A rare polio-like illness is startling health officials as multiple states have reported cases of AFM (Acute Flaccid Myelitis).

Since August 2014, the CDC has received reports on 362 cases.

This week we learn of 6 children in Minnesota who have been diagnosed with AFM, which may manifest in symptoms such as sudden muscle weakness, stiffness, slurred speech and facial droop.

The age range of children affected appear to be 3-14.  A 6-year-old boy in Washington State died in 2016 and was the first death to be linked to this mysterious illness.  His parents reported he had felt ill, became dizzy and within hours suffered swelling in the brain and paralysis.  Despite medical efforts, he passed.  Although the exact cause is unknown, health experts are considering a variety of possibilities. They have actually been investigating this since 2014 when reports of AFM began to surface across the United States.

What is AFM?

 

AFM stands for Acute Flaccid Myelitis.  It’s a condition that occurs suddenly, causing inflammation of the brain and spinal cord, causing loss of muscle tone and reflexes.  Although limb weakness is the primary symptom, patients could also exhibit slurred speech, facial drooping, and in serious cases inability to breath due to paralysis of the respiratory muscles.  Mild cases appear to resolve but serious cases can cause residual paralysis or death. Children appear to be more affected than adults.

What causes AFM?

 

Although health officials do not know for certain, due to its rapid onset, a pathogen such as a virus seems highly likely.  With the 2013-2014 outbreak, some of the cases tested positive for enterovirus (EV-D68), but it is not conclusive whether this was the exact cause or just coincidentally found in the patients tested.

Some postulate a combination of viruses may be a factor or an autoimmune disease.  Although Guillain-Barre syndrome causes acute limb weakness and paralysis when the immune system begins attacking the nervous system, the report that many individuals feel feverish or ill prior, seem to point to a pathogen as the primary cause although the latter is not being ruled out.  Virus families such as enterovirus (including polio and non polio enterovirus), adenovirus (causing respiratory and GI illness) and flaviviruses (including West Nile) have been suspected.

How common is AFM?

 

Per the CDC, acute flaccid myelitis is rare (less than 1 in a million cases) however currently they report 362 people affected in currently 16 states (down from 39 states in 2016).

How is it diagnosed?

 

Medical professionals look at a variety of factors.

History: how the paralysis/loss of muscle tone began and which limbs did it affect first

Laboratory tests and CSF (cerebrospinal fluid) testing: to look for signs of infection

MRI of the brain: which may show gray matter involvement in a case of AFM.

Is there a treatment?

 

There is no standard treatment that has been proven effective, however depending on the severity of the symptoms, health professionals can consider a variety of options including steroids, IVIG, interferon, antivirals and supportive measures.

Is there a vaccine?

 

No.  Until they can identify the exact cause, or causes, health officials cannot create a vaccine.

How does one avoid getting AFM?

 

If we assume its a pathogen causing the illness, avoiding contact with sick individuals, being up-to-date on one’s vaccines and good hand-washing are imperative.  Although we do not know if AFM is caused by a mosquito-borne illness, avoiding mosquitoes would be wise as well.   More therefore needs to be researched to determine why and how those individuals with AFM were infected.

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Published in Health

To understand what the Apple Store meant to me, let me tell you a personal story. In the 1960s, I had a hobby, building radio and general audio gear. Some of it I bought for myself, others I assembled for friends — at no charge. Well, I was a teenager, living at home. I wasn’t rich, but I had a tape recorder and a radio and a mic, so I was mostly happy.

 

In those days, I made periodic trips to one of the early consumer electronics stores, Lafayette Radio. After going bankrupt in 1980, its assets ended up in the hands of the company that eventually became Circuit City.

 

After moving to the Phoenix area in 1993, I shopped occasionally at a local Circuit City, but mostly for CDs. If I wanted a new Mac, I went online and saved money. It’s not that Circuit City didn’t carry Macs. They had some, and I remember visiting the retailer a few years later and seeing a few dusty models placed haphazardly on a single display table off to the rear

somewhere. Most had been left off. The few that were running mostly displayed a Hypercard slide show that didn’t really entice anyone to buy anything.

 

Besides, the salespeople were busy encouraging you to check out the real center of the action, the PC tables.

 

I recall a report some time later, about Steve Jobs admonishing Apple dealers to give Macs a fair shake. Make that demanding in very raw language. It was, after all, vintage Steve Jobs.

Apple finally decided to go its own way, by establishing its own retail chain. Jobs recruited former Target retail executive Ron Johnson to help him design the new stores.

 

When the first two Apple stores had their grand openings in 2001, in Glendale, CA and Tyson’s Corner, VA, the tech pundits were skeptical. Other electronics manufacturers, including Sony and Gateway, launched chains of branded stores, but they really didn’t go anywhere.

 

In large part, it’s because they were just ordinary retailers, only focused on a single brand. So why go to one when you could get the very same merchandise at the same price — or less — at a store with a far greater selection?

 

Apple’s approach was to customize your shopping experience with a specialty boutique with what appeared to be a remarkably noncommercial approach to retail sales. For one thing, you weren’t confronted with greedy salespeople trolling for a sale. Indeed, nobody pushed you to buy anything, or even to leave if you just wanted to just hang out.

 

If you had a problem with your Apple gadget, there was the Genius Bar where you could get advice, or authorized repairs by a factory trained specialist.

 

As a contributor to the Arizona Republic, and later Gannett and its national newspaper, USA Today, I attended two of the openings in the Phoenix area. At the Chandler, AZ Fashion Center, I met  Johnson, then Apple’s retail chief. I also got an Apple Store T-shirt.

 

I remember the opening ceremony, where the newly-minded employees welcomed customers with loud rounds of applause.

 

In 2002, I received a VIP invite to attend the grand opening of an Apple Store in New York’s SoHo district. I was part of an exclusive group that included Apple executives, even Steve Jobs and Phil Schiller, fellow tech reporters and a smattering of show business types.

 

While there, I had a chance to speak with Jobs for a few moments before he pulled his usual stunt to end a conversation, which was to walk away in mid-sentence. But I also spent several minutes speaking with the comic actor Tim Allen, who starred in one of my favorite movies, “Galaxy Quest.”

 

Recalling that the film ended in a way that a sequel might have been filmed, Allen said that one key factor that hurt the effort was a motorcycle accident that actor Daryl Mitchell, who portrayed the starship’s navigator, suffered the previous year. The mishap left him paralyzed from the waist down. Despite the handicap, by the way, Mitchell has remained active in show business. These days, he’s a featured player in a hit CBS series, “NCIS: New Orleans.”

 

But there’s still hope for a “Galaxy Quest” revival on Amazon, despite the 2016 death of Alan Rickman, another star of the cult classic.

 

Now my feelings about the arrival of the Apple Store in the Phoenix area were mixed. Before they arrived, I made a decent income as a Mac consultant. But Apple could provide much of what I offered, at least to people who didn’t mind carrying their gear to the store, at no charge. It didn’t take long for most of my clients to choose the obvious alternative, even when I lowered my hourly rates.

 

At first I focused on older gear, mostly Macs that were too old for Apple to provide direct support. As my customers grew older, however, that business mostly faded.

 

Despite my bittersweet feelings about the matter, I do get to an Apple Store from time to time to check out the new gear. Overall, the shopping experience remains mostly good, but the Genius Bar is often overwhelmed, so you have to reserve a session before you pay a visit.

 

As to Ron Johnson, he finally left Apple and went on to JCPenney to overhaul the shopping experience over there. But it proved to be a poor fit, and Johnson departed after the struggling retailer’s situation only worsened from his attempts to move them upscale. These days he’s connected with Enjoy, a startup that hopes to overhaul the shopping experience.

Peace,

 

Gene

 

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Gene Steinberg is a guest contributor to GCN news. His views and opinions, if expressed, are his own. Gene hosts The Tech Night Owl LIVE - broadcast on Saturday from 9:00 pm - Midnight (CST), and The Paracast - broadcast on Sunday from 3:00am - 6:00am (CST). Both shows nationally syndicated through GCNlive. Gene’s Tech Night Owl Newsletter is a weekly information service of Making The Impossible, Inc. -- Copyright © 1999-2018. Click here to subscribe to Tech Night Owl Newsletter. This article was originally published at Technightowl.com -- reprinted with permission.

 

Published in Technology

Breast cancer affects thousands of men and women each year and screening is unfortunately overlooked all too often.

Many women find mammograms painful and embarrassing hence hesitate when urged to get screened.

And some men may not realize they too have breast tissue and are at risk for breast cancer.

mcdc7_gynecomastia-8col.jpg

 

October is Breast Cancer Awareness Month and #ShirtsOff reminds us to examine ourselves, get screened, and look for changes in our breasts.

Signs of breast cancer include

  • A lump inside the breast or under the arm
  • Breast pain
  • Change in breast shape
  • Dimpling
  • Nipple discharge
  • Nipple bleeding
  • Rash
  • Sore on the breast
  • Discoloration
  • Change in skin texture

How common is breast cancer?

 

1 in 8 women will develop invasive breast cancer over the course of their lifetime. According to the American Cancer Society, an estimated 266,120 cases of invasive breast cancer are expected to be diagnosed in women in the US with 63,960 cases of non-invasive breast cancer, a rise from last year.

40,920 women and 480 men are expected to die this year of breast cancer.

 

What are the risk factors for breast cancer?

 

Risk factors for breast cancer include:

  • Age greater than 50
  • Family History
  • BRAC1 and BRAC2 genetic mutations
  • Alcohol use
  • Never been pregnant or becoming pregnant for the first time over 35 years old
  • Early menarche at age 11 or younger
  • Obesity, especially after menopause
  • Dense breasts
  • Lack of physical activity
  • Use of oral contraceptives
  • Previous “precancerous” tumors such as atypical hyperplasia
  • DES exposure
  • Previous radiation therapy

How is breast cancer staged?

 

Breast cancer is staged based on size of the tumor, if lymph nodes are affected and whether the cancer has spread to distant areas of the body.  Prognosis varies greatly on the stage.

 

Screen-Shot-2012-09-27-at-9.59.51-AM.png

IMAGE ABOVE FROM JOHNSTON HEALTH

 

Is family history a huge factor?

 

85% of breast cancer cases occur in women with NO family history.

 

Screening of breast cancer

 

Mammograms are the first line screening tool for breast cancer and are currently recommended biennial for women aged 50-74.  However for those at higher risk, mammogram screening should start earlier, with possible follow-up ultrasound, and be performed more regularly.

 

FullSizeRender (1)

3-D MAMMOGRAM IMAGE

 

3-D Mammograms use some of the most sensitive technology in screening.

Dr. William Boren, owner of West Valley Imaging in Las Vegas, Nevada, states “3-D Mammograms reportedly find up to 40% more cancers, allowing a topographic view of the tissue.”

Dr. Boren also recommends to “not leave big gaps between screening.  If you start screening at age 40, then continue yearly screens.”

 

mammogram 2018.jpg

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in Health

For those of us who are football enthusiasts, we may be at an advantage when it comes to relationships. Makes sense….when things go sour with our partner we turn to football. When we get sidelined we wait for a signal to get back on the field. And we instinctively “suit up” before each encounter to protect us from the blows we may incur.  So the question arises, do football fans fare better in relationships?

 

We know the field

 

Before any play, we need to position ourselves correctly on the field. Being too close to the “end zone” when you’re supposed to be yards away can give you a severe penalty.

So we start at the line of scrimmage and respect the “neutral zone.”

 

14169268_f496.jpg

 

An infraction of this space could again inflict a costly penalty.  There’s a time and a place when beginning a play and entering this zone is allowed.

 

neutral zone.jpg

 

True our goal is to get to the end zone but it will take some strategy, finesse, and opportunity.  Some good drives will get you a long way, and patience and persistence is key.

 

240_F_128301922_58w07ptHpviYITdXZ5szJXtnSYPAfjqb.jpg

 

We study our competition

 

Before any play we size up our competition.  Some may block your advance but most you can overcome.  As long as you know your routes and can keep other players at bay, you have a chance of advancing.

 

ff-routes.png

 

How do we fumble?

 

Holding a ball loosely and carelessly could cause it to easily fall into another player’s hands.

unsociable-media-man-ignoring-woman-date.jpg

 

But if you hold it too tight it may squeeze out the first opportunity it gets. A proper cradling, warmth, and protection may be the right recipe.

 

embrace.jpg

 

We need to rely on others during a fumble

 

Losing the ball is devastating and someone else can pick it up and run with it. It takes your buddies to help you regain possession so you can start over.

 

fumble.jpg

 

Treat your partner right and don’t lose them to begin with.

We are always prepared for an interception

 

The field is fluid and players are out there watching, waiting to grab your ball and take advantage of the yardage you acquired.

 

steal-your-girl-0.jpg

 

Always be mindful of your position and don’t take your possession for granted.

We adapt when we’re in the red zone

 

Although the red zone is not officially marked on the field, we understand it to be the 20 yards closest to the end zone, or time during a relationship where you can either advance to your goal or fail miserably, losing all the time and work you put into the relationship. Being too aggressive may cause a fumble, interception or even injury.  Being too chill could prevent you from ever making a touchdown.

So us football folk know how to stop, huddle, and plan,  hopefully resulting in the ball sailing into the end zone without a hitch.

 

touchdown.jpg

 

So if you’re in the dating scene and find yourself getting encroached, needing to scramble, or facing a blitz, watch some football and learn how to treat your date right. It might get you a whole new set of fresh downs…….

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in Opinion
%PM, %02 %768 %2018 %17:%Oct

How college students can cut their debt

Student debt has been rising and the average undergraduate doesn’t feel confident they will pay off their loans before middle age.

Lots of factors contribute to the increased debt a student faces. Some of these include:

  • Higher tuition costs

  • Increased time requirements to obtain a degree (5 year program vs 4 year)

  • Fewer students work while taking classes

  • More competition after graduation

  • Higher cost of living precludes early repayment of loans

And it is projected to rise.  The Congressional Budget Office each year projects the total amount of new federal student loans the office believes they will issue with this year projected to be nearly $1.5 trillion.

student loan debt.jpeg

Andrew Coates, candidate for University Regent in Southern Nevada, states, “One way that colleges can help students keep their debt under control is by locking-in tuition rates.  This means that tuition will not be increased while a student pursues their degree.  By locking-in tuition, students will know exactly how much they will pay each year in college, which will help them budget accordingly.”

 

coates.png

ANDREW COATES, CANDIDATE FOR UNIVERSITY REGENT, SOUTHERN NEVADA

 

So how can students curb their debt?

Choose an affordable college

 

According to US News data, the average cost of tuition and fees for the 2018–2019 school year was $35,676 at private colleges, $9,716 for state residents at public colleges and $21,629 for out-of-state students at state school, with many universities easily exceeding these numbers.  So students may want to consider getting early credits completed at community colleges and then finishing their degree at a university.  Additionally, many will need to decide if its worth picking an out-of-state college for a degree that provides the same job market edge as an in-state school.

 

Research available loans, grants and scholarships

 

Many students don’t apply for grants, loans and scholarships because of time constraints, misconceptions such as they don’t fit a demographic, or  “will be credit history required?”, and lack of optimism that they will even qualify.

Mark Kantrowitz, publisher and vice president of saveforcollege.com states, “More than 2 million students did not get a Federal Pell Grant even though they were eligible because they did not file the FAFSA.”  FAFSA (link attached) is a free application for federal student aid assisting students who want to apply for a loan, grant or work study.

Scholarships are ideal in that they do not need to be paid back. Many can be found at scholarships.com.

Learn to budget

 

Many students get a culture shock living on their own when they spend as if Mom or Dad is still footing the bill.  If eating out nightly, shopping online, or using excess data does not fit into the amount your trying to live on each month, budget expenses early on and stick to it.

Avoid the credit card trap

 

When we try to build our credit as a young adult, we may apply for a credit card that advertises to college students with no monthly fee and “rewards.” However, the interest rates can be up to 25%.  If you do use the credit card don’t borrow more than you can pay  off each month, always shooting for a zero balance.

 

Keep your living costs down

 

Rent, transportation, utilities, meals, entertainment, internet and phone service, add up and can be more costly than tuition.  Share expenses with roommates or family members to lessen your loan debt.

Cook and prepare meals for the coming days, use school Wi-Fi, carpool to class, purchase less beer, and use the university gym to save money.

But most importantly, don’t stress about the debt.  Your efforts should be concentrated on your schooling and getting a degree is one of the best ways to combat your debt later in life.

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in Money
%PM, %28 %787 %2018 %17:%Sep

October is Breast Cancer Awareness Month

Celebrities such as Julia Louise-Dreyfus, Olivia Newton-John, Christina Applegate and Cynthia Nixon have revealed their breast cancer diagnoses, helping raise awareness for the most common cancer to affect women.  It’s the second most common cause of cancer death in females.

How common is breast cancer?

 

1 in 8 women will develop invasive breast cancer over the course of their lifetime. According to the American Cancer Society, an estimated 266,120 cases of invasive breast cancer are expected to be diagnosed in women in the US with 63,960 cases of non-invasive breast cancer, a rise from last year.

40,920 women and 480 men are expected to die this year of breast cancer.

What are the risk factors for breast cancer?

 

Risk factors for breast cancer include:

  • Age greater than 50
  • Family History
  • BRAC1 and BRAC2 genetic mutations
  • Alcohol use
  • Never been pregnant or becoming pregnant for the first time over 35 years old
  • Early menarche at age 11 or younger
  • Obesity, especially after menopause
  • Dense breasts
  • Lack of physical activity
  • Use of oral contraceptives
  • Previous “precancerous” tumors such as atypical hyperplasia
  • DES exposure
  • Previous radiation therapy

How is breast cancer staged?

 

Breast cancer is staged based on size of the tumor, if lymph nodes are affected and whether the cancer has spread to distant areas of the body.  Prognosis varies greatly on the stage.

 

Screen-Shot-2012-09-27-at-9.59.51-AM.png

IMAGE ABOVE FROM JOHNSTON HEALTH

 

Is family history a huge factor?

 

85% of breast cancer cases occur in women with NO family history.

Screening of breast cancer

 

Mammograms are the first line screening tool for breast cancer and are currently recommended biennial for women aged 50-74.  However for those at higher risk, mammogram screening should start earlier, with possible follow-up ultrasound, and be performed more regularly.

 

FullSizeRender (1)

3-D MAMMOGRAM IMAGE

----

 

 

Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in Health

"We have a good military and we can take down government…” -General Wesley Clark

Throughout the book of 1 and 2 Kings, conspiracy after conspiracy took place to overthrow the powers of that time. It is, in fact, a biblical truth no one can deny (Jeremiah 11:9).

In America today, to talk of conspiracy always seems to fall on deaf ears, as if it were just a theory. And, of course, it is only a theory until it comes to pass, then it's a fact!  Then those who cried "conspiracy theorists" sit back and try to figure out why no one told them.  Yet, most have learned this deceptive lesson by listening to the lying CIA-media that they denounce as a bunch of corporate liars (John 8:44).  How this works I do not know, it is simply the reflection of hypocrisy concerning that of the people in this country and that on a massive scale (Romans 1:18).

Little by little, the people in this country are discovering that conspiracy theories are simply conspiracies (Jeremiah 11:9), as they are also discovering that the CIA-controlled media has a history of giving cover for the conspirators themselves.

One such case is the new world order (Revelation 17:17) in which no can any longer cast off as some sort of theory in the way that Americans have done for decades in the past.

Incrementally, and through political and media deception, conspirators are hard at work creating the American empire by conquering nation after nation under the guise of “we are being threatened again, and we must deal with them or else.”  And this all at the expense of the blood of your sons and daughters.

Did you know that America has over 737 military bases in 148 countries? (Editor’s note: The number of countries the US has bases in is actually, unclear. The ‘737 military bases in 148 countries' seems to originate from a quote by Rand Paul in 2011 who said, “We’re in 130 countries. We have 900 bases around the world” and at the time, the folks that fact checked the story claim to have found Pentagon sources that backed these numbers up; however, the problem now is that all the links they sourced are broken.  So, it’s true there are a huge amount of US foreign military bases in the world but these exact numbers may or may not be accurate. Modern experts, scholars and sources all appear to suggest that there are several hundred US military bases in approx. 80 countries. All that being said, Bradlee’s main point - in that there are a huge number of US military bases all over the world, is still valid, especially his next statement...)  

Can someone please show me where Americans have delegated authority to representatives to plunder and conquer other nations on the biddings of the military industrial complex, only then to put American military presence in their place?

If that is not enough evidence of what corruption in American government has been busy doing on a global scale, I have to say, that I do not know how to help you understand.

America, what is happening right before your eyes is treason (Luke 22:48).  It is treason against Americans, as well as unlawful invasions into foreign countries (Article 3, Section 3, US Constitution).

How many times the American government and the media have convinced Americans of some monstrous dictator in a third world country that needs be dealt with or else, because they are some sort of threat, only to find that they were the ones responsible for creating and inciting the wars from the very offset (Psalm 94:20).

Again, at length, those particular countries are then plundered of their resources while American military presence is left in control. It is called totalitarianism. Wake up!

One thing you might want to ask yourselves next time you hear the "we need to deal with them or else" you might want to ask the question, who is doing the attacking?

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Bradlee Dean is a guest contributor to GCN news. His views and opinions, if expressed, are his own and do not reflect the views and opinions of the Genesis Communication Network. Bradlee's radio program, The Sons of Liberty broadcasts live M - Sat here at GCN. This op-ed was originally published by Sons of Liberty Media at www.sonsoflibertyradio.com. Reprinted with permission. 

 

 

Published in Opinion
%PM, %27 %739 %2018 %16:%Sep

Term limits for Supreme Court Justices?

Whatever the final result over the confirmation battle of Judge Brett Kavanaugh, one thing is becoming more urgent. The court itself has a crisis of legitimacy. And one way to restore its genuineness is to require term limits for all future judges.

The Supreme Court of old was more majestic with few periods of confrontation. Just a decade ago, 2/3rds of Americans had great confidence in the Court. No more. There’s trouble brewing in those marble temple walls. Confidence in the workings of the court and the Justices themselves have dropped to a mere 50% approval rating.

And it should not be any surprise as to why the Supremes are held is such low esteem. They have become a partisan body, every bit as political as the other two branches of government. We saw such partisanship front and center in the Bush-Gore election decision and in the court’s blessing of Obamacare. Five to four split decisions are becoming the norm with Republican appointees voting one way and their Democratic counterparts voting just the opposite. No more moderates or progressives on the court.  Just jurists who are either hard right or hard left.

The writers of the constitution never envisioned such partisanship. The nation’s founding fathers imagined a court made up of legal sages, devoid of the political pressures experienced by congress and the president. Justices of the past seemed to relish in their image of being independent and simply interpreting the law as written.

Current Chief Justice John Roberts made a vain attempt to enunciate such a balanced philosophy at his confirmation hearings back in 2005 when he told the Senate judiciary Committee:

“Judges and justices are servants of the law, not the other way around. Judges are like umpires. Umpires don’t make the rules; they apply them. The role of an umpire and a judge is critical. They make sure everybody plays by the rules. But it is a limited role. Nobody ever went to a ball game to see the umpire. Judges have to have the humility to recognize that they operate within a system of precedent, shaped by other judges equally striving to live up to the judicial oath.”

So justices are not influenced by their own personal opinions?  Good luck with that.  Partisanship has never been so extreme. Judge Kavanaugh was never going to receive any democratic support from the day he was nominated.  And republicans in the senate refused to even consider or hold a hearing on President Obama’s last pick, U.S. Court of Appeals Judge Merrick Garland. New justices taking office are well aware of their partisan supporters. And such awareness certainly affects their view of becoming activists by extending or even creating the law, rather than merely interpreting it as envisioned by our Founding Fathers.

So why term limits? For a starter, no other democracy in the world gives life tenure to a sitting judge. In fact, you would be hard pressed to find any other profession that makes appointments for life. Sure, the constitutional scholars back in the 1770s created lifetime appointments. But remember that the average life span back then for a U. S. citizen was 35 years.

Chief Justice Roberts endorsed term limits back in 1983 when he stated: “Setting a term of, say, 15 years would ensure that federal judges would not lose all touch with reality through decades of ivory tower existence.”  And that’s an important point.  The court has, too often, been occupied by aging justices who habitually seem disengaged from the world surrounding them. You would think that the court should have dynamism and consistency that a rotation of new judges would bring. It’s hard to breathe new life into a court that bases its make up on actuarial tables and the luck of the draw as to who lives the longest.

Under the current system, a president can only serve in office for eight years yet can appoint a Justice or judge who can stay on the bench for 40 year or more.  One term of say 16 years makes sense. Poll after poll show that voters want term limits for judges. With all the controversy in Washington over who ends up on the court, now seems like a good time to consider such a change.

Peace and Justice

 

Jim Brown

 

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Jim Brown is a guest contributor to GCN news. His views and opinions, if expressed, are his own. His column appears each week in numerous newspapers throughout the nation and on websites worldwide. You can read all his past columns and see continuing updates at http://www.jimbrownusa.com. You can also hear Jim’s nationally syndicated radio show, Common Sense, each Sunday morning from 9:00 am till 11:00 am Central Time on the Genesis Communication Network.

 

 

Published in Opinion

Another warning has been issued to adults and seniors who mix herbal remedies, over the counter supplements and prescription medications.

A study from the University of Hertfordshire in the UK found 44% of women and 22% of men surveyed mixed their prescription medications with herbal remedies and over the counter supplements.

Individuals may have changes in their metabolism and medication breakdown as they age causing variances in body absorption and efficacy of medications.  Adding supplements or herbal remedies could cause unpredictable reactions.

These effects could include:

  • Less efficacy of prescription medication causing poor blood pressure, sugar, heart rhythm control, for example)
  • Enhanced active compounds of medications taken (possibly causing overdose)
  • Nausea
  • Vomiting
  • Body aches
  • Jaundice
  • Blood thinning causing easy bleeding
  • Renal failure
  • Liver failure
  • Anemia
  • Mania and other personality changes
  • and  more

For example, St. John’s Wort could interfere with the effectiveness of one’s birth control and ginseng could worsen one's hypoglycemia if they are taking insulin.

Grapefruit juice could interfere with the metabolism of a statin, a popular medication used to decrease cholesterol. By raising its levels in the blood, one drink could cause a patient to have increased side effects such as muscle cramps and liver issues.

Iron supplements can interfere with one’s absorption of their thyroid medication, and ginkgo biloba, if taken with a blood pressure medication, could cause the blood pressure to drop even lower. Moreover it can increase bleeding if taken with an anticoagulant.

And if alcohol is mixed with any prescription medication, deadly side effects (such as respiratory depression when used with opiates) can ensue.

So the moral is, just because a supplement states is “natural,” or a frequently consumed food appears to be safe, its combination with medication could prove deadly.

Although the interactions are numerous, the AAFP created a table of common ones:

 

Herbal and Dietary Supplement–Drug Interactions

HERBAL OR DIETARY SUPPLEMENT

DRUG

COMMENT

RECOMMENDATION*

Patients taking oral anticoagulants

Cranberry (juice)

Warfarin (Coumadin)

Interaction possible based on seven reports of increased INR, although a clinical study showed no interactions47

Suspect an interaction if INR elevated

Fish oil

Warfarin

Interaction possible, with case reports showing an elevated INR, although a clinical study showed no effect of fish oil on anticoagulation status8,9

Suspect an interaction if INR elevated

Garlic

Warfarin

Interaction unlikely based on a clinical study that found garlic is relatively safe and poses no serious hemorrhagic risk for closely monitored patients taking warfarin oral anticoagulation therapy10

Suspect an interaction if bruising or bleeding occurs despite an appropriate INR

   

One review found no case reports of interactions with garlic and warfarin11

 

Ginkgo

Warfarin

Interaction possible, though controlled clinical studies show no effect of ginkgo on the kinetics or dynamics of warfarin12,13

Experts recommend caution, although available research does not support this conclusion

 

Aspirin

Interaction suspected based on four case reports of spontaneous bleeding14,15

Suspect an interaction if spontaneous bleeding occurs

Ginseng

Warfarin

Interaction possible based on conflicting research findings

Avoid combination if possible

   

American ginseng (Panax quinquefolius)reduces blood concentrations of warfarin16,17

 
   

Coadministration of warfarin with Asian ginseng (Panax ginseng) did not affect the pharmacokinetics or pharmacodynamics of warfarin18

 

St. John’s wort

Warfarin

Interaction suspected based on decreases in INR in case reports and in a study in 12 healthy volunteers18

Evaluate warfarin response when St. John’s wort is initiated or stopped

Vitamin E (> 400 IU daily)

Warfarin

Interaction suspected based on a single patient (with rechallenge), resulting in an increase in INR19

Evaluate warfarin response when vitamin E is used in combination

   

One clinical trial showed no interaction20

 

Patients taking cardiovascular medications

Eleuthero (Eleutherococcus senticosus) [corrected]

Digoxin

Possible increase in digoxin levels without clinical signs (case report)21

Monitor digoxin level when eleuthero is initiated or stopped [corrected]

St. John’s wort

Digoxin

Suspected decrease in digoxin levels without clinical signs in a controlled study22

Monitor digoxin level when St. John’s wort is initiated or stopped

 

Verapamil (Calan)

Interaction suspected based on decreased bioavailability in a study in eight healthy volunteers23

Increase verapamil dose, if necessary, if diminished response occurs

 

Statins

Interaction suspected based on decreased plasma blood levels in a clinical study24

Monitor serum lipid levels after St. John’s wort is added

Patients taking psychiatric medications

Ginkgo

Atypical antidepressant (trazodone [Desyrel])

Interaction possible based on one case report of coma25

Evaluate for emotional and/or behavioral changes in patient response after ginkgo is initiated or stopped

Ginseng

Monoamine oxidase inhibitors

Interaction possible based on two case reports of manic-like symptoms, headache, and tremulousness17

Avoid combination if possible

St. John’s wort

SSRIs

Interaction suspected based on case reports of drowsiness or serotonin syndrome26

Taper off St. John’s wort when initiating an SSRI

 

Benzodiazepines

Interaction suspected based on pharmacokinetic studies showing decreased serum levels (25 to 50 percent) without clinical signs2729

Adjust the dose of benzodiazepine as needed

 

Tricyclic antidepressants

Interaction possible based on decreased amitriptyline plasma levels but no clinical effects in a study of 12 depressed patients27,30

Monitor patient response after St. John’s wort is initiated or stopped

 


 

INR = International Normalized Ratio; SSRI = selective serotonin reuptake inhibitor.

*— All recommendations have a strength of recommendation taxonomy (SORT) evidence rating of C (consensus, disease-oriented evidence, usual practice, expert opinion, or case series). For information about the SORT evidence rating system, see https://www.aafp.org/afpsort.xml.

Information from references 4 through 30.

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in Health

Currently 5.7 million people in the US suffer from the debilitating cause of dementia and the CDC estimates close to 14 million will be affected by the year 2060.

As we’re surviving other illnesses that could take our lives sooner, such as heart disease and cancer, we as a population are living to an age where brain changes can occur.

Alzheimer’s is the 5th leading cause of death and scientists still struggle to find a cure or means to stave it off.

 

top-10-global-causes-of-deaths-2016.jpg

 

The average age of symptom revelation is 65, but researchers believe the disease may set in sooner. Over 200,000 currently suffer from early onset Alzheimer’s, or onset before age 65.

I believe nightly oxygen or CPAP therapy (Continuous Positive Airway Pressure) might be worth researching as its been postulated that lack of oxygenation can accelerate dementia.

 

What is Alzheimer’s?

 

Alzheimer’s, a progressive disease in which the brain loses function, is most commonly associated with memory loss. As abnormal proteins build up in the brain (beta-amyloid and tau), the plaques and neurofibrillary tangles within the nerve cell (neuron), disrupt communication between nerve cells, so memory can easily start to falter. Many people affected with Alzheimer’s lose newer memories first and then progressively lose old ones.

Normal_vs_Alzheimers_Brain.jpg

However, since the brain is such a dynamic and brilliantly complex organ, a disease that alters its tissue could manifest in a variety of symptoms, beyond memory loss.

These can include:

  • Personality changes
  • Difficulty completing once simple tasks
  • Social withdrawal
  • Labile moods
  • Misplacing commonly used objects
  • Lack of appropriate judgement
  • Issues with problem solving
  • Lack of understanding of spatial and timing concepts

Hence if a family member appears to lose his way driving home, has difficulty dressing himself appropriately, avoids family gatherings, appears to get angry for no apparent reason, or even offers a young baby an object for a much older individual, these may be signs of a dementia such as Alzheimer’s.

Although Caucasians comprise the majority of cases overall, the CDC found among those over 65, African-Americans have the highest rate at nearly 14%, and Hispanics at 12%.

In a recent study, researchers from Northwestern University’s Cognitive Neurology and Alzheimer’s Disease Center found four additional symptoms that may be early signs of Alzheimer’s. These include:

  • Difficulty with speech, vocabulary pool, process and articulating what one wants to say (aphasia)
  • Difficulty writing from a motor and conceptual standpoint
  • Difficulty reading, including comprehension
  • Displaying exaggerated confidence

The study authors state these signs may be overlooked and could be very telling of one’s early disease progression.

To diagnose Alzheimer’s, the medical provider may employ a variety of testing measures including basic history and physical, blood tests to rule out thyroid and vitamin deficiencies, lumbar puncture, CT Scans to rule out bleeds, masses, or stroke, MRI Brain scans, neuropsychological tests, and amyloid PET scans.

Although currently a cure for Alzheimer’s does not exist, there are many  medications being researched to slow down the progression of the disease and a variety of environmental and behavioral interventions could allow the patient to navigate easier with their challenges.

Can Daily Ibuprofen Prevent Alzheimer’s?

How to prevent Alzheimer’s remains up for debate, but healthy diet, weight, exercise, and control of one’s blood pressure and blood sugar have been suggested.

The earlier Alzheimer’s is diagnosed, the easier it may be to manage, hence family members need to learn and look out for the above symptoms.

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

 

 

 

Published in Health
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