The National Weather Service will soon issue an “excessive heat warning” for many parts of the Southwest United States. Phoenix received their first warning two weeks ago when their temperatures rose to 108 degrees.
This occurs “within 12 hours of the onset of extremely dangerous heat conditions”. This means that the heat index (air temperature and humidity) will be greater than 105 degrees for more than three hours a day for at least two days in a row and the night-time temperatures will not drop below 75 degrees. Although many of us may live in areas where this occurs each year, the onset can be one of the most dangerous times. Symptoms such as heat cramps, heat exhaustion and heat stroke must be identified.
At first when one feels symptoms, it may come in the form of heat cramps. Heat cramps are painful spasms that occur in the muscles of the arms and legs and even abdomen. We believe that when one loses fluids and salts from excessive sweating, cramps ensue. It's important in these cases to get the person out of the heat, hydrate them with sips of fluid and electrolytes and massage the body parts affected.
If one does not leave the heat and come indoors, the next risky event that can occur is heat exhaustion. This worsens as the victim sweats profusely becoming more and more dehydrated. They could also have cramps but nausea may ensue, they may look pale and clammy and their heart rate will increase to try to compensate for the lost fluid. These individuals may become dizzy, weak and even faint. Immediately bring the person indoors, lie them down, elevate the feet, give sips of fluid, cool down the body applying cool and wet cloths to the underarms and body, and contact medical authorities if symptoms continue or worsen.
Heat stroke will occur if a vulnerable person does not get out of the heat in time. It is a medical emergency and can be fatal. If an individual has heat stroke 9-1-1 must be called immediately. Bring the victim indoors away from sunlight, lie them down, remove unnecessary clothing, cool their body with cold compresses and watch for signs of rapidly progressive heat stroke in which they have difficulty breathing, seize or lose consciousness. If they are unconscious you cannot give them fluids. Only if they are alert, awake and able to swallow will you be able to give fluids. Do not give medications to reduce the fever such as aspirin or acetaminophen since their body may not be able to metabolize them properly and this could make matters worse.
Young children and elderly individuals may have issues adjusting to the outside environment and may be more prone to dehydration. Those with medical conditions such as heart, lung, thyroid disease can be at risk as well. If you’ve ever suffered from heat stroke you can be vulnerable again. And many medications could make you susceptible such as diuretics, vasodilators and beta-blockers for blood pressure and antidepressants.
The biggest risk comes when we are unprepared. Having an unusual cool week prior to a heat warning could preclude many from taking proper precautions. Staying indoors, checking air conditioning and fan devices to make sure they work properly, wearing cooler clothing is just the beginning. Stocking up and planning to hydrate frequently is paramount because when death occurs to excessive heat, dehydration is the main culprit.
Bring your pets indoors, and watch your kids, friends and family members frequently. If they are beginning to succumb to the heat, they may be quiet and not be able to voice it.
Avoid drinking alcohol in the heat. It can dehydrate you more and worsen the situation.
Avoid excessive exercise when outdoors and make sure to make use of shady areas.
The summer and early fall offer exciting and fun ways to enjoy nature. Don’t let the heat get to you. Remember….if you can’t take the heat, get out of the…..well heat…….
The first 14 minutes and 25 seconds of Deadpool might be the best beginning to a movie I’ve ever seen in a movie theater. It has everything every blockbuster film should have to draw you in and put you on the edge of your seat. It introduces you to an interesting character, it entices you with either drama or comedy, and culminates in a climactic scene that sets the scene for the hero’s journey through the movie’s plot.
Deadpool 2’s first 15 minutes aren’t as good as Deadpool’s, which is to be expected. While the opening credits of Deadpool 2 are just as hilarious as those for Deadpool, the first 15 minutes of Deadpool 2 just can’t measure up to its predecessor. You can only introduce the Deadpool character once, and Deadpool does it as well as any film has, including Batman, the opening to which serves as source for a joke in Deadpool 2. Thankfully, Deadpool 2 doesn’t attempt to outdo the first 15 minutes of Deadpool, opting instead to use drama to set the stage for the sequel.
The first 15 minutes aside, the rest of Deadpool 2 is not only more entertaining than Avengers: Infinity War, but it’s better than Deadpool, too.
Back when Super Troopers 2 was released, I wrote about how a select few sequels achieve the critical acclaim of their predecessors. Much of that is due to the precedent set by the original film, as is the case with the first 15 minutes of Deadpool. Despite the wild success of The Godfather, ask any Italian or most film professors which is the better film, The Godfather or The Godfather: Part II, and Part II, will come out ahead. Ask any Star Wars fan which Star Wars is best, and most will tell you The Empire Strikes Back is better than its predecessor, A New Hope. Empire’s Rotten Tomatoes rating is even higher than A New Hope’s. The same is true of Deadpool 2’s Rotten Tomatoes rating. It’s rating is one percentage point higher than Deadpool’s as of this writing.
If you liked that Deadpool brought attention to the fact you’re watching a movie and used it as comic relief, you’ll love Deadpool 2. The sequel ups the ante in this regard, blending reality and fiction in a sort of Gonzo journalistic attempt at filmmaking. The “whose balls did I have to fondle to get my very own movie” moments are many more and even funnier than the original’s. Instead of suspending reality for audiences, Deadpool and Deadpool 2 use reality as the butt of many of the films’ jokes, and it works wonderfully, even providing laughs through its casting of characters. (Hint: stay seated after the sneak-peak trailer following the end credits for outtakes during filming of Deadpool 2.)
If you liked the relationships formed between Deadpool and Colossus and Negasonic Teenage Warhead in Deadpool, you’ll love how those relationships grow and the new relationships Deadpool forms with Josh Brolin’s Cable (who is just as good in this as he was in Avengers: Infinity War), Zazie Beetz’s Domino, who is equally fantastic in her role, and Negasonic Teenage Warhead’s girlfriend, Yukio.
Finally, if you thought you laughed a lot when you saw Deadpool, you’ll laugh even more often and harder and longer when you see Deadpool 2. It is without doubt the funniest comic book movie ever made, overtaking its predecessor, of course. I laughed more during Deadpool 2 than I did during Super Troopers 2 and think you will, too.
Twenty five people have died, and 45 others are suspected to be infected with Ebola in the Democratic Republic of Congo (DRC). The World Health Organization (WHO) has confirmed and reported the outbreak of Ebola on May 8.
This latest outbreak began in villages near Bikoro. New cases later surfaced miles away in Mbandaka, an urban city with a reported population of 1.2 million, located along the banks of the Congo River.
Vaccination has begun with ZMapp, a treatment used in the 2014 outbreak that shows promise as a prophylactic measure.
Dr. Karen Duus, Associate Professor of Microbiology and Immunology at Touro University Nevada, explains, “The vaccine is a recombinant Ebola virus protein vaccine that causes a similar type of neutralizing antibody response (as the ZMapp treatment). The neutralizing antibodies coat the virus particle and keep it from binding to the target cells and infecting them.” Its efficacy, however has not been extensively tested.
The DRC had a small outbreak last year but it was contained within 42 days.
The West African Ebola epidemic spanned from the end of December 2013 to 2016 infecting over 28,000 people and killing over 11,300. The epidemic was one of the worst in Ebola’s history and its high mortality rate took countries such as Sierra Leone, Guinea, and Liberia by surprise. A vaccine was not available, and medications such as ZMapp were experimental and not in great supply. Hospitals were not stocked with protective clothing able to prevent the minutest of exposure to the deadly virus. Travel bans were difficult to institute and top that off with a lack of education on what we were dealing with and it was unfortunately the perfect storm for one of the deadliest outbreaks in recent history.
Ebola however emerged far before this. Ebola was named after the Ebola River in Zaire and was first recognized in 1976 when it caused two outbreaks affecting 318 and 284 people respectively. Multiple small outbreaks have occurred since then, according to the CDC:
1995 – Democratic Republic of Congo – infected 315
2000 – Uganda – infected 425
2007 – Democratic Republic of Congo – infected 264
And multiple smaller sporadic cases occurred in the years between.
In January 2016 health officials declared the Ebola outbreak had ended, however cases continued to smolder.
Why this occurs is the virus may not leave the body completely. Its been found to live in semen up to a year and some survivors can suffer a reinfection months later. For example, in 2015 Dr. Ian Crozier successfully fought Ebola but two months after discharge, suffered a severe eye infection which turned out to be Ebola lurking in his eye.
A study in 2015 found Ebola be able to survive outside a human body for days and longer if within a liquid such as water or blood. Mosquitoes are not known to transmit the virus however it can live in bats as well as monkeys and apes. Pets have not been known to contract Ebola from their sick owners but its been postulated that pigs could, if in contact with a victim.
Dr. Duus states that although the virus reservoirs are not clear, “people are most likely infected by butchering or eating infected animals.”
Ebola is a virus from the Flavivirus family that causes a hemorrhagic fever with symptoms of sudden fever, myalgias, headache and sore throat. It could then progress to nausea and vomiting, liver and kidney issues and internal and external bleeding, ultimately resulting in death in 90% of cases.
Each week at Foul Play-by-Play (follow the link to listen to the audio) we will review the week’s cheats, cheap shots and alleged criminals in sports for a sports talk radio show, eventually airing online and on GCNLive radio affiliates. Here are your top law-related sports headlines and cheats of the week for May 11-17, 2018.
The Supreme Court struck down the federal law prohibiting state-sponsored sports betting after almost a six-year legal battle. States can now decide whether to allow or disallow sports gambling, with 20 states having already proposed bills to legalize sports gambling.
New Jersey expects to have its sportsbooks up and running before the start of the NBA Finals, but tribal casinos could theoretically open sportsbooks immediately because they are their own sovereign nations. The 1993 Nation-State Gaming Compact authorizes the Oneida nation of New York to adopt any gaming specification that is permitted without any further approvals by the State. They intend to open a sportsbook as soon as possible.
Tribal casinos in rural America have the most to gain from the Supreme Court’s decision, because sports gambling could actually cut into the profits of urban, tribal casinos by moving money from most profitable gaming machines to less profitable sportsbooks. Setting up a sportsbook is also expensive, especially an online sportsbook, which gamblers will demand. The cautious approach of urban, tribal casinos to open sportsbooks could allow rural, tribal casinos to be first to market in the American online sportsbook industry. But your state, Montana, has long been against sports gambling. It’s one of nine states prohibiting residents from betting on fantasy sports.
While the consensus of casino experts seems to be that the estimated $140 billion per year illegally wagered on sports in the U.S. according to the American Gaming Association (AGA) is overestimated, there’s tons of money to be made by a score of entities outside the gaming industry. NBA Commissioner Adam Silver wants his league to get one percent of all bets made on its games. Local newspapers and radio entities in states with legal sports gambling will now be able to provide content related to sports gambling instead of dancing around the subject. Most importantly, though, most of the billions of dollars Americans have stashed with online bookkeepers overseas will find its way back to the states and stimulate the American economy. I say most because these online bookkeepers overseas have been fraudulent in the past.
Newly hired coach of the Detroit Lions, Matt Patricia, was forced to once again express his innocence when Robert Snell of The Detroit News published a story about sexual assault allegations brought against him that resulted in an indictment but no trial for Patricia 22 years ago. Patricia’s accuser declined to testify citing “stress” as a reason, but Patricia and his attorney vehemently denied the abuse ever occurring.
As a former journalist, I’ll just say that Robert Snell of The Detroit News isn’t starting his work relationship with Patricia and the Detroit Lions on the right foot. I had the difficulty of covering a similar story involving a high school golf coach with an alleged history of sexual harassment of female golfers. But when that teacher/coach was first hired by the district, no story was written about his alleged past because no charges were brought against him and his former district sealed all details of the allegations from the public as part of the terms of his termination.
No charges were brought against the coach the second time, either, but despite that, my employer wanted me to write a story based solely on unsubstantiated allegations that could further undermine that teacher/coach’s career. It ultimately resulted in me submitting my resignation, and I feel I was correct in doing so.
Patricia’s case is entirely different because he was charged and indicted, and while I think Snell might have risked his employer’s work relationship with Patricia and the Detroit Lions, somebody should have and would have brought attention to this 22-year-old story.
Also in the news, Colin Kaepernick and Eric Reid, a couple of capable football players who can’t find jobs because of the expression of their personal views, are working out together with hopes of landing on an NFL roster.
Both players have waged grievances against the league for colluding against them to keep them from making a living in their chosen profession. Reid was asked about his anthem protest plans by the Bengals, according to Mike Florio of Pro Football Talk, and Kaepernick was similarly asked about his plans for the anthem by the Seahawks, who postponed a scheduled workout with the Super Bowl quarterback because Kaepernick reportedly had no plan in place, according to NFL Network’s Ian Rapaport.
But these players aren’t breaking any rules. The NFL owners and players’ association could have collectively bargained for players to be required to stand of the national anthem had they foreseen it as an issue. The NBA did, but the NFL didn’t.
I think my biggest problem with all the haters of these anthem protesters is their attempt at justifying their hate. For once I’d just like to run into someone who says, “You know, I just really like the national anthem as a song, and the protests don’t allow me to enjoy it as much.” I think that’s the only justification for disliking the anthem protests. The whole “honor the military and stand for the flag” argument just doesn’t compute with me because I’ve never seen the flag or the anthem as representative of our military specifically. To me, it’s representative of this nation and the rights of those of us who reside here, especially the right to free speech, which I feel is the First Amendment of the Constitution because it’s most important. Kaepernick even altered his protest, going from sitting to kneeling, acknowledging and accepting the opinion of ex-Green Beret Nate Boyer.
My least favorite justification for hating the anthem protesters is the ‘if I did that at my job I’d be fired’ defense. My old man made that argument just a few days ago, and I wanted to tell him he shouldn’t be mad at Kaepernick for using his workplace as a means to create awareness for a cause for which he’s passionate. He should be mad at himself for not obtaining a job that would allow him to also do so.
The railroad workday is not televised, and they don’t kickoff the railroad workday with what was, for the longest time, a paid advertisement by the United States military exploiting the national anthem to appeal to the patriotic sensibilities of the NFL’s mostly American audience. But imagine every American industry started the workday with the national anthem. Before an attorney tried a case the national anthem would be played in the courtroom. Before I could sit at my desk and read the news, the national anthem would be played over the intercom. Before my dad could fix a locomotive, the national anthem would be played throughout the roundhouse.
Now, assuming the same situation facing the NFL, where players are not contractually obligated to stand for the national anthem, employees of all industries could use the anthem as an opportunity to draw attention to themselves, and, in turn, a cause of their choosing. You might not have the media reporting on a railroad machinist’s decision to kneel for the anthem, but his fellow coworkers would probably ask why he didn’t stand for the anthem.
You might even have employers like NFL owners who dismiss employees for their anthem protests. They’d have good reason if morale or production is effected or damage is done to the employers’ brand. But, I ask you, is it not still illegal for an employer who has terminated an anthem protester to contact all the other employers in his industry and make sure they never hire that employee? It indeed is, and if that’s the case, wouldn’t that employee be due lost wages for the employers colluding to take away his or her right to work? He most certainly would. I don’t understand why so many people insist these guys should be banned from the sport and forced to find a new job. If you were fired from your job for expressing your political views and then colluded against by the employers of your chosen career, would you accept that you were terminated justly and humbly find work at a convenience store?
Honorable mention: Former Texas Rangers’ first baseman Rafael Palmeiro, at 53, got a hit in his second at-bat with the Independent League’s Cleburne Railroaders, his son, Patrick’s team. Patrick also had a hit and made a great play at third base, throwing over to his dad at first to complete it.
ESPN’s Tim Kurkjian said on The Dan LeBatard Show with Stu Gotz there’s no way Palmeiro makes it back to the majors because teams want nothing to do with him after lying under oath about using performance-enhancing drugs.
Bronze medalist: Seattle Mariners All-star second baseman Robinson Cano was suspended 80 games for use of the banned substance Furosemide, a diuretic commonly used to mask performance-enhancing drug use. Cano said in a statement that he was given the substance by licensed doctor in the Dominican Republic to treat a medical condition. Furosemide is used to treat fluid retention in people with congestive heart failure, liver disease, or kidney disorders, as well as high blood pressure, or hypertension. Under MLB's drug policy, a player is not automatically suspended for use of a diuretic unless MLB can prove he intended to use it as a masking agent. Cano reportedly tested positive for the drug prior to the season and appealed the potential suspension, but MLB was apparently able to prove his intent, resulting in Cano dropping his appeal. It will cost him $11,850,000.
Silver medalist: Minnesota Timberwolves assistant Rick Brunson resigned amid allegations of “improper interactions with several women while on the job,” according to The Athletic’s Jon Krawczynski. Brunson is still married despite admitting to an extramarital affair with a massage therapist in June 2014 that resulted in him being charged with attempted criminal sexual assault, criminal sexual abuse, aggravated battery and domestic battery. Brunson was acquitted of the charges.
Gold medalist: New Orleans running back Mark Ingram not only failed a drug test and was suspended four games for a drug “permissible with the proper use exemption from the NFL,” but will also sit out voluntary organized team activities entering a contract year. I probably don’t need to tell you, Mike, but Ingram had one of his best seasons last year, scoring 12 touchdowns and setting a career high in rushing yards.
In Ingram’s case, amphetamine was likely the drug “permissible with the proper use exemption,” a drug that has long been popular amongst athletes, especially baseball players. "'Greenies’" (Dexedrine) were a club house staple for decades beginning just after World War II, when ball players drafted into the military returned to the diamond having been exposed to the stimulant pills, which the armed forces dispensed by the millions. Another incubator of baseball speed-freakery was the winter Caribbean baseball circuit. There, players on seasonal hiatus discovered the two coffee pot system, where each club house had one pot with regular coffee and one with an amphetamine additive."
As of 2009 according to Michael S. Schmidt of The New York Times, “[t]he 106 players who received exemptions for attention deficit disorder represent about 8 percent of the major league players, based on 40-man rosters. The percentage of American adults who have been given a diagnosis of attention deficit disorder is somewhere between 1 and 3.5 percent, according to the National Institute of Mental Health, although some experts believe the actual number is much higher, citing a large number of undiagnosed cases.”
As someone diagnosed with Adult Attention-deficit/Hyperactivity Disorder (AADHD), I can tell you it’s very easy to obtain a prescription for amphetamines if you familiarize yourself with the symptoms prior to taking the tests medical professionals administer. I answered the questions as honestly as I could because I long suspected I suffered from ADHD. As early as first grade I would do something, anything, to break the boredom of being seated at my desk in the classroom. It got to the point my teacher had a sticky note attached to my desk with each day of the week, and she would mark the days that I behaved with a smiley face and the days I didn’t with a frowny face, delivering reports to my mother. When I was introduced to pens I clicked them incessantly. Even after being asked to stop, I would revert back to the habit in times of boredom. My teacher’s eventually inherited enough of my pens to never have to visit the school’s materials closet.
Amphetamines streamline your focus, and I imagine it slows down the spin and speed of a MLB fastball ever so slightly. For a running back like Ingram who relies on his vision to find holes in the defense, I’m sure it slows down that part of the game for him to react quicker. He won’t be doing any reacting for the first four games of the Saints’ season, though, and likely won’t be back with the Saints after this year given his free agent status and the abilities of their second-year back Alvin Kamara.
Thursday morning Hawaii’s Kilauea shot ash and smoke into the air and blew a volcanic cloud that could reach 30,000 feet into the sky. The volcano has been spewing lava for weeks, prompting thousands of nearby residents to evacuate. Volcanic ash can prompt a multitude of health risks…not only from a particulate standpoint but also from the sulfur dioxide levels. Sulfur dioxide is a colorless, though stinky gas that can cause irritation to skin, eyes, and respiratory system linings.
Let’s break these health risks down:
Volcanic ash can irritate the respiratory passages causing the following symptoms:
Those with asthma, COPD, chronic bronchitis or other respiratory ailments may find themselves having exacerbations of their symptoms. Oxygen requirements will increase. Those requiring oxygen or inhalers will need to have extra supply during this time (medical offices may be closed during ash clean up so don’t wait until the last minute.)
Volcanic ash has large and small particles that can irritate the eyes increasing their sensitivity to light and making vision difficult. Moreover ash can irritate the cornea and conjunctiva causing redness, discharge and itching.
Skin may become irritated during these times and those with skin allergies or eczema may find themselves having flare-ups.
During a volcanic eruption, smoke plumes not only change the air quality but also visibility. During times of day when there is less light, road visibility obscures pedestrians and nearby cars. Drivers are urged to avoid the road during these smoky times.
Water quality can become affected by the ash or pH changes if supply becomes contaminated. Moreover, water use increases for cleanup so shortages may ensue.
Those who donate blood in nearby areas may be less likely to donate during this difficult time leading to local blood shortages. Those who can donate blood are urged to contact the American Red Cross, United Blood Services, or Blood Bank of Hawaii.
Does anyone recall ever benefiting because one company merged with another? It’s not necessarily similar to Apple’s purchase of Beats and selling expensive headphones, because that deal was more about acquiring technology, which is something that’s been done for years.
So consider the act that saved Apple, acquiring NeXT in 1996, which brought a state-of-the-art Unix-based OS that, over the years, morphed into macOS and iOS. That move came in the wake of the failure of Copland, Apple’s own effort to build a successor to Mac OS. It took a while to jell, but here in 2018, we are still benefiting from the fruits of that transaction.
It also brought Steve Jobs back to Apple, and the rest is history.
From Apple A-series processors, to Touch ID, Face ID and — yes — even Siri, Apple’s ongoing acquisitions of technology companies have delivered compelling features that have advanced the company, and enhanced the user experiences of hundreds of millions of customers.
But when two companies consummate a normal merger, there are almost always promises of realizing synergies, and somehow benefiting customers. In the end, the stockholders and the executives become richer, but people lose their jobs because they are deemed redundant. With fewer competitors, prices just may increase.
When buying a company with different products and services, it may be easier to get approval from the powers-that-be in the U.S. government. Even then, there may be restrictions to reduce corporate excesses of one sort or another. When Comcast, the number one cable and broadband company in the U.S., completed its acquisition of NBC/Universal in 2011, the deal came with restrictions to ensure fair treatment to competing companies.
So Comcast needed to be fair with in negotiating carrier deals to carry NBC content, which includes such cable networks as Bravo, CNBC, MSNBC, SyFy and USA.
Over the years, I’ve heard all sorts of tech support horror stories from Comcast cable customers. There’s no indication things became any better after the merger. Of course, the entertainment division isn’t involved in direct interactions with individual consumers.
When AT&T bought DirecTV, the world’s largest satellite TV network, in 2015, the support systems were combined. Not only were jobs lost, but service got a whole lot worse. These days, when I dial up AT&T for satellite or wireless support, I have to navigate through a mostly deaf voice assistant, and I’m often forced to talk to several people just to resolve a simple issue. How does that save money?
I remain a customer for two reasons. First no other TV service is available at this apartment, which is wired for CenturyLink, and includes a single DirecTV satellite dish feeding all the units in each building. Reception via an interior digital antenna is hit or miss. Second, although it was hard to find, I receive an AARP discount for AT&T wireless, and that discount is enough to match T-Mobile’s “Uncarrier” price.
Speaking of which, AT&T attempted to merge with T-Mobile in 2011, but the government said no. Forced to compete on its own terms, T-Mobile began its “Uncarrier” promotion, which did away with standard two-year contracts, and overhauled the industry.
As a result, your wireless bill is no doubt cheaper regardless of the carrier. T-Mobile is growing rapidly; the move spurred Sprint to slash its prices, so both became more compelling alternatives to market leaders Verizon and AT&T.
Now T-Mobile and Sprint are trying to become one. But T-Mobile’s flashy CEO, John Legere, insisted that there will still be more competition in the market than most believe: “This isn’t a case of going from four to three wireless companies—there are now at least seven or eight big competitors in this converging market.”
Or maybe not.
True, cable providers are entering or planning to enter the cell phone market, but it’s not at all likely that they’ll suddenly became major competition for the big four — make that big three if this merger is consummated.
At the same time, it is true that T-Mobile and Sprint together will provide healthier competition to the Verizon and AT&T. As it stands, T-Mobile has good cellular coverage in larger cities but relatively poor coverage in rural areas. A larger footprint will also provide more network resources and revenue to speed deployment of 5G networks.
In theory, that should be a good thing.
Then again, as Sprint learned when it bought Nextel in 2005, combining two incompatible networks is no easy task. Basically Nextel was shunted to the side in the wreckage of that deal.
So T-Mobile uses GSM, same as AT&T. Sprint uses CDMA, same as Verizon. Sprint claims some 20 million customers have handsets that are compatible with T-Mobile, which will be the winning company. After a migration period to the combined service, which will take from two to three years, it’ll still leave millions of users with incompatible handsets, unless the equipment supports LTE and is deployed in an area where there’s an acceptable LTE signal. I just hope there will be special discounts for people with bricked phones to upgrade.
While Legere also claimed that more employees will be needed with the combined company, that may be a tricky response. Perhaps there will be, workers to perform the hardware migration and upgrades. But what about sales and support people? How many of them will be getting pink slips? Doesn’t it make sense that there will be thousands of redundant positions, or does T-Mobile expect many of these employees will be willing to transfer to the hardware division?
Will prices really go down?
Of course, this deal hasn’t been Okayed by the authorities, and there may be restrictions to protect customers with potentially obsolete gear among other things. It would be nice to see guarantees that prices won’t increase, but such restrictions are usually temporary. What will the market be like in five years?
I am, however, pleased that the new company will be in T-Mobile’s image and not Sprint’s. I tried Sprint in the early 2000s, before switching to AT&T. As bad as the latter’s support is now, Sprint was far, far worse.
The United States Supreme Court ruled to strike down the Professional and Amateur Sports Protection Act (PASPA) by a 6-3 vote. The 1992 law barred state-authorized sports gambling, with Nevada being the sole exception.
The ruling allows states to determine whether they want to allow gambling on sports. While New Jersey expects to have sportsbooks open prior to the start of the NBA Finals, Delaware, Mississippi, New York, Pennsylvania and West Virginia are all prepared to get into legal bookmaking. But Indian nations could beat even those states to market.
Casinos on Indian reservations could theoretically open sportsbooks today because they are sovereign nations. The 1993 Nation-State Gaming Compact authorizes the Oneida nation in New York to adopt any gaming specification that is permitted without any further approvals by the State. They intend to open a sportsbook as soon as possible, but other tribal nations are taking a cautious approach.
The reason behind the cautiousness is the fact sports wagering isn’t all that profitable for casinos. According veteran Nevada sportsbook operator Art Manteris, sportsbetting “generates only a four- to six-percent margin, is labor-intensive and requires a major capital investment,” according to a story by Dave Palermo of Legal Sports Report.
Consider this: “From March 2015 to February 2016 a Nevada Gaming Control Board Gaming Revenue Report shows that the “total gaming win” (the casino’s win) over twelve months from slots was $7,066,306,000 (about 7 billion) total. Meanwhile, the total table games win was $4,094,401,000 (about 4 billion). The implication of this is that, even with sports gaming’s comparatively small return of $19,236,000 (about 19.2 million) considered, no casino game even comes close to slots in terms of revenue for the casino.” That’s according to Fact/Myth.
Palermo reports that “16 percent of the tribal casinos – many in urban areas – generate 71.5 percent of the $31.2 billion industry, according to senior economist Alan Meister of Nathan Associates.” These urban, tribal casinos might not have much reason to venture into sports betting since any dollar spent at the sportsbook instead of in a gaming machine is more likely to result in a loss and will certainly result in smaller margins of return.
But rural, tribal casinos could see sports betting as an opportunity. Places like 4 Bears Casino and Lodge in New Town, N.D. could supplement its revenue used to fund the needs of reservation residents by providing the first online sportsbook for North Dakotans.
While the consensus of casino experts seems to be that the estimated $140 billion per year illegally wagered on sports in the U.S. according to the American Gaming Association (AGA) is overestimated, there’s tons of money to be made by a score of entities outside the gaming industry.
NBA Commissioner Adam Silver wants his league to get one percent of all bets made on its games. Local newspapers and radio entities in states with legal sports gambling will now be able to provide content related to sports gambling instead of dancing around the subject. Most importantly, though, most of the billions of dollars Americans have stashed with online bookkeepers overseas will find its way back to the states and stimulate the American economy. I say most because these online bookkeepers overseas have been fraudulent in the past.
The Supreme Court decision is long overdue given the amount of revenue that could be raised by state and federal governments simply from administering a sin tax on gambling. Twenty states have already proposed bills to legalize sports gambling.
If you like this, you might like these Genesis Communications Network talk shows: USA Prepares, Building America, Jim Brown’s Common Sense, Drop Your Energy Bill, The Tech Night Owl, Travelers411, What’s Cookin Today
May is Skin Cancer Awareness Month as 5 million cases of skin cancer are diagnosed each year in the United States. This week, Consumer Reports released its 2018 Annual Sunscreen Guide on the best sunscreens to offer protection against UV (ultraviolet) rays. They looked at 73 various sunscreen lotions, sprays and sticks, which touted 80 minutes water resistance and an SPF of 30.
The top 5 sunscreens reported are:
La Roche-Posay Anthelios 60 Melt-In Sunscreen Milk, $36 (lotion)
Equate (Walmart) Sport Lotion SPF 50, $5.00 (lotion)
BullFrog Land Sport Quik Gel SPF 50, $8.50 (lotion)
Coppertone WaterBabies SPF 50 Lotion, $9 (lotion)
Trader Joe’s SPF 50+, $6 (spray)
Sunscreens use chemicals to disperse or absorb UV rays. Inorganic compounds in sunscreen such a titanium dioxide or zinc oxide attempt to scatter the UV rays. Organic compounds such as PABA and oxybenzone attempt to absorb UV rays so they can’t damage the skin.
UVA rays penetrate deeply into both the epidermis and dermis. They can cause premature aging of the skin, wrinkles, and skin cancer.
UVB rays are shorter and primarily affect the epidermis. They are responsible for causing sunburns as well as skin cancer.
SPF stands for Sun Protection Factor. The higher the SPF, the less sun photons enter the skin and cause damage. SPF primarily measures the protection against UVB rays. We multiply the SPF factor by how long it takes one’s skin to burn by the SPF number to determine the protection factor.
In theory, an SPF of 30 suggests your skin, if it burns within 10 minutes without protection, will not burn until 300 minutes has lapsed (30 times 10). However, we find this isn’t always the case. People sweat or swim and the sunscreen dissipates. Moreover many don’t put on the proper amounts (see below.)
So instead we use SPF as a grade to how much protection the product can offer.
An SPF of 15 blocks 93% of UVB rays
An SPF of 30 blocks 97% of UVB rays
An SPF of 50 blocks 98% of UVB rays
As we see, the relationship is not linear, however the higher the SPF, the more protection we have against UV rays.
Although the SPF alludes to protection against burning, hence UVB rays, a sunscreen may still protect against both UVA rays and UVB rays if it’s a broad spectrum sunscreen.
Before the National Basketball Association (NBA) season began, almost anyone with any awareness of the NBA’s existence felt they knew which teams would be playing in each of the Conference Finals. Kyrie Irving and the Boston Celtics would meet LeBron James and the Cleveland Cavaliers in the Eastern Conference Finals, and Stephen Curry and Kevin Durant of the Golden State Warriors would play the Houston Rockets’ James Harden and Chris Paul in the Western Conference Finals.
That’s exactly how it turned out, minus Irving, who barring injury, would be suiting up against his former teammate in a Conference Final I’d actually watch. Now, I’ll wait to see if Houston can force a Game 7 against Golden State before tuning into the NBA Conference Finals, and it took me betting on Houston to win it all to even have an interest in that series. Basketball’s predictability is the very reason I prefer the Stanley Cup Playoffs.
Giant men wearing armor and wielding weapons in their hands and on their feet skate at immense speeds on an ever-changing playing surface chucking a rubber saucer at speeds even faster than their feet can carry them or baseballs are thrown while their opponents do all they can to get in front of that unpredictable projectile. Hockey is a most unpredictable sport, and that’s what holds my interest. The fact it hardly has any stoppages for commercial breaks, provides coaches with just one timeout, and requires live substitutions are all just big bonuses for the sport with the best postseason -- a postseason that can still be improved.
The NBA is also looking to improve its postseason, thankfully. Commissioner Adam Silver floated the idea of eliminating the conferences for the postseason and simply seeding the top 16 teams based on record. This would result in less chance of a lopsided NBA Finals series. For instance, the series most of us believe to be the actual championship series between Houston and Golden State would actually be played for the championship. Houston and Golden State would be the first- and second-ranked NBA playoff teams, respectively, and would only meet in the NBA Finals under the proposed postseason alteration.
While travel concerns and the fact that the seeding of Eastern Conference teams would be skewed based on them playing half as many games against the more dominant, deeper Western Conference might thwart the NBA’s efforts to improve the postseason. But they shouldn’t. As long as there are no back-to-back games scheduled in the NBA Playoffs, travel shouldn’t be a concern. And the seeding of teams from different conferences could be based on their play against similar opponents. For instance, if an Eastern Conference team finished the regular season with a better record than a Western Conference team but lost both games to that Western Conference team, the Eastern Conference team could be seeded behind the Western Conference team based on its performance in head-to-head matchups.
The dominance and depth of the NBA’s Western Conference is forcing Silver to find a way to remedy the lack of intrigue in his sport’s predictable playoffs. A lack of competitiveness results in a loss of fans, which is exactly what has happened with elections due to partisan gerrymandering. Because elections have become so uncompetitive, fewer people vote, thinking their vote doesn’t matter, which, of course, is the intent of partisan gerrymandering.
The same is true of American capitalism. “Free” markets work for the consumer when there’s competition. But businesses want markets working for them. It’s why six companies own the majority of media in America or the means to deliver media messages. Hollywood called this “vertical integration” until the Supreme Court eventually forced movie studios to divest their interest in theaters.
But it’s happening again, and on a much more massive scale. Not only do media moguls own the media produced but the means of distribution. Comcast owns the “movies” it makes and the “theaters” that distribute them. The theaters are the cable, internet and mobile data arms of Comcast, so not only are they pulling revenue from ad sales of their shows, but they’re making two trips to the bank on just about every customer by being either one of two or the sole provider of cable, internet or wireless data in that customer’s area.
The increasingly deregulated capitalistic markets reward monopolistic businesses at the expense of the consumer. Mergers are great for big business, but they aren’t good for consumers. Sprint merging with T-Mobile would result in one less competitor in the mobile data and mobile phone markets, and with each fallen competitor the price for those services increases.
If you live in rural America you’re probably familiar with the price gouging that occurs because of a lack of competition, especially in the cable, satellite, internet service and mobile data industries. Verizon actually kicked Eastern Montana customers off their data plans because they used too much data. Many of those customers don’t have access to internet otherwise, so Verizon knows they’ll have to come back, and will pay more to do so.
So I don’t watch the NBA Playoffs for the same reason I despise American capitalism: a lack of competitiveness that results from monopolistic mergers, like Durant going to Golden State. Maybe when my Timberwolves actually win a playoff series I’ll give the NBA Playoffs my divided attention. But even with my Minnesota Wild eliminated from the Stanley Cup Playoffs, I have and will continue to watch the NHL postseason, because there’s no telling what could happen.
Holy wow, Batman! “This is America” is sophisticated, genius art!
But I’ll get back to that.
First I just want to say that, oftentimes music and movies are too quickly labeled “genius” or “art,” simply because they are created. And if something is created it must be - art. Especially if it’s created by someone we adore! Well - maybe. But not all movies are art, nor do they try to be. The same, I think it could be said, is true for music.
And then there is the much maligned “music video.” A truly lost form of expression. Well, not “lost” exactly but certainly ramped way down from the 90’s heydays where music companies paid to produce music videos because, “If you don’t have a video - you don’t have a hit!”
Remember, MTV used to have two full channels dedicated to music video. Not so much any longer. Nowadays, rich musicians use their own money to finance their own music videos and take the loss in hopes that increased publicity from said video, will lead to higher sales and more clicks on YouTube (or similar stream channels,) which also brings in the bacon.
And then we come to Childish Gambino’s “This is America.” For those that don’t know, Childish Gambino is the musical stage name for freakishly talented Donald Glover - actor, writer, producer (no relation to actor Danny Glover). Gambino actually has several music videos out, most of them cleverly written with semi humorous, semi serious tones. And, for my taste - with mixed results.
So, this weekend, when I heard the crushing throng of folks talking about Gambino's “This is America,” I was skeptical. I mean, Glover’s talent is self evident. His writing is fantastic, his comedic timing is spot on, he’s going to be BADASS as Lando Calrissian in the upcoming Star Wars Solo film. (But that’s just a prediction. That will totally become truth!)
Anyway. Again, I was a bit skeptical because - as much a fan of Glover’s as I am in regard to his writing and acting, I am lukewarm on his music.
And then I watched “This is America.” Dear Bloody God was my skepticism misplaced!
As a song - “This is America” has choir melodies and trap rhythms that blend incredibly well together. The writing is blistering social critique from all angles of race. But as a video - it’s a work of genius art.
Movies, and music video are a world of images and imagery. “Show, don’t tell” is the most commonly used phrase told to young directors - “Show your audience what is happening - don’t have characters tell the audience what happened or is happening!” Show your visuals. Show your imagery. This is, after all, a visual medium.
And “This is America” drips with important imagery beginning with (but certainly not limited to) Gambino’s Jim Crow comparison. The NY Times has a nice collection of writers from all over the country commenting on the video’s imagery. And since the imagery is critical to understanding the video, I urge viewers to read into some alternate theories into the “meaning” behind Gambino’s “This is America.”
“You never know what’s in the head of an artist unless they tell you. So we have to interpret and sometimes we get it right. I did go out and read some of the critiques from various people and they’re just all over the place. I like it. I like it because, quite frankly, I like any art that pushes intelligent discussions about racism. Any art that pushes that is good for this country.”
In all his points here, I agree wholeheartedly. I would also add that in order to be “great art”, it has to have the capacity to scare people. And “This is America” is doing just that - angering & scaring folks of all races, all over the country. That being said, the positive praise far outweighs the negative. The video has a crushing amount of fervent supporters. Count myself among the supporters.
But if you watch the video and you “just don’t get it” or even if you hate it - that’s okay too. Great art, such as this, can handle the criticism. I would urge you to read up more on the history of the imagery Then watch the video again, watch the sharply directed & choreographed obfuscations in the foreground and the background and take note of the loving treatment guns receive juxtaposed with the cold indifference of dead black bodies.
“This is America” is a really great, and important work.
I am certainly not alone in my thoughts. In less than one week, “This is America” has racked up more than 65 million hits on YouTube alone. And so, like this upcoming fact I am about to drop, or not but - “This is America” will go down as one of the greatest music videos ever produced.
Maybe even the greatest.
And that title will be well deserved.
There is a disturbing article in a recent issue of Atlantic Magazine by a prominent physician at the University of Pennsylvania. Ezekiel J. Emanuelis an oncologist, a bioethicist, and a vice provost of the University, and is the author or editor of 10 books, including Reinventing American Health Care. So he is a bright guy who knows a lot about health. His premise is that no one, in this day and age, should aspire to live longer than 75 years of age.
Now I would be skeptical of such an assertion no matter what my current age. I read the obituary section of several newspapers each day, and make note of a number of successful people who have lived a much longer lifespan. But the Atlantic article becomes more than a bit personal to me. You see, this week, I turned 78.
The premise of Dr. Emanuel’s article is that, for most people, the quality of life diminishes after 75. He writes that aging “robs us of our creativity and ability to contribute to work, society and the world. We are no longer remembered as vibrant and engaged but as feeble, ineffectual, even pathetic.” He concludes by assuming that those who continue to be productive long after 75 are “outliers,” and far from the norm.
But what great philosopher or scientist has concluded that one has to be productive in later years? And just what does Dr. Emanuel mean by being productive? Productivity does not particularly mean that someone who is getting a bit older and slowing down has to be creative. Isn’t the idea of retirement a pathway that allows seniors to absorb the world around them in any way they choose?
If being productive means that I’m hanging out with grandkids more, reading more, reintroducing myself to old friends who go back 60 years and beyond, taking an occasional music lesson, and even trying to be a more than passable cook, then yes, just like many of my current friends, I am being quite productive.
I gazed in the mirror this week, and told myself, look you are 78. Deal with it, and maybe even relish in all the experiences and fond memories. I think it was Lucille Ball who once said: “The secret of staying young is to live honestly, eat slowly, and lie about your age.” I’d rather acknowledge that age is strictly a case of mind over matter. If you don’t mind, it doesn’t matter. Well I don’t mind. And as I get older, I’m quick to quote Mark Twain who told his readers that wrinkles should merely indicate where smiles have been.
I’d like to think that I still have a long life ahead because I watch what I eat, and I workout a lot. My old college roommate is quick to remind me that the big advantage of exercising and diet is that I will die a lot healthier.
Reaching a milestone of three quarters of a century should not be that big a deal. After all, 78 is really just a number, isn’t it? Like a bunch of other numbers in your life. Dates, addresses, sums, phone numbers, passwords, and then, in the mix, is age. But I hope it is more than that.I wrote a few years back, that my life has been, by any measure, full and hard living, with ups and downs too numerous to mention.
If there is a yin and a yang, the before and the after, what has happened and what is yet to be, then maybe seventy-eight is a special way-post for me. In fact, I really believe that I could be at the top of my game, and ready for the long and relaxing ride back down.
So to the good doctor who wants to shut his life down at 75, I say that’s your call; your freedom of choice. As for me, I still have a whole lot of living to do. And not just passive living.
Dylan Thomas said it best. “Do not go gentle into the night. Rage, rage against the dying of the light.”
Peace and Justice
Regular readers know that I’ve spent an awful lot of time correcting fake news about Apple. Is it because I’m an Apple fanboy? No, it’s more about my obsessive nature. Without claiming that I’m in any way perfect, I dislike reading false information about anyone or anything. I’m very much in favor of reporting the news as accurately as possible and correcting mistakes when it’s necessary, even very slight ones.
In a sense, then, these columns are very much works in process. When the story changes, or I discover a typo, I update. It’s one of the good things about the Internet, but it also makes it easier to post falsehoods without much in the way of consequences. It’s just more clutter, and there’s so much of that you can barely keep up.
Now maybe there is hope. Last week’s revelation that the iPhone X, even through the March quarter, was Apple’s best selling smartphone and, in fact, the best-selling smartphone on planet Earth, would surely have convinced the naysayers that they were wrong all along about sales collapsing. Or maybe not. The nonsense about supposed negative supply chain data pointing to poor sales of Apple gear has long ago been disproven.
But some people never learn, or maybe there’s an advantage in saying bad things about Apple, even though a lot of those statements are outright lies.
In any case, on this week’s episode of The Tech Night Owl LIVE, we presented commentator Josh Centers, Managing Editor for TidBITS, and author of “Take Control of Apple TV” and other titles, who focused a main part of his conversation with Gene on Apple’s record earnings for the March 2018 quarter. Despite all the unfounded rumors of poor iPhone X sales, which hurt the company’s stock price for several weeks, Apple reported that its flagship smartphone was its top-selling gadget for every week it was on sale — and thus the top-selling mobile handset on the planet. You also heard about Apple’s decision to discontinue AirPort Wi-Fi routers, why it may have occurred, and possible alternatives. And what about the announcement that, once again, T-Mobile and Sprint are attempting a merger. Will the attempt succeed this time with a different administration in Washington? Will customers receive better service, and how will prices be impacted? What about the fate of employees of both companies, and merging two incompatible cellular networks. Josh also explained why, for now, he’s basically stuck with Verizon Wireless in the rural area in which he lives.
You also heard from outspoken columnist Bryan Chaffin, co-founder and co-publisher of The Mac Observer, who explained why false rumors about alleged poor iPhone X sales got his dander up. Gene and Bryan talked at length about such fake stories, and how Apple actually fared during the March quarter compared to last year. There were also discussions about the proposed T-Mobile/Sprint merger, and how the plan differs from AT&T’s plans to join forces with Time Warner. Will the political winds in Washington force AT&T to ditch CNN to get the merger approved by the Department of Justice? There was also a discussion about the news that Twitter has asked its entire membership to change their passwords because of a purported error in storing them internally in plan text. Twitter claimed outsiders were not impacted, but that didn’t stop Gene from immediately changing his password.
On this week’s episode of our other radio show, The Paracast: Gene and guest co-host Michael Allen present a return visit by researcher MJ Banias, a blogger who critically and philosophically examines the weird, the strange and the anomalous. During this episode, MJ will discuss the latest episode of the “MUFON Follies,” a new documentary about the Flatwoods Monster, a creature seen in West Virginia in 1952, and even how he accidentally got involved in debates over the Billy Meier contacts. And what about the alleged alien agenda? MJ was a former field investigator with MUFON, has been featured on multiple podcasts and radio shows, and contributes to Mysterious Universeand RoguePlanet. His work has been included in FATEMagazine, and in a collection of UFO-related essays entitled UFOs: Reframing the Debate.
I REMEMBER THE iMAC
In 1998, the typical Mac was a large beige desktop, or a black PowerBook. Simple, conservative, powerful. In those days the PowerPC roasted Intel Pentiums for lunch. It took years for the PowerPC’s reign as the fastest PC processor to end.
In May of that year, Steve Jobs announced a revolution in personal computing — with an emphasis on simple Internet access — the iMac. It didn’t ship until August of that year, but I already had one in my home. As a member of Apple’s Customer Quality Feedback program, I was beta testing the original Bondi Blue iMac. It would go on sale for $1,299, but my Apple contact told me I could keep it if it survived a final firmware update.
I wasn’t surprised to see it didn’t, and thus I sent it back for, they told me, proper disposal. But armed with that experience, and with Apple’s approval, I wrote an article about iMac for a Phoenix newspaper, which included an interview with none other than Jonathan Ive.
In retrospect, the iMac was a revolution, setting the stage for future Macs, but to me it was just a low-end consumer all-in-one computer. It took a while to see the method in Apple’s madness. To me it didn’t provide the higher end features I needed for my work.
As a practical matter, though, its 233 MHz PowerPC G3 was as powerful as the one offered in the most expensive Power Macintosh minitower the previous year, although many of its parts came from the PowerBook. Just after Apple finally got the RAM upgrade process simplified for Macs, doing it on an iMac required pulling out the internal chassis. Not hard, but an awkward process.
But this wasn’t about easy upgrades. It was about having a computer that you could connect to a power outlet and a phone jack, turn it on and log in. Suddenly, online access was easy. I was an old hand at getting online, so it wasn’t so big a deal for me, but I can see where millions of potential customers would find it a revelation. To me, however, the iMac was almost an alien visitor. There was no LocalTalk port, no SCSI port, no floppy drive. But the addition of a USB port — an Intel invention in fact — paved the way for the future.
It didn’t take long for peripheral makers to go USB. The 1.0 version made for slow hard drives, but you didn’t have to mess with SCSI chains, incompatible devices, and terminators. Printers, scanners and other accessories worked just fine, and you can’t imagine how this simplified the connection process.
PC makers didn’t understand when it was time to give up on old technology, and thus the boxes had lots of legacy ports, and you had to juggle with cables, driver incompatibilities and so forth. An iMac? It just worked, but it was still just a low-end computer that would be fine for online access and word processing. You couldn’t imagine working with Photoshop or playing games on it, though the former would run all right enough despite the poky internal drive.
Over the next 20 years, you would see evidence that Apple had a long-range plan. The iMac went through several design generations before it became what was essentially a monitor with a rear-end that became fat in the center.
The 27-inch iMac, in 2009, was a powerhouse. For most tasks, performance was on a par with the hefty cheese grater Mac Pro, and only fell behind with apps that worked best with a least 8 cores inside. Graphics performance was decent, and the large display was awesome for its time.
It was enough to convince me to sell a slightly older Mac Pro and a large Dell display. I was able to sell the system to a friend, and use the money for a brand new fully-outfitted iMac and a backup drive, and still have a few hundred dollars left to pay some bills.
By 2014, an iMac arrived with the PC industry’s best display — ever — with a resolution of 5K. It allowed you to edit a 4K movie in Final Cut Pro, with enough space left on the screen for the menus. While the first model cost a few hundred dollars more than an iMac with the regular display, it wasn’t long before Apple found ways to build those marvelous 5K displays cheaper, with color improvements. Thus all 27-inch iMacs received 5K displays, with no increase in price.
The PC world was left hanging. Go online and find a 5K standalone display, other than the one LG built with Apple’s assistance. Now find one that’s actually affordable, and seek a PC with the graphics power to drive one without fiddling with multiple cables.
In 2017 released a high-end iMac, the Pro, with a rejiggered cooling system capable of supporting an Intel Xeon processor with up to 18 cores plus EEG memory. The prices started at just below $5,000 and soared into the five figures. Finding a PC with comparable specs wouldn’t save you any money, and configuring one with a 5K display, other than the one from LG, turns it into an even more expensive proposition.
From its humble beginnings in 1998 as a simple consumer-level all-in-one computer to the most powerful Mac on the planet — at least until the next Mac Pro arrives — has to be an amazing achievement. The iMac Pro is designed to handle high-end scientific tasks, movie special effects rendering, and other tasks that are required of the most powerful PC workstations.
But there’s still a cheap iMac available. You can buy a 21.5-inch model, with standard definition display, for $1,099. One with a 4K display is just $200 more, the same price as the iMac of 20 years ago. But if you count for 20 years of inflation, the $1,299 you paid for the Bondi Blue iMac in 1998 would be worth $1,984.29 today.
Even if I could afford the 2019 Mac Pro when it arrives, the iMac remains my computer of choice. Well, until it’s replaced by something cheaper and better.
At least one in three adults has high blood pressure and strokes are the 5th leading cause of death in the United States.
In May we raise awareness of both these conditions during American Stroke Monthand National High Blood Pressure Education Month.
Every 40 seconds, someone in the United States suffers a stroke. And high blood pressure puts one at risk of a stroke, as well as heart disease.
Here are your questions answered.
The top number, or systolic pressure, is the pressure the heart exudes during a beat or pumping of the blood.
Diastolic pressure is the pressure in your arteries between beats while the heart is “filling.”
Both numbers are equally important as elevation of either can increase one’s risk of cardiovascular disease.
High blood pressure has now been redefined as being greater than 130/80 mmHg, down from 140/90 mmHg. Last year it was guestimated that 42% of Americans would soon be considered “hypertensive.”
Chronic high blood pressure can be dangerous. It may cause:
The stages of blood pressure are defined in the chart above. At the elevated or early stages of high blood pressure the following lifestyle changes will be recommended:
As a family physician I would also screen for diabetes, high cholesterol, low thyroid, kidney disease and sleep apnea.
If blood pressure cannot be controlled and continues to rise, medications may be prescribed to decrease blood volume, or lower the heart rate, or relax the blood vessels.
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.
What are the signs of a stroke?
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.
The following put us at risk of having a stroke.
Avoid the following:
When my realtor handed over the keys to my first home in late September, I didn’t feel like I had realized the American Dream. I even had a car in the lot (well, on the street) and a chicken in the pot. But there was still something missing.
I felt closer to realizing the American Dream while doing drugs with friends in the Escalante National Monument. That national treasure in Utah is being gutted to exploit energy sources by Secretary of the Interior Ryan Zinke and President Donald Trump, but they can’t touch the memories I have of that place or the feelings they invoke.
As we pulled away from a National Park Ranger checkpoint with so much drugs and alcohol the four of us couldn’t finish it all in a week, I watched as unlucky hippies leaned against cop cars on the side of the road with their hands cuffed behind them. It made us all realize how lucky we were. Hell, I wasn’t even supposed to be out of the county without my probation officer’s permission, so staying my ass out of federal prison and going on to have the time of my life made it feel like the new American Dream was to do drugs in beautiful places with lovely people and not get caught. But that’s just part of the new American Dream. The new American Dream is to do all those drugs and then recover from whatever addictions you acquire.
It wasn’t until I quit drinking that I felt I had realized the American Dream. I’ve tried just about everything when it comes to stimulants and depressants, but it was alcohol that brought me the most trouble in my life. Sure I was on probation for possessing a pound or so of pot, but I spent more days in jail during that probation because of alcohol than I did for using cannabis, and I still managed to use cannabis pretty regularly. But I drank daily.
First I decided I’d “slow down” for my body’s sake. You know, drink fewer days during the week. And I did, too. I had just become really intrigued by body chemistry and nutrition, so when I started counting my calories, I got a good look at my problem. I drank less often, sure, but did I ever make up for it on the weekends.
When I found it difficult to meet my caloric goals because of my drinking, I drank faster so I could drink less, or I did more exercise so I could drink more. My weekly cheat day became my opportunity to get super drunk.
When I visited my hometown in Eastern Montana and was assaulted while drunk for saying I was a Socialist, I realized I was incapable of drinking responsibly. I drank for more than 12 hours that day and blacked out en route to a house party. The only thing I remember is saying “I’m a Socialist” and someone immediately suplexing me. Sure, it was a hate crime, but since I couldn’t remember a name, face or much of anything, I wasn’t about to make a big deal of it. I figure those people living with themselves has to be punishment enough.
It took a few more weeks before I actually quit alcohol for good. It was October 3rd, and the Minnesota Twins had lost to the Yankees in the playoffs, again. I drunkenly rode my bike home from O’Donovan’s Pub, where a bartender informed me that Twins’ third baseman Miguel Sano frequented the place, and one time, drank “16 beers” with his arms wrapped around two women while on the disabled list with a stress fracture in his leg. (Just under three months later, Sano was alleged to have committed sexual assault.)
I haven’t had a drink since I heard that story. The next day hurt worse than any hangover I’ve had, including the morning after the Socialist suplexing. I stayed home from work and chased Ibuprofen with soup and water. I had no alcohol in the house because I had finished it all when I got home the night before. Usually I would have handled that hangover with a Bloody Mary or Screwdriver, but I just couldn’t bring myself to leave the house to get alcohol. When I checked my receipts (apparently after I had closed my tab I opened another) and found I had spent $70 -- my average monthly booze budget -- in one night, I knew I was done drinking. I didn’t need an intervention or treatment to stop drinking because I knew if I drank again, I could drink myself to death.
That doesn’t mean alcoholics don’t need help. In fact, 95 percent of alcoholics who need treatment don’t think they need it. Maybe I’m just a member of that majority, and it’ll take a relapse for me to realize it. At least I could get treatment if I wanted it, and my insurance would even cover it. That’s not the case for every addict.
A 2016 report by the U.S. Surgeon General found that one in seven Americans will face some sort of substance addiction. The economic impact of those collective addictions amounts to $442 billion each year, which rises as healthcare premiums rise. And America has the highest drug-death rate in the world.
Worse yet, we’re not even addressing the problem properly. Instead of providing the treatment addicts need, money is funneled by politicians to for-profit prisons instead of treatment facilities, leaving addicts without the treatment and supportive community necessary to keep them clean. The number of substance abuse treatment facilities in the U.S., which focus on drug and alcohol abuse, was reported to be 13,873 in 2014, a decrease from the 14,152 facilities reported in the previous year.
“Former inmates return to environments that strongly trigger relapse to drug use and put them at risk for overdose,” according to a 2012 study published in Addiction Science & Clinical Practice. Of the more than 21 million addicts in America, only 10 percent receive treatment, mostly due to a lack of healthcare coverage or lack of treatment centers in their area. According to the Journal of the American Medical Association, 80 percent of opioid addicts don’t get treatment, and a similar 2015 study found a million opioid addicts couldn’t get treatment for their addictions if they wanted it.
That leaves a lot of Americans on our own to struggle through our addictions. I’ve resisted to commit to Alcoholics Anonymous or the 12-Step Program because I wasn’t convinced I had a problem. Now that I am convinced, I realize the importance of having a community to support you and your decision, but I still haven’t attended an AA meeting because the 12-Step Program utilized by AA most often relies on a commitment to religion. Giving oneself up to “a higher power” is the first step, and it wasn’t until I read Russell Brand’s Recovery: Freedom from Our Addictions that I found a non-religious means to put the 12-Step Program to work for me, an atheist.
Since publicly announcing my problem with alcohol on Facebook on Oct. 12, 2017, I found I did have a community in place to help me through my problem with alcohol. Friends of mine who’ve long been out of touch and also quit drinking offered their support, as did my family. Not every alcoholic has friends and family with experience overcoming addiction, however. I guess I’m lucky to have excessively drunk alcohol and done drugs with people willing and capable of realizing and accepting their powerlessness over substances.
Prisoners aren’t leaving prisons with that community in place. They’re reentering communities where they’ll be tempted around every corner. So until we stop putting nonviolent, drug offenders behind bars and instead put them in treatment centers to get the help they truly need, we’ll be inching ever closer to making the new American Dream overcoming addiction.
If you like this, you might like these Genesis Communications Network talk shows: America’s Healthcare Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, Dr. Coldwell Opinion Radio, Good Day Health, Health Hunters, Herb Talk