Apple might be debuting a brown iPhone, and, well, yeah…

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It looks like Apple is about to redefine courageAgain

As the world anxiously awaits the hours-long press conference set to take place Sept. 12 at the Steve Jobs Theater, one exciting iPhone-related tidbit appears to have dribbled out ahead of time: One of the colors the new 6.1-Inch iPhone will come in is some form of brown. 

That’s right, for those in search of that elusive “Yes, I only text you back while pooping” look, Apple just might have you covered. 

This revelation was brought to our attention by Ben Geskin, who often tweets Apple leaks, with several photos allegedly depicting SIM trays from one of the three iPhones expected to be unveiled tomorrow. The colors — at least according to the pics — include space gray, silver, red, blue, and a particularly awful shade of brown.  Read more…

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Nike’s decision to make its bold deal with Colin Kaepernick was partly a shrewd business move, but sources involved in the negotiation tell TMZ Sports a big part was also cultural. Our sources say Nike was fully aware there would be outrage by…

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Mehta: Sam Darnold’s stalemate with Jets is over, and now we’ll see if he can actually win the starting QB job

Superman reappeared Monday afternoon in Florham Park with his sublime hair, sunny disposition and same steely-eyed focus that have had grown men giddy for months.

He floated to practice without a cape to a roar from fans and a sarcastic slow clap from his teammates.

When Sam Darnold showed up to…

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Trump’s right: The economy is doing well and he deserves some credit

President Donald Trump thinks he’s overdue some credit for steering the strongest economy on the planet — and he’s probably right.


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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Get Well Wednesday: Can Technology Put Your Health At Risk?

FOR WOMEN WHO MAY KEEP THEIR CELL PHONES TUCKED IN THEIR BRA — IS THERE A RISK OF BREAST CANCER FROM RADIATION?
A: As far as we can say, there is no credible evidence linking cell phones tucked in the bra to breast cancer. While there are plenty of Facebook posts claiming a link, there just is no solid evidence. In fact, cell phones do not emit the type of radiation known to cause cancer.

FOR MEN WHO KEEP THEIR CELL PHONES IN THEIR POCKETS — IS THERE A RISK OF INFERTILITY/DECREASED SPERM COUNTS?
Again, there is no credible evidence to support this claim.

IS THERE ANY LINK BETWEEN PROLONGED CELL PHONE USE AND CANCEROUS BRAIN TUMORS (OR OTHER TYPES OF CANCER)?
A number of studies have tried to get at this question. Results are inconclusive. The International Agency for Cancer Research the UN cancer agency says “maybe.” It’s important to note though that there has been no increase in cancerous brain tumors in those countries where cell phones were first widely used. If cell phones did significantly increase the risk, it’s likely we would have seen an increase by now.

So while cellphones do not seem a significant or even likely cause of brain tumors, I actually believe we should tell people what we know, what we do not know and what we believe and label it accordingly. The answer is we do not know. Everyone is allowed to have a belief as long as they label it so. The problem is, people are stoking fears and creating unfounded worries. That’s not really fair considering the evidence.

WHY DOES THERE SEEM TO BE SO MUCH CONFLICTING INFORMATION REGARDING CELL PHONE RADIATION AND CANCER?
he only ethical way to answer these questions scientifically is through epidemiologic study. It is hard to do good epidemiologic studies. They take a long time and even then can be prone to certain biases. If something causes a lot of cancer as cigarettes do, it is much easier to establish a definitive link.

Our studies tell us that if cell phone do cause cancer, it is in small numbers. Smoking, obesity and lack of exercise, and even alcohol consumption are way ahead of cell phones, as they definitely cause cancer. Cell phones are a big maybe and in my opinion, probably not a cause of cancer at this point.

The answers to the above questions may differ for children who have developing brains and skulls. It is possible that kids should not use cell phones or should use them in very limited ways. They could be more at risk of brain tumors than adults because of thin skull shielding and developing brains. Again I have to use “possible” and “could,” as the science is inconclusive. It is hard to study this in adults and even harder in kids.

DO CELLPHONES CAUSE ANY OTHER HEALTH PROBLEMS?
I am frequently asked about cell phones and brain tumors and the amazing thing is the science clearly shows us that if they cause brain tumors it is in small numbers. It is very clear that cell phone induced distraction, especially while driving, kills far more people than cell phones do through cancer.

HOW CAN I LOWER MY EXPOSURE TO RF WAVES FROM CELLPHONES?
If you are worried about cell phones causing cancer and I refuse to criticize anyone who does worry, use the phone with a wired headset (not a blue tooth). The other thing is do not store it next to your body when not on a call.

WHAT ARE SOME FACTORS THAT DEFINITELY DO AFFECT CANCER RISK?
Tobacco use causes more than a third of all cancer deaths. I even worry about medical radiation from screening and diagnostic tests, which causes 1 to 2 percent of cancers. This is a much more important source of radiation than cell phones, which again emit the wrong kind of radiation in way smaller amounts. The key here is to avoid unnecessary medical tests.

WHAT ARE SOME OF THE OFTEN-DISCUSSED MYTHS THAT ACTUALLY DO NOT INCREASE BREAST CANCER RISK?

I hear questions about bras and deodorant causing breast cancer. There is no evidence to prove either one of these do.

IS CANCER HEREDITARY?
About 1 in 10 people who get cancer get it because it travels in their family. We see hereditary breast, colon and prostate cancer, especially. There are hereditary leukemias, lymphoma, ovarian and endometrial cancers, but these are not at common. We are getting better at figuring out the gene mutations that increase cancer risk.

ARE RESEARCHERS CLOSER TO FINDING A CURE FOR CANCER?

That is the most complicated question you have asked. Cancer is more than 200 different diseases all with uncontrolled cell growth in common. Some cancers are already very curable. More than ¾ of all testicular cancers, most lymphoma and a significant number of leukemia is regularly cured.

There are what are called recalcitrant tumors that are more difficult to cure. For those we focus on early detection with treatment through surgery and radiation. A growing number of patients early diagnosed colon, breast, prostate and lung cancers do well.

Making things even more complicated we have learned a large number of certain cancers would do well no matter what we do. There is increasing movement to watch early prostate cancer as more than half of men diagnosed will never need treatment. We are getting better with tests that tell us the people with breast and prostate cancer that need treatment versus those that need observation.

Prevention of cancer is also important. The combination of prevention (especially tobacco control) and wise screening and treatment have prevented a lot of deaths. The cancer death rate has actually declined 26% since 1992.

Dr. Otis W. Brawley currently serves as professor of hematology, oncology, medicine, and epidemiology at Emory University. From April 2001 to November 2007, he was director of the Georgia Cancer Center at Grady Memorial Hospital in Atlanta, and deputy director for cancer control at the Winship Cancer Institute at Emory University.

Dr. Brawley is a graduate of University of Chicago, Pritzker School of Medicine. He completed an internal medicine residency at University Hospitals of Cleveland, Case-Western Reserve University, and a fellowship in medical oncology at the National Cancer Institute. He is board certified in Internal medicine and medical oncology.

 

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Get Well Wednesday: What You Need To Know About Hair Loss And How To Stop It

Jada Pinkett Smith recently revealed she was having trouble with unexpected hair loss, the cause of which has not been determined. Many Black women are challenged by thinning and bare edges and sometimes balding and permanent hair loss. Leading dermatologist Dr. Karen Heidleberg-Barnwell says there are some measures you can take to combat hair loss.

 WHAT ARE THE MAIN TYPES OF HAIR LOSS?

There are 2 main types of hair loss; scarring (cicatricial) and non-scarring  (non cicatricial). Scarring hair loss causes damage to the follicular epithelium, causing permanent hair loss.  Non-scarring hair loss is not permanent. There are also abnormalities that can occur with the hair shaft which can be congenital or acquired. These abnormalities can cause hair breakage.

 WHAT ARE SOME OF THE COMMON CAUSES OF HAIR LOSS?

 Male-pattern hair loss is the most common form of hair loss in men, and female-pattern hair loss is the most common form of hair loss in women. There is an epidemic of avoidable hair loss that we are seeing in young African\-American women based primarily on styling practices.

DOES YOUR HEALTH AND/OR DIET AFFECT HAIR LOSS?

Yes, your physical health and diet can affect hair loss. Calorie and protein malnutrition is associated with hair loss. In addition, hair loss is often associated with chronic diseases, post-surgery, and with medications.

IS ALOPECIA HEREDITY?

Yes, there are studies that demonstrate that the predisposition to male balding is predominantly due to genetic factors. Women with androgenic alopecia often have a family history of pattern alopecia in both male and female family members.

DOES STRESS AFFECT HAIR LOSS?

Yes, stress can affect the hair. Telogen effluvium has been associated with severe prolonged psychological stress. Although Alopecia Areata (AA) is an immune mediated form of hair loss, a link between stress and the development of AA has been described.

CAN CERTAIN MEDICATIONS CAUSE HAIR LOSS?

Yes, medications can cause hair loss.  There are numerous medications where hair loss is a side effect.

 WHAT’S THE DIFFERENCE BETWEEN HAIR LOSS AND YOUR HAIR SHEDDING?

We have normal  hair shedding where we  lose about 100-200 hairs per day. The amount of hair we shed each day varies between individuals and there are seasonal variations.  This hair shedding does not lead to thinning.

WHAT TYPE OF DOCTOR SHOULD WE BE GOING TO CONCERNING HAIR LOSS?

The specialty of dermatology addresses all medical issues concerning the skin, hair and nails. Therefore, you should seek an evaluation from a dermatologist.

WHAT IS TRACTION ALOPECIA?

Traction alopecia is hair loss caused by too much tension being placed on the hair with styling. It is most often seen around the hairline.  Some of the common hairstyles which cause this type of hair loss include  braids, pony tails, and hair weaves.

HOW CAN HAIR LOSS BE PREVENTED?

The most important  way to avoid hair loss is to understand the causes. Understand the preventable causes of hair loss and avoid those practices.  We know that chronic tension on hair can cause permanent hair loss, so it is best to avoid those styles.  It is also important to seek treatment as early as possible if you are losing hair. The sooner the problem is identified and treated, the better the response you will have .

IS THERE A CERTAIN TYPE OF SHAMPOO AND CONDITIONER I SHOULD USE TO HELP STRENGTHEN AND GROW MY HAIR?

 It is important to determine the cause of your hair loss and address that issue specifically. A good shampoo and conditioner may not solve your problem. In general, I recommend a good moisturizing shampoo and conditioner in addition to any medications needed.

DO YOU RECOMMEND ANY SPECIFIC VITAMINS OR SUPPLEMENTS?

My recommendations for supplements depend on the needs of the individual patient.  In general, topical minoxidil is helpful for hair loss and I often incorporate that into my treatment. 

WHAT WOULD YOU NEED TO SEE ON MY SCALP THAT WOULD PROMPT A SCALP BIOPSY?

A  scalp biopsy is often used in the evaluation of a patient with hair loss.  If you have hair loss, don’t be surprised if your doctor recommends a biopsy, which is very helpful in the overall evaluation.

DO I NEED TO TAKE A BLOOD TEST TO DETERMINE THE CAUSE?

There are some types of hair loss where blood work is necessary, but it is not always required.

Dr. Heidleberg-Barnwell answers your ‘Text Tom’ questions on the next page.  

Can anything be done about thinning hair from dialysis? Been on it 4 years and hair has thinned.

Hair loss associated with dialysis is a common problem and can be treated. I would suggest that you see a board-certified dermatologist in your area.

 My hair has not come back from chemo 7 years ago. Any hope that I can regrow hair?

In general, hair loss associated with chemotherapy is usually non – scarring and doesn’t cause permanent hair loss. However, more recently there has been permanent hair loss associated with some chemotherapeutic medications. I would suggest that you see a board certified dermatologist for an evaluation and discuss your previous treatments.

What can be done for women with alopecia? My daughter in law is looking for option.

There are many treatment options for hair loss.  Your daughter in law needs to be evaluated by a board certified dermatologist to identify the cause of her hair loss and based on that, she can receive appropriate treatment.

Is wearing natural hair healthier or better for us, even if we are just braiding it and wearing wigs, weave, etc.?

Wearing tension-causing hair styles, which include braids and hair weaves, can cause permanent hair loss.

How does hair dye effect hair, especially bleaching?

Permanent hair dye penetrates the hair shaft.  As a result, sometimes the hair becomes dry, brittle and breaks more easily.

I have shallow roots. When my hair comes out it, comes out at the roots. Is there anything I can do to stimulate root growth?

It is normal to have hair shedding.  We may lose 100-200 hairs per day, but this varies between individuals.Your hair loss  should  be evaluated by a board certified dermatologist to determine if your hair loss is normal or requires treatment.

How do I find a good dermatologist in South Florida? I have been to dermatologist that were not that good. My son has growth on the tip of his finger under the finger nail. The dermatologist froze it, then burned it but it has come back.

I recommend contacting the American Academy of Dermatology.  It is the largest, most influential and representative dermatology group in the U.S. You can find a listing of dermatologists in your area.

 Does being diabetic cause hair loss?

Hair loss is sometimes seen with chronic diseases. You should have your hair loss evaluated by a board-certified dermatologist to receive appropriate treatment.

My wife loses hair whenever she combs it. She told me that it’s normal. What do you think is happening here?

Your wife is probably correct.  It is normal to lose hair daily with hair combing.  Some people can lose 100-200 hairs daily!  However, if there is a concern, she should be evaluated by a board-certified dermatologist to see if her hair loss is normal.

I have a 2-year old granddaughter and her hair has patches. What can we do now to restore her hair?

There are many causes of patchy  hair loss in children. I suggest you take her to a board-certified dermatologist for evaluation.  Most causes of hair loss in children can be treated.

 I have had universal alopecia for over ten years. I’m still hoping for a cure.

Alopecia universalis is a difficult type of hair loss to treat. The good news is that there are new medications that are being tested. Keep in contact with your dermatologist regarding JAK inhibitors.

I am 31 years old. Within the last 2 years, my hair has thinned out a lot & will not grow anymore. My hairdresser has even commented on the thickness and my length. Is there anything I can do to increase the thickness and get my hair to start growing again? I don’t wear braids or hair extensions.

Sometimes we can damage our hair with heat and styling practices. These practices can make our hair break and become shorter and thinner and it seems that the hair isn’t growing.  Of course, there are other things that can make your hair thinner.

I would suggest that you see a board-certified dermatologist to evaluate your hair.  The dermatologist can help to identify the cause of the hair loss and make appropriate recommendations.  It doesn’t sound like permanent hair loss which is great!

 Dr. Karen, how do I find a qualified Black dermatologist in my area?

The National Medical Association (NMA) is the leading organization of African0-American physicians. The NMA is the largest and oldest national organization representing African-American physicians and their patients in the United States.

Is a visit for hair lost diagnosis and treatment covered by insurance or is it considered cosmetic and you have to pay out of pocket? And if that is the case, about how much would this cost run you?

The coverage for a  hair loss evaluation by a dermatologist depends on your insurance.  Check with your policy and they can estimate your out of pocket expenses.

I’m a 70 years. young woman  with thinning around my hairline. I prefer wearing my hair away from my face. I have thick head of hair, thank God, however does thinning hairline come with age?

Thank God for thick hair! What a blessing!  Make sure that your hair styles are not putting tension on your hairline because this styling practice can cause thinning.

I’m 48 and have what I think is the typical male-pattern baldness…I call a sunroof….is there any treatment for someone my age?

As I mentioned in my interview, male-pattern hair loss is the most common form of hair loss in men. You should be evaluated for your hair loss. Depending on the extent of your hair loss, you may respond to therapy.  Therapy my include topical medications, oral medications, injections, laser, or a combination of these treatments. If all else fails, there is always hair transplants!

What can I use for eczema and flakes on my 9-year-old daughter’s scalp? Is there any oil that is safe to use on the scalp for adults or children?

The treatment of a flaky scalp often requires medical treatment if it doesn’t respond to over the counter remedies such as tar shampoos.

 

Dr. Karen Heidleberg-Barnwell, best known as  “Dr. Karen” is a board-certified dermatologist, with a successful practice in Detroit, Michigan.  She received her medical degree from the Howard University College of Medicine and completed her internship in internal medicine at George Washington University Hospital. She did her dermatology residency at the Mayo Clinic. At Heidelberg Dermatology, Dr. Karen is the managing partner and chief physician. 

PHOTO: Courtesy

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Prince George and Princess Charlotte are ‘addicted’ to this condiment that pairs well with French fries

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Virtual doctor start-up American Well is raising over $300 million and Philips is a new investor

American Well is raising over $ 300 million for telemedicine, and Philips is a new investor
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Get Well Wednesday: Parkinson Voice Project

 

APRIL IS PARKINSON’S DISEASE AWARENESS MONTH

Phillip and Tonja Cooper have been married for 35 years. Tonja is a LOUD Crowd® assistant at the Parkinson Voice Project. Phillip was diagnosed with Parkinson’s 7 and a half years ago and has been a LOUD Crowd® member at the Parkinson Voice Project since that time. His symptoms started years before his diagnosis.

WHAT IS THE PARKINSON VOICE PROJECT AND WHAT MADE YOU START IT?  

90% of people with Parkinson’s are at risk of losing their ability to speak and to swallow.  I knew that I could help.  Parkinson Voice Project’s two-part therapy approach helps this patient population REGAIN and MAINTAIN their speech and swallowing.

Left untreated, people with Parkinson’s are at high risk of losing their ability to speak which can then affect one’s ability to swallow.  Difficulty swallowing can be life-threatening and can lead to multiple hospital stays, feeding tubes, and aspiration-pneumonia.

WHAT ARE THE SIGNS OF PARKINSON’S AND WHAT CAUSES IT? 

The four primary symptoms of Parkinson’s are:  tremor, slowness of movement, rigidity, and impaired balance.  Parkinson’s is caused when neurons that produce a chemical called dopamine die or become impaired.  By the time someone has any symptoms of Parkinson’s, 60-80% of the dopamine-producing cells have been depleted.

IS PARKINSON’S HEREDITY?

The cause of Parkinson’s is unknown, but it is suspected that a combination of environmental and genetic factors are primary contributors.  While Parkinson’s is not hereditary, those with a family history of the condition are at a slightly higher risk of developing Parkinson’s.

IF DETECTED EARLY CAN PARKINSON’S BE PREVENTED?

I am not aware of any methods to prevent the development of Parkinson’s.  While there is no cure to this neurological condition, though, Parkinson’s CAN be managed with medications, intensive exercise, and reducing stress.

IS THERE A TEST YOU CAN TAKE TO SEE IF YOU’RE AT RISK?

This is a question for a physician.

PARKINSON’S PATIENTS OFTEN LOSE THEIR ABILITY TO SPEAK. HOW DOES PARKINSON VOICE PROJECT HELP?

Parkinson Voice Project’s speech therapy program as two parts:  SPEAK OUT!® followed by The LOUD Crowd®

SPEAK OUT!® consists of individual therapy with a speech-language pathologist that strengthens the muscles used for speaking and swallowing and teaches the patient how to “speak with intent.”  People with Parkinson’s must be INTENTIONAL in everything they do—including speaking.

The LOUD Crowd® is the “maintenance” portion of the program.  It consists of weekly speech and singing groups to help keep patients motivated to keep up with daily speech exercises and it also provides continued instruction, encouragement, and support by a speech-language pathologist.

Since Parkinson’s is a progressive, degenerative condition, it is crucial that patients receive ongoing, continuous therapy in order to maintain their speech and swallowing abilities.  A person with Parkinson’s never “finishes” speech therapy.  It’s something they will have to work on for the rest of their lives.

EXPLAIN HOW THE PAY-IT-FORWARD SYSTEM WORKS AT THE PARKINSON VOICE PROJECT?

People with Parkinson’s receive a speech evaluation and as much speech therapy as they need.  At the end of treatment, they are given an opportunity to Pay It Forward—make a donation to help the next patients receive treatment.  In other words, our clinic doesn’t bill insurance or charge for our therapy services.  We’ve provided all of our therapy services using the Pay It Forward concept since 2008.  No patient has ever been denied treatment at Parkinson Voice Project due to limitations in insurance coverage or finances.

HOW CAN PEOPLE GET MORE INFORMATION ABOUT PARKINSON VOICE PROJECT?

Please visit our website at www.ParkinsonVoiceProject.org.

Samantha Elandary is the founder and chief executive officer of Parkinson Voice Project, non-profit organization in Dallas. She holds a B.A. in communication disorders and english and an m.a. in speech-language pathology from the University of North Texas. She has spent the past 20 years dedicated to helping those with Parkinsons preserve their speech and swallowing.

Samantha Elandary answers your questions on the next page.

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Marco Rubio tried to talk about Kanye West to connect with young voters — it didn’t go well

Marco Rubio switched from bible verses to Yeezus Friday – and plenty of critics gave him hell.

The GOP senator from Florida posted a rambling video on his social media accounts along with the caption, “What do you think of Kanye West’s new album?”

“I don’t know anything about Kanye West’s new album…

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New iPhone X Plus schematic suggests we’ll have to wait for the triple-cam iPhone

iPhone X Plus Specs

Apple will reportedly launch three new iPhone X models this year, including an affordable 6.1-inch LCD model and two iPhone X successors with OLED screens measuring 5.8 inches and 6.5 inches — the latter of which is currently being referred to as the iPhone X Plus (though we don’t know the real name).

Now, a brand new leak appears to show us schematics for the 6.1-inch and 6.5-inch iPhones, complete with design details and sizes. But no matter what you hear today, the iPhone X Plus schematic doesn’t suggest that the bigger model will have a triple-lens camera on the back like the Huawei P20 Pro.

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Get Well Wednesday: The Truth About Lupus


May is National Lupus Awareness Month.

Lupus is a chronic autoimmune disease that can damage any part of the body (skin, joints, and/or organs). “Chronic” means that the signs and symptoms tend to last longer than six weeks and often for many years.

Lupus is an often invisible but devastating disease. Many celebrities with Lupus have spoken out about how it impacts their health and their careers such as Nick Cannon and Toni Braxton.

WHAT DIFFERENT TYPES OF LUPUS ARE THERE? FOR EXAMPLE, IT’S BEEN REPORTED THE SCARS ON SINGER SEAL’S FACE ARE ACTUALLY A SKIN FORM OF LUPUS?

1. Systemic lupus
2. Discoid lupus
3. Subacute cutaneous lupus
4. Drug induced lupus

 IS THERE A CERTAIN AGE WHEN MOST PEOPLE DEVELOP LUPUS?
Most develop the disease during childbearing years – 15 – 44, but it can also occur in children and the elderly.

WHAT CAUSES THE AUTOIMMUNE DISEASE TO DEVELOP?
First – a genetic predisposition – then in those genetically susceptible – theories – infection, virus, chemicals, hormones, stress – unknown.

WHY IS IT OFTEN DIFFICULT TO DIAGNOSE?
Because it is a systemic disease, any body system can be involved so presenting symptoms can be variable. Also, the signs and symptoms can occur over time – months to years. Most remain vigilant. There are 11 criteria’s and you must meet 4 for a diagnosis to be substantiated.

DO YOU KNOW WHY WOMEN OF COLOR ARE MORE LIKELY TO DEVELOP LUPUS THAN CAUCASIAN WOMEN?
Casual factors such as; poverty, lack of access to health care, diagnosed later when disease is more severe, genetic alteration in protective immune cells (HLA-PRB1) resulting higher disease.

WHY DOES LUPUS APPEAR TO AFFECT WOMEN MORE THAN MEN?
Several genes that increase susceptibility to lupus differ between men and women, and women must inherit smaller numbers and susceptibility genes than men to develop the illness. Also, certain genes that produce proteins that increase the risk of lupus called Toll-like receptors – are allowed to ever express in patients with 2xx chromosomes in female versus men with only 1x chromosome.

HOW DOES LUPUS AFFECT THE KIDNEYS?
The autoimmune proteins invade the filtering units of the kidney causing damage and invade the blood vessels supporting the kidney.

WHEN AND HOW IS CHEMOTHERAPY USED TO TREAT LUPUS?
Chemotherapy – destroy cells. Cells follow the autoimmune proteins that invade the kidney. If one destroys the cells, then the organ is protected.

Dr. Samuel Pegram is a rheumatologist in Houston and is affiliated with multiple hospitals in the area, as well as the Rheumatic Disease Clinical Research Center which he founded. Dr. Pegram received his medical degree from the Ohio State University college of medicine and has been in practice for more than 20 years.

Read on for answers to your “Text Tom” questions on the next page:

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Get Well Wednesday: Fibroids And How To Treat Them

Dr. Whitney Dunham is a Board certified OBGYN, with concentration in routine and high risk obstetrics, adolescent gynecology and Robotic surgery. A native of Philadelphia, she obtained her undergraduate degree with honors, from Howard University and Medical Degree from Meharry Medical College, graduating at the top of her class.

After completing her training in OB/GYN, Dr Dunham moved to Huntsville in 2001 where she started and successfully ran her own practice for nearly a decade. Currently, Dr. Dunham holds a Medical Director position for the North Alabama Hospitalist program at Huntsville Hospital while continuing her clinical duties. Dr Dunham is also a proud mom, spending most of her free time with her two very active daughters.

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instagram: drwhitneyd

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Email: drwhitneyd@icloud.com

WHAT ARE FIBROIDS AND WHAT CAUSES THEM?

Fibroids are benign (non-cancerous) growths in the uterus (womb). They are made of up the muscle fibers of the uterus. Fibroids grow in different areas of the uterus; within the lining, within the wall, close to the surface and sometimes attached by a stalk. At this point, there are no definitive causes. There is research to show that fibroids are stimulated by hormonal production. They are more common in women of African descent, but are seen in most races and nationalities. Fibroids are common in families. More research is necessary.

 \WHAT ARE THE MOST COMMON SYMPTOMS OF UTERINE FIBROIDS?

Most common symptoms include: heavy bleeding, severe cramping with menses,  pain – with urination and with intercourse, pelvic pressure sensation due to uterine enlargement, changes in bowel habits, complications with pregnancy (pain, bleeding, miscarriage, preterm labor, preterm delivery),  infertility

 WHY DO FIBROIDS CONTINUE TO RETURN IN SOME WOMEN FOLLOWING TREATMENT?

Every woman should be counseled prior to any type of management decision that fibroids will return as long as there is continued stimulation by hormones and the uterus is present. The only way to insure that they will not return is to remove the uterus.

HOW ARE BIRTH CONTROL PILLS USED TO TREAT FIBROIDS?

Birth control pills can be taken daily to control bleeding and regulate menstrual patterns.

 WHAT IS THE FIBROID EMBOLIZATION PROCEDURE USED FOR TREATMENT?

Uterine fibroid embolization (UFE) is a procedure used to treat fibroid in an outpatient setting. It is performed by an interventional radiologist in the radiology department. This procedure is not performed by a gynecologist in the operating room. During this procedure, under x-ray, a catheter is introduced through their groin and travels to the blood vessels that supply the targeted fibroids.

Particles are then injected into those blood vessels to block that blood supply. This then causes the fibroids to be without nutrition for further growth and they recede. Prior to this procedure the patient has had a consultation with the radiologist and has had an MRI performed which will delineate the fibroids. The patient then stays overnight for observation for any potential side effects like pain and fever. The patient then has a follow ultrasound in 6 to 9 months. Patients have to be counseled that they may not be able to get pregnant following this procedure.

UNDER WHAT CIRCUMSTANCES SHOULD A HYSTERECTOMY BE CONSIDERED?

A hysterectomy can be considered in patients who have completed childbearing or do not desire the ability to bear children. The decision to have a hysterectomy should be made following a discussion of all options available based on that woman’s individual situation.  A hysterectomy is not necessary in every situation. There are other methods to manage and treat fibroids that do not require complete removal of the uterus.

 WHAT’S THE DIFFERENCE BETWEEN A MYOMECTOMY AND A HYSTERECTOMY?

 A myomectomy is the removal of the fibroid from their uterus. A total hysterectomy is the removal of the uterus and cervix. (this can occur while leaving the ovaries intact). (Misnomer: Many people have been told that a partial hysterectomy means the ovaries are left behind. It actually refers to the retention of the cervix following the removal of the uterus.)There are multiple ways to do both of those procedures including laparoscopically, with or without the assistance of robotic technology, open incision (abdominally), vaginally. The methods for each depends on the woman’s individual situation regarding the size of her uterus and number of fibroids in the skill level of the surgeon.

 CAN DIET AND EXERCISE AFFECT FIBROIDS?

 Yes. If you research or speak with a naturopath or nutritionist, they will suggest you avoid certain types of unhealthy food including high fat, processed meat, certain types of dairy, refined sugar, refined carbohydrates, alcohol, caffeine, food preservatives, food dyes, foods treated with pesticides and herbicides, bleach, and many others. There is also the suggestion to add certain essential oils and nutritional supplements. And although these will definitely improve your overall health and well-being, one cannot say that absolutely these will target fibroids specifically.

ARE THERE NATUROPATHIC TREATMENT OPTIONS THAT WORK?

To my knowledge there are no naturopathic treatment options that have been proven scientifically to work. But there are many women who have had some relief and will attribute a decrease in their symptoms and in the size of their fibroids to various methods that day personally utilized. But as with any type of treatment method, medication, supplement, each person may have a different outcome.

WHAT’S THE BEST WAY TO FIND AN AFRICAN-AMERICAN FEMALE GYN WHO SPECIALIZES IN THE TREATMENT OF FIBROIDS? CAN YOU RECOMMEND A DIRECTORY OR SITE TO FIND A PHYSICIAN?

To my knowledge there are no specific sites or lists of African-American female gynecologist exclusively. But if you do an Internet search and put in the parameters you’re looking for in your area you should be able to find us. In addition contacting your local medical society or ACOG.org (the American College of Obstetricians and Gynecologists), may be helpful. One website that I found with good information: Hystersisters.com. Many women find that they are more comfortable with referrals from family, friends, and/or coworkers.

 

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BEST DEAL UPDATE:

All-Star race shakeup goes well and NASCAR should try again

CONCORD, N.C. (AP) Something had to be done to NASCAR’s annual All-Star race, which had stopped being special years ago. A bunch of drivers circled around Charlotte Motor Speedway in cars too difficult to pass for the lead, so whoever had the clean air raced to an easy $ 1 million prize.

FOX Sports Digital

BEST DEAL UPDATE:

Get Well Wednesday: Are You Anxious? Here’s What To Do About It

WHAT IS ANXIETY AND WHAT ARE SOME OF THE MOST COMMON ANXIETY DISORDERS?

Anxiety is a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. It is a normal reaction to stressful situations however in some cases, it becomes excessive and can cause sufferers to dread everyday situations.

There are a variety of anxiety disorders, each with their own signs and symptoms. Although many of the signs and symptoms overlap, individuals may experience different signs and symptoms at different levels of severity and durations. The following are some of the more common types of anxiety disorders: Generalized Anxiety Disorder is the most common anxiety disorder, followed by (in no particular order) Panic disorder, Social anxiety disorder, Obsessive-compulsive disorder (OCD), Post-traumatic stress disorder (PTSD) and Separation anxiety disorder.

 WHAT ARE THE SYMPTOMS OR SIGNS OF AN ANXIETY OR PANIC ATTACK?

Anxiety comes in many forms such as panic attacks, phobia, and social anxiety. the distinction between an official “anxiety disorder” diagnosis and “normal anxiety” isn’t always clear. However, if a person experiences any of the following symptoms on a regular basis, and it interferes with their functioning, they should consult with their doctor: excessive worry, sleep disruption, irrational fears, chronic indigestion, panic attacks, flashbacks, perfectionism, compulsive behaviors, self-doubt, self-consciousness and stage fright.

 Panic attacks occur with panic disorder. They may also occur with other psychiatric disorders. During a panic attack, the symptoms are sudden and extremely intense. These symptoms usually occur unexpectedly without an obvious, immediate cause. The symptoms are usually overwhelming and become severe within 10 minutes and then dwindle. However, the duration of some attacks may last longer or may occur in sequence, making it difficult to determine when one attack ends and another begins.

A panic attack is characterized by four or more of the following symptoms:

  • Heart palpitations, pounding heart, or accelerated heart rate
  • Excessive sweating
  • shaking/trembling
  • Sensations, shortness of air, difficulty breathing, or smothering
  • Feeling of choking
  • Chest pain or discomfort
  • Nausea or abdominal distress
  • Feeling dizzy, unsteady, light-headed, or faint
  • Feelings of unreality (derealization) or being detached from oneself (depersonalization)
  • Sense of danger or doom (i.e. fears dying)
  • Numbness or tingling sensations (parenthesis)
  • Chills or hot flashes

 

WHY ARE ATHLETES MORE AT RISK OF HAVING ANXIETY DISORDERS?

 Many athletes struggle with stress and anxiety on a daily basis. Each athlete reacts to the stress and anxiety differently. Younger athletes may find it challenging to manage the stress and anxiety that comes along with a full class load, while trying to balance that with the demands of their sport, as well as the pressures of their family and friends. They should be encouraged to seek help from their school’s counseling center, to manage and limit their stress and anxiety.

Professional athletes also struggle with stress and anxiety. It is challenging to face the pressure to perform within their sport; they can be impacted by intense public scrutiny; they compete in a culture that inhibits them from seeking the help they need.

One of my patients who is a professional athlete and has severe anxiety said that their coach told them to “take it out on the court/field” “Be strong/tough,” which are FALSE mentalities and the WORST ways to manage their mental health issues.

It is important for the athlete’s coaches and trainers to be educated on the difference between “normal anxiety” and an “anxiety disorder” and recognize the signs and symptoms of the latter. Equally important, it is recommended that coaches and trainers encourage their athletes to seek help.

 WHO ARE SOME OF THE ATHLETES WHO HAVE SPOKEN PUBLICLY ABOUT THEIR MENTAL HEALTH CHALLENGES?

  • NBA legend Jerry West has struggled for decades with depression and low self-esteem.
  • New York Giants wide receiver Brandon Marshall calls mental health awareness and acceptance “the civil rights movement of our era.” He was diagnosed with borderline personality disorder in 2011
  • Kevin Love (NBA)-Panic attacks
  • Serena Williams (American Tennis Player and Medalist)- Anxiety
  • Arian Foster (NFL)-Panic Attacks
  • Simone Biles (Olympian Gymnast and medalist)-ADHD
  • Michael Gatlin (Olympian Track star and medalist)- ADHD
  • Michael Phelps (Olympian Swimmer and medalist)-Severe depression; contemplated suicide
  • Royce White (MLB)-Anxiety and obsessive thoughts
  • Imani Boyette (WNBA)-severe depression and self-harm behaviors
  • Mardy Fish (American Tennis Player)- Severe anxiety disorder with panic attacks
  • Rick Ankiel (MLB)-Severe Anxiety
  • Brandon Brooks (NFL)-severe anxiety
  • Allison Schmitt (Olympian Swimmer)- depression
  • Chamique Holdsclaw (WNBA player) – bipolar disorder

 WHY IS MENTAL ILLNESS SO TABOO IN THE AFRICAN AMERICAN COMMUNITY?

  • A: African-Americans are disproportionately more likely to experience circumstances that increase the chances of having a mental illness (poverty, unemployment rate, crime, cultural insensitivity from providers)
  • Only 20% more likely to have psychological distress vs non-Hispanic whites
  • Young African-American Adults with higher levels of education are LESS likely to seek help

Some reasons that prevent African-Americans from seeking treatment and receiving quality mental health care include:

  • Cultural competence (providers insensitive to the African-American experience, especially doctors of a different ethnic background.)
  • Mistrust of authorities –Exclusion from receiving good service/care (i.e. slavery, sharecropping, exclusion from health, educational, social and economic resources)
  • Sign of weakness to receive help-Some African-Americans have normalized their own suffering
  • Lack access/insurance coverage
  • In denial (some admit to seeking services but not ok to acknowledging they have a problem)
  • Perception: fear of being labeled, “crazy”
  • Fear of medicine and its effects on the brain/body
  • Not being educated by providers about management of the LIFESTYLE for having anxiety
  • Praying alone may not help

 

HOW DID YOUR FAMILY REACT TO YOUR DIAGNOSIS?

My family was supportive of my diagnosis and continues to be supportive of my continued management. I was diagnosed with ADHD at age 33. I had no idea ADHD stippled my ability to perform at my best. While in medical school, I failed my medical board exams 5 times over a 6-year period and when I sought help at that time, performance anxiety (due to test-taking anxiety) was diagnosed.

I was not evaluated for ADHD because I did not present with the classic ADHD symptoms and my grades did not reflect any concerns. It was not until my final year of my child psychiatry fellowship at Baylor College of Medicine that one of my mentors suggested that I be evaluated for ADHD. Initially, I denied the diagnosis due to my lack of understanding that ADHD can present differently, especially in girls versus boys.

HOW DO YOU CONVINCE SOMEONE THAT NEEDS HELP TO GET HELP AND TO TAKE THEIR MEDICINE?

  • Let them know that there is an important conversation that you need to have with them.
  • Approach them with empathy and non-judgement. Consider saying “I know this is really hard for you, but I’m talking to you because I love you. If I didn’t care, we wouldn’t be having this talk.”
  • Be prepared for resistance. Try not to be defensive.
  • Refrain from using words like “crazy” or “abnormal.”
  • Use “I” statements, such as “I am concerned about you.” Avoid “you” statements.
  • Leverage your help. Phrase your concern in a way that you are asking them to seek help to help others. i.e. “This would be the best thing you could do for your child. Please do it for him. He needs for you to receive proper help more help than I or any of our family members know how to provide.”
  • Help locate a mental health professional and schedule an appointment on their behalf. Offer to attend at least the first appointment with them. Regardless if they go or not, go and discuss your concerns with the professional. There have been successes with a loved one eventually receiving the help they need after a family member or friend attended the first appointment.
  • If possible, offer to pay for the appointment if given the excuse that it costs too much.

Dawn Kamilah Brown (Dr. Dawn Psych MD), America’s favorite ADHD Expert, is a double-board certified child, adolescent and adult psychiatrist. She is the owner, CEO and sole practitioner at ADHD Wellness Center and has two private practice locations in Texas; she also has a growing virtual presence, offering online appointments. She is a pioneer of the Mental Health Movement, and a nationally recognized #1 best-selling author, ADHD coach, public speaker, and professional mentor.

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ENTERTAINMENT UPDATE:

Get Well Wednesday: How To Combat Allergies And Asthma

TIPS FOR PREVENTING/MANAGING ALLERGIES AND ASTHMA

 

HOW CAN YOU TELL THE DIFFERENCE BETWEEN HAVING A COLD AND HAVING ALLERGIES?

Some allergy symptoms like congestion are also common with colds, so a lot of people have a hard time telling the difference between them. In fact, a recent survey found that nearly half of allergy sufferers (49%) find it difficult to differentiate allergies from a cold.

It also found that one-third of patients (33%) think sneezing, runny nose and congestion must signal a cold – but that’s a misconception. It’s important to understand the differences between allergies and colds, so you can get the most appropriate treatment and find the relief you need.

One of the biggest differences is duration. Cold and flu symptoms are finite and run their course in about 7-10 days. Meanwhile, allergies can wax and wane or just persist all the time. Allergies can also be more prevalent at certain times of year – so if you find yourself sniffling and sneezing at the start of spring each year, it’s probably time to see an allergist for a proper diagnosis.

Also, symptoms like itchy eyes/nose/ears are typically associated with allergies, not colds. Meanwhile, colds can involve symptoms like a sore throat and slight fever that aren’t as common with allergies. Allergy secretions also tend to run clear, whereas cold secretions may be more yellow/mucousy.

HOW ARE ALLERGIES DIAGNOSED?
Allergy diagnoses are made by board-certified allergists, based on a patient’s medical history, a physical exam and the results of an allergy test. Allergy tests are typically done as skin tests where the surface of the skin is pricked or scratched with tiny amounts of common allergens. When a scratch test cannot be performed, a blood test can also be done.

Many people may have a suspicion of their triggers based on their allergy symptoms occurring during certain times of year or around specific things like a dog or fresh-cut grass. If your symptoms are more year-round, it might be more challenging for you. But keeping a mental diary can help an allergist diagnose your triggers along with either a scratch test or blood work.

HOW CAN PEOPLE FIND OUT WHAT THEIR ALLERGY TRIGGERS ARE?

 Allergy tests detect a patient’s sensitivity to common allergy triggers, such as pollen, dust mites, animal dander, and mold. If you are sensitive to a certain allergen, you may develop redness, swelling or itching at the test site. Once the test is complete, your allergist can tell you what your individual allergy triggers are and give you advice on ways to avoid them in your daily life.

WHAT ARE THE BEST TREATMENTS FOR ALLERGIES?

 I consider the cornerstone of treating allergies to be a mix of a 24-hour oral antihistamine, an intranasal corticosteroid, and some sort of allergy eye drop. For my patients, I often recommend over-the-counter antihistamines like Allegra (which offers fast, non-drowsy relief) and Xyzal (which relieves allergies all night and all day, so you can get a better night’s sleep and have more productive day) or nasal sprays like Nasacort (which offers relief of nasal allergy symptoms like congestion). If allergic asthma is an issue, an asthma medication like an inhaler may be needed, as well. It’s important to learn about your options and find what works for you, so you can take back control.

WHY DO SOME ALLERGY SEASONS TEND TO BE WORSE THAN OTHERS?
The reality is that allergy season is getting worse each year with higher pollen levels, due in part to climate change – and this year is no different. Warmer temperatures and higher levels of carbon dioxide in the atmosphere help plants grow and produce pollen, which then trigger allergy symptoms.

Essentially, the moisture of winter followed by warmer longer days with more sunlight lead to early and vigorous pollination, which then leads to intense pollen levels when full-blown spring hits. So even if spring is “delayed,” you’re still going to experience those dreaded symptoms.

 WHAT ARE SOME HOUSE CLEANING TIPS FOR INDOOR ALLERGIES?
First, when cleaning your house, it’s a good idea to wear a face mask and gloves to avoid contact with allergens as you go. It’s also important to wash your bedding weekly in hot water to help get rid of dust mites. In addition, I recommend using a vacuum with a HEPA filter, which will help ensure allergens stay sealed within the vacuum instead of blowing them back into the air.

WHAT ARE THE SYMPTOMS OF ASTHMA?
 Common asthma symptoms include coughing, difficult breathing, chest tightness, shortness of breath, and wheezing (although it’s important to know that even if wheezing is not present, asthma can still be the diagnosis). Nocturnal cough is also a classic symptom of asthma, especially in children.

CAN A PERSISTENT COUGH BE A SYMPTOM OF ALLERGIES?
Absolutely. A cough from a cold or virus should clear up in a couple of weeks. But if your cough persists or shows up consistently or in a pattern like every night in bed or each spring, it’s likely caused by an allergy.

 WHAT CAUSES ASTHMA?

Asthma can be caused by exposure to allergens like pollen. Asthma can also be caused by nonallergic factors like stress, exercise, changing seasons and temperature changes, including humid or cold weather. Asthma can also have a genetic component like all alllergic conditions.

 ARE THERE THINGS I CAN CHANGE IN MY LIFE TO REDUCE THE RISK OF ASTHMA?

Yes, you can reduce your risk by not smoking and avoiding second-hand smoke at all costs. Also, see a board-certified allergist who can help you identify your triggers, so you can minimize your exposure and start effective treatment. Compliance with your asthma plan and medications is so essential, too!

  WHAT KIND OF TESTS WILL I NEED TO MONITOR MY ASTHMA?

 Your doctor can provide you with a peak flow meter, which can give you a daily and as-needed snapshot of how you are doing. Keeping a symptoms diary and documenting triggers, along with breathing tests your doctor can do in the office, will all help your doctor assess how your asthma is doing and identify the best treatment approach.

 

Dr. Neeta Ogden is an adult and pediatric allergist, asthma specialist and immunologist in private practice in New Jersey. She is a graduate of Yale University and Albert Einstein College of Medicine.

Dr. Ogden has published research in various academic journals and presented at several national allergy meetings. She has also contributed to public education on allergies by sharing her expertise with a number of media outlets including The Today Show, CBS The Morning Show, CNN, and NPR to name a few.

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Get Well Wednesday: Prostate Cancer In The African American Community

Dr. Stacy Loeb is an assistant professor of urology and population health at New York university (NYU) specializing in prostate cancer and is one of the prostate cancer foundation’s funded young investigators.  

Dr. Loeb is an internationally recognized expert in prostate cancer with more than 285 peer-reviewed published articles and 11 book chapters.         

Dr. Loeb also frequently gives international lectures on prostate cancer, social media and men’s health. Dr. Loeb also hosts the men’s health show on Sirius XM 110 satellite radio.

What Is Prostate Cancer?       

A: The prostate is a gland found only in males that makes some of the fluid that is part of the semen.  .  The prostate is located below the bladder and in front of the rectum.it is the size of a walnut in younger men, but commonly gets larger as men get older.  This condition is known as enlarged prostate, and may cause bothersome urinary symptoms but is not associated with cancer.  Prostate cancer occurs when cells in the prostate gland start to grow uncontrollably.

Q: How does prostate cancer affect the African-American community? Why does it seem like prostate cancer is more aggressive in African-American men than other races?
A:  African-American men are significantly more likely to develop prostate cancer, and have more than twice the risk of dying from prostate cancer. The reason for this disparity is a major topic of scientific investigation and a priority area of research for the prostate cancer foundation.  There are many possible contributors to this issue ranging from genetic factors to differences in access to quality medical care.   Data shows that African-American men are less likely to be advised about cancer screenings and less likely to undergo surgery. 

Q: What are the risks associated with prostate cancer?
A:  Age is the biggest risk for prostate cancer, but is not the only risk factor.  Other important factors include:  family history, genetic factors, race, and lifestyle habits. Genes for disease can run in families.  Therefore, men who have a relative with prostate cancer are twice as likely to develop the disease, while those with two or more relatives are nearly four times as likely to be diagnosed.  The risk is even higher if affected family members were diagnosed before the age of 65.

Q: How often should you get tested for prostate cancer?
A: It is very important for African-American men to talk to their doctor about prostate cancer screening.  I recommend a baseline screening in the early 40’s. This value gives a lot of information about a man’s risk of ever developing life-threating prostate cancer.  The baseline screening results and other risk factors can be used to determine how often testing is needed after that.

Q: What are some of the cutting edge developments for prostate cancer?
A: We are in the midst of a very exciting time in prostate cancer research, with new advances and discoveries being made every day.  For example, research funded by the prostate cancer foundation showed that the brca gene (a mutation known to be associated with breast cancer) is also associated with an increased risk of prostate cancer.  These cancers respond to different types of treatment than what is traditionally used for prostate cancer.  In the future, we will see more and more “precision medicine” where treatment will be tailored to the specific genetic alterations in the individual patient.

Q: What is the “know your numbers” campaign?
A: The “know your numbers” campaign kicked-off in April.  It is a national men’s health initiative geared to shed light about the significant disparities that exist between men of African descent and other ethnicities, and to raise awareness about the risk factors associated with prostate cancer. For more information, you can visit: www.pcf.org/knowthenumbers.

Q: What type of effect does the diet have on the prostate?
A: Many different factors influence prostate cancer risk. It does have a large genetic component, but lifestyle factors also play a significant role. Parsing out these factors is complicated and is a major area of research.  Generally speaking, a Mediterranean diet is thought to be potentially beneficial for the prostate, including ly copene (found in tomato products). By contrast, charred meat and excess dairy are thought to be potentially harmful. Overall, what is heart-healthy is prostate healthy.

Life & Style – Black America Web

BEST DEAL UPDATE:

Get Well Wednesday: What You Need To Know About Sarcoidosis

Many of us first heard about the disease sarcoidosis when it was revealed comedian Bernie Mac had been diagnosed with it. Since that time, we’ve learned that Tisha Campbell Martin has also been diagnosed.

 In the United States, sarcoidosis is more prevalent among African-Americans, presenting 10 times more common in Blacks, and occurring two times more frequently in Black females than in Black males.

 WHAT IS SARCOIDOSIS? ARE THERE DIFFERENT TYPES?

Sarcoidosis is a disease that causes your immune system to overreact, which can lead to health issues. We don’t know exactly what triggers this over-reaction, but this is a subject of intense investigation in the research labs across the country. While sarcoidosis can affect virtually any organ in the body including the skin, lymph nodes, heart, nervous system, and joints, over 90% of cases include the lungs.

HOW DOES SARCOIDOSIS AFFECT YOUR BODY? DESCRIBE THE SYMPTOMS.

If you have sarcoidosis, the increased inflammation in your body may cause flu-like symptoms such as night sweats, joint pain and fatigue. This inflammation can lead to scar tissue in your lungs while also making them function more poorly. Some people with sarcoidosis also have skin and eye damage in addition to lung disease. Occasionally, those with sarcoidosis develop granulomas and inflammation in their hearts, which can trigger abnormal heart rhythms and problems with heart muscle pumping strength.

WHAT CAUSES SARCOIDOSIS AND WHY IS IT SO HARD TO DIAGNOSE?
No one knows what exactly causes sarcoidosis, but we do know that people over the between the ages of 20 and 40 years old, and women are more likely to develop sarcoidosis.

Sarcoidosis is difficult to diagnose because of the range of ways it can show up in the body – from skin rashes to blurry vision to respiratory problems – and some patients never have overt symptoms. In addition, sarcoidosis is a rare disease – estimated to affect 200,000 Americans (i.e. < 0.1% of us) making leading to a lack of knowledge among some physicians. Lung doctors tend to have the most experience with sarcoidosis.

 IS SARCOIDOSIS HEREDITARY?
The incidence rate in African-Americans is threefold to fourfold higher compared to Caucasian patients, however the disease has been characterized in all demographics regardless of age, gender or race.

 IS IT ALWAYS DEADLY OR CAN ONE LIVE A FULL LIFE WITH SARCOIDOSIS?
You absolutely can live a full life with sarcoidosis. Sarcoidosis is a confusing disease in the fact that symptoms can come and go, and range in severity overtime. In most of these cases, the disease improves by itself, and up to 30% of patients with sarcoidosis have symptoms improve without treatment.

It is sometimes said that 1/3rd of patients improve without treatment, 1/3 remain unchanged even without treatment, but 1/3rd tend to have progressive disease that may need treatment. In many people with evidence of organ dysfunction treatment with anti-inflammatory medications can be very helpful.

WHAT ARE YOUR SUGGESTIONS FOR INDIVIDUALS LIVING WITH SARCOIDOSIS ON HOW BEST TO MANAGE THEIR DISEASE?
it is very important to involve your doctor in your treatment and management plan with sarcoidosis. By monitoring how your symptoms change over time, you can make sure you are getting the right treatment at the right time, and accessing the support you need.

Sarcoidosis is often treated with the help of a multidisciplinary team of healthcare professionals. Because the disease can affect so many organ systems, you may work with healthcare providers who specialize in the treatment of the lungs, heart, brain, kidneys, liver, eyes and skin.

Support can come in many forms, and include oxygen therapy for patients with advanced disease who have low oxygen levels in the blood. For such sarcoidosis patients, supplemental oxygen can be helpful to decrease your shortness of breath during everyday activities and feel less fatigued and help keep you active. Pulmonary rehabilitation programs can be helpful for those who have experienced muscular deconditioning after a period of significant exercise limitation due to illness. It is important to keep moving.

WHAT ARE THE SIGNS THAT YOU MAY HAVE SARCOIDOSIS?
Sarcoidosis is difficult to diagnose because of the range of ways it can show up in the body – from skin rashes to blurry vision to respiratory problems – and some patients never have overt symptoms. In addition, sarcoidosis is a rare disease – estimated to affect 200,000 Americans making knowledge leading to a lack of knowledge among some physicians.   However, you should contact your doctor if you think you have the flu or are experiencing any of the symptoms – blurry vision, skin rashes, respiratory issues.

ARE THEY ANY SUPPORT GROUPS FOR PEOPLE WITH SARCOIDOSIS?
It’s essential to reach out to others in similar situations to talk and support one another. The American Lung Association has Better Breathers Clubs that meet once or twice a month with a respiratory therapist to learn more about their chronic lung disease and connect with others in similar situations. You can find the Club closest to you at Lung.org/better-breathers, as well as information about our online support groups should travel be a barrier for you.

Dr. Christman now answers questions from the Text Tom Club on the next page.

Life & Style – Black America Web

BEST DEAL UPDATE:

Get Well Wednesday: Why African-Americans Need Bone Marrow Donors

Too  many African-Americans languish on bone marrow donor lists because there are fewer African-American donors. For 8-year-old  Darian Smith, that deficiency is a life or death issue. Darian is on the donor list, hoping to find a match, but only if more African-Americans would consider becoming donors.

Darian and his doctor, Alecia Nero, hope that African-American will consider becoming bone marrow donors. One of the common diseases that require bone marrow donors is sickle-cell, a disease that impacts them exclusively.

Darian Smith’s Story:

  • Darian Smith was diagnosed with sickle-cell disease when he was only two weeks old.
  • A bone marrow transplant is the only known cure for sickle-cell disease, which largely affects the African-American population. Approximately 1 in every 365 black children is born with the disease.
  • Since the search for a donor began, two matches have been identified but unfortunately, both were unavailable to donate.
  • Darian’s family has teamed up with DKMS, the nonprofit leading the fight against blood cancer, to find his lifesaving match and urge individuals to join the registry.
  • DKMS is an international non-profit that recruits bone marrow donors to provide a second chance at life and raise funds to match donor registration costs.
  • Approximately every 3 minutes, a person in the U.S. is diagnosed with a blood cancer or blood disorder.
  • More than 170,000 Americans are diagnosed with blood cancer each year.

70% of blood cancer patients in need of a bone marrow transplant must rely on someone from the national registry as a match.

12,000 new searches for transplants are initiated every year.

 Unfortunately, Darian’s background makes it more difficult to find a match.

While patients find the best match in those who share the same ancestry, minorities are severely underrepresented in the bone marrow registry, greatly reducing their odds of finding a match.

African-Americans,  for example, make up only 7% of the donor registry pool.

There is an urgent need for minorities to join the bone marrow registry to help save patients like Darian, who desperately want to live a “normal kid’s life.” All it takes to register a simple swab of the cheek.

 Registering as a DKMS Donor Is Easy:

One simple swab is all it takes to be a potential lifesaver.

 Registering as a bone marrow donor through DKMS is a very simple process:

§he donor journey begins with a swab of the cheek that takes less than 60 seconds and can be the action that leads to a lifesaving transplant.

This can be done at a drive, or by registering online at dkms.org.

 Anyone in good general health who is between the ages of 18-55 can register.

You can also visit Darian’s virtual DKMS donor drive to register: https://getinvolved.dkms.org/DarianSmith

 Globally, DKMS has registered more than 8 million people.

Local Donor Drive Locations:

Wednesday, April 18 from 3:30pm – 5:30pm – Donor drive at St Philip’s School

Address: 1600 Pennsylvania Ave, Dallas, TX 75215

Sunday, April 22 from 2pm – 5pm – Donor drive at Joy Tabernacle Empowerment Center

Address: 3203 Holmes St. Dallas, TX 75215

Dr. Nero answers questions from the text Tom club.

Life & Style – Black America Web

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Get Well Wednesday: National Minority Cancer Awareness Week

It is National Minority Cancer Awareness Week and Dr. Carol Brown wants you to know exactly what your risk factors are and when its time to see a doctor. She is a board-certified gynecologic oncologist which means her specialty is diagnosing and treating cancers that affects a woman’s reproductive organs.

For more than 25 years, she has used her skills as a surgeon to provide high-quality and compassionate care to women with ovarian, uterine, cervical, and vulvar cancer at Memorial Sloan Kettering Cancer Center, and this year, Dr. Brown serves as the 50th president of the Society of Gynecologic Oncology.

 WHY DOES IT SEEM LIKE CANCER EFFECTS MINORITY COMMUNITIES AT A HIGHER RATE THAN WHITE COMMUNITIES?

People of color, including Asians, Hispanic/Latinos, American Indians and Blacks are affected by some cancers at higher rates than other groups. Blacks in the U.S. have the highest death rate of any racial/ethnic group for lung, colon, breast, prostate and uterine cancer.

The causes of these inequalities are complex, but through research we are learning that biologic differences in the cancer itself may explain many cancer disparities experienced by Blacks and other diverse populations. Socioeconomic factors, especially poverty, also contribute to cancer disparities through barriers to high-quality cancer prevention, early detection, and treatment information and services.

WHAT’S ONE THING MOST PEOPLE DON’T KNOW ABOUT CANCER IN GENERAL?

The risk of being diagnosed with cancer increases with age because most cancers require many years to develop. According to data from the American Cancer Society, about 1 in 2 Black men and 1 in 3 Black women will be diagnosed with cancer in their lifetime.

The lifetime probability of dying from cancer is about 1 in 4 for Black men and 1 in 5 for black women. The one thing that most people don’t know about cancer is, that today, unlike in the past, most cancers can be cured with the right diagnosis and treatment, and even more cancers can be prevented by pursuing a lifestyle minimizes their risk.

The World Cancer Research Fund has estimated that about 20% of cancers that occur in the US are due to poor nutrition (including excess alcohol consumption), physical inactivity, and excess weight, and thus could be prevented.

BLACK WOMEN ARE DYING FROM CERVICAL CANCER AT A RATE 77% HIGHER THAN PREVIOUSLY THOUGHT, BUT THIS IS PREVENTABLE. WHY? HOW IS THIS PREVENTABLE?

The rate at which Black women in the U.S. are dying from cervical cancer is comparable to that of women in many poor nations. What makes these findings especially disturbing, is that the majority of cervical cancer is caused by a virus called Human Papilloma Virus(HPV).

Between primary prevention- which means getting ourselves and our children,  boys and girls, vaccinated with the HPV vaccine so that we never get the virus- and secondary prevention-which means getting your PAP smears on a regular basis so that cervical pre-cancer can be detected early and treated- cervical cancer is an almost completely preventable disease.  Many studies have shown that the most common reason Black women and any women in the U.S. die from cervical cancer is that they have not had recommended screening with PAP smears.

AT WHAT AGE SHOULD WOMEN STOP GETTING PAP SMEARS?

Many cervical cancer screening guidelines say that women over 65 who have had regular

screening with negative results don’t need to have PAP smears.  But based recent research that shows almost 20% of cervical cancer in the US occurs in women over age 65 and the research that death rates for cervical cancer are highest for Black women over 65, I recommend women continue to get regular cervical cancer screening past age 65 and for at least as long as they are sexually active.

WHAT’S THE BEST WAY FOR WOMEN TO DETECT CANCERS AFFECTING THEIR REPRODUCTIVE ORGANS BEFORE IT’S TOO LATE?

The best way for women to detect GYN cancer in an early stage is to get vaccinated against HPV to prevent cervical, vulvar, and vaginal cancer; to get regular screening tests, either PAP smears or HPV testing for these same cancers with your OB-GYN or primary health care provider; and most importantly to know the signs and symptoms of gynecologic cancer so that cancers of the uterus and ovary, for which there are no screening tests available, can be found in the earliest possible and curable stage.

Many of the signs of uterine and ovarian cancer are commonly experienced by most women at some point in their lives. But when things like pelvic pain, bloating, bleeding or discharge happen for a long period of time and you have no other explanation; see your doctor and ask about your risks for ovarian and uterine cancer and whether your symptoms could be a sign of these diseases.

Knowing your family history can be especially important for reducing your risk and even preventing uterine and ovarian cancer- for both of these there are known mutations in cancer-causing genes that can be passed down from one generation to the next.

There are medical and surgical options for both uterine and ovarian cancer that can help women who are at increased risk because of their family history from every getting the disease. For more information about GYN cancers and clinical trials please check out these great videos put together by my colleagues at the Society of Gynecologic Oncology  at https://www.sgo.org/patients-caregivers-survivors/clinical-trials/.

WHY ARE CLINICAL TRIALS FOR CANCER IMPORTANT?
Here’s what we know: Clinical research in underserved populations equals cancer health equity. Put simply, clinical trials are a crucial step to finding new and promising ways to improve treatment for cancer. Most medical advances have come as a result of clinical trials.

Participating in cancer clinical trials is the best way to level the playing field for Black people and all underserved groups affected by cancer.  We’re not just talking about the best in terms of care, but access to the best in new therapies, access to new drugs and interventions before they are widely available. If the treatment is a success, you are among the first to benefit.

WHAT IS THE PROCESS FOR CLINICAL TRIALS?

Before the clinical trial

All people affected by cancer should ask their doctor about clinical trials and whether there are any available for their particular disease and stage of treatment. If you are interested in a specific clinical trial, your doctor will explain to you the purpose of the trial and how it affects you, including the main risks and benefits of taking part through a process called informed consent. It’s important to know that participating in a clinical trial is voluntary and if you decide not to participate, it will not affect the care your doctor will give you.

During the clinical trial

Once you are on a clinical trial, the researchers running the trial will want to carry out regular tests, including physical exams and sometimes imaging tests, on you to find out how your treatment is working.  At the same time, they will be on the lookout for any side effects – so you may be asked questions about any new symptoms you experience while you are receiving treatment on the clinical trial.

Doctors will also look at the wider effects of a treatment on your life as a whole – in other words, your ‘quality of life’. So, they may ask you if you’re able to take part in your usual day-to-day activities, or if you need any extra help around the home or to look after your family.

 After the clinical trial: How will trial results be used?

After you finish treatment on a clinical trial, your doctors may still see you and follow you for symptoms on a regular basis for a long period of time to understand all the effects the treatment has had on you and your cancer. For some cancer clinical trials where you are receiving a specific treatment, your participation may give your doctor results that can be used to help find the best available treatment for your particular situation.

Results of cancer clinical trials are also used by your doctor and researchers to help cancer patients in general and to find new and more effective, less toxic ways of treating cancer. Results of the clinical trial you participated in should be made available to you by the researchers if you want them.

WHO SHOULD PARTICIPATE IN CLINICAL TRAILS?
More than twenty years after Congress required that research funded by the National Institutes of Health (NIH) include minorities, and women, less than 2% of all adults with cancer in the U.S. participate in a clinical trial. For minority and underserved people who suffer severe disparities in cancer incidence and death rates, participation in clinical trials is critical. Participation in clinical trials can help us understand how gender, racial, ethnic, and socioeconomic differences can affect the way cancer progresses and how well patients respond to treatments, as well as aid in the development of new treatments and ways to prevent cancer.

 

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Get Well Wednesday: Secrets To Aging Well

WHAT ARE THE SECRETS TO AGING WELL?

A major key to aging well is exercise of some type, not necessarily a gym, but housework or gardening for at least 45 mins a majority days of the week can be of benefit. New studies suggest adults that are not socially isolated – those with family or friends close by or other meaningful relationships like children, grandchildren etc. tend to do better than older adults who are socially isolated.

WHAT ARE SOME THINGS THAT CAN AFFECT YOUR ABILITY TO AGE WELL?

Adults with chronic disease such as diabetes, hypertension, those who smoke or are morbidly obese BMI (Body Mass index) over 35.

WHAT’S THE DIFFERENCE BETWEEN ALZHEIMER’S DISEASE AND DEMENTIA?

Alzheimer’s disease is a specific type of dementia and the most common kind in the United States. However, dementia can be caused by vascular reasons (e.g. stroke) or Parkinson-related dementia.

HOW CAN YOU DETERMINE DEMENTIA FROM NORMAL AGING AND FORGETFULNESS?

Dementia must involve both memory and decline in function. Examples would be impaired memory (repetitive questions, getting lost while driving etc.) and decline in one’s ability to balance a checkbook or suddenly cannot use electronic device or forgets how to bath or dress oneself.  Normal aging may involve occasional difficulty recalling names, places, etc. but likely with time can remember.

WHAT ARE THE WARNING SIGNS OF DEMENTIA?

Getting loss while driving to a familiar spot. Love ones or friends noticing in a short time span that someone is asking repetitive questions. Someone who always managed the finances and all of sudden is bouncing checks.

WHEN SHOULD YOU HAVE YOUR LOVED ONE SCREENED FOR DEMENTIA?

If any of the signs above are noted, you should take the patient to primary care doctor or Geriatrician if one is in the area.

WHAT ARE SOME PREVENTATIVE OPTIONS FOR DEMENTIA?

Research studies only show two things that are preventive activities: (1) Exercise majority days of the week, at least 4 days, for at least 30 mins of aerobic resistance training has been shown to be protective. (2) According to one study, learning another language later in life can be protective from dementia.


Dr. Graham answers your aging questions on the next pages:

Can a person with uncontrolled diabetes reverse dementia?

Dementia once diagnosed is not reversible, but controlling ones diabetes is always good for one’s general health.

Does not getting enough sleep contribute to dementia?

Sleep is very important for brain health. I cannot necessarily cite a study that shows a direct link between not enough sleep and Dementia but getting adequate sleep is beneficial to the brain.

Morning, Doc. How early in age can Dementia be detected?

Dementia can be diagnosed as early as in ones 50’s. More common in the Mid 70s-80s.

Is there any research that links certain types of food to dementia?

No specific foods but evidence that a plant based diet can be beneficial for overall health.

My sister is showing signs. So geriatrician is the one to see?

A: If you cannot get your sister to a Geriatrician, a Primary care doctor( Family Medicine /Internal Medicine) could evaluate your sister.

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Get Well Wednesday: Preventing Kidney Disease: Healthy Women, Healthy Families

030707 Portraits Dr. Rodgers Formal

Doctor Griffin Rodgers is the director of the National Institute of Diabetes and Digestive and Kidney Disease. March is recognized as national kidney month. Below Dr. Rodgers provides more information about chronic kidney disease and its main causes, diabetes and high blood pressure.

WHAT IS KIDNEY DISEASE?

Your kidneys are two bean-shaped organs that filter extra water and waste out of your blood and make urine. When kidney disease develops, it means that the kidneys are damaged and can’t filter blood the way they should.

Kidney disease often gets worse over time and may lead to kidney failure. If your kidneys fail, you will need dialysis or a kidney transplant to sustain life.

The sooner you know you have kidney disease, the sooner you can make changes to protect your kidneys.

WHAT ARE THE MAIN CAUSES OF KIDNEY DISEASE?

Diabetes and high blood pressure are the main causes of kidney disease. Because diabetes, high blood pressure, and kidney disease tend to run in families, African Americans and others who may have a greater chance of developing kidney disease should know and share their family health history with family members and their healthcare providers.

SINCE AFRICAN AMERICANS ARE AT GREATER RISK FOR HEALTH PROBLEMS THAT CAN LEAD TO KIDNEY DISEASE, WHAT IS THE NIDDK DOING TO GET THE WORD OUT IN THE BLACK COMMUNITY?

To help spread the word about the risks of kidney disease, the NIDDK partnered with the Chi Eta Phi nursing sorority for the 7th consecutive year and with more than 150 faith organizations to hold “Kidney Sundays” events across the country throughout this month. During these events, we provide kidney information for faith-based communities to share with their members. Chi Eta Phi members help present the materials and provide blood pressure screenings for participants.

Our Kidney Sundays toolkit includes materials that can be used by anyone who wants to conduct a Kidney Sundays event or activity in their community. And Kidney Sundays don’t have to happen only during the month of March. Any Sunday can be a Kidney Sunday.

The NIDDK also developed the Family Reunion Initiative Health Guide to help African American families talk about kidney health. As families plan their reunions – which often happen during the summer months – we hope they will consider incorporating these materials to educate their family members about kidney health.

WHY THE FOCUS ON WOMEN’S KIDNEY HEALTH NOW?

We are focusing on women because kidney disease is the 9th leading cause of death for American women and affects more than 16 million women in the United States. Chronic kidney disease occurs in women more often than men.

Because early kidney disease usually has no symptoms, it is sometimes called a “silent disease.” Many people with kidney disease don’t have symptoms until their kidneys are severely damaged and nearing kidney failure. The NIDDK encourages you to make the connection between kidney disease and diabetes and high blood pressure—and to get tested if you have an increased chance of developing kidney disease.

Women can play a unique role in modeling healthy habits for their loved ones. We encourage women – and everyone – to take proactive steps to protect their kidneys, and to help raise awareness. Healthy lifestyle habits can help reduce the risk of developing diabetes and high blood pressure, which are the most common causes of kidney disease. Additionally, if you already have diabetes or high blood pressure, maintaining a healthy lifestyle can help you better manage these conditions.

WHAT SHOULD PEOPLE DO IF THEY HAVE A GREATER CHANCE OF DEVELOPING KIDNEY DISEASE?

You can help protect yourself and your family from chronic kidney disease and its main causes – diabetes and high blood pressure – by adopting a healthy lifestyle for your entire family. Some steps you can take include:

  • Make healthy food choices such as fresh fruits, fresh or frozen vegetables, whole grains, and low-fat or fat-free dairy products.
  • Make physical activity part of your routine. Be active for 30 minutes or more on most days.
  • Aim for a healthy weight. If you are overweight or obese, work with your health care provider or dietitian to create a realistic weight-loss plan.
  • Get enough sleep. Aim for 7 to 8 hours of sleep each night. Try to keep the same sleep and wake schedule every day.
  • Stop smoking and limit alcohol intake.
  • Explore stress-reducing activities, including physical activity, meditation, or yoga.
  • Be proactive at your medical appointments. Ask about testing for kidney disease and diabetes, and find out if your blood pressure is in normal range.

HOW CAN YOU GET TESTED FOR KIDNEY DISEASE?

Your health care provider will use a blood test and a urine test to diagnose kidney disease or refer you for testing.

  • The blood test tells how well your kidneys are working, or filtering your blood.
  • The urine test checks for a protein that can pass into the urine when the kidneys are damaged.

If tests show that you have kidney disease, ask your pharmacist to review all your medicines. Let your provider know about all the medicines you take, including the ones you buy without prescriptions or over-the-counter medicines, such as nonsteroidal anti-inflammatory drugs (NSAIDs), vitamins, and supplements. NSAIDs should be avoided if you have kidney disease. NSAIDs include medicines containing ibuprofen and naproxen.

WHAT ARE SOME PREVENTATIVE OPTIONS FOR KIDNEY DISEASE?

One of the best ways to help protect your kidneys – and be healthier overall is to adopt healthy lifestyle habits. Doing so can help prevent and manage high blood pressure and diabetes, and it helps to protect kidney health. Also, it’s important to take all medications prescribed for you, and to aim for a healthy weight, eat right, get enough sleep, and make physical activity part of your routine.

This year, we’re asking women to serve as role models and to encourage healthy lifestyle habits for their friends, families, and communities to help prevent kidney disease.

Again, kidney disease usually has no symptoms, which is why it’s important for people who have diabetes or high blood pressure to get tested. Taking action now can help protect your kidneys.


Follow NIDDK on Twitter and Facebook @NIDDKgov for more tips on making healthy food choices, getting enough sleep, and reducing stress. These are all important ways to protect your kidneys from damage, to prevent heart disease, and to improve your overall health.

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Get Well Wednesday: Should You Be Using The Female Condom?

Could the female condom be a viable option for your sex life? Dr. Renee Matthews thinks so.  She believes it could cut down on a rampant STD rate and provide more options for sexual activity. But there’s not as much information out there about using the female condom, something she wants to change. Here’s more information about why and how to use it.

When it comes to STD’s and African-American women in particular, why are the numbers so high?

One reason is knowledge and awareness of STD’s among the public is poor; almost two-thirds of women 18-60 years of age surveyed knew nothing or very little about STD’s other than aids. Another reason is many STD’s have a lag time before the appearance of clinically significant problems. So there is no preventive action taken until it is too late.

How does the Fc2 female condom work?
Fc2 is a little nitrile pouch. Nitrile is a heat-transmitting material that can feel more natural than latex condoms. It is inserted inside the vagina creating a barrier that stops sperm from reaching an egg. The female condom also helps prevent sexually transmitted infections by covering some parts of the your vulva. This decreases your change of coming in contact with semen (cum), pre-cum, or skin that can spread STD’s.

What are some of the advantages of using the female condom?
One of the reasons to use Fc2 is because we as women should take control of our sexual health. The female condom also protects better against human papilloma virus and herpes simplex virus because of the way it protects the outside of the vagina, including the labia minora and labia majora compared to the male condom.

There is a trend that is probably not so new, but now has a term called stealthing. Stealthing is the non-consensual condom removal or the practice of one sex partner covertly removing a condom, when consent has only been given by the other sex partner for condom-protected safer sex.

Most men do not like using male condoms but don’t mind the female condom because it doesn’t feel different. One size fits all with fc2 so it doesn’t matter what size the man’s penis. Fc2 can be placed 2 hours prior to sexual intercourse so it does not interfere with intimacy. It is latex free and can be used with oil and water based lubricants.

Men do not need to have an erect penis to use Fc2?

You do not have to remove it immediately after intercourse like the male condom.

Does it affect “sensation” for the man or woman?
No, it doesn’t inhibit or dull sensation like male condoms.

Is it available in stores? Where can you get it?

Is is not available on the shelf you will need to get a prescription from your doctor. If you have health insurance most will fill the prescription with $ 0 co-pay. In the following states: AK, AZ, CA, Ct, FL, GA, IL, IN, KY, MO, MT, NE, NY, NC, OH, OR, PA, RI, SC, TN, TX, VT, VA, WA, WI, and WY (more states coming soon), you can utilize the heydoctor app and use promo code fc2 and you can pick them up at the pharmacy of your choice for free. You will get 2 boxes of 12 with refills you can fill once a month.

What if you don’t have insurance or can’t afford it?

You can visit the website http://fc2.us.com and order a box of 12 for $ 24. If you are on a college campus, many of the health clinics have them free also some Planned Parenthood clinics have them as well.

Dr. Renee Matthews has appeared on television shows such as, The Oprah Winfrey Show, TVOne’s NewsOne Now and WGN-TV’s People to People where she discussed different health topics.

She started her media career with her own radio show on ReachMD, a medical broadcast network for health professionals. In addition, Dr. Renee has been a featured medical correspondent on SiriusXM’s Sway in the Morning and WVON (“The Voice of A Nation”).

Dr. Renee is an asthmatic, which drives her passion for asthma education. She addresses the concerns of asthma sufferers by supplying them with the tools and knowledge they need to receive the best medical care. In 2013, Dr. Renee received the Friend of Mobile C.A.R.E. Award for her commitment to raising awareness of asthma in the city of Chicago..

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4 Cute Umbrellas That Go So Well With a Trench Coat

I think we can all agree that getting caught in a rainstorm or leaving the house unprepared for the day’s precipitation is one of the most unfortunate weather scenarios to get caught in. As long as the weather report is accurate, we’ll be prepping for the next downpour by shopping the one essential we can’t really leave the house without: an umbrella. But not just any umbrella, a cute umbrella that won’t clash with the rest of your oufit (if you’re lucky). If you lament the fact that the clunky accessory so often obscures whatever cool combination your closet came up with that day, may we suggest giving a clear PVC umbrella a go? Alternately, for those facing an endless series of rainy days, swap thatclassic (read: boring) plain umbrella for a much more eye-catching version. Below, four cute umbrellas that were hand-picked to go with a weather-appropriate trench coat (or really any other jacket of choice).

Seasoned Londoner’s know this all too well, but there’s really nothing chicer than a classic black umbrella, especially when worn with a topper as timeless as the trench coat.
The iconic Alexander McQueen skull makes this plain black umbrella a bit more special.
Its sculpted edge is designed so it will never collapse in on you during a particularly windy rainstorm.
Does it get more classic than this London-inspired pick?
Cliché as it sounds, bright, unexpected colors are the easiest way to brighten your mood on an overcast day. Opt for electrifying shades of orange, yellow or pink to inject something refreshing into an otherwise dull day (as far as the weather is concerned).
Pile on the pastel hues when you leave the house in this bright umbrella.
If all else fails, try manifesting the sun through a bright shade of yellow.
This cute umbrella will pop against a monochrome outfit.
Though technically she’s wearing a bomber jacket, this stylish woman opted for a clear PVC umbrella that would easily work with any outfit. Pattern and colorless, the see-through material never clashes with anything.
There’s little chance your clothes or bag will get wet if you’re carrying around a bubble-shaped umbrella like this one.
From the brand that brought us some of the most iconic rainboots in fashion history.
On the plus side, a clear umbrella will never clash with the rest of your outfit.
Just because the weather is gloomy and a bit depressing doesn’t mean your accessories have to be. Pick from all the cute printed umbrellas to add a necessary dose of personality to your rainy day attire.
Black and tan stripes make for an incredibly stylish pair.
You can’t go wrong when it comes to Missoni’s iconic chevron pattern.
Wear with yellow or red to pick up the colors in this tartan print.

Celebrity Style and Fashion Trend Coverage | http://www.whowhatwear.com

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Versace Returns to the Nostalgia Well for Fall 2018

Last September, Donatella Versace put on a supermodel-filled, blockbuster fashion show complete with updated versions of all of her brother Gianni’s biggest hits. It was an instant success, not just in terms of press but in terms of must-have status: The Versace logo hasn’t looked this cool since …

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Get Well Wednesday: Why Your Kids Need To See The Dentist

February is not just Black History Month, it’s also National Children’s Dental Health Month. Here’s why you should

WHY IS IT SO IMPORTANT TO RAISE AWARENESS DURING NATIONAL CHILDREN’S DENTAL HEALTH MONTH?

A: Tooth decay is the most common chronic childhood disease in the country.  When people hear the word chronic disease in kids they think asthma, but tooth decay or cavities is more prevalent than asthma. So for this reason alone we have to raise awareness.

 WHY ARE CHILDREN OF COLOR AT GREATER RISK FOR TOOTH DECAY AND WHAT CAN BE DONE ABOUT IT?

Let’s face it – disparities exist. We have things like poverty in our communities, lack of access to care, and behavioral factors that are preventing our kids from getting the basic care that they need.

But let’s talk about 3 things that are either working currently or need to be implemented to tackle the disparities- 1.mobile dentistry is on the rise 2. We need better collaboration between medical doctors and dentists 3. Trust has to be placed back into the community.

WHY IS IT SO IMPORTANT TO RAISE AWARENESS DURING NATIONAL CHILDREN’S DENTAL HEALTH MONTH?

Tooth decay is the most common chronic childhood disease in the country.  When people hear the word chronic disease in kids they think asthma, but tooth decay or cavities is more prevalent than asthma. So for this reason alone we have to raise awareness.

AS WITH MOST THINGS, PREVENTION IS KEY. WHAT ARE SOME TIPS YOU CAN SHARE FOR GETTING CHILDREN TO ENJOY TAKING CARE OF THEIR TEETH?
You can find these tips in detail at kidsallsmiles.com

It’s important to remember that our babies are watching our every move, so if you don’t make taking care of your teeth a priority, they won’t be concerned about their teeth either.

Your routine of brushing and flossing twice a day doesn’t have to be boring. Incorporate music, singing, and dancing.

Remember 1 is the magic number.

Limit sugar intake. Rinse with water after eating and drinking

Your babies shouldn’t sleep with bottles.

See the dentist regularly. It’s a team effort.

Check out the video at kidsallsmiles.com

Dr. Jarrett answers your ‘Text Tom’ question on the next page.

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http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

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Get Well Wednesday: How To Know When To Seek Help

Andrea Wise-Brown is a licensed psychotherapist and trained Hostage Negotiator. Her practice Intrinsic Motivation Counseling Services is based in Dallas, Texas. She earned her bachelors in Psychology/Psychiatric Rehabilitation at Kean University and her Masters in Education in Counseling at the University of North Texas.

 

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Wise-Brown is a go-to expert for various news outlets and has consulted various police departments and Mental Health organizations. She has been featured on OWN Network, Sway in the Morning, Get Up Mornings with Erica Campbell and other national media.

Wise-Brown is committed to creating an environment in which her clients feel comfortable and safe to explore their innermost thoughts, needs and emotions.

WHAT IS THE PSYCHOLOGICAL IMPACT OF THE PRESIDENTS ACTIONS?

The President has been very disrespectful, denigrating and dismissive in many of his comments about the people in our world. Many people feel hurt, isolated and disregarded. Many times when hurt people lack healthy coping and communication skills they feel the need to act out fueled by anger which may create other problems.

A LOT OF HAITIAN EARTHQUAKE SURVIVORS ARE STILL SUFFERING PHYSICALLY AND EMOTIONALLY. HOW DO YOU FEEL DONALD TRUMP’S “SH*THOLE COUNTRIES” COMMENT ABOUT HAITI AND AFRICAN NATIONS MADE THEM FEEL?

The President disrespected Haiti, Haitian people and many others when he ignorantly made the racist comment that their country is a SH*THOLE country and that he does not want them here in the United States. He may have psychologically reinjured many of the Haitian survivors who were devastated by the tragedy and are suffering with the diagnosis of PTSD.

WHY DOES SEEKING PROFESSIONAL HELP FOR MENTAL ILLNESS ISSUES HAVE SUCH A STIGMA ATTACHED TO IT WITHIN THE AFRICAN-AMERICAN COMMUNITY?

There is a stigma in the African American community that stereotypes people who are diagnosed with a Mental Illness as scary, uncontrollable, worthless, weak, demonic, etc. This stigma creates feelings of shame, blame, embarrassment, hopelessness which is why some African Americans are disinclined to seek treatment.

WHAT ARE SOME KEY SIGNS THAT LOVED ONES, CO-WORKERS AND FRIENDS MAY BE DEALING WITH DEPRESSION AND WHAT SHOULD WE DO TO HELP THEM?

Key signs to look for when assessing if a loved one or co-worker may need help with their mental health; Isolation, extreme changes in their behavior and or mood, missing days from work, disinterest in activities that they usually enjoy, strong feelings of anger, suicidal thoughts, strange thoughts and beliefs and a growing inability to cope with daily activities.

ARE THERE SOME CORE COPING TACTICS OR TIPS YOU SUGGEST FOR PEOPLE WHO MAY BE DEALING WITH DEPRESSION?

If you or someone that you know are experiencing symptoms of Depression seek therapy from a licensed psychotherapist in order to obtain an accurate diagnosis and treatment. Each treatment plan should be individualized. A treatment plan may or may not include; psychotherapy, coping skills, exercise, grounding, spirituality and/or medication. Early detection and effective interventions are the key to healing.

If they are exhibiting any of these symptoms refer them to local mental health services. Here are some resources:

You’re not alone. Confidential help is available for free.

National Suicide Prevention Lifeline

Call 1-800-273-8255

SAMHSA’s National Helpline

1-800-662-HELP (4357)

1-800-487-4889 (TTY)

Free and confidential information in English and Spanish for individuals and family members facing substance abuse and mental health issues. 24 hours a day, 7 days a week.

 

 HOW CAN PEOPLE REACH CONTACT YOU? ARE YOU ON SOCIAL MEDIA?

website- www.Awisebrown.com

Facebook- @awisebrown

IG- @awisebrown

Twitter- @awisebrown

 

 

 

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Mnuchin says we’ll see ‘massive investment’ back into US because of game-changing tax cut

Treasury Secretary Steven Mnuchin says lower corporate taxes will lead to more investment in the United States.
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Get Well Wednesday: Kissing Can Make You Sick

 

WHAT EXACTLY IS KISSING SEASON?

Kissing season is the time of year between New Year’s Eve, Valentine’s Day and St. Patrick’s Day when we are in the most dreadful part of winter and might be showing more affection around these holidays.

 WHY DO YOU SAY WE NEED TO BE MORE VIGILANT THIS TIME OF YEAR WITH PERSON-TO-PERSON CONTACT?

 During this time of year, we have suppressed immune systems that are working overtime to protect the body from illness and disease.

 WHAT EXACTLY IS SPREADING THROUGH KISSING?

According to a new study published in the journal of “Microbiome” shows that just a 10 second kiss can transfer 80 million bacteria in addition to viruses. Infections such as herpes, mononucleosis, the common cold and flu, gingivitis and cavities can be spread through kissing.

WHAT IS HERPES SIMPLEX 1? HOW MANY PEOPLE HAVE IT? HOW IS IT TRANSMITTED?

Herpes Simplex 1 is an incurable virus that creates painful cold sores in and around the mouth. According to the World Health Organization 2017, An estimated two-thirds of the world population and 70 percent of Americans tare affected, and it can easily be spread through kissing even when the carrier is not experiencing an outbreak.

 WHAT ARE THE TREATMENT OPTIONS FOR COLD SORES OR FEVER BLISTERS RESULTING FROM ORAL HERPES? IS THERE A CURE?

Most people do not know that HSV-1 is incredibly common and new treatment options can help manage symptoms. Prescription topical and oral medication can be used in combination with an over-the-counter quick-soothing treatment.

I personally would recommend Aubio Cold Sore Treatment Gel. The formula contains lidocaine and temporarily relieves pain and itching associated with cold sores and fever blisters. Aubio It also contains aloe for moisture.

WHAT IS MONONUCLEOSIS? WHO IS AFFECTED? IS IT RELATED TO ORAL HERPES?

“Mono” is known as the kissing disease, and it is a virus that causes intense fatigue, swollen lymph nodes and sore throat. It can be easily transmitted through kissing and often goes hand in hand with flu-like symptoms. Most often teenagers will get mono, but you can get mono at any age.

 WHAT IS THE RECOMMENDED TREATMENT FOR MONO?

The best treatment for mono includes plenty of rest, lots of fluids and good nutrition including supplementing with Vitamin C and D to help boost the immune system,

 WHAT ARE SOME MISCONCEPTIONS AND FACTS ABOUT COLD SORES?

  • There’s a 60% to 90% chance you and your kissing partner has HSV-1 according to the University of Maryland Medical Center
  • Contrary to popular belief, it is better for a cold sore to have moisturization instead trying to dry it out, which can make the condition worse and increase the likelihood that it will spread
  • In addition to kissing, cold sores can be spread from sharing drinks, utensils, towels, razors or other personal items.

HOW DO WE FIND OUT MORE? 

Stay connected on Twitter @GPasedisRx

GEORGEA PASEDIS, PHARMD., IS A PHARMACIST AND NUTRACEUTICALS-MEETS-PHARMACUTICALS INTEGRATION EXPERT. SHE EARNED HER DOCTOR OF PHARMACY DEGREE FROM MASSACHUSETTS COLLEGE OF PHARMACY AND HEALTH SCIENCES IN BOSTON AND IS CURRENTLY FINISHING HER MBA FROM QUINNIPIAC UNIVERSITY.

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QUIZ: How Well Do You Know the Golden Globes?

The Golden Globes are about to kick off for another year, reminding you just how many movies and shows you’ve missed out on. This year, we’ve seen some huge oversights in nominations, movies, and shows that deserved nominations only to be passed over for more traditional contenders. Despite this, the Golden Globe Awards ceremony is going to be a night of glitz, glamor, celebrities, fashion, and more than the occasional politically charged joke from host Seth Myers.

But, how well do you know the Golden Globes? Take this quiz to test your knowledge of the awards’ history, controversies, winners, losers.

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Get Well Wednesday: Why Alcohol Detox Can Be Dangerous

CAN YOU ACTUALLY DIE WHILE DETOXING FROM ALCOHOL?
Absolutely. When a person is dependent upon alcohol, an alcoholic, the body gets accustomed to having the alcohol in the blood stream and accommodates to having it there. When the person stops drinking the body detects this as a deficiency and reacts to it causing both mental and physical problems which can be mild or serious and life-threatening.

Since alcohol acts like a depressant in the system, slowing down the brain for example, when it is withdrawn it causes an opposite effect. This is because the brain works hard to keep a certain level of activity or alertness up in the presence of alcohol.

The adjustment to stay up or activated persists past the last drink and the brain is activated, hyperactive in a sense. How hyperactive the brain and body are after the last drink depends upon how much you have been drinking over what period of time.

The daily drinker he may wake up with shaky hands, high blood pressure, and anxiety which is eased or eliminated after the first drink of the day- often called an eye-opener.

If you have a loved one who wakes up to a Bloody Mary every day, or cold vodka from the freezer, he may be an alcoholic trying to ease his morning withdrawal. Other signs and symptoms include sweating, headache, nausea, vomiting, and insomnia or disturbed sleep.

The problems that arrive after you stop drinking if you are an alcoholic come on about six (6) hours after the last drink for most. If you have a severe problem with alcohol you can actually have withdrawal when you reduce the amount you drink.

Most people are aware the alcohol withdrawal can cause seizures which are due to extreme activity of the brain without a purpose. This is a serious sign and NO ONE should be allowed to have seizures from alcohol withdrawal as brain cells die off and the patient can die too! If you are shaky when you stop drinking, see a doctor for medication assisted or managed withdrawal.

The most severe form of withdrawal is seizures with hallucinations seeing things, feeling things, or hearing things- call delirium tremendous (DTs). Olfactory hallucinations smelling things that are not there- are a very serious sign too.

Do not wait to call 911 when your loved one complains of any of these kinds of hallucinations as they can have a seizure which can not be stopped by medications and the brain consumes more oxygen than the blood can carry which results in death.

A very small percentage of people get DTs since most withdrawal is treated with medications. When it occurs it is also associated with delusions, confusion, fast heart beat, high blood pressure, fever, and heavy sweating.

Do not let alcohol withdrawal progress to these end stage forms of withdrawal- anxiety, pacing, craving, and high blood pressure and hear rate are warming signs to get medical care.

People who have had seizures once are more prone to get them again and high blood pressure and heart rate can cause stroke or heart attacks. The older the person and the more heart and lung problems he has, the more serious and life-threatening the withdrawal.

​HOW MUCH OR HOW OFTEN TO YOU HAVE TO DRINK BEFORE EXPERIENCING PROBLEMS FROM QUITTING?
The amount that you have to drink or the amount of time you have to drink without stopping before you will have withdrawal varies from person to person. If you drink daily around the clock, only stopping to sleep, you can expect to have problems when you stop after only six weeks of regular exposure.

This changes if you take sedatives, sleeping pills, or muscle relaxants. The presence of the pills can mask the withdrawal so you do not know that when you stop you go into withdrawal. But, if you stop the pills to, or even reduce your dose, you can have withdrawal.

HOW IS ALCOHOL ADDICTION DIAGNOSED?
A doctor can diagnosis alcohol use disorders, including alcoholism, using a combination of history taking and physical exam. We often look for consequences of regular use like liver disease, sleep disturbances, or heart rhythm problems. Alcoholism is called the “great masquerader” since exposure to alcohol over time can cause damage to major organs in the body and mimic, or look like, other diseases. This makes it hard to diagnose.

In general, we have a way to assess problems associated with alcohol, and drugs and we can count the number of problems.

  1. More time spent using than predicted when you started using during an episode
  2. Desire to stop but unable to
  3. Using over time, getting something to use, using, recovering from using and starting the cycle over again every day
  4. Preoccupied with alcohol
  5. Use interfering with life’s activities
  6. Using, despite consequences
  7. Using interferes with activities that you like to do
  8. Use in dangerous situations, like while driving
  9. Need to use more to get the same effect (tolerance)
  10. Negative consequences when use stops (withdrawal)
  11. Use after a bad episode

If you can endorse 6 or more things, you have a severe problem. It is moderate if you endorse 4 or 5 and mild for 2 or 3 problems.

​WHY IS WITHDRAWAL FROM ALCOHOL MORE DANGEROUS THAN OTHER SUBSTANCES?
Alcohol withdrawal is life-threatening. The drugs make you sick but the adult will generally not die from withdrawal. Opioid, or heroin and fentanyl withdrawal, can kill the unborn fetus.

WHAT IS THE PROPER WAY TO DEAL WITH ALCOHOL ADDICTION?
Treatment by a professional – starting with the physician to detoxify you. After you are medically stabilized, you should seek counseling.

Treatment progresses at Two Dreams through three phases- coming in where we take a factual history of what happened; looking inward where we do the emotional work and look at the emotional impact of what has happened; and looking out where we put a plan into action to build on the gains made in treatment.

Additionally, Alcoholics Anonymous (AA) is widely available and people who go to three or more meetings a week after treatment do better than those who go to two or fewer. In AA there is a saying, “don’t drink and go to meetings!”

Andrea Grubb Barthwell, M.D., D.F.A.S.A.M., is the Founder and Director at Two Dreams Outer Banks, a comprehensive wellness center for the treatment of alcoholism and substance use disorders. Dr. Barthwell received a Bachelor of Arts degree in Psychology from Wesleyan University, where she served on the Board of Trustees, and a Doctor of Medicine from the University of Michigan Medical School. 

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Get Well Wednesday: Could Sleep Apnea Be The Reason You’re So Tired?

Jen Caudle

Dr. Jen Caudle returns to discuss a serious, but underreported medical issue – sleep apnea. It’s believed that apnea is a dangerous condition that many people don’t know that they have. Here’s more on the condition and how to treat it:

\What is sleep apnea?

Sleep apnea is a common disorder that causes your breathing to stop or get very shallow. Breathing pauses can last from a few seconds to minutes.The most common type is obstructive sleep apnea. Many don’t even realize this is happening during sleep.

The periods of stopped breathing  happen due to a narrowing of the upper airway or collapse of the airway, often because the muscles in the back of the throat fail to keep the airway open, despite efforts to breathe.

This causes sleep quality to be poor. People with untreated sleep apnea don’t usually have great sleep. This can cause a person to be very tired during the day, to need naps, feeling unrefreshed once waking up, etc.

 How common is it?

More than 18 million American adults have sleep apnea.

It is very common – but it’s not detected with an X-ray or blood test.

 What are the symptoms?

Snoring may be an indication of sleep apnea. (but not everyone who snores has sleep apnea).

Falling asleep at work, while driving or at other times might be signs of sleep apnea.

Morning headaches.

Gasping for air during sleep, choking, or when you stop breathing during sleep (which partners sometimes recognize).

 How is it diagnosed

The best way is through a sleep study in a lab

Why is it important to treat sleep apnea?

Untreated sleep apnea can increase the risk of high blood pressure, heart attack, stroke, obesity, diabetes, and heart failure. It also can increase the risk of work-related or driving accidents due to sleepiness.

Who is at risk for sleep apnea?

Those with a small upper airway (or large tongue, tonsils or uvula), overweight, have a small jaw or a large overbite, a large neck size (17 inches or greater in a man, or 16 inches or greater in a woman), smokers and alcohol users, being age 40 or older. Also, OSA may run in some families, suggesting a possible genetic basis. (National Sleep Foundation)

How is sleep apnea treated?

-weight loss can be helpful

– CPAP (continuous positive airway pressure) device- this is the best

– other oral devices, surgery (not 1st line)

Dr. Jen is a Board Certified Family Physician and Associate Professor at Rowan University. She frequently appears as a health expert on The Dr. Oz Show, CBS 3 Philadelphia News, Fox News, CNN, HLN and others. Follow her on Facebook, Twitter & Instagram!

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Get Well Wednesday: Are Millenials Entitled?

An article published recently in Psychology Today reports that so-called millennials (born roughly between 1988 and 1994) are developing an entitlement complex – believing they are superior to others and are more deserving of certain things.

 BASED ON YOUR EXPERIENCE, DO MOST MILLENNIALS FEEL SOME FORM OF ENTITLEMENT THAT THE PRIOR GENERATIONS DID NOT?

I have observed that some (not all) millennials seem to believe that they are owed certain privileges or that they deserve certain privileges. Millennials tend to value individualism more than valuing a group. For example, some millennials do not seem to fully grasp the effort their parents had to exert to accomplish their current economic status; instead those millennials expect to receive a high salary immediately upon graduating from college.

Millennials are more likely to expect to have jobs that provide work flexibility, such as more vacation or being able to work from home. Compared to previous generations, millennials tend to be more tolerant and are more accepting of people who have different views, such as race, gender, religion, sexual orientation, etc.

WHY DO YOU BELIEVE MILLENNIALS FEEL ENTITLED OR IS IT MORE THE PERCEPTION OF THEM THAN IT IS A REALITY?

There is a growing body of research exploring the attitudes and behaviors of Millennials. Research is mixed. However, there is emerging evidence that millennials have an inflated sense of self and exhibit more narcissistic tendencies. Older generations may report these behaviors of entitlement, but now research is starting to verify this observation.

 WHY ARE MILLENNIALS MORE ACCEPTING OF EACH OTHER’S DIFFERENCES, UNLIKE PRIOR GENERATIONS?

Research suggests that societies that value individualism tend to be more tolerant of differences. When one person views another as an individual (rather than part of a group), then at person is less likely to expect specific behaviors or beliefs from that individual. This is why mlllennials tend to be more tolerant of other views.

WHAT ARE SOME OF THE CONSEQUENCES OF THIS TYPE OF NARCISSISTIC BEHAVIOR?

Narcissism can damage interpersonal relationships. People with narcissistic tendencies are at a higher risk of having problems in maintaining healthy romantic relationships and compromising with co-workers. When a person has an inflated sense of self, this can place them at risk of having anxiety or depression if their expectations are not met.

WHAT CAN PARENTS DO TO ENHANCE THE POSITIVE ASPECTS OF THIS BEHAVIOR WHILE DISCOURAGING THE NEGATIVE ASPECTS?

We need to teach our children to have empathy and to see their role within the greater society. It is good to tell our children encouraging words, but it is not good to give our children the impression that the world revolves around them.

 THERE SEEMS TO BE MORE EMPHASIS ON INDIVIDUALITY THAN WITH PREVIOUS GENERATIONS, DOES THAT HAVE ANYTHING TO DO WITH THEM FEELING ENTITLED TO CERTAIN THINGS?

Yes. Each generation since World War II has developed an increasing sense of individualism—Baby Boomers, Generation Xers, and now millennials. However, compared to previous generations, millennials have been found to have the greatest sense of individualism. Millennials also have a very positive view of themselves, their skills, abilities, and talents. With an inflated sense of self, a person is more likely to feel entitled than those who do not have an inflated sense of self.

 DO MILLENNIALS TEND TO BE MORE FLUID WITH THEIR SEXUALITY? WHY?

Interestingly, research is suggesting that Millennials are less sexually active than Generation Xers were at the same age. Millennials have fewer sexual partners and are less likely to be sexually active than their parents were at the same age. There are a number of possible reasons, one being that many millennials still live at home with their parents and have less privacy and independence due to economic factors.

Another possible reason for less high risk sexual behaviors is that millennials grew up during the time of the HIV and AIDS epidemic in the 1990s and have had more school-based sex education courses teaching safer sex methods. Millennials are more accepting of diverse sexual orientations, fluidity of gender identity and pre-marital sex.

Same-sex sexual relationships are more accepted among Millennials compared to previous generations. I am not sure WHY this change is, but research has found that each generation from Baby Boomers to Gen Xers to Millennials have increasingly accepted various sexual orientations.

Dr. Adiaha Spinks Franklin is a board-certified developmental-behavioral pediatrician and owner of D-B-P doc — a consultation, training and evaluation service company. Dr. Spinks Franklin practices at Texas Children’s hospital and she’s an assistant professor of pediatrics for Baylor College of Medicine.

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Get Well Wednesday: When You’ve Gotta Go…Too Much

When you have to go to much, you might have overactive bladder syndrome, the frequent and urgent need to urinate, unrelated to water intake and with a sense of immediacy. Dr. Ekene Enemchukwu provides some more information on the disorder’s symptoms and treatment for this week’s Get Well Wednesday.

WHAT IS OVERACTIVE BLADDER (OAB)?

Overactive bladder (OAB) is characterized by an urgent and frequent need to urinate1, which may be the difference between going to the bathroom and running to the bathroom frequently.

WHAT ARE THE COMMON SYMPTOMS OF OVERACTIVE BLADDER?

Major symptoms of OAB include sudden urges to pee that are difficult to control, a frequent need to go to the bathroom – usually eight or more times a day – and leakage or accidental wetting.1

IS THERE ANYTHING THAT CAN BE DONE TO PREVENT OAB FROM DEVELOPING AS WE AGE?

The symptoms of OAB are not necessarily a normal part of aging. Several treatment options are available and patients should talk to their doctor about those and potential lifestyle and behavioral changes such as avoiding excess caffeine, losing weight, making dietary changes, exercising pelvic muscles, bladder training, etc.1

WHAT PERCENTAGE OF AMERICANS HAVE OAB?

Approximately 46 million U.S. adults 40 years of age and older have reported symptoms of overactive bladder at least sometimes. Forty-three percent of women experience OAB symptoms at least sometimes.2

IS THE AFRICAN-AMERICAN COMMUNITY MORE SUSCEPTIBLE OR DISPROPORTIONATELY DIAGNOSED? 

OAB does not discriminate. The condition affects everyone equally, regardless of ethnic background.3

HOW DO YOU KNOW WHEN IT’S TIME TO TALK TO A HEALTHCARE PROFESSIONAL ABOUT OAB?

It’s time to talk to your doctor if you’re experiencing any OAB symptoms, such as: having difficulty controlling your sudden urges to pee, going to the bathroom eight or more times a day, or you’re experiencing leakage or accidental wetting.1

WHAT ACTUALLY CAUSES OAB?

Numerous factors can contribute to experiencing OAB symptoms, including neurologic conditions.

WHY IS IT IMPORTANT TO TALK ABOUT OVERACTIVE BLADDER AND WHAT IS BEING DONE TO RAISE AWARENESS?

According to the Peehavior survey of 2,584 women, conducted by Ipsos Public Affairs on behalf of Astellas Pharma US, 60 percent of women do not think about bladder health often or at all, including 55 percent of African-American and 51 percent of Hispanic women.4 It’s important to take care of one’s bladder health to avoid any serious health issues down the line.

To help raise awareness, Astellas launched Stop Stalling to educate and empower adults who may be experiencing the symptoms of an overactive bladder to talk to their healthcare professionals about their symptoms and how to manage them.

WHERE CAN PEOPLE GO FOR MORE INFORMATION ABOUT OAB?

People can learn more by visiting StopStalling.com.

Dr. Enemchukwu answers your questions below:

Can coffee cause OAB?
The short answer is yes, coffee can affect OAB symptoms. Coffee is both a diuretic and a bladder irritant. So while it is in your system, it can cause strong and frequent urges to urinate, even accidents (incontinence). But if you eliminate caffeine from your diet, you may see decent improvement of your symptoms.

Can foods containing MSG cause OAB?

This is a good question. Bladder irritants including spicy foods can in fact cause overactive bladder symptoms.

Other bladder irritants include:

Caffeine

Citrus

Spicy foods

Artificial Sweeteners

Chocolate

Alcohol

Tobacco

Dehydration causing concentrated urine

Can radiation play a part in OAB?

Pelvic radiation can affect the architecture of the bladder, causing stiffening and irritation of the bladder lining. This can in turn cause frequent and urgent urination with accidental leakage of urine. Evaluation by a urologist who specializes in complex bladder conditions can help identify the problem and discuss potential treatment options with you.

Is overactive bladder related to age?

Yes, the prevalence of OAB increases with age.

I’ve seen recommendations that people drink 6-8 cups of water per day. How many times would you consider acceptable for a person to urinate when following this recommendation?

Dehydration can cause highly concentrated urine and irritation of your bladder. With proper hydration (6-8 glasses of water spread out throughout the day) you should still expect to go to the bathroom fewer than 8 times per day. Eight or more times per day may suggest that you have OAB.

Can fibroids have an effect on your bladder?

A: Yes, similar to pregnancy, uterine fibroids (which are common in African-American women) can push on your bladder can cause strong and frequent urges to urinate. Depending on the size and location, treatment of these fibroids may reduce your urges to urinate. You should talk with your doctor about treatment options that may be available for you.

If I have urges once per month, could that be considered OAB symptoms?

A: Frequent and strong urges that occur once per month can be related to a number of things such as changes in diet, environment, stress levels, hormonal changes and/or constipation. I recommend looking for patterns or triggers of your symptoms and eliminating those and talking with your doctor about your symptoms.

What is the difference in overactive bowels and incontinence?

Overactive bowels and overactive bladder are different conditions, but can sometimes be associated with each other. Overactive bowels may be associated with a condition called Irritable Bowel Syndrome (IBS) and should be evaluated by a gastrointestinal specialist. Overactive bladder can cause strong and frequent urination with or without accidents (incontinence).

Sometimes when I go to the bathroom, I get there before I can pull my pants down and sit and I am already going. Is this part of OAB symptoms?

This sounds like the accidental leakage (incontinence) that can occur as part of OAB. According to a recent survey, 40 percent of women keep these symptoms to themselves. It is important to discuss this with your healthcare provider, who can then refer you to a urologist for further treatment.

You can visit StopStalling.com and Urology Care Foundation for more information about OAB. These sites also include a quiz and qu

Ekene Enemchukwu, MD, MPH is a practicing Female Pelvic Medicine Urologist in Stanford, CA who attended Duke University and received a combined medical degree from the University of North Carolina at Chapel Hill, General Surgery and Urology training from Vanderbilt University Medical Center and fellowship training from New York University Langone Medical Center. Ekene is also an OAB awareness advocate and health disparities researcher in Urologic conditions (Twitter: @DrEnemchukwu). She is partnering with Astellas as an unpaid consultant to raise awareness about the symptoms associated with overactive bladder as part of the Stop Stalling campaign.

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20 Best Friend Gifts That Prove How Well You Know Each Other

She’s always there for you, whether you need someone to pick up the kids, stop by and feed the cat, or you just need to vent about your in-laws for the last time, you swear. These thoughtful finds — from glitzy jewelry to the cutest-ever tea pot — will remind her that you’ve got her back too.

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Get Well Wednesday: All About Your Smile

Dr. Carla Spann received her Doctorate of Dental Surgery at  Texas A&M University Baylor College of Dentistry  in Dallas, Texas.  She offers a compassionate and conservative approach to dentistry, believing patient education is paramount to success in both resolving and preventing oral health issues. She is particularly skilled in helping fearful patients relax during their dental care.

Q:    EXPLAIN WHAT AN ORTHODONTIST IS AND THEY TYPE OF WORK THEY DO?

A: Orthodontists receive two-to-three years of additional education at an accredited orthodontic residency program after graduating from dental school. Only those with this level of formal education are entitled to call themselves “orthodontists,” and only orthodontists are accepted for membership in the American Association of Orthodontists (AAO).

AAO members are gifted and highly educated specialists who diagnose, prevent and treat dental and facial irregularities to correctly align teeth and jaws. Whether you are considering clear aligners or traditional braces, orthodontists have the training, the experience and the treatment options to make sure you get your best smile. Many general dentists have additional training in orthodontics as well, and can handle some challenging orthodontic cases or will refer you to an orthodontist that they trust.

Q:    HOW DOES THIS ON-LINE MAIL-ORDER COMPANY WORK?

A: Patients can have a 3D image of made of their smile via an at-home impression kit or you can visit a SmileShop for a scan of their mouth. Next, they send you a preview of your new smile showing how your smile will transform and begin production of your invisible aligners, which are plastic trays made from the mould of your mouth which gradually guide your teeth into alignment. They also send teeth whitening solutions to be used with the aligners.

Q:    WHY IS IT IMPORTANT TO GO THROUGH THE TEETH STRAIGHTENING PROCESS WITH AN ORTHODONTIST?

A:Dentists and orthodontists are specially trained to recognize when teeth straightening treatments are necessary. Without proper training, issues such as temporomandiblular joint disfunction (TMJ disorders) can arise. Sometimes jaw surgery or planned teeth extractions are necessary to achieve the optimal results. Only a dentist orthodontist can diagnose these issues.

Q:   WHAT ARE SOME OF THE ADVANTAGES OF THE ONLINE ORDER SERVICE?

A:Affordable, convenient, no visit to dentist necessary.

Q:    ARE A LOT OF PEOPLE UTILIZING IT? AND DO YOU PERSONALLY HAVE ANY PATIENTS WHO HAVE USED A COMPANY LIKE THIS?

A: I don’t think it has taken off yet, but I do think it is going to become a major player in the market place. I do have a patient that uses this service, but most do not have a relationship with a dentist.

Q:   IS THIS TYPE OF COMPANY DOING SOMETHING ILLEGAL BY SELLING INVISIBLE ALIGNERS?

A: It’s not illegal, but I do believe it is unethical, and puts patients health at risk because there is so much more involved in the selection of ortho treatment than simply a picture and mould of where the teeth are.

Q:   HEALTH WISE, WHY IS USING AT-HOME ORTHODONTICS COMPANY FOR BRACES OR INVISIBLE ALIGNERS DANGEROUS?

A: Oral cancer screening, periodontal disease diagnosis, and tooth decay are very important considerations in moving teeth and also in whitening.

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Get Well Wednesday: Breast Cancer 101

Janna Andrews knew at an early age that she wanted to be a doctor. Raised by her mother, Janna’s academic pursuits were encouraged and supported through her mother’s sacrifice. Janna attended Princeton University and majored in molecular biology. She then attended Temple University School of Medicine, after which she specialized in radiation oncology.

Since returning home to New York, Janna joined the staff at NorthWell Health as an Assistant Clinical Professor of Radiation Oncology, at the Zucker Hofstra School of Medicine. Janna specializes in breast and gynecological cancers as well as gastrointestinal cancers. Five years ago, Janna started a nonprofit called “Kicked It In Heels” for breast cancer survivors, focusing on young women and women of color.

BREAST CANCER AND MAMMOGRAMS:

What is the survival rate for breast cancer diagnosis?

Thanks to advances in technology with mammography and improvements in treatment, the death rates for breast cancer have declined by 40 %. There are over 3 million breast cancer survivors nationally because of this. Over 6 million breast cancer survivors worldwide. This decline is attributed to breast cancer being diagnosed at earlier stages in nations where populations have access to medical care and the most current and up-to-date treatment strategies.

What are the current treatments for breast cancer?

Treatments like improved chemotherapy regimens tailored to the patient’s’ cancer profile. Hormonal therapy for patients with estrogen/progesterone positive disease and even tests based on gene analysis to distinguish who would benefit from chemotherapy vs. hormonal therapy. Women that have Her2-nue positive disease can be treated with Herceptin. And there are many second line-targeted therapies to choose from if the cancer does not respond to the first line of treatment.

In terms of mammography, the introduction of 3D mammography has led to a decrease in biopsies of non-cancerous lesions. 3-D mammograms, or digital breast tomosynthesis (DBT), overlays 3-D optical mammogram images with x-ray images. Not every woman benefits from 3 D mammography but for women with dense breast, it is very helpful at distinguishing what may be cancerous from what is noncancerous. Instead of looking at a deck of cards stacked on top of each other, it’s more like looking a deck of cards fanned out.

How many women are at risk for breast cancer?

One out of eight women will be diagnosed with breast cancer in their lifetime. That means this disease touches everyone. It’s rare to meet someone who has not witnessed a friend, a loved one, a mother or sibling go through the treatment for breast cancer.

While the death rate from breast cancer has decreased, the disparity outcomes in women of color have increased. Despite having lower incidence rates, Black women had a 41% higher breast cancer death rate. 10% more Black women were diagnosed at regional or distant cancer stage compared with white women.

For every 100-breast cancers diagnosed, Black women had nine more deaths than white women (27 deaths per 100 breast cancers diagnosed among Black women compared with 18 per 100 among white women).

What are the specific risks for Black women?

Despite significant progress in breast cancer detection and treatment, Black women experience higher death rates even though they have a lower incidence of breast cancer compared to white women.

What are the causes of this disparity? Lack of access to care? Lack of health insurance? Implicit bias amongst health care providers? Cultural nuances? Lack of Black women participating in clinical trials? Employment issues like getting time off of work to go for treatment, or securing childcare, can all impact a woman’s ability to seek care or get the optimal care.

It’s fantastic to see these disparities change for states like Connecticut, Massachusetts, and Delaware. It is probably a reflection of the 2006 legislation passed in Massachusetts that required all state citizens to have health coverage. Massachusetts also has or had a National Breast and Cervical Cancer Early Detection Program that helps women in poverty get the screenings they need.

Do Black women get cancers that are harder to treat?

Black women are 3 x more likely to be diagnosed with triple-negative breast cancers. Triple negative means that the cancer cells do not express the estrogen, progesterone, or the her2-neu receptor.

Because there are no receptors to target, triple negative breast cancer have to be treated with chemotherapy. The outcome for triple negative breast cancer tends to be worse in that recurrences are more common. But that is not to deter women from getting screened. We have multiple treatment options for all of the different types of breast cancer. Triple negative can be treated.

What can be done to help more women get screened for breast cancer?

All of this information can be quite scary to hear and that can keep many women from getting their mammograms. We are working on ways to deliver this information in a less clinical or intimidating way. My non-profit, Kicked It In Heels, did a project this year called the Beauty Shop Initiative.  We asked hair stylists to have the conversation with their clients about screening and what they knew about breast density.

What was poignant for us about this initiative was how many hair stylists were eager and happy to help, but also how many of these stylists broke down crying because they had never been screened themselves and they were too scared. What the stylist told us each time was that having the conversation helped them address their fear and motivated them to get screened.

TEXT TOM QUESTIONS

Q: Why does 3D mammography cost more and insurance does not cover it? 

A: 3D mammography is still relatively new.  It increases the cost of a mammogram by roughly $ 50-100.  We know that 3D mammography decreases the number of false positives but insurance companies are slow to cover it because there isn’t enough information yet that it will improve outcomes. It decreases the number of callbacks for noncancerous lesions and in a large study of over 450,000 women, the detection of larger cancerous lesions went up by 41%.

Q: We know the females in the family should definitely be tested if there is a high risk. What about the males in the family?

A: Men can get breast cancer, too. This is a great question! Male breast cancers make up about 1% of all breast cancers. There is no screening test for men at this time. Men should be familiar with their bodies and know their family history.  If there is a history of a BRCA mutation or a strong family history then they are at higher risk of developing breast cancer.

What are dense breasts?

A: So when women are breastfeeding, their breast are very dense so just having a mammogram itself can be very uncomfortable. 3D mammography while breastfeeding is safe, but the mammography reading of a lactating breast can be challenging.  If a woman feels a lump or notices a change in her breast while breastfeeding, she should undergo mammography otherwise some centers suggest a woman wait until she’s been done breastfeeding for about six months.

This year I decided to do the 3 D mammography – this was 2 weeks ago. I have been called back for an enlarged mass in my medial right breast. My question is – why was my regular exam unable to identify this in one year?

A:  Unfortunately, the mass may not have been present a year ago. I think the year and a day rule is interesting and I’ve experienced it myself.  I think that is just the insurance companies trying to control their bottom line in assuring that women are being checked at least once a year, but not more often if not indicated.

Q: My mother was diagnosed with breast cancer at 52. When should I start my mammograms?

A: So this is a controversial question. The American Cancer Society recently changed their recommendations two years ago to say that women should start having annual mammograms at age 45 but with the option of starting at 40.  The US Preventative Services Task Force suggest that women should start having mammograms by age 50.

That being said, the American College of Radiology and the National Comprehensive Cancer Network still recommend that mammography starts at age 40 and I agree. Although the risk of developing breast cancer increases with age, young women, especially young Black women, are often diagnosed younger.

Q: What do you think about thermography instead of yearly mammograms to decrease radiation?

A:  Breast thermography should be used as a tool with mammography, but it cannot replace it. Thermography is a risk assessment tool that can give additional information when used with mammography.

Q: How does the common African-American diet impact breast cancer?

A: Eating a well-balanced diet is a great behavioral risk factor that anyone can change. Ideally, postmenopausal women want to avoid large fluctuations in weight gain in an effort to reduce their risk.  Diet and exercise apply to breast cancer survivors as well, both help to reduce the risk of recurrence.

Q: I had my mammograms every year, which were all normal. I felt a lump, went to the doctor, had another mammogram and ultrasound. Neither noticed the lump, but an ultrasound found irregularities. I had a biopsy and was diagnosed with Stage 3 breast cancer 3 years ago.

A: Unfortunately, breast cancers can grow quickly. It sounds like you were on top of your annual mammograms and were familiar with your body to notice a change, which is crucial.

Q: There is a large amount of cancer in my immediate family – my father died from prostate cancer, my mother had kidney cancer and my brother had throat cancer. They are all deceased. Should I be concerned about my cancer risk and would breast cancer specifically be a concern?

A: There are certain familial syndromes that increase your risk of developing breast cancer; they account for roughly 15% of breast cancers diagnosed.  It may be ideal to sit down with a geneticist and go over your family history.  The geneticist can then decide whether you may benefit from having a gene panel run to further assess your risk.

Q: I think why women delay a second mammogram after an abnormal is because they have to pay for it. Why do they have to pay for an abnormal test?

A: That is a good question. I’m not aware that women have to pay for the second mammogram or further screening if the initial test is abnormal.  Women often have to pay for a second opinion, but should fit any charges that arise from additional screening depending on their insurance company.

Q: I have dense breasts and I have a cyst the size of a nickel. I have yearly mammograms. If the cyst gets bigger, should they remove it?

A: It’s great that you are aware that you have dense breasts.  If the cyst is not painful and it’s not affecting the shape of your breast, it probably does not need to be removed.

Q: I m a 46-year-old African American woman and I’ve been getting diagnostic mammograms for the past 4 years or so, because I have dense breasts and a palpable mass in my left breast. I also had a hysterectomy in 2015 because of endometriosis and fibroids. My aunt just finished radiation for breast cancer. Is my risk higher? What changes can I make now to try to keep my risk low?

A:  Yes, your risk is higher because of your family history and also because you have dense breasts. Speak to your physician  -there are medications that you may be interested in using to decrease your risk but going for your annual mammograms and knowing your family history are key. Maintaining a healthy weight, avoiding excessive alcohol use can also help to decrease your risk.

Q: Are there any lifestyle changes that give us an advantage in staving off breast cancer?

A: Exercising up to 150 minutes a week at a moderate pace or 75 minutes of vigorous exercise is a lifestyle change that will pay in dividends. Eating a well-balanced diet, avoiding excess alcohol, all decrease your risk.

Q: I’m blessed to see 50, but does your breast tissue change with age? I felt a difference with my breast exam and had a mammogram & scan with an all clear, but still wonder.

A: Yes, breast tissue tends to become fattier as women age.

Q: My doctor ordered the 3D mamo for the first time last year and they discovered calcification in the left and said they were not cancers and just to come back in 6 months for a re-check. At the 6-month check all was good, then this year the same finding for the right beast, so I have to go back in 6 months for a re-check, What can you tell me about this calcification, what is it and where does it come from?

A: Not all calcifications are cancer, depending on their appearance, they can just be benign findings.  But some pre-invasive breast cancers called DCIS can present with calcifications and the center is watching the calcifications every 6 months to make sure they don’t change.

Q: If you are diagnosed with a Stage 0, why is there an urgency to do the mastectomy? Is it like the Cesarean epidemic because of the type of insurance the patient has? Why isn’t immunotherapy pushed more in our community?

A: There shouldn’t be an urgency to mastectomy for Stage 0 breast cancer.  Depending on how extensive the cancer is in the breast, a lumpectomy may not be the best option but the advantages and disadvantages of both options should be discussed.

Immunotherapy, or using the immune system as a mechanism to fight cancer, is a promising field but many studies and drugs are still under investigation in terms of efficacy. They are often offered on a clinical trial before they are offered to the general public to prove safety and efficacy.

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Get Well Wednesday: All About Tattoos

WHAT IS THE ORIGIN OF TATTOOS?

Tattoos have been around forever with the earliest evidence of tattooing dating back to 3000 BC! This is fascinating when you think about it – because a tattoo is basically a deposition of pigment or colored ink under the skin using needles. The tattoo artist uses a hand-held machine (almost like a sewing machine) and each puncture of the skin inserts pigment under the skin.

HOW DID TATTOOS BECOME SUCH A SIGNIFICANT PART OF OUR CULTURE?

We’ve definitely seen an increase in the popularity of tattoos because of dramatic shift from a show of social defiance to an acceptable display of self-expression and an art form. Tattooing has become mainstream. 24% of Americans from the ages of 18-60 have at least one tattoo. That’s a long way from the late 50’s when tattoos really started to appear in Western culture. Clearly, tattoos aren’t just for bikers and sailors any longer! Just watch an NBA or NFL game!

WHAT ARE SOME OF THE RISKS AND SIDE AFFECTS OF TATTOOS?

All of the risks and side effects associated with tattoos are related to the introduction of the pigment (ink) under the skin. Adverse reactions can stem from the simple process of puncturing the skin and introducing the pigment with a needle.

This disrupts the integrity of the skin and can give a portal of entry to bacteria; resulting in allergic reactions; skin infections, the transmission of infectious diseases, along with immunological reactions and hepatitis. The most common complications are pain and itching.

The risk has been significantly reduced because of better health standards that mandate disposable needles and using fresh ink for each tattoo. State authorities oversee tattoo practices and vary locally – so check your state’s guidelines.

CAN TATTOOS CAUSE CANCER?

Recently, research has begun on the long-term effects of tattoos for a number of reasons: Inks can contain harmful ingredients because they are not regulated by the FDA (They considers inks to be cosmetic), therefore, there is no oversight.

Some tattoo inks are made from heavy metals. For example, reds can be made from mercury; yellows and greens from lead; whites from titanium dioxide. These metals have been linked to health issues including cancer. Other inks are made with the same ingredients found in printer ink and car paint!

Recent studies have discovered that ink injected by tattoo needles containing hazardous substances does not stay localized but travels to other parts of the body.

Tattoo ink has been found in the other parts of the skin, around blood vessels and in lymph nodes. We don’t know what that means long-term.  So as far as tattoos causing cancer, the jury is still out about the long-term effects – but you should be aware of this when you decide to get a tattoo.

THERE WAS A STORY IN THE NEWS RECENTLY ABOUT A MAN DYING AFTER SWIMMING WITH A NEW TATTOO. WHAT ARE SOME RULES TO FOLLOW AFTER GETTING TATTED?

Yes, and this was an avoidable tragedy. What seems to have occurred was the young man went swimming in the Gulf of Mexico 5 days after getting a tattoo. Remember, the insertion of the needle disrupts the integrity of the skin and can give a way of entry of bacteria.

In an open body of water, this young man was infected with a vibrio vulnificus which is a bacterium that lives in warm brackish seawater. It’s normally harmless because unbroken skin protects us – but with a new tattoo, bacteria can enter the body and cause a local infection. In this case, the infection became overwhelming  causing sepsis and death. That’s why is it very important to follow instructions carefully after the procedure to avoid complications.

IS IT TRUE THAT IF YOU HAVE A TATTOO, YOU CANNOT DONATE OR TRANSFER BLOOD?

Great question. You must wait 12 months after getting a tattoo if the tattoo was applied in a state that does not regulate tattoo facilities. This requirement is related to concerns about hepatitis. A tattoo is acceptable if the tattoo was applied by a state-regulated entity following state guidelines. For blood transfusions, check with your local hospital and when donating blood, discuss your tattoo history with the health historian at the time of donation.

WHAT ARE SOME OF THE RISKS OF GETTING A TATTOO REMOVED?

One of the most common tattoo complications is REGRET! So, make sure you want a tattoo, choose it carefully, have no regrets and hopefully don’t get to this point. But if you do – the good news is, tattoos can be removed by a laser treatment. It usually takes multiple treatments and sometimes can result in scarring.

Covering a tattoo with another bad version is no longer necessary! Tattoo-removal technology has greatly improved, but it can be painful and sometimes takes multiple treatments. But as always, find a reputable dermatologist in your area to do the procedure.

Tattoos can be an awesome way for a person to express themselves, however precautions should be taken.

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Q. Dr. does tattoos effect psychological effects?

A. One of the biggest complications of getting a tattoo is regret.  That feeling can affect you psychologically.  Make sure you are absolutely sure you want to get the tattoo and realize that it will be a permanent part of you.

Q. What about branding?

A. Branding is a process of burning the skin to cause a scar.  The risks include infection if not properly cared for and keloid formation.

Q. Can you keloid from tattoos?

A. Yes, you can keloid from tattoos.  Any trauma to the skin can cause a keloid.

Q. Dr. Karen. What is the risk of getting a tattoo on your face?

A. The same risks apply for tattoos on any part of the body which includes allergic reactions, infections, scars and immune reactions.

Q. Do tattoos affect the brain cells?

A. It has been reported that some nanoparticles may cause toxic effects in the brain and nerve damage. Nanoparticles have been found in tattoo ink. Further research is needed.

Q. Does the amount of tattoos play a role in the infections or interference with the MRI so if you only have 1 how likely is your risk versus 8 tattoos?

A. It’s the content in the ink not the number of tattoos.  Check with your tattoo artist on the exact ingredients of the ink used in all of your tattoos.  The heavy metals in the tattoo ink cause the problems with the MRI.

Q. Does laser removal leave a permanent scar?

A. The risks associated with laser removal of a tattoo are rare but include infection, lack of complete pigment removal and permanent scarring and skin discoloration.

Q. Do body piercings, such as daith piercings have the same level of risks as tattoos?

A. The main risks of piercing the cartilage are infections and possible contact allergy to the metal.

Q.Are Hanna tattoos more harmful than real ones?

A.Temporary tattoos are not risk-free. There is a risk of allergic reactions that may be severe and long outlast the temporary tattoos themselves.

Q. If tattooing involves ink, what does lasering off a tattoo involve? Is there more ink involved and what are the risks of the laser?

A. Tattoo removal is done with a laser which releases a pulse of energy to the tattoo to heat and shatter the ink. The risks associated with laser removal of a tattoo include infection, lack of complete removal, permanent scarring and skin discoloration.

Q. I’m a dark skin brother and I’m considering getting a tattoo however color is an issue for me are there shades of the color that can be used for darker skin?

A. Of course, there are colors for you!  Find a tattoo artist who has experience tattooing people with your skin tone.  They will be able to show you examples of their work and help you achieve the tattoo you desire.

Q. I have a tattoo on my back, that just itches so bad that I literally have to scratch so much/hard tip it leaves little scabbing on the back…what is up with that?

A. One of the risks of getting a tattoo is having an allergic reaction to the ink.  That may be what you are experiencing. I suggest you see a dermatologist, they will be able to help you.

Q.What are the effects of a tattoo and lupus

A. There is no specific problem that has been associated with tattoos in people with lupus.  It is recommended that you consult with your doctor before having the procedure

Q. About blood transfusion, Can you give blood when you have tattoos?

A. You must wait 12 months after getting a tattoo if the tattoo was applied in a state that does not regulate tattoo facilities. This requirement is related to concerns about hepatitis and other blood-borne diseases.  A tattoo is acceptable if the tattoo was applied by a state-regulated entity following state guidelines. You can check with your local government to review the state tattoo guidelines.

Q. What if you get a tattoo to cover a burn scar will that how will that affect your body?

A. If you get a tattoo to cover a burn scar your risks are the same which include, allergic reactions, scars, blood-borne diseases such as hepatitis, skin infection, and MRI complications.

Q. Do you recommend getting a tattoo if one has an autoimmune disease?

A. There is no specific problem that has been associated with tattoos in people with lupus. It is recommended that you consult with your doctor before having the procedure.

Q. Is there more risk depending on what area of the body you get the tattoo?

A.The risks are same for skin tattoos.

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Praise the Cord: A Guide to Wearing CorduroyCorduroy may well be…

Praise the Cord: A Guide to Wearing Corduroy

Corduroy may well be one of the best fabrics of our age. It even threatens to surpass tweed. As each passing autumn gets warmer and warmer, corduroy is one of the few fabrics you can wear this time of year without overheating. It also embodies all that is good – it’s smart, yet informal; outdoorsy, yet intellectual. Jesse summed it up best in his address to the Corduroy Appreciation Club a few years ago (yes, that’s a real thing): 

For a thousand years, corduroy has stood for what is right in our lives. Intellectual rigor. Fresh air. The comfort of a crackling fire. It is a fabric as forgiving and enduring as our spirits at their best. […] Corduroy is a fabric built to take on the world. Tuck your corduroy trousers into your boots and feed the pigs. Roll up your corduroy sleeves and bring in the harvest. Put on a corduroy field jacket and go outside to build something. […] Corduroy is the fabric of living.

Of course, corduroy is also often seen as fusty and old-fashioned, worn by those who are hopelessly out-of-touch. See every movie about an English Lit professor, who’s often shown wearing a threadbare, ill-shaped corduroy sport coat with patched elbows. Nevermind that academics rarely wear corduroy in real life. The fabric is a way for directors to communicate something to their audiences, much like how dark shirts under suits are used to identify made men in mob films. 

At the same time, it’s that down-to-earth, out-of-touch character that makes corduroy so great. At a time when everyone is try to dress down as much as possible, corduroy sport coats and trousers allow you to look a bit sharper without seeming overdressed. Wear them with oxford cloth button downs and soft, brown suede shoes. As the fabric naturally wears down and bags over time, it’ll only look and feel more comfortable. Some suggestions on to wear the fabric well:

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Classic and Easy-to-Wear Combinations

Corduroy has its roots in workwear and country clothing, so it does naturally well in earthy, autumnal colors such as wheat tan, russet brown, and mossy green. That said, don’t be afraid of colors such as navy or gray. So long as you know the history of how colors have been used, you can combine rustic fabrics with “city” colors for a more contemporary look. 

The ribs running down corduroy are known as wales (from the Anglo-Saxon walu, which means “to mark with stripes”). The more wales per inch, the sleeker and more contemporary the look. Most cords have eleven wales per inch, which make them versatile for anything from suits to sport coats to trousers. Needlecord, which can go up to 16 wales per inch, is generally better for suits and casual pants. Jumbo wales can be as low as eight wales, which pushes it closer to casualwear (in tailoring, jumbo wales can make a man look a bit old school). 

The easiest way to incorporate corduroy into your wardrobe is to start with pants. Five-pocket needlecords jeans are a great alternative to denim, and can be worn with almost any kind of casualwear. You can find them at places such as Levi’s, Club Monaco, and Lee. Preppy American clothiers, such as Ralph Lauren and Brooks Brothers, stock slim-fitting cords that look a bit dressier; S.E.H. Kelly and Old Town make ones that sit well with workwear. For things you can combine with traditional tailoring, try Rota, Ring Jacket, Drake’s, and Cordings. Our advertiser Proper Cloth even sells needlecord shirts, which would look great with chinos or denim. 

See the combinations above for styling ideas. Casual cords can be worn with chunky, textured knitwear, which can be used on their own or layered underneath quilted jackets and tailored topcoats. If the rise on the pants is high enough, you can team them with autumnal sport coats in materials such as tweed or heavy wool. Similarly, corduroy sport coats can be equally versatile. I like them with flapped pockets, rather than patched, as the thick material can sometimes add visual weight to your hips. When done right, a corduroy jacket can be easily worn with everything from jeans to khakis to wool flannel to cavalry twill. Some of these combinations are so classic, there are even songs and books about them. 

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Going Beyond the Basics

Corduroy will never lose its fusty connotations – that, in part, is what makes the fabric so charming. That said, one of the easiest ways to modernize a look is to play with color. See how English-American novelist Christopher Isherwood wears a tan sport coat with taupe wool trousers and a blue shirt. While it’s possible to combine light colors in your shirt and jacket, if you find your ensemble visually floating away, you can always anchor a light colored jacket with a darker button-up or sweater

Corduroy also plays well with denim, which makes it a great option if you like dressing down your tailored jackets. Andy Spade, co-founder of Kate Spade along with other companies, has built his style around this combination – green, tan, and dark brown sport coats, cut a little full for comfort, but also a touch short to make the silhouettes feel casual. He usually wears them with beat-up blue jeans and similarly old chukka boots (often desert boots, such as Loake’s Sahara or Clark’s). You can accessorize this look with a pocket square, but I find jeans + sport coat combos look best without a tie (it keeps things casual). 

It can be a little jaunty, but turtlenecks look great under textured jackets made of napped flannel, prickly tweed, and most of all, ribbed corduroy. Stick to thinner merinos, so you don’t add too much bulk underneath your jacket. I find mid-gray, charcoal, and dark green to be the easiest colors to wear, although navy can also add a contemporary touch. 

Finally, if corduroy sport coats feel too dressy for you, don’t forget about the wide world of casualwear. Companies such as Naissance, S.E.H. Kelly, 1ST PAT-RN, Engineered Garments, APC, and Barena all used the material this season for things such as workwear, casual topcoats, and sport-coat-inspired outerwear. For a more affordable option, Levi’s corded sherpa would look great with a sweater and some jeans, and can be had for just $ 98. Uniqlo also has a corded trucker jacket for just under $ 20

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Get Well Wednesday: What You Need To Know About Obesity

Dr. Danielle Gilliam is a senior obesity medical liaison with Novo Nnordisk Inc. She has thorough knowledge of obesity, diabetes and the science that supports Novo Nordisk products.

Dr. Gilliam attended Xavier University in New Orleans for her undergraduate studies in chemistry and the University of Illinois Chicago for her Masters in Public Health and Doctorate in Pharmacy. Her 20 years in the field of diabetes includes clinical, research and industry experience.

 OBESITY IS ASSOCIATED WITH MULTIPLE COMPLICATIONS INCLUDING:

  • SLEEP APNEA
  • DEPRESSION
  • STROKE
  • CANCER
  • INFERTILITY

WHAT CAUSES OBESITY?

A: Obesity is a complex disease. Multiple factors like genetics, environmental, physiological, and psychological all playing a role.

WHAT OTHER HEALTH COMPLICATIONS ARE ASSOCIATED WITH OBESITY?

There are over 100 obesity related complications, the most common in the African-American community is Type 2 diabetes, high blood pressure, high cholesterol, depression, sleep apnea, infertility, cancer and heart disease.

WHAT AGE GROUP DOES OBESITY AFFECT THE MOST?

Obesity affects all age groups and genders. Obesity can reduce your life expectancy up to 10 years. The younger you are, the most years taken off your life.

WHAT STATES OR REGIONS TEND TO HAVE THE HIGHEST OBESITY RATE?

The Midwest (29% obesity) and South(29.5% obesity) are the regions most affected by obesity. The CDC has identified a Southern obesity belt. This belt comprises the states AL, AK, IN, KY, LA, MI, MS, MO, OK, SC, TX, and WV with MS and WV having the highest rates.

WHAT IS THE BODY MASS INDEX AND WHY IS IT IMPORTANT TO KNOW?

BMI is a convenient population level measure of obesity. You calculate BMI by dividing your weight in kilograms by the square of your height in meters. Or you can simply go online and Google BMI calculator; type in your weight and height to determine your BMI.

HOW DO YOU KNOW IF YOU ARE CONSIDERED OBESE?

Obesity is defined by the World Health Organization (WHO) as abnormal or excessive fat accumulation. A BMI equal to or greater than 30 is considered obese.

 HOW CAN I SAFELY LOSE THE WEIGHT AND THEN NOT GAIN IT BACK?

Weight loss is highly individualized. This will vary based on what factors play a role in your obesity (i.e. genetics, psychological, environmental). Numerous studies have shown that when people lose weight achieved by dieting, they regained weight and in some studies more than their initial weight before the diet.

This is in part due to the physiological responses to weight loss. As you lose weight, your responds to hormonal and metabolic adaptations causing an increase in hunger and desire to eat. If you have chronic obesity, you should speak with your physician or an obesity specialist.

For more info go HERE.

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Nelly Released After Rape Allegation: ‘Ya’ll Known Damn Well I Ain’t Do No Dumb S–t Like This’

New Kids On The Block Perform At The Tacoma Dome

Mat Hayward

Nelly has spoken out against the rape claim against him and basically said what we reported his lawyer saying when the story first broke: he’s completely innocent and is a victim of targeting. In fact, he’s been released from jail and was NOT charged in the wake of his Saturday morning arrest in Washington state.

Nelly tweeted the news of his release Saturday: night:

The St. Louis rapper says he’s beyond shocked at the “false allegation” and is confident he’ll be exonerated once the facts are in. He says he’s been targeted by the accuser, but apologized to his loved ones for the embarrassment and for putting himself in a bad situation. He also vows to take legal action against the “defaming claim” and reaffirms he’s not been charged with a crime yet.

Here’s what was first reported:

Wow, we hope it’s NOT true! That’s about all we can say after learning that rapper Nelly has been arrested on second degree rape charges.

The charge was filed after the rapper was accused by a woman of sexually assaulting her on his tour bus, his attorney confirmed.

Fox Seattle affiliate Q13 reports the accuser claims she met Nelly, 42, — whose birth name is Cornell Iral Haynes Jr. — after a show in Seattle and invited her on his tour bus.

The assault was reported at 3:45am, and Nelly was arrested at 7am Saturday morning in Auburn, Washington, according to Q13.

Tonight Nelly is still scheduled to perform in the nearby town of Ridgefield as part of his tour with Florida-Georgia Line.

In a statement, Nelly’s lawyer says:

“Nelly is the victim of a completely fabricated allegation. Our initial investigation clearly establishes this allegation is devoid of credibility and is motivated by greed and vindictiveness. I am confident, once this scurrilous accusation is thoroughly investigated, there will be no charges. Nelly is prepared to address and pursue all legal avenues to redress any damage caused by this clearly false allegation.”

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Trump Says Administration has Done “As Well in Puerto Rico As We Did in Texas And Florida”

President Trump on Tuesday said the White House has done as well in recovery efforts in Puerto Rico as they have in Florida and Texas. “I think it’s now acknowledged…
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SPECIAL NEWS BULLETIN:

http://www.acrx.org -As millions of Americans strive to deal with the economic downturn,loss of jobs,foreclosures,high cost of gas,and the rising cost of prescription drug cost. Charles Myrick ,the President of American Consultants Rx, announced the re-release of the American Consultants Rx community service project which consist of millions of free discount prescription cards being donated to thousands of not for profits,hospitals,schools,churches,etc. in an effort to assist the uninsured,under insured,and seniors deal with the high cost of prescription drugs.-American Consultants Rx -Pharmacy Discount Network News

CHARITY UPDATE:

Click today to request your free ACRX discount prescription card and save up to 80% off of your medicine!

SPECIAL DONATION REQUEST UPDATE:

Please help American Consultants Rx achieve it’s biggest goal yet of donating over 30 million discount prescription cards to over 50k organizations in an effort to assist millions of Americans in need. Please click here to donate today!

Get Well Wednesday: What You Need To Know About Kidney Disease

Dr. Jerry McCauley obtained his undergraduate and medical degree at Dartmouth and completed his MPH at the University of Pittsburgh. He has been a faculty member at Tufts University and the University of Pittsburgh.

Dr. McCauley rose through the ranks at the University of Pittsburgh where he became Director of Transplantation Nephrology, Medical Director of the Kidney/Pancreas and Islet Cell Transplantation Program, and Professor of Medicine and Surgery.  Since 2013 he has been the Chief of Nephrology at Thomas Jefferson University in Philadelphia.

WHAT YOU NEED TO KNOW ABOUT KIDNEY FAILURE

Why do African-Americans have a far greater risk of developing kidney failure than others?

African-Americans have three times more risk of developing kidney disease than whites. This is primarily due to high rates of diabetes and hypertension which are the leading causes of kidney failure for all Americans. They also have more frequent diseases like lupus which can cause kidney failure. Other diseases of the filtering units in the kidney (glomerulus) are more common and severe in African-Americans. Focal segmental glomerulosclerosis is the most common and severe form of these diseases.

How many African-Americans are waiting for kidney transplants?

There are approximately 100,000 people waiting for kidney transplants in the US and about 35% are African-Americans so that about 35, 000 African-Americans are waiting for kidney transplants.

How are donor kidneys allocated and are there enough available?

Deceased donor kidneys are allocated by a point system which is based on a set of donor and patient characteristics. Kidneys are not matched by race such that African-Americans are more likely to get a kidney from a White person than from an African-American.

Factors included in giving points included the time on dialysis, and others. The new allocation system effectively matches donor and recipient by age and other factors by a calculation termed the Kidney Donor Profile Index (KDPI) which estimates the risk of kidney failure compared to the average donor. Very low numbers (20% and less) typically goes to young people based upon another calculation termed the Estimated Post Transplant Survival (EPTS) which estimates patient survival after transplant.

Factors included in the EPTS are 1) Candidate time on dialysis, 2) Current diagnosis of diabetes, 3) Prior solid organ transplants, 4) Candidate age. Points are also given for prior organ donors and for patients who have a large number of antibodies against potential donors (sensitized patients).

These sensitized patients seldom were transplanted with the old system and now are transplanted rapidly. Kidneys from Public Health System (PHS) High Risk categories can be allocated to anyone regardless of age but the patient must declare that they are interested in this type of donor.

Typically these donors are opioid users and others at risk of hepatitis or HIV. They are screened for these diseases before transplantation and patients with HIV are not used except for a special study which is available in a limited number of centers. Hepatitis B or C positive donors may be offered to patients who are already positive for these viruses.

Are there enough donors?

No. In 2016 only about 19,000 kidneys were transplanted for a waitlist of about 100,000.

How can family and friends find out if they’re eligible?

For willing donors the only way to find out if you are a potential donor is to tell the patient that you are willing to donate. After this important step you should contact the transplant center to be certain if you qualify. You should not decide on your own. The center will be best in determining if you are healthy enough to donate or if any health problems would prohibit it.

The new allocation system gives points from the time a patient starts dialysis instead of when they complete all the tests needed to be listed. This has been a major aid in African-Americans getting on the list. Previous allocation systems did not use the KDPI or EPTS to allocate organs and tissue typing derived points have been li

mited to only one locus instead of three. Sensitized patients now get points from lower numbers starting with zero. The old system only gave points once the patients were 80% sensitized. As mentioned earlier, it approximately matches donors and recipients by age so that a 20-year-old donor kidney will not usually go to a 75-year-old recipient since that 20-year-old kidney is expected to give more years of functioning than the patient is expected to live. The PHS high risk kidneys can go to older patients and many of these transplants have been done with very low rates of disease transmission.

What is the average waitlist time?

Nationally, the average waitlist time is about 3 ½ years but this varies by geographic area and transplant center. In some centers the wait for a deceased donor may be a bit more than a year and in others it may be ten years. It is important for patients to inquire at the transplant center about their particular wait time. The best way to avoid waiting for a kidney transplant is to get a living donor kidney transplant.

Do kidney donors and recipients have to be the same race?

No. Race is not a factor in selecting or matching kidney transplants.

Is there a difference between a kidney from a living donor or a deceased donor?

Yes. Living donor kidney tend to function immediately after transplantation and last years longer. This is true whether the kidney comes from a relative or someone unrelated. When possible, patients should receive a living donor transplant. The waiting times for deceased donors do not apply to living donation in that the donor and recipient can schedule the transplant like any other elective medical treatment instead of waiting for some unknown period of time.

What if I donate a kidney and later need a kidney transplant?

In such cases the former donor is given a large number of points on the waiting list which allows them to be transplanted much quicker than the average patient. It is very important to avoid this situation. Donors are healthy at the time of donation and should practice measures to remain healthy.

Diabetes and hypertension are the leading causes of kidney failure nationally. These two diseases often develop when patients become obese. It is vital that donors (and non-donors) maintain healthy body weight. Weight gain can cause diabetes and hypertension. Donation will not cause these illnesses but will not protect you if you gain excessive weight

TEXT YOUR QUESTIONS TO 646464 AND DR. BROWN WILL ANSWER THEM ON BLACKAMERICAWEB.COM

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Get Well Wednesday: September Is National Childhood Obesity Month

September is Childhood Obesity Month, which helps to bring awareness to the increasing number of children who are overweight and obese. Dr. Lisa Ashe works with children who have health problems due to obesity and hopes that more information about the necessity of children’s healthy eating habits will help to stem this dangerous trend. Here’s more information.

IS OBESITY HEREDITARY?
There is likely a genetic component of obesity, however this form of obesity is very rare, less than 1 percent.

WHAT CHRONIC HEALTH CONDITIONS ARE A RESULT OF  CHILDHOOD OBESITY?

High blood pressure, fatty liver, knee and back pain and arthritis, sleep apnea and risk for diabetes.

WHAT CAN YOU DO TO PREVENT OR HELP YOUR CHILD FROM CHILDHOOD OBESITY?

Avoid sugary drinks such as soda and juice, limit use of electronics. encourage exercise and outside playing, enroll them in sports or after school activities, limit fast food and encourage portion control.

HOW IS OBESITY MEASURED IN CHILDREN?

It is measured using the Body Mass Index (BMI) which is based on weight and height.

HOW DOES SLEEP AFFECT OBESITY?

Lack of sleep is linked to hormone deregulation, increase caloric intake and decreased energy, all of which can cause obesity.

IS IT OKAY TO PUT YOUR CHILD ON A STRICT DIET?

Yes, it is important to make sure your child is not overeating or eating the wrong things.

WHAT ELSE CAN YOU DO WHEN YOUR CHILD IS ACTIVE BUT STILL OVERWEIGHT? 

See a nutritionist and evaluate their diet. Also, are they on any medications that may contribute to their being overweight?

IS IT OKAY FOR CHILDREN TO TAKE MEAL SUPPLEMENTS AND DRINK WEIGHT LOSS TUMMY TEA?

Children are growing and need certain amounts of nutrients, calories and protein. These nutrients should be obtained through food and vitamins if recommended by the child’s pediatrician. Additionally, it is important that children learn portion control and how to eat healthy so obesity does not continue into adulthood.

Dr. Lisa Ashe serves as the medical director of Be Well Medical Group – a leading concierge medicine and wellness group currently serving the Washington D.C., Maryland and Virginia metro areas. She’s a board certified internal medicine physician.

TEXT YOUR QUESTIONS TO 646464 AND DR. ASHE WILL ANSWER THEM ON BLACKAMERICAWEB.COM

TEXT TOM questions are answered on the next page.

Why don’t they use body fat percentage to determine overweight? Body fat preventage may be a better predictor of health.

More studies need to take place in order for it to be globally used.

What should the average healthy weight be for a four-year-old?

Average weight for a four-year-old is about 40 pounds.

Why aren’t there BMI charts specific to African-Americans? Our body composition is different from Caucasians or Asians.

The BMI charts are universal, however the studies that were done to develop the chart used primarily Caucasian participants. This is true for most research studies in the US. The BMI is a good overall predictor of healthy weight for average Americans.

What about children who have asthma and are on Albuterol or steroids. Steroids make children gain weight and asthmatic children can’t always play outside and exercise.

Steroids absolutely cause children and adults to gain weight. It is important for your doctor to have you on the lowest effective dose. Children on steroids may need to be on a more strict diet.

How much should a 16-year-old, 6′, black, semi-athletic female weigh?

Anywhere from 140-180 pounds on average.

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Get Well Wednesday: How To Help Your Kids Be Their Best At School

WHEN IS THE BEST TIME TO START TEACHING CHILDREN ABOUT TIME MANAGEMENT, ORGANIZATION AND EFFECTIVE STUDY HABITS?

The best time is as soon as children start receiving homework or weekly quizzes, like for spelling and math. Some schools don’t assign homework until 3rd grade, but there are others who begin in kindergarten so it just depends as to exactly when to get started. The idea is to start them early with good habits to help them become successful.

WHAT IS THE BEST WAY TO GO ABOUT TEACHING CHILDREN THESE LIFELONG SKILLS?

Parents should MODEL and MONITOR as much as they can! For example, to help with time management, parents can help children prioritize their evening homework routine as to which assignments should be done 1st, 2nd, etc, to ensure that kids tackle the challenging assignments first while their mental energy, mental effort and sustained attention is optimal. Additionally, parents can monitor when kids should take a “brain break” and for how long so it’s just enough to recharge, but not too long in that kids are so distracted that homework take all evening. I have lots of examples, but the key is modeling and monitoring.

HOW MUCH SHOULD THE PARENT OR GUARDIAN TAKE RESPONSIBILITY FOR TEACHING LEARNING STRATEGIES?

The hope would be that children would learn these strategies at school to help them be successful, however that is not always the case. So the goal has to be that if parents observe their children struggling, and it is due to them not handing assignments in on time, or always losing materials, or receiving unsatisfactory grades after they spent time “studying”, then it is time for the parents to step in and implement some systems to support the child.

EXPLAIN SELF-REGULATION OR EXECUTIVE FUNCTIONING SKILLS.

Self regulation is a general term that refers to how one regulates his/her behavior. One important aspect of self -regulation is self-monitoring. You have to monitor your behavior to know how well you are or are not doing so you can modify the behavior. Executive functioning refers to how individuals are able to be given a task, plan and organize the task,use effective strategies, and complete the task despite distractions.

WHAT DO YOU SUGGEST IF THE PARENT OR GUARDIAN HAS NOT MASTERED THESE SKILLS THEMSELVES?

I would suggest that they collaborate as much as possible with their child’s teacher and be honest about needing support about needing strategies to use at home.

WHAT ARE SOME SPECIFIC THING PARENTS CAN DO TO ENSURE LESS STRESSFUL EVENINGS AT HOME AND MORE PRODUCTIVE AND BETTER STUDENT PERFORMANCE IN SCHOOL?

Implement an efficient evening routine at home.

First would be to create a plan of the order in which work will be done and how much time it should take. Create a “checklist” of what assignments need to be done and prioritize the order of what should be done based on difficulty. Be sure to incorporate “brain breaks” based on the amount of work.

Create a space at home that is intended to get work done that is free from distractions. Be sure that it is FULLY stocked with supplies. This is essential so that kids don’t lose valuable time looking for paper, notecards, pens, USB drive, etc..

Create a calendar for long-term projects (tests, quizzes, essays, projects) so that each major project can be broken down into manageable mini-tasks that can ensure the task is done on time.

Create a home filing system especially for high school students so they can transfer old papers, quizzes and tests out of their binders and file later into an organizational system to be used later for studying for final exams. This will help them stay organized and not have their binders and notebook falling apart!

Create a space where all important forms, assignments, tests that need to signed by parents and returned to school are placed so parents can sign and immediately put in book bag. Pack bags before bed to lessen the possibility of a stressful morning!! Everyone needs to get out of the house!

TEXT YOUR QUESTIONS TO 646464 AND DOCTOR PERRY WILL ANSWER THEM ON BLACKAMERICAWEB.COM.

EDUCATIONAL PSYCHOLOGIST AND LEARNING DISABILITIES SPECIALIST  DR. CHRISNA PERRY HAS NEARLY 20 YEARS OF EXPERIENCE WORKING WITH CHILDREN WHO REQUIRE ACADEMIC, SOCIAL, AND EMOTIONAL SUPPORT.  IN HER PRIVATE PRACTICE, DR. PERRY ALSO SUPPORTS CHILDREN WITH ANXIETY, ADHD, AUTISM AND SENSORY INTEGRATION IN HER SOCIAL SKILLS SUPERSTARS PROGRAM.

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Pixar’s Coco is Alive and Well in the Land of the Dead

Pixar’s Coco is Alive and Well in the Land of the Dead

Emeryville, Calif. — The screening of Pixar’s next film, Coco, or to be precise, a viewing of roughly a third of the movie, had just ended, the lights rising in the studio’s theater against a ceiling of faux starlight with all the subtlety of the midday sun. There was no question, we were back in the land of the living, and for a brief moment we regretted it.

What we had seen was simply stunning – the tale of young Miguel Rivera (Anthony Gonzalez) as the pursuit of his…

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Get Well Wednesday: Are You Tired Of Being Tired?

Dr. Ken Redcross wants everyone to get more sleep. Sleep is a significant factor in good health, but it’s one most people ignore. Here’s why it’s so important and how to get more of it.  

HOW MANY HOURS OF SLEEP DO WE REALLY NEED?

The Center for Disease Control and Prevention recommends adults get 7 hours of sleep each night.

CAN LACK OF SLEEP CAUSE OTHER HEALTH CONDiTIONS?

Studies show that sleep deprivation is linked to many diseases, including cardiovascular disease, cancer, obesity, diabetes, depression and Alzheimer’s disease. Lack of sleep can compromise the immune system, making it more susceptible to infection and more difficult to fight off illness.

IS INSUFFICIENT SLEEP A COMMON HEALTH ISSUE?

Everyone wants more sleep but finding time to get it seems impossible. According to Centers for Disease Control and Prevention, 1 in 3 American adults do not get enough sleep.

CAN A MATTRESS AFFECT SLEEP QUALITY?

Yes. On average, most people will spend 24 years of their lives asleep, so investing in a good mattress, pillows and sheets are a must in order to achieve quality sleep. Studies show new bedding systems increase sleep quality and reduced back discomfort, both of which may be related to the reduction of stress-related symptoms.

HOW CAN YOU STILL FUNCTION WHEN YOU DON’T GET ENOUGH SLEEP?

Try backing up your immune system with boosters. Studies show that even just one sleepless night can negatively affect the adaptive immune system. If you can’t achieve the optimum 8 hours of sleep each night for the immune system, immune boosting supplements can give you the backup you need. AHCC (Active Hexose Correlated Compound) is an effective, medicinal mushroom immune booster backed by more than 20 human clinical studies at some of the most credible research institutions worldwide, including MD Anderson, Yale and Harvard. Studies show AHCC strengthens the immune system significantly, helping protect your body against potential health threats, which is especially critical if you are not getting enough sleep.

CAN A CHANGE IN DIET HELP YOU SLEEP BETTER?

Certain foods can naturally help you achieve better quality sleep. For a sleepy-time snack before bed try almonds: rich in magnesium, a mineral needed for quality sleep; walnuts: a good source of tryptophan, a sleep-enhancing amino acid, and also contain its own source of melatonin, which may help you fall asleep faster; tart cherries: boost levels of sleep-triggering melatonin; chamomile tea: increases glycine, a chemical that relaxes nerves and muscles acting as a mild sedative.

WHAT CAN WE DO RIGHT AWAY TO GET BETTER SLEEP?

Cut down on the cocktails, sodas, cigarettes, and coffee. One study tackled these topics and found that alcohol can be relaxing to help you get to sleep but damaging to the sleep cycle, resulting in a restless night. Caffeine lengthens the second phase of the sleep
 cycle (the cycle where your brain starts processing the day) – OK for naps but not for deep sleep – and shortens cycles where REM sleep and dreaming occur. Cigarettes can be relaxing in small doses but too many will keep you awake and could prevent the onset of sleep entirely. Try to avoid alcohol, caffeine and cigarettes at least two hours before bedtime.

DR. REDCROSS ANSWERS ALL YOUR QUESTIONS ON PAGE 2. 

What was that immune system boost called?

 It was called AHCC (short for Active Hexose Correlated Compound). It been researched at credible institutions such as Harvard, Yale and MD Anderson. More information on how it works is available at http://www.ahccresearch.org

 What if you’re fatally allergic to tree nuts??

Then it’s important to AVOID nuts to help you with your sleep and instead consider other foods as outlined on Page 1. Newer research talks about the importance of Omega-3 supplements (ie. Fish Oil or Krill Oil) at bedtime to help us get a better night’s sleep. There is great info Omega-3 ‘s benefit at www.nutrientpower.com There you can actually order an Omega-3 Index test kit that allows you to measure your omega-3 levels from the comfort of your own home!

Can the doctor talk about sleep aids and their affects?

Well as you probably could tell, I prefer the more “natural” route over prescription medications (due to the side effects: dizziness, nausea, vomiting and daytime drowsiness, etc). If some of these techniques I outlined are not as effective, consider over the counter melatonin. Many of my patients swear by it.

Are diffusers good?

I am a big fan of them as their use with essential oils, such as lavender and chamomile, can be very soothing and relaxing.

 Any advice for sleep apnea?

Yes, make sure to have an evaluation for a device called a CPAP machine which will do wonders for allowing you to get a good nights sleep. If you are a smoker..please stop and increase your exercise to help lose a few pounds which is also extremely helpful.

What is the best treatment for Lymphatic vessels that don’t work properly?

The lymphatic system helps our body rid itself of body toxins and waste. One of the best ways to assist this system is with movement (exercise).

Dr: I get up 2-4 times a night to use the restroom; what is causing that?

Please make sure to consult your physician, as it would be important to check your blood sugar. Elevated blood sugars can cause nocturia.(urination at night)

Is it true your body creates a hormone between 10 p.m. and 2 a.m. that fights breast cancer? 

Well not exactly. Our body actually makes hormones (thyroid, insulin,etc) all day long that are crucial to us to maintain optimal health.

What’s the best way to caught up on sleep?

Do your best to create a routine each night before going to sleep, avoid a TV in your bedroom and shut down your devices (ipad, cell phones,etc) at least 2 hrs before bed.

After you get it in, why do we as men fall asleep like a baby?

Well, I think both woman and men fall sleep like babies, I just think men may not be as good at keeping it to themselves!

Why does it seem like your mind is working while you’re sleeping and you wake up tired?

Make sure to  focus on stress management techniques if your mind continues to race. Consider yoga, meditation and exercise regimens.

sleep position matter? Side vs. back vs. stomach?

Not as much, we all have certain positions that are more comfortable for us, but if you have been told you snore or your loved one snores, talk to your doctor, as that can be a sign of sleep apnea.

Is too much sleep bad for you?

Yes it can be. As I mentioned, the goal is to get 7 hours of sleep, but a recent British study, showed that getting over 10 hours of sleep per day can possibly increase your risk of having a stroke. So stick to 7 hours and get in some exercise with the extra time!

The other day my 25-year-old daughter told me she had an episode of sleep paralysis and that it had happened before a couple years ago.Is this something we should worry about or see a doctor about?

Well, yes it’s a good idea to make your physician aware. But not to worry as several people have this sort of complaint, and it’s typical benign.

Me and a most of my friends can’t fall asleep and when we do we can’t sleep without periodically waking throughout the night.

Exercise, Exercise and Exercise! It’s so important to help us regulate our sleep cycles and due to the intensity of activity will allow your mind and muscles to relax, so that you get to sleep…and stay asleep.

What would you recommend for those who work overnight. It’s hard to get consecutive hours of sleep in broad daylight?

Great question, as overnight workers do have a few different challenges. The key for you is to attempt to avoid working too many nights in row if possible, limit your caffeine during the day and consider “blackout” blinds in your bedroom.

How does sex affect your sleep?

Well it’s an activity where you utilize a fair amount of energy, which can also impact your relaxation positively.

 

I‘m desperate for a non-medicated night of deep sleep. Also, all of the mattresses made today are expensive for one but are made with foam which creates heat for me. I don’t know how to solve this. What is the best mattress to avoid this problem?

I realize mattresses can be costly, but there are several companies now that offer great deals as well as payment plans. If it’s still too expensive, at least consider upgrading your pillows, which is more affordable. (Editor’s Note: Several memory foam companies make hybrid mattresses with either a combination of gel, memory foam and even traditional mattresses. Many offer generous tryout times and offer options for cooler mattresses. Amazon also carries Sleep Innovations, a less expensive memory foam brand.)

The doctor said sleep 7 hrs does that include sitting in two hours before falling off?

Actually we try and count that period somewhat, since that is the process to help you progress to our most restful stage..REM sleep.

I have a problem staying sleep, I sleep for about 3 hours and wake for 2 hours before I can fall back to sleep

Make sure to avoid caffeine, cigarettes and cocktails to close to bedtime.

 Doc, I can’t make it through the day at work without going to the car for a power nap. What can I do?

Power naps are not always bad. Sometimes they can be quite refreshing, but if you find you are having difficulty often and also have been told you snore, make sure to make your doctor aware to rule out sleep apnea.

 Is there anything you can do about your sleep pattern when Fibromyalgia is a continuing factor in your insomnia? 

Yes, all of the techniques we discussed today can be beneficial for those that have Fibromyalgia. But consult with your physician as there are some newer therapies available now that can be helpful for Fibromyalgia.

GM doctor, how much magnesium should one take per day?

A: Everyone’s body is different as far as the optimal dose, but natural food sources include nuts, beans, whole grain cereals and green leafy vegetables (think spinach, in this case) are great way to make sure you are getting enough.

Should you play music or the TV at bedtime?

No, please do your best to AVOID having a TV in your bedroom. It makes it difficult for your brain to shut down and understand that when you are in your bedroom and that it’s time to sleep or spend time with your significant other.

Good morning Doc, Is drinking hot milk good before bedtime?

I like old remedies like this, and yes hot milk (tryptophan-sleep inducing amino acid—same as in turkey!) can be very soothing at bedtime.

What if your body won’t stay sleep is just lying in bed just as good?

Actually we try and count that period somewhat, since that is the process to help you progress to our most restful stage..REM sleep.

What do you do when you’re going through menopause and you can’t sleep?

All of these tips discussed can be beneficial, but if the insomnia persists or becomes debilitating your doctor will likely want to discuss other prescription alternatives that will require deeper discussion.

 

 

Board-certified internal medicine physician Dr. Ken Redcross says without proper sleep, your body’s immune system is more susceptible to infection, making it difficult to fight off illness. He is the founder of Redcross Concierge, a personalized medical practice designed to enhance the patient-doctor relationship.

PHOTO: Ken Redcross

 

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Get Well Wednesday: All About Vaccinations

August is National Immunization Month. Dr. Lisa Ashe wants you to know all about the vaccinations that are necessary for your child’s optimal health.

IS HPV VACCINE REQUIRED FOR HIGH SCHOOL OR COLLEGE  STUDENTS?
The HPV vaccination is not required for anyone. It is recommended to be given starting at age 11 for girls and boys and women up to age 26 and men up to age 21. These ages may change in immunocompromised individuals and those who have other risk factors.

CAN THE HPV VACCINE CAUSE INFERTILITY?

No. There is no evidence that this vaccine or any vaccine causes infertility.

 IS THERE ANY TRUTH BEHIND IMMUNIZATIONS CAUSING AUTISM?

No. Immunizations do not cause autism. There have been multiple large studies and systematic reviews that show no association between autism and other spectrum disorders and immunizations.

 WHAT DO YOU SAY TO PARENTS THAT HAVE RESERVATIONS ABOUT GETTING THEIR CHILD IMMUNIZED?

Medical Providers have a shared goal with parents and that goal is to do what is best for the child.

While there has been conflicting dialogue and messaging around immunizations, it is important to research and gain insight from reputable sources.

The benefit of vaccines greatly outweigh the risks of the diseases they prevent.

Immunization is one of the most effective preventative health measures.

 ARE THERE SOME IMMUNIZATIONS THAT ARE RECOMMENDED BUT  NOT NECESSARILY REQUIRED?

For children, the HPV vaccine is recommended but not required. For the other vaccinations, you would need to check with the school and local Heath department for the requirements.

DOES MOST HEALTH INSURANCE COVER THE COST OF BACK TO  SCHOOL IMMUNIZATIONS?

Yes, all health insurances typically cover the cost of immunizations.

HOW EARLY CAN PARENTS START THE IMMUNIZATION PROCESS?

Immunizations are started as early as birth. There is a schedule for all of the vaccines. You can find it on the CDC website.

Dr. Lisa Ashe serves as the medical director of Be Well medical group – a leading concierge medicine and wellness group currently serving the Washington D.C., Maryland and Virginia metro areas. She’s a board-certified internal medicine physician.

TEXT YOUR QUESTIONS TO 646464 AND DR. ASHE WILL ANSWER THEM ON BLACKAMERICAWEB.COM

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Get Well Wednesday: Can A Hormone Prevent Miscarriage?

WHAT IS PROGESTERONE?

Progesterone is a female hormone, naturally produced during the reproductive years. It stabilizes the lining of the uterus and is essential to achieving/maintaining pregnancy. 

WHAT IS THE SUCCESS RATE WITH PROGESTERONE?

In this study, women with recurrent pregnancy loss who received progesterone increased pregnancy success rates from 6% prior to 69% after treatment.

WHEN SHOULD WOMEN START TAKING IT AND DO THEY TAKE IT THE DURATION OF THE PREGNANCY?

Affected women began treatment mid-cycle, and continued through 10 weeks pregnancy.

WHAT STATISTICS ON BLACK WOMEN WERE FOUND FROM THE STUDY?

Only 2% of participants in this study were Black but there was no statistical difference in results based on ethnicity.

HOW IS PROGESTERONE PRESCRIBED – PILLS? SHOTS?

Progesterone was administered vaginally in this study. It can be in the form of a cream, pill, or capsule.

WHAT ARE SOME OF THE COMMON CAUSES OF RECURRENT PREGNANCY LOSS?

Causes include anatomic, genetic, immunologic, infectious, autoimmune and endocrine factors leading to first trimester pregnancy loss.

SHOULD WOMEN START CONTACTING THEIR DOCTORS REQUESTING PROGESTERONE?

No, the women in the study underwent thorough infertility testing and were diagnosed with elevated levels of a chemical associated with pregnancy loss. Women seeking pregnancy should undergo routine pre-pregnancy health care. Those with infertility should be evaluated by a healthcare provider prior to pregnancy as well. Then, the doctor & patient will create an individualized plan for achieving pregnancy.

WHAT ARE THE SIDE AFFECTS TO PROGESTERONE?

Progesterone is a natural female hormone in reproductive age women. When given medically, it can increase symptoms of breast tenderness, weight gain/ fluid retention, depressed mood, and increased appetite.

Dr. Amerson answers your Text Tom questions below:

How do you spell it? My wife and I are currently going thru a situation.

Micronized Progesterone

Can I purchase over the counter or do you need to go to the doctor to get it prescribed?

It is a prescribed medication.

Please send me your contact information because my daughter has had two miscarriages and it’s been very painful for her and her husband. I would like for her to give the information to her OB GYN.

The information was published in the medical journal, Fertility & Sterility, in March 2017. Any OB/ Gyn will be familiar already with the use of progesterone in pregnancy.

 Is this something I can take for my hot flashes?

Treatments for hot flashes include estrogen, combination therapy, natural phytoestrogens, and black cohosh.

How can you  combat weight redistribution during menopause/perimenopause? 

Improved nutrition, which eliminates fat and high calories, and increased physical activity are the best means of preventing unfavorable weight distribution.

 Can progesterone increase the success rate of pregnancy for women who use artificial insemination?

Whether the semen was from intercourse or insemination does not affect the woman’s risk for miscarriage. A woman seeking pregnancy should have a gynecologic evaluation of her risks to determine whether progesterone is indicated in her pregnancy.

 Dr., is this something my daughter can use to regulate her hormones….she grows facial hair and is only 19.

She needs to see a woman’s health provider because this is a separate issue. She can be evaluated for excess hair growth and hormonal imbalance. A medication regimen can be decided at the conclusion of that evaluation.

 Can you tell me about the new trends to assist with pre-menopause, please?

Bioidentical hormones can be reviewed by a woman’s health care provider. You can specifically search for providers in your area who provide this service. Women can choose natural or prescribed medications during the hormonal changes of menopause. Each woman’s history, symptoms, and risks vary so women should be evaluated by their healthcare providers.

I just had a myomectomy to increase my chances of getting pregnant. Prior to this my progesterone was low. Will this need to be treated if I get pregnant or will it hinder pregnancy?

Progesterone levels will fluctuate throughout a woman’s menstrual cycle. So, you cannot assume that their is a clinical issue on this basis. With your surgical history, you should begin seeing a provider pre-pregnancy. Your bloodwork and other testing will indicate any needed treatment.

Dr. Afriye Amerson is a board-certified obstetrician and gynecologist. She’s a Reiki master and practices holistic healing as well as traditional Western medicine. 

TEXT YOUR QUESTIONS TO 646464 AND THE DOCTOR WILL ANSWER on Blackamericaweb.com!

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Quentin Tarantino Tried To Bring Back Leather Ties. It Didn’t Go Well

Disclaimer: Quentin Tarantino is a great man. Without the juggernaut director, we’d have had no Thurman-Travolta twist jives, no biblical Samuel L. Jackson monologues and certainly no French translations of the Big Mac – and that was just Pulp Fiction….
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Get Well Wednesday: What You Need To Know About Sarcoidosis

Jen Caudle

Sarcoidosis can be devastating and difficult to diagnose, yet it disproportionately African-Americans. It’s the disorder that led to comedian Bernie Mac’s untimely death 9 years ago, though women get it more than men. Dr. Jen Caudle provides more information on this condition.

WHAT EXACTLY IS SARCOIDOSIS?
Sarcoidosis is a condition that causes inflammation in the body- it causes the immune system to over-react. This often occurs in the lungs, skin or lymph nodes- but it can affect any organ in the body. With sarcoidosis, you have something called “granulomas” – which are lumps of immune system cells that cluster in different organs of the body. These granulomas can affect how organs work and contribute to symptoms that people get.

We don’t really know what causes it- BUT researchers do think that genetics and the environment may play a role.

WHAT ARE SOME OF THE MOST COMMON SYMPTOMS OF SARCOIDOSIS?

Many people will have no symptoms at all. The symptoms of sarcoidosis vary depending on which organs are affected and can also depending on your gender, age, and ethnic background.

Those who have symptoms commonly have the following: cough, shortness of breath, wheezing, “flu-like” symptoms, fatigue, night sweats, weight loss.

But patients can also have skin rashes and bumps, painful lymph nodes, eye symptoms and even joint pains.

HOW IS IT TREATED AND IS THERE A CURE ON THE HORIZON?

Not everyone with sarcoidosis will need treatment. Sometimes the condition improves without treatment.

The need for treatment depends on the symptoms, which organs are affected and how they are affected, etc.

There is no cure but the condition can be treated and managed. It is important to mention that this is a serious condition and some people have severe complications, but many live happy and productive lives with this condition.

Diagnosing sarcoidosis usually requires lung evaluations which can include chest X-rays and other testing; biopsies are also done.

The treatment depends on which organs are affected and how. But steroids are very common treatments used.  There are other medications used as well (affect immune system, etc).

It’s also important to see the doctor regularly, eat a healthy diet, exercise, not smoke, etc.

In addition, research is ongoing – we certainly need research to help us develop more treatments and understand sarcoidosis better.

DOES IT DISPROPORTIONATELY AFFECT BLACK PEOPLE?

It mostly affects people ages 20-50 and more women are affected than men. African-Americans are commonly affected as well as people of Northern European origin

In the US, the disease affects African-Americans more often and more severely than Whites.

People with a family history are at higher risk.

WHY IS IT TRICKY TO DIAGNOSE?

The symptoms of sarcoidosis often overlap with the symptoms of other diseases so sometimes it can be tricky to diagnose at first. Sometimes people think their symptoms are related to the flu or another condition and may disregard their symptoms.

ARE THE SYMPTOMS DIFFERENT FOR MEN THAN THEY ARE FOR WOMEN?

Not necessarily.

ARE ANY OTHER DISEASES CONNECTED TO SARCOIDOSIS?

It is possible for sarcoid to co-occur with autoimmune and connective tissue diseases.

 

Dr. Caudle answers your ‘Text Tom’ questions below:

I had Sarcoidosis back in the 80’s when I was in my 30’s, was treated with steroids and had a biopsy after that I was fine, I am now in my late sixties. Are you saying that I still have I and that it could flare up again?
A: Sarcoidosis is a chronic condition. There are many people with the condition that go into remission, but there are some who have flare-ups. The clinical course is different for each person.

 Does this condition affect people with asthma?

Sarcoidosis can affect anyone, but African-Americans and people of Northern European descent are at higher risk. Sarcoidosis often affects the lungs but can affect other organs as well.  

How does sarcoidosis even come about within one’s system?

Researchers are unsure of the exact cause but it is felt that genetics and the environment plays a role.

I’ve often wondered if I have it. I get diagnosed by family doctor almost annually with having an upper respiratory infection or bronchitis. That just seems weird to me. Nothing is ever detected through a pulmonary function exam (through work). Should I be asking for a specific test?

The most important thing is to talk with your doctor about your symptoms and express any concerns you have about your symptoms. You and your doctor should have an open dialogue about what testing and treatments might, or might not, be appropriate for you.

I’ve had a cousin to pass away due to sarcoidosis. Her cousin on her mother’s side passed away with the same thing. Now her sister has it…is it hereditary?

The exact cause of sarcoidosis is unknown- but genetics and/or environmental exposures may play a role.

My daughter had cold for three weeks. Should she get test since her father has sarcoidosis?

A: Not necessarily. The most important thing is for your daughter to see a doctor and make sure her symptoms resolve appropriately. Her doctor should also be made aware of her family history. Make sure she discusses any questions about her father’s history and her own- the doctor should discuss this with her. Open dialogue is key.

 I live in the Pensacola panhandle area of Fl. I am a sarcoid patient but have a problem finding qualified caretakers in this area. My case is not severe right now, but I am required to take an annual heart MRI. Can you recommend adequate patient care in this area?

A: To find great doctors, go to www.DoctorsThatDo.org or www.ama-assn.org.

Can you have symptoms without having flu or cold such as shortness of breath?

It is possible to have symptoms other than shortness of breath, cough or wheeze with sarcoidosis. Some people have fatigue, night sweats, skin rash, joint pains and eye symptoms, among others. And some have no symptoms at all.

Good morning, I am a sarcoidosis patient. I would like to know if sarcoidosis causes hair loss?

It is possible.

Can sarcoidosis affect the spine? How? 

Sarcoidosis can affect any organ in the body. It can also affect the joints.

 I was diagnosed with sarcoidosis in ’96. Are there any support groups for people with this condition?

I would definitely ask your doctor about this- a support group is a great idea to help support those with the condition.

What do you suggest for someone who is in pain almost continually, has been tested via blood work, X-rays, endoscopy, MRI and reportedly nothing is showing to be the cause. Very frustrating?

Be persistent and listen to your body. If you feel something is wrong – continue seeking care from health care professionals and express your concerns. This is important.

 What are the most common treatments for sarcoidosis with the least severe side effects?

There are many medications used to treat sarcoid- from steroids to others. What’s most important is to find the medication that best treats the type of sarcoid that you have, with the most tolerable side effects. Definitely work with your doctor on this!

 Can this develop in conduction with another autoimmune disease like Crohn’s?

A: Sarcoidosis can co-exist with many other conditions- including autoimmune conditions and connective tissue diseases, as well as others.

DR. JEN CAUDLE IS A BOARD-CERTIFIED FAMILY PHYSICIAN AND ASSOCIATE PROFESSOR AT ROWAN UNIVERSITY. SHE FREQUENTLY APPEARS AS A HEALTH EXPERT ON THE DR. OZ SHOW, CBS 3 PHILADELPHIA NEWS, FOX NEWS, CNN, HLN AND OTHERS.

For more information from Jennifer, follow her on social media!

Websitewww.jennifercaudle.com

Twitter/Instagram/Snap: @drjencaudle

FBwww.facebook.com/drjennifercaudle

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QUIZ: How Well Do You Know the ‘Game of Thrones’ Dragons?

Season 7 of Game of Thrones is heating up like dragonfire. Now that Daenerys Targaryen’s pet dragon-babies — Drogon, Rhaegal, and Viserion — are pretty much fully grown, the reptilian trio are primed to wreak some serious havoc on anyone who gets in the way.

Test your worth as a mother of dragons or find out if, like poor Jon Snow, you know nothing by taking this quiz all about our favorite Game of Thrones dragon bros.

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Yes, ‘alpha dog’ personalities can work well together

President Trump seems to prefer hiring men with alpha-dog personalities that, more or less, mirror his own — White House communications director Anthony Scaramucci, chief of staff Reince Priebus and press secretary Sean Spicer. Yet in one 10-day period, all three were gone. Politics aside, this raises the question: Can people with alpha-dog personalities work…
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‘Transformers 5’ Endures Franchise Low As Indies Perform Well At The Box Office

LOS ANGELES (Variety.com) – It seems the “Transformers” franchise is rusty.

As of Sunday morning, “Transformers: The Last Knight,” the fifth installment directed by Michael Bay, looks to bring in $ 69.1 million from 4,069 domestic locations during its five-day opening weekend. That’s a franchise low for the sequel from Paramount and Hasbro, behind the first in the modern series, which earned $ 70.5 million in 2007. “The Last Knight” carries an estimated $ 217 million production budget.

This makes “Transformers: The Last Knight” the latest summer blockbuster to bank on overseas ticket sales to have a shot at turning a profit. In China, the big-budget action sequel made $ 41 million in its opening day alone. The projected international come through Sunday is $ 196.2 million, powered by $ 123.4 million in China.

“The Last Knight” comes at a time when Paramount could have used an all-around hit, following recent misses “Baywatch” and “Ghost in the Shell.” While the latest “Transformers” movie has been advertised as “the final chapter” and Bay’s last go-around, the franchise will continue ― Paramount has at least two more movies slated, including a spinoff that could star Hailee Steinfeld. The franchise has historically been massively profitable and seen solid multiples for the studio. Together, the first four earned over $ 1.3 billion domestically and well over $ 3.5 billion worldwide.

The latest take on the series centers on an alliance between Bumblebee, Cade Yeager ― who Mark Wahlberg also played in 2014′s “Age of Extinction” ― and roles played by franchise newcomers Anthony Hopkins and Laura Haddock. Together, the team works together to save the world. Audiences have earned the film a B+ CinemaScore, while critics have mostly dismissed it ― it currently holds a 15% fresh rating on Rotten Tomatoes.

“The Last Knight” was uncontested at the box office this weekend, but a few indie releases showed traction. Sofia Coppola’s “The Beguiled” remake from Focus Features played at four theaters this weekend, and should gross $ 240,545 with a strong per screen average before it expands to over 500 locations next weekend.

“We’re thrilled by this opening,” said Lisa Bunnell, Focus Features’ distribution president. “This is Focus’ third collaboration with Sofia and she’s created an entertaining, atmospheric thriller featuring strong female representation in front of and behind the camera.”

And Kumail Nanjiani’s critically adored romantic comedy “The Big Sick” should earn $ 435,000 during its opening weekend in five locations ― that would give the Lionsgate and Amazon Studios release the highest per screen average of any film that has opened this year so far.

“Kumail and Emily’s true story provided audiences of all ages a much-needed alternative to the summer blockbusters,” said Bob Berney, Amazon Studios’ distribution chief.

Otherwise, “Wonder Woman” continues to post impressive numbers, and holds onto second place during its fourth weekend in theaters. This weekend, it should earn an additional $ 25.2 million, bringing its domestic total to $ 318.4 million. Earlier this week, the film became the highest-grossing live-action movie to be directed by a woman ― a major distinction for Patty Jenkins.

Disney and Pixar’s “Cars 3” also looks to earn $ 25.2 million domestically during its second weekend. Some estimates have the film slightly lower, just below $ 25 million. The family film, which won last weekend’s box office, is expected to pass the $ 100 million mark in North America by Monday.

“Transformers: The Last Knight’s” performance is a tough break for the summer box office’s bottom line domestically. For the past two years, this weekend has seen monster grosses for “Jurassic World” and “Finding Dory.” Now, attention is turned toward a trio of releases next weekend, as the box office hopes for a shot in the arm from “Despicable Me 3,” “Baby Driver,” and “The House.”

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Conan Trains With ‘Wonder Woman’ Gal Gadot And Does Not Fare Well

There is only one warrior Conan, and he was played by Arnold Schwarzenegger in the 1980s. Unfortunately for the late-night host of the same name, there is not the same level of fear struck in the hearts of opponents when they hear the name Conan O’Brien.

So you can imagine that Wonder Woman Gal Gadot felt pretty confident going into a training session with Coco.

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Enter Laughing: Improv Comedy’s Alive And Well At ImprovBoston

A couple of suggestions from the audience… no props… and you’re off and running. Improvisational comedy has been around for decades, and its popularity shows no sign of declining. One of the most successful exponents of improv is ImprovBoston, which has been around for decades and offers a wide range of performances and classes. I spoke with Mike Descoteaux, ImprovBoston’s Artistic Director, to get a sense of how improv has evolved and what it means today.

Levin: How do you keep improv fresh when the genre has been around for so long?

Descoteaux: It’s a form of comedy that is a direct reflection of the people who are exploring it. The culture is always new and fresh and is a reflection of where we are politically, where we are socially, where we are economically, and where we are as far as diversity of perspective goes. And all of that shows up on stage not just year-in-year-out but also night-in-and-night-out. What our audiences bring to the table, what our audiences suggest, how they respond, all of that keeps improvisation the single most relevant and timely form of comedy there is.

Levin: What has changed in society, and how is that reflected in improv?

Descoteaux: We have a much more permissive culture when it comes to what we can see up on stage. Improv now pushes past stereotypical comedic subject matter like how men and women are different. Now we might be exploring socioeconomic differences. We might be looking at political movements and reflecting those on stage.

Levin: Who is the audience for improv today?

Descoteaux: Everyone. At Improv Boston, if you look at our show schedule, we have everything from four o’clock shows for 4-year-olds all the way up to late night shows with standups performing naked and late night comedy exclusively for adults.

So there’s a lot more range as far as who improv can connect with. In the early days of improv, the leaders were mostly middle-aged white men. Today, we’re looking at a scene where the accessibility and diversity of comedy in improvisation is growing by leaps and bounds every year. Folks who haven’t had a voice necessarily in comedy or specifically in improv are now finding the art form.

Levin: Who takes classes at ImprovBoston?

Descoteaux: If you come to an ImprovBoston 101 class, sure, you’re going to have a handful of college grads looking to make a career in comedy. You’re also going to have a 40-year-old immigrant who is learning to speak English fluently and is taking improv to improve her skills.

You’re going to have someone who is in his 30s whose therapist recommended that he come take an improv class to get more socially acclimated. Or you’re going to have a grandma whose grandkids bought them this gift because their grandma is the funniest person they know. I think that’s a pretty big shift.

Levin: Are people as funny today as they were in the past?

Descoteaux: That’s a fascinating question. I think people are as innately funny as they ever were. I think we have more tools to express that innate humor than we ever have. So our ability to connect with audiences is maybe greater than it used to be simply because we have more tools in the toolbox as comedians, as artists, as performers.

Levin: It’s a lot easier to find comedy today than in the past. How does that change things?

Descoteaux: The exposure of our audiences to different forms of comedy is also growing. YouTube makes that so much easier. Forty years ago, when you wanted to see comedy, there was only really two ways to see it: you could see it live or you could see it on your TV in a very carefully curated cross-section of what mainstream television considered comedy to be.

Whereas now anyone with an internet connection can basically see absolutely any sort of comedy they want. So I think when we perform for audiences, they’re more educated in terms of what kind of comedy exists now.

Levin: Did you say there are people performing nude at late night?

Descoteaux: I did. In addition to improvisation, Improv Boston features scripted comedy like sketch and stand-up. There’s a long-running show at Improv Boston called Naked Comedy. It happens once a month on Thursday nights at 9:30, and it’s for stand-up comics who are brave enough and feel compelled to deliver their set entirely in the buff.

Comics are baring their souls on stage every time they get on stage. It’s a very vulnerable art form, so what’s the way that we can take that vulnerability to its most extreme? It’s comics who are willing to be naked in front of their audience and telling their stories, telling their jokes. It is a night unlike any other.

Levin: What’s gained by performing in the nude?

Descoteaux: It’s the ultimate risk to put yourself out there in that way. It’s sort of the way I imagine bungee jumping–having survived it is the reward: putting yourself out there, taking that giant risk in front of 90 people you don’t know and then making it to the end of your set and having made the whole audience laugh along with you. Usually about 30 to 40 seconds into any one set, you’ve almost forgotten that they’re nude to begin with.

Levin: Almost.

Descoteaux: So it’s really about breaking down barriers. It’s opening themselves up to vulnerability. I think the artists who are successful in that go home feeling like they put themselves on the line. They laid it all out there, as it were.

For more information on ImprovBoston performances and classes, including Naked Comedy, visit www.ImprovBoston.com.

2017-01-13-1484317552-655328-improvbostonmainstage_31951821626_o.jpg

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Disney Princess Get Well Gift Set

Disney Princess Get Well Gift Set


The Disney Princess Get Well Gift Set is perfect for a little girl that loves the Disney Princesses. Brighten her day with these activity sets that will surely be appreciated while she gets over an illness. What a great way to show you care. These gift items come packed inside a tote bag and are wrapped with cello and matching ribbons.
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罗拉·玛斯亚 Laura Mercier Laura’s Beauty Essentials Colour & Brush Collection (1×3 Well Custom Compact 1xMascara 1x Lip Glace 3xApplicator) 6pcs+1bag

罗拉·玛斯亚 Laura Mercier Laura’s Beauty Essentials Colour & Brush Collection (1×3 Well Custom Compact 1xMascara 1x Lip Glace 3xApplicator) 6pcs+1bag


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White Well Wisher Guest Book

White Well Wisher Guest Book


Guests write messages to the couple on the included 3 1/2″ x 2″, white cards. The white book has cards pre-printed with the phrase, “Share a Wedding Wish.” 75 cards are included. After the wedding, the wholesale bulk cheap discount cards are inserted into this specially designed “A Book of Wedding Wishes”. Each 4 1/2″ x 7 3/4″ book features clear sleeves for holding 72 cards of these wholesale wedding supplies.
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Get Fit, Stay Well! Books A La Carte Edition

Get Fit, Stay Well! Books A La Carte Edition


NOTE: This edition features the exact same content as the traditional text in a convenient, three-hole-punched, loose-leaf version. Books a la Carte also offer a great value for your students–this format costs 35% less than a new textbook. Before you purchase, check with your instructor or review your course syllabus to ensure that you select the correct ISBN. Several versions of Pearson's MyLab & Mastering products exist for each title, including customized versions for individual schools, and registrations are not transferable. In addition, you may need a CourseID, provided by your instructor, to register for and use Pearson's MyLab & Mastering products. xxxxxxxxxxxxxxxxxxxxx Get Fit, Stay Well! gives you the targeted, personalized guidance you need to get started, keep motivated, and approach the next level in their own fitness & wellness. The Third Edition provides dynamic media, content that activates learning, and personalized approaches to fitness and wellness that you can apply to life. Maintaining the highly praised hallmarks of previous editions–integrated case studies, three-pronged labs, a fresh graphical approach, and extensive strength training and flexibility photos and videos–this edition further engages you by including vibrant GetFitGraphic infographics to inspire thinking and discussion. QR codes in the book allows you to easily access exercise videos and fitness programs right on their smartphones. Instructors can track and assess your progress with the easy-to-use MasteringHealth. Included with Get Fit, Stay Well!, MasteringHealth is an online homework, tutorial, and assessment product designed to improve results by helping you quickly master concepts. You'll benefit from self-paced tutorials that feature immediate wrong-answer feedback and hints that emulate the office-hour experience to help keep you on track and prepared for lecture. Teaching and Learning Experience This program presents a better teaching and learning experience–for you and your students. Get Fit, Stay Well! Third Edition will: Personalize Learning with MasteringHealth: MasteringHealth coaches you through the toughest fitness and wellness topics. Engaging tools help you visualize, practice, and understand crucial content, from the basics of fitness to the fundamentals of behavior change. Engage Students with Dynamic Tools: Online resources and a mobile website for personal fitness and wellness programs guide you through every chapter and encourage healthy changes. Activate Learning with Real-world Fitness & Wellness Topics: A modern presentation of strength training as well as two new wellness programs brings fitness and wellness to life. Encourage Behavior Change: Labs, case studies, and new tips for making healthy changes helps you learn what they need to do to become fit and well for life. Keep Students Motivated: New GetFitGraphics and reflection questions in the labs keeps you on track.
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Get Fit, Stay Well! Brief Edition Plus Masteringhealth With Etext — Access Card Package

Get Fit, Stay Well! Brief Edition Plus Masteringhealth With Etext — Access Card Package


For the Fitness & Wellness CourseMotivate Students to Get Fit and Stay Well For LifeGet Fit, Stay Well!gives you the targeted, personalized guidance you need to get started, keep motivated, and approach the next level in their own fitness & wellness.TheThird Editionprovides dynamic media, content that activates learning, and personalized approaches to fitness and wellness that you can apply to life. Maintaining the highly praised hallmarks of previous editions-integrated case studies, three-pronged labs, a fresh graphical approach, and extensive strength training and flexibility photos and videos-this edition further engages you by including vibrant GetFitGraphic infographics to inspire thinking and discussion. QR codes in the book allows you to easily access exercise videos and fitness programs right on their smartphones. Instructors can track and assess your progress with the easy-to-use MasteringHealth.Included with Get Fit, Stay Well!, MasteringHealth is an online homework, tutorial, and assessment product designed to improve results by helping you quickly master concepts. You''ll benefit from self-paced tutorials that feature immediate wrong-answer feedback and hints that emulate the office-hour experience to help keep you on track and prepared for lecture.TheBrief Editioncontains chapters 1-10 of the full edition ofGet Fit, Stay Well!, with a focus on fitness topics, nutrition, weight, stress, and preventing cardiovascular disease.Teaching and Learning ExperienceThis program presents a better teaching and learning experience-for you and your students. Get Fit, Stay Well! Third Edition will:Personalize Learning with MasteringHealth:MasteringHealth coaches you through the toughest fitness and wellness topics. Engaging tools help you visualize, practice, and understand crucial content, from the basics of fitness to the fundamentals of behavior change.Engage Students with Dynamic Tools:Online resources and a mobile website for personal fitness and wellness programs guide you through every chapter and encourage healthy changes.Activate Learning with Real-world Fitness & Wellness Topics:A modern presentation of strength training as well as two new wellness programs brings fitness and wellness to life.Encourage Behavior Change:Labs, case studies, and new tips for making healthy changes helps you learn what they need to do to become fit and well for life.Keep Students Motivated:New GetFitGraphics and reflection questions in the labs keeps you on track. 0321944445 / 9780321944443 Get Fit, Stay Well! Brief Edition Plus MasteringHealth with eText — Access Card PackagePackage consists of: 032194917X / 9780321949172 Get Fit, Stay Well! Brief Edition0321957393 / 9780321957399 MasteringHealth with Pearson eText — ValuePack Access Card — for Get Fit, Stay Well!
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‘Mad Max’ Tells Us Where We Think We’ll Find Salvation

Theatergoers will flock this weekend to an imagined story set in a steampunky dystopian hellscape. Or will they just be looking in a mirror?

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Get Fit, Stay Well! Plus Masteringhealth With Etext — Access Card Package

Get Fit, Stay Well! Plus Masteringhealth With Etext — Access Card Package


ALERT: Before you purchase, check with your instructor or review your course syllabus to ensure that you select the correct ISBN. Several versions of Pearson''s MyLab & Mastering products exist for each title, including customized versions for individual schools, and registrations are not transferable. In addition, you may need a CourseID, provided by your instructor, to register for and use Pearson''s MyLab & Mastering products. PackagesAccess codes for Pearson''s MyLab & Mastering products may not be included when purchasing or renting from companies other than Pearson; check with the seller before completing your purchase. Used or rental booksIf you rent or purchase a used book with an access code, the access code may have been redeemed previously and you may have to purchase a new access code. Access codesAccess codes that are purchased from sellers other than Pearson carry a higher risk of being either the wrong ISBN or a previously redeemed code. Check with the seller prior to purchase. –For the Fitness & Wellness CourseMotivate Students to Get Fit and Stay Well For LifeGet Fit, Stay Well!gives you the targeted, personalized guidance you need to get started, keep motivated, and approach the next level in their own fitness & wellness.TheThird Editionprovides dynamic media, content that activates learning, and personalized approaches to fitness and wellness that you can apply to life. Maintaining the highly praised hallmarks of previous editions—integrated case studies, three-pronged labs, a fresh graphical approach, and extensive strength training and flexibility photos and videos—this edition further engages you by including vibrant GetFitGraphic infographics to inspire thinking and discussion. QR codes in the book allows you to easily access exercise videos and fitness programs right on their smartphones. Instructors can track and assess your progress with the easy-to-use MasteringHealth.Included withGet Fit, Stay Well!,MasteringHealth is an online homework, tutorial, and assessment product designed to improve results by helping you quickly master concepts. You''ll benefit from self-paced tutorials that feature immediate wrong-answer feedback and hints that emulate the office-hour experience to help keep you on track and prepared for lecture.Teaching and Learning ExperienceThis program presents a better teaching and learning experience—for you and your students. Get Fit, Stay Well! Third Edition will:Personalize Learning with MasteringHealth:MasteringHealth coaches you through the toughest fitness and wellness topics. Engaging tools help you visualize, practice, and understand crucial content, from the basics of fitness to the fundamentals of behavior change.Engage Students with Dynamic Tools:Online resources and a mobile website for personal fitness and wellness programs guide you through every chapter and encourage healthy changes.Activate Learning with Real-world Fitness & Wellness Topics:A modern presentation of strength training as well as two new wellness programs brings fitness and wellness to life.Encourage Behavior Change:Labs, case studies, and new tips for making healthy changes helps you learn what they need to do to become fit and well for life.Keep Students Motivated:New GetFitGraphics and reflection questions
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8 Movie Scores We’ll Still Listen To In 2015

For people who love movie scores — these are real people, we assure you — last year was a peak time. From Steven Price’s Oscar-winning “Gravity” score to smaller ones from Joel P. West (“Short Term 12”) and Graham Reynolds (“Before Midnight”), 2013’s movie scores had a cue for every mood.

Not so this year. The most memorable moments in “Wild,” “Boyhood,” “Whiplash,” “Obvious Child,” “Selma,” “Guardians of the Galaxy,” “The Fault in Our Stars,” “Captain America: The Winter Soldier,” “The LEGO Movie,” “The Interview” and “The Hunger Games: Mockingjay – Part 1,” to name a few, came accompanied with either an existing track or original song (everything is awesome, you crazy “LEGO Movie”). Which is great for people who also love movie soundtracks — guilty! — but less so for score fans. Sure, Antonio Sanchez’s “Birdman” score is fantastic within the framework of the film, but would anyone want to listen to it during a random Tuesday commute?

With that in mind, here are the eight movie scores released this year that profile as having longevity — aka each will have a permanent home on our HuffPost Entertainment Spotify playlist of movie scores.

Alexandre Desplat, “Godzilla”

No one had a better year than Alexandre Desplat, who wrote three of the year’s most memorable scores (and also the ones for “The Monuments Men” and “Unbroken”). His “Godzilla” theme was so damn loud that even the title has an exclamation mark. Let them fight.

Alexandre Desplat, “The Imitation Game”

Desplat’s score for “The Imitation Game” isn’t necessarily deep, but the main theme is as Oscar-friendly as the film itself. It’s the type of track you’d expect to hear play as Benedict Cumberbatch walks up to accept his Academy Award.

Alexandre Desplat, “The Grand Budapest Hotel”

There’s that news van again. Desplat’s score for Wes Anderson’s latest film is gave millennials their very own “Third Man” theme.

Hans Zimmer, “Interstellar”

Hans Zimmer’s “Interstellar” score was no “Inception” (or even “Rush” or “Man of Steel”), but it was haunting and big. If we ever fall into a wormhole, this is what we’ll be thinking about.

Johann Johannsson, “The Theory of Everything”

Similar to “The Imitation Game,” Johann Johannsson’s score for “The Theory of Everything” feels expressly written to win Oscars. But who cares when the theme is as beautiful as this?

Alex Ebert, “A Most Violent Year”

Alex Ebert, he of Edward Sharpe and the Magnetic Zeros fame, wrote 1981’s best John Carpenter score.

Trent Reznor and Atticus Ross, “Gone Girl”

The year’s best onscreen moment? We’ll take the Cool Girl montage in “Gone Girl” over many other worthy contenders for one reason alone: this above track, written by Trent Reznor and Atticus Ross.

Jonny Greenwood, “Inherent Vice”

Working with Paul Thomas Anderson again after “There Will Be Blood” and “The Master,” Jonny Greenwood’s noir-y “Inherent Vice” score sounds like something Bernard Herrmann would like. But then it’s also beautiful and wistful. The above track, “Amethyst,” which plays during the film’s sweetest scene, being a prime example of its power.

BONUS: Nick Thorburn, “Serial”

It wasn’t a movie, but in addition to being one of the year’s most satisfying stories, “Serial” had the most infectious theme. Sorry, Desplat.
Entertainment – The Huffington Post
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Online Ads Stalk Their Victims In Fake Movie Trailer That Might As Well Be Real

They know what you clicked last summer.

Internet ads stalk young consumers everywhere in the horror movie parody from UCB Comedy’s Pocketwatch. But the group’s riff on omnipresent sidebar marketing is actually kind of scary, too.

Maybe next time you’ll think twice about scanning the Internet for deals on heels and blowup dolls, hmm?

h/t Laughing Squid
Comedy – The Huffington Post
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You Don't Look Sick!: Living Well With Chronic Invisible Illness

You Don't Look Sick!: Living Well With Chronic Invisible Illness


You Don''t Look Sickchronicles one person''s true-life story of illness and her physicians compassionate commentary as they journey through the four stages of chronic illness-Getting Sick, Being Sick, Grief and Acceptance and Living Well. The authors address such practical aspects as hiring a doctor, managing chronic pain, coping with grief and loss of function, winning battles with health and disability insurers, countering the social bias against the chronically ill, and recognizing the limitations of chronic illness care and charting a path for change and more. This warmhearted resource helps you focus on building a meaningful life as opposed to a life of frustration and fear.This book is thoroughly revised and updated based upon feedback from readers of the first edition. The authors have added a new section on Grief and Acceptance, address the passage of the Affordable Health Care Act and Dr. Overman has added practical travel tips that bring organization and focus to each phase of the journey. Designed for people at all stages of the chronic illness journey, this book is also illuminating for caregivers and loved ones.
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The Only Diet Book You’ll Ever Need: The Secret to Eating Well, Losing Weight, and Loving Life

The Only Diet Book You’ll Ever Need: The Secret to Eating Well, Losing Weight, and Loving Life


D-iscouraged with the way you look? I-nterested in long-term results? E-xcited for the new and improved you? T-ime to get a move on Tired of the roller-coaster ride called "dieting"? You are not alone Now, with nationally celebrated weight-loss expert Cyndi Targosz as your guide, you can say goodbye to fly-by-night fad diets, create a real plan for losing-and keeping off-the weight, and have a great time doing it Complete with tips and tricks for curbing your cravings, personalizing your plan of attack, and embracing your new delicious life, you’ll be on the track to a "better" you in no time. With Cyndi’s Secrets’ for success, you will learn how to:

  • Find out the real reason you’re overweight
  • Adapt the new Food Pyramid to your nutritional needs
  • Shop, cook, and dine (in or out) and stay on courseLet Cyndi and her one-of-a-kind program refresh, inspire, and energize you. With "The Only Diet Book You’ll Ever Need," your new life starts today. What are you waiting for? Cyndi Targosz is a bestselling author, celebrity image consultant, and certified lifestyle expert. As president of STARGLOW Productions Inc., she shows women everywhere how to find balance in life, fitness, fashion, beauty, weight, stress management, and more. Cyndi is the author several books and has appeared on "Good Morning America," the "Today Show," and NBC News. Recently named "One of the World’s Top Fitness Pros" by "Diet and Exercise" magazine, Cyndi is a true expert in her field.
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Lovingkindness For Yourself as Well

“I do not trust people who don’t love themselves and yet tell me, ‘I love you.’ There is an African saying which is: Be careful when a naked person offers you a shirt.”

Maya Angelou

In classical Buddhist teaching, the practice of lovingkindness begins with extending love and compassion to yourself. With an idea of spirituality as self-denial, self-judgment or even self mortification — this seems awfully strange. It certainly seemed strange to me.

I went to Burma in 1985 to do an extended retreat in lovingkindness meditation, a practice specifically designed to open our heart and strengthen our sense of connection to all of life. It is a meditation practice that enables us to dissolve the rigid sense of “self” and “other” and “us” and “them” that can keep us feeling so isolated, so cut off, and so afraid. Another way of saying lovingkindness is friendship; the practice is one of cultivating friendship towards yourself and ultimately all beings everywhere.

I knew the classical unfolding of the practice: after lovingkindness towards yourself you offer lovingkindness to someone who has helped you, or a benefactor, then a friend, a neutral person and a difficult person. The difficult person is the doorway to lovingkindness for all beings.

Each part of that structure made some sense to me, though I knew different parts would likely be challenging or unappealing. It was lovingkindness for myself that seemed more like a pro-forma ritual to be gotten through quickly. Hah!

The invitation in this meditation practice isn’t to be narcissistic or self centered, which we can and certainly often do manage without the time and effort of meditation. Rather, it is building and renewing the reservoir of feeling whole within, feeling complete, so that we can offer and give and serve without feeling depleted, overcome or burned out.

The goal is also not to undertake lovingkindness for yourself as some kind of strategic project, refusing to consider others before you “finish” having lovingkindness for yourself. There are many people who care for others in a disproportionate way, leaving themselves out. The goal here is a kind of balance. As we explore this balance, we are also exploring skills of resilience.

It’s not just that we need to be careful of naked people offering us their shirts because we will be disappointed. Those naked people will often be wanting to do the generous, caring thing, but find themselves despairing because they know they just don’t have what it takes to make a sustained effort to make a difference. There is hollowness on both sides, giving and receiving.

In Burma I started my three-month retreat with the reflection, right from the Buddha’s teaching, “All beings want to be happy.” The idea is that our urge for happiness isn’t a problem, something to feel squeamish about, or to confuse with greed. Our basic problem is ignorance about where true happiness is to be found. It is because of this ignorance that we engage in actions that can cause so much pain for ourselves and for others. But the wish for happiness in itself is rightful, appropriate. When it can be combined with wisdom instead of with ignorance, that wish becomes like a homing instinct for freedom. We can cut through many obstacles, overcome many fears when we realize it’s alright to want to be happy.

And just as we ourselves want to be happy, all beings want to be happy. We all want a sense of belonging, a feeling of being a part of something greater than our limited sense of self, a home in this body, in this mind, in this life. We all want to be happy. In a way, we all deserve to be happy. That includes you. And as I came to learn, that includes me.

GPS for the Soul – The Huffington Post
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The Sexiest Lithuanian Yogi Bride And Groom We’ll Feature Today

Hang on. Lina and Mindaugas had such a sexily gorgeous wedding in Kaunas, Lithuania, that I’m still fanning myself. The couple own a yoga studio together, so let’s start with how hot that is. Then let’s examine the bad-assery of getting matching wedding-ring tattoos. Next, let’s take into consideration how stunning the two-part ceremony was: Lina and Mindaugas exchanged vows both outdoors at the confluence of the Nemunas and Neris rivers and inside a Gothic church. St. George’s Church is still undergoing restoration (building is OLD, y’all), but you’d never be able to tell from these airy, light-filled photos.
Weddings – The Huffington Post
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Good Food for Life: Eat Well, Love Food, Feel Nourished

Good Food for Life: Eat Well, Love Food, Feel Nourished


Star chef Jamie Oliver called Jane Clarke an “exceptional nutritionist and] great cook,” and in this approachable, informative volume, she explains how to properly nourish ourselves during each stage of life. With clinical expertise, Clarke outlines what is going on in our bodies, which foods are best, and what beneficial effects we can expect from improving our diet. Quick, delicious, and simple recipes show how easy it is to create a healthy, enjoyable meal.

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How to Eat Well & Not Wear It

How to Eat Well & Not Wear It


How to Eat Well and Not Wear It stands above the plethora of nutrition and weight loss books with its fresh, fun, and engaging presentation. Want to make healthier food choices? Try viewing them as those you wear and those you dont Nancy Bennett, a registered dietitian and certified diabetes educator, teams up with Roy Doty, the veteran cartoonist of Laugh In, to translate the health professionals message of increasing ones activity into mental images that inspire lifestyle change: Start looking at walking as cheap liposuction How to Eat Well and Not Wear It entertains, enlightens and motivates the toughest, most reluctant and reticent individuals into healthier, life-altering behaviors. Table of contents includes a list of food substitutions that translate into pounds lost per year, personalized meal plans for weight loss, menus for meals and snacks, solutions for maneuvering through a junk food riddled environment, tips for eating on the run and grocery shopping. Appendix includes delicious, easy and healthy recipes, and additional resources such as scientific references, books, newsletters, and websites. Nancy Bennett, whose mantra is manage your health care with your fork, is a professional speaker who travels throughout the country teaching thousands about the role of nutrition and weight control in the prevention of diabetes and other chronic illnesses.
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Miley Cyrus Dancing To Britney Spears Is The New Taylor Swift Dancing To, Well, Everything

We’ve all come to know and resent love Taylor Swift’s quirky, off-beat dance moves at every awards show and concert she attends. But who would have thought Miley Cyrus would become the New Taylor Swift?

A crop top wearing Cyrus was spotted first row at Britney Spears’ first Las Vegas show yesterday (Dec. 27), and boy, did she know all the words. The video above was later released, showing the 21-year-old lip syncing and dancing her famous booty off to “Till The World Ends.”

After her performance, Spears — who collaborated with Miley on “SMS (Bangerz)” — tweeted the twerk-star:

We’re T-minus 2 hours away from this taking over the internet.

Style – The Huffington Post
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