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Coronavirus Long-Haulers Agony: I Dont Want To Live This Way – North Fork, NY Patch

Posted: October 10, 2020 at 7:49 am


NORTH FORK, NY It has been months since a North Fork woman who asked not to be named for fear of the stigma and future potential impacts on her health benefits was diagnosed with the coronavirus. But today, her life is a nightmarish version of what it once was, so drastically altered from the existence she once knew that there are moments she feels she cannot go on.

She's what's known as a "long-hauler" and her story echoes the words of many who say they are living in the shadows, struggling to get by as the specter of the coronavirus lingers.

On any given day, she puts bread in the toaster and then turns away and forgets that she's done it. Minutes later, smoke is billowing in the kitchen. She stops, mid-sentence, losing track completely what she's said just seconds before. And her days are filled with a long list of symptoms, physical ailments that continue to linger, months after the initial battle with COVID-19.

Back in February, she said, she was one of the hordes rushing to stock up on disinfectant, wipes, toilet paper and frozen meats and vegetables. She was one of the many who was confused, frightened, panicked by the unknown.

"We didn't know anything," she said.

With elderly parents, the fear was real, she said.

She's not sure where and when she contracted the coronavirus, whether at the store or at the hospital, where she'd gone for X rays for an unrelated issue.

One day, she said, she was talking with a friend, when "what sounded like kennel cough came out of my mouth, without my even knowing it," she said. "I said, 'I have COVID.' She told me I was paranoid. I said, 'You don't understand. That cough, I never had that cough before.'"

She told a relative that she thought she had the coronavirus and he, too, said she was overly concerned, adding that it was probably allergies.

That was on a Sunday, she said. By Monday, she had a 99.9 degree fever; her fever never went higher than that, in all the months that followed.

By March 16, she tried reaching her doctor's office, but he had closed the office. And there were no coronavirus tests to be had at the time, she said. "It was so limited then," she said. "Everything was so new."

At first, she said, while she was a little frightened, she told herself not to worry until she had something to worry about.

"Then, I started to feel like roadkill," she said. "All I wanted to do was to sleep. I isolated myself upstairs and I thought I was going to die. This disease, it wants you to rest."

Others she knew, she said, fought the coronavirus, but she was so exhausted, she couldn't, and that's why she believes she has lingering symptoms today.

There were no pre-existing conditions, save borderline high blood pressure, she said. "I had a fever for four days and I felt awful, but then, I started feeling a little bit better. Then, all of a sudden, came this full-fledged cough. Everything hurt, my heart, my lungs, my stomach. And there were no doctors available. It was horrible."

When she tried to be tested, with only a 99.9 degree fever, she didn't immediately qualify, she said. "Then one morning I woke up feeling like there was an elephant sitting on my chest. I couldn't breathe."

Thankfully, she was able to reach a tele-health provider, who ordered an albuterol inhaler and four pills of Dextramethasone.

"My other choice was calling 911 and going to the hospital and I was so afraid I was going to be intubated," she said.

The medication began to work and her airways began to open, she said.

In the days that followed, she realized that stocking up on steak and frozen food meant nothing when she needed soup, saltines, and orange juice.

Eventually, the vicious cough subsided but then, she lost her sense of taste and smell and seven months later, they have not returned.

Today, she's plagued by long hauler symptoms, by brain fog, debilitating memory loss, by confusion and a litany of physical symptoms.

"I could get up to get a glass of water and end up with a cookie because I don't know why I got up in the first place," she said.

She loses her breath when she tries to walk around the block and has lingering heart and breathing issues. She is grateful not to have blood clots in her lungs, but she suffers from stabbing pains in her hands, legs, and ankles. "It feels like someone took an axe and cut off my limbs," she said. "You want to throw up because the pain is so incredible."

She's finding it difficult to work. "I used to multi-task. Now, I feel like a loser."

In the days since the diagnosis, she's begun seeing a neurologist and exploring holistic treatments.

And what she's learned, she said, is that she is not alone. She's met others waging the "long hauler" war. "I've met other people in my boat who were just as terrified and living this nightmare," she said.

But few share the details of their stories, she said, afraid of the COVID-19 stigma as well as future repercussions, should the coronavirus be labeled a pre-existing condition. "I need my health coverage," she said.

She first learned in April that she had the antibodies for the coronavirus, she said.

Describing her experience, she said: "You have a whole host of different emotions: Frustration, depression, terror, embarrassment."

And there is the anger, especially when reading the backlash agains coronavirus protocols on social media. "You just want to say, 'Wear a mask, this is real. Don't tell me this isn't real. I didn't do anything to deserve this.' And yet, there are people who don't believe you, who say it's a hoax. This is real. But anytime you say anything on Facebook, you are attacked by those who think it's a hoax."

Another reason she's not told her story before is she's fragile, emotionally, and she can't handle the abuse mentally of public backlash.

Being a long hauler, is worse than anything she's experienced, she said.

"There are some days when I think, 'I don't want to do this. I don't want to live this way. I'd really rather just drive my car into an 18-wheeler on the highway and call it a day.'"

Once adept at her high-powered job, now the simplest tasks, those people take for granted, are all-consuming. She no longer has the energy or desire to be the overachiever she once was. "You lose that," she said.

She passes North Fork farm stands and can't smell the donuts or the scent of sweet flowers. "You go into a candle store and something has a scent and it's just blank. I can't smell propane. My house could burn in the middle of the night, and I wouldn't know. I feel like a blank piece of paper. There's no color left in my life."

There's a need, she said, on the North Fork for a support group, "for anyone who is suffering from COVID, where they can share their experience without being bashed, belittled or told we're crazy. We're not crazy."

And yet, despite the hell she's enduring, she said she sees photos of crowds out at bars, not social distancing, with no masks. She feels betrayed by the elected officials she said have not been there to help those hit the hardest.

But despite the anger that builds, she can't speak out. "Our society has become very divided and hateful. Right now, you can't say anything," she said.

She is grateful, she said, for her elderly neighbors who took the time to look through the window when she was most sick, asking if she needed groceries. "If it weren't for those two people, I probably would have died in that house," she said.

Struggling with coronavirus, she said; "You feel lonely. Isolated. Scared. You feel dirty. You don't even know if you are going to live."

Even today, her heart rate spikes; she's now immune compromised. And no one knows what the long-term impacts will be down the line.

"Other people are out there, going on with their lives. But we are left," she said. "And nobody cares."

Today, she can't drink any cola-based drink, anything made with lemons, or coffee. And now, even toothpaste "feels like acid, like washing my mouth out with Drano," she said.

With no sense of taste, the inclination is not to eat at all or to just eat out of depression, she said.

The depression, she said, is crippling. "People don't understand how hard it is. You fight so hard every day mentally," she said.

She has to keep clipboards with notes so she remembers daily tasks, or to pick up her medicine, and so that she remembers conversations she has with clients at work.

"This is my new life," she said, tears in her voice.

Her wish, she said, is for doctors not to dismiss those who are experiencing this ordeal, and for the research to ensue so answers can be found, so we can learn "how we got so broken."

And, she said, due to the political climate with the country divided: "You live inside your own nightmare because you are too afraid to vocalize that you are hurting."

The stigma, she said, is so bad that some refuse to get tested; they don't want to be associated with the disease. If she had to do it again, she said she probably wouldn't take the test.

She's lost friends, she said, for saying she believes President Trump isn't handling his COVID diagnosis correctly. "This is a real disease," she said. But rather than dialogue, she's been accused of being a "cop hater" and told "COVID is not real'. Don't tell me it's not real."

She added: "I really wish they were right and I was wrong. I would do anything for this to be fake."

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Coronavirus Long-Haulers Agony: I Dont Want To Live This Way - North Fork, NY Patch

Losing Hair Over The Pandemic? Stress Could Be To Blame – WGLT News

Posted: October 8, 2020 at 4:56 pm


Stress is abundant during the COVID-19 pandemic. Job loss, health fears, time spent away from loved ones it piles up. And that stress takes a toll on the body. For some, the effects are more visible. Some are even losing hair over it.

Hair stylist Stephanie Russell recalled a client who recently developed bald spots he didn't have before. He noticed his hairline creeping further back on his forehead. His skin scalp was glistening with oil.

It isn't the only one I've seen, actually," Russell said. "I had a client have me cut more bangs because she was losing hair at her temples."

Russell works at Studio B in Peoria. She said, yes, hair loss is sometimes related to aging. But more often, she said, clients attribute it to stress.

"Stress is the main factor for most of it. Medications can do it, if you're on a medication. Surgery and being under anesthesiaonce or even multiple times," she said. "The more you're under anesthesia, the more hair loss you experience. So it's it's a lot of factors."

In a July survey of 1,567 COVID-19 survivors, 423 reported unusual hair loss. Experts say it could be due to an inflammatory response caused by the virus, but it likely has more to do with the psychological toll of fighting it off.

Sherri Strandberg owns Strand Studio in Bloomington. She said she hasn't had any clients attribute thinning hair or bald spots specifically to the COVID-19 virusor pandemic in general. But she is witnessing a different phenomenon.

I am seeing a lot of hair loss from clients, usually after trauma," Strandberg said. "It's a different syndrome. And it usually, I believe, occurs six months after a possible traumatic event. You can have some pretty serious hair loss, but usually it returns. It's usually not permanent.

Strandberg said stylists hear a lot about what clients are dealing with in the time it takes to cut and color their hair--and what she's heard is a lot of anxiety and uncertainty.

It's an every 30- to 45-minute experience with every new person that walks in," she said. "It's interesting to hear the perspectives from obviously frustrated parentsespecially parents who have children who have IEPs and they're not getting their needs met, from people who have elderly parents living in assisted care where they're not allowed to receive visitors, to people who had job opportunities on the horizon and suddenly the company decided to pull back because they're not certain where the economy is going.

Hair loss is just one of the physical manifestations of stressand a relatively mild one at that. Elizabeth Johnston, a behavioral health specialist with OSF HealthCare in Bloomington, said stress and anxiety serves a purposeto keep us alert and alive.

"It's job is not just to alert you to the danger, but it's really to push you to solve it. And up to a certain point, anxiety, it is helpful and it is functional. But once it gets excessive, once it becomes debilitating, that's when we start having problems. It is very much kind of a chicken and egg, where it kind of feeds in on itself. It is a cycle," Johnston said.

She said when the body produces excess adrenaline and a stress hormone called cortisol, it disrupts every system in the body.

"The symptoms that people are really most familiar with are things like tension and pain in the chest or the stomach, kind of restlessness, like the leg shaking, andin severe casespanic attacks," she said. "But even before that, you'll see ... racing heart rate, your breathing changes. Sometimes we hyperventilate. Sometimes we end up holding our breath [or] it comes out trembling. Sweating, physical fatigue, people feel weak and dizzy."

She said it also can cause insomnia, diarrhea and a host of other issues.

The key is to learn how to disrupt that cycle. Johnston said it's helpful to ask yourself: when did these symptoms start and what was going on at the time? Was anything different? Then, get creative about putting those pieces back in: go for a walk around the neighborhood rather than going to the gym. Have a virtual dinner with friends if you cant be together in person.

Taking good care of yourself physically also is important.

Kiryn Evans owns Integrated Wellness in Peoria. A certified nurse practitioner who focuses on holistic medicine, she said she's definitely seen the new onset or worsening condition of stress-related conditions in patients.

She said meditation and yoga can help, in addition to a good sleep regimen and eating better.

"So, a lot of a lot of lifestyle, dietary stuff, cutting out the caffeine, cleaning up their diet, eating more protein than fat and drinking more water, cutting out the all the sugar and the caffeine, because that's feeding into the body's anxiety response."

For the most part, Evans and Johnston said, the symptoms ease along with the stress and anxiety.

WGLT depends on financial support from users to bring you stories and interviews like this one. As someone who values experienced, knowledgeable, and award-winning journalists covering meaningful stories in central Illinois, please consider making a contribution.

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Losing Hair Over The Pandemic? Stress Could Be To Blame - WGLT News

Holistic Approaches May Have Reduced Coronavirus Deaths at This London Hospital – VICE UK

Posted: at 4:56 pm


Photo: Chris Rout/ AlamyStock Photo

As Donald Trump talks up the benefits of treating coronavirus with an experimental drug cocktail which has rarely been used outside trials, debate is raging over the best way to treat patients with the disease.

From Walter Reed national military medical centre in Maryland, where the US president was treated with Regeneron, zinc, vitamin D, famotidine, melatonin and aspirin; to Wuhan, China, where coronavirus entered global consciousness and large doses of intravenous vitamin C have been linked to improved mortality, novel approaches to warding off the respiratory illness can provoke scorn and scepticism.As yet, there are no proven treatments for COVID-19.

At Chelsea and Westminster Hospital in west London, a multidisciplinary, personalised approach to treating coronavirus patients may have led to a significant reduction in mortality among those with the worst symptoms compared to the UK average, new research suggests.

We always try something different because we treat people like individuals, says Chelsea and Westminster intensive care unit physician Dr. Marcela Vizcaychipi, whose background is in treating sepsis in Latin America.

Dieticians closely monitored and tailored diets and fluid intake, physiotherapy was provided from the outset, and patients were variously placed in the prone position to stimulate breathing and also received steroids, blood thinners and intravenous vitamin C.

Chelsea and Westminster reported an ICU death rate of 29.9 percent up until the 4th of June for 67 patients, compared to the national median 40.9 percent around that time, official figures from the Intensive Care National Audit & Research Centre (ICNARC) show, over the course of the six-week period recorded. An initial study went online at the time, before it was accepted in the Journal of Emergency Medicine and published on the 25th of September.

The key is a multidisciplinary approach and seeing how the individual responds to treatment regardless of your colour and medical background, Vizcaychipi tells VICE News.

The research, though limited in size, could reignite the debate over whether high-dose vitamin C adequate levels of which are central to good immune health helps people fight off coronavirus, as those with weaker immune systems are disproportionately impacted by the disease, though it was not possible to calculate the impact of the nutrient alone as it was a part of a host of treatments.

The key UK study for coronavirus treatments for critically ill patients, overseen by ICNARC, is evaluating the use of high-dose vitamin C for patients with severe community-acquired pneumonia caused by COVID-19. Depending on their weight, patients will receive about 3 grams of vitamin C, plus steroids and blood thinners four times a day for four days following reportedly successful practices at a small number of ICUs in the US.

The NHS says that adults aged 19 to 64 need 40 milligrams of vitamin C a day and that everyone should be able to get all they need from their daily diet. Taking more than 1,000 milligrams a day can cause stomach pain, diarrhoea and flatulence, it warns, though these symptoms should disappear once you stop the intake.

Nutrition expert and author Patrick Holford says that vitamin C is expended at an alarming rate by patients with COVID-19, particularly during the final stage of cytokine storm as blood levels drop precipitously: Several grams need to be given simply to restore normal physiology. Vitamin C needs to become a vital part of treatment.

Last week an ICU in Barcelona reported that 17 out of their 18 COVID-19 patients tested for vitamin C had undetectable levels consistent with a diagnosis of scurvy.

But, with the jury firmly remaining outside the courtroom, Vizcaychipi is clear that the powerful nutrient also known as ascorbic acid is no panacea. I don't think ascorbic acid is a magic drug, she says.

Okay, so what made the difference in the Chelsea and Westminster patients? It was down to the combination of treatments, Vizcaychipi says.

My ascorbic acid, plus the fluid, plus good oxygenation, plus anticoagulation, she explains. It's a combined approach to listen and hear what the patients body tells you.

Those in the Chelsea and Westminster ICU were routinely given 1 gram of ascorbic acid twice daily (the equivalent of about 20 large oranges), while all information was digitised and nobody was triaged deciding the order of treatment of patients as part of a so-called near real-time traffic light system that was implemented on the 12th of April.

Vulnerable groups become a self-fulfilling prophecy when implemented in triage decisions, Vizcaychipi said. Current triage criteria are overly restrictive and COVID-19 admissions to critical care should be guided by clinical needs regardless of age.

Her outside-the-box thinking was born from her own experiences treating patients on a shoestring. I learned medicine in a small hospital in north-east Argentina in the late 1980s where we didnt have any of the brilliant hi-tech equipment we use now, she told HealthInsightUK in August. Often the only treatment for badly infected patients was good nutrition and mineral and vitamin supplements to stabilise their system. I saw first-hand how effective that could be.

As the spread of the virus shows no sign of abating, and the development of a vaccine at Oxford university is hampered by delays after a trial participant fell ill with unexplained neurological symptoms, there is a serious urgency to find a cure.

However, the lack of consensus among doctors over the best method means that patients treatments can differ from hospital to hospital and even doctor to doctor, the Wall Street Journal reported, and as global deaths grow while Trump lauds dubious remedies, there will be increasing focus on left-field solutions as new research emerges.

@matthabusby

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Holistic Approaches May Have Reduced Coronavirus Deaths at This London Hospital - VICE UK

Susquehanna Wellness Clinic to Serve Primary Care Needs of the Area – GANT News

Posted: at 4:56 pm


The Susquehanna Wellness Clinic, a primary care office located in Frenchville, is opening its doors in November of 2020 to begin serving adult patients health and wellness needs.

The clinic is focused on holistic, person-centered approaches to care, aiming to build trusting relationships and provide the personalized care to each individual.

Dr. Baltazar Corcino, M.D. and Jamie Bush, CRNP will be staffing the clinic, and will be supported by a comprehensive team of medical professionals. Both individuals have a long-standing history of providing quality and meaningful care in the Clearfield community.

Corcino has a proud history of caring for the residents of Clearfield County, and is excited to continue this work in the clinic. Hes worked in internal medicine in emergency room, private practice and hospital settings.

Bush, a board-certified nurse practitioner, specializes in family medicine and has additional experience in ICU and ER settings as well as urgent care and neurosurgery settings.

The clinic will serve a variety of needs for adult patients 18 and older. These services include adult medicine, geriatric care, preventative medicine, immunizations, annual wellness visits, health care screenings, laboratory testing, chronic care management and interdisciplinary team planning.

Additionally, the clinic will provide transportation when necessary to seniors 60 and older to clinic appointments, conduct in-home visits to patients physically unable to come into the clinic and Telehealth services to connect virtually when coming in for an appointment isnt an option.

The clinic will be hosting an open house to the public on Oct. 21, from 3 p.m. 5 p.m. The event will include facility tours, meet and greet with staff and light refreshments.

The clinic will officially open its doors on Monday, Nov. 2, 2020 to begin serving patients. Hours of service are Monday Friday, from 8:30 a.m. 3:30 p.m., by appointment.

If you have any questions about the clinic or are interested in becoming a patient, please call 814-765-2695 or e-mail info@susqwell.com. Dont forget to follow the clinic on Facebook for announcements and upcoming events.

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Susquehanna Wellness Clinic to Serve Primary Care Needs of the Area - GANT News

These Are The Biggest Myths & Truths About Veganism – Anti Aging News

Posted: at 4:56 pm


Article courtesy of Dr. Joel Kahn, MD, who is a Clinical Professor of Medicine at Wayne State University School of Medicine, one of the world's top cardiologists, best selling author, lecturer, and a leading expert in plant-based nutrition and holistic care.

A number of people have identified veganism as one of the biggest trends of 2018; the reality is that the number of persons identifying their diet as plant-based or vegan is growing larger and larger. Perhaps threatened by a shift toward plant diets for health, compassion, or environmental concerns, health personalities that question the benefits of a vegan diet are easily found, and their concerns, at times legitimate, need to be addressed. So what are some of the biggest mythsboth good and badabout veganism?

Many large studies of nutrition have indicated lower rates of chronic diseases for study subjects following a vegan diet compared with an omnivorous diet. Vegans can get cancer, heart disease, diabetes, dementia, and other serious disorders. I see patients eating a vegan diet, usually for only a few months or years, that have important heart disease, and most vegans ate an animal-based diet for many years before they adopted their new plan. New vegans and those motivated by ethics may choose a lot of processed foods high in oils, trans fats, sugars, and added salt. Vegans need cancer screening like colonoscopy just like everyone else, comprehensive lab studies, and imaging for silent heart disease to ensure optimal health.

Recently the health outcomes over 25 years were compared from a large database from the Harvard School of Public Health in subjects eating a healthy (whole grains, fruits and vegetables, nuts, legumes, teas, coffee, and vegetable oils) versus an unhealthy (juices, sweetened beverages, grains, sweets, fried potatoes) plant-based diet. It is not certain how many of the participants were following a fully vegan diet. During the study, 8,631 subjects developed coronary heart disease (CHD). Adhering to a plant-based diet lowered the risk of CHD by about 8 percent overall, but this relationship was much stronger for those following the healthy pattern. Those respondents enjoyed a powerful 25 percent reduction in their risk of coronary heart disease while those eating the unhealthy plant foods actually increased their risk by as much as 30 percent! The bottom line is that a healthy vegan diet is a whole-food plant-based diet (WFPB) and not a junk food diet.

2. A vegan diet is all that is needed for health.

In the 1970s athlete and author Jim Fixx made the mistake of believing exercise protected him from all ailments and ate a diet promoting heart disease. Unfortunately, he tragically died at age 52 of a heart attack despite all of his hours spent running. While a vegan diet can be a very healthy choice, it is just one part of an overall plan for optimal health. Pioneering studies by Dean Ornish, M.D., called the Lifestyle Heart Trial, combined a plant-based diet with exercise, stress reduction, yoga, social support and love, and cessation of smoking to reverse advanced heart disease. I advise vegans to incorporate these other healthy practices into their life as well. Sleeping seven to eight hours a night reduces the risk of heart disease substantially compared with those sleeping less than five hours. About 20 percent of the American public still smokes, and some are vegans who must quit. A strategy to manage stress, whether it is a breathing practice, yoga, religion, music, or social support is a key to health for all. Loneliness is a drag on health, which is one of the reasons I co-founded in Detroit a large and active vegan health support group.

3.A vegan diet provides all nutrients from plants.

Surely a rainbow-colored WFPB diet provides all nutrients for optimal health? In fact, in my preventive cardiology clinic, I measure blood and skin levels of many critical nutrients, and both omnivores and vegans are frequently low. Vegans in particular are often low in B12, vitamin D, omega-3, iodine, vitamin K2, and taurine (as are most omnivores). Obtaining the maximal health benefit from a vegan diet requires attention to these nutrients. There are vegan multivitamins that provide the proper amounts of these nutrients. At a minimum, all vegans should take vitamin B12. If whole food sources are desired, omega-3 can be addressed by 2 tablespoons of ground flaxseed daily with greens, walnuts, and chia seeds. Kelp and nori can supply iodine. Mushrooms and plant milks can be rich in vitamin D. Adequate iron can be an issue for vegans, but spinach, tofu, beans, lentils, and sunflower seeds are quite good sources.

I have eaten a vegan diet for 40 years but have selected WFPB choices for almost all of those 40,000-plus meals. I also serve a WFPB version of vegan dishes at my family restaurant. I would strongly endorse a WFPB vegan diet for health enhancement to all readers, from those that are prenatal or pregnant to those feeding children and to baby boomers and the elderly, in keeping with the Academy of Nutrition and Dietetics. The healthiest vegan, however, will be the one who understands the myths that surround a vegan diet and avoids the pitfalls.

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These Are The Biggest Myths & Truths About Veganism - Anti Aging News

Trump’s doctor is a D.O. How is that different from an M.D.? – Yahoo News

Posted: at 4:56 pm


Dr. Sean Conley, President Trump's physician, briefs reporters at Walter Reed National Military Medical Center in Bethesda, Md. He attended an osteopathic medical school, not a more traditional allopathic one. (Jacquelyn Martin / Associated Press)

What is the difference between a doctor of medicine (an M.D.) and a doctor of osteopathic medicine (a D.O.)?

Its a question many Americans may be asking after learning that Dr. Sean Conley, who is managing President Trumps COVID-19 care, is a D.O. and not an M.D.

The first thing to know is that just like M.D.s, D.O.s are fully licensed doctors who practice medicine, prescribe drugs and perform surgeries in all 50 states, according to the American Osteopathic Assn. They also practice in 44 other countries around the world, the American Assn. of Colleges of Osteopathic Medicine says.

And just like M.D.s, D.O.s attend four years of postgraduate school, followed by a year of internship, and do at least two additional years of residency before they begin practicing medicine.

Although M.D.s are educated in allopathic medical schools and D.O.s go to osteopathic medical schools, they apply to the same residency programs and can pursue careers in any field, including radiology, surgery, pediatrics or oncology.

Today, roughly 25% of medical students across the country are enrolled in colleges of osteopathic medicine, and more than 100,000 D.O.s are in practice.

The main difference between M.D.s and D.O.s is philosophical, said Dr. Kevin Klauer, a former emergency room physician who now serves as chief executive of the American Osteopathic Assn.

In osteopathic medical schools, future D.O.s are taught to take a holistic approach to their patient's care rather than just treating an ailment.

Infused into the osteopathic curriculum is a focus on treating the whole person, including the mind, body and spirit, Klauer said.

That might mean considering how a medicine or therapy will affect the bodys other systems, or asking about depression even when a patient's primary concern is a complication with something like diabetes, he said.

M.D.s who attend allopathic medical schools may also take this same approach, but it is not built into their education in the same way, Klauer said.

This story originally appeared in Los Angeles Times.

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Trump's doctor is a D.O. How is that different from an M.D.? - Yahoo News

How One Twin Cities Clinic is Trying to Crack the Code of Complex Pain – Mpls.St.Paul Magazine

Posted: at 4:56 pm


When it comes to physical pain or problem spots, there are times when people just need more. That might mean more attention from a comprehensive team of specialists, or a deeper dive into the issues with advanced technology. Working in concert, these teams and technologies often zero in on the root causes of a condition and start patients on the road to recovery.

Many health care providers are banding together to create holistic clinics. Then they can easily team up on patients concerns in an efficient and multi-disciplinary way. Such clinics aim to help people with chronic or complicated problems that linger longer than normal, says Greg DeNunzio, MS, DC, a chiropractor and clinical coordinator of the Sweere Center for Clinical Biomechanics and Applied Ergonomics at Northwestern Health Sciences University.

The Sweere Clinic is an integrative health center that sees people with a variety of concerns. They might have headaches, concussions, back and neck pain, arthritis, carpal tunnel syndrome, balance issues, numbness, anxiety, depression, and hormonal or metabolic issues.

To address such diverse problems, the clinic is staffed with chiropractors, an acupuncturist, a traditional Chinese medicine practitioner, and a specialist in functional neurology. Eventually, it will include a physical therapist, psychologist, nutritionist, and nurse or physician assistant. Working together, the team also uses novel tools like its biomechanical technology for assessing patients gait or balance.

We welcome the tough cases, the people with complex conditions that they have not been able to get help inresolving, DeNunzio says. We want to care for people here together so we can really take care of them.

Each practitioner might approach the same problem in a different way. By combining a variety of modalities, the team can make a big difference for people, DeNunzio says. In addition to being an effective way to address concerns, its also convenient. Patients avoid needing to get referrals for different providers and travel to see them at other locations. Providers can more easily coordinate care, too.

Another important aspect of a holistic clinic is its varied diagnostic tools. They provide additional information beyond traditional assessments and can often reveal an underlying issue or condition. With these details, caregivers can effectively focus on healing an injury, preventing long-term damage, or even improving athletic performance.

The clinic offers several unique diagnostics that assist clinicians in providing personalized care. The crown jewel of the Sweere Clinic is its Biomechanics Lab, one of the few 3D movement and gaitlabs in the country. Previously reserved for Olympic and professional athletes, the labs 3D gait analysis technology is now available to any patient.

The system uses 12 infrared cameras stationed around the room, plus two video cameras, to provide a three-dimensional view of people as they run on a treadmill or do squats. Plates under the treadmill measure forces throughout the joints of the body. Its analysis gives providers a complete view of patients physical functioning.

With 3D gait analysis, clinicians assess gait patterns and compare the left and ride sides of the body to check for discrepancies. 3D squat analysis studies the core and lower extremities to gauge balance, posture, and bone densityan important evaluation for a variety of patients.

When we have measurable data, we can start to make changes and give you stretches, exercises, and muscle activation drills to try to take the stress off of joints that might be overloaded, DeNunzio explains. The clinic uses the 3D technology to help all manner of people, such as those recovering from surgery, seniors at risk of falling, or athletes who want to improve their performance.

The Sweere clinic also has a 3D CT scanner that provides a full view of the cervical spine, vertebrae, and skulla unique tool in the world of chiropractic care. It reveals more information than chiropractors would receive from manual palpationand X-rays, such as developmental anomalies.

This detail allows us to see exactly how the spine is aligned without having to guess. It allows us to see details we wouldnt normally see, DeNunzio says. Armed with that information, chiropractors, physical therapists, acupuncturists, and others can collaborateon a treatment plan that targets the exact spots causing pain or other troubles.

We want to get to the root source of a problem, and we want to do this in a timely and efficient manner," DeNunzio says. That way, clinicians can provide the right therapy for the right problem, and get patients feeling better for the short term and in the long run.

Located in Bloomington,Northwestern Health Sciences Universityis a pioneer in integrative natural health care education, offering degree programs in chiropractic, acupuncture, Chinese medicine, massage therapy, medical assisting, medical laboratory programs, post-bac/pre-health, radiation therapy, and B.S. completion. Northwestern Health Sciences University Sweere Clinic is a holistic pain management center that focuses on treating and healing complex conditions. Providers have direct access to state-of-art diagnostic equipment, including a3D Biomechanics Laband 3D CT scanner, which offer detailed, specific insights into the cause of your pain.

Join the Twin Cities top influencers in integrative health care onTuesday, October 20 from 4:30-5:30pm CSTto discuss the best treatments for our top-of-mind health woesnaturally. From chiropractic care to acupuncture and massage therapy, learn how the healing powers of these tried-and-true modalities go far beneath the surface at ourfirst-ever virtual Healthmakers.

See more content fromNorthwestern Health Sciences University.

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How One Twin Cities Clinic is Trying to Crack the Code of Complex Pain - Mpls.St.Paul Magazine

Global Vitiligo Treatment Market to Exhibit a CAGR of 5.8% and Touch USD 1,944.5 Million by 2026; Rise in the Research and Development Activities to…

Posted: at 4:56 pm


Pune, Oct. 08, 2020 (GLOBE NEWSWIRE) -- Global vitiligo treatment market is likely to gain impetus from an ever rising demand for innovative and modern treatment options for vitiligo. According to Fortune Business Insights, titled, Vitiligo Treatment: Global Market Analysis, Insights and Forecast, 2019-2026, the global vitiligo treatment market was valued at US$ 1,243.8 Mn in 2018. The market is projected to reach US$ 1,944.5 Mn by 2026, exhibiting a CAGR of 5.8% in the forecast period.

In terms of treatment, the global vitiligo treatment market is grouped into topical treatment, surgical procedures, light therapy, and others. Amongst these, the topical treatment segment had held majority of the vitiligo treatment market share. This is because of the increasing patient pool, need for numerous treatment methods for vitiligo, and an increasing number of research and development activities. However, lack of awareness regarding the available vitiligo treatment and reduction in the diagnosis rate may hamper the vitiligo treatment market growth.

Key Industry Developments:

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Increasing Number of Vitiligo Patients to Favor Growth in Asia Pacific

The global vitiligo treatment market is geographically divided into North America, Latin America, the Middle East and Africa, Europe, and Asia Pacific. Amongst these, in Asia Pacific, India, China, and the other Southeast Asian countries have been witnessing huge patient pools of vitiligo. This has further resulted in an urgent requirement for effective treatment options available of vitiligo.

The markets of Latin America and the Middle East and Africa, on the other hand are expected witness notable grow in the near future. This is because darker skinned individuals who suffer from vitiligo are demanding for modern methods of treatment that would help the condition become less noticeable on them.

In North America, the vitiligo treatment market was valued at US$ 314.1 Mn in 2018. This is because of a rise in the research and development activities and an increasing adoption of vitiligo treatment. Numerous healthcare providers in the U.S., are also implementing advanced technologies in the treatment of vitiligo.

The global economy is in absolute turmoil because of the COVID-19 pandemic outbreak. Some industries remain largely unaffected by the outbreak, some are thriving, but most are in doldrums. Although the healthcare industry is flourishing, certain markets within the industry are experiencing staggered growth. Wading through these troubled times is a difficult task and Fortune Business Insights aims at equipping your business with the most comprehensive market insights, collated and analyzed by our expert and experienced research team.

Click here to get the short-term and long-term impact of COVID-19 on this market.

Please visit: https://www.fortunebusinessinsights.com/industry-reports/vitiligo-treatment-market-100580

Key Players Focus on Effective Medicine Launch to Strengthen Market Position

Incyte Corporation, a pharmaceutical company, based in the U.S., announced the result of its dose-ranging, randomized, vehicle-controlled, and double-blind Phase 2 study evaluating ruxolitinib cream, an anti-inflammatory, nonsteroidal, and JAK inhibitor therapy in patients with vitiligo between the age group of 18 to 75 years of age. The results were out after 24 weeks. The study met its primary goal and treated many patients with the help of ruxolitinib cream for 24 weeks. The results were presented at the 24th World Congress of Dermatology in Italy. The positive result supports the potential of ruxolitinib cream in providing novel treatment for chronic autoimmune disease.

Dr. Reddys Laboratories Ltd., a multinational pharmaceutical company, headquartered in Hyderabad, announced the launch of Melgain in June 2014. Melgain is a lotion that is considered to be the first peptide-based drug for vitiligo. The lotion is effective and very safe to use for the treatment of vitiligo for children and adults.

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List of Vitiligo Treatment Market Players:

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Vitiligo Treatment Market Segmentations:

By Treatment

Topical Treatment

Light Therapy

Surgical Procedures

Others

By Disease Type

Nonsegmental Vitiligo

Segmental Vitiligo

By End User

Hospitals

Aesthetic Clinics

Others

By Geography

North America (the USA and Canada)

Europe (UK, Germany, France, Italy, Spain, Scandinavia and Rest of Europe)

Asia Pacific (Japan, China, India, Australia, Southeast Asia and Rest of Asia Pacific)

Latin America (Brazil, Mexico and Rest of Latin America)

Middle East & Africa (South Africa, GCC and Rest of the Middle East & Africa)

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Global Vitiligo Treatment Market to Exhibit a CAGR of 5.8% and Touch USD 1,944.5 Million by 2026; Rise in the Research and Development Activities to...

Trump doctor Conley degree from Philadelphia College of Osteopathic Medicine: What it means – On top of Philly news – Billy Penn

Posted: October 7, 2020 at 11:56 am


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The doctor whos been treating President Donald Trump for the coronavirus has roots in Philadelphia. Its where he trained in medicine.

Dr. Sean Conley, the 40-year-old whos been at the forefront of national health updates lately, has been the presidents physician for two years. He grew up in Doylestown, and graduated from Central Bucks High School East in 1998. His medical degree comes from the Philadelphia College of Osteopathic Medicine.

The Philly higher ed institution is not your average medical school. Turns out Conley doesnt actually have an MD degree.

Instead, hes a DO a doctor of osteopathic medicine. With that certification, Conley can do everything a regular doctor can do, like prescribe medicine and perform surgery in all 50 states.

The training is different in that it takes a more holistic look at the body than traditional medicine. It emphasizes primary care, and practices that encourage the body to heal itself rather than the immediate prescription of medicine or use of surgery to correct problems.

At first, the practice was highly controversial. During the first decade of PCOMs existence, it wasnt even legal in Pennsylvania. Over the next two centuries, debates over osteopathy continued, with traditional physicians critiquing its more controversial practices like the in the late 1800s idea to shake a child to cure scarlet fever.

In recent years, the stigma has mostly dissolved as the training and practice have themselves become more legit. Now, earning a DO degree requires the same training as an MD, plus extra coursework.

Conleys Philly alma mater is considered a pioneer in the field, and helped see it through to the modern day.

The first person to bring osteopathic medicine to Philadelphia was a woman named Clara Martin. In 1899, the city directory listed her as an osteopath, working from an office on 67th Street near the Cobbs Creek Parkway, just south of Mount Moriah Cemetery.

That same year, two physicians named Snyder and Pressly founded what would become PCOM, then called the Philadelphia College and Infirmary of Osteopathy.

Philly was experiencing a general boom in medical institutions right then, notes a published history of the school called To Secure Merit, by Carol Benenson Perloff. Episcopal Hospital, German Hospital (now Lankenau), Jewish Hospital (now Einstein Medical Center) and Presbyterian Hospital were all founded between 1849 and 1882.

PCOM first opened at 12th and Market, filling two rooms inside a 13-story office tower. Within a year, it outgrew that space and relocated to the Witherspoon building at Juniper and Walnut.

Enrollment kept growing. Many students were people inspired by seeing osteopathic doctors step in after traditional medicine had failed.

Alum Arthur Flack, who graduated in 1906, said he got interested when he saw osteopathic medicine helped cure cases of typhoid fever amid an epidemic in his hometown of Butler, Pa.

When I first became a studentmy marvel was as to the intense devotion manifested by the small group of physicians headed by you, Flack said in 1925, according to Perloffs book. Without such sincere devotion, Osteopathy today would be only a memory in Pennsylvania.

Thing is, osteopathy wasnt even legally recognized when PCOM first opened its doors.

The first attempt to legalize it in Pennsylvania passed through the state legislature in 1905, but was vetoed by then-Governor Pennypacker. It wasnt until 1909 that a Governor Stuart signed the bill to allow osteopathic doctors to apply for state licensure, 10 years after the Philadelphia college was first founded.

Licensing made the practice more popular, and PCOM continued to outgrow its facilities. The school moved to Spring Garden Street, then to 33rd and Arch, and eventually to North Broad Street.

Some drama: Before the legalization of osteopathy, the college had raised about $3,000. But the founders continued not to pay faculty with actual money for their teaching they compensated them only with stock in the school.

In 1904, faculty started demanding payment. The founders refused, and there was a theatrical back-and-forth in which the schools deans threatened to resign unless the two founders resigned. Shockingly, both founders did resign, and a board of trustees was established that still exists today.

By 1910, PCOM was considered a pioneer when it became one of the first to adapt to new statewide legalization requirements, and create a four-year program, which it maintains to this day.

After those gazillion relocations and expansions, PCOM landed at its current campus on City Avenue at the Bala Cynwyd border.

The school currently has almost 2,000 students, across areas of study like clinical psychology, biomedical sciences and forensic medicine. Like osteopathic medicine schools nationwide, its really tough to get in. In 2019, nearly 7k students applied for just 441 spots in the program.

Dr. Conley, Trumps doctor, has a degree that takes four years to complete. The first two are spent learning basic and clinical sciences, and the second two doing hands-on work in teaching hospitals.

While enrolled, the Bucks County native likely got plenty of Philly experience, since students spend four months working in city neighborhoods at PCOMs Community Healthcare Centers.

After their four years, some students declare a specialty and spend more time in school. PCOM reports that a majority of its grads end up in family medicine, general internal medicine, OB/GYN or pediatrics.

In general, osteopathic medicine has grown in popularity in recent years seen as a more hands-on version of health care. DOs work to understand how all parts of the body are connected, and take a major focus on preventative and primary care.

An osteopathic medicine student in New York told the New York Times in 2014 she became interested in the practice after a standard MD said shed need surgery to correct her chronic ear infections but then she went to a DO, who corrected the problem by stretching her neck, she said.

The infection happened because of fluid in the ear, said the student, Gabrielle Rozenberg, and the manipulations opened up the ear canal.

The practice has become widespread enough that PCOM has opened two more campuses, both in Georgia. According to the American Association of Colleges of Osteopathic Medicine, about 25% of all medical students today are training at an osteopathic school.

Excerpt from:
Trump doctor Conley degree from Philadelphia College of Osteopathic Medicine: What it means - On top of Philly news - Billy Penn

What Is a Holistic Veterinarian, and How to Find the Right One for Your Pet? – Yahoo Lifestyle

Posted: at 11:56 am


What Is a Holistic Veterinarian, and How to Find the Right One for Your Pet?

These experts are trained in natural remedies such as food, herbal medicine, and acupuncture.

Natural remedies such as food, herbal medicine, and acupuncture aren't just for humans. They are treatments for your dog, cat, or guinea pig, too, and they come from a holistic veterinarian, who uses a combination or conventional medicine and natural remedies to treat your pets' ailments.

But holistic veterinarians do more than use natural remedies. "A holistic veterinarian is looking at the pet as a whole, where everything is connected, versus just treating symptoms," explains holistic veterinarian Dr. Katie Woodley, DVM. They're concerned with sousing out the root cause of a problem, she says, and then treating that underlying issuenot just reducing its symptoms. For example, if your pet has an allergy, a conventional veterinarian might treat the problem with steroids, but the problem could return as soon as steroids are no longer administered, Dr. Woodley says. But a holistic veterinarian would look for the root cause of the allergic reactionsuch food or environmentand seek to resolve the issue in a way that does not come back, she says.

Anna Avdeeva / Getty Images

There's nothing wrong with conventional medicine, of course. Both conventional and holistic "methods have their strengths and weaknesses," says Dr. Gary Richter, DVM, owner of Montclair Veterinary Care and Rover health expert, who practices integrative medicine, which is a combination of both methods.

Related: Try One of These Alternative Treatments for Your Pet's Holistic Health

Both conventional and holistic veterinarians receive the same conventional medicine training, but holistic veterinarians further their education through the study of practices such as food therapy, herbal medicine, acupuncture, homeopathy, aromatherapy, and more, Dr. Woodley explains. Pet parents might seek a holistic veterinarian for a number of reasons, Dr. Richter says: They might prefer a holistic philosophy for their own healthcare, and want their pet to experience the same. Or, he says, they've tried conventional medicine and haven't seen the results they ideally want. A pet that's in pain, for example, may not improve with medicationbut a holistic veterinarian could try acupuncture, supplements, or herbal medicine to aid other medications, Dr. Woodley says.

Other unique treatments and services holistic veterinarians may offer could include chiropractic care, ozone therapy, or homotoxicology, says Dr. Richter, who adds that "some [treatments] are more scientifically based than others and what specific therapies are offered by a holistic veterinarian varies greatly based on their education, experience, and personal philosophy."

To find the best holistic veterinarian for youand for your pet's needsDr. Richter recommends going to the American Holistic Veterinary Medical Association's website, where you can search for holistic veterinarians in their area. There, you'll also be able to see what unique certifications a veterinarian hasso, for example, if you think your pet needs acupuncture, you can filter the results to find holistic veterinarians that provide acupuncture service in your area, Dr. Woodley says. It's always smart to check reviews too, she adds, "to see if other people have found them helpful for the care of their pet." Perusing their website and social media might help you get a sense of their philosophy, she says, and help you to determine "if it resonates with you as a pet parent."

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What Is a Holistic Veterinarian, and How to Find the Right One for Your Pet? - Yahoo Lifestyle

Digital Medicine And Remote Monitoring Receives Boost From New Playbook – Forbes

Posted: at 11:56 am


Digital medicine

A new Digital Measures Playbook was unveiled to help doctors and companies develop safe and effective clinical measures across patient care, research and public health. This is the latest multidisciplinary effort co-led by Elektra Labs and the Digital Medicine Society (DiME), a volunteer professional group created to drive scientific progress and broad acceptance of digital medicine to enhance public health in partnership with industry and academia.

The goal of The Playbook is to is provide an essential guide for successful remote monitoring across clinical research, clinical care, and public health. It is the result of collaborators from Genentech, a member of the Roche Group, Elektra Labs, Koneksa, Myokardia, Sage Bionetworks, Scripps Research as well as DiME. This first guide will be followed by an educational series, The PlaybookMasterclass, with interdisciplinary experts leading instructional sessions.

The value of remote patient monitoring dramatically increased with the COVID-19 pandemic as doctors need to closely track concerning symptoms such as worsening dyspnea from a distance. Physician scientists have called for digital systems that can provide vigilant evaluations of patients in the home for COVID-19 and also could be adapted to manage a variety of clinical conditions including hypertension, diabetes, or heart failure, where frequent human contact might be supplemented or partially replaced with digital automation and remote monitoring.

The current public health crises requires improvements in remotely monitoring and managing clinical research, routine care, and public health initiatives.The Playbookwill help address clinicians possible lack of experience implementing remote technologies by merging various frameworks for a 'how to' guide. Remote monitoring technologies are now advanced in their capabilities to detect symptoms of health and disease," said Jennifer Goldsack, executive director of DiME.

A critical benefit of remote monitoring using connected sensors is to offer a more holistic view of disease and lived experience by collecting important medical information continuously. The Playbookwill provide the foundational elements of developing and deploying high quality digital clinical measures that cut across use cases and positioning our field for a shared digital health data ecosystem, said Andy Coravos, CEO of Elektra Labs.

COVID-19 has been called an digital accelerant for remote monitoring while patients stay away from clinical settings. As research and care shift from hospital to home, there has been more adoption in the past few months in remote technologies. However, the need for sophisticated use of endpoints and digital data continues. For example, questions persist such as which digital clinical measures will best predict COVID-19 while patients are still pre-symptomatic.

Healthcare data

Efforts like the Playbook help address some concerning aspects of healthcare as costs continue to be unacceptably high coupled with with poor outcomes. Remote monitoring systems have the potential to shift this trend and be more patient-centered. Simultaneously, consumer technology giants such as Apple, Google Verily, Fitbit and Samsung have gotten clearances for personal monitoring devices, and are beginning to get broad adoption with the public, yet researchers and doctors need guidelines for how to use digital health data from remote devices.

Benchmarking digital clinical measures is an essential step in building confidence in how doctors interpret data from remote monitoring. The Playbook helps establish a roadmap for foundational processes in successful remote monitoring. Additionally different types of digital endpoints can be used in clinical trials, and to provide different levels of evidence about new medical product and interventions.

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Digital Medicine And Remote Monitoring Receives Boost From New Playbook - Forbes

Diversity in health care starts at the beginning – Nevada Today

Posted: at 11:56 am


Since 1968, National Hispanic Heritage Month has been recognized by the federal government and celebrated across the United States annually, from Sept. 15 to Oct. 15 to acknowledge the history, culture, and contributions of Americans whose ancestry can be traced to over 20 countries in Latin America, including Mexico, Central and South America, and the Caribbean. There are approximately 60 million people residing in the U.S. representing approximately 18% of the population, who have ancestries connected to these countries.

The University of Nevada, Reno School of Medicine (UNR Med) and University Health join in celebrating this annual commemoration as part of our commitment to diversity and inclusion and our ongoing efforts to increase the representation of Hispanics, and others from populations underrepresented in medicine, who serve our community as healthcare providers.

Diversity in health care benefits students and their future patients.

Diversity enhances the learning experience of all students through broadened perspectives, intellectual engagement, social skills, empathy, and racial understanding all critical components of medical education for future physicians. Ultimately, diversity helps equip future physicians to combat health care disparities, which will positively impact health care outcomes for their patients.

The future of medicine doesnt just lie in technological advancements or scientific discoveries, says first-year medical student, Leanne Perez. The future of medicine is about diversity, and reflecting a new, dynamic generation of doctors who represent every and any patient.

UNR Med is making great strides in training a broader spectrum of future physicians, capable of relating to patients and speaking their language, both literally and figuratively.

For second-year UNR Med medical student Sergio Trejo, being Hispanic and a Spanish speaker has been an enormous asset in understanding cultural subtleties and prominent social health determinants. I volunteer as an interpreter and student provider for clinics that serve underserved communities and interact with English language-challenged patients in navigating the health care field. When patients are able to precisely describe what brings them into the clinic in their own language with a health care professional who understands them, theyre overcome with a sense of relief and gratefulness. This is my motivation for dedicating my career to serving underserved populations, especially those who face massive language barriers.

Diversity in health care advances academic excellence.

The Association of American Medical Colleges (AAMC) reports that Hispanic matriculation to U.S. medical schools was 6.2% for the 2018-19 academic year. At UNR Med, the number of enrolled Hispanic medical students has more than doubled since 2011, reaching 20% for the 2020-21 academic year. In addition, more than half of the UNR Med Class of 2024 medical students represent UNR Med Mission-Based Diversity Groups, reflecting Nevadas diverse population. During this same period of time, the size of our application pool continued to grow and the average academic credentials of incoming students remained consistent or improved.

Commitment to diversity starts with engaging in outreach that exposes young people from groups underrepresented in medicine to role models and that inspires them to pursue a career in healthcare, said Tamara Martinez-Anderson, director of admissions. It is also reflected in a holistic admissions process that requires academic and professional readiness for medical school, but also considers how each candidates diverse competencies, attributes and backgrounds align with our mission and values. We know that achieving our vision of a healthy Nevada benefits when we enroll future doctors who are collaborative, resilient and adaptable and who are committed to providing compassionate, sensitive and culturally competent care.

UNR Meds total enrollment of Hispanic students is around 54 students, including the School of Medicine, Physician Assistant Studies Program and Speech Pathology and Audiology student bodies. Over the past four years, UNR Med has nearly tripled Latinx and Black faculty representation.

Diversity in health care starts long before medical school.

Pre-med pipeline programs and initiatives have been shown to help underrepresented students better prepare for the medical school admissions process. Developing and expanding these avenues of educational support continue to be a strong priority for UNR Meds Office of Admissions.

The mission of the Community of Bilingual English-Spanish Speaker Exploring Issues in Science and Health (CBESS) program is to create opportunities to position bilingual high school students as insiders into STEM-healthcare fields. CBESS aims to increase diversity in the health care workforce by providing programming for Spanish-English bilingual high school juniors through networking events with health care professionals, medical school tours, and a variety of other activities. The initiative is collaboration between the Universitys College of Education, Raggio Research Center, School of Community Health Sciences and School of Medicine.

Sergio Trejo became involved with CBESS, and his experience as a student in the program led him to choose UNR Med for medical school. Ive always been interested serving underserved communities, especially those who face prominent language barriers. I decided to attend UNR Med because Tamara Martinez-Anderson and other faculty demonstrated how UNR Med has similar goals in striving to alleviate health disparities for Nevada's underserved populations and beyond.

In support of first-generation and low-income undergraduate students who are preparing for the medical school application process, the Office of Admissions has partnered with the University of Nevada, Reno TRiO Scholars Program to offer pre-med advising and learning support. Also available is a one-year Post-Baccalaureate Certificate that provides a small and select group of students, frequently from non-traditional or underrepresented backgrounds, with the opportunity to demonstrate their academic readiness in a pipeline program that mimics the intensity of medical school.

Another pipeline program involves early interventions to make reaching the goal of medical school more sustainable over the long term. The BS-MD Program grants exceptional high school students conditional direct-entry admission to UNR Med upon completion of all requirements of a structured, four-year undergraduate pre-med program at the University of Nevada, Reno.

As a first-generation medical student, Leanne Perezs dream of becoming a physician felt discouraging at first, so the BS-MD program was key to guiding her throughout her undergraduate degree all the way to medical school. I am honored to represent the Hispanic community, as it is so important for minority populations to identify with their physicians. Coming from an underrepresented community, I am so proud to attend a medical school that prioritizes diversity and outreach.

Our commitment to diversity is a pledge to seeing that all members of our community are able to access the quality health care they need, said UNR Med Dean, Thomas L. Schwenk, M.D. In northern Nevada, we not only have great health care infrastructure but a School of Medicine that is actively partnering with our health care community to build relationships and increase access to, and equity in health care for all.

UNR Meds success in recruiting, enrolling and graduating increasing Hispanic medical students is reflective of the broader University of Nevada, Reno goal to become a Hispanic-Serving Institution, with Hispanic students making up at least 25% of the undergraduate, full-time student population.

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Diversity in health care starts at the beginning - Nevada Today

Dermatological Medicine Market Size, Share, Statistics, Trends, Types, Applications, Analysis and Forecast, Global Industry Research 2026 – Express…

Posted: at 11:56 am


Global Dermatological Medicine Market research report provides and in-depth analysis on industry and economy-wide database for business management that could potentially offer development and profitability for players in this market. The Dermatological Medicine market report discusses all major market aspects with expert opinion on current market status along with historic data. This market report is a detailed study on the investment opportunities, market statistics, growing competition analysis, major key players, industry facts, important figures, sales, prices, revenues, gross margins, market shares, business strategies, regions, demand and developments.

The Dermatological Medicine market report contains a holistic analysis of this business domain, with respect to the key growth drivers, opportunities, and restraints. The document scrutinizes the impact of COVID-19 pandemic on the growth matrix of this vertical. Moreover, it provides crucial information regarding the competitive landscape and assesses popular tactics employed by leading participants in order to adapt to the market instabilities.

Major highlights from COVID-19 impact analysis:

Request Sample Copy of this Report @ https://www.express-journal.com/request-sample/215486

An overview of the regional analysis:

Additional highlights from the Dermatological Medicine market report:

Key Questions Answered:

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Dermatological Medicine Market Size, Share, Statistics, Trends, Types, Applications, Analysis and Forecast, Global Industry Research 2026 - Express...

Traditional Chinese Medicine Market to Exhibit Impressive Growth of CAGR during – News by aeresearch

Posted: at 11:56 am


Global Traditional Chinese Medicine Market research report provides and in-depth analysis on industry and economy-wide database for business management that could potentially offer development and profitability for players in this market. The Traditional Chinese Medicine market report discusses all major market aspects with expert opinion on current market status along with historic data. This market report is a detailed study on the investment opportunities, market statistics, growing competition analysis, major key players, industry facts, important figures, sales, prices, revenues, gross margins, market shares, business strategies, regions, demand and developments.

The Traditional Chinese Medicine market report contains a holistic analysis of this business domain, with respect to the key growth drivers, opportunities, and restraints. The document scrutinizes the impact of COVID-19 pandemic on the growth matrix of this vertical. Moreover, it provides crucial information regarding the competitive landscape and assesses popular tactics employed by leading participants in order to adapt to the market instabilities.

Major highlights from COVID-19 impact analysis:

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An overview of the regional analysis:

Additional highlights from the Traditional Chinese Medicine market report:

Key Questions Answered:

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Traditional Chinese Medicine Market to Exhibit Impressive Growth of CAGR during - News by aeresearch

Products to treat symptoms of autism spectrum disorder launched in dispensaries across Louisiana – The GrowthOp

Posted: at 11:56 am


A partnership between Ilera Holistic Healthcare and Southern has paved the way for the release of two new cannabis tinctures in Louisiana designed to reduce autism spectrum disorder (ASD) symptoms, regardless of age.

Touted as the first medical marijuana (MMJ) product in the state, its release was made possible by scientific research, according to Louisiana-based Ilera Holistic.

The research shows that cannabis is safe and effective on patients (including children) to treat ASD, the company statement notes. Patients who use cannabis have reported significant improvement in quality of life, mood and sleep, as well as less reliance on other medications, it adds.

Louisiana exceeds the national percentage of autism diagnoses, while at-risk and under-served patients still struggle to receive safe and effective healthcare, Dr. Chanda Macias, Ilera Holistic CEO, notes in the statement.

Called HOPE, the product was formulated by Zelira Therapeutics and will be available through state-licensed MMJ pharmacies to patients and families who have a doctors prescription. The product is gluten-, dairy-, soy- and nut-free, pesticide-free and lab-tested. It will be available in a 1:1 THC:CBD tincture and a 5:1 THC:CBD tincture.

Louisiana families deserve full access to all the benefits that cannabis medicine can provide, and we are thrilled to have HOPE in this market and available to everyone, Dr. Macias says.

Erica Daniels, pictured with her son Leo, founder of Hope Grows for Autism, developed the formulation for HOPE with Zelira Therapeutics. / Ilera Holistic Healthcare/ Photo: Ilera Holistic Healthcare

Now, more than ever, patients are struggling with the symptoms associated with autism, says Erica Daniels, founder of the non-profit Hope Grows for Autism, who developed the formulation with Zelira Therapeutics.

The product is grown, cultivated, processed and packaged in Louisiana through the Ilera Holistic and Southern University partnership. Its launch in the state follows the release in Pennsylvania.

Noting its pride in being associated with the new product, Janana Snowden of Southern Universitys Agricultural Research and Extension Center adds: The work we do aims to not only provide valuable research but to also provide potentially beneficial and accessible treatments for symptoms due to conditions that thousands of people live with daily, like autism.

AYOs Hope 1 + Hope 2, a medical cannabis product scientifically formulated for autism patients of all ages. / Photo: Ilera Holistic Healthcare/ Photo: Ilera Holistic Healthcare

Not all studies have come to the same conclusions, of course, but research published two years ago found that there was an improvement in symptoms for most children when they were treated with high-CBD, low-THC medical cannabis. Taking into account symptoms that include restlessness, rage attacks and agitation, following six months of daily cannabis treatment, 80.1 per cent of patients reported improvement of their symptoms, with 30.1 per cent reporting significant improvement.

And a review from last year cites a study that found the quality of life was better for some children and teens with autism who were treated with cannabis oil containing 30 per cent CBD and 1.5 per cent THC.

Want to keep up to date on whats happening in the world of cannabis? Subscribeto the Cannabis Post newsletter for weekly insights into the industry, what insiders will be talking about and content from across the Postmedia Network.

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Trump’s doctor may be the first osteopathic physician to serve as presidential physician. What is a D.O.? – Las Cruces Sun-News

Posted: at 11:56 am


President Trump's doctor said Trump is not currently on oxygen, but would not say whether he ever received oxygen since his COVID-19 diagnosis. USA TODAY

LAS CRUCES As President Donald Trump spent last weekend atthe Walter Reed National Military Medical Center in WashingtonD.C.receiving treatment for COVID-19 disease, his physician entered the spotlight as he presented daily updates about the president's condition.

Some of the attention on Navy Cmdr. Sean Conley arose from contradictory information he provided over the weekend, and when he admitted Sunday that, despite his cheerful presentation on the president's health Saturday, he had not disclosed that the president had received supplemental oxygen and was taking a steroid medication generally prescribed in severe cases of coronavirus infection.

Explaining the lack of disclosure, Conley told reporters he had been "trying to reflect the upbeat attitude that the team, the president, over his course of illness, has had."

The man overseeing and explaining the president's treatment is also reportedlythe first physician to a sitting president to hold a Doctor of Osteopathic Medicine degree rather than an MD, or Doctor of Medicine.

Dr. Sean Conley, physician to President Donald Trump, briefs reporters at Walter Reed National Military Medical Center in Bethesda, Md., on Saturday.(Photo: Susan Walsh/Associated Press)

Like MDs, osteopathic doctors are state-licensed physicians who can prescribe medication and treat patients through the United States and receive similar training, but with a different viewpoint on the body's health and healing capacities.

To review the distinctions between a DOand an MD, the Las Cruces Sun-News spoke with physician Bill Pieratt, who serves as dean and chief academic officer at the Burrell College of Osteopathic Medicine in Las Cruces, N.M.

The private medical school was founded in 2013 and welcomed its first students in 2016. Its first graduating class, consisting of 133 medical students, conducted its commencement in May of this year.

This conversation has been edited for brevity and clarity.

Las Cruces Sun-News: To start with, what is the distinction between a DOand an MD?

Physician William Pieratt is the Dean and Chief Academic Officer of the Burrell College of Osteopathic Medicine in Las Cruces, N.M.(Photo: Burrell College of Osteopathic Medicine)

Pieratt: It really is a different philosophy of healing. Osteopathic medicine focuses on wellness and the body's ability to kind of self-regulate, self-heal and achieve that equilibrium. It does that through osteopathic manipulation techniques (OMT) to identify any sort of dysfunction and restore function, alignment, balance and so forth.

Those techniques may be different types of musculoskeletal manipulations or adjustments. There are also muscular stretches and counter-stretches. There are soft tissue techniques that augment lymphatic flow.

We use the same techniques as allopathic medicine and then add these osteopathic principles and techniques.

On the allopathic side, there has been a more contemporary approach, to come alongside the osteopathic philosophy of taking a more holistic approach and facilitating wellness, not simply limiting practice to the treatment of disease.

Sun-News: Please clarify what is meant by the term "allopathic"medicine.

Pieratt: Allopathic medicine is just the term used for what is considered the more traditional western medical training (leading to an MDdegree).

Sun-News: Is there a tension between these approaches?

Pieratt: If you go back probably to the early 20th century, even into the mid-20th century, there was probably more tension. The osteopathic training and profession was probably less well-known and less well understood.

Today an undergraduate student who wants to become a physician is going to take the same foundational science courses andthe sameMedical College Admission Test. Infact, many students apply to both MDand DO-granting medical schools. Both of those schools are four years in duration and when you graduate you have a medical degree that then permits you to enter a residency training program, which is the next step in becoming a practicing, licensed physician.

The residency programs accept both MDand DOgraduates. Upon completion of a residency, a physician then is "board eligible" to sit for a board certification exam.

There are DOphysicians in every sub-specialty of medicine and surgery just as there are traditional MDphysicians. DO's aren't really limited to practicing a specific discipline of medicine. They are licensed and trained in the same disciplines that MDphysicians are.

We follow the same licensing the same board certification and maintain the same license requirements, the rights and privileges and responsibilities, and that's all governed at the state medical board level.

The additional curriculum that applies to the osteopathic principles and techniques accounts for about 200 extra hours within the medical curriculum.

For statewide and local reporting, subscribe to the Las Cruces Sun-News today.

Sun-News: For those not familiar with it, what is osteopathic manipulation?

Pieratt: It's a hand-on approach. There are techniques intended to both diagnose and treat some of the imbalances and dysfunctions that may impede the body's physiology and its ability to regulate and heal.

Some of it may be musculoskeletal, some of it may be related to physiology and the balance of not just the musculoskeletal system but the lymphatic system, the immune system and so forth.

William Pieratt, the Dean and Chief Academic Officer of the Burrell College of Osteopathic Medicine, stands outside the college entrance, located on the campus of New Mexico State University in Las Cruces, N.M.(Photo: Burrell College of Osteopathic Medicine)

Sun-News: Have there been changes of practice in osteopathy and/or allopathic practice that have changed the relationship between them?

Pieratt: It used to be the emphasis in osteopathic medicine was more on primary care than specialties. Historically, you had more DO's going into things like family medicine and internal medicine and pediatrics, but today you have DO's practicing in all specialties and sub-specialties of medicine. You have DO's who are neurosurgeons and dermatologists and heart surgeons. There is not an area of medicine where a DOdoes not or cannot practice.

Where things have changed the most have been in the residency trainings. There used to be separate osteopathic residency programs, and now you have MDgraduates and DOgraduates training alongside each other in common programs that accept both.

In doing that, I think it improves the working relationship between the two and it sort of demystifies the differences.

MDand DOphysicians train alongside each other in residency,they practice alongside each other, and they often participate in the care of a given patient together. It's like any other working relationship where you assess someone for their competency, not based on what you think you understand about their background or their training.

Algernon D'Ammassa can be reached at 575-541-5451, adammassa@lcsun-news.com or @AlgernonWrites on Twitter.

Correction: The headline and textnow correctly refer to "osteopathic physician" and "Doctor of Osteopathic Medicine."

Read or Share this story: https://www.lcsun-news.com/story/news/education/2020/10/05/trump-doctor-sean-conley-do-osteopathic-medicine-vs-allopathic/3625526001/

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Trump's doctor may be the first osteopathic physician to serve as presidential physician. What is a D.O.? - Las Cruces Sun-News

Making the Case for Expanded Nurse Practitioner Scope of Practice – PatientEngagementHIT.com

Posted: at 11:56 am


October 06, 2020 -Expanding nurse practitioner scope of practice is the first step to empowering advanced practice providers (APPs) in leading patient care and ultimately addressing gaps in patient access to care, according to a paper in the International Nursing Review.

Specifically, the papers authors contend that the COVID-19 outbreak has laid the groundwork for permanently expanding nurse practitioner scope of practice. Through a review of literature accessed via PubMed, Google Scholar, the ICN, World Health Organization (WHO), United Nations (UN), as well as the professional experiences of the article authors, the researchers asserted that it is high time the international medical community, including leaders in the US, embrace full practice authority for nurse practitioners.

Nurse practitioners, the authors stated, are advanced practice providers (APPs) with highly specialized medical skillsets. Nurse practitioners and other APPs are increasingly proving their worth, the authors argued, although they are not realizing the benefits through expanded scope of practice.

This has been brought to bear during the COVID-19 pandemic, when healthcare organizations and systems around the globe have been confronted with unimaginable circumstances. Even in highly developed nations, like the US, resources have been scarce and patient access to care has been challenging.

Howhealthcare systems are leveraging their workforce skills is accelerating not only COVID19 identification and treatment but also bringing us closer to the ideals of [university health care] for all people, the researchers wrote.

READ MORE: Nurse Practitioners Say Expanded Scope of Practice Key for COVID-19

In the US, nurse practitioners have been instrumental in dealing with these challenges.

For example, amid the resource constraints during this pandemic, a number of statelevel governments in the United States have suspended the requirement for APNs to hold collaborative practice agreements with physicians, thereby granting nurse anaesthetists and NPs full practice authority, the authors continued. This allows clinicians, such as NPs, to perform at the highest level of their training and competency and respond accordingly to the emerging needs of the public duties they have been both prepared for and licensed to fulfill.

Tapping their own practical experience, the article authors explained that nurse practitioners have been overextended during the COVID-19 crisis and have played an important role in leading care teams in highly specialized care for extremely sick patients.

That level of knowledge is going to be instrumental moving forward, leaving nurse practitioners in an important position to contribute to innovative care delivery in the future. This will only be made possible if all nurse practitioners enjoy expanded scope of practice, the authors suggested.

Of course, nurse practitioners have been key leaders in patient-centered care even before the COVID-19 outbreak, the authors continued. In a world where nearly 400 million people dont have access to basic medical carea problem thats pervasive even in highly developed nations like the USexperts have long pondered the effectiveness of deploying more nurse practitioners as patient care leaders.

READ MORE: Why Nurse Practitioners Are Pivotal in Health Equity Work

Separate studies have corroborated this. In 2018, United Health Group said nurse practitioners and other APPs could reduce the physician shortage by nearly 70 percent. A 2019 Annals of Family Medicine showed that advanced practitioners like nurse practitioners have been instrumental in meeting overwhelming patient access to care needs following the Affordable Care Act implementation.

Systematic analyses suggest NP performance leads to comparable physician outcomes with improved access for rural and remote populations and increased costeffectiveness, the researchers added. NPs also demonstrate high rates of patient satisfaction, spend more consultation time with patients and are likely to have an increased number of return visits when compared to other primary care providers.

The researchers also remarked on the contentious debate about granting broader nurse practitioner scope of practice, particularly the critique issued by some physician groups when the industry broaches the topic of scope of practice.

Contrary to much debate, it is not about a contest among professions: NPs vs. physicians. The essential goal is that of achieving transdisciplinary partnership to deliver highquality and costeffective UHC in alignment with the WHO, the researchers said.

To deliver on a future where nurse practitioners can lead care teams using their unique expertise, the researchers said the industry needs to take three collective steps.

READ MORE: Building A Culture of Nurse Excellence to Drive Patient Satisfaction

First, APPs and nursing leaders need to educate the medical industry and other practitioners about how nurse practitioners can expand access to healthcare. This effort should emphasize the holistic nature of nurse care practices.

Second, healthcare organizations need to facilitate the policies that would enable broader scope of practice and more practice authority, the authors said. Central to this will be offering appropriate compensation to nurse practitioners.

Third, healthcare organizations need to offer titles to their clinician employees that accurately reflect their level of expertise.

Descriptions such as physician extenders, task shifting or midlevel providers do little to instill patient trust nor do they empower NPs to provide optimal, autonomous and evidencebased care services, the researchers asserted. They should be referred to in the literature and across care domains as Nurse Practitioners to reflect their unique contribution and professional preparation.

As the healthcare industry continues to work toward equitable access to care, patient-centered care, and more holistic treatment solutions, there is a place for nurse practitioners to be care team leaders, the authors pressed.

Their training in advanced clinical care positions them to respond to individual and communitybased needs for the public, particularly during the COVID19 era and in the likely event of future public health emergencies, the report authors concluded. Ongoing empirical data and health policy that supports the safe expansion of NPs practice is critical to determining their influence in the future.

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Making the Case for Expanded Nurse Practitioner Scope of Practice - PatientEngagementHIT.com

Mental Health Awareness Month focuses on helping students through pandemic – University of Pittsburgh The Pitt News

Posted: at 11:56 am


The ongoing COVID-19 pandemic has brought uncertainty about jobs and health for many Americans. Cassandra Long, a University Counseling Center staff clinician, said college students also face increased anxieties about paying for college, online courses and the increase in social isolation. She said a focus on holistic health is the key to managing this additional stress.

When we do not take care of our mental health, it impacts our ability to cope with everyday life stressors and limits the contributions that we can make to our relationships and environment, Long said. In order for students to thrive during their collegiate experience, they need to focus on their holistic well-being, which includes an emphasis on their mental health.

Pitts Mental Health Awareness Month officially began on Oct. 1 and will last throughout the month of October. MHAM consists of various virtual events such as open mic nights, webinars and art exhibits that aim to raise awareness for mental health, change the stigmas surrounding mental illnesses and remind students of resources around campus that can help them in their mental health journey.

MHAM was organized by the Student Government Board, the University Counseling Center and student mental health organizations such as the Pitts chapters of the National Alliance on Mental Illness and Active Minds. According to Student Affairs spokesperson Janine Fisher, MHAM has been formally celebrated at Pitt every year for at least the past decade. The events this year focus on mental health aspects surrounding the Black Lives Matter movement and COVID-19 pandemic.

Danielle Floyd, the chair of the SGB wellness committee, said MHAM planners intentionally wanted to address the unprecedented challenges college students have faced from the pandemic and social justice movements.

It would be tone-deaf to ignore how much these things are impacting our students, Floyd, a sophomore economics major, said. We have been placed under an extreme amount of stress due to the combination of the uncertainty of the pandemic and the need to keep up their grades.

Jay Darr, the director of the University Counseling Center, said the pandemics uncertainty can bring up natural responses of fear and anxiety.

Its important to frame discussions about COVID and mental health around the concept that were having a common or normal response (e.g., fear, worry, irritability, decreased ability to concentrate, changes in appetite, sleep, substance use, etc.) to an abnormal situation, Darr said in an email. Further, it is well documented that the pandemic has exprobated preexisting barriers to accessing mental health care, especially for BIPOC communities.

Graham Dore is the president of the Pitt branch of NAMI, an organization that aims to spread mental health literacy around campus for students and faculty. He said besides working to plan events, SGB leaders asked mental health club leaders for guidance on how to respectfully approach conversations about mental illnesses without feeding into the stigmas surrounding them.

According to Dore, a senior neuroscience and psychology major, about 90% of MHAM volunteers participated in stigma training, which included conversations on defining stigmas and how to have healthy and destigmatized discussions about mental illnesses.

Kamakashi Sharma is the president of Pitts chapter of Active Minds, an organization that works on addressing and destroying stigmas surrounding mental health. Sharma said organizers purposefully created MHAM events to address mental health within minority groups, as well as events to help students struggling with mental health amid the pandemic.

We hope that through this month, the student body will be able to interact with discussions and webinars about mental health in these specific contexts, Sharma, a junior neuroscience, psychology and French triple major, said. As the main goal of Active Minds is to destroy the stigma around mental health, seeing the diverse events for MHAM is exciting, as the discussions around mental health will only expand from here.

Isabel Dobbs, vice president of Active Minds, said the organization stands out with its focus on peer support.

Active Minds specifically works through a peer-education model in which peers help to advocate and raise awareness to other peers, Dobbs, a junior neuroscience and psychology double major, said. During COVID, we have been lucky to move to a virtual model to meet as a club and discuss ideas, and we have also been working with other groups on campus to host events for MHAM and beyond.

Active Minds has planned three webinars for MHAM. The first webinar, which occurred Thursday, discussed Active Minds Validate, Appreciate, Refer module. Sharma said the module is designed to help individuals in supporting a peer when theyre struggling with their mental health.

Active Minds will host its second event, What is Therapy, on Oct. 15 with the goal of educating students about the basics of therapy. The event will include a discussion of resources and the diverse scope of mental health care. Finally, the group will host a lineup of local mental health professionals speaking about how mental health is related to their career or experiences on Oct. 22.

For MHAM, Dore said NAMI created a virtual art exhibit, titled Putting Mind Into Matter: An Art Exhibit on Mental Health and Creativity, in conjunction with the Center for Creativity and the studio arts department. Students and faculty were asked to submit artwork expressing their mental health journey. According to Dore, they received about 20 pieces and will keep the submission period open through the month.

For those interested in learning about what Pitt is doing to support students during the pandemic and the Black Lives Matter movement, Floyd said she recommends attending the SGB town hall on Oct. 20. The town hall will feature Darr, Dean of Students Kenyon Bonner, Dr. Anantha Shekhar, senior vice chancellor for health science and school of medicine dean, and Clyde Pickett, vice chancellor for diversity and inclusion.

With all of the events offered this month, Dore said he encourages students to carve out time to attend events to take care of their mental health.

Mental health is for everyone, Dore said. I know that sometimes, it can be hard to find a little bit of time to set aside an hour or two hours or something to do these maybe youre just not available. But, if you are available to attend any of them, I really recommend that.

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Mental Health Awareness Month focuses on helping students through pandemic - University of Pittsburgh The Pitt News

Will Trump, Congressional Infections Boost Innovations For Covid-19 Survivors? – Forbes

Posted: at 11:56 am


The addition of President Trump to the list of the politically powerful who've been infected by the ... [+] coronavirus could boost support for innovations for Covid-19 survivors

When powerful politicians confront a life-threatening diagnosis, it can change policy priorities.

In addition to President Trump and a slew of top aides, five U.S. senators and 15 members of the House of Representatives have now tested positive or been presumed positive in tests for Covid-19 as of Oct. 5, according toa running tally by National Public Radio(NPR).

In that light, the recent burst of coronavirus infections could accelerate three significant innovations affecting every Covid-19 survivor.

1) Post-Covid Clinics

Even seemingly mild encounters with the coronavirus can trigger a cascade of lingering health consequences. While there is no consensus definition of post-acute Covid-19, notedan Oct. 5JAMAcommentary, symptoms that have been reported include joint pain, chest pain, fatigue, labored breathing and organ dysfunction involving primarily the heart, lungs and brain.

Asurveyby Survivor Corps, a patient support group, and the Indiana University School of Medicine found that Covid long haulers often suffer from painful symptomsthat some physicians are unable or unwilling to help patients manage. A similar survey by the Body Politic Covid-19 Support Groupconcluded thatCovid long-haulers face stigma and lack of understanding [that] compromise access to health care and quality of support.

Its a nightmare, a coronavirus survivor in her 40s told me. (Like other long-haulers, she asked not to be named.)

The woman recalled going to the emergency room (ER) with tightness in her chest and trouble breathing. If someone barely touched her stomach, she screamed in pain. Her primary care physician eventually recommended she see a cardiologist and a gastroenterologist, but there was neither coordination nor urgency. As she waited a month for the gastroenterologist, my stomach was bloating like I was pregnant, and it was hard to breathe. No one was listening to me.

Enter Post-Covid, or Covid-19 Recovery clinics. The centers aim to bring together medical professionals across a broad spectrum, from subspecialists to social workers, according to arecent articleinKaiser Health News. Based on the number of positive tests in the UnitedStates, a half million people could already have long-lasting coronavirus symptoms, one expert said.

One of the first and largest of these clinics was opened by New YorksMount Sinai Health Systemin May. A partial list of others includes the Hackensack Meridian Health System in New Jersey, the University of Pennsylvania Health System and University of California-San Francisco.

But while post-Covid centers promise more holistic, coordinated and cost-effective care, innovation doesnt guarantee adequate insurance reimbursement for financially struggling hospitals.

Thats where political power comes in. With some 20 Congressional Covid-19 survivors (and counting?), as well as the president, theres an impressive, bipartisan group potentially pushing to make certain Covid long-haulers can access the services they need.

2) Patient-generated health data

One way long-haulers have tried to fight what theyve felt was physician indifference is by generating their own data at home.

The woman in her 40s quoted above says she uses apulse oximeter, a blood pressure monitor and a thermometer, as well using the Apple Watch to monitor heart rate. A Body Politic member in his 30s told me, I had to literally bring in my own heart rate monitor and demonstrate my elevated heart rate in real time to be taken seriously.

Meanwhile, a long-hauler in her 30s, a certified physician assistant, says shes deployed a variety of devices to avoid what could have been multiple trips to the ER.

I have episodes of air hunger now, where I feel like Im suffocating, the woman said. When that happens, she checks her blood oxygen level and often finds, it may feel like youre not breathing, but you are.

A recentcommentaryin theMayo Clinic Proceedingsargued that use of patient-generated data must become routine in primary care.

The authors wrote, Integration of technology-assisted tools, including symptom-checker apps, Web-based screeners and wearable devices, into health systems electronic health records (EHRs) holds promise to make the most of every precious encounter between patients and physicians.

Covid restrictions accelerated eased payment rules for telehealth visits. A push for mainstreaming of patient-generated health data into the EHR seems inevitable. The political momentum will be aided both by politicians personal experience and the encouragement of clout-heavy companies in the self-monitoring space, includingApple,Fitbit(which has agreed to merge with Google) andothers.

3) Patients as research partners

When AIDS activist Larry Kramer died in July, Dr. Anthony Faucirecalledhow the two had gone from fierce foes to fast friends as Fauci, in the 1980s and now head of the National Institute of Allergy and Infectious Diseases, came to understand the crucial role patients can play in successful research.

That realization throughout the National Institutes of Health (NIH) was reflected in theSeptemberNIH Directors Blog. NIH director Dr. Francis Collins called the long-haulers organized by Body Politic citizen scientists, praised their talent and creativity and pointedly mentioned the group meeting with the Centers for Disease Control and Prevention (CDC) and the World Health Organization.

Separately, the independent Patient-Centered Outcomes Research Institute (PCORI) has already year pumped outnine separate Covid-related grants. Taken together, the NIH, CDC and PCORI actions constitute a clear signal by the politically attuned scientific elite that the patient-as-partner is central to Covid-19 research related to prevention, treatment and community outreach.

President Trumpcalled what hed learned about Covid-19after being infected the real school. Meanwhile, the virus hasgradually spreadthrough Republican- and Democratic-leaning states alike. If theres a silver lining, its that recent lessons learned could now spur a bipartisan consensus to support innovations addressing the needs of survivors.

Full coverage and live updates on the Coronavirus

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Will Trump, Congressional Infections Boost Innovations For Covid-19 Survivors? - Forbes

Venice Family Clinic Marks 50 Years of Helping Those Who Need It Most – LAist

Posted: October 6, 2020 at 7:01 am


Imagine you're a single parent who has to make a terrible choice of seeing a doctor for a scary infection or putting food on the table. Or if you're living on the street and sustain an injury, but you know that you'll be turned away at a regular doctor for lack of insurance and paperwork. Or maybe your stress and anxiety have reached the cracking point and you need help, now, but don't know where to turn. Add a pandemic to the mix, as well as deep divides over racial and economic inequality, and there are even more challenges to basic survival for the most vulnerable among us.

Fortunately, there are angels in the midst of all this, and you'll find plenty of them at Venice Family Clinic, which marks its 50th year of service to the community in October. More than 350 staff and nearly 1,400 volunteers, including medical professionals, therapists, and others, offer patients a holistic approach to healthcare, with the full understanding that public and personal health depends on entire systems. In addition to providing medical and dental care to more than 28,000 community members each year, the Clinic, with 14 locations, also delivers important programs such as substance use treatment, mental health services, vision screenings, child development classes, health education, prescription medications, domestic violence counseling, HIV services, street medicine for people experiencing homelessness, and health-insurance enrollment services. Before the pandemic, the Clinic provided nutritious fruits and vegetables to 200 people every two weeks, but has since ramped up to expand fresh food distributions to at least 1,700 people every week. There are also plans underway to expand the Early Head Start program for preschool-aged children.

Venice Family Clinic Board Chair Joan E. Herman says the clinic has helped transform the lives of many low-income people in the region. "Venice Family Clinic's integrated approach to providing comprehensive primary health care recognizes that both clinical and social factors impact our patients' health and well-being. It has become a powerful advocate and catalyst for creating healthier families and, by extension, healthier communities. In the middle of a pandemic, and with long overdue conversations about health and racial equity at the forefront, the Clinic and its leadership are more important than ever."

To honor its 50 years of groundbreaking work, the Clinic will host a Week of Action Oct. 11-17 that includes motivating our community to help its most vulnerable neighbors with food and meal distribution, voter registration, creation of homeless hygiene kits, toy drives for the holidays, reading to kids, and assembly of back to school backpacks.

Whether you need help or you're in a position to offer time, talent or donations, visit venicefamilyclinic.org/50years.

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Venice Family Clinic Marks 50 Years of Helping Those Who Need It Most - LAist

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