The 20 year old model allegedly slit her wrists earlier Saturday. She was treated and released by a local hospital, despite earlier reports that she would be held for observation.
TMZ reports the pedophile allegations made against her father Michael Jackson might have incited this latest attempt on her life. (Editor's note: Paris Jackson is out of the hospital and denies any suicide attempt. She claims she was injured in an "accident" and had to go to the hospital because of it. So- maybe, maybe not, right?) In 2013 she attempted to commit suicide by slitting her wrists as well. She is currently being supervised by her team of doctors.
This is a developing story.
Each year 47,000 Americans take their lives. That averages to 123 people a day. And each suicide affects everyone with whom the person has regular encounters. So why is it so common? Here are six reasons people choose to end their life.
When tragedy strikes, whether it be an accident, break up, job loss, missed opportunity, some can’t see “the light at the end of the tunnel.” Many think and navigate through life one step at a time, which may be productive when it comes to tackling tasks, but if they feel the obstacle in front of them is insurmountable they may believe their options are far and few between, with death being the only out.
Many of us have been trained to act on a whim. We quickly reply to a text, pop some food in the microwave, flick the controller while playing a video game…and these quick, instinctive acts are becoming apart of our daily behavior. So when one has a fleeting thought of suicide, they may be less likely to slow down and think it through.
This is one of the least discussed reasons people commit suicide, but unfortunately more common than we think. Although most of us fear death and dying, some pathologically can’t handle the thought of it happening out of the blue. Those who need control and need to plan ahead, may find solace in the fact that they are planning their own death. They can’t control their birth but they can control their death, they believe, and for those who feel they have lost control of their life may find this tragic option welcoming.
Hollywood stereotypes depression as a woman sitting on a couch eating ice cream to combat the tears and loneliness of a breakup. But many have symptoms of severe depression and don’t know it.
So many self medicate either by over-eating, drinking alcohol, smoking weed, or taking pills, which when wears off, can sink one into a lower funk. Without psychological or medical intervention, one struggles to recover.
Since so many people are undiagnosed when it comes to depression, family members and friends are unaware their loved one is struggling. Going about one’s business may be inferred as indifference by someone suffering from a mood disorder. “They won’t even notice I’m gone,” pervades their thoughts and worsens their loneliness.
If one feels they’ve been ignored, unheard or wronged, this could incite an “I’ll show ’em” attitude in which their suicide is plotted to be a form of psychological revenge.
Sadly many out there secretly hope they get help but don’t know how to ask for it. It’s up to us to seek them out and guide them to a medical professional who can listen, understand, and work with them.
WSB radio reports hundreds of experts have signed a UN and WHO petition to warn against the cancer risks and medical dangers of AppleAirPods.
The EMF (electromagnetic frequency) radio waves emitted from the Bluetooth technology has been proven to cause health effects in “living organisms.”
And with its close proximity to the human skull, scientists are nervous.
A study from the National Institutes of Health last year reported “clear evidence” that cell phone radiation may be connected to cancer of the adrenal glands and brain.
Tests were performed on mice and rats, using much higher levels of radiation than humans are exposed to. However, only the male rats demonstrated increase risk of brain tumors.
The study performed by Dr. John Bucher and colleagues at the National Toxicology Program (NTP) in North Carolina tested radio frequency radiation (RFR) used in 2G and 3G cell phones. The minimum amount of radiation given to the mice would be considered the maximum amount of radiation federal regulators allow on humans. The maximum amount of radiation given to the mice was 4X higher than the maximum allowed in humans.
Hence this was a study that looked at extreme conditions that the average human is not exposed to. However, they cite “clear evidence” that the radiation incited tumors in the rats.
For more on the study see here.
Now in August of 2018, a large study from the Barcelona Institute for Global Health (ISGlobal) in Spain, however, found no clear evidence of brain tumor risk with cell phone use.
Researchers in this study looked at 9000 people from seven different countries, having a range of occupations, and interviewed them on their occupational electromagnetic frequency (EMF) use. Sciencealert.com reports 4000 of these patients had brain tumors (glioma and meningioma) and were compared to the other 5000 who didn’t.
The good news is they did not find a correlation between those who sustained a brain tumor and those with high EMF exposure. However the bad news is they found only a small percentage of those studied actually would be deemed to have “High EMF” exposure hence leaving us still questioning if too much cell phone exposure is still risky.
Study author Javier Villa states, “Although we did not find a positive association, the fact that we observed indication of an increased risk in the group with most recent radiofrequency exposure deserves further investigation,” and suggests, “we shouldn’t worry for now, but we do need to focus future efforts on making sharper tools to analyse any hypothetical risk.”
Cell phones emit radio waves. These are a form of non-ionizing radiation that provides an energy source through radio frequency. Ionizing radiation is emitted by xrays, cosmic rays, and radon, and have been linked to cancer as it is a high frequency, high energy form of electromagnetic radiation. Non-ionizing radiation include radio waves, microwaves, visible light, UV light, infrared, and lasers. Although UV radiation may cause skin cancer, the other sources are deemed less dangerous than their ionizing radiation counterparts.
One of the more recent studies unveiled in May of 2016 reported cell phone radiation caused brain tumors in mice. Rats exposed to the radiofrequency radiation for 7-9 hours a day, seven days a week, were more prone to develop the malignant gliomas as well has tumors in the heart. This study was not intended to be translated to human risk, but of course it made headlines and scared us silly.
Prior to this, in 2011, the World Health Organization’s International Agency for Research on Cancer (IARC) classified cell phone use and other radiofrequency electromagnetic fields as “possibly carcinogenic to humans”.
However, multiple studies have been done, as descriptively outlined by the National Cancer Institute, and are assuring us that there is no imminent danger by our daily use of cell phones. The NCI also provides recommendations from the CDC, FDA, and FCC stating not enough evidence exists to establish a link between cell phones and cancer.
Although arguments continue over cell phone radiation causing cancer, it has been proven that heat is given off. Many people complain their ear gets hot after lengthy cell phone use and studies have yet to determine if cell phone heat can cause oncogenic changes in cells. They’ve studied if the radiation affects metabolic activity, and a team led by Dr. Nora Volkow, head of the National Institute on Drug Abuse, found visible brain activity changes on the side the cell phone was being used. They recommended after this study keeping the cell phone away from the body and using a lower radiation emitting phone.
We wait and see. My suggestion is to not overdo it with our phones. Use the speaker setting when practical so as to not consistently hug the phone to your skull. Take breaks in between lengthy calls. Text when appropriate to minimize exposure as well.
The following has been recommended for both children and adults:
Or do what I do when I talk to my mother, hold the phone 3 feet away from my head. I can still hear her…..just fine……
The 78 year-old iconic game show host has revealed last week that he has Stage 4 pancreatic cancer, vowing to “fight this” deadly malignancy.
However, in an interview with Business Insider, he admitted to having a Milky Way and diet soda for breakfast every day, “A Diet Coke or a Diet Pepsi or a Diet Dr. Pepper,” especially on taping days.
A Stage 4 is given to cancer that has spread to other parts of the body.
Each year over 55,000 Americans are diagnosed with pancreatic cancer, whose 5-year survival rate is 5%. Older individuals who are healthy can do as well as those who are younger when diagnosed with advanced stage of the disease. However some sources cite the median survival time is between 2 and 6 months if the cancer is diagnosed at a late stage.
Known risk factors for pancreatic cancer include:
Artificial sweeteners have been linked to diabetes and diabetes is a risk factor for pancreatic cancer. Their relationship to pancreatic cancer, however, still remains controversial.
Senator Bernie Sanders during the 2016 Presidential Election called for a single payer system to cure our healthcare woes. Now Democratic contenders for the 2020 election are calling for the same. Some voters are salivating at the thought, tired of high insurance premiums and deductibles. Others are cringing at the idea of the government running our healthcare system. Yet most are confused and want more details. So let’s break it down.
Medicare is the health insurance offered by the federal government for those over 65 and with disabilities. According to medicare.gov they breakdown medicare as the following:
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services.
Part D adds prescription drug coverage to:
These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans
Originally suggested by Senator Bernie Sanders, Medicare for All would essentially allow all Americans to qualify for Medicare. According to Unitedmedicareadvisors.com:
The concept sounds nice but Medicare doesn’t currently cover many of the above such as hearing aids, dental exams, and long-term care.
Unitedmedicareadvisors.com reports the following:
Unfortunately, tax hikes on employers could lead to price hikes and less employment.
So the concerns I have are Medicare doesn’t currently cover what Medicare for All is touting and the expense may be underprojected.
Moreover many healthcare providers do NOT take Medicare so access can be an issue.
However, until premiums and deductibles go down, and more Americans become insured, plans such as this will gain attention and popularity.
It’s tax season and most of us are hoping to shave a few bucks off our tax bill. Well, many are not aware of the deductions that are available when it comes to medical expenses.
If you spent over 7.5% of your adjusted gross income on unreimbursed medical expenses during 2018, you may be able to deduct what you spent over this 7.5%, according to the IRS.
So, for example, if you make $100,000 a year, 7.5% would equal $7,500. So let's say you spent $10,000 on medical expenses, subtract the 7.5 % ($7,500) from $10,000, and the remaining $2,500 is tax-deductible.
But the expenses made can also include those of your spouse, children and dependents. Combined, these could qualify you for descent deductions.
Publication 502 breaks down what services or items you purchased in 2018 that are tax-deductible and which are not. Here’s a brief summary:
Tax Deductible Items:
Unfortunately the following cannot be written off:
So review the list and see what you can apply to your 2018 itemized deduction worksheet. But make sure you have your receipts and logging of car mileage…. and start keeping track this year as well!
Mexican researchers had a major breakthrough in treating HPV (Human Papillomavirus), the most common sexually transmitted disease. In fact, the CDC states that almost 80 million Americans are infected with HPV with approximately 14 million people becoming newly infected per year. Those are just the numbers in the U.S. alone.
What exactly is HPV?
HPV is a group of more than 150 related viruses, named for the warts (papillomas) some HPV types can cause. Some other HPV types can lead to cancer. According to the CDC website:
“In most cases, HPV goes away on its own and does not cause any health problems. But when HPV does not go away, it can cause health problems like genital warts and cancer.
Genital warts usually appear as a small bump or group of bumps in the genital area. They can be small or large, raised or flat, or shaped like a cauliflower. A healthcare provider can usually diagnose warts by looking at the genital area.
HPV can cause cervical and other cancers including cancer of the vulva, vagina, penis, or anus. It can also cause cancer in the back of the throat, including the base of the tongue and tonsils (called oropharyngeal cancer). Cancer often takes years, even decades, to develop after a person gets HPV. The types of HPV that can cause genital warts are not the same as the types of HPV that can cause cancers.”
According to, El Universal, a popular Mexican newsite, a research team at Mexico’s National Polytechnic Institute led by Eva Ramon Gallegos, was able to eliminate HPV in dozens of patients using a non-invasive photodynamic therapy. Which makes us all ask, what is photodynamic therapy? Well, according to cancer.gov:
“Photodynamic therapy (PDT) is a treatment that uses a drug, called a photosensitizer or photosensitizing agent, and a particular type of light. When photosensitizers are exposed to a specific wavelength of light, they produce a form of oxygen that kills nearby cells.”
Sounds like science fiction to me but whatever works! Anyway, according to Ramon’s study, the team was able to eliminate HPV in 100 percent of patients that had no premalignant lesions and in 64.3 percent of subjects with lesions.
Now, I know that viral headlines all across the internet screamed the HPV has been cured but, um - not so fast. There are over 100 different kinds of HPV. Some cause health problems, some do not. Some, but not many, cause cancer. One of the reasons cancer is so hard to cure is because each type of cancer will require a completely different cure. Something that cures cervical cancer, for example, will probably not cure breast cancer. And something that cures type 6,11,16 and 18 (most of the problematic HPV types) types of HPV might not work on other types of HPV.
As pointed out by Liz Highleyman, the editor in chief at www.cancerhealth.com in her A Cure for HPV, not so fast…, there are too many forms of HPV to claim they have all been cured. Highleyman notes the Mexican research only focused on two types of HPV. So, while the research is good news, it’s not exactly a full cure. From her article:
“It’s not clear how photodynamic treatment might eliminate HPV infection, which would seem to require some type of antiviral therapy. But there’s clearly something going on.
Despite the unanswered questions raised by the recent reports, the findings from the Mexican study are good news for people with HPV-associated dysplasia. Photodynamic therapy is well tolerated and noninvasive. Using PDT instead of surgery to remove precancerous tissue could help preserve function in people with anal lesions and the ability to carry a pregnancy in women with cervical lesions.
The news also presents an opportunity to promote HPV vaccination. The new Gardasil 9 vaccine protects against several of the most common cancer-causing HPV types (16, 18, 31, 33, 45, 52 and 58) and two wart-causing types (6 and 11). It is recommended for girls and boys around age 11 or 12, before they become sexually active. However, the FDA recently approved the vaccine for women and men up to age 45, meaning people who were not vaccinated as teens or young adults may still be able to benefit.”
Okay. So perhaps “cures HPV” is too strong a statement. But things seem to be heading in the right direction!
Multiple states are bracing for “early” allergy seasons.
We still have a month left of winter yet grass is sprouting, leaves are growing and flowers are blooming. Add just having a wetter winter and warmer-than-normal temperatures to the mix and this is the perfect recipe for an early allergy season.
Allergy season usually begins with the start of Spring in March. Yet many may start their symptoms as early as February if they are allergic to what’s blooming.
Tree pollens start first in January and then taper off in April. Grass pollen starts to rise in February and March. Finally weed pollens join the party by the Spring and extend through the Summer and Fall.
Here are your questions answered:
Allergies are the result of the immune response to a foreign particulate that our body senses. One could be allergic to pollen, dust, dander, food, insects, mold, metals, transfused blood, grafts, medicine and anything the body senses as a foreign intruder. Even though these may be individually harmless, a hypersensitivity reaction occurs as a result of their intrusion into the body. IgE antibodies find the allergen (intruder) and activate mast cells in the tissue and basophils in the blood. When these cells get activated, they release substances to help protect the body, including histamines, leukotrienes, and cytokines. These help the body attempt to sneeze and cough the allergen out, wall off the antigen, signal more antibodies, or produce tears and nasal secretions to flush it out.
Symptoms of allergies could include any or a combination of the following:
Colds may have very similar symptoms to allergies. However they are different.
The common cold is caused by a virus. When one gets infected by the virus they may feel malaise, fever, and achy. This does not occur with allergies.
Moreover, nasal secretions from allergies are usually clear. In a cold, the mucous could be thicker and with color.
The same holds true with sputum. During an allergy the cough may have little to no mucous and if so, be light-colored. Thick mucus could be a sign of an infection.
An allergic sore throat will seem more dry and scratchy. A sore throat from a cold is more uncomfortable and less easy to soothe.
Allergies may persist or be cyclical. Cold symptoms will usually subside after a few days and rarely persist longer than 10 days.
Yes and no. Allergies should not in and of themselves cause an infection. However they may make one more vulnerable for a virus or bacteria to take over. Hence a bronchitis, sinus infection, or pneumonia could uncommonly follow an asthma attack.
As stated previously, if one is susceptible to colds, an allergic attack could make them vulnerable. Moreover if one suffers from asthma, an allergy attack could incite an asthma attack. Very rarely would we see a life threatening anaphylaxis to an allergen such as pollen.
Avoiding, or decreasing exposure to the allergen is key. We suggest the following:
Local tree, ragweed and grass pollen counts can be obtained here.
A report published in the American Heart Association’s Heart and Stroke Statistics annual report cite 48% of US adults have some type of cardiovascular disease.
The uptick could be due to rising obesity, and lowering thresholds for diagnosing guidelines such as high blood pressure (now considered high if over 130/80).
Although smoking rates have declined over the years, many still use tobacco and recent research has found E-cigs to increase risk of heart attack and stroke by 70%.
A stroke occurs when an area of the brain does not get the proper oxygen and blood flow it needs. There are two major types of stroke: ischemic and hemorrhagic.
Ischemic strokes are more common than the latter and occur when a clot prevents blood flow to part of the brain. 80% of all strokes fall under ischemic. It is a likened to a heart attack, except the brain tissue is being deprived of blood and nutrients. Plaques commonly arise from arteriosclerosis that break off travel to the smaller vessels of the brain.
Hemorrhagic strokes are less common and occur when there is a bleed of one of the brain vessels. The bleed prevents blood flow into the brain since it is seeping outside the brain tissue, causing damage to nearby cells. The bleeds could occur from high blood pressure or aneurysms that rupture.
Since a clot or bleed usually affect one area of the brain, we see symptoms on one side of the body, many times its contralateral (opposite) side. We can also see central effects. The symptoms of stroke include the following:
If the stroke was caused by a clot (ischemic) immediate treatment includes dissolving/removing the clot. Aspirin is used initially and if within the proper time frame, tissue plasminogen activator (TPA). These clots can also be surgically removed and arteries widened to bring blood flow to the brain.
With a hemorrhagic stroke, we need to stop the bleed and improve flow to the brain. Controlling the bleed, bypassing the vessel, “clogging” the aneurysm with techniques such as “coiling” (endovascular embolization) are sometimes utilized.
Time is of the essence, so it's crucial to identify the warning signs and call 911 immediately. The American Stroke Association uses the acronym “FAST” (Facial drooping, Arm weakness, Speech difficulty, and Time to call 911). The sooner a stroke victim receives medical attention the better the prognosis.
What are the risk factors for stroke?
The following put us at risk of having a stroke.
Avoid the following:
Firstly, we must know our risk factors. These include:
Family history of heart disease
Personal history of heart disease
High Blood Pressure
Males over 40
Females who are postmenopausal
and even short stature has been cited as a potential risk factor.
As you can see, many of us can be at risk for heart disease. Therefore secondly, we should be evaluated with an EKG, echocardiogram and any other exams our medical provider and/or cardiologist deem necessary.
Thirdly, reduce your risk by the following:
Maintain a normal blood pressure
Maintain normal blood sugar
Maintain normal cholesterol and lipid levels
Maintain a balanced diet, rich in potassium-rich foods such as fruits and vegetables
Maintain a healthy weight.
A recent study published in the Lancet finds Millennials to be at much higher risk for cancer than their parents and grandparents ever were.
Those born between 1981 and 1997 appear to be at increased risk of cancer of the:
Study authors cite obesity as the main culprit.
The CDC reports the prevalence of obesity was 35.7% among young adults aged 20 to 39 years.
In 2016 the International Agency for Research and Cancer listed multiple cancers in which obesity plays a role. They include the above as well as breast, ovarian, and esophageal cancer.
Studies have found obesity to alter hormone levels which could incite cells to rapidly divide. Fat acts as if it's another organ, inducing signals that can affect insulin, sugar and fat metabolism and can induce inflammation when it accumulates around other organs.
Moreover it could be an associative relationship in which those who are obese may have poor diets and exercise habits which are linked to cancer as well.
In the above study, non-obesity related cancer, such as lung, appears to be at less risk for millennials as many are saying no to tobacco products.
However, other causes could be at play such as radiation exposure. The verdict is not yet out on vaping either.
Study authors state:
A Harvard study finds popcorn and caramel flavor electronic cigarette liquid may damage the cilia of one’s respiratory system.
Diacetyl and 2,3- pentanedione have been found in multiple products to aid in flavoring and considered safe for human consumption. But that’s the key….consumption by eating, not necessarily inhalation.
In this recent study from Harvard TH Chan School of Public Health, the cilia, small projections that line the respiratory tree allowing for a brush and propelling of contaminants coming down the pipe, appeared impaired in function when exposed to the chemicals.
Changes in gene expression of the cilia’s production and function were witnessed and could put one at risk for lung disease and lung cancer.
Diacetyl has been linked to “popcorn lung,” in which inhaling the yummy smelling chemical lined vapor could cause scarring of the lungs and loss of function.
Last summer a study published by the American Heart Association found nine different E-cig flavors to impair blood vessel function, which can impair heart health.
Endothelial cells, which delicately line blood and lymph vessels, were found to become inflamed at low concentrations of some vapor flavors. And at high concentrations of others, exhibited cell death. Nitric oxide production, necessary for vessel dilation to improve blood flow, was impaired as well. These are often the same changes seen in early heart disease.
The 9 flavors (and the chemicals within) cited in the report to cause the endothelial inflammation and/or damage were:
Strawberry flavoring appeared to have the most adverse effect on the cells.
Now, many other flavors were not included in this study, so it's unknown how safe they may be.
For more on the study, read here.
An alternate study published last November looked at vaping flavors and their effects on heart muscle cells.
For more on this study, read here.
The moral? Just because we love the taste of something, doesn’t mean it’s safe to inhale.
A study from New York University found the nicotine in electronic cigarettes to cause DNA damage similar to cigarette smoking.
Dr. Moon-shong Tang and his colleagues exposed mice to e-cig smoke during a three-month period, 5 days a week for three hours a day. They found these mice, compared to those breathing filtered air, to have DNA damage to cells in their bladders, lungs and hearts. The amount of nicotine inhaled was approximately 10 mg/ml. That dose would be commonly consumed by many humans who vape.
They then looked at human bladder and lung cells and found tumor cells were able to grow more easily once exposed to nicotine and vaping chemicals.
In a previous study, researchers from Vanderbilt-Ingram Cancer Center in Nashville found e-cig smoke to increase one’s risk of bladder cancer.
In 2015, the University of Minnesota identified chemicals commonly found in e-cig vapor to include:
Although electronic cigarette “juice” may appear safe, it could produce harmful chemicals once heated to become a vapor.
A lethal dose of nicotine for an adult ranges from 30-60 mg and varied for children (0.5-1.0 mg/kg can be a lethal dosage for adults, and 0.1 mg/kg for children). E-cigs, depending on their strengths (0 – 5.4%) could contain up to 54 mg of nicotine per cartridge (a 1.8% e -cig would contain 18mg/ml).
The topic of nicotine increasing one’s vulnerability to cancer is nothing new as decades ago researchers found nicotine to affect the cilia (brush border) along the respiratory tree, preventing mucus production and a sweeping out of carcinogens trying to make their way down to the lungs.
More research needs to be performed but this recent report reminds us that exposing our delicate lung tissue and immune system to vaping chemicals may not be as safe as we think.
For more on the study read here.
In February, one study reported that toxic levels of lead and other metals may leak from the heating coil element into the vapor inhaled during e-cig use.
Researchers at Johns Hopkins Bloomberg School of Public Health found these metals to include:
We’ve known for some time that vaping fluid could contain chemicals that turn toxic once heated, but this study shed light on e-cig metal components causing metal leakage to the vapor making contact with delicate respiratory epithelium (lining).
Reported by Forbes, Rich Able, a medical device marketing consultant, stated the following, “the FDA does not currently test any of the most popular vaping and e-cigarette instruments being manufactured at unregulated factories in Asia that source low-grade parts, batteries, and materials for the production of these devices,” suggesting that “the metal and parts composition of these devices must be stringently tested for toxic analytes and corrosive compounds.”
These chemicals may act as neurotoxins, affecting our nervous system, cause tissue necrosis (cell death) and even multi-organ failure. Moreover they can affect how our immune system reacts to other chemicals as well as foreign pathogens, affecting our ability to fight other diseases.
Although studies have suggested e-cig vapor to be safer than tobacco smoke, not enough research has been done, in the relatively few years vaping has been around, looking at how heat-transformed chemicals and leaked metals affect our breathing, lungs and other organs once absorbed into the body.
In the last 6 months, three cats in Wyoming have tested positive for the plague.
Currently there are no known humans affected, however, under 10 human cases on average occur each year in the United States.
The type of plague the cats tested positive for was bubonic. So here’s the breakdown.
The plague as we know it is most commonly caused by a bacteria called, Yersinia pestis.
The victim usually acquires the plague from being bit by a flea who fed on infected animals such as rodents, or by contact with one who has the plague. Cat scratches from domesticated cats who are infected have been documented as a form of transmission.
Direct contact with infected bodily fluids could spread the plague as well. Pneumonic plague can be spread through a cough or sneeze.
There are three types of plague:
Bubonic – the most common, at first affects the lymph nodes, but may spread to throughout the body
Pneumonic – infects the lungs and may be spread from person to person by respiratory droplet.
Septicemic – infects the blood stream and can be the result of untreated bubonic and pneumonic plague
For all three types of the plague one can have:
But with bubonic plague, one may have large “bubos” or swollen glands in the neck, underarm, or pelvic/groin region.
With pneumonic plague, one may additionally have cough, shortness of breath and blood in their sputum.
Due to the disease spreading quickly, in some cases causing death within 24 hours, antibiotics need to be instituted immediately.
Moreover supportive measures such as IV fluids and oxygen may be needed as well depending on the severity of symptoms.
Flea control is paramount. So insect repellent for humans, and flea control products will help limit bites from the infected insects.
Moreover avoid rodents and clean out areas in and around your house to avoid them from scurrying around.
Let’s face it… Pap Smears aren’t fun. The only test to sample tissue for cervical cancer just happens to be one of the most embarrassing and awkward but it can be one of the most life saving and simple. So what is it and how does it work? Here’s your questions answered.
The uterus looks similar to a light bulb. The larger top portion being where the fetus develops, and the bottom, narrower area, the cervix. The cervix thins and dilates during childbirth, as you’ve heard in the movies “she’s only 7 cm!” and then after childbirth becomes narrow again. It affects nearly 13,000 and kills 4,100 women each year, rising each year. It can affect women of any age but is more common between 20 and 50.
The most common cause is HPV (Human Papillomavirus), especially HPV-16 and HPV-18. This is acquired through unprotected sex, so condom use is encouraged. Thus it's one of the most preventable causes of cancer. Additionally, there are 3 vaccines for HPV currently approved by the FDA, Gardasil, Gardasil 9, and Cervarix.
Early cervical cancer may not be symptomatic but as it develops it may cause an odor, pain with urination, pelvic pain and bleeding. This bleeding may occur after sex, a pelvic exam, or intermittent bleeding not associated with a menstrual cycle.
Yes. Early detection is key and can be done by a Pap Smear, explained below. Multiple treatments are available including surgery, chemotherapy, radiation therapy, and targeted therapy such as Bevacizumab (Avastin®) which prevents new blood vessel growth that can feed a tumor.
The USPSTF (United States Preventive Services Task Force) recommends the following:
Screening for cervical cancer in women age 21 to 65 years with cytology (Pap smear) every 3 years or, for women age 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years.
It is the cytology (cell analysis) of the cervix. Years ago, a cytobrush would collect the cells and the medical provider would “smear” it onto a slide, place fixative, and then send it to the laboratory for the pathologist to analyze it. Now ThinPrep® Pap tests are used more commonly as the cells from the brush are placed into a container with fixative, and this vial is sent to the pathologist to spin down and analyze.
In order to obtain the cells from the cervix, the medical provider needs to use a speculum to open the vaginal canal and allow access to the uterus. A woman may be in the lithotomy position…lying on one’s back on the exam table with her feet in stirrups and knees bent. During the speculum exam, the medical provider may take cultures to test for common vaginal infections such as yeast, bacteria vaginosis, or sexually transmitted illnesses such as gonorrhea and chlamydia. After the speculum exam, the provider may perform a pelvic exam with her gloved hand to examine the uterus and ovaries, evaluating for tenderness, shape, size and masses.
An HPV test can be done with the cells obtained during the Pap Smear. The laboratory evaluates the cells to see if the HPV virus that causes cervical cancer is present.
In summary the thousands of deaths that occur each year to cervical cancer can be prevented with simple testing, such as the Pap Smear. Discuss with your medical provider when cervical cancer screening is best for you.
The concept of dental floss was first introduced in 1819 by Levi Spear Parmly, who recommended a waxed silk thread to remove food particles away from the teeth and gums. Dental floss was later patented by Johnson & Johnson in 1898 and it’s been a dental favorite ever since.
I’m a fan as too many people brush their teeth haphazardly and fail to adequately clean in between the teeth.
Now a study from the Silent Spring Institute and Public Health Institute in Berkeley, California, suggest that users may be exposing themselves to elevated levels of toxic chemicals known as perfluorocooctanesulfonic acids (PFA’s).
PFA’s are used in food packaging, commercial household products, industrial products and more. Animal studies have suggested their link to tumors such as testicular cancer, high cholesterol, liver and kidney dysfunction, and issues with one’s reproductive and immune system.
The EPA states the following:
The study was published in the Journal of Exposure Science and Environmental Epidemiology. Authors tested 18 dental floss brands, including Oral-B Glide, and found higher levels of PFA’s (perfluorohexanesulfonic acid) in the test subjects (178 California-based middle-aged women) who used the waxed dental floss.
Study author Katie Boronow, states, “This is the first study to show that using dental floss containing PFAS is associated with a higher body burden of these toxic chemicals….The good news is, based on our findings; consumers can choose flosses that don’t contain PFAS.”
Most dental floss brands, however, do not report on their packaging if they contain PFA’s or not. Unwaxed versions may be PFA free.
However, many other daily habits can expose us to PFA’s such as eating fast food packaged in waxy coated cardboard containers.
So since good dental hygiene is paramount for health, I suggest speaking to your dentist about your flossing habits and consider also using a water pick as it can be very effective at removing food particles and bacteria from one’s teeth and gums.
The CDC has reported an increase in flu activity during our 52nd week of the year ending on 12/29/18.
The CDC reports outpatient visits for influenza-like illness (ILI) jumped to 4.1%, above the national baseline of 2.2%.
The CDC states the following:
New York City and 19 states experienced high ILI activity; nine states experienced moderate ILI activity; the District of Columbia and 10 states experienced low ILI activity; and Puerto Rico and 12 states experienced minimal ILI activity.
States experiencing high ILI activity include:
States experiencing moderate ILI activity include:
Low and minimal activity (noted in yellow and green) has been reported in the remaining states as well as Puerto Rico.
Currently it appears the majority of flu cases are caused by the H1N1 Influenza A strain. Even though the H1N1 caused an epidemic in 2009, this may forebode a less severe flu season from last year’s H3N2 epidemic.
Flu season has begun already. It typically starts in the Fall, and ends late Spring. So the range is described as October to May with it peaking December to March.
It is difficult to predict, but already this early in the season we’ve had multiple flu related deaths reported by the CDC’s Fluview.
The flu is caused by a virus. Multiple strains of virus’ can cause the flu. The virus itself can be lethal, however the greatest risk comes with what it does to your immune system, thereby putting one at risk of secondary infections. Pneumonia is the number one cause of flu-related deaths. Secondly, it can exacerbate existing conditions such as asthma, seizures, even promote preterm birth, hence those who are pregnant or have pre-existing medical conditions are urged to get vaccinated against the flu. Moreover those who qualify should get the pneumonia vaccine as well.
According to the CDC, the trivalent vaccine covers for these three strains of flu virus:
Quadrivalent influenza vaccines will contain these three viruses and an additional influenza B vaccine virus, a B/Phuket/3073/2013–like virus (Yamagata lineage).
These vaccines are aimed at providing protection against the Swine flu, and some influenza A and B strains.
This year, those over 65 will have three options for their flu vaccine.
Fluzone High-Dose – a higher dose flu vaccine that will hopefully allow their immunity to protect against the flu longer
FLUAD – the trivalent flu vaccine with an adjuvant to stimulate more of an immune response.
Flublok Quadrivalent – provides protection against 4 strains.
This year, the CDC allows use of the nasal spray vaccine as it has shown to have improved efficacy from prior years. However it is only recommended for those who are between the ages of 2 and 49 and cannot be given to those who are pregnancy or who have compromising medical conditions as outlined by the CDC.
All individuals 6 months old and older unless specified by their medical provider.
Most individuals allergic to eggs can still get the flu vaccine, but if the allergy to eggs is severe (anaphylaxis, angioedema, difficulty breathing), the CDC recommends notifying your medical provider and being in a facility to monitor you if you do get the flu vaccine.
No. The flu vaccine has a “killed” version of the virus meaning it’s not an active virus (as opposed to a live attenuated vaccine, a weakened down version of it). A “killed” or “inactivated” vaccine merely has the pathogen particles to induce an immune response. Additionally, when one states they got the flu despite the flu shot it could be that the flu shot only protects against 3 – 4 strains and they were infected with a more rare strain not covered by the vaccine.
The average effectiveness each year hovers around 60%. Last year’s efficacy was much lower and this year’s has not been predicted as of yet. Australia is still reporting active cases on their Department of Health website.
For some, the immune response that ensues can make one feel mildly ill, but should not resemble the flu. Those who state they got the flu “immediately” after receiving the shot, might have already been exposed and had not had a chance to produce immunity prior to their exposure.
A cold comes on slower and less severe. Flu symptoms are more abrupt and can include:
There are antiviral medications available, such as Tamiflu, to treat the flu. Antibiotics, however, will not work since the flu is not caused by a bacteria but rather a virus. However if a secondary bacterial infection takes over, antibiotics may be used.
Besides vaccination, avoid being around those who are sick, thorough hand washing, and take good care of yourself. A balanced diet, exercise and sleep regimen can help boost your immune system.
Wishing you health this season!!