Commonwealth University in Richmond.

Studies show that these approaches can even help people with more severe arthritis.

In a study published in Osteoarthritis and Cartilage in April, researchers compared surgical and non-surgical treatments in 100 older patients eligible for knee replacement.

Over two years, all of the patients improved, whether they were offered surgery or a combination of non-surgical therapies. Patients randomly assigned to undergo immediate knee replacement did better, improving twice as much as those given combination therapy, as measured on standard medical tests of pain and functioning.

But surgery also carried risks. Surgical patients developed four times as many complications, including infections, blood clots or knee stiffness severe enough to require another medical procedure under anesthesia. In general, 1 in every 100 to 200 patients who undergo a knee replacement die within 90 days of surgery.

Significantly, most of those treated with non-surgical therapies were satisfied with their progress. Although all were eligible to have knee replacement later, two-thirds chose not to do it.

Tia Floyd Williams suffered from painful arthritis for 15 years before having a knee replaced in September 2017. Although the procedure seemed to go smoothly, her pain returned after about four months, spreading to her hips and lower back.

She was told she needed a second, more extensive surgery to put a rod in her lower leg, said Williams, 52, of Nashville.

“At this point, I thought I would be getting a second knee done, not redoing the first one,” Williams said.

Other patients, such as Ellen Stutts, are happy with their results. Stutts, in Durham, N.C., had one knee replaced in 2016 and the other replaced this year. “It’s definitely better than before the surgery,” Stutts said.

Making Informed Decisions

Doctors and economists are increasingly concerned about inappropriate joint surgery of all types, not just knees.

Inappropriate treatment doesn’t harm only patients; it harms the health care system by raising costs for everyone, said Dr. John Mafi, an assistant professor of medicine at the David Geffen School of Medicine at UCLA.

The 723,000 knee replacements performed in 2014 cost patients, insurers and taxpayers more than $ 40 billion. Those costs are projected to surge as the nation ages and grapples with the effects of the obesity epidemic, and an aging population.

To avoid inappropriate joint replacements, some health systems are developing “decision aids,” easy-to-understand written materials and videos about the risks, benefits and limits of surgery to help patients make more informed choices.

In 2009, Group Health introduced decision aids for patients considering joint replacement for hips and knees.

Blue Shield of California implemented a similar “shared decision-making” initiative.

Executives at the health plan have been especially concerned about the big increase in younger patients undergoing knee replacement surgery, said Henry Garlich, director of health care value solutions and enhanced clinical programs.

The percentage of knee replacements performed on people 45 to 64 increased from 30 percent in 2000 to 40 percent in 2015, according to the Agency for Healthcare Research and Quality.

Because the devices can wear out in as little as a few years, a younger person could outlive their knees and require a replacement, Garlich said. But “revision” surgeries are much more complicated procedures, with a higher risk of complications and failure.

“Patients think after they have a knee replacement, they will be competing in the Olympics,” Garlich said.

Danette Lake once planned to undergo knee replacement surgery on her other knee. Today, she’s not sure what to do. She is afraid of being disappointed by a second surgery.

Sometimes, she said, “I think, ‘I might as well just stay in pain.’”

Kaiser Health News

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Medieval Remedies to Fight Flu, Stomach Aches, Pain, and Pandemic Problems 


Holistic pharmacist Sherry Torkos is an author and health enthusiast with a passion for prevention. She graduated with honors from the Philadelphia college of pharmacy and science in 1992.

She has been practicing pharmacy using an integrative approach, combining conventional and complementary therapies to optimize health and prevent disease.

As a leading health expert, she has delivered hundreds of lectures and has authored 18 books and booklets.


Q: IN WHAT WAYS HAS MIDDLE AGES MEDICINE INFLUENCED MODERN MEDICINE?

A: Medicine in the Middle Ages was rooted in ancient Greek tradition and the greatest physician of that time was Hippocrates, known as the founder of medicine, who based his practice on observations and study of the human body with the belief that illness has a physical and rational explanation.

Q: WHY IS THE CDC CONCERNED ABOUT A FLU PANDEMIC IN THIS DAY AND AGE

A: Last year’s statistics show the highest number of deaths from flu or complications with the virus since the dawn of modern tracking (an estimated 80,000 Americans died).

Q:  WHAT ARE 3 LIQUID REMEDIES USED IN THE MIDDLE AGES FOR FLU, STOMACH ACHES, PAINS AND WOUNDS? 

A: Colloidal Silver, Mint and Turmeric

Q: HOW HAS THE TECHNOLOGY OF COLLOIDAL SILVER ADVANCED SINCE THE MIDDLE AGES? HOW IS IT USED TODAY?  

A: Historically, silver has been used for thousands of years as one of the world’s strongest antimicrobial agents. Many physicians from ancient times used silver, including Hippocrates, the “father of medicine,” who used silver to treat an endless series of conditions. In the Middle Ages, silver spoons were given by wealthy godparents to babies as christening presents. It is often said that those “born with a silver spoon in their mouth” benefited from silver’s purifying and antimicrobial properties. During the bubonic plague, the “Black Death” of the 14th century, it was suggested that the poor may have been disproportionally affected in part because the rich were afforded extra immune support from their silverware and plates. Silver has also been used throughout the 20th century as the standard of care in burn centers, and NASA has used silver ions to purify the water for both its space shuttle program and International Space Station. In 1999, entrepreneur Stephen L. Quinto made breakthrough discovery with colloidal silver hydrosol by finding a particle size so fine that not even an electron microscope could detect, advancing colloidal silver technology by 120 years. Today, Sovereign Silver (Bio-Active Silver Hydrosol) health care products are the No.1 selling silver in North America, accomplishing Quinto’s mission to produce the finest mineral hydrosols as the first line of defense in the quest for health sovereignty with the world’s ever- increasing immune challenges (https://sovereignsilver.com)

Q:  WHAT TYPE OF MINT IS EFFECTIVE ON STOMACH ACHES? CAN YOU USE PEPPERMINT CANDY OR IS TEA MORE EFFECTIVE?

A: There are two types of well-known mint: spearmint and peppermint, but they are not the same plant as peppermint actually is a natural hybrid of spearmint and is the more potent of the herbs. Peppermint aids in digestion and can settle the stomach due to its properties that dispel gas and relieve cramping. Oil of peppermint contains up to 78 percent menthol, capable of killing myriad microorganisms that are associated with digestive and other problems such as irritable bowel syndrome.

Q: HOW DOES TURMERIC HELP PAIN AND INFLAMMATION? CAN YOU USE TURMERIC INSTEAD OF OVER THE COUNTER PAIN MEDS?

A: Curcumin is the main active ingredient in turmeric and has powerful anti-inflammatory effects. Studies have shown that turmeric may have pain-reducing power equal in some cases to that of prescription and over-the-counter medications. You can take it as a supplement, use it as an ingredient in your food or consume it as a tea.

Q:  HOW IS THE PRESCRIPTION OF ANTIBIOTICS CONTRIBUTING TO THE SUPERBUG CRISIS? WHAT SHOULD DOCTORS DO TO CHANGE THIS TREND? 


A: In a report from the CDC, a new program for testing suspect bacteria turned up unusual antibiotic-resistance genes 221 times in 2017, and 11 percent of people screened positive for these superbugs even though they had no symptoms. Inappropriate use of antibiotics has escalated the threat of these nightmare bacteria known as superbugs.

Q:  WHERE CAN WE GET MORE INFORMATION ON WHAT YOU DISCUSSED TODAY? HOW CAN OUR AUDIENCE INTERACT WITH YOU?

A: For more visit: http://www.sherrytorkos.com and http://www.facebook.com/holistic.sherry.

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Life & Style – Black America Web

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Gently stroking babies before medical procedures may reduce pain processing

Researchers found that gently stroking a baby seems to reduce activity in the infant brain associated with painful experiences. Their results suggest that lightly brushing an infant at a certain speed — of approximately 3 centimeters per second — could provide effective pain relief before clinically necessary medical procedures.
Child Development News — ScienceDaily

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I have three healthy kids, but I’ll never forget the pain of my miscarriage

I have three healthy kids, but I’ll never forget the pain of my miscarriage


I have three healthy kids, but I’ll never forget the pain of my miscarriage

Trigger Warning: This essay describes graphic memories of a miscarriage.

When I gave birth to my son, I was certain it was the biggest accomplishment of my life. When anyone asked me how I liked motherhood, I proudly said it was the greatest thing I’d ever do. So, 10 months after our son made us parents for the first time, my husband and I decided we were ready for baby number two. Effortlessly, I became pregnant within a month. I was ecstatic. Yes, I’d have two babies in diapers at the same time, but the unconditional love was addictive. Creating that love by adding to our family made all the sense in the world.

My first doctor’s appointment confirming my pregnancy was exciting. My son had been unplanned, so my anxiety about being pregnant and unwed had prevented me from enjoying the first stage of that pregnancy. I was eager to enjoy every moment this second time around. After some lab work, I was confirmed to be officially pregnant.

My husband accompanied me to my next appointment a week later; he was as excited about our newest addition as I was. I slipped into my hospital gown while my husband and I flirted and laughed. Soon, we excitedly watched our baby show up on the screen for the first time. We were so eager that it took a moment to realize what the ultrasound machine revealed: A small 7-week-old fetus with no heartbeat.

My doctor seemed unperturbed as she instructed me to get dressed before leaving the room. I put on my clothes in silence. The joyful atmosphere from before was completely erased while we waited for the doctor to say what we already knew. Like one in four pregnancies, mine had ended in miscarriage.

My doctor confirmed it, and there was no explanation for what happened. There were no condolences given. She only stated the simple facts and told me the fetus should pass soon without trouble. I was too numb to respond.

That weekend was spent in tears as I experienced bleeding. I tried to rationalize the miscarriage. Why did it happen? What did I do to cause it? I wanted answers, but there was no way to find them.


I returned to work the following Monday, knowing that everyone was aware of my miscarriage. But I was relieved—having someone innocently ask about my pregnancy would set me off all over again. Instead, I was handled with kids gloves and I couldn’t bring myself to resent it. I felt more fragile than ever.

I was processing the weekly payroll in my office, and that’s when I felt it happening. I excused myself to a private bathroom and sat heavily on the seat. To this day, I can’t explain how it felt, but I could feel my body passing something more than blood. I knew my body had to release the remainders of the fetus, but I had no understanding of how physically substantial a miscarriage can be. I thought my bleeding over the weekend would be the end of it, but now I knew I was wrong. I affixed an oversized pad to my underwear and went back to my desk.

But I still felt it—those telltale uncomfortable signs of bleeding through my pad. I went back to the bathroom; it was like I’d entered a scene from a bloody horror movie. I quickly changed my pad, shaking as I cleaned myself as much as I could.

But I bled through the second pad, and this time, I was frantic. The bleeding wouldn’t stop. I was traumatized. Not knowing what to do, I took out my phone and called my boss. He answered with a chipper voice, no doubt expecting a payroll question.

“I’m miscarrying in the bathroom,” I told him. “Help me.”

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I don’t know if it was my words or the panicked way I said them, but he and our team’s head of HR knocked at the bathroom door almost instantly. Through the door, I explained what was happening. They wanted to call an ambulance; I wanted my husband. I wanted my parents. I didn’t want to experience this there.

They coaxed me out of the bathroom and I waited for my ride to the ER. I continued bleeding uncontrollably, shaking violently as my boss tried to keep me alert. I remember his comforting words, but they were overshadowed by the horrified look in his eyes.

Mumbled apologies tumbled from my lips—but I wasn’t even sure what I was sorry for. Scaring them? Bleeding all over the place? Bringing my trauma to work? Failing this baby as a mother?

My husband met me at the ER. We were ushered to a triage where we waited for far too long, and I felt the final drop of a heavy mass. Suddenly, the proof of my unborn second child laid on the floor of the triage. I couldn’t look at it.

Just like my OBGYN, the ER doctor walked in, gave me the facts of my miscarriage, and sent me away.

I wasn’t sure what was worse: leaving the fetus that had been in my womb behind or enduring heartless treatment from doctors in the most harrowing time of my life.


It took me years to talk about my miscarriage.

Instead, I did all the things you’re supposed to do. I named her June Jose for the month she was lost and for my father. My dad planted a flowering bush in her honor. I waited to have another child. I spent my third and fourth pregnancies doing everything I could to grow healthy babies—and I did. Still, there was a pain I couldn’t shake, that I still can’t.

In a strange way, I don’t think I’m meant to forget that pain. Living children spend their entire existences are spent filling us with joy, love, worry, frustration, and a litany of other feelings. We love them more each day, and they teach us in both subtle and grand ways. Children lost in pregnancy or infancy aren’t exempt from inspiring these feelings—they just do it in a different way. The what-ifs intensify those feelings. These children who were lost are simultaneously infinite in their possibilities and finite in their reality. I’ll never know for sure that my child was a girl. I’ll never know if she had my eyes or my husband’s smile. I’ll never know what it feels like to hold her.

No matter how full my heart is, there will always be a smaller corner of it that aches just for her, and I’ve accepted that it is supposed to be that way. My sorrow is never ending, but so is my love for the child I lost.

If you have suffered a pregnancy or infant loss, you can find your local chapter of Share Pregnancy and Infant Loss Support here, and get their help during this time.

The post I have three healthy kids, but I’ll never forget the pain of my miscarriage appeared first on HelloGiggles.

HelloGiggles

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Patients shocked, burned by device touted to treat pain

Spinal-cord stimulators are more dangerous than many patients know.
ABC News: Health

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Persistent Back Pain Is A Serious Warning Sign

Persistent Back Pain Is A Serious Warning Sign

New research has found that older women who experience frequent back pain may have a higher risk of death.

Carried out by researchers at Boston Medical Center, the study is the first to investigate the effect of persistent back pain on mortality, with previous researchers only focusing on the impact of back pain on disability.

For the new study, the researchers followed 8,321 women aged 65 or…

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WomensHealth.com

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Giant baby born to mom without pain relief

Whoa, baby!

If any mom deserves a push present, it’s this one.

Sydney, Australia mother Nikki Bell gave birth to a 12-pound, 6-ounce boy named Parker last Thursday without the help of pain relievers. The big bundle of joy’s weight was a record-breaker at Blacktown Hospital, according to its midwife…

Life Style – New York Daily News

EMPLOYMENT SEARCH UPDATE:

Bob Barker reportedly rushed to hospital with back pain

Bob Barker was reportedly hospitalized Monday after complaining of severe back pain.

Paramedics responded to the Hollywood Hills home of the “Price is Right” icon around 1 p.m. after he called 9-1-1, according to TMZ.

Barker’s manager told the gossip site that the 94-year-old former game show host…

/entertainment – New York Daily News

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