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Archive for the ‘Preventative Medicine’ Category

A Tucson business is helping women find the perfect lipstick … by matching their nipple color – Arizona Daily Star

Tuesday, November 26th, 2019

Renae Moomjian pretty much gets the same reaction from everyone she tells about her new business, NipLips.

In fact, it's the same reaction she had when her teenage daughter Helena Moomjian first told her about the concept.

"I was driving my daughter home from school, and she was reading something called 'Uncle John's Bathroom Reader'" Moomjian recalls. (Uncle John's Bathroom Reader, by the way, is a trivia book). "And it was very quiet, and then all of a sudden, she said, 'Hey, Mom. Did you know your perfect lipstick color is your nipple color?'"

To which Moomjian responded. "WHAT?"

Renae Moomjian, left, and her daughter Helena started NipLips.

Intrigued, Moomjian went home and tested the theory with the lipsticks in her makeup drawer. None of them matched.

"So I was like, 'Let's take pictures and go to Walgreens' ... so we are walking around Walgreens, looking at our phones secretly and putting lipstick in our cart," Moomjian says. "It was about $110 worth of lipstick, and we went home and found our perfect match and one shade darker. And we both loved it."

Neither would have normally selected those colors.

"And I said to Helena, 'Maybe there's something to this,'" Moomjian says. That was in May 2018.

When the internet went crazy

The beauty trend seems to have taken off in spring 2017 when a segment on the talk show "The Doctors" made the connection between a person's nipple color and her ideal nude lipstick. The internet went crazy, and beauty magazines including Marie Claireand Refinery 29tried it out, with mixed results. Some people loved the lipstick shade they picked and others, not so much.

Margarita Potts GoDiva, a hair and makeup artist of more than 20 years and owner of I Do Hair and Makeup Artistry, says that the idea of using your body as a reference has been around for way longer.

"The rule of thumb has always been, nature knows best," says Potts GoDiva, who does celebrity, print, film and TV makeup. The inner cheek and upper lip are go-tos for her when color matching.

"For us in the TV world, you know if you're going with the inner cheek or upper lip or body, it's going to be a good match on camera," she says. "It makes people look fresher, youthful and more alive."

Matching to your nipple color is the same premise.

"Beauty trends come and go, but you can always come back to yourself," Potts GoDiva says, adding that it's also case-by-case. Getting too matchy-matchy can actually wash you out or make you look flat, she says. Plus, sometimes you just want to wear a bright, bold color.

There's an app for that

A few months after Moomjian and her daughter did their own experimenting, Moomjian asked 20 friends to give it a try. She wanted to know if matching your lipstick color to your nipple was actually a thing. She says 80 percent of her friends loved their exact match and all of them liked one shade darker.

The mother-daughter duo launched NipLips at the beginning of 2019to help women find a nude lipstick that flatters their skin tone.

Right now, NipLips has eight colors with Tucson-inspired names, such as Prickly Pear, Purple Agave or Burnt Adobe. Using the NipLips app, you can scan a close-up of your nipple to get matched to the closest color for you.

"Nothing is ever saved on your phone or uploaded to us," Moomjian says. "I was very clear that there could never be any invasion of someone's privacy. The only thing we save is the color."

Moomjian also owns a medical device consulting business, which is why after she and Helena took their Walgreens field trip, sneakily checking their phone photos as they shopped, she knew tech could make the process easier. Hence the color-matching app.

Eventually, NipLips hopes to customize colors specifically from your scan, but they'refundraisingfor that right now.

Ada Trinh, a makeup artist in Los Angeles, is a brand ambassador for NipLips and loves the product. As someone who has seen plenty of beauty trends come and go, Trinh says the tech part of NipLips sets it apart.

"You're not just talking about it," says Trinh, a celebrity, film, TV and print makeup artist. "They have an app that can actually show people that this is how it works."

Keeping it au naturel

Moomjian has also made a point to make NipLips a clean beauty business because that's the way she lives her life.

"Because I bring new medical technologies to the market, I deal with very sick people ..." she says. "I feel like preventative medicine is the best medicine so I live clean and I eat clean."

Moomjian says clean beauty means no synthetic or toxic ingredients. The NipLips website clarifies that products have "no parabens, phthalates, DEHP, SLS, petrolatum, talc, synthetic fragrances or colorants or silicons." So even if you're not keen to match your nipple color or use the app, the lipstick is worth checking out, at $22.50 each.

"I've used it on a couple of clients," Trinh says. "On set, I couldn't do the nipple scan ... but I could tell them about the concept ... and use the product on them without the scan."

Trinh says she has also used it on set to go from a day look to a night look just by adding another layer.

"A lot of the colors are really poppy, but the app gives you choices if you don't want to be as poppy, you can use one that's more natural," she says. "The pigment is great and buildable, or you can use it almost as a nice tint that doesn't go on too harsh."

The cosmetics are made locally, by the same lab that makes Sia Botanics, using some naturally-sourced Sonoran Desert ingredients such as prickly pear seed and jojoba oil. The next, soon-to-be-released NipLips collection a glosswill take its inspiration from the ocean. The one after that, the rainforest. The goal is to package all of it sustainably.

NipLips helps women find the right lipstick shade by matching it to their nipple color.

As the business grows, Moomjian wants to eventually support nonprofits that work in women's health issues, specifically heart disease and breast and ovarian cancers all diseases that have impacted her family. In the meantime, Moomjian says they will gift lipstick to any woman with breast cancer or a mastectomy.

Potts GoDiva adds that if you're checking your nipple color, it's also a great time to do a self breast exam.

"That, to me, is a great reason for this," she says.

A mother-daughter business

Before launching NipLips, Moomjian says she mostly wore bright reds and pinks. Helena, a student at University High School, mostly wore dramatic makeup for theater productions.

"I'm not a big makeup person," Helena, 16, says. "But putting the right lipstick on is a boost of self confidence."

The whole experience has been a ride, she adds.

"When I was younger and imagined my life in the future, I never ever would have imagined such a wild thing," Helena says with a laugh.

Although school keeps Helena busy, Moomjian says working together on the business has been one of the sweetest parts.

"We do a lot together," she says. "And to see her excitement and input along the way has been really fun, and for us to work together like this has been very special."

Try it out

Besides shopping online, you can try NipLips at upcoming markets including the Made in Tucson Market on Sunday, Dec. 1 and Cultivate on Saturday, Dec. 7. A privacy booth will allow you to use the app to find your best shade. You can also buy the lipsticks and try samples of the NipLips Desert Botanical matte collection at English Salon Spa, 27 N. Scott Ave., downtown.

"For Helena and me, it's about looking within to define your beauty and who you are and speaking from that place," Moomjian says.

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A Tucson business is helping women find the perfect lipstick ... by matching their nipple color - Arizona Daily Star

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Remodeled Winn-Dixie opens in Zephyrhills, and other Pasco business news – Tampa Bay Times

Tuesday, November 26th, 2019

Briefs

WINN-DIXIE REOPENS: Winn-Dixie reopened its remodeled store at 36348 State Road 54 in Zephyrhills on Nov. 3. The store includes an updated farm-fresh produce department, improved deli with expanded grab-and-go meals and wing bar, upgraded meat case and floral department, and a new Dollar Shop section.

LOCAL ECONOMIC DEVELOPMENT PRESIDENT NAMED TO INTERNATIONAL COUNCIL: The Board of Directors of the International Economic Development Council has elected Bill Cronin, president and CEO of the Pasco Economic Development Council, to serve on its board of directors. The nomination took place during the International EDCs 2019 conference in Indianapolis Oct. 13-16. Cronins term begins Jan. 1.

BABY ITEMS DRIVE: Butash and Donovan Law is hosting a Baby Stuff Drive through the end of November at its office at 23554 State Road 54, Lutz. The drive is to benefit GuidingStar of Tampa, a womens healthcare practice offering medical and educational services, as well as ongoing support for women. Items needed include: gently used or new baby clothing for boys and girls, sizes newborn to 4T; newborn diapers; baby wipes, baby shampoo, baby soap and other toiletries; gently used maternity clothes; and small- and medium-sized stuffed animals. For information, call (813) 341-2232.

GRAND RE-OPENING OF HOSPITAL WOUND CARE CENTER: Regional Medical Center Bayonet Point held a grand re-opening of its Wound Care and Hyperbaric Medicine Center on Nov. 13. The center underwent a $500,000 renovation that took six months and included renovations of everything from podiatry chairs to updating all the furniture. Hyperbaric chambers were added, and the wound care center has been expanded to two suites, totaling 3,865 square feet.

HOSPITAL NAMES NEW CHIEF MEDICAL OFFICER: Medical Center of Trinity has appointed William Bill Killinger, MD, as its new chief medical officer. Dr. Killinger is a third-generation Florida physician. He was trained in cardiothoracic surgery, and was in private practice for 27 years in Raleigh, N.C. He is completing work on his healthcare executive masters degree with Brandeis University.

NEW DQ GRILL & CHILL OPENS: American Dairy Queen Corporation announced its new DQ Grill and Chill restaurant has opened in Hudson, at 14671 State Road 52. The restaurant is owned by Carlos and Pam Saenz. The Saenzes have been owners of a DQ Grill and Chill since 2016, with their first location in Land O Lakes. Carlos served five years in the U.S. Air Force, and still serves as a Reservist. Pam is also an elementary school teacher.

ALARM COMPANY MOVES TO PASCO: AFA Protective Systems recently relocated to a 5,800-square-foot facility in the West Pasco Industrial Park off State Road 54 in Odessa. The company designs, installs and monitors fire, safety and security systems.

CARES NAMES NEW DIRECTOR: Community Aging and Retirement Services (CARES) has named Melissa Kehler its new director of community engagement. Kehler has more than 20 years experience in nonprofit leadership roles, most recently serving as executive director of Chinsegut Hill Retreat and Museum in Hernando County.

HEALTH SEMINAR: AdventHealth will host a seminar, Treating Pain without Pills, from noon to 1 p.m. Dec. 3 at AdventHealth Zephyrhills, 7050 Gall Blvd. The speaker is Kamal Patel, MD, a fellowship-trained pain specialist who is double-board certified in preventative and occupational medicine. Reservations are required. RSVP to 877-534-3108.

HOLIDAY PARADE: The Greater Pasco Chamber of Commerce will host its 43rd-annual Holiday Parade on Dec. 14. The deadline for sponsorships and to enter a company float is Dec. 3. For details, contact the Chamber at (727) 842-7651.

Trinity Positive Business Network: 8:30 a.m. Mondays at Oasis Coffee Spot, 9213 Little Road, New Port Richey. Call Kelly Steen at (813) 388-8726.

Womens Connection of New Port Richey: 11:30 a.m. the second Monday of each month (September through May) at Spartan Manor, 6121 Massachusetts Ave., New Port Richey. Cost is $15 and includes lunch and a speaker. To RSVP, call Linda at (727) 856-4042 or Betty, (727) 807-6760.

BNI Overachievers Chapter: 7 to 9 a.m. Wednesdays at Myrtle Lake Baptist Church, 2017 Reigler Road, Land O Lakes. Call (813) 317-5556 or visit facebook.com/bnioverachievers.

BNI Outlook to Success: 7:30 a.m. Tuesdays at Verizon Event Center, 8718 Trouble Creek Road, New Port Richey. Cost is $10 and includes breakfast. Call (727) 815-7744.

Suncoast Women in Networking: 11:30 a.m. to 1 p.m. the third Tuesday of each month at Beef O Bradys, 5546 Main St., New Port Richey. Suncoast WIN is a group of professional businesswomen. Membership is $10 per year. Call Linda McFarland at (727) 863-6151.

Rotary Club of Lutz: 11:45 a.m. to 1 p.m. Tuesdays at Heritage Harbor Golf and Country Club, 19502 Heritage Harbor Parkway, Lutz. Cost is $12, includes lunch and speaker. Call (813) 857-7089 or visit lutzrotary.org.

West Pasco Business Association: Monday Lunch Chapter, noon to 1 p.m. Mondays, Johnny Bruscos, 10730 State Road 54, Trinity. Tuesday Breakfast Chapter, 8:30 to 9:30 p.m. at Hampton Inn, 1780 State Road 54, Odessa. Tuesday After Hours Chapter, 5:30 to 6:30 p.m. Tuesdays, FlameStone Grill Trinity, 10900 State Road 54, Trinity. Thursday Lunch Chapter, noon to 1 p.m. Thursdays, Giovannis Fresh Italian Kitchen, 37611 U.S. 19, Palm Harbor. Friday Breakfast Chapter, 8:30 to 9:30 a.m. Fridays at the Oasis Coffee Spot, 9213 Little Road, New Port Richey. The group is made up of professionals who promote each others businesses. Each chapter is seat-specific. Contact Maria Johnson, maria@wpba.biz or (727) 934-0940. Visit wpba.biz.

Coffee First: 8 to 9 a.m. the fourth Tuesday of the month at First National Bank of Pasco, 23613 State Road 54, Lutz. The event is hosted by the Central Pasco Chamber of Commerce in partnership with First National Bank of Pasco. Free and open to the public. (813) 607-2555.

East Pasco Networking Group: 7:30 p.m. the second and fourth Tuesdays of the month at IHOP, 13100 U.S. 301, Dade City. Annual dues are $25. Nils Lenz, (813) 782-9491.

Trinity Business Association: 6 to 7:30 p.m. the first and third Tuesdays of each month at Fox Hollow Country Club, 10050 Robert Trent Jones Parkway. Networking begins at 5:30 p.m., meeting starts at 6 p.m. Guests welcome. Cost is $12. Call Ginny Pierce at (727) 433-4073.

BNI Platinum: 7:15 a.m. Wednesdays at Heritage Harbor Golf & Country Club, 19502 Heritage Harbor Parkway, Lutz. Call Bob Nixon at (813) 263-5632.

Pasco Business Connections: 7:30 a.m. Wednesdays at the Broken Yolk, 3350 Grand Blvd., Holiday. Email noworries@tampabay.rr.com.

Wednesday Morning Networking Group: 7:30 a.m. the first Wednesday of each month at Hungry Harrys Family Bar-B-Que, 3116 Land O Lakes Blvd. A short networking presentation will be followed by a chance for all attendees to do a 30-second commercial. Cost is $7 in advance for members, $10 for guests, and includes breakfast. Call the Central Pasco Chamber of Commerce at (813) 909-2722.

Keep It Local-Trinity Chapter: 8 a.m. Wednesdays at Havana Dreamers Cafe, 3104 Town Ave., Trinity. (813) 405-7815.

Pasco Aging Network: 8 to 10 a.m. the second Wednesday of each month. Location changes each month. For information or to RSVP, visit pascoagingnetwork.org. PAN is a coalition of agencies and private providers of elder services in Pasco.

Keep It Local-Wesley Chapel Chapter: 8:30 a.m. Wednesdays at Lexington Oaks Golf & Country Club, 26133 Lexington Oaks Blvd., Wesley Chapel. (813) 405-7815.

Keep It Local-Christian Womens Network Chapter: 9:30 a.m. Wednesdays at the Direction Connection, 2632 U.S. 19, Holiday. (813) 405-7815.

Free Networking International: 11:30 a.m. to 1 p.m. Wednesdays at Cantina Laredo, 2000 Piazza Ave., Building 4, Suite 170, Wesley Chapel (at the Shops at Wiregrass). Attendees pay for their own lunch. Call Martine Duncan at (813) 929-6816.

Keep It Local-New Port Richey Chapter: 11:30 a.m. Wednesdays at the Direction Connection, 2632 U.S. 19, Holiday. (813) 405-7815.

Keep It Local-Odessa/Trinity Chapter: 11:30 a.m. Wednesdays at Seven Springs Golf & Country Club, 3535 Trophy Blvd., Trinity. (813) 405-7815.

BNI Eagles: 7:15 a.m. Thursdays at Spartan Manor, 6121 Massachusetts Ave., New Port Richey. Cost is $10 and includes breakfast. Call Clay Henderson at (727) 534-5191.

BNI Referral Connection: 7:15 to 9 a.m. Thursdays at Vallartas Mexican Restaurant, 22948 State Road 54, Lutz. Call Rob Hamilton at (813) 431-5887.

Christian Business Connections of Central Pasco: 7:45 to 9:15 a.m. Thursdays at Quail Hollow Golf Club, 6225 Old Pasco Road, Wesley Chapel. Cost of $9 per meeting, includes breakfast and beverages. Annual membership dues are $100. Call Rene Van Hout at (813) 300-7511.

Trinity/West Pasco Chapter of NPI: 7:45 a.m. Thursdays at The Grand Plaza Caf, 4040 Little Road, New Port Richey. Call Rob Marlowe at (727) 847-2424.

Networking For Your Success: 8 a.m. Thursdays at Lexington Oaks Country Club, 2615 Lexington Oaks Blvd., Wesley Chapel. Cost is $5 and includes a continental breakfast. Annual membership is $79. Call Matt at (813) 782-1777.

Women-n-Charge: 11:30 a.m. on the first Friday of each month, Plantation Palms Golf Club, 23253 Plantation Palms Blvd., Land O Lakes. The cost is $15 for members and $18 for guests who RSVP by Monday prior to the meeting. Tuesday and after, the cost is $20 for members and $23 for guests. To RSVP, visit women-n-charge.com/meetings/. For information, call Judy at (813) 600-9848.

Women of Wesley Chapel (WOW): 7:30 to 9 a.m. first Friday of each month, Beach House Assisted Living and Memory Care at Wiregrass Ranch, 30070 State Road 56, Wesley Chapel. WOW is the North Tampa Bay Chamber of Commerces women only networking group. The cost is $5, includes breakfast and networking. To RSVP, call (813) 994-8534 or email office@northtampabaychamber.com.

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Remodeled Winn-Dixie opens in Zephyrhills, and other Pasco business news - Tampa Bay Times

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Keeping the Radio City Rockettes on their toes, with help from Westchester – Lohud

Tuesday, November 26th, 2019

A look at the Radio City Rockettes training room with Elaine Winslow-Redmond, Director of Athletic Training and Wellness for the Rockettes, and Dr. Melody Hrubes of Rothman Orthopaedi, the Rockettes' new medical director, Nov. 18, 2019 at Radio City Music Hall in Manhattan. Tania Savayan, tsavayan@lohud.com

On a Monday afternoon, just days before opening night, Emily King, 22, a Radio City Rockette, dropped by an office in Radio City Music Hall.

King, who is in her second season as one of the famed dancers, came to see Dr. MelodyHrubes, the new medical director for the Rockettes, andElaine Winslow-Redmond,the director of athletic training, for a consultation.

It just provides a lot of security for us as performers," King said. "We know that if anything goes wrong, like they have our back and they are going to provide help where it's necessary.

November 6, 2019: Dress rehearsal for the Radio City Christmas Spectacular starring the Radio City Rockettes.(Photo: Zack Lane, Zack Lane/MSG Photos)

King,who is from Michigan and has a BFA in Commercial Dance from Pace University,is one of 80Rockettesknown for their signature eye-high kicks and a precisiondance technique that requires both artistry and athleticism.

Hrubes and Winslow-Redmond make surethe Rockettes are in top shape as they ascend the Radio City Music Hall stage multiple times a day to perform the Christmas Spectacular.

Dr. Melody Hrubes of Rothman Orthopaedic Institute, left, the Radio City Rockettes' new medical director, and Elaine Winslow-Redmond, Director of Athletic Training and Wellness for the Rockettes, give Rockette Emily King a pre-screening Nov. 18, 2019 at Radio City Music Hall in Manhattan.(Photo: Tania Savayan/The Journal News)

While they range in height from 56 to 510 , the dancers succeed in creating the illusion that they are kicking at the same height through a combination of formation (tallest woman in the center) and technique.

They perform up to 16 times a week and can kick up to 650 times a day. Each 90-minute performance requires 160 kicks in high heels.Theunforgiving routine can put considerable strain on their bodies.

For Hrubes, that means preventing injuries before they happen.

Elaine Winslow-Redmond, Director of Athletic Training and Wellness for the Radio City Rockettes, left, talks about the program as Dr. Melody Hrubes of Rothman Orthopaedic Institute, the Rockettes' new medical director, looks on Nov. 18, 2019 at Radio City Music Hall in Manhattan.(Photo: Tania Savayan/The Journal News)

What is so interesting to me about dance is that it's choreographed, so there's a lot of biomechanical and overuse injuries that happen, said Hrubes, who practices with RothmanOrthopedic Institute, which opened a location in Harrison last month and is the official provider of orthopedic services to the Rockettes.

That's why we're so interested in how to prevent that, since they're doing the same thing over and over again.

October 22, 2019: The Radio City Rockettes rehearse for the Christmas Spectacular at the St. Paul the Apostle Church in New York City.(Photo: Carl Scheffel, Carl Scheffel/MSG Photos)

A lot of what she sees with the Rockettes also applies to other athletessaid Hrubes, a specialist in sport medicine who has previously worked as a team physician for the United States Soccer Federation and with United States Gymnastics.

A lot of young athletes aren't taught to listen to their bodies;they think that if there's no pain, theres no gain. If I'm hurting, that means I'm just working hard enough, said Hrubes, talking about injury prevention. And actually pain is your body's way of saying something is wrong. So learning the difference between soreness and pain is super valuable because then they could actually learn to listen to their bodies.

Dr. Melody Hrubes of Rothman Orthopaedic Institute, left, the Radio City Rockettes' new medical director, and Elaine Winslow-Redmond, Director of Athletic Training and Wellness for the Rockettes, give Rockette Emily King a pre-screening Nov. 18, 2019 at Radio City Music Hall in Manhattan.(Photo: Tania Savayan/The Journal News)

That philosophy dovetailswith what Buchanan resident Winslow-Redmond has sought to do with the Rockettes since 2005.

A former Rockette who performed for 11 seasonsfrom 1994-2005,Winslow-Redmond said she was frustrated when, in her first season,she sought treatment for a shin splint a kind of stress fractureand found doctors who didnt fully understand what she did.

They would say things like, 'there's no hopping in tap dancing.' And I thought to myself, I don't think they understand what I do if they don't think I'm hopping while I'm tap dancing, she said."They didn't understand that I needed to stay in the show. I couldn't like just take a few weeks off.

November 7, 2018: Dress rehearsal for the upcoming Radio City Christmas Spectacular at Radio City Music Hall in New York City.(Photo: Carl Scheffel, Carl Scheffel/MSG Photos)

She was eventually helped byan athletic trainerwho taught Winslow-Redmond how to prevent injury through her next 10 seasons. And she learned firsthand how important it is to focus on recovery after a show.

So I had great longevity and I was able to dance injury free for the rest of my seasons, she said.

Winslow-Redmond said she was bothered by the fact that the Rockettes didnt have an in-house trainer or doctor. So, whilecontinuing to dance as a Rockette, Winslow-Redmond, who hasa BFA in dance, took advantage of a tuition assistance program available to Rockettes to transition to other careers.

She got masters in physiology and nutrition at Columbia University and eventually became the Rockettes' trainer in 2005.

As part of herthesis, she analyzed five years worth of Rockette injury reports andshowed that the majoritywere preventable overuse injuries.

"Overall the choreography has gotten more difficult," she said. "So as we're challenging the Rockettes and they're rising to a higher level, their injuries are decreasing. Theres been a 78% decrease in injury. So that's the impact.

Her advice for current and aspiring dancers?

They should pair their dance training to incorporate a strength element so that they strengthen the muscles that tend to be weak on dancers.

She also emphasizes recovery. I push hard on recovery because I really understand the impact of many shows in one week," she said. Understanding the level of fatigue that I experienced and being able to teach them the necessary steps on how to recover and that pushing through is not always the way to go.

Rockette Emily King in the athletic training and wellness room at Radio City Music Hall Nov. 18, 2019 in Manhattan.(Photo: Tania Savayan/The Journal News)

For Rockette Emily King, working with Winslow-Redmond and Hrubeshas been helpful. Just in a preventative sense, the pre-screening is so helpful," she said. "They give us exercises to help prevent injuries that are specific to us, like things that we are susceptible to, which is incredible.

Dr. Hrubes and Winslow-Redmond offered advice for athletes on preventing injury:

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Swapna Venugopal Ramaswamy covers women and power for the USA Today Network Northeast. Write to her at svenugop@lohud.com

Read or Share this story: https://www.lohud.com/story/news/local/new-york/2019/11/26/radio-city-rockettes-westchester-trainers/4183469002/

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Keeping the Radio City Rockettes on their toes, with help from Westchester - Lohud

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Dallas Cowboys Battle the Flu Ahead of Their Biggest Game of the Year in Chilly New England – Newsweek

Tuesday, November 26th, 2019

The biggest game of the season looms this weekend for the Dallas Cowboys. But as they get ready to travel north and east to face the New England Patriots, many Cowboys players have been down and out with the flu.

Temperatures are expected to be in the low 40s at kickoff with rain and snow in the forecast. Some Cowboys players are getting past the flu, some are in the beginning stages and quarterback Dak Prescott is taking preventative medications, according to Calvin Watkins, beat writer for The Dallas Morning News.

"Flu bug has swept the Cowboys this week," Watkins tweeted. "Joe Thomas and Ben Bloom have it. Justin March has a respiratory infection, Jordan Lewis and Xavier Woods just recovered from it. Cowboys gave Dak Prescott some medicine as a precaution for any issues."

The Dallas Cowboys are 6-4 on the season, but none of their wins have come against teams with a winning record. Only the Philadelphia Eagles are among the teams they have beaten that don't have a losing record, as they are 5-5.

The Patriots are 9-1 and hold the best record in the AFC. Led by quarterback Tom brady, the Patriots have won 21-consecutive games in Foxborough, Massachusetts.

With six games remaining in regular season and holding just a one-game lead over the Eagles, every game is importantand beating the Patriots would give Dallas not only a much-needed win to stay ahead, but beating New England would likely give them a push through the final stretch toward the playoffs.

"I just think it's important to lock in on the task at hand every week. The best teams are able to do that," Cowboys coach Jason Garrett said in another Morning News report. "It's one day of preparation for that week's ballgame. That's what we try to instill around here. We don't do a lot of reflecting during the year on signature wins or this kind of a win or that kind of a win."

The schedule does not get easier for the Cowboys after their trip to New England. They host a 7-3 Buffalo Bills squad on Thanksgiving Day, and then travel to face the 4-6 Chicago Bears that allow just 17 points a game.

The Cowboys finish the last three regular-season games with the Los Angeles Rams (6-4), who was last year's NFC champion, at Philadelphia for perhaps the NFC East title on the line, and the Washington Redskins at home.

Then there's Dallas quarterback Dak Prescott, having his best season so far as a professional. Prescott has passed for 3,221 yards and 21 touchdowns in 10 games, including 444 yards last week against the Lions. He is on ace to surpass the 5,000-yard mark this season, which has never been done in Dallas' illustrious history.

Prescott has been given the flu preventative medication before the upcoming New England trip. Now is time for the travel, time change and temperature drop before kickoff.

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Dallas Cowboys Battle the Flu Ahead of Their Biggest Game of the Year in Chilly New England - Newsweek

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Treating ‘suicidality’ as its own medical condition could spur research, better treatment options – Genetic Literacy Project

Tuesday, November 26th, 2019

One night in her Nashville apartment, Bre Banks read a comment from her boyfriend on Facebook. They were in a shaky spell, and his words seemed proof she would lose him. She put her laptop down on the couch and headed to the bedroom to cry. My legs seized up, and I fell, she recalled. With her knees and forehead pressing into the carpet, she heard a voice that said, Slit your wrists, slit your wrists. She saw herself in the bathtub with the blood flowing. She was terrified that if she moved she would die.

Banks, then 25, was a disciplined graduate student with a job and close friends and had no psychiatric history. I had never considered suicide an option, she says. But for the next three days, she couldnt sleep while the voice and disturbing images persisted. After seeing a therapist, she decided to teach herself techniques from dialectical behavior therapy, one of the few treatments shown to reduce suicidality. The voices and images came back over the next few months, but eventually faded. Eight years later, Banks now evaluates suicide prevention programs across Tennessee as a manager at the large mental health provider Centerstones research institute, and she and the same boyfriend just celebrated their 10th anniversary.

In the public imagination, suicide is often understood as the end of a torturous decline caused by depression or another mental illness. But clinicians and researchers know that suicidal crises frequently come on rapidly, escalating from impulse to action within a day, hours, or just minutes. Many also point to the fact that they may strike people like Banks, who are otherwise in good mental health.

That understanding is one reason a movement is building to define suicidality as a condition in its own right. Most recently, researchers from Mount Sinai Beth Israel and Florida State University have agreed to collaborate on a joint proposal for a new diagnosis in the next Diagnostic Statistical Manual of Mental Disorders (DSM), a handbook published by the American Psychiatric Association. The criteria include familiar symptoms of depression, but these symptoms occur in an acute state that is not currently obvious to clinicians. Proponents say it could spur more research and make it easier for suicidal patients to get the care they need.

Suicide rates have been rising sharply since 1999, figures from the Centers for Disease Control and Prevention (CDC) show. More than half of those who take their lives do not have a known mental health condition. There is also no established way to pinpoint when a patient is in immediate danger. You cannot rely on people telling you when they are or are not suicidal, said Igor Galynker, a professor of psychiatry at Icahn School of Medicine in New York.Some have expressed skepticism. Far too many diagnoses in psychiatry come and go, said George Makari, a Weill Cornell Medicine psychiatrist and historian of psychiatry. The idea that suicidality may not be a symptom of something else a mood or personality disorder is novel. If theyre making the claim that weve been seeing this upside down for a long time, he said, thats fascinating.

Research backs that up: A 2019meta-analysisof 71 studies conducted around the globe found that about 60 percent of people who died by suicide had denied having suicidal thoughts when asked by a psychiatrist or general practitioner. Here in the U.S., a2016 studyexamined data from four health systems that use standardized questionnaires in primary care and specialty clinics. (The questionnaires ask whether the patient has experienced thoughts that you would be better off dead or of hurting yourself in some way.) Although the answers did predict future suicide attempts to some extent, there were plenty of false negatives. Thirty-nine percent of the suicide attempts and 36 percent of the suicide deaths occurred among patients who had responded not at all to the key question. In another study, about a quarter of the suicide attempts were made by people who reported zero suicidal thoughts.

Its easy to assume they were lying, but thats not quite true. Greg Simon, a psychiatrist and investigator at Kaiser Permanente Washington in Seattle, who led the 2016 study, was involved in a follow-up study based on interviews with 26 people who had made attempts after denying any suicidal thoughts on the standard questionnaire. The interviews revealed that some people had lied, he said. But they also revealed people who had provided aspirational responses they weretryingnot to have suicidal thoughts and people who had experienced no suicidal thinking whatsoever. (Among the latter group, alcohol often factored into their attempts.) None of them woke up that morning with a plan to die that day.

For his part, Galynker determined long ago after he lost a patient who took him by surprise that he couldnt rely on patient reports. In 2007, he set out to develop a set of symptoms that would help pinpoint imminent suicide even if the patient didnt report suicidal thinking. We hypothesized that the pre-suicidal state leading to suicidal action was short-lived, kind of like pulling a gun trigger, he said. In 2009, he called it suicide trigger state. Over dozens of research papers, he explored various symptoms as predictors, developing checklists and then testing how well they predicted future behavior. While these checklists are still new, they are being used to screen for suicidal risk among high school students in Moscow, Russia, and among hospital patients in Chicago.

In 2017, Galynker coined the termsuicide crisis syndrome. People with this syndrome feel trapped, though they might not think of death per se. They may be flooded with misery and unable to think clearly. Certain thoughts, like Banks images and voices, return repeatedly, no matter how much they are resisted. They may experience mood swings or overwhelming emotional pain.

At Florida State University, Thomas Joiner, the author of several books on suicide and the editor of a suicide journal, outlined his own criteria for a quick-onset suicide crisis, which he calls acute suicidal affective disturbance. This describes rapidly escalating plans for suicide over hours or days faster than clinicians may expect. The key difference is that Joiner includes reports of suicidal thinking as an essential criterion.

The pair teamed up more than two years ago when the first paper describing both of their diagnoses appeared. Together, the two researchers envision a new DSM suicide diagnosis with two sub-types, one with thoughts of suicide, and one without. Before this diagnosis is approved for the DSM, however, the researchers may need to show more conclusively that the phenomenon they describe isnt a symptom of depression or another mental illness, and that their methods of screening for it are effective.

Psychiatrist Michael First at Columbia University, who presided over earlier revisions of the DSM, sees a suicide-specific diagnosis as an appealing idea. If the melding of Galynkers and Joiners formulations worked well and proved to be accurate, First said, then it would clearly be very useful to have it.

Clinicianscurrently struggle with little guidance on how to identify imminent risk or make sense of suicides that seem to come out of the blue.

Nearly once a week, attending psychiatrist Dmitriy Gekhman at Mount Sinai Beth Israel sees a patient who has attempted suicide and is hard to classify, though he must find a relevant code for each patients chart. You kind of go through the history and everything, and theyre not depressed. They dont meet the criteria for depression, they dont meet criteria for bipolar disorder, and they dont have a personality disorder, he said. We just discharged somebody this week who that happened to, and we still have somebody on the unit now.

If a diagnosis based on Galynkers and Joiners research were put in place, it would put the patients doctors on notice that the patient is a risk for suicide with rapid onset. Over time, its possible that clinicians and even teachers and parents would become better at seeing the signs. The diagnosis, Joiner explained, is a warning sign for the future.

Detroits Henry Ford Health System provides a glimpse of how suicide prevention might evolve. At Henry Ford, suicide is considered its own mental health category, not primarily a symptom of depression. In 2002, the health system began a series of initiatives, and reduced patient suicide rates a dramatic 80 percent over the next seven years.

The staff at Henry Ford discovered that from 2000 to 2010, only half of patients who died by suicide had received a mental health diagnosis, closely matching current national statistics. This could be undiagnosed illness, but I think a lot of people dont meet the criteria, said Brian Ahmedani, who directs the health systems Center for Health Policy & Health Services Research.

Henry Ford screens everyone with questionnaires asking about suicidal thoughts, a practice the Joint Commission, which certifies health care organizations, started recommending in 2016. But in its behavioral health units, the risk assessment focuses on triggers, such as a job loss. Ahmedani says that patients in the highest risk percentile usually have a number of triggers: chronic pain, opioid use, and insomnia, for example. Because assessing the many possible combinations can be difficult, Henry Ford uses artificial intelligence to analyze electronic medical records, helping clinicians who may not have time to catch a perfect storm before its already too late. Veterans are a high-risk group, so the Veterans Affairs (VA) has begun using these algorithms too.

Currently, suicidal people are often prescribed antidepressants. However, other than lithium, most often used to treat people with bipolar disorder, theres little evidence that medication prevents suicide, Ahmedani observed. New VA clinical guidelines alsosupportshort-term infusions of a drug calledketamine.

Henry Ford offers treatments specific to suicide: identifying triggers and coping mechanisms, for example. It also offers cognitive behavioral therapy and dialectical behavior therapy, the treatment that helped Banks. Patients are encouraged to develop a safety plan that includes removing guns or painkillers from the home, and an idea of who they might call under duress.

David Covington, a suicide prevention activist, said, we used to think that if you treat addiction, the mental health will get better, and the other side thought if you treat mental health, the addiction will get better. Now we say you have to treat both. Similarly, a person might need treatment for both suicide and depression.

The new diagnosis, more fundamentally, could change who we think might be driven to the extreme of a suicide attempt. Psychiatrists still refer to suicide attempts with a short buildup as impulsive, but Joiners team disputes that these are impulsive people. Megan Rogers, a Ph.D. candidate who works with Joiner, sees outpatients at the university clinic. She recalls one who within hours would go from no risk to high risk but had what she describes as a conscientious and vigilant, rather than impulsive, personality.

Still, some question whether a new diagnosis would actually benefit patients. For one thing, it isnt clear how such a diagnosis would influence treatment or whether it would save lives. There is simply no value in a prediction that cannot lead to an effective preventative measure, writes psychiatrist Matthew Large in a2018 paperevaluating suicide assessment approaches generally. More people could land in hospital psychiatric care, or be kept longer than they desire, he said. And while it is generally assumed that hospitalization can prevent suicide, this has never been demonstrated empirically. In fact, suicide rates are high among recently discharged patients and some say hospitalization can make things worse.

Galynker agrees that hospitalization is not necessarily the answer and is looking at new treatment methods. In the meantime, the diagnosis might communicate the higher risk to insurance companies, explained Lisa Cohen, a professor of psychiatry at Icahn School of Medicine and co-author with Galynker, giving patients better access to treatment options.

Psychiatrists who make decisions about hospitalization say they would appreciate more science to guide them. It would be incredibly helpful to have a very clear indication that someone is at higher risk, observed Julie Holland, who once presided over a psychiatric emergency room at Bellevue Hospital in New York. A close look at the buildup to a crisis would be invaluable. We do that when somebodys heart stops, or when somebodys heart is imminently stopping, said Chicago psychiatrist Leo Weinstein, who teaches at Northwestern University. Making the unstable state a diagnostic entity in its own right, like ventricular fibrillation or congestive heart failure, he says, is crucially important.

Temma Ehrenfeld is a writer and ghostwriter in New York drawn to philosophy and psychiatry. Her most recent book is Morgan: The Wizard of Kew Gardens. Follow her on Twitter @temmaehrenfeld

A version of this article was originally published on Undarks website as Can a New Diagnosis Help Prevent Suicide? and has been republished here with permission.

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A New Frontier in Family Health and History – The Nation Newspaper

Tuesday, November 26th, 2019

Heritable diseases that are passed down through the generations have been known for quite some time. For most of that time though, people had no idea why it was this way, let alone what to do about it. This all changed with the arrival of DNA sequencing from the completion of the Human Genome Project over a decade ago.

Not only do people recognize that genes can play a factor in the likelihood of contracting certain ailments, but increasingly scientists are able to pinpoint where these genes are, how they are contributing to something, and to formulate a solution.

The Importance of HealthIt is not enough that people are living longer lives if those extra years are spent in a hospital bed. What really matters is not how many years you spend on this Earth, but how many healthy years. This is why the subject of health is so important. Health can be said to be the key to a truly fulfilling life.

As we age, our body accumulates more flaws and as a result we become less vigorous over the years, generally speaking. But if we take care of our health when we are young, we can slow this process down by quite a bit. There are a good number of retirees who have done this and are reaping the benefits.

In the days of old, most knowledge people had of maintaining good health was traditions passed down over the generations. This of course is not always perfect as some traditions might not be rooted in the best of science. Some traditions might be outright harmful to family and societal health.

The health of one person can potentially affect the entire family. If someone falls ill, the whole family is wrought with worry anxiety because a loved one is in distress. If it turns out to be something major, like cancer, not only is the familys emotions dragged down, but potentially their finances as well.

The miracle of modern technology is the gift that does not stop giving. With genealogy and heritage DNA tests available to the public, families might just be able to save a members life just by knowing more of something. Through knowledge and preventative medicine, people are being empowered to take matters of life into their own hands. While this of course means that a greater degree of personal responsibility is needed, this also means that we can make better decisions on what to do with our life simply because we now know more about ourselves.

As with many things, modern technology always has the potential to lend a helping hand. In the past couple centuries, human life expectancy has actually doubled worldwide! Improved sanitation, mass vaccination and germ theory have all contributed to this rise in life expectancy.

Another truly remarkable achievement has been the dramatic drop in infant mortality. Just a few short centuries ago, two in five children did not reach the age of five. In most developed countries, this has dropped to less than one in a hundred. This has resulted in the elimination of suffering for nearly countless families worldwide.

With the discovery of the double helix structure of DNA, scientists were able to confirm that certain gene expressions contributed to the rise of certain ailments and also that some of these expressions were transmitted from parent to child. And through better understanding of these gene expressions, scientists will be able to better combat these diseases.

With the Genome Project completed, the field transformed into an information technology and was able to ride the exponential wave of IT development along with countless other fields that have been swept by the IT fairy. Now, scientists are able to attack the problem of heritable diseases with even more pinpoint precision.

DNA Kit testing has exploded in popularity in recent years. With technology making everything cheaper, DNA testing kits are now within financial reach of millions of families. Some people use this technology to satisfy certain curiosities while for others, it could very well be a lifesaver.

DNA testing kits work by sending a testing kit to your address with instructions on what they need from you, usually a large saliva sample, as well as how to get it back to them. After a certain amount of time, some documents will be mailed back to you documenting their findings.

There are some DNA testing kits that specialize in looking for heritable traits with real world consequences such as predispositions to certain heritable diseases and even certain allergies. Many of us go around our daily activities not even slightly aware that we have certain predispositions we have no control over.

This can be very helpful because a DNA test might produce information that can be applied to a real-life medical situation. If you have a high chance of contracting a certain disease than most, it might make sense to take action now that might save your life and spare your family from suffering a loss in the family.

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The Bedpan: ‘The problem with conceding to Simon Stevens’ – Health Service Journal

Tuesday, November 26th, 2019

Why it matters: The latest deep dive by Britains leading political historian examines Theresa Mays time as prime minister and details how her attitude and approach to the NHS changed during her time in Number 10.

Theresa May didnt understand what had gone wrong [on the NHS] or how to put it right when she entered Number 10, according to Sir Anthony Seldon.

She was instinctively anti-reform because she knew previous attempts had backfired, while at the same time hyper-sensitive to the possibility of a winter crisis.

Sir Anthony also claims she did want to see increased funding for the NHS, something that will surprise those senior NHS figures who met with her at this time.

Indeed, her first budget in 2017 only produced a 2.8bn increase for the NHS, despite the PMs own policy unit and NHS England chief executive Simon Stevens arguing for 4bn.

Sir Anthony quotes Mrs May as saying: The problem with conceding to what Simon Stevens is always demanding is that we end up putting the money into short-term solutions like reducing waiting lists rather than systematic improvement, or into preventative medicine or mental health.

Then health secretary Jeremy Hunt apparently agreed with the PM.

The settlement ended up riling the NHS rather than pleasing them recalls special adviser Alex Dawson.

However, towards the end of the year, Mrs Mays attitudes had begun to change.

The PM felt the Conservatives had got into a ridiculous position on the NHS as a result of being banned from discussing it by campaign guru Lynton Crosby during the 2015 and 2017 elections.

NHS performance was continuing to worsen, Mr Stevens was again growing vocal and House of Commons health select committee chair Sarah Wollaston began to call for a Royal Commission, which scared No10 and No11 witless.

On 7 February 2018, Mrs May was shown polling by Mr Dawson which demonstrated that people were prepared to pay extra taxes to fund improvements to the NHS.

Sir Anthony becomes a little too credulous at this point, taking at face value statements like the PM started to think that the NHS leadership needed to be treated in the same way as the police: it needed reform to become much more biddable.

There had been a plan to announce an inquiry into the NHS at the end of 2016, similar to the one conducted into higher education, but this had been overruled by the Treasury, says Sir Anthony.

Now the idea was reheated as a 10-year NHS Plan.

This would apparently enable Number 10 to hold the NHS to account for delivery.

The truth as most HSJ readers will know is that by 2018 the government had little choice but to significantly increase NHS funding or face a total service melt-down and the resulting political backlash. Chancellor Philip Hammond tried to hold out for a three-year settlement, but finally accepted it had to be five.

The NHS plan full of good ideas as it is was still sophisticated window dressing for dragging the NHS out of the traditional public sector spending round to be given a 70th birthday present. A fact instantly recognised by savvy commentators like Spectator editor Fraser Nelson, who was both admiring of the conjuring trick pulled off by Mr Stevens and Mr Hunt and, irritated that the spoilt NHS could get even more cash.

From the start of Mrs Mays premiership, Sir Anthony says mental health was an area in which she was prepared to take risks. He claims Mrs May won an 18-month battle from 2012 with Mr Hunt to get David Camerons government to take mental health more seriously.

Mrs May arranged for Sir Simon Wessely, former president of the Royal College of Psychiatrists, and Poppy Jaman, founder of Mental Health First Aid, to address Cabinet for 45 minutes.

Most ministers were attentive, apart from foreign secretary Boris Johnson who gave the impression that he thought it was all nanny-state stuff and made sotto voce asides throughout.

No surprise then that, according to Sir Anthony, those working on a subsequent project to improve black, Asian and minority ethnic mental health did their best to make it Boris proof.

Sir Simon is glowing in his praise for Mrs Mays interest in and support for the most intractable aspect of mental health, one in which there were the fewest votes: severe mental illness. Nobody since Stephen Dorrell, Conservative health secretary between 1995 and 1997, had taken such a real interest in the most difficult part of the whole spectrum, the former Royal College of Psychiatristspresident tells Sir Anthony.

Perhaps the most illuminating section of the book is the one on the disaster which befell Mrs Mays proposed social care reforms in 2017.

Here was an issue on which according to Number 10 deputy chief of policy Will Tanner Mrs May believed people felt let down by politicians and that it was her duty to act.

Her senior communications adviser Fiona Hill told the PM it was a mistake, but Sir Anthony quotes Mrs May as saying: I know Ill have to use up some of my political capital, but this is the time to do it.

As Ms Hill rowed with Mrs Mays other chief adviser Nick Timothy, the PM with tears in her eyes banged the desk and said: Were going to do this.

When as Ms Hill predicted the negative media coverage of the social care proposals provoked widespread panic among Tory MPs, Mrs May did nothing to calm the storm.

Sir Anthony notes she simply could have said: Nobody would lose their homes during their lifetime and they would be left with at least 100,000. But she didnt and, as Sir Anthony remarks later in the book, as far as Mrs May was concerned social care was dead in the water.

One intriguing side note was that the first draft of the 2017 Conservative manifesto contained a proposal to introduce social insurance. Mrs May vetoed it, saying over my dead body.

The section on the January 2018s botched reshuffle confirms Mrs May had intended to replace Mr Hunt with the solid Greg Clark to calm things down after the junior doctors strike. However, Sir Anthony has also discovered that Mr Hunt had spoken to No10 before the general election about wanting to be moved, and that rumours swirled in the corridors of power that he wanted the job of deputy prime minister.

As that possibility receded, Mr Hunt began to change his mind, without notifying Number 10. He was, recounts May at 10, increasingly keen on becoming the longest-serving health secretary in history something, of course, he achieved in due course.

If there is any political or influential figure you would likeHSJto interview, please emailalastair.mclellan@wilmingtonhealthcare.com.

The past five Bedpans

Will Hutton

Cardiac Arrest and Bodies writer Jed Mercurio

The Grenfell Tower fire

Margaret Thatcher and the birth of the internal market

Doctors for Extinction Rebellion

You can read all 44 Bedpanshere

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Women: Cardiology Needs You! – Diagnostic and Interventional Cardiology

Tuesday, November 26th, 2019

Now, more than ever, the field of cardiology needs women.

But as the national need for more cardiologists overall increases, fewer medical students are choosing to pursue a career in cardiology. Shockingly, the percentage of women entering the cardiology workforce has remained low for well over 10 years. While half of all medical students are women, fewer than one in five cardiologists is female.

I wish I better understood the reasons why. I fell in love with cardiology on the first day of medical school, almost literally. I thought the heart was an amazing organ, and because it was so intuitive, I could easily determine what would happen if certain parts stopped working or what it meant if an image showed an abnormality. I can whole-heartedly say there has not been a single day when Ive regretted making that decision, but many women hesitate to do so.

Some believe they cannot have an adequate work-life balance if they choose such a demanding field, but I have found that women truly can have it all, just perhaps not at the same time.

A series of papers in the May 30, 2018 issue of JAMA Cardiology discussed a range of potential reasons for underrepresentation of women in cardiology. In a survey of internal medicine trainees in 198 residency programs, female respondents and all respondents who chose not to go into cardiology placed a greater value on factors related to work-life balance than on finding stimulating work.

They have been conditioned to believe that the field of cardiology in particular has extensive irregular hours and significant on-call demands in interventional cardiology and other cardiovascular fields. Many also believe that there are very limited opportunities for female cardiologists to only be able to lead a womens heart program, for example. While womens heart programs are critically needed, they are not be our sole career option.

While the field admittedly is intense, cardiology has many career options. There are a number of subspecialties that allow for a better balance of work-life from preventative care and the management of lipids and high blood pressure, to doing catheter-based interventions in heart attack patients or those with rhythm disorders. There are also more choices in how we practice: solo practitioners versus members of group practices, or office versus hospital-based.

In a Viewpoint from the same JAMA issue, the author writes that more than half of women in cardiology have been asked during interviews about their intention to have children. For medical students, the decision to have children is large it often means an interruption in intensive training that can be very difficult to make up.

When I was in training, it was practically unheard of for anyone to have children, and there were absolutely no resources for childcare or maternity leave. I chose to wait until after my training to have my children a now 32-year-old son and 31-year-old daughter. I chose a job in imaging that allowed me a normal schedule, and the time I needed to be both a mother and Dr. Gillam.

But because of the groundswell of support from the professional community for more female cardiologists, more hospitals and training programs are implementing maternity or family leave policies that make it possible for women to complete their training.

At Atlantic Health System, for example, we work with women who want to have a family to create training schedules on an individual basis and are committed to figuring it out together. At present, four out of nine cardiology fellows are women.

While many programs still require expectant mothers to take sick or paid leave time before these policies take effect, this is an example of the way the profession is changing to encourage more women to enter the field.

We are becoming increasingly supported by medical professional societies dedicated to encouraging more women to go into medicine. This is true in the U.S., Canada, Europe and elsewhere in the world. The American College of Cardiology (ACC) has a Women in Cardiology Section, and I have been active in the Women in Cardiology Committee of the American Heart Association (AHA). Other groups, such as the Society for Catheterization and Angiography (SCAI), and a new international organization called Women as One have also taken on this issue.

Together, we are committed to not only changing the perception of what having a career in cardiology and a family life means for women, but providing strong female mentors who can share their own journeys, lend support and mentor the next generation of young female cardiologists.

Some of the steps we are taking include formal leadership training, mentorship programs, and conducting studies to better understand decision-making about how women choose specialties and subspecialties. We are reaching out to physicians to create a databank of women who are available to speak and serve on advisory boards. We are asking professional societies to actively look at ways to establish gender equity (as well as ethnic and racial equity) as they assign speaking roles, podium opportunities and editorial opportunities in their professional society journals and meetings.

As women are taking more leadership roles in industry, support across the pharmaceutical, biopharmaceutical and medical technology industries has also been increasing. I credit much of this discussion and spirit of empowerment to the #MeToo movement, and the importance of banding together to encourage and support each other.

Today, I have a strong support network of colleagues and mentors (many of them men!) that I go to for guidance, support or clinical decision making. I also speak to them about their journeys.

I did sacrifice. In the 19 years my children were growing up until the point they left for college, I didnt change jobs and I traveled little. I did stay in close contact with my professional colleagues, but in ways that did not require me to travel.

When my youngest left for college, I made up for lost time. I took a job at Columbia in a mainstream academic program, went back to school and earned my MPH in health policy and management, and got very involved in professional organizations. I also took advantage of speaking opportunities, editorial opportunities all of the things I had to say no to in earlier parts of my career. I am friendly with a number of now-prominent female cardiologists who have the same types of stories.

What I tell my mentees, and those who speak with me about my career, is that you cant have everything at the same time, but if you think things through, you can have most things, just at different stages of your career.

There is an exceptional amount of room for women in cardiology, and a strong support network of people who are willing to work with young women to have it all in this male-dominated field.

I look forward to the day when I will read the headline, More Women Choosing Cardiology, and supporting them when they do.

About the author: Linda D. Gillam, M.D., MPH, FACC is the Dorothy and Lloyd Huck Chair of Cardiovascular Medicine at Morristown Medical Center/Atlantic Health System and professor of medicine at the Sidney Kimmel Medical College at Thomas Jefferson University. She recently completed a term as chair of the Women in Cardiology Committee of the American Heart Association and serves on the leadership committee of the AHA Council on Clinical Cardiology.Under Gillams leadership, Atlantic Health System and Morristown Medical Center have become nationally recognized as leaders in cardiovascular medicine and surgery, attracting best-in-class talent, state-of-the-art technology and clinical trials.

Related Women in Cardiology Content:

Women Breaking the Glass Ceiling in Structural Heart

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Women: Cardiology Needs You! - Diagnostic and Interventional Cardiology

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Heart attack: This cooking oil has been proven to prevent the life-threatening condition – Express

Tuesday, November 26th, 2019

A heart attack occurs when the flow of blood to the heart is blocked. Blood carries the oxygen and nutrients that the organs need to work properly. Blood also carries carbon dioxide to the lungs and when a blockage occurs it can be fatal. The blockage is most often a buildup of fat, cholesterol and other substances and this is known as atherosclerosis or hardening of the arteries.

Over time, the fatty material can build up inside the walls of the arteries and if it blocks the coronary artery and cuts off the supply of oxygen-rich blood to the heart muscle, the heart may become permanently damaged.

Leading health experts suggest foods that help cleanse the arteries and these include asparagus, avocado, broccoli, fatty fish, nuts and watermelon.

There is also a cooking oil that comes highly suggested for helping reduce the risk of heart attacks and cleanse the arteries.

READ MORE: Heart attack: The biggest signs you could be having a silent heart attack - what are they?

Food is directly involved in many of the risk factors for coronary heart disease and heart attacks.

Paying attention to what one eats is one of the most important preventative measures to take.

Saturated and trans fats in the diet tend to increase LDL cholesterol in the blood.

Common sources of saturated fats include animal products including butter, meat, chicken skin and full cream dairy foods and processed foods like pastries and biscuits.

The oil one cooks with could either help or hinder a persons risk of developing a heart attack.

DONT MISS

Olive oil

Olive oil has long been hailed as one of the best oils one can use for its many health benefits.

It is a staple in the Mediterranean diet and the heart-healthy benefits are well documented.

Olive oil is packed with antioxidants which relieve inflammation and decrease the risk of chronic disease.

Its also rich in monounsaturated fatty acids and many studies have associated it with improvements in heart health.

What the study says

One study in 7,216 adults at high risk for heart disease showed that those who consumed the most olive oil had a 35 percent lower risk of developing heart disease.

In another study with the US National Library of Medicine National Institutes of Health, olive oil intake was linked with a risk of cardiovascular disease.

Another large study also showed that a higher intake of olive oil was associated with lower systolic and diastolic blood pressure.

Medical News Today said: There is a protein in our blood that rises after we eat. Now, new research reveals that it plays an important role in preventing a major cause of heart attack.

"This protein is called apolipoprotein A-IV (ApoA-IV) and evidence already suggest that higher blood levels of it are linked to lower risk of cardiovascular diseases.

"For the first time, scientists at St. Michaels Hospital in Toronto, Canada, have shown that ApoA-IV stops blood platelets forming into blood clots.

"The researchers suggest that the rise in ApoA-IV blood levels following meals containing olive oil and other unsaturated fats reduces "platelet hyperactivity and bonding," which, in turn, reduces inflammation and stroke and heart attack risk.

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Heart attack: This cooking oil has been proven to prevent the life-threatening condition - Express

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How Gluten Destroys the Human Body – The National Interest Online

Tuesday, November 26th, 2019

How does a piece of bread cause a migraine?

Migraine is the third most prevalent illness in the world and causes suffering for tens of millions of people. In fact, nearly 1 in 4 U.S. household includes someone with migraines.

Migraine is not just a headache but also includes a collection of associated symptoms that can be debilitating. These include nausea, vomiting, light sensitivity and dizziness. Often people struggle to determine what triggers their migraines. It can be environmental, hormonal, genetic, secondary to an underlying illness, or triggered by certain foods, such as cheese, red wine or chocolate. One food that has received a lot of attention in recent years is gluten - a protein found in wheat, rye and barley.

As a registered dietitian and board-certified neurologist who specializes in headache management, I often will have my patients try a gluten-free diet.

Celiac disease vs. gluten sensitivity

When someone suffers from celiac disease a digestive disorder caused by an allergy to gluten there is a clear link between migraine headaches and gluten. Gluten triggers immune cells to release antibodies to attack substances the body sees as foreign.

When someone without celiac disease eats gluten, it goes into the gastrointestinal tract where food is broken down and the nutrients are absorbed. In the case of celiac disease, that persons immune system sees the gluten as a foreign substance (like a virus or bacteria that shouldnt be there) and attacks it with a specific antibody called transglutaminase (TG) 2 serum autoantibodies to destroy the gluten.

The problem is the persons own healthy tissues gets destroyed in the process. In other words, when people who are sensitive to gluten consume it, the immune system sees this protein as an invader and creates antibodies to capture and destroy the protein. If the protein is sitting in the GI tract or has been absorbed by other organs, the antibodies go looking for it and attack whatever tissue is harboring the gluten protein.

This triggers an inflammatory reaction that puts the body in high alert that injures various healthy organs. Organs then release molecules that cause blood vessels to become leaky and release water, electrolytes and protein into the tissues and cause swelling.

This is an inflammatory response that affects the whole body, not just the brain. In addition to headaches, it can cause broader symptoms including gastrointestinal problems, fatigue and learning difficulties, just to name a few.

Step by step, how gluten leads to migraines

But just looking at a gluten-intolerant persons inflammatory response doesnt provide the whole picture on glutens link to migraine.

In recent years scientists have gained a better understanding of how and why migraines occur. Migraine is now considered a genetic condition that is found commonly within families.

Early theories suggested migraines occurred because of enlargement or dilation of the blood vessels. But now neurologists realize this isnt the whole story. We now know the cascade that leads to a migraine involves the nerves in the trigeminovascular pathway (TVP) the collection of nerves that control sensation in the face as well as biting and chewing.

When TVP is activated by the presence of gluten, for example, it causes the release of many chemicals including histamine, a substance that immune cells produce when responding to injury, allergic and inflammatory events. The TVP nerves also produce a recently discovered trigger for migraines; a protein called calcitonin gene-related peptide (CGRP).

When CGRP is released it causes the dilation of blood vessels in the meninges the layer of tissue protecting the brain. As the blood vessels dilate they leak water and proteins into the meninges which causes swelling and irritation. The swelling activates the trigenimial nerves which relay messages to other regions of the brain, including the thalamus which creates the perception of pain that is associated with a migraine.

Within the past year a new class of medications has gained FDA approval for migraine prevention. These medications are called CGRP monoclonal antibodies and have proven to be an effective preventative treatment. They stop the protein CGRP from getting into its receptor.

What to do about food triggers

In both gluten sensitivity, or celiac disease, and migraine, there is an inflammatory process occurring within the body. I hypothesize that the inflammatory response to gluten makes it easier to activate the trigeminovascular pathway, thus triggering a migraine. There has never been a large study of how exactly gluten triggers migraines, and this is something I hope to explore in future studies.

Typically, a food trigger will cause a migraine to start within 15 minutes of exposure to that substance.

If someone tests positive for celiac, or wheat allergy, then the answer is simple: remove gluten from the diet. So the question arises when someone tests negative should we still eliminate gluten? It is often worth a try, because there is a condition called non-celiac gluten sensitivity.

If someone does not have celiac disease but suffers from symptoms of gluten sensitivity, an elimination trial of gluten is often helpful for reducing migraine frequency or severity. The reason I suspect is that removing gluten will reduce chances of an inflammatory response that will activate the trigeminal nerves and trigger pain. Gluten elimination for migraines is still experimental.

We need to treat the whole person in medicine. This includes looking at potential triggers for headache and doing an elimination diet can be of benefit. There are so many gluten-free products currently on the market, it makes removing gluten from the diet easier.

[ Like what youve read? Want more? Sign up for The Conversations daily newsletter. ]

Lauren Green, Clinical Assistant Professor of Neurology, University of Southern California

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Image: Reuters

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Ministry of Health: A nation rich in wellbeing – ft.lk

Tuesday, November 26th, 2019

Goals

Action plan

1. Increase the average life expectancy by an additional 3 years through improvements in healthcare facilities.

2. Identify the top 10 reasons for deaths in Sri Lanka and take the necessary preventative measures.

The top 10 causes of death are:

a. Coronary heart disease.

b. Stroke.

c. Diabetes.

d. Wheezing or asthma.

e. Alzheimers disease.

f. Lung illnesses.

g. Chronic lung diseases.

h. Suicide.

i. Chronic kidney disease.

j. Cirrhosis.

3. Develop fully-fledged hospitals in the 7 main corridors to Colombo (Moratuwa, Piliyandala, Kottawa, Battaramulla, Kadawatha, Ragama and Negombo).

a. Public outskirts of Colombo will get access to high quality healthcare.

b. This will reduce the number of people coming into Colombo City for healthcare.

4. Establish an Oncology (cancer) unit at a hospital in each district in association with Maharagama Cancer Hospital.

5. Establish a modern and fully equipped patient testing laboratory in each district.

6. Build fully equipped health centres for heart, lung, neurology, Ophthalmology (eye) and paediatric illnesses in association with the respective specialised Colombo hospitals.

7. Introduce a new overtime payment scheme for doctors and medical staff to reduce the waiting time of patients for surgeries.

a. Currently, patients are listed on the waiting list for 1 week to 10 months.

b. With the new payment scheme, theatres which are used for 8 hours of work can be extended to 12 hours, including Saturdays and Sundays.

8. Apply the overtime payment scheme to all medical staff in order to make use of underutilised theatres, test and scan rooms to reduce the waiting time for patients.

9. Increase the intake of medical students from 1,300 to 2,000 at Government universities to address the shortage of qualified doctors in the country.

Increase other relevant healthcare staff.

10. Increase the intake of students in Nursing Colleges.

Sponsor foreign scholarships for senior level nurses to upgrade their skills.

11. Encourage the establishment of private hospitals through 0% corporate tax and 0% VAT incentives.

a. Additional insurance schemes will be provided to Government servants to receive medical care.

b. Patients waiting in month-long queues for operations will be transferred to these hospitals.

12. Introduce a Digital Health Hub (DHH) which will be available both online and via a mobile app.

DHH can be accessed with the Digital National Identity Card.

A strong and healthy population lives longer and is more productive. This makes an important contribution to the economic progress of a nation

Services of the DHH include:

a. Access to patients health history for the past 10 years.

b. View time slots available for scans, doctors appointments at all hospitals/clinics.

c. Alerts on scheduled appointments.

13. Develop an online portal to monitor stock availability of medicines in each hospital.

a. This can track medicine stocks available in other hospitals in a stock out situation.

b. Hospitals can order stocks in advance to avoid stock out situations by checking current stock counts digitally.

14. Digitalise the hospital bed distribution at wards to ensure the maximum utilisation of hospital beds.

15. Digitalise all test lab reports of patients in collaboration with the blood bank and use these 16. reports to forecast the patterns of the patients medical conditions.

Patients can take necessary preventive steps to control any medical condition.

16. Develop and maintain toilets according to the following standards:

a. 1 toilet for every 20 inpatient users.

b. At least 4 toilets per outpatient setting.

c. Separate toilets for medical and general staff.

17. Introduce and maintain an affordable pricing policy for essential drugs and equipment.

18. Maintain an agreed quality standard on medicines when released to markets.

Introduce labels with the content of medicine and details on any side effects.

19. Provide easy access to needed medical facilities for families who cannot have children due to medical reasons.

20. Geo-tag kidney patients and identify affected areas, including those prone to Chronic Kidney Disease (CKD) and construct deep-well (bore well) facilities with proper filtration. Already certain villages are equipped with the above-mentioned water purification systems, e.g. Saddiyawara project by Hayleys PLC.

21. Distribute soil health cards and soil-test base fertiliser recommendations.

Currently, 35,000 containers of fertiliser are imported. With the introduction of soil health cards and fertiliser recommendations, 20% (7,000 containers) of imports can be reduced.

22. Introduce Tele-medicine services to provide information and diagnosis by healthcare professionals, especially for rural areas through an online call or through preloaded data.

23. Develop videos to promote physical activity among adults and children to reduce the risk of non-communicable diseases.

24. Implement proper waste disposal methods at all hospitals.

25. To attract professional medical staff to rural postings:

a. Build international schools for their children.

b. Fully renovate rural hospitals with necessary healthcare facilities.

c. Encourage building of private hospitals for private practice.

d. Facilitate doctors quarters with all essential items.

26. Accelerate reforms in the paramedical education sector to increase the availability of nurses, pharmacists and other paramedical personnel.

27. Introduce an accident-free house planning guide for senior citizens above 65 years of age.

28. Develop Ayurveda treatment segment:

a. Provide training and access to new methods used in Ayurveda for practitioners.

b. Plant more herb farms to strengthen Ayurveda medicine production.

c. Introduce income and pension schemes for Ayurveda practitioners similar to Western medicine doctors.

d. Assist top Ayurveda practitioners in the country to establish treatment centres at tourist hubs.

29. Introduce a Low Risk Drinking Guideline to reduce health risks associated with drinking.

30. Introduce a guideline on recommended sleeping habits for all age levels to promote a healthy lifestyle among citizens.

31. Raise awareness on mental health issues and establish centres with the necessary professional staff and equipment for counselling and treatments.

32. Introduce an application with behavioural analytics technology to identify individuals with depression and anxiety.

33. Develop online video-based training programs to teach basic first aid techniques for the public in emergency situations.

34. Conduct good health habit workshops at schools, workplaces, hospitals and religious institutions.

35. Address the issue of absenteeism of girls due to menstruation, following steps to be taken:

a. Conduct awareness programs at schools, communities and families covering areas such as:

i. The process of menstruation.

ii. The importance of washing menstrual cloth.

iii. Types of absorbents that can be used during menstruation.

iv. Build the confidence of adolescent girls and educate them to accept the changes which happen during menstruation.

v. Prepare adolescent girls and their families on what to expect during menstruation and how to take care of their hygiene during that period.

b. Develop online awareness videos on menstrual hygiene.

c. Establish disposal mechanisms.

d. Develop water, sanitation and hygiene-related facilities supporting menstrual hygiene management (one toilet for every 40 girls, with water and soap).

e. Promote production of sanitary napkins at village level.

f. Counsel and support adolescent girls on how to improve their diets.

g. Conduct training programs for social development officers and teachers.

Objectives of this training program are:

a. To understand the importance of menstrual hygiene management.

b. To develop skills and capacities to address menstrual hygiene management in schools and the community level.

36. Establish active health labs around the country for health and wellness, especially of sportspersons, by giving them a free reading of their health parameters.

37. Launch a website and an app with essential information for new and expecting mothers with details about what to expect, when to get vaccinations, when to see the doctor, and book appointments with doctors.

38. Allocate free airtime and print space for health promotion, particularly for non-communicable disease risk factors in Sinhalese, Tamil and English.

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Ministry of Health: A nation rich in wellbeing - ft.lk

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Health and Wellness Market Shares, Strategies and Opportunities 2024 – The Denton Chronicle

Tuesday, November 26th, 2019

The global health and wellness market is often cited as the next trillion dollar industry and rightly so, considering the wealth of applications and products it incorporates in a variety of industries such as nutraceuticals and cosmeceuticals. Since a last few years, sectors such as healthy eating, nutrition, and weight loss, complementary and alternative medicine, preventative and personalized health, and beauty and anti-aging have grown in leaps and bounds. Currently, there are three trends making their presence known in the global market, viz. athleisure, boutique fitness, and organic diet. From real estate to shopping to smart technology, health and wellness has found a significant place in the everyday life of the world population.

The report on the international health and wellness market sheds light on the important segmentations by nutraceutical and cosmeceutical product types. Besides this, the analysts have explored some of the key geographical segments that the global market is anticipated to mark its territory in. With a conclusive segmentation study provided in this comprehensive publication, interested parties can take hold of the crux of the market.

Buyers of the health and wellness market publication are offered with an up-to-date analysis of the vital technological improvements and market trends. Moreover, it crafts an impact analysis along with a well-defined technological growth map. The report is a crucial guideline to understand the critical market forces restraining and propelling the global market.

Request a Brochure of Health and Wellness Market Report

https://www.transparencymarketresearch.com/sample/sample.php?flag=B&rep_id=450

Global Health and Wellness Market: Trends

By nutraceutical product, the global health and wellness market is segmented into functional foods, functional beverages, and dietary supplements. According to cosmeceuticals, the market is segregated into cosmeceutical ingredients, cosmeceutical products, and cosmeceutical sales. The market is primarily driven by increased health awareness and boosted store presence of health and wellness products. The demand for healthcare devices, exercise equipment, organic foods, and supplementary diets has also augmented the growth of the market.

Global Health and Wellness Market: Geographical Analysis

The international health and wellness market has grown at a substantial rate not only in developed regions such as North America and Europe but also developing countries of the world. Consumer health awareness and consumer interest continue to rise in Canada on the back of the role of foods and beverages in health maintenance and their benefits. Consumers in the U.S. are anticipated to take a paradigm shift toward healthy and organic food choices as their skepticism about manmade healthy products continues.

Emerging economies such as China have persisted to show signs of growth, riding on widening consumer focus on health and increasing household income. New product development has supported the organic baby food segment. In India, the market has been propelled by the demand for health and wellness foods, increased uptake of weight control pills, and growing gym memberships.

Request for a Discount on Health and Wellness Market Report

https://www.transparencymarketresearch.com/sample/sample.php?flag=D&rep_id=450

Global Health and Wellness Market: Competitive Overview

The report has studied some of the leading players which are vying to attain a top spot in the global health and wellness market, viz. Philips Healthcare, Abbott Laboratories, LifeScan, Inc., B. Braun Melsungen AG, Animas Corporation, LOral, Johnson & Johnson, Nestle S.A., General Mills, Inc., Coca-Cola, Omron Healthcare, F. Hoffmann-La Roche, and Medtronic, Inc. With a scrupulous analysis of the competition dynamics, it helps to gain a competitive edge in the worldwide market.

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Health and Wellness Market Shares, Strategies and Opportunities 2024 - The Denton Chronicle

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Is Ballet A Sport? Doctors And Dancers Think So – ideastream

Friday, November 22nd, 2019

Some people might not see a connection between ballet and football, but a sports medicine doctor at University Hospitals knows just how similar dancers and football players are.

In fact,Dr. James Voos, chair of UH'sorthopedics department, says treating dancers as athletes can help prevent injuries and lengthen dancers careers.

Contact athletes such as football players and our performing artists such as ballet dancers put an incredible force on their body, day in and day out, Voos said. While you may be moving more gracefully in ballet, those stresses on the body are very significant, so the ability to maintain flexibility, to put together a preventative program, is just as important in both sports.

This season is the first year the Cleveland Ballet is partnering with the sports medicine department at UH, giving the dancers more opportunities to receive preventive care. And the partnership means Voos and physical therapists are treating both the Cleveland Ballet and the Cleveland Browns.

Dancer Madison Campbell says taking care of their bodies is one of the most important things about ballet.

Our bodies are our instrument. Those are our tools. Thats the same as football players, theyre using their bodies as an instrument, as a tool, to get to where they need to be in the game, Campbell said. The amount of stress you put on your body, day in and day out, the amount of agility and stamina if thats not an athlete, I dont know what you call it.

The physical therapists working with the dancers know how to treat the artists as the athletes they are, says 16-year-old Marla Minadeo, the youngest dancer in the Cleveland Ballets history.

Im so young, but obviously if Ive been dancing professionally, like Im dancing all day, every day, my body doesnt feel young, Minadeo said. I think that if I keep on going to physical therapy, the life of my dance career will be a lot longer.

Its Minadeos first season as a professional dancer. Her mom, Gladisa Guadalupe, is the artistic director for the Cleveland Ballet. An injury sent Guadalupe into retirement as a dancer, which she thinks could have been prevented.

The career of a dancer is very short. But if you take care of your body now, in a professional environment and with professionals in the medical field that understand the wear and tear, and how to prevent it, they could have careers up to 45 and 50 [years old], why not? Guadalupe said. And thats what we want. We want to give them tools that they understand their limitations, they understand their assets, they understand how far they can go with their bodies.

Proper training and physical therapy help professional dancers like Minadeo, but treating dancers as athletes is also important information for young dancers and parents.

This is particularly close to me, having young dancers at home, Voos said.

He recommends flexibility and strength training for dancers between practices.

Audiences often dont recognize the athleticism of dance because the dancers try to hide it, said dancer Lauren Stenroos said.

Our job is to make it look easy on stage, and were not supposed to show that its difficult, she said.

Guadalupe hopes that in the future, audiences will recognize that while it takes months to rehearse for a production, but it takes decades for dancers to train their bodies for ballet.

I dont think people understand. They just see the beauty. The curtain goes up, and they just see the end product. They dont see the sweat and the hard work, she said. And thats my hope, that as much as I would like the audience to enjoy which they do enjoy the performance that they understand what this artist goes through and respect the profession.

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New Immune-Boosting Pet Supplement May Add Years to the Life of Your Pet – PRNewswire

Friday, November 22nd, 2019

VENTURA, Calif., Nov. 22, 2019 /PRNewswire/ --A California-based pet wellness company has launched a new natural health supplement formulated to boost your pet's immune system and protect dogs and cats against cancer and other life-threatening diseases.

"Cancer is the number-one killer of dogs and cats," explains VetSmart Formulas founder and CEO, Russ Kamalski. "We wanted to create a product that would help pets stay healthy and active for years to come. That's why we've spent the past few years perfecting the formula and making sure it includes active ingredients that have been proven to promote normal cell growth and support long-term health in pets."

The supplement's main ingredients are four medicinal mushrooms from Asia that have been proven to inhibit the growth of cancerous tumors, strengthen the immune system, lower cholesterol levels and blood pressure, and reduce inflammation. The product also includes a patented white turmeric extract that contains active ingredients that have been shown to protect against neurodegenerative diseases, arthritis, cardiovascular risks, and liver damage.

Kamalski says that the powerful combination of natural ingredients is one of the most effective antioxidant supplements for pets and is designed to strengthen the immune system for both young pets as a preventative measure, and for those dogs and cats struggling with diseases such as cancer, it helps the pet's natural immune defenses in an extraordinary way.

"It is the responsibility of the pet owner to do everything possible to minimize the risk of cancer in their pets. That includes a sensible lifestyle with sufficient exercise, weight management, drinking clean water, healthy food intake, and avoiding toxins," says Doctor of Veterinary Medicine Shawn Messonnier, founder of Paws & Claws Animal Hospital in Plano, Texas. "Giving your pets a high-quality antioxidant supplement is highly recommended to further reduce the risk of cancer."

Kamalski, who has decades of experience in the natural health supplement industry, decided to develop this all-natural supplement when his 12-year-old dog, Sienna, developed bone cancer. The doctors gave her just a few months to live but Kamalski exhaustively researched alternative cancer treatments and developed an early prototype of the Critical Immune Defense formula to aid in her treatment and recovery. With the support of Sienna's veterinarian and oncologist, he succeeded in extending Sienna's life by almost two years.

"The oncologists who were treating her were amazed," Kamalski says. "Her tumors basically stopped growing and started to shrink. Not only did the product help slow the cancer growth, her quality of life dramatically improved. They'd never seen anything like it."

Critical Immune Defense is not available in retail stores and can be found at the Pet Wellness Direct Website: http://getvsf.com/cid-press

About VetSmart Formulas:VetSmart Formulas is a line of high-quality pet supplements sold directly to consumers by Pet Wellness Direct, an online pet wellness company founded in 2015. The company's all-natural products are made in the USA in FDA audited labs, have no artificial ingredients or flavors, are wheat-free, and are based on scientifically superior formulas that pet professionals demand. The company's board of advisors includes a professor of biochemistry and molecular medicine and four veterinarians who are passionate about protecting our pets from disease and increasing pet health and longevity.

Related Links:

Russ KamalskiCEOPet Wellness Direct888-212-8400, ext. 802inquiries@petwellnessdirect.com

This release was issued through WebWire. For more information visit http://www.webwire.com.

SOURCE Pet Wellness Direct

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New Immune-Boosting Pet Supplement May Add Years to the Life of Your Pet - PRNewswire

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Health and Wellness Market Analysis and Forecast up to 2024 – The Denton Chronicle

Friday, November 22nd, 2019

The global health and wellness market is often cited as the next trillion dollar industry and rightly so, considering the wealth of applications and products it incorporates in a variety of industries such as nutraceuticals and cosmeceuticals. Since a last few years, sectors such as healthy eating, nutrition, and weight loss, complementary and alternative medicine, preventative and personalized health, and beauty and anti-aging have grown in leaps and bounds. Currently, there are three trends making their presence known in the global market, viz. athleisure, boutique fitness, and organic diet. From real estate to shopping to smart technology, health and wellness has found a significant place in the everyday life of the world population.

The report on the international health and wellness market sheds light on the important segmentations by nutraceutical and cosmeceutical product types. Besides this, the analysts have explored some of the key geographical segments that the global market is anticipated to mark its territory in. With a conclusive segmentation study provided in this comprehensive publication, interested parties can take hold of the crux of the market.

Buyers of the health and wellness market publication are offered with an up-to-date analysis of the vital technological improvements and market trends. Moreover, it crafts an impact analysis along with a well-defined technological growth map. The report is a crucial guideline to understand the critical market forces restraining and propelling the global market.

Request a Brochure of Health and Wellness Market Report

https://www.transparencymarketresearch.com/sample/sample.php?flag=B&rep_id=450

Global Health and Wellness Market: Trends

By nutraceutical product, the global health and wellness market is segmented into functional foods, functional beverages, and dietary supplements. According to cosmeceuticals, the market is segregated into cosmeceutical ingredients, cosmeceutical products, and cosmeceutical sales. The market is primarily driven by increased health awareness and boosted store presence of health and wellness products. The demand for healthcare devices, exercise equipment, organic foods, and supplementary diets has also augmented the growth of the market.

Global Health and Wellness Market: Geographical Analysis

The international health and wellness market has grown at a substantial rate not only in developed regions such as North America and Europe but also developing countries of the world. Consumer health awareness and consumer interest continue to rise in Canada on the back of the role of foods and beverages in health maintenance and their benefits. Consumers in the U.S. are anticipated to take a paradigm shift toward healthy and organic food choices as their skepticism about manmade healthy products continues.

Emerging economies such as China have persisted to show signs of growth, riding on widening consumer focus on health and increasing household income. New product development has supported the organic baby food segment. In India, the market has been propelled by the demand for health and wellness foods, increased uptake of weight control pills, and growing gym memberships.

Request for a Discount on Health and Wellness Market Report

https://www.transparencymarketresearch.com/sample/sample.php?flag=D&rep_id=450

Global Health and Wellness Market: Competitive Overview

The report has studied some of the leading players which are vying to attain a top spot in the global health and wellness market, viz. Philips Healthcare, Abbott Laboratories, LifeScan, Inc., B. Braun Melsungen AG, Animas Corporation, LOral, Johnson & Johnson, Nestle S.A., General Mills, Inc., Coca-Cola, Omron Healthcare, F. Hoffmann-La Roche, and Medtronic, Inc. With a scrupulous analysis of the competition dynamics, it helps to gain a competitive edge in the worldwide market.

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Health and Wellness Market Analysis and Forecast up to 2024 - The Denton Chronicle

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Student Health Services offers preventative medical care for Aggies traveling abroad – Texas A&M The Battalion

Thursday, November 21st, 2019

Texas A&M Student Health Services offers preventive care to keep traveling students safe from overseas illness, while protecting their classmates from any infectious diseases they could bring back from abroad.

Preventive medicine can immunize a student from a certain disease or infection, and SHS can also provide screenings, examinations and blood work. But it is not only important for students going abroad to keep themselves safe and healthy. Taking these steps can also protect the A&M community at large from any possible diseases that may have been caught overseas and could be brought back to campus.

Claire Kolb, a physician assistant at Beutel Health Center, said SHSs goal is for students to stay well and do well, and preventive medicine does much to keep the campus community safe.

[It] helps to support that mission and increase screening and prevention of disease to keep our students and community healthy, Kolb said. We are able to do that through screening for communicable diseases, providing vaccinations, travel medicine and allergy [immunotherapy] injections.

Holly Hudson, executive director of Education Abroad, said it is not up to the students or the university whether they get any immunizations when studying abroad.

If the [Centers for Disease Control] requires those immunizations, then students actually have to get those in order to obtain a visa or entry into the country where they want to study, Hudson said. In any case where immunizations are required, it is not optional.

For those who study abroad, Hudson said they will be provided with a form of health insurance to be used should they get sick, injured or in any way hurt.

We enroll all our students who are studying abroad in international health insurance, Hudson said. Students are enrolled in insurance that will treat any sort of emergency situation they may have in regards to health. It will cover any medical expenses while abroad and will pay for them to come home should they require additional medical care.

Despite many students going overseas for an extended period of time, Hudson said it is not often that students get severely sick while studying abroad.

Usually, we see injuries the same way that wed see here, like a broken leg, falling or just in the wrong place at the wrong time, Hudson said. Any operational issues we may see, such as a kidney or respiratory infection, are generally treatable wherever they are. Its very rare for a student to get very sick abroad and need to return home as a result of that.

On top of medications and screenings provided for students, Kolb said there are numerous other well-being efforts students can engage in.

[Student Health Services] provides immunizations as needed, Kolb said. We also provide free STI screening at our monthly STI events. We work with our integrated behavioral health providers to assist patients with mental health awareness.

There are also other general health campaigns that SHS holds, Kolb said, which are generally inexpensive and easy to access.

We have a free flu shot campaign in early October to prevent an influenza epidemic on campus, Kolb said. Our immunizations are covered for all students with the TAMU student health insurance, and we offer low cost payment options as well.

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Chronic Inflammation Is a Huge Problem. But This Specialized CBD for Inflammation Can Help. – Futurism

Thursday, November 21st, 2019

Inflammation has become one of the biggest buzzwords in health and wellness circles in recent years. And while all the fuss over inflammation it may seem like yet another fad promulgated by television quacks and bloggers, its really not. Many health professionals now believe that understanding and controlling chronic inflammation is the future of preventative medicine. Thats why Mellowment CBD has specifically developed a specific type of CBD for inflammation. Its called Mellowment High Impact for Inflammation, and it combines CBD and curcumin for maximum inflammation relief, recovery, and comfort.

Inflammation is an essential survival mechanism of the human immune system. As such, its usually a good thing, a sign that the body is working to heal an injury or fight off some pathogen or disease. When cells are in distress, they release chemicals that alerts the immune system. The immune system in turn sends inflammatory cells to capture the pathogens or heal damaged tissues. Meanwhile, blood vessels in the area expand to accommodate the additional immune system traffic and bring fluid to the site of the injury or infection. This is called acute inflammation. And while it is painful and uncomfortable, its also necessary.

Unfortunately, for a variety of reasons, sometimes this natural immune system response does not get switched off. Sometimes its because the cause of the initial immune system response cannot be eliminated. Sometimes the immune system simply malfunctions. Either way, the immune system tells white blood cells to attack healthy tissues and organs, resulting in chronic inflammation.

While all adults experience some level of chronic inflammation that slowly wears down our organs and tissues, in some people this chronic inflammation is more extreme. And what scientists have finally realized is that this excessive chronic inflammation causes major damage that contributes to many of the most common degenerative diseases, including coronary artery disease, diabetes, cancer, and Alzheimers.

The good news? Numerous studies suggest that treating chronic inflammation can significantly reduce the risk for these diseases.

That brings us to Mellowment High Impact CBD for Inflammation.

Mellowment has become one of the leading names in CBD over the last few years thanks to their exacting scientific methods and rigorous quality control. With High Impact for Inflammation, theyve combined their proprietary CBD formula with and curcumin, a compound found in the spice turmeric that has been used as an herbal medicine in India for thousands of years.

CBD has long been observed to have anti-inflammatory effects. Now were finally starting to understand why. According to one study, for example, CBD reduces inflammation by modulating the endocannabinoid system and disrupting the production of cytokines, which are proteins secreted by immune cells that trigger inflammation. As for curcumin, modern science has proven it has anti-inflammatory and antioxidant properties, and numerous studies have shown it to be effective in treating inflammation and pain associated with arthritis.

One of the problems in treating inflammation with CBD and curcumin is that both compounds typically have poor bioavailability. That means they are not easily absorbed into your system due to poor absorption, rapid metabolism, and rapid elimination. However, Mellowment has solved the bioavailability problem. By subjecting CBD and curcumin to an advanced nano-emulsification process that shrinks and suspends the active ingredients microscopic droplets of oil which can easily pass through cell walls, Mellowment more than doubles their bioavailability. That means more CBD and curcumin reach systemic circulation, ensuring maximum effectiveness.

Each bottle of Mellowment High-Impact for Inflammation contains 30 softgels, with each softgel containing a 25mg dose of CBD and a 10mg dose of curcumin. Theyre formulated to be taken as needed, and most customers take one to four softgels per day. Mellowments CBD extracts are meticulously engineered from Colorado-grown hemp using an advanced chromatography process that removes all THC, eliminating the risk of failed drug tests and undesired psychoactive effects.

Whether youre looking for natural relief from discomfort caused by acute inflammation, or you want to combat chronic inflammation and reduce your risk for more serious degenerative conditions, Mellowment High Impact for Inflammation could be right for you

This supplement has not been evaluated by the FDA, and is not intended to cure or treat any ailments. Do not take CBD products if you are allergic to any of the ingredients in the product you are consuming. Tell your doctor about all medicines you may be on before consuming CBD to avoid negative reactions. Tell your doctor about all medical conditions. Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal products. Other side effects of CBD include: dry mouth, cloudy thoughts, and wakefulness. You are encouraged to report negative side effects of any drugs to the FDA. Visit http://www.fda.gov/medwatch, or call 1-800-FDA-1088.

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Chronic Inflammation Is a Huge Problem. But This Specialized CBD for Inflammation Can Help. - Futurism

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A guide to CBD topicals, balms, and lotions – Leafly

Thursday, November 21st, 2019

Rae LlandNovember 18, 2019

(Irina_Strelnikova/iStock)

CBD, or cannabidiol, is a compound produced by cannabis and hemp plants. Unlike THC, CBD doesnt produce a feeling of being high.

CBD topicals such as lotions, balms, gels, or creams are infused with CBD to produce skin-friendly products that contain the medicinal properties of CBD. In topical form, CBD is most popularly used for managing pain and inflammation.

CBD topicals penetrate the skin to provide targeted relief, without entering the bloodstream. This makes them a fantastic choice for anyone who wants to focus the healing properties in specific problem areas rather than feel the effects throughout their body. CBD topicals can potentially provide relief for a variety of pain, headache, and skin issues such as:

Lo Friesen, lead chemist for cannabis wellness company Heylo, believes CBD topicals are also a fantastic preventative medicine. She says using these topicals every day, multiple times a day allows the body to not only uptake CBD quicker, but also build a CBD level in those areas and prevent worsening inflammation.

Its just preventative maintenance, says Friesen. For example, people who have arthritis in their hands who use [CBD topicals] on their hands every day are going to have less pain, less inflammation. Theyre going to have less pain in their hands over time than people who use it to treat [the pain as it happens].

Some CBD topicals may have bases such as shea butter, or oils like coconut, avocado, jojoba, or vitamin E. These nourishing ingredients are great for the skin, providing added benefit to the medicinal properties of CBD. Its also possible to find more traditional lotions with CBD or products with an Aquaphor base.

While lotions will be water based, creams usually have a fat or oil base, and balms a thicker base such as beeswax. Water-based lotions absorb more quickly into the skin, but oil based CBD topicals are more easily absorbed and get into the skin deeper. Meanwhile, gels can be useful for easier thicker application, making them possibly preferable for those with reduced hand dexterity, such as arthritis patients.

At the end of the day however, Friesen says, Just take your favorite skin care product and find something with similar ingredients, add CBD, and youve already made it better.

Unfortunately, due to an oversaturated market and lack of regulation, not all CBD topicals will produce the desired results. CBD can be sourced from either hemp or traditional cannabis, but their resulting extracts typically have quite a few differences in terms of the diversity of compounds found within them.

CBD extracts from cannabis tend to include a wide diversity of helpful compounds whereas hemps chemical diversity is more limited. Youll also want to make sure that a hemp-derived product actually contains CBDhemp seeds or stalk dont produce CBD, so its important to understand which part of the hemp plant was used in the extraction process.

Whats more, some products claim to have an abundance of CBD in them, but the reality doesnt always match the label. So how can consumers make sure they are getting a quality product?

Dr. Jeremy Riggle, chief scientist with cannabis wellness company Marys Medicinals weighed in:

Not all CBD products are created equal, and consumers should do their research. Ask questionswhat type of CBD extract does it contain: full spectrum, broad spectrum, or isolate? Where is the raw material sourced from? Does the producer use organic and sustainable agricultural practices? Does the supplier have a Certificate of Analysis showing test results for pesticides, heavy metals, residual solvents, microbials, cannabinoid potency, and terpene profile?

Finally, its worth noting that milligram content can make a difference, and with CBD, higher is generally better. Friesen says you get what you pay for, but that this is also why some make the switch over to CBD:THC topical products. Friesen believes these 1:1 or 1:3 ratio products are more effective than CBD on its own, due to the cannabinoids tendency to amplify each others effects. As such, patients may be able to use less to achieve similar effects, than they would with a CBD only product, and save money in the process.

All in all, there are plenty of great topical CBD products on the market for those who want to try a targeted method of delivering these helpful cannabinoids to problem areas and add CBD to their wellness routine.

Rae Lland is a freelance writer, journalist, and former editor for Weedist and The Leaf Online. With a focus on culture, music, health, and wellness, in addition to her work for Leafly, she has also been featured in numerous online cannabis publications as well as print editions of Cannabis Now Magazine. Follow her on Instagram @rae.lland

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Restorative Medicine: IV Therapy in NYC Announces Partnership with Better Health Chiropractic, PC – Press Release – Digital Journal

Thursday, November 21st, 2019

Restorative Medicine: IV Therapy, based in New York, NY, has announced a trusted partnership with Better Health Chiropractic, PC. Restorative Medicine: IV Therapy is a provider of IV therapy nutrition New York NY services and was founded by Dr. Vladimir Alexeyenko, M.D. The practice is geared towards serving the needs of those who want a way to counteract the damage that stress and modern living have been causing. Dr. Alexeyenko wants to emphasize that people often work long hours at a desk, eat on the run, have disrupted sleep, and are exposed to environmental toxins. All of that stress can weaken the bodys immune system and make it more difficult to fight off disease.

Dr. Vladimir Alexeyenko says, We offer vitamin infusions, hydration IV therapy treatments, and other IV therapy solutions that will energize you and restore your body and mind. Our bodies need fuel, not just any fuel, but the right mix of vitamins, minerals, water, and hormones. The human form is a complex system that relies on many compounds to get up and go. There is a perfect balance that helps us feel great but, modern life, especially in urban areas, robs us of that balance.

Dr. Vladimir Alexeyenko is a licensed physician who has developed IV infusion therapy using his in-depth knowledge regarding the human body and what it requires to be able to perform at peak efficiency. He wants to point out that he established Restorative Medicine: IV Therapy based on the philosophy that preventing disease is better than cure.

He says, We can prescribe and administer any infusion that can restore your energy, increase your metabolism, rebalance levels of vitamins and minerals, and strengthen your immune system. You will see and feel the results immediately. At Restorative Medicine, your body will regain the ability to heal itself thanks to IV vitamin therapy and other IV drips that will revive your energy, restore cell function as you go back to your vibrant and busy life.

With nutrients, vitamins, minerals, and fluids being essential in helping the body function well and in flushing out toxins, these are provided in IV drips and booster form for preventative medicine. The treatments supervised by Dr. Alexeyenko can help in fighting disease, boosting energy levels, and strengthening the immune system. This allows patients to have more control over their health journey. However, this requires the guidance of an experienced physician like Dr. Alexeyenko.

Dr. Vladimir Alexeyenko also provides IV ozone therapy New York NY services. This is designed to get rid of viruses, toxins and infections from the body. Its purpose is to oxygenate the blood to create an aerobic environment, which is hostile to microbes that thrive on anaerobic metabolism. It should be noted that while ozone can be dangerous when inhaled, it is not harmful in the bloodstream. Ozone therapy may be used by people who frequently travel and breath recycled air. It may also help during the flu season as it may be able to boost the bodys immune system.

According to Dr. Alexeyenko, IV therapy may be able to provide long lasting vitality and bring back systemic balance to the human body. IV therapy has an advantage over supplements or pills because the latter are taken orally and are diluted during digestion. On the other hand, IV therapy allows the nutrients, vitamins and minerals to their work at the cellular level.

Dr. Vladimir Alexeyenko has been practicing medicine for more than 25 years. He has always sought to be up-to-date regarding the study and use of restorative, holistic treatments. He also prescribes modern medical treatments but his long term goal is to guide his patients into the use of conventional and integrative practices and treatments designed to prevent ill health.

Those interested in IV therapy NYC services can visit the Restorative Medicine: IV Therapy website or contact them on the phone or through email. They are open from Monday to Friday, 9:00 am to 6:00 pm. Saturdays and Sundays are by appointment only.

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For more information about Restorative Medicine: IV Therapy, contact the company here:

Restorative Medicine: IV TherapyDr. Vladimir Alexeyenko(917) 994-9390doctor@vladimiralexeyenkomd.comRestorative Medicine: IV Therapy2 W 46th St Ste 806, Rm2New York, NY 10036

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Beefing Up the East End’s Substance Abuse Treatment – East End Beacon

Thursday, November 21st, 2019

When Quannacut Outpatient Services substance abuse treatment center was preparing to move into its new facility across Riverhead in July, a rumor quickly spread through patients that it may be closing. But that rumor was quickly replaced with the real news, which is quite good: Not only has the facility tripled in size in its new location, but it is now better able to accommodate its mission to treat not only substance abuse, but also mental and physical health needs that are often unavailable to people in substance abuse treatment.

Stony Brook Eastern Long Island Hospital and Quannacut held a ribbon-cutting celebrating the opening of the new 1,400-square-foot offices at 905 East Main Street in Riverhead on Nov. 20, and theyre planning to open another satellite outpatient center at 291 Hampton Road in Southampton this month, which will fill a gap in outpatient substance abuse treatment on the South Fork.

The expansion was made possible by a $1.6 million grant received in 2017 from the New York State Department of Healths Statewide Health Care Facility Transformation Program. A goal of this program is to make it easier for people, especially those with Medicaid, to receive preventative medical services, in an effort to reduce emergency room visits for non-emergencies.

The new Quannacut outpatient center in Riverhead has three medical examination rooms, and is in the process of hiring medical staff under the guidance of Medical Director Dr. Jarid Pachter, said Quannacut Outpatient Services Director David Cohen on a mid-November tour of the facility. He said some of the top medical needs among patients there are infectious diseases, often related to substance use, and basic primary care needs, often longstanding chronic conditions that have gone untreated.

Theres a general rule of thumb, he said, that about 1/3 of people who visit the emergency room also have an untreated behavioral health need, while 1/3 of the people in Quannacuts program also come in with untreated medical needs.

Stony Brook Eastern Long Island Hospital, which is in Greenport, opened Quannacut as an inpatient rehabilitation program in 1989, expanding with an outpatient program that moved from Mattituck to Harrison Avenue in Riverhead in 2001. Quannacut is a Native American word that means hope.

Mr. Cohen said that, when he arrived shortly after that, the outpatient program was seeing around 70 patients at a given time. Now, he said, they have about 300 active patients, and accept walk-in patients on Mondays and Fridays from 9 a.m. to noon.

This new integration of medical and psychiatric services builds on strengths already existing within ELIH and Stony Brook University Hospital.

ELIH has long had the only inpatient psychiatric facility on the East End, and the hospitals recent affiliation with Stony Brook University Hospital, which has a psychiatric emergency room, is designed to integrate mental health and substance abuse treatment throughout the continuum of care.

This is a sea change for health care, where traditionally medical, psychiatric and substance abuse professionals had worked in separate silos. Mr. Cohen said some medical and substance abuse practices dont want to deal with people with certain mental health issues or medications, he said, in part become some psychiatric medications are addictive.

Were experts here on co-occurring conditions, he said. Our staff is heavily trained. Not one thing works best for each individual.

Dr. Richard Rosenthal, director of the Division of Addiction Psychiatry at Stony Brook University, said the addition of Quannacuts services to the Stony Brook network is part of a larger endeavor integrating addiction, mental health and primary care.

Substance use disorders are classified as psychiatric disorders, but they are overseen by different regulatory agencies, said Dr. Rosenthal. The truth is a continuum is the rule rather than the exclusion.

Dr. Rosenthal added that, as part of this integration of care, the Stony Brook University Hospital network is training doctors to administer buprenorphine shots in the emergency rooms in Southampton and Greenport.

Buprenorphine has not gotten as much public attention as naloxone, better known as Narcan, an immediate opioid antidote carried by first responders to revive people from opioid overdoses. But once they survive an overdose, opioid users who want to quit will need a way to manage their withdrawal symptoms. Thats where buprenorphine, a medically administered opioid used to treat withdrawal, comes in.

Dr. Rosenthal said Dr. Kenneth Kaushansky, the dean of the Universitys Renaissance School of Medicine, has fully backed training Stony Brook doctors to administer buprenorphine, which has historically had a difficult time gaining traction with medical doctors.

To prescribe buprenorphine, you need to be trained, and its substantive training, said Dr. Rosenthal. Patients come in and agree to go into treatment, theyre given a couple doses, which they complete at home, and they get a referral and connection to outpatient treatment. They may need to stay overnight.

Its very safe, and its really no big deal, he said, adding that 130 Stony Brook doctors have been trained to administer buprenorphine. The patient feels better. It protects them from the nods and it medically stabilizes them. Its a lifesaver.

Dr. Rosenthal added that the way doctors are trained also plays a role in alleviating the opioid crisis.

Were training doctors differently regarding pain, he said. Thats a big, big shift in terms of what we were doing even five years ago.

Even primary care doctors operating in practices affiliated with Stony Brook are now giving patients screening questionnaires for substance abuse and mental health issues as soon as they walk in for routine medical appointments.

Doctors are practical people. They believe the same thing regular people do, said Dr. Rosenthal. Theres a culture change. We want to know if people are thinking of self-harm. We need to do a better job helping people when they feel desperate and hopeless.

Despite the major leap the new facility is bringing to Quannacut, the staff there arent resting on their laurels. They are currently working on an adolescent program, and they run two sober houses within 15 minutes of the Riverhead center.

But those houses, which have just 18 beds, all for male residents, are just a drop in the bucket compared with the need. Quannacut would ultimately like to add a female sober house as well.

Housing is the number one thing that undermines treatment, said Mr. Cohen. A lot of people we see are one step away from homelessness. Our houses are always filled, and theres always a waiting list.

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