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Avoiding red or processed meat doesn’t seem to give health benefits | New Scientist

Many health bodies have said in the past that people should limit their red meat intake

Owen Franken/Corbis Documentary/Getty

Owen Franken/Corbis Documentary/Getty

There are no health reasons to cut down on eating red or processed meat, according to a new review of the evidence. The claims, which contradict most existing dietary advice, come from a review of existing studies led by the Spanish and Polish Cochrane Centers, part of a global collaboration for assessing medical research.

Numerous health bodies have said for decades that we should limit our intake of red meat because it is high in saturated fat, thought to raise cholesterol levels and cause heart attacks. More recently, both red and processed meat have been linked with cancer.

In the latest review, though, the authors came to a different conclusion because they considered separately the two main kinds of research. The best evidence comes from randomised trials. In these, some participants are helped to change their diet in a certain way, such as eating less meat, and the rest aren’t. At the end, the health of the people in the two groups is compared.

But such trials are costly and hard to do. According to one estimate, only about 5 per cent of nutrition studies are large, good-quality randomised trials. It is much more common to do research that just observes what people choose to eat undirected. Known as observational studies, these are notoriously open to bias and can give misleading results.

Bradley Johnston of Dalhousie University in Halifax, Canada, and his colleagues first reviewed all previous observational studies looking at the health impact of eating red or processed meat. These pointed to a “very small” adverse effect on deaths, heart disease and cancer.

Then they separately reviewed the 12 randomised trials that have been done in this area, and found that there was little or no health benefit for people who cut down on eating these meats. Based on these findings, the authors conclude that people should “continue to eat their current levels of red and processed meat unless they felt inclined to change them themselves”. However, they added that some might want to change their diet because of animal welfare or environmental reasons.

“It may be time to stop producing observational research in this area,” Tiffany Doherty from Indiana University’s Pediatric and Adolescent Comparative Effectiveness Research team wrote in an accompanying editorial.

Duane Mellor, a spokesperson for the British Dietetic Association, says people shouldn’t take the advice as a green light to eat more red meat. “What it doesn’t say is that we can tear up the guidelines and start eating twice as much meat. But red meat three times a week is not a problem.”

Journal reference: Annals of Internal Medicine, DOI:

More on these topics:

This content was originally published here.

HENRY the Dentist is bringing quality dentistry to the workplace – MedCity News

It turns out that reluctance in visiting the dentist isn’t just limited to children. According to a report from the American Dental Association, more than half of adults with private dental insurance haven’t visited the dentist in over a year.

Regular dental care helps avoid more serious and costly dental procedures down the road and can highlight potential conditions like cardiovascular disease or diabetes.

New Providence, New Jersey-based HENRY the Dentist was designed to overcome the general hesitance of going to the dentist by providing services using its fleet of RV-sized mobile practices to allow employees to get dental care at their worksite.

Since its launch in 2017, the startup has signed up more than 70 customers including major enterprises like Merck, ADP and Vonage.

The startup’s mobile practices have three chairs and can see 24 patients a day. HENRY works with its client to determine the length of stay and how many times the company returns throughout the year.

The 40-person company has been boosted with a $10 million in funding led by Forerunner Ventures to expand its service offerings across New Jersey and Pennsylvania and in metro areas like New York City and Atlanta. San Francisco-based Forerunner has backed a number of successful consumer brands including Warby Parker, Jet and Hotel Tonight. 

HENRY CEO and co-founder Justin Joffe said the company was formed to update the staid image associated with dentistry and create a new Uber-like experience for patients. Joffe started the company with his wife Alex after seeing how the largely fragmented industry has failed to update its customer experience in line with other segments.

Mobile dental models have been around for a while, but Joffe pointed to his company’s differentiator as offering a full medical team as part of its mobile practice. Every HENRY mobile clinic includes a dentist, a dental assistant, two dental hygienists and one office manager.

Besides performing dental checkups, teeth cleanings and teeth whitenings, the mobile practice has the ability to fill crowns, custom fit night guards and even perform quick turnaround impressions and orthodontics work through its physical clinic.

The founding team’s experience building consumer brands has also helped them develop an updated and more comfortable experience for patients.

Instead of flipping through outdated magazines in the waiting room, patients make their appointments online and are greeted to a visit where they are outfitted with Bose headphones, have their choice of entertainment options and enjoy a massage-featured exam chair.

The company’s expansion is based around a hub-and-spoke model, with mobile clinics built around a physical brick-and-mortar location that provides enhanced specialty services and lab work. Currently the company has one physical practice in New Jersey, but is working on opening its second location in Pennsylvania.

HENRY dentists are salaried, which Joffe says incentivises clinicians to provide better and more preventive care. The company also works to ensure the same dental team is matched up with the same companies for greater continuity of care.

HENRY’s services are offered at no additional charge to its employer clients. By working with insurers like Aetna, Cigna Delta Dental – who are looking to boost utilization – the company ensures that its providers are in-network with major plans.

Ashley Thomas, a wellness coordinator at real estate company Realogy, helped institute HENRY’s services at a former employer and plans to do the same at her current company. 

“My primary dentist’s office felt like it was stuck in the 1970s,” Thomas said. “HENRY felt shiny, clean, high-tech, convenient and 21st century. I mean, I don’t know many dentists offices that let you watch TV while getting your teeth cleaned.”

Thomas added that HENRY helped her team with the outreach necessary to get employees engaged with the mobile dentistry service.

Joffe said the company is hoping to build on its strong momentum into 2020, with a planned Series B funding round to fuel expansion into five more states. Joffe’s growth plan calls for a presence in 15 to 20 states in three years as the company looks to develop national relationships with its existing employer clients.

As it expands, Joffe said the company is experimenting with new delivery methods for its services, including HENRY in the Boardroom, which would bring clinicians directly into the office for scheduled practice hours.

“We works with these great brands and companies and they often have phenomenal dental plans,” Joffe said. “Everyone needs preventive care and we’re proud to build a company that increases access to care and improves the experience for both patients and providers.”

Picture: HENRY the Dentist

This content was originally published here.

PROFILES IN SUCCESS: Cavanaugh takes hoops lessons into his work as an orthodontist

As Robert Cavanaugh walked through the Old Town Banquet Hall in Valparaiso last month, the former Valparaiso High School and Valparaiso University basketball player was struck by the amount of meaningful relationships he’d made with people in the room over the years.

Cavanaugh was one of 10 individuals inducted into the Valparaiso High School Hall of Fame on Jan. 20, and while he had two tables of supporters, Cavanaugh spent plenty of time floating around the room.

Joe Otis was holding court on one side of the room, telling old basketball stories. Mike Jones and Scott Anselm traded stories while forming a unique bond with Cavanaugh with the three having played for both the Vikings and the Crusaders. Former coach Bob Punter told a tale or two before introducing Cavanaugh to the audience.

The honor of getting inducted into the Hall meant a lot to Cavanaugh, an orthodontist with Cavanaugh & Nondorf Orthodontics, but the people is what he’ll remember.

“(Getting inducted) was kind of humbling,” Cavanaugh said. “The best part of it was going to the event and seeing all these people that were such a big part of my life. The evening itself was really neat because of getting to spend time with so many different people.”

Cavanaugh knows a lot of people simply because he is as ingrained in the Valparaiso community as one can be. He and his wife, Heather, have five children that have come up through the Valparaiso school system, the same system that produced Cavanaugh before he graduated in 1990.

Cavanaugh spent his first three seasons at VHS playing basketball under Skip Collins. The 1988-89 team won a sectional championship before falling in the regional. Collins gave way to Punter and Cavanaugh for his first taste of a different coaching philosophy.

“Skip was very regimented, very organized and very detailed,” Cavanaugh said. “Punter let us go a little bit more. We scored a lot more points going up and down the floor, but we gave up a little bit more, too.”

The 1989-90 Vikings also won a sectional title and Cavanaugh learned a life lesson in watching Collins, and then Punter, that he has taken with him to his orthodontics practice.

“You can see there’s ways to look at different approaches,” Cavanaugh said. “Now as a business owner, being in charge of 10 to 12 staff members, you can see that they’re all different. The coach has to decide what everyone is good at. Watching (Collins and Punter), there’s not only one way to do something, there’s positives and negatives.”

Cavanaugh set the IHSAA record for consecutive free throws at 72 his senior year and he made 102 out of 104 attempts from the charity stripe. Despite scoring 18.5 points per game and leading the Vikings in assists, Cavanaugh wasn’t highly recruited out of high school and it wasn’t until he had a stroke of good fortune that he found his landing spot.

“(Second-year Valparaiso University coach) Homer Drew called me and told me that he really liked me, but also wanted to tell me that he wasn’t going to recruit me because they didn’t need a guard,” Cavanaugh said. “The season ends and two of their guards leave. Homer called me and immediately offered me a scholarship. I was lucky how the opportunity came about.”

Cavanaugh started all four years for the Crusaders and has made a profound impact on the Valparaiso record book. He finished his career with the highest 3-point percentage at the time and now ranks No. 6 in program history. Cavanaugh is joined in the top 10 by Bryce Drew, Casey Schmidt and Mike Jones, all Valparaiso High graduates. Cavanaugh also ranks among the program’s best in assists and free throw percentage.

More important than individual statistics was the ascent of the team when Cavanaugh played for the Crusaders. Valparaiso won five games in each of his first two seasons before breaking through for 12 wins in 1992-93. The following year the Crusaders won 20 games, a mark they’d hit in eight of the next nine seasons.

“We were starting to see the hard work paying off,” Cavanaugh said. “It was about setting goals higher, having persistence. Those first couple years when you’re not winning, it’s hard. People are hanging their heads, but once you start winning, it changes your whole feeling.”

While basketball was a passions for Cavanaugh, so was dentistry. His father, Tom, worked in the field for 40 years and Rob gotten bitten by the bug at an early age. After graduating from Valparaiso, Cavanaugh completed his dental studies at the Indiana University of Dentistry in 1998 and then graduated from NOVA Southeastern University in Fort Lauderdale with orthodontic specialty education in 2001. Cavanaugh became board certified by the American Board of Orthodontics in 2005.

“During some of those summers (when I was younger), I worked for my dad in his office,” Cavanaugh said. “I started making some appliances. My grandfather was a general dentist and I had the opportunity to visit some of the other dentists in town.”

Dentistry is certainly a family business as far as Cavanaugh is concerned. His partner, Matt Nondorf, is the same way as his father, sister and wife also work in the field. Just as dentistry brings Cavanaugh and his family together, so does flying. Tom was a longtime flight instructor and Rob’s brother Brad owns Air One, an aerial photography business.

“During my sophomore year at VU I got my pilots license,” Cavanaugh said. “My dad was a flight instructor and was honored by the FAA with the Wright Brothers Award for 50 years of no accidents. Hanging out at the airport with all the guys, it’s something I’ve always had an interest in.”

Cavanaugh has built a successful business career, but the itch to compete is still there. He cures it with weekly basketball games and by coaching his children. While basketball has always come natural to him, Cavanaugh is finding a new love with following his children in cross country. While dentistry and sports don’t quite go hand in hand, Cavanaugh has found a balance between the two that is rooted in more life lessons he learned back at Valparaiso High.

“The big thing going into dental school was to remember time management and being able to multitask,” Cavanaugh said. “Learning how to deal with failures, how to make mistakes and to be persistent.”

This content was originally published here.

Americans Spent More on Taxes in 2018 Than on Food, Clothing and Health Care Combined

A grocery shopper in Los Angeles on July 24, 2019. (Photo by Mark RALSTON/AFP/Getty Images)

Americans on average spent more on taxes in 2018 than they did on the basic necessities of food, clothing and health care combined, according to the Bureau of Labor Statistics Consumer Expenditure Survey.

The survey’s recently published Table R-1 for 2018 lists the average “detailed expenditures” of what the BLS calls “consumer units.”

“Consumer units,” says BLS, “include families, single persons living alone or sharing a household with others but who are financially independent, or two or more persons living together who share major expenses.”

In 2018, according to Table R-1, American consumer units spent an average of $9,031.93 on federal income taxes; $5,023.73 on Social Security taxes (which the table calls “deductions”); $2,284.62 on state and local income taxes; $2,199.80 on property taxes; and $77.85 on what BLS calls “other taxes.”

The combined payments the average American consumer unit made for these five categories of taxes was $18,617.93.

At the same time the average American consumer unit was paying these taxes, it was spending $7,923.19 on food; $4,968.44 on health care; and $1,866.48 on “apparel and services.”

These combined expenditures equaled $14,758.11.

So, the $14,758.11 that the average American consumer unit paid for food, clothing and health care was $3,859.82 less than the $18,617.93 it paid in federal, state and local income taxes, property taxes, Social Security taxes and “other taxes.”

I asked the BLS to confirm these numbers, which it did while noting that the “Pensions and Social Security” section of its Table R-1 included four other types of payments (that many people are not required to make or that do not go to the government) in addition to the average of $5,023.73 in Social Security taxes that 77.21% of respondents reported paying.

“You asked us to verify the amounts for the total taxes and expenditures on food, apparel/services, and healthcare,” said BLS. “Based on table R-1 for 2018, your definition for food, apparel, and healthcare matches the BLS definition and the total dollars. Your dollar amounts for federal, state, and local income taxes and for property taxes are correct, as is the amount for Social Security deductions. For the combined pension amount [$6,830.71] that we publish however, in addition to the $5,023.73 for Social Security, there is an additional amount for government retirement deductions [$135.11], railroad retirement deductions [$2.85], private pension deductions [$608.22], and non-payroll deposits for pensions [$1,060.79].”

That Americans are forced to pay more for government than they pay for food, clothing and health care combined has become an enduring fact of life.

A review of the BLS Table R-1s for the last six years on record shows that in every one of those years, the average American consumer unit paid more in taxes than it paid for food, clothing and health care combined.

In 2013, the average American consumer unit paid a combined $13,327.22 for the same five categories of taxes cited above for 2018, while paying a combined $11,836.80 for food, clothing and health care.

In 2014, the average American consumer unit paid $14,664.13 for those same taxes and $12,834.34 for those same necessities.

In 2015, it was $15,548.36 versus $13,210.83. In 2016, it was $17,153.30 versus $13,617.60. And, in 2017, it was $16,750.20 versus $14,489.54.

Even when all the numbers for the last six years are converted into constant December 2018 dollars (using the BLS inflation calculator), the largest annual margin between the amount paid in taxes and the amount paid for food, clothing and health care was last year’s $3,859.82.

The margin was so great last year that you can add the $3,225.55 Table R-1 says the average consumer unit paid for entertainment to the $14,758.11 it paid for food, clothing and health care, and the combined $17,983.66 is still less than the $18,617.93 it paid for the five categories of taxes.

You get a similar result if you add the combined $2,903.50 that the average consumer unit paid in 2018 for electricity ($1,496.14) and telephone services ($1,407.36).

Yes, Americans on average paid more in taxes last year than they paid for food, clothing, health care, electricity and telephone services combined.

Was the government you got worth it?

(Terence P. Jeffrey is the editor in chief of CNSNews.com.)

This content was originally published here.

The John Fornetti Dental Center Presents Dentistry For Our Vets 2018

Iron Mountain, MI – The John Fornetti Dental Center will present Dentistry For Our Vets on Saturday, November 10, 2018. Dentistry For Our Vets provides free dental care to our veterans in need.

Dr. John and Dr. Dan Fornetti, along with their team of employees, volunteers and sponsors will be hosting their 5th annual Dentistry For Our Vets on Saturday, November 10, 2018. Those over age 18 in need of dental care will be able to choose between one free extraction, filling or hygiene cleaning. Registration begins at 8:00 a.m. and patients will be seen on a first come, first served basis until 3:00 p.m.

The media is invited to join the many volunteers and patients to spread free smiles across Iron Mountain through Dentistry For Our Vets at The John Fornetti Dental Center. We are turning our parking lot into an outdoor waiting room, with a heated waiting area and burn barrels, but please remember to bundle up and stay warm.

91% of U.S. veterans are ineligible for dental benefits. Dr. John Fornetti of Iron Mountain, MI, thinks as Americans, we can do better. In response, Dr. John started Dentistry For Our Vets. The John Fornetti Dental Center’s 2017 event was able to serve 58 veterans, providing over 162 procedures, and over $20,000 in services donated.

Dentistry For Our Vets will be held at The John Fornetti Dental Center, located at 100 S. Stephenson Avenue, Iron Mountain, MI. from 8:00 a.m. to 3:00 p.m. Anyone interested in volunteering their services for the event can find more information by calling (906) 774-0100 or visiting us on the web here and on Facebook.

This content was originally published here.

Veterans Affairs To Share Veterans’ Health Information Without Consent

Thousands of veterans were alarmed to learn VA is quietly rolling out is plan to automatically share veterans’ health information with third parties without written consent.

You got that right. Thanks to the VA MISSION Act, VA will now automatically enroll, or opt-in, all veterans into a health information sharing system with numerous government agencies and private organizations after September 30, 2019, unless you object in writing on a paper form.

Veterans must submit the VA Form 10-0484 in person or by mail to their local VA Release of Information office by of September 30, 2019, if they do not want to be “automatically enrolled” into the eHealth Exchange managed by The Sequoia Project.

Sound absurd? Here is what VA wrote in its Virtual Lifetime Electronic
Record (VLER) FAQ:

All Veterans who have not previously signed form 10-0484 as of September 30, 2019 will be automatically enrolled, but have the option to opt out.

Let me say that a third way in case I have not been clear.

VA will automatically share your health information with third parties without your written consent unless you opt-out in writing or submit a revocation in writing submitted in person or by US mail. You cannot submit your opt-out or revocation electronically.

How ironic, right?

In the name of technology, VA is about to force veterans into an electronic data sharing system without consent. The only way to prevent this violation is to present your objection on an agency mandated form ON PAPER by hand or snail mail by Monday. How old school.

And we are just learning about the deadline now.

In order to opt-out or revoke consent, there are a couple of forms you need to consider, noted above… but you only have until Monday to figure it out.

Curiously, the VA Form 10-10164 opt-out that is not technically an official form until October 2019 based on the available form.

One could argue that submitting the 10-10164 before September 30 may still result in a veteran’s automatic opt-in and then opt-out since the form may lack legal effect until October 2019.

So, the forms you can use to opt-out or revoke consent:

How do you get the form to VA? Can I send it on eBenefits or
fax it to Janesville Evidence Intake Center?

No. The agency requires that you either hand deliver the
signed form or mail it to the local Release of Information office at your VA Medical
Center by Monday.

No revocations will be processed after September 30, 2019. I
hope VA will not auto-opt-in veterans who submit the new form before the
deadline.

Either way, if you fail to take action by September 30, your
health information will be shared with the eHealth Exchange managed by The Sequoia
Project.

Good luck.

Once health information is shared, it cannot be unshared as
best I can tell from the information available including the old form.

This means meaning you lose control of your data. While you can possibly opt-out at a later date, whatever is shared is out there in the great and mysterious cloud for whatever hacker to access however and whenever they choose.

Who may get access?

The eHealth Exchange is a massive data-sharing system between federal agencies and private organizations in all 50 states that was originally controlled by the Department of Health and Human Services.

A nonprofit called The Sequoia Project took over management of the eHealth Exchange for “maintenance.” Many VA contractors and vendors are on the Board of Sequoia including Cerner and Mitre Corporation.

VA reassures us everything is safe. Right. Kind of like all
the times our data was illegally shared or hacked within the existing system?

“Rest assured. Your health information is safe and secure as it moves from VA to participating community care providers,” promises VA.

Believe them? We don’t, either.

We Drove To Minneapolis VA To Investigate

On Thursday, colleague Brian Lewis and I went to Minneapolis VA Medical Center immediately after reviewing what I describe below to confront agency officials about the highly questionable timing of the notice.

The Facebook Live video contains our initial impressions, which later evolved after we spoke with local officials and conducted an additional deep dive. Veterans who do not revoke consent/opt-out by September 30 will be enrolled automatically per the VLER FAQ.

We learned some inside baseball by asking around about it
and inspecting the facility. But, many of the VA officials we spoke with were
generally unaware of what VA Central Office was rolling out.

Our local Release of Information booth at Minneapolis VA did not have any of the forms available for veterans seeking to opt-out or revoke their previous consent. The attendant seemed to think her boss might bring some forms up sometime Friday or Monday since a few veterans were asking about it.

Fantastic.

Btw, you may have noticed my reference to “booth” about our ROI. In order to speak with someone at ROI, Minneapolis VA leadership decided to move the ROI intake to the open lobby area where anyone and everyone can hear about what you are asking about regarding your private health information.

So much for privacy when trying to get your private health
records.

For newbies reading this, Brian and I are veterans rights attorneys in the Minneapolis Metro who are well-known, but not well-loved, by VA officials locally and nationally.

I will explain the forms in a bit.

Back In The Day When Consent Was In Writing… And It Mattered

For years, VA was required secure informed consent from veterans prior to the sharing of health information. Whether you were a veteran trying to get care in the community or allow your attorney access to a claims file, you were required to provide VA with a release of information granting consent to share the date.

If you wanted to give VA your genomic information so they
could share it with private researching organizations for God knows whatever
reason, specifically the Million Veteran Program, you had to sign a form
granting permission.

If you wanted to opt in to allow your community care provider to use the health exchange to access your electronic health records, you need to sign the VA Form 10-0485. If you wanted to revoke that access, you needed to sign and submit the VA Form 10-0484.

There’s Gold In Those Records, Boys And Girls

To me, and millions of other veterans, this process seems
straightforward, but VA officials, university researchers, and private industry
really wanted more access to more veteran data since our electronic health records
comprise one of the most valuable datasets in the history of the world to date.

Yes, there is an incredible monetary value within the database containing all of our electronic health information, and private industry would profit handsomely from various marketing, advertising, and health solutions that could be developed by simply accessing our records.

Now, that access to our records comes at a cost. For at
least the past eight years, standard HIPAA requirements to de-identify records
no longer provide the security previously believed. Companies like Facebook
readily work to hack HIPAA protections using algorithms to connect HIPAA de-identified
data with a person’s Facebook profile using various markers including data like
that given by veterans to the Million Veteran Program, for example.

That data can then provide the backbone of entirely new research and advertising arm of companies like Facebook and Google to connect pharmaceutical ads with individuals who may be interested in the newest and greatest pill for anxiety or erectile dysfunction.

VA Throws Off The Heavy Yoke Of Privacy

Fortunately for business partners, researchers, and anyone
else who wants to access our data but not be troubled with difficult privacy
laws, VA will no longer have its research potential hamstrung by sentimental
laws like the Privacy Act or HIPAA.

Veterans can thank Congress and its passage of the VA MISSION
Act for allowing automatic access to all veterans’ health information by third
party community care providers and “partners.”

One of my readers alerted me to a change in protocol yesterday
starting with a PDF flyer circulating at VA.

That flyer, called the Veteran Notification Flyer, informs veterans of the five things we “need to know” about the VA’s new implementation of the health information mandate. I included this below in italics verbatim from the agency’s flyer.

You may be thinking, ‘Well, at least VA thought to give you
notice.’

Not exactly. I have not received any notice yet. However,
many veterans are writing in starting yesterday with notice letters that VA was
transitioning veterans into a new and brave system of data sharing.

The flyer was created September 11, 2019, informing veterans that in 20 days the process was flipping on its head where we need to opt-out after automatically being opted-in.

5 Things You Need To Know About Health Information
Sharing

If you are a little unclear about how to be sure no one
receives the health information, you are in good company. A lot of readers and
agency officials were unclear of exactly what is going on, and multiple dates
are floating around within VA’s own notices.

One page reads, “VA will begin opting all Veterans into
health information sharing, beginning January 2010.” Another page
reads, “VA Systems will begin opting all Veterans into health information
sharing, beginning January 2020.”

So, when did or will VA start the sharing of our health information
without consent?

An intranet notice to VA employees indicated the actual
process of sharing will start on or about November 18, 2019.

The VLER FAQ sheet probably provides the best advice
specific to veterans who do not want their data shared in the electronic system:

All Veterans who have not previously signed form 10-0484 as of September 30, 2019 will be automatically enrolled, but have the option to opt out. Beginning late 2019, a VA patient’s information will be shared with any community providers that also provide health care services for the shared patient.

“Revocation forms will not be processed after September 30,
2019. However, if you submit VA Form 10-0484, before September 30, your
preference will remain honored and no further action is needed by you.”

This language suggests the form must be submitted before
September 30, because the agency will stop processing them after September 30.

But how to do you revoke the consent that you never granted?

What is also important is the language difference between
the two forms.

Old VA Form 10-0484 vs New VA Form 10-10164

Let’s start with the new form, VA Form 10-10164. Basically,
the form says the agency cannot share your health information unless treatment
is required for an emergency:

So, the opt-out is not absolute. The form also indicates the
opt-in means all your health information can be shared for treatment.

What about your mental health records? How will VA protect
that data? Could that data also be shared with DHS or other organizations for
their own purposes?

The VA Form 10-0484 handles the issues differently.

First, it addresses that the signer revokes their previous
consent. Obviously, most of us never consented to this program. So, by signing
this 0484, can you preemptively revoke?

That is a question for your local Release of Information
Official.

The old form provides the following list about revocation
that I think is far clearer about what is at stake. Here is the list from VA in
italics:

One of the differences that jumped out at me in the old form was the promise that VA “will no longer share any of my individually-identifiable health information”. It did not qualify that revocation by stating the information will be shared in an emergency.

However, the revocation qualifies the health information by calling it “individually-identifiable health information” demonstrating the agency will share your information so long is it is de-identified. As noted above, merely adhering to HIPAA is no longer sufficient to protect your identity or other information that can be traced right back to you with today’s computing power.

What About Health Information Already Shared

The old 10-0484 says the information “already exchanged”
will continue to the used despite revocation meaning once the information is
out there, it is out there.

The health information being passed between VA and its
community care providers is supposedly shared in “guidance” with the Health
Insurance Portability Accountability Act (HIPAA) regulations.

Do we have enough information to make informed decisions?
Does VA seem to give a rip about our informed consent?

I plan to update this post as more information comes out. You may want to check back from time to time.

Stay informed on VA news, scandals and benefits. Get our daily newsletter via email.

This content was originally published here.

Living With Invisalign – What to Expect. From 123Dentist

Invisalign aligners are an effective alternative to metal braces. Most patients are able to get the same results with these clear aligners that they would achieve with brackets and wires. Invisalign aligners are clear, unobtrusive, and easily removable. If you’re considering Invisalign for your treatment, here are some quick answers to common questions about what it’s like to live with Invisalign.

What Should I Do About My Sports Guard?

The Importance Of MouthguardsInvisalign aligners help straighten your teeth, but they do not protect them. Don’t make the mistake of thinking your aligners can double as a sports guard. If you play contact sports, it’s best to remove your Invisalign aligners before playing and protect your teeth with a sports guard designed for just this purpose. This will protect your teeth while you’re on the field or the court and keep your aligners safe from damage as well.

Does Invisalign Effect What I Eat and Drink?

No, Invisalign won’t have any impact on what you eat and drink. This is one of the most compelling reasons to choose Invisalign over other treatment options. While popcorn, taffy, and other tricky treats can get stuck in the brackets and wires of braces, you won’t have any such problem with Invisalign. You can remove your aligners at any time. Just pop them out at mealtime and brush your teeth carefully before putting the aligners back in.

Can I Still Play an Instrument With Invisalign?

Since Invisalign is a removable option, you can take your aligners out if they make it difficult to play an instrument. If you play a woodwind or brass instrument, you’ll likely find it’s easiest to remove your aligners when you’re playing. This is fine as long as you remember to keep them in for 20 to 22 hours a day.

Will I Still Be Able to Kiss?

Though it can seem like a touchy topic, there’s no need to worry about kissing while you’re using Invisalign. The aligners are barely noticeable in your mouth, so there’s a good chance your partner won’t notice a thing. If you’re with someone who asks about your aligners, you can explain that it’s much easier and more comfortable to kiss with aligners than with braces, and plenty of people have braved kissing in braces!

Aligners are smooth and fitted close to the tooth. They won’t dislodge while you’re kissing. Though you may feel nervous your first few kisses, you’ll soon forget all about these unobtrusive aligners. Although it may be tempting to take your aligners out, try to do so only on special occasions. You need to keep them in for as many hours as possible each day to get the right results.

Will Invisalign Change How I Talk?

During your first few days with Invisalign, you may notice a slight change in your speech. Your tongue needs a little time to get used to this new device in your mouth. While you may have a slight lisp at first, this typically goes away. You should be speaking normally again in a short time.

How Can I Keep My Aligners Clean?

Orthodontist with Invisalign PatientThere are two steps to keeping your Invisalign aligners clean. First, you need to keep your mouth clean. Brush and floss your teeth after every snack and meal. If you skip brushing, you’ll get food, plaque, and bacteria in your tray. Since aligners sit so close to your teeth, they can trap these hazards right next to the tooth and gum line where they can cause ample damage. Keep your teeth clean to prevent this.

The second thing you need to do is clean the aligner itself while it’s out. There are several methods for doing this. You can soak your aligner trays in clear mouthwash, a 50-50 solution of water and hydrogen peroxide, Polident denture cleaner, or a 50-50 blend of vinegar and water. Invisalign also sells a cleaning kit designed just for your aligners. Whichever method you choose, make sure you’re using it daily to prevent discoloration of the aligner tray.

Do Invisalign Aligners Smell?

No, your Invisalign aligners should not smell if you’re taking care of them properly. If your aligners have an odour, this means you’re not cleaning your teeth or your trays as thoroughly as you should. Step up your cleaning routine to help eliminate the smell.

Will Invisalign Give Me Bad Breath?

Properly cared for, your Invisalign aligners won’t do anything harmful to your breath. As mentioned previously, if there’s any unpleasant odour coming from the tray, you may want to re-examine your oral hygiene routine. Since you should be brushing your teeth several times a day with Invisalign, you should actually enjoy much fresher breath than you might if you were brushing just twice daily.

Invisalign is a comfortable alternative to traditional braces, and as you can see, living with Invisalign is easier than you might think!

This content was originally published here.

Kansas health officials confirm first death from vaping related lung disease

TOPEKA, Kan. — The Kansas Department of Health and Environment confirmed Tuesday that a person has died due to an outbreak of serious lung disease
related to vaping or using e-cigarettes.

Health officials said the individual was a Kansas resident who was older than 50.

“The patient had a history of underlying health issues and was hospitalized with symptoms that progressed rapidly,” a news release said.

State health officials said they do not have a detailed list of the products that the individual used. They did say many patients report using vaping or e-cigarette products with liquids that contain cannabinoid products, such as tetrahydrocannabinol.

“Our sympathies go out to the family of the person who died,” Governor Laura Kelly said in the statement. “Health officials are working hard to determine a cause and share information to prevent additional injuries. As that work continues, I urge Kansans to be careful. Don’t put yourself in harm’s way, and please follow the recommendations of public health officials.”

Kansas State Health Officer and Secretary for the Kansas Department of Health and Environment Dr. Lee Norman added in that release that it is time to stop vaping.

“If you or a loved one is vaping, please stop,” Norman said. “The recent deaths across our country, combined with hundreds of reported lung injury cases continue to intensify. I’m extremely alarmed for the health and safety of Kansans who are using vaping products and urge them to stop until we can determine the cause of vaping related lung injuries and death.”

So far, there have been six reports associated with the outbreak in Kansas. Three have been confirmed or listed as probable while the other three are still under investigation.

Symptoms of the outbreak include shortness of breath, fever, cough, and vomiting and diarrhea. Other symptoms reported by some patients included headache, dizziness and chest pain.

For individuals wanting more information on how to quit tobacco products, please call 1-800-QUIT-NOW.

This content was originally published here.

Spirit of the Entrepreneur: Valdosta Family Dentistry | Local News | valdostadailytimes.com

VALDOSTA — Being an entrepreneur isn’t always easy and everyone does it a little differently.

Some open online stores, while others open brick-and-mortar storefronts.

Some go all in and invest their lives into a new venture, while others start a new business as something to do on the side. Regardless of the type, entrepreneurs help drive the local economy.

Larry Black, owner and dentist at Valdosta Family Dentistry, didn’t begin his career in dentistry until he was in his mid-30s.

At 17, he left Valdosta and joined the Navy for six years.

He worked as an electronic technician doing satellite communications and cryptography.

After leaving the military as an employee, he worked as a civilian contractor for the Navy for six years doing similar work.

The work required Black to travel regularly, and he eventually decided he wanted to settle down.

“We traveled about 11 months out of the year,” he said. “We traveled anywhere the Navy was having trouble with communications equipment. I decided that I was ready to quit traveling and started back to school.”

Being from Valdosta, Black returned to attend Valdosta State University to earn a biology degree.

After three years of undergraduate work and a degree in hand, Black had been introduced to the world of dentistry through Dr. Greg Morris, he said.

So, Black attended the Medical College of Georgia for four years to to become a dentist.

By the time he attended MCG, he was the third oldest student in his cohort. Black said being a non-traditional student was beneficial to him.

“I was one of those people who could not have done and focused on school at 18,” he said. “Part of the reason I went into the Navy was I knew that about myself.

“When I came back from the Navy and started school, it was much easier for me having already had life experience and improved time-management skills. Knowing where I wanted to be and how to get there helped me jump through the hoops or check off the boxes to get there.

“I knew what I wanted and was wiling to work harder for it and put in the time.”

After graduation, Black came back to Valdosta in 2004 and opened his first office, Quitman Family Dentistry in Quitman.

“When I got out and looked at a place to set up my office, there was still plenty of room for more dentists in Valdosta, and having grown up here, I felt that it would be easier to start up a business in my hometown,” he said.

In 2009, Black opened an office in Valdosta.

“When I was working in Quitman Family Dentistry, myself and Dr. Eric Castor felt there would be a need for an emergency dental clinic in Valdosta,” he said. “We spent a year with this office as an emergency-only clinic.”

Based on customer requests, Black expanded to a full-service dentist office in 2010.

After being in practice for almost 15 years, he said the hardest part has been operating the business side.

“Running the business is probably the toughest part of what I do,” he said. “The toughest part for most dentists is we tend to be very technical. We enjoy working with our hands and working with people. And dental school prepares you for all the knowledge you need to do dentistry.

“The tough thing is they don’t prepare you to run a small business. When you come out of school and you have to learn about tax structure and accounting.”

Black said he leaned on his late wife, Dana Black, when he first opened his business.

“I got into it thinking you get out, put your sign on the door and you go to work,” he said.

While he worked with the clients, Dana learned how to run the business for him.

“She was a big part of why we were able to do what we did,” he said.

Dana passed in 2017.

As for advice for new or potential business owners, Black suggests taking a few years to learn about the selected industry. He also recommends utilizing the small business resources available.

“If you are going to open up your own business, understand that business,” he said. “Most people have an idea of what a business is but they haven’t worked in it before. They don’t have an idea of how it works. Take a few years and start from the bottom and work in a few positions.

“Then go and take some accounting classes and business classes either through (Wiregrass Georgia Technical College) or the (University of Georgia Small Business Development Center at Valdosta State University) that’s here in Valdosta because both of those guys helped me out after I got started.”

Valdosta Family Dentistry, 2935 N. Ashley St., Suite 130, is open open 8 a.m.-5 p.m. Monday, Wednesday and Friday. Quitman Family Dentistry is open Tuesday and Thursday. For more information, call (229) 333-8484.

Jason Smith is a reporter at The Valdosta Daily Times. He can be contacted at 229-244-3400 ext.1257.

This content was originally published here.

Why we should prioritize our students’ mental health this school year

Dr. Bobbi
Wegner

Aug 13, 2018

How is summer already over? It seems that it’s only just begun. The reality is the kids will be back to middle and high school before the last sip of summer is had. And with the new year, there are often new challenges. As many say, “Little kids, little problems. Big kids, big problems.” But mental health issues that are diagnosed and treated early have the best prognosis and do not have to become “big problems.” As our children grow into tweens and teens, there is a new landscape to understand. As parents, it is crucial to tend to your child’s mental health just as you do their physical health.

According to the Department of Health and Human Services the most common mental health disorders for our teens and tweens are anxiety (32% of 13 to18-year-olds), depression (13% of 12-17-year-olds), Attention Deficit-Hyperactivity Disorder (ADHD; 9% of 13- to 18-year-olds), and eating disorders (3% of 13-18-year-olds). Making matters worse, kids who suffer from these disorders often turn to drugs or alcohol to cope. Research shows that 29% of adolescents who recently started using alcohol did so after a major depressive episode. The same pattern was found for drug use too.

Your happy elementary-aged kid will face new issues as they get older. Although mental health may not have been high on your radar as something to tend to, now is the time. And back to school is a stressful and important time for our kids. New schedules, new fears, loss of friendships, loss of summer, new pressures, more responsibility, busier schedules, changing bodies, and changing emotions to name a few. First presentations of mental health issues often happen during times of transition.

I was just talking with my friend’s rising 9th grader, and she is already worrying about whether to take advanced placement classes, how to make new friends, how to stay connected to those who are going to different schools, and how to navigate a new school. My initial response was to say “It will be okay. It will all work out,” and go on with my day, but that’s about as helpful as saying “I don’t care that much.”

Instead, I sensed her worry and made a conscious decision to just sit and listen at first, and then ask questions. “Why not try the harder class first since you have done well in the past, and then move if it doesn’t work?” Well, the word on the street is that the guidance counselor is inflexible and once she signs up for classes, she might be stuck with them. And, as an almost 9th-grader, she is already thinking about college and her grades. Got it. Now it makes more sense. We chatted. I mostly created time to just be with her, listen, and reassured that she is not alone in it – either her parents or I would help, if need be. We both left feeling more connected and she less anxious.

My friend’s daughter does not have diagnosable anxiety, but normal worries can evolve into clinical disorders when feelings go unaddressed. It is these moments we parents, aunts, caregivers, adults need to tune into.

What to do:

First and foremost, stay connected to your kid and keep lines of communication open. The age-appropriate behavior is to “individuate” or push your parents/caregivers away during adolescence. Try to trust that they will come back, and just let them know you are here – always. Manage your own anxiety around this. Most people (young or old) don’t want advice, they just want a trusted sounding board. Resist the urge to fix, and just listen. This is crucial for all parents and caregivers of tweens and teens.

If you are worried that your child could be suffering from a mental health issue, look for the signs below. There is no harm in seeking help from a trained professional even for just a one-time consultation.

Each illness has its own symptoms, but common signs of mental illness in adults and adolescents can include the following (From NAMI):

Mental health conditions can also begin to develop in young children. Because they’re still learning how to identify and talk about thoughts and emotions, their most obvious symptoms are behavioral. Symptoms in children may include the following:

If you notice any of the symptoms above, here’s what you can do:

This content was originally published here.

The Importance of Geriatric Dentistry

As you grow older, it’s important to keep up with your teeth. Perhaps you or your companions don’t see the need to go to the dentist, but the impact of good dentistry on your teeth and overall health is undeniable.

Here, we’ll explore all you should know about geriatric dentistry.

Why Do Older Adults Not Go to the Dentist?

With retirement, spending time with family, and other life events in full swing, it can be difficult to prioritize your oral health.

Here are some specific reasons why seniors don’t visit the dentist:

  • Cost: Seniors don’t have workplace insurance coverage. Programs like Medicaid offer limited coverage for dental procedures. Some seniors don’t view paying out-of-pocket as a realistic option.
  • Misinformation: Some seniors believe that they don’t need to go to the dentist because they don’t have teeth. This is simply not true. At a visit, you can be fitted for dentures and get exams to screen for signs of oral cancer.

How Your Oral Health Affects You

Your oral health is important in so many ways. Some of the top reasons include:

Contributing to Your Bodily Health

Your oral health doesn’t just benefit your teeth and gums. Poor oral health can lead to:

  • Diabetes
  • Heart disease
  • Pneumonia

Neglecting to visit a dentist can lead to specific oral issues like:

  • An uneven jawbone
  • Root decay
  • Darkened or otherwise discolored teeth
  • Gum disease

Giving You Confidence

There is an aesthetic appeal to good oral health.

A white, aligned smile is self-assuring. It can help you feel confident and allow you to more fully enjoy social interactions.

Ceramic crowns, veneers, and other types of cosmetic dentistry from Calgary, for example, all help seniors smile with confidence. More standard services, like teeth whitening and cleaning, help preserve your smile for life.

How to Go on a Budget

If the cost of going to the dentist is daunting, use these tips for going to the dentist on a budget.

Limit Unnecessary Visits

At home, be sure to care for your teeth. Take these preventative measures:

  • Brush twice daily
  • Floss daily
  • If you have extra-sensitive teeth, use a gentle toothpaste.
  • Avoid foods that may cause tooth damage, like hard candy or acidic fruits

Even though skipping out on visits may save you money temporarily, it isn’t a financially-savvy habit. Attending regular visits prevents the need for costly treatments down the road.

Review Your Options

Look up different dental offices around you. They will vary in price based on the services they offer and the areas where they operate. Consider driving to a nearby area with a lower cost of living. The extra minutes it takes to drive to a different location can save you money, especially on costly procedures.

Look for Coupons

Some offices offer special coupons or deals for new customers. Look actively on saving sites like Groupon or browse your local newspaper.

Go to a Dental Hygienist

In many areas, you can see a dental hygienist without a dentist present. These types of visits are significantly less expensive than regular office visits. Be sure to research the regulations in your area. Some areas restrict what a hygienist can treat.

Ask for a Discount

If you’ve been going to the same office for years, consider asking for a discount. Most dental offices are willing to negotiate a price, especially on a costly procedure. Do so before you receive treatment. You can also request treatment to be performed in different stages. This way, you have time in-between visits to save money to pay for your treatment.

Visit Your Dentist!

Managing your oral health as a senior can be intimidating. As with other adults, seniors should have their teeth cleaned twice a year. You should also get X-rays at least once a year to ensure there are no underlying problems with your teeth or gums.

Take command of your oral health as a senior!

The post The Importance of Geriatric Dentistry appeared first on LivingBetter50.

This content was originally published here.

Vegan and Plant-Based Diets Worsen Brain Health

Summary: Eating a vegan or plant-based diet can be bad for your brain health, especially if you already have a low choline intake, researchers report.

Source: BMJ

The momentum behind a move to plant-based and vegan diets for the good of the planet is commendable, but risks worsening an already low intake of an essential nutrient involved in brain health, warns a nutritionist in the online journal BMJ Nutrition, Prevention & Health.

To make matters worse, the UK government has failed to recommend or monitor dietary levels of this nutrient — choline — found predominantly in animal foods, says Dr. Emma Derbyshire, of Nutritional Insight, a consultancy specializing in nutrition and biomedical science.

Choline is an essential dietary nutrient, but the amount produced by the liver is not enough to meet the requirements of the human body.

Choline is critical to brain health, particularly during fetal development. It also influences liver function, with shortfalls linked to irregularities in blood fat metabolism as well as excess free radical cellular damage, writes Dr Derbyshire.

The primary sources of dietary choline are found in beef, eggs, dairy products, fish, and chicken, with much lower levels found in nuts, beans, and cruciferous vegetables, such as broccoli.

In 1998, recognizing the importance of choline, the US Institute of Medicine recommended minimum daily intakes. These range from 425 mg/day for women to 550 mg/day for men, and 450 mg/day and 550 mg/day for pregnant and breastfeeding women, respectively, because of the critical role the nutrient has in fetal development.

In 2016, the European Food Safety Authority published similar daily requirements. Yet national dietary surveys in North America, Australia, and Europe show that habitual choline intake, on average, falls short of these recommendations.

“This is….concerning given that current trends appear to be towards meat reduction and plant-based diets,” says Dr. Derbyshire.

She commends the first report (EAT-Lancet) to compile a healthy food plan based on promoting environmental sustainability but suggests that the restricted intakes of whole milk, eggs and animal protein it recommends could affect choline intake.

And she is at a loss to understand why choline does not feature in UK dietary guidance or national population monitoring data.

“Given the important physiological roles of choline and authorization of certain health claims, it is questionable why choline has been overlooked for so long in the UK,” she writes. “Choline is presently excluded from UK food composition databases, major dietary surveys, and dietary guidelines,” she adds.

The primary sources of dietary choline are found in beef, eggs, dairy products, fish, and chicken, with much lower levels found in nuts, beans, and cruciferous vegetables, such as broccoli. The image is in the public domain.

It may be time for the UK government’s independent Scientific Advisory Committee on Nutrition to reverse this, she suggests, particularly given the mounting evidence on the importance of choline to human health and growing concerns about the sustainability of the planet’s food production.

“More needs to be done to educate healthcare professionals and consumers about the importance of a choline-rich diet, and how to achieve this,” she writes.

“If choline is not obtained in the levels needed from dietary sources per se then supplementation strategies will be required, especially in relation to key stages of the life cycle, such as pregnancy, when choline intakes are critical to infant development,” she concludes.

About this neuroscience research article

Source:
BMJ
Media Contacts:
Press Office – BMJ
Image Source:
The image is in the public domain.

Could we be overlooking a potential choline crisis in the United Kingdom?

Choline can be likened to omega-3 fatty acids in that it is an ‘essential’ nutrient that cannot be produced by the body in amounts needed for human requirements. The United States (US) Institute of Medicine (IOM)1 and European Food Safety Authority (EFSA)2 recognise that choline plays an important role in the human body and have established dietary reference values. The American Medical Association3 in 2017 published new advice stating that prenatal vitamin supplements should contain “evidenced-based” amounts of choline. Similarly the American Academy of Paediatrics4 5 (from 2018) called on paediatricians to move beyond simply recommending a “good diet” and to make sure that pregnant women and young children have access to food that provides adequate amounts of “brain-building” nutrients with choline being listed as one of these. Unfortunately, in the UK choline is not yet included in food composition databases, main nutrition surveys nor official recommendations. The present article discusses the current choline situation and explains why more needs to be done to include and monitor this essential nutrient in the UK.

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BYU students promote women in dentistry

From left to right: Lauren Olsen, Eliza Butcher, Nadia Valentin, Kendra Law, Tessa Hadley, Cyerra Davis and Haram Kim smile at the opening social of the BYU Women in Dentistry committee last week. (Ty Mullen)

Recent BYU graduate Lauren Olsen wanted to be a dentist since she was 4 years old, but while at BYU, her advisor influenced her to pursue a different career path. She ended up graduating in 2018 with a degree in public health.

“He looked at me and was like ‘You know, if you’re a dentist, you’ll have a really hard time being a mom,’” Olsen said, describing the conversation that led her to change majors. “I left and just cried a lot.”

Lauren Olsen dressed as a dentist with her father. Olsen said she knew she wanted to be a dentist at a very young age. (Lauren Olsen)

Olsen said a public health internship in Cambodia helped her realize she needed to return to her roots and study dentistry. While there, she met a young girl with an infected tooth and a swollen face who couldn’t speak. There were no dentists available in the area to assist her.

“I was flying home the next day and thought ‘I didn’t do anything for her,’ and it’s one of my biggest regrets,” Olsen said. “When I got home, I started having a lot of little experiences that reminded me that I wanted to be a dentist all along.”

Olsen said once she got home, she asked family members if they knew any women in dentistry. She eventually learned about Jennifer Klonkle, who is a mother and works one day out of the week as a dentist in Arizona.

Dentists like Klonkle inspired Olsen to find a way to share their stories with other aspiring female dentists.

“If only other girls at BYU could see this,” Olsen said. “I know these nice, normal, smart girls are dentists and moms and whatever they want to be.”

Despite the small number of female dentists in Utah, Olsen established the Women in Dentistry committee at BYU to inform others that there are women who have successfully forged a career in dentistry.

Only four percent of dentists in Utah are women, while 28.9 percent of dentists are female nationwide, according to a 2017 study by the Utah Medical Education Council.

Women in Dentistry president Kendra Law said the group has grown from six to about 30 members. Law said she believes the numbers have increased because of the committee’s support for students who would otherwise be discouraged from a career in dentistry.

“It just helps to have this support group of women who are all trying to reach the same goal,” Law said. “Even when some people are saying, ‘No, you can’t do it,’ we can turn to each other, and we have a good network of people supporting and pushing us to all reach the same dream.”

The first six members of the Women in Dentistry club (from left): Alejandra Garcia, Lauren Olsen, Tess Hadley, Emily Coenen, Kendra Law and Emma Kohl. Club president Kendra Law said the number of members has grown since then. (Lauren Olsen)

The Women in Dentistry committee volunteers for organizations like Community Health Connect to help youth from low-income Utah County families receive the dental care they need. Members of the committee participate in a fluoride varnish program where they check children’s teeth and refer severe cases to dentists who offer dental care free of charge.

“They get a chance to see and understand that there are kids that really don’t have a toothbrush or can’t take care of themselves,” said Julie Francis, Dental Assistant Program Coordinator of Mountainland Technical College. “They get that feeling to help people and become more involved in the community.”

Olsen said she is expanding the Women in Dentistry committee to reach female dental assistants who are juniors and seniors in high school.

“Ninety percent of the high school students we talked to signed up to learn more,” Olsen said.  “It taught me when you teach young girls about their potential, they want to do big things.”

Olsen is now completing prerequisites at UVU so she can apply for dental school next summer. She is also creating a website where young women can observe the examples of female dentists who have successfully balanced their career and other interests.

“So that there will never be a girl again who comes to BYU and gets told ‘No, you can’t be a mom and a dentist. You can’t be a Young Women’s president and a dentist,’” Olsen said. “We’ll have a database of interviews showing that you can and that women all over the country are doing it.”

For updates about BYU Women in Dentistry club meetings, follow them on Facebook and Instagram.

This content was originally published here.

The New Invisalign® Outcome Simulator 4.0 – iTero® Element™ Intraoral Scanner

Often Imitated. Never Simulated. Exclusive to the iTero® Element™ Scanner, the Invisalign® Outcome Simulator gives you a fun and engaging way to communicate the potential benefits of Invisalign treatment while increasing case acceptance. Simulated outcomes make it easy to show the benefits possible with Invisalign and may motivate greater patient acceptance. 3D Progress Tracking At…

This content was originally published here.

Jarrid Wilson, Pastor and Mental Health Advocate, Dies by Suicide at Age 30

Harvest Christian Fellowship pastor Jarrid Wilson died by suicide on Monday evening (September 9) at age thirty.

The devout husband and father of two was known for his passionate preaching, servant’s heart, and mental health advocacy. In fact, Wilson is the founder of Anthem of Hope, a faith-based organization ‘dedicated to amplifying hope for those battling brokenness, depression, anxiety, self-harm, addiction and suicide.’

The tragic news of Wilson’s untimely death comes on Suicide Awareness Day (September 10).

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In alignment with his passion to shatter the stigma surrounding mental health, Wilson was often open about his own battles with depression on his social media accounts.

Wilson even posted about officiating a funeral for a woman who took her own life on the day that he took his own.

Later that afternoon, the pastor wrote some hard truth regarding the reality of mental health battles, citing that while Jesus isn’t always “the cure,” he IS always the “comforter” and “companion.”

“Loving Jesus doesn’t always cure suicidal thoughts,” wrote Wilson. “Loving Jesus doesn’t always cure depression. Loving Jesus doesn’t always cure PTSD. Loving Jesus doesn’t always cure anxiety. But that doesn’t mean Jesus doesn’t offer us companionship and comfort. He ALWAYS does that.”

Jarrid’s wife Juli posted a heartbreaking tribute to her late husband today, honoring his hard-fought battle and the great man of God that he was in spite of his struggles:

“My loving, giving, kind-hearted, encouraging, handsome, hilarious, give the shirt of his back husband went to be with Jesus late last night .

No more pain, my jerry, no more struggle. You are made complete and you are finally free. Suicide and depression fed you the worst lies, but you knew the truth of Jesus and I know you’re by his side right this very second.

I love you forever, Thomas Jarrid Wilson, but I have to say that you being gone has completely ripped my heart out of my chest. You loved me and our boys relentlessly and we are forever grateful that i had YOU as a husband and a father to my boys.”

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A post shared by Julianne Wilson 🌿 (@itsjuliwilson) on

“You are my forever and I will continue to let other people know of the hope in Jesus you found and spoke so boldly about.

Suicide doesn’t get the last word. I won’t let it. You always said ‘Hope Gets the last word. Jesus does.’ Your life’s work has lead thousands to the feet of Jesus and your boldness to tell other about your struggle with anxiety and depression has helped so many other people feel like they weren’t alone. YOU WERE an anthem of hope to everyone, baby, and I’ll do my best to continue your legacy of love until my last breath.

I need you, jare. But you needed Jesus to hold you and I have to be okay with that. You are everything to me. Since the day we met. J & J. Love you more.
These are photos of him in his happy place – fishing the day away . I’ll teach our boys all your tricks, babe. Promise. You are my #anthemofhope

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The church family Wilson left behind is just as devastated by the loss of their passionate leader who was on fire for Jesus.

“At a time like this, there are just no words,” Harvest Administrative Pastor Paul Eaton said in a statement.

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A post shared by Julianne Wilson 🌿 (@itsjuliwilson) on

“Sometimes people may think that as pastors or spiritual leaders we are somehow above the pain and struggles of everyday people. We are the ones who are supposed to have all the answers. But we do not,” Eaton added. “At the end of the day, pastors are just people who need to reach out to God for His help and strength, each and every day.”

Please join us in praying for the Wilsons and the Harvest Christian Fellowship church family during this devastating time.

If you’d like to support others struggling with suicidal thoughts, consider donating to Anthem of Hope today.

This content was originally published here.

Jarrid Wilson, Pastor, Author and Mental Health Advocate, Dies by Suicide This Week

Jarrid Wilson, pastor and author of Love Is Oxygen: How God Can Give You Life and Change Your World, died by suicide on Monday September 9, 2019. The news of his death came the next day on World Suicide Prevention Day 2019. 

Jarrid, a passionate child of God and church pastor, worked so hard to help others find their way out of hopelessness, depression, and suicidal thoughts…but on this day, he died by suicide. He was a 30-year-old husband and father.

Jarrid Wilson Fought to De-Stigmatize Mental Illness in the Church

Previously, Wilson wrote about the deaths of Anthony Bourdain and Kate Spade that “my heart breaks for the families of Anthony and Kate, and I’m praying God will cover them with nothing but peace and comfort.”

So many people commented on Bourdain and Spade’s deaths that their eternal destiny was at stake that Wilson put pen to paper. He wrote…

I’m writing this post because I want people to understand that these statements couldn’t be more wrong. In fact, they’re ill-thought and without proper biblical understanding…Those who say suicide automatically leads to hell obviously don’t understand the totality of mental health issues in today’s world, let alone understand the basic theology behind compassion and God’s all-consuming grace.” 

Wilson openly admitted that he struggled with severe depression and suicidal thoughts: 

As terrible as it sounds, mental health issues can lead many people to do things they wouldn’t otherwise do if they didn’t struggle. If you don’t believe me, I’d encourage you to get to know someone with PTSD, Alzheimer’s or OCD so that you can better understand where I’m coming from. As someone who’s struggled with severe depression throughout most of my life, and contemplated suicide on multiple occasions, I can assure you that what I’m saying is true.”

Jarrid Wilson’s Last Day Was Focused on Helping Others

On the day that Jarrid Wilson died by suicide, he tweeted what seemed to be messages of hope for those who struggle with mental health issues.

Loving Jesus doesn’t always cure suicidal thoughts.

Loving Jesus doesn’t always cure depression.

Loving Jesus doesn’t always cure PTSD.

Loving Jesus doesn’t always cure anxiety.

But that doesn’t mean Jesus doesn’t offer us companionship and comfort.

He ALWAYS does that.

On the day of his death, Wilson officiated a funeral for a woman who died by suicide. Jarrid was an associate pastor at megachurch Harvest Christian Fellowship in Riverside, California.

Officiating a funeral for a Jesus-loving woman who took her own life today.

Your prayers are greatly appreciated for the family.

— Jarrid Wilson (@JarridWilson) September 9, 2019

In the middle of his own struggles and his work to help others with de-stigmatizing mental illness in the church, he challenged the church to develop a deeper theology around these issues.

“Stop telling people that suicide leads to hell. It’s bad theology and proof one doesn’t understand the basic psychology surrounding mental health issues. In closing, we must understand God hates suicide just as much as the next person. Why? Because it defies God’s yearning for the sanctity of life. But while suicide is not something God approves of, no mess is too messy for the grace of Jesus. This includes suicide.”

Jarrid and his wife, Juli, were the founders of faith-centered Anthem of Hope because of their “passion to help equip the church with the resources needed to help better assist those struggling with depression, anxiety, self-harm, addiction and suicide.”

Before news of his tragic passing spread, Juli Wilson posted this on Instagram.

View this post on Instagram

A post shared by Julianne Wilson 🌿 (@itsjuliwilson) on

In “Why Suicide Doesn’t Always Lead to Hell,” one of the last articles we published from Jarrid Wilson, he wrote:

“Does God approve of suicide? Nope!

Does God view suicide as a bad thing? Yup!

Is God’s grace sufficient even for those who have committed suicide? Yup!”

We at ChurchLeaders.com are grateful for Jarrid Wilson’s generosity to share his writing with our readers and for his determination to battle the demons of mental illness. Our prayers are with his family and friends as they grieve the loss of one who fought so well.

If you’d like to support others struggling with suicidal thoughts, consider donating to Anthem of Hope today.

This content was originally published here.

Mentoring In Dentistry: Promoting Growth And Development – Oral Health Group

With September and the launch of a new school year, we inevitably begin to think about learning and education. When it comes to facilitating the learning and development of new healthcare professionals, mentoring is noted as being a key mechanism to accomplish this goal. While mentoring may not be as prevalent in dentistry as it is in other health professions, the principles and expected benefits are equally applicable and relevant.

The process involves the pairing of an experienced dentist, the mentor, with a less experienced dentist, the mentee, in order to help the latter attain professional goals and to progress throughout their careers. The mentor serves as a support person and facilitator for the mentee, with the goal of promoting professional development and growth of the mentee through the sharing of knowledge, information and perspectives.

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Mentoring relationships can be initiated formally or informally. Formal relationships may be facilitated or encouraged if working within a larger organization or as part of a professional association or group. In these scenarios, a new dentist is paired with a dentist willing and trained to act as a mentor as part of a formal and structured program with clear goals and objectives. Informal mentoring relationships are typically formed when a new dentist independently seeks out an experienced dentist to serve as a guide. These relationships tend to be less structured with variable objectives and outcomes.

Keys to successful mentoring

The success of any type of mentoring relies on a productive and functional relationship between mentor and mentee that is based upon reciprocal trust and respect. This is facilitated when mentors and mentees enter the relationship with clear expectations. The setting of ground rules is essential and requires a frank discussion to determine parameters around such things as communication, commitment, responsibility and timelines. Strong commitment between both parties is essential, and open and ongoing communication is required for success.  Mentoring is a two-way street and both the mentor and mentee have equally important roles to play.

Personal characteristics and traits also serve as key determinants of success. Good mentors exhibit qualities of openness, humility, patience and empathy. Mentors who offer the most are those who practice active listening, can be reflective and are able to serve as a professional role model and guide. It is not essential that a mentor be able to address every question or concern of the mentee, but rather is able to facilitate learning and growth by directing the mentee to the required tools and resources. Mentees who will gain the most from the experience are those who have a desire for learning, are eager to develop, enthusiastic, open-minded and receptive to feedback and guidance. An important skill to develop for mentees is critical reflection, as success of the experience requires an honest self-assessment of one’s learning and development needs.

Benefits of mentoring

Best practices of mentoring dictate that the mentor will guide the mentee in the creation of learning objectives that are required to achieve the desired professional development and growth. These objectives will serve as a starting point for discussions around the relationship and what it may entail. While a mentee may have an idea about where they want to go, it is the mentor’s role to guide and support the journey, or where appropriate, suggest alternate routes.

The benefits of mentoring include creating a sense of belonging, improving productivity, achieving goal clarity, increasing confidence and greater job satisfaction. Mentoring can be a rewarding experience not only for the mentor and mentee but also for the organization and profession by creating a positive climate and culture. A fruitful and effective mentoring relationship is a win for everyone involved. Dentists at all stages of their careers should consider becoming involved in mentoring. Whether as a mentor or mentee, the sharing of knowledge, wisdom and perspectives will provide a meaningful experience.

About the Author

Dr. Shawn Steele graduated from Western University with a Doctor of Dental Surgery degree in 2005 and entered into private practice. While continuing to practice dentistry, Dr. Steele earned a Juris Doctor degree and a Master of Education degree. He is an Assistant Professor at Schulich Dentistry, the City-wide-Chief of Dentistry for London Health Sciences Centre and St. Joseph’s Health Care London and continues to work in private practice. Dr. Steele serves as the Clinical Coach for dentalcorp’s Associate Development Program and is committed to supporting the development and growth of dentists and the dental profession.

This content was originally published here.

8 Celebrities Who Used Invisalign Treatment

A lot of people feel that, once they are adults or older teens, the time to improve their smiles with braces has gone by. But, thanks to advanced cosmetic dentistry, Invisalign allows many people to discreetly straighten their teeth without calling attention to the work.

Not convinced? Invisalign dentists straightened the smiles of all these celebrities while they were in the public eye:

1. Khloe Kardashian’s Invisalign Treatment

As a reality star, Khloe Kardashian is rarely far from the public view, which makes her self-improvement projects all the more noticeable. She’s slimmed down significantly during her years in the spotlight, shedding over 30 pounds with the help of a personal trainer. She decided to straighten her smile, as well, and had her braces put on last year at the age of 28.

Invisalign-Treatment-Justin2. Justin Bieber’s Invisalign Treatment

This Baby singer was still a teenager when he opted for clear Invisalign braces. In a Youtube video, he praised the braces’ unobtrusive look. The unobtrusive nature of the braces meant that they could really only be seen when he took them out to show them off.

Invisalign-Treatment-Katherine3. Katherine Heigl’s Invisalign Treatment

Actress Katherine Heigl began wearing Invisalign in 2007 in preparation for her wedding. With these discreet braces, she could keep attention on her instead of on the corrections to her teeth. These days, the former Grey’s Anatomy star is all smiles as she prepares for the premiere of her upcoming TV series State of Affairs.

Invisalign-Treatment-Tom4. Tom Cruise’s Invisalign Treatment

Hollywood hunk Tom Cruise has always been famous for his smile. But, when the star began bringing his kids to the orthodontist in 2002, he discovered that his front teeth were not as straight as they could be. He chose a combination of Invisalign and ceramic brackets to keep his smile metal-free while straightening his teeth.

Invisalign-treatment-Gisele5. Gisele Bundchen’s Invisalign Treatment

Not even supermodels are born perfect! Gisele Bunchen told interviewers that she started wearing Invisalign because one of her teeth was moving and made her smile look less than perfect in pictures. She wore the braces only at night, taking advantage of the Invisalign system’s flexibility.

Invisalign-Treatment-Zac6. Zac Efron’s Invisalign Treatment

As this actor made the jump from teen heart throb in High School Musical to grown-up stunner in fare like The Neighbors, he decided that it was time for the slight gap between his front teeth to transition to a solid white smile, as well.

Invisalign-treatment-eva7. Eva Longoria’s Invisalign Treatment

This steamy star began wearing Invisalign at age 36 to straighten her bottom teeth. No longer spooked by a crooked smile, the star is working on a new horror TV series based on Latin American folk tales.

Invisalign-Treatment-Serena8. Serena Williams’ Invisalign Treatment

This powerful tennis player made sure that her smile was as strong as her serve by wearing Invisalign braces as a teenager. Years later, she has a straight and stunning smile, and continues to stack up the Grand Slam wins.

Are you ready to take on your insecurities and improve your smile? Talk to a local dentist about Invisalign in Mansfield. There are a number of highly qualified Mansfield MA dentists who can talk to you about whether these invisible braces are right for you.

This content was originally published here.

Pastor, author and mental health advocate Jarrid Wilson dies by suicide – Religion News Service

(RNS) — Jarrid Wilson, a California church leader, author and mental health advocate, died by suicide Monday evening (Sept. 9) at age 30.

Wilson, known as a passionate preacher, most recently was an associate pastor at megachurch Harvest Christian Fellowship in Riverside, California. A co-founder of the mental health nonprofit Anthem of Hope, Wilson was open about his own depression, often posting on his social media accounts about his battles with the mental illness.

“At a time like this, there are just no words,” said Harvest Senior Pastor Greg Laurie in a statement.

“Sometimes people may think that as pastors or spiritual leaders we are somehow above the pain and struggles of everyday people. We are the ones who are supposed to have all the answers. But we do not,” Laurie said.

“At the end of the day, pastors are just people who need to reach out to God for His help and strength, each and every day,” he added.

His wife, Julianne Wilson, posted a photo tribute of her husband on Instagram. The photo slideshow shows him fishing “in his happy place.” She described her husband as “loving, giving, kind-hearted, encouraging, handsome, hilarious.”

“No more pain, my jerry, no more struggle. You are made complete and you are finally free,” she wrote in the caption.

“Suicide doesn’t get the last word. I won’t let it. You always said “Hope Gets the last word. Jesus does,” she added.

A post shared by Julianne Wilson 🌿 (@itsjuliwilson) on

News of Wilson’s passing followed a series of tweets the young pastor posted throughout the day Monday that dealt with suicide, including a post encouraging followers to remember that even though loving Jesus doesn’t cure illnesses such as depression, PTSD or anxiety, Jesus does offer companionship and comfort.

Loving Jesus doesn’t always cure suicidal thoughts.

Loving Jesus doesn’t always cure depression.

Loving Jesus doesn’t always cure PTSD.

Loving Jesus doesn’t always cure anxiety.

But that doesn’t mean Jesus doesn’t offer us companionship and comfort.

He ALWAYS does that.

Wilson also posted on the same day that he was officiating a funeral for a woman who had died by suicide. Kay Warren — who along with her husband, Saddleback Church pastor Rick Warren, lost their son to suicide in 2013 — responded to Wilson’s tweet with encouragement. “Praying, Jarrid. Her devastated family needs so much tenderness and compassion right now. Grateful for your willingness to be the arms of Jesus to them,” Warren wrote.

Officiating a funeral for a Jesus-loving woman who took her own life today.

Your prayers are greatly appreciated for the family.

— Jarrid Wilson (@JarridWilson) September 9, 2019

The news of Wilson’s death comes on Suicide Awareness Day (Sept. 10) and follows a number of high profile suicides among pastors and the mental health community, including by 30-year-old Andrew Stoecklein, a pastor in Chino, California, who often preached about mental illness.

Wilson shared openly about his own mental health challenges in his most recent book, “Love Is Oxygen: How God Can Give You Life and Change Your World,” and blog posts. He blogged earlier this summer that he had dealt with “severe depression throughout most of my life and contemplated suicide on multiple occasions.”

On social media, he regularly encouraged others dealing with similar challenges with messages like, “I’m a Christian who also struggles with depression. This exists, and it’s okay to admit it.”

Jarrid Wilson. Courtesy photo

Breaking down the stigma of mental illness is one of the goals of Anthem of Hope, the nonprofit the pastor founded with his wife, Juli, in 2016. Anthem of Hope creates resources for the church to assist those dealing with depression, anxiety, self-harm, addiction and suicide. 

Laurie said Wilson wanted to especially help those who were dealing with suicidal thoughts.

“Tragically, Jarrid took his own life,” Laurie said.

“Over the years, I have found that people speak out about what they struggle with the most,” Laurie added.

In his summer blog post, Wilson challenged the idea some Christians have that those who die by suicide are condemned to hell.

Christians wouldn’t tell someone with a physical illness like cancer they are going to hell because of their diagnosis, he noted. Neither should they assume it of people with mental illnesses, which can “lead many people to do things they wouldn’t otherwise do if they didn’t struggle.”

“Those who say suicide automatically leads to hell obviously don’t understand the totality of mental health issues in today’s world, let alone understand the basic theology behind compassion and God’s all-consuming grace,” he said.

“We must do better at educating people on things they have a hard time wrapping their heads around. And mental health is definitely (a) topic Christians around the world must yearn to better understand.”

Justin Herman said he knew Wilson from working as a pastor in Riverside. They would cross paths and talk about mental health and abortion.

“I know the guy loved Jesus and I know that he loved what he was doing, loved his family,” Herman said.

To Herman, Wilson was “not just going with the program of life.”

“He was counter to culture and shaped culture in a lot of ways,” Herman said.

In addition to his wife, Wilson is survived by two sons, Finch and Denham; and his mother, father and siblings.

Friends of the family have started a GoFundMe account, with permission of Wilson’s wife, to help with financial support in the wake of Wilson’s death.

Last night, my good friend @jarridwilson passed away. As the primary income earner of their home, his precious wife @juliwilson and their two young kids will need a lot of financial support. Please consider donating to this @gofundme to support them: https://t.co/NxFnuf6KVT

— Jonathan Merritt (@JonathanMerritt) September 10, 2019

(This story has been updated. The source of the statement from Harvest Christian Fellowship, attributed in an earlier version to Administrative Pastor Paul Eaton, was changed at the request of the church to Senior Pastor Greg Laurie.)

This content was originally published here.

HP and Smile Direct Club want to disrupt orthodontics with 3D-printed braces | VentureBeat

HP and SmileDirectClub hope to disrupt the $12 billion orthodontics business by making 3D-printed teeth molds.

At the Rapid 2019 3D printing conference, the company said they will use 49 HP Jet Fusion 3D printing systems around the clock to make more than 50,000 unique mouth molds per day. This means they have the capacity to make as many as 20 million individualized 3D-printed mouth molds in the next 12 months.

The goal is to revolutionize the way millions of people achieve a straighter smile.

“SmileDirectClub is digitally transforming the traditional orthodontics industry, making it more personal, affordable, and convenient for millions of consumers to achieve a smile they’ll love,” said Alex Fenkell, cofounder of SmileDirectClub, in a statement. “HP’s breakthrough 3D printing and data intelligence platform makes this level of disruption possible for us, pushing productivity, quality, and manufacturing predictability to unprecedented levels, all with economics that allow us to pass on savings to the consumers seeking treatment using our teledentistry platform.”

The orthodontics industry is 120 years old. SmileDirectClub cofounders Fenkell and Jordan Katzman first met at summer camp as teens with metal braces. They decided later that innovations in technology and telehealth could democratize access to safe, affordable, and convenient orthodontic care.

They started the company in 2014 using a digital network of state-licensed dentists and orthodontists who prescribe teeth straightening treatment plans and manage all aspects of clinical care — from diagnosis to the completion of treatment — using the company’s proprietary teledentistry platform. To date, they have served half a million customers in the U.S., Canada, and Puerto Rico, with plans to expand to Australia and the United Kingdom in 2019.

An estimated 80% of Americans could benefit from orthodontic care, yet only 1% receive it each year, with cost being the biggest prohibitive issue. In the U.S., 60% of counties do not have access to an orthodontist. By leveraging the benefits of teledentistry coupled with HP’s 3D printing technology, SmileDirectClub is bridging these gaps, offering people a chance to build confidence through a straighter, brighter smile at a cost that is up to 60% less than traditional options.

SmileDirectClub and its manufacturing partners rely on HP Jet Fusion 3D printing solutions to produce the mouth molds for each patient’s aligners and retainers, creating an average of more than 50,000 personalized mouth molds each day.

“SmileDirectClub and HP are reinventing the future of orthodontics, pushing the boundaries of customized 3D mass production and democratizing access to affordable, high-quality teeth straightening for millions of people,” said Christoph Schell, president of 3D Printing and Digital Manufacturing at HP, in a statement. “Through this collaboration, HP is helping SmileDirectClub accelerate its growth, enabling a new era of personalized consumer experiences only made possible by industrial 3D printing and digital manufacturing.”

HP and SmileDirectClub also announced a new recycling program, through which excess 3D material and already processed plastic mouth molds are recycled by HP and turned into pellets for traditional injection molding, leading to more sustainable production.

This content was originally published here.

A Health Care System That’s the Envy of the World

More is spent on taxes by households than on anything else in Amy’s country.  This exuberant taxpayer funding of the public health care utopia known as the “envy of the world” is today Bernie Sanders’s and Kamala Harris’s main advocacy platform all the way to 2020.

Addictive and mind-altering pharmaceutical chemicals are all Amy has at her disposal.  No back specialist or treatments are on the horizon.

The following events did not take place in the Soviet Union or Cuba.  None of this inhumanity was a figment of my imagination.  I’m narrating the details without hyperbole.

Recently, I took a ride through one amazingly affordable health care system — the one Obama and other notable Democrats paint as the “envy of the world.”  See how quickly you can figure out where this envy of the world dwells.

Got your seat belt on? This liberal utopia is a bit bumpy.

You enter a hospital emergency room.  For two months prior, you suffered abysmal pain, unable to shower, straighten out, or sit.  You’re the Hunchback of Notre Dame, debilitated with no reprieve.  When one of your legs isn’t numb from hip to toe, you experience sharp stabbing sensations that make you want to slit your wrists.

Yet you do exactly what your nation’s one-tier medical system instructs you to do: you visit a family doctor who routinely suggests an MRI.  And since you live in the proud lap of liberalism, which ensures the all-inclusive equity of suffering, you are told that your MRI is a mere twelve months away.  A referral to a spine clinic was offered at a six months’ wait.  Lucky for you, a generous dose of an opioid was prescribed in the interim.  The 60 Oxycontin pills (the most addictive opioid on the market, with a street value of $60/pill) were augmented by 270 pills of Gabapentin, a drug designed to deceive your brain into thinking you are not in pain.  You walk away a guaranteed addict with a pocket full of mind-altering chemicals.

By now you should be entirely consoled by the idea that many are in the same boat of egalitarianism for suffering and queues.  The thought of equitable misery is expected to work as an instant pain-reliever.  This barbaric philosophy is at the crux of government policies that outlaw private health care in this country.

This is how my friend’s journey through the cartel of socialist policies began.

As Amy tried to figure out how to take her next breath without screaming, she decided that a 12-month wait is simply inhumane.  She did what most people of means do: she arranged a private MRI.  A diagnosis of bulging spinal discs pressing on nerves in the lower spine resulted.  Amy, now $692 poorer, was always guaranteed health care when she needed it — that is, if she didn’t mind croaking from pain first.

In Amy’s country, an average annual income of $60,900 pays a health care tax bill of $5,516 for the privilege of the “free” health care perk.  In 2016, an average family sent 42.5% of their income straight into government coffers, out of which health care funding is allocated.  Top earners pay up to $37,361 annually for their shot at the “free” emergency room queues, MRI waits, and specialist appointments.

More is spent on taxes by households than on anything else in Amy’s country.  This exuberant taxpayer funding of the public health care utopia known as the “envy of the world” is today Bernie Sanders’s and Kamala Harris’s main advocacy platform all the way to 2020.

Amy’s journey continues…

Addictive and mind-altering pharmaceutical chemicals are all Amy has at her disposal.  No back specialist or treatments are on the horizon.

After a several days of continued suffering, with no relief from prescribed opioids, Amy, now in a wheelchair, heads to the nearest emergency room.  Official wait time is recorded as two hours.  In reality, the two-hour wait was simply the time needed to get through the three separate points of admission.  Bureaucracy requires it.

Amy enters a second waiting room, where she waits three more hours.  Ten hours later, loaded with more addicting opioids (Hydromorphine and Tramadol), Amy is sent home.  She is told that average wait time to see a back surgeon is between 18 and 24 months.

Next come two more visits to emergency rooms out of sheer desperation and helplessness.  Amy knows that these emergency rooms rarely do more than prescribe drugs and lend a sympathetic ear.  But when you have no other choices, you seek relief even where you know there isn’t any.

After each visit to an emergency facility, Amy is prescribed more addictive medications and told she needs to learn to manage her pain.  Amy understands that “managing pain” is code for “living with pain.”  Continuing this regime of ineffective addictive pill therapy is, likewise, synonymous with “there are no resources, no treatments, but you’re welcome to become a drug addict and not waste our time ever again.”  None of the drugs prescribed works.  Amy is told average time for surgery she needs is up to three years.

Amy finally realizes that private care surgery is the only option.  It’s the end of the line; she has to take control of her health, regardless of the public system’s incompetence and lack of resources.

A few days later — another trip to an emergency room by way of ambulance service that refused to drive her to a hospital with a spinal unit.  Amy waits four hours.  In the meantime, she’s generously offered more opioids for her pain. 

After six agonizing hours, Amy is admitted.  Once again, the wait begins.  At 3:00 A.M., a doctor on duty shows up, exactly eight hours since Amy was wheeled in.

Once at Amy’s bedside, the good doctor utters, “There’s nothing we can do for you here.  You should’ve gone to the other hospital with a spinal unit.  But don’t tell anyone I told you.”

Amy’s visit ends with a fresh prescription of meds and a refill for more opioids.  Not even a hint of the word “surgery.”

The next morning, Amy’s pain gets worse.  She’s in the hospital again.  This time, a twelve-hour wait before she is seen.  When the neurosurgeon arrives he offers, “We don’t do surgery for your condition.  I’m happy to put you on a waiting list to see a back specialist.  If you’re lucky, the average twelve-month wait might expedite to a three-month wait.”  Amy’s visit ends with more helplessness, more crying and desperation. 

As Amy became completely bedridden, I made the case for private surgery south of the border, in Florida.  It was her only option for survival.  A ten-hour flight to Florida wasn’t feasible in Amy’s condition.  But an underground private clinic in a close-by city one hour’s flight time away was perfect.  The cost of surgery?  Twenty thousand dollars.

Three days after the original idea for private care, I picked up Amy from the long awaited surgery, able to walk and talk without groaning and crying.  Only hours after surgery, she was cracking her usual jokes.

Amy’s story doesn’t quite end here.  For lack of any good alternatives, this very Canadian (there you have it!) public health care mess more than charitably fed Amy all sorts of opioids.  Today, my friend is courageously fighting an opioid addiction — an addiction not one medical professional warned her about. 

Unless you live in Canada and have the dubious pleasure of experiencing the one-tier system of finding a family doctor, wait times in hospitals, wait times for imagery exams, wait times to see specialists and wait times for treatment or surgery, you can’t really appreciate the true meaning of the word “affordable” in Canada’s very affordable public health care.  Canada’s single-payer public health care system, heavily funded by taxpayers, forced over one million patients to wait for necessary medical treatments last year.  An all-time record in a country of only 36 million.  The only thing Canadians are guaranteed is a spot on a waitlist. 

Trouble with “affordable” and “free”: both are very expensive.

Valerie Sobel is a writer, economist, and pianist residing in Western Canada.

This content was originally published here.

The trouble with the GOP’s focus on mental health and guns

In recent years, in the immediate aftermath of high-profile mass shootings, Republicans tend to talk about new policies related to mental health. In response to the latest slayings, we’re hearing many of the same familiar refrains.

Here, for example, was Donald Trump’s unscripted comments to reporters yesterday afternoon:

“[T]his is also a mental illness problem. If you look at both of these cases, this is mental illness. These are people – really, people that are very, very seriously mentally ill.”

And here’s how the president followed up on the point this morning, reading scripted comments:

“[W]e must reform our mental health laws to better identify mentally disturbed individuals who may commit acts of violence and make sure those people not only get treatment, but, when necessary, involuntary confinement.”

There are all kinds of relevant angles to comments like these, which seemed to refer to general policy preferences, not specific legislation. For example, the idea of imposing “involuntary confinement” on the mentally ill is the sort of approach that easily could be abused and applied too broadly. Policymakers would have to deal with the challenges with great caution and care.

But hanging overhead is a problem that’s tough for GOP officials to explain away: the last time they tackled a policy related to guns and mental health.

As regular readers may recall, one of the very first measures tackled by the Republican-led Congress in 2017 was, of all things, a gun bill.

When an American suffers from a severe mental illness, to the point that he or she receives disability benefits through the Social Security Administration, there are a variety of limits created to help protect that person and his or her interests. These folks cannot, for example, go to a bank to cash a check on their own.

As recently as 2016, they couldn’t buy a gun, either. The Social Security Administration would report the names of those who receive disability benefits due to severe mental illness to the FBI’s background-check system.

At least, that was the policy. Less than a month into the Trump era, Republicans passed a measure to block the Social Security Administration’s reporting policy, keeping the names out of the FBI system, and making it easier for the mentally impaired to buy firearms.

To be sure, the old system had flaws and was the subject of some legitimate criticism. It’s very difficult, for example, for someone to have their names removed from the background-check system once they’re on it.

But the GOP measure made no real effort at reform. It was more of a blunt object than a scalpel.

And two years later, it’s a political headache, too. The Republicans talking today about the mentally impaired having access to guns are the same Republicans who voted to expand gun access for the mentally impaired.

This content was originally published here.

Eagle News Online – Goel Family Dentistry moving location, changing name

The Goel Family Dentistry staff at a recent outing to Beak and Skiff Apple Orchards. (courtesy Goel Family Dentistry)

Goel Family Dentistry, which has been serving the Cazenovia community for the past decade, has announced some major changes coming up for its business, not the least of which is a move to a new building and a re-naming of the practice.

The change is really about expansion — the practice has hired a new dentist and a new hygienist, has 9,500 patients from all over the Cazenovia area, and needs more room for working and more room to grow, said Dr. Vikas Goel, owner of the practice currently located in the Atwell Mill building on Albany Street.

“We’re busting at the seams here,” Goel said. “I’m nervous, excited, everything. It’s a good move for us, and also for Cazenovia.”

Goel has purchased the former Pro-Tel building at 4 Chenango Street and is currently undertaking some upgrades and renovations to prepare for a move-in that he hopes will be in January. Pro-Tel owner Eric Burrell sold the building after he moved his offices to 95 Albany St.

An artist rendering of the new business sign for Creekside Dental, the new name for Goel Family Dentistry. (Courtesy Goel Family Dentistry)

Goel’s new offices will double his current footprint from 2,400 to 5,000 square feet, he said. Patients will enter from the parking area through the lower level of the Chenango Street building, where the reception and waiting room will be, then take an elevator upstairs to the clinical space where there will be 11 chairs for patients, he said.

Goel recently hired Dr. Tyler Maxwell, a graduate from Buffalo University, as the third dentist in the practice, joining Goel and Dr. Anna Romans. He also recently hired another hygienist.

“Right now, we have three doctors, five hygenists and six chairs — the math just doesn’t work anymore,” he said. “And it’s just time I get my own place.”

With the new building, more chairs and more staff, an increased number of appointment times will also open up for their patients, Goel said.

The new dental office will not only have a new address, but also a new name: Creekside Dental. Goel said that with three dentists now, to keep his name alone on the business was “not really fair.”

Goel Family Dentistry is currently located at 135 Albany St., but will soon be moving to its new location at 4 Chenango St. For more information, call 315-655-5885 or visit the website at doctorgoel.com.

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Jason Emerson is editor of the Cazenovia Republican and Eagle Bulletin newspapers.

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The Bond Between Grandparents and Grandchildren Has Health Benefits for Both, According to a Study

The Bond Between Grandparents and Grandchildren Has Health Benefits for Both, According to a Study

In the modern world where both parents work full-time and crave professional success, the number of grandparents who are raising grandchildren is increasing rapidly. For many adults, the “intrusion” of grandparents is annoying, because, after all, it’s about their children, “and they know what’s best for them.”

If you have doubts about whether or not to allow your elders to participate in the upbringing of your child, we at Bright Side can tip the scales in favor of the love and care that only grandparents can offer.

Grandparents are good for your health.

The cultural and social situations that occur today have strengthened the relationships between grandchildren and grandparents, mainly because the number of households where both parents work full-time is continuing to grow. In addition, the family disintegration rate is increasingly high. Because of this, there are several studies that have been dedicated to investigating the connection between the bond that grandparents have with their grandchildren and the welfare of the latter.

A special investigation, carried out by the University of Oxford, showed that frequent contact and loving connections between grandparents and their grandchildren generate social and emotional well-being in children and young people. This bond protects grandchildren from problems with development that they could face and boosts their social and cognitive abilities. In addition, “close relationships between grandparents and grandchildren buffered the effects of adverse life events, like parental separation, because it calmed the children down,” says Dr. Eirini Flouri, one of the authors of the study.

It’s not enough to just be close, you also have to get involved.

These conclusions and results were revealed thanks to the analysis of 1,596 children of different ages in England and Wales. Different aspects like socioeconomic status, grandparents’ age, and the level of closeness in the relationship were evaluated. 40 in-depth interviews were also conducted with children from different backgrounds. These surveys, in addition to revealing the healthy benefits that this bond brings, also gave an overview of the importance of these relationships in our society, since almost a third of maternal grandmothers provide regular care for their grandchildren, and 40% provide occasional help with childcare.

The study focused mainly on children who were about to become teenagers, those who, surprisingly and contrary to what one might think, accept the relationship with their grandparents with great satisfaction and love. The reason? The survey revealed that today’s grandparents often have more time than parents to help young people in their activities, in addition to being in a position that gives them greater confidence to talk with their grandchildren about any problems they may be experiencing. However, the emotional closeness may not be enough: grandparents should be involved in education and help solve youth problems, as well as talk with teenagers about their future plans.

The benefits that grandchildren bring to grandparents

The relationships and bonds that grandchildren and grandparents have can also improve the well-being of older adults. A study by the Institute of Gerontology at the School of Social and Public Policy in London found that the grandparent-grandchild relationship is strongly associated with the quality of life of older adults regarding their health. This means that grandparents, mainly grandmothers, who provide care for their grandchildren, enjoy better physical health. The study highlighted the importance of leading a relationship that does not fill grandparents with responsibilities and lets them lead a life without major worries. Otherwise it could cause depression.

The research was based on official data of 8,972 women and 6,567 men, 50 years of age or older, who had one or more grandchildren at the start of the study and lived in Austria, Belgium, Switzerland, Germany, Denmark, Spain, France, Italy, Greece, the Netherlands and Sweden, contemplating a period of 5 years.

We believe that the help and advice of those who raised us and can now help us raise our children should always be welcomed.

How close were you to your grandparents? What is the relationship that your children have with their grandparents? We would absolutely love to read your stories and opinions in the comments section.

Preview photo credit Coco / Disney Pixar

This content was originally published here.

Things Your Orthodontist Won’t Tell You

Close up macro shot of a male mouth laughing and showing his straight teethicsnaps/ShutterstockYour smile is one of the first things somebody notices about you, and seeing an orthodontist practically ensures you’ll always have straight, pearly whites. At least, that’s the idea. But as with any other doctor, your orthodontist has some things they wish you knew, but probably won’t ever tell you. (By the way, you’ll definitely want to follow these 10 golden rules for white, healthy teeth.)

Someone else might’ve used your braces before you

Beautiful young woman with brackets on teeth close upVP Photo Studio/ShutterstockBefore you get grossed out, this isn’t always the case—and if it is, it’s not actually as skeevy as you might think. According to foxnews.com, some orthodontists professionally sterilize and remanufacture used braces through companies like Ortho-Cycle, which saves up to 50 percent on costs. This process “is based upon the dissolution of polymerized acrylates at temperatures at which simultaneous sterilization occurs,” according to orthocycle.com.

We know when you haven’t been wearing your Invisalign

Close-up Of Woman's Hand Putting Transparent Aligner In TeethAndrey_Popov/ShutterstockDespite how persistent you are when you tell your orthodontist you’ve been actively wearing your Invisalign, they’ll know the truth right away. “We know if you haven’t been wearing your Invisalign because of a cool feature [on the aligners] (not just because of your answer to our question or the way your teeth look),” says Dr. Matthew LoPresti, DDS, a cosmetic dentist in Stamford, CT. “There are little blue marks towards the back of your aligners that should wear away as you wear the Invisalign. If the blue mark looks untouched, we know you haven’t been wearing the aligners.” (Here are some things your dentists NEEDS you to start doing differently.)

Your treatment will probably take longer than what we initially tell you

Close up of smiling black woman at dentistRocketclips, Inc./ShutterstockYour orthodontist might tell you your treatment will only take a year and a half to two years, but that’s a rough estimate. A lot of treatments take much longer than expected. “Delays in the process may occur like a misdiagnosis of your case, patient’s neglect, or unanticipated movement of the teeth,” says Danica Lacson, a representative for Hawaii Family Dental.

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Our fees might be negotiable

Credit cards close upsumire8/ShutterstockLet’s be honest, a trip to the orthodontist is anything but cheap. “The good news, though, is that orthodontists offer a variety of payment plans. Many allow patients to pay through monthly installments with no interest, and with some orthodontists, you can negotiate the fee itself,” according to foxnews.com. “Some orthodontists will give a discount, usually 5 to 10 percent, if you pay the total in cash or with a credit card at the beginning of treatment.” (You won’t believe these shocking diseases that dentists find first.)

You have to wear retainers after you complete your treatment—forever

teeth with retainerOlga Miltsova/ShutterstockIf you think you’re done with orthodontics after you finish your treatment—think again. “A retainer holds your teeth in place. After you complete Invisalign or any orthodontics, it is necessary to hold those teeth in place,” says Dr. LoPresti. “There are different options which include a removable clear retainer that is worn at night or a permanent fixed retainer that gets bonded to the back of your teeth.”

We know when you’re lying about wearing your retainer

Dentist holding Retainer, Orthodontics Dental concept backgroundponsulak/ShutterstockNot only do you have to wear a retainer after you complete your treatment, but your orthodontist will definitely know if you’ve really been keeping up with it. “Patients that complete their advised treatment and achieve their desired result but then fail to wear their retainers, generally have teeth that drift apart,” says Dr. Timothy Chase, co-founder of SmilesNY. “This can cause a relapse such as crowding, spacing or flaring of the teeth.” (Whatever you do, never, ever ignore these symptoms of a cavity.)

We know when you eat or drink with your Invisalign in

Macro close up of healthy female teeth biting raspberry.karelnoppe/ShutterstockIt might seem harmless to eat or drink with your aligners in, but you won’t be fooling your orthodontist. “When patients eat or drink liquids (other than water) come in to see me, their Invisalign trays are often slimy, dirty, and stained,” says Dr. Chase. “Not only does this result in a cosmetically undesirable appearance to the aligners but it also damages them and can lead to decay.”

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Braces aren’t just a cosmetic treatment

Close-up of ceramic and metallic braces on teeth. Orthodontic Treatment. Dental Care Conceptsalajean/ShutterstockIt might seem like people go to the orthodontist just to straighten out their teeth, but there are tons of other reasons, too. While some people can go through life with crooked teeth and be just fine, others actually require fixture in order to chew and speak properly. “While we do want everyone to have a perfect smile, the reality is not everyone requires orthodontics,” says Seth Newman, DDS, a board-certified orthodontic specialist. (You’ll never catch your dentist eating these 15 foods—and you shouldn’t be snacking on them, either.)

We know you don’t floss or brush as much as you say you do

Close-up Of Young African Woman Flossing TeethAndrey_Popov/ShutterstockRemember all those times you lied to your dentist or orthodontist when they asked if you’ve been flossing? Yeah… they knew you weren’t. “Those who do not brush and floss properly generally have a higher incidence of plaque calculus, gingivitis, and tooth decay,” says Dr. Chase. “A single day of forgetting to floss is damaging but a week or a month of poor hygiene will result in swelling of the gums, bleeding and a foul odor.” (This is the easiest way to get rid of bad breath, according to a dentist.)

Even if you don’t think your child needs orthodontics, get them checked out anyway

retainer for teeth - Beautiful smiling girl with retainer for teethpattara puttiwong/ ShutterstockEven if your child doesn’t show any signs of needing to see an orthodontist, you should really bring them in for a check-up no later than age seven. “If we see a patient early, we can remove baby teeth and the canine has a good possibility of coming in properly,” according to Dr. Jackie Miller, an orthodontist in Washington, MO, and member of the American Association of Orthodontists. “An early visit to the orthodontist can prevent and help detect future problems.” (Here are some dental etiquette rules everyone should follow.)

If you smoke, your treatment might take longer

Beauty & SmokeQuinn Martin/ShutterstockIn case you needed more of a reason to not smoke, it might actually cause you to need to make more trips to your orthodontist’s office. “Smokers give away their habit because of the excessive plaque that builds up on their teeth,” according to Dr. Chase. “This can have a big impact orthodontic appliances used to straighten teeth and result in a longer treatment period.”

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This content was originally published here.

Wilmington orthodontist uses 3D technology to get straight teeth

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  • Hudson Fields concerts spark debate

  • New at the beaches for ’17

  • Disney is cutting ties with Netflix to start its own streaming service

  • Swift thanks fans for showing up at trial

  • Sturgis: Inside the world’s largest motorcycle rally

  • ‘Rhinestone Cowboy’ Glen Campbell dies at 81

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For Jessica Keogh, braces were not an option.

The 33-year-old never had them growing up as a kid. She’s always wanted to fix her crowded bottom teeth but hated the idea of sporting braces as an adult.

When her cousin told her about a website where a Wilmington orthodontist will give her a free consult about getting clear, plastic aligners to straighten her teeth, she gave it a shot. 

Now, months later, Keogh wears her aligners every day. Most people don’t realize she has them at work.

“Who wants braces,” she said, “Obviously, I’m going to take this.”

More: Westside Family Healthcare to close Middletown location Nov. 28

Wilmington orthodontist John Nista has developed a new process called “Simply Fast Smiles” that combines new industry concepts and emerging technology. The doctor said through clear, plastic trays, he can straighten some people’s teeth in six months. And the bill is typically about $3,000, half the normal cost of most sets of braces.

“If you say you’re going to the orthodontist because you need braces, the first thing that goes to your mind is that it’s going to be expensive, it’s going to take time and it’s going to be painful,” he said. 

“My piece of the puzzle doesn’t have to do that.”

Nista uses a 3-D scanner and printer, as well as advanced software, to create about 25 plastic moving aligners. He prints all of the plastic trays at the same time for the patients, resulting in fewer check-up appointments. The patients wear a new aligner every week, which incrementally straightens their teeth. 

Read: How’s your marriage? UD prof will pay you to tell her

While this program can be for anyone with adult teeth, most of his patients have been adults who have had previous dental work. 

Nista, who has been an orthodontist for 28 years, said the industry has changed and adapted its practices every couple of decades. But it wasn’t until Invisalign was created in the late 1990s that there has been such a major technological breakthrough in orthodontics, he said.

Invisalign showed orthodontists that clear, plastic aligners can efficiently move people’s teeth while avoiding the severe pain and unattractive look of braces. Forbes reported in April that Invisalign hit its 4 millionth patient last September. In 2016, the company’s sales reached $1 billion for the first time. 

In recent years, it has led to the creation of a handful of other clear aligner competitor companies. 

The startup SmileDirectClub has received national attention in recent months for its business model of saying it will straighten people’s teeth — without in-person doctor consults and X-rays.

People can get fit for aligners by going to a SmileDirectClub store or ordering a mail-in kit. The aligners are then sent in the mail and cost $1,850. There aren’t any locations based in Delaware. 

More: Report: Delaware ties for worst state in hospital safety

The American Association of Orthodontists has filed complaints with dental boards and attorney generals in 36 states against the company, saying its service can lead to medical risks. 

While Nista is also wary of the company, since there’s no direct contact with a doctor, he said it does signify the changing times of the industry. People don’t want to pay a fortune and invest a lot of time to get straight teeth.

“There is a big wave of this coming,” he said.

The first step of Nista’s “Simply Fast Smiles” is the free online consultation — which is done via selfie.

To see if a patient qualifies, Nista asks people to complete the “Smile Test” by submitting four photos that show different angles of a person’s mouth through his website. The images will be sent directly to Nista’s email. He’ll then determine the amount of work he or she needs and email the patient directly.

The idea to use telemedicine for orthodontics came to him when he watched his niece, a dermatologist, do a consult on her phone while on the beach during a family vacation. There’s no reason he couldn’t do the same thing, Nista recalled thinking. 

“Everyone knows how to take a selfie,” he said. 

Nista said it only takes orthodontists a couple minutes (at most) to decide if the aligners can properly straighten a person’s teeth in a short period of time. Looking at images via email saves time for both him and potential patients, he said. 

Telemedicine applications have become increasingly popular because doctors can treat patients in the comfort of their own homes reducing costs including travel time. The Medical Society of Delaware and Nemours/Alfred I. DuPont Hospital for Children have encouraged their doctors to use this technology in the past year. 

In addition to orthodontic X-rays and photographs, Nista uses software that takes a digital scan of a patient’s mouth. The computer program then shows what it will take for the teeth to get into a “goal position.”

It also creates the design of the 25 plastic aligners which are then 3D printed at the same time. Whitening gel is also included in the individual aligners.

For most patients, the aligners are changed about once a week. Additional aligners can be printed over the course of the six months if necessary, Nista said.

Read: Wilmington offers free health care to pets, their humans

Unlike other patients, Keogh has about 40 aligners due to the amount of work she needs on her teeth. She said the whole process was a lot easier than what she imagined, especially with the payments. 

She was still quoted a total of about $3,000. That’s about $800 less than what her mother paid for aligners at another practice. Since Keogh paid for it upfront, she said she doesn’t need to worry about for copays or charges for follow-up appointments.

Now at the halfway point, Keogh said she’s seen progress in her bottom teeth. It’s already boosted her confidence, she said. 

“I can’t wait till they’re all the way straight,” Keogh said. 

Contact Meredith Newman at (302) 324-2386 or at mnewman@delawareonline.com. Follow her on Twitter at @merenewman.

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Clintons Dismiss Calls for Mental Health Reform and Demand Gun Ban

Both Bill and Hillary Clinton reacted to President Trump’s Monday morning remarks on the deadly shootings in El Paso, Texas, and Dayton, Ohio, dismissing his push for mental health-based reform and calling for the ban of “assault weapons.”

Trump addressed the nation Monday on the deadly shootings that occurred over the weekend, resulting in more than 30 fatalities and dozens of injuries. He unequivocally condemned racism, bigotry, and white supremacy, calling them “sinister ideologies” that “must be defeated.”

“In one voice, our nation must condemn racism, bigotry, and white supremacy,” Trump said. “These sinister ideologies must be defeated. Hate has no place in America, hatred warps the mind, ravages the heart, and devours the soul.”

While the president called for bipartisan solutions – including “red flag” laws – he urged lawmakers to address the festering mental health crisis in the nation as well.

“Mental illness and hatred pull the trigger, not the gun,” the president noted.

Both Clintons took issue with Trump’s position.

“People suffer from mental illness in every other country on earth; people play video games in virtually every other country on earth,” Hillary Clinton tweeted. “The difference is the guns.”:

People suffer from mental illness in every other country on earth; people play video games in virtually every other country on earth.

The difference is the guns.

— Hillary Clinton (@HillaryClinton) August 5, 2019

Former President Bill Clinton took it a step further and renewed calls for an “assault weapons” ban, despite the fact that the 1994 ban did not have any tangible effect.

“How many more people have to die before we reinstate the assault weapons ban & the limit on high-capacity magazines & pass universal background checks?” Clinton asked.

“After they passed in 1994, there was a big drop in mass shooting deaths,” he claimed. “When the ban expired, they rose again. We must act now.”:

How many more people have to die before we reinstate the assault weapons ban & the limit on high-capacity magazines & pass universal background checks? After they passed in 1994, there was a big drop in mass shooting deaths. When the ban expired, they rose again. We must act now.

— Bill Clinton (@BillClinton) August 5, 2019

“The ban lasted from 1994 to 2004 and, although crime fell during that time, a ‘detailed study found no proof’ the decline was due to the ban,” Breitbart News’s AWR Hawkins reported.

Even the New York Times admitted that “the law that barred the sale of assault weapons from 1994 to 2004 made little difference.”

Additionally:

Hard numbers showed the percentage of “assault weapons” recovered by police during the ban only rose from 1 percent to 2 percent.

On top of all this, the Times points out that “assault weapons” are not the gun of choice for criminals anyway–and never have been. “In 2012, only 322 people were murdered with any kind of rifle, FBI data shows.” And as Breitbart News reported on January 15, 2013, deaths in which an “assault rifle” were involved constituted less than .012 percent of the overall deaths in America in 2011.

The nitty-gritty details of the 1994 assault weapons ban demonstrate the fundamental flaws in the left’s solutions for gun violence. The 1994 assault weapons ban identified five features and barred any semi-automatic rifle that possessed two of the five. Flagged features included a flash suppressor, pistol grip, collapsible stock, bayonet mount, and a grenade launcher. As the list demonstrates, the features were primarily cosmetic and did nothing to increase firepower.

As The Federalist’s Sean Davis explained in 2016:

The 1994 assault weapons law banned semi-automatic rifles only if they had any two of the following five features in addition to a detachable magazine: a collapsible stock, a pistol grip, a bayonet mount, a flash suppressor, or a grenade launcher.

That’s it. Not one of those cosmetic features has anything whatsoever to do with how or what a gun fires. Note that under the 1994 law, the mere existence of a bayonet lug, not even the bayonet itself, somehow turned a garden-variety rifle into a bloodthirsty killing machine. Guns with fixed stocks? Very safe. But guns where a stock has more than one position? Obviously they’re murder factories. A rifle with both a bayonet lug and a collapsible stock? Perish the thought.

A collapsible stock does not make a rifle more deadly. Nor does a pistol grip. Nor does a bayonet mount. Nor does a flash suppressor.

The New York Times admitted in 2014 that Democrats manufactured the term “assault weapons” in order to ban a “politically defined category of guns — a selection of rifles, shotguns and handguns with ‘military-style’ features’” and added that those weapons “only figured in about 2 percent of gun crimes nationwide before the ban.”

This content was originally published here.

IU Dentistry serves smiles to Ronald McDonald House families

This past fall, our Indiana University School of Dentistry (IUSD) ASDA chapter partnered with our local Ronald McDonald House to serve families who are displaced while their seriously ill or injured child receives care at Riley Hospital for Children in Indianapolis. We helped provide home-cooked meals for families on a monthly basis, interacting with them and spreading information about our resources at IUSD, which is located across the street. These dinners also served as a time for the family members to share their child’s story and connect with other parents who may be going through similar experiences.

We established this programming because we recognized the need for volunteers at our local Ronald McDonald House, and with the facility being only a short walk away from the dental school, it became a no-brainer in terms of getting dental students and the dental school more involved.

One of the toughest parts of the dinners was hearing some of the heart-wrenching stories from the families. For example, one family had multiple other children at home over four hours away. We listened to how they balanced time between being with their child who was receiving treatment at Riley Hospital and tending to their other children at home. As a dental student, it is so easy to get caught up in the exams, crown preps and denture projects that we may forget about the hardships others are facing right in our backyard. Partnering with and serving at Ronald McDonald House taught us how to be a little kinder and more open to listening to and comforting those in need.

My experience at our dinners was always heart-warming and meaningful. Watching my fellow students come together in the kitchen to serve those away from their home for several weeks or even months allowed me to see how much can be accomplished when a group works together and how big of a difference just a warm meal can make.

It is important to continue outreach to displaced populations such as the families at the Ronald McDonald Houses. For children facing a serious medical crisis, nothing is scarier than not having family nearby for love and support. Ronald McDonald Houses provide places for families to call home so they can be near their child at little to no cost.

My advice for a student wanting to start their own outreach project for displaced populations is to tap into local resources to see how you can collaborate to give back. You can make an even bigger difference when multiple organizations come together united. In addition, be creative and optimistic, realizing that no matter how small or large the project is, ultimately, a difference is being made. This event has impacted my understanding of oral health by illustrating to me how without outreach events, those in the community who may need care the most might not know about it or receive it.

One thing I wish I’d known earlier about the event was how much the families at the Ronald McDonald House truly appreciated the meals and the interactions. I had no idea how meaningful this work would be, and I found that sometimes a parent just needed someone to listen to them. Participating in this event as a health care provider taught me how to truly get to know people in the community who are struggling in some of the most challenging aspects of life, having an ill or injured child. This event illustrated the importance of a group of volunteers coming together for a cause and making a difference in the lives of those displaced from their homes.

~Sydney Twiggs, Indiana ’21

ASDA thanks Colgate for their exclusive sponsorship of the National Outreach Initiative. This backing includes funding for the Dentistry in the Community Grant and free oral health care supplies to any chapter that requests them.

This content is sponsored and does not necessarily reflect the views of ASDA.

This content was originally published here.

Heavy metal music may have a bad reputation, but it has numerous mental health benefits for fans

Summary: Heavy metal music may have a bad reputation, but a new study reveals the music has positive mental health benefits for its fans.

Source: The Conversation

Due to its extreme sound and aggressive lyrics, heavy metal music is often associated with controversy. Among the genre’s most contentious moments, there have been instances of blasphemous merchandise, accusations of promoting suicide and blame for mass school shootings. Why, then, if it’s so “bad”, do so many people enjoy it? And does this music genre really have a negative effect on them?

There are many reasons why people align themselves with genres of music. It may be to feel a sense of belonging, because they enjoy the sound, identify with the lyrical themes, or want to look and act a certain way. For me, as a quiet, introverted teenager, my love of heavy metal was probably a way to feel a little bit different to most people in my school who liked popular music and gain some internal confidence. Plus, I loved the sound of it.

I first began to listen to heavy metal when I was 14 or 15 years old when my uncle recorded a ZZ Top album for me and I heard singles by AC/DC and Bon Jovi. After that, I voraciously read music magazines Kerrang!, Metal Hammer, Metal Forces, and RAW, and checked out as many back catalogs of artists as I could. I also grew my hair (yes, I had a mullet … twice), wore a denim jacket with patches (thanks mum), and attended numerous concerts by established artists like Metallica and The Wildhearts, as well as local Bristol bands like Frozen Food.

Over the years, there has been much research into the effects of heavy metal. I have used it as one of the conditions in my own studies exploring the impact of sound on performance. More specifically, I have used thrash metal (a fast and aggressive sub-genre of heavy metal) to compare music our participants liked and disliked (with metal being the music the did not enjoy). This research showed that listening to music you dislike, compared to music that you like, can impair spatial rotation (the ability to mentally rotate objects in your mind), and both liked and disliked music are equally damaging to short-term memory performance.

Other researchers have studied more specifically why people listen to heavy metal, and whether it influences subsequent behavior. For people who are not fans of heavy metal, listening to the music seems to have a negative impact on well-being. In one study, non-fans who listened to classical music, heavy metal, self-selected music, or sat in silence following a stressor, experienced greater anxiety after listening to heavy metal. Listening to the other music or sitting in silence, meanwhile, showed a decrease in anxiety. Interestingly heart rate and respiration decreased over time for all conditions.

Metalheads and headbangers

Looking further into the differences between heavy metal fans and non-fans, research has shown that fans tend to be more open to new experiences, which manifests itself in preferring music that is intense, complex, and unconventional, alongside a negative attitude towards institutional authority. Some do have lower levels of self-esteem, however, and a need for uniqueness.

One might conclude that this and other negative behaviors are the results of listening to heavy metal, but the same research suggests that it may be that listening to music is cathartic. Late adolescent/early adult fans also tend to have higher levels of depression and anxiety but it is not known whether the music attracts people with these characteristics or causes them.

Heavy metal has positive effects on fans of all ages. The image is adapted from The Conversation news release.

Despite the often violent lyrical content in some heavy metal songs, recently published research has shown that fans do not become sensitized to violence, which casts doubt on the previously assumed negative effects of long-term exposure to such music. Indeed, studies have shown long-terms fans were happier in their youth and better adjusted in middle age compared to their non-fan counterparts. Another finding that fans who were made angry and then listened to heavy metal music did not increase their anger but increased their positive emotions suggests that listening to extreme music represents a healthy and functional way of processing anger.

Other investigations have made rather unusual findings on the effects of heavy metal. For example, you might not want to put someone in charge of adding hot sauce to your food after listening to the music, as a study showed that participants added more to a person’s cup of water after listening to heavy metal than when listening to nothing at all.

Finally, heavy metal can promote scientific thinking but alas not just by listening to it. Educators can promote scientific thinking by posing claims such as listening to certain genres of music is associated with violent thinking. By examining the aforementioned accusations of violence and offense – which involved world-famous artists like Cradle of Filth, Ozzy Osbourne, and Marilyn Manson – students can engage in scientific thinking, exploring logical fallacies, research design issues, and thinking biases.

So, you beautiful people, whether you’re heading out to the highway to hell or the stairway to heaven, walk this way. Metal can make you feel like nothing else matters. It’s so easy to blow your speakers and shout it out loud. Dig!

About this neuroscience research article

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‘Dental Therapists’ Filling Gaps In Rural Dentistry Care

AUGUSTA, Maine (AP) — It can be hard to keep smiles healthy in rural areas, where dentists are few and far between and residents often are poor and lack dental coverage. Efforts to remedy the problem have produced varying degrees of success.

The biggest obstacle? Dentists.

Dozens of countries, such as New Zealand, use “dental therapists” — a step below a dentist, similar to a physician’s assistant or a nurse practitioner — to bring basic dental care to remote areas, often tribal reservations. But in the U.S., dentists and their powerful lobby have battled legislatures for years on the drive to allow therapists to practice.

Therapists can fill teeth, attach temporary crowns, and extract loose or diseased teeth, leaving more complicated procedures like root canals and reconstruction to dentists. But many dentists argue therapists lack the education and experience needed even to pull teeth.

“You might think extracting a tooth is very simple,” said Peter Larrabee, a retired dentist who teaches at the University of New England. “It can kill you if you’re not in the right hands. It doesn’t happen very often, but it happens enough.”

Dental therapists currently practice in only four states: on certain reservations and schools in Oregon through a pilot program; on reservations in Washington and Alaska; and for over 10 years in Minnesota, where they must work under the supervision of a dentist.

The tide is starting to turn, though.

Since December, Nevada, Connecticut, Michigan and New Mexico have passed laws authorizing dental therapists. Arizona passed a similar law last year, and governors in Idaho and Montana this spring signed laws allowing dental therapists on reservations.

Maine and Vermont have also passed such laws. And the Connecticut and Massachusetts chapters of the American Dental Association, the nation’s largest dental lobby, supported legislation in those states once it satisfied their concerns about safety. The Massachusetts proposal, not yet law, would require therapists to attain a master’s degree and temporarily work under a dentist’s supervision.

But the states looking to allow therapists must also find ways to train them. Only two states, Alaska and Minnesota, have educational programs, and they aren’t accredited. Minnesota’s program is the only one offering master’s degrees, a level of education that satisfies many opponents — dentists generally need a doctorate — but is also expensive.

“I would have to relocate to another state to go to school, and if you need to work and you still have a job, why would you do that?” said Cathy Kasprak, a dental hygienist who once hoped to become a therapist under Maine’s 2014 law.

Some dental therapists start out as hygienists, who generally hold a two-year degree, do cleanings and screenings, and offer patients general guidance on oral health. Some advocates of dental therapists argue they should need only the same level of education as a hygienist — a notion that horrifies many opponents.

Some lawmakers in Maine, which will require therapists to get a master’s from an accredited program, are optimistic about Vermont’s efforts to set up a dental therapy program with distance-learning options. It’s proposed for launch in fall 2021 at Vermont Technical College with the help of a $400,000 federal grant.

Nearly 58 million Americans struggle to afford and make the trip to dental appointments in thousands of communities short on dentists, according to the Kaiser Family Foundation.

One of the biggest benefits of dental therapists, proponents say, is that they can make preventive care easier to get by lightening the load of dentists, whose appointment slots are often stolen by complex procedures.

Even in states where therapists must practice in dental offices, like Minnesota, they can shorten travel times by opening slots for simple procedures closer to home, a small but growing body of evidence shows.

Christy Jo Fogarty, Minnesota’s first licensed advanced dental therapist, said the nonprofit children’s dental care organization she works for saves $40,000 to $50,000 a year by having her on staff instead of an additional dentist — and that’s not including the five other therapists on staff.

Dental therapists make $38 to $45 an hour in Minnesota, according to the Minnesota Dental Association. Dentists, meanwhile, average over $83 an hour, according to the Bureau of Labor Statistics.

According to state law, at least half of Fogarty’s patients must be on governmental assistance or otherwise qualify as “underserved.” She has also achieved the level of “advanced” therapist, meaning she has practiced with at least 2,000 hours of supervision and can make outreach trips on her own, to places like Head Start programs and community centers.

“Why would you ever want to withhold these services from someone who was in need of it?” she said.

Ebyn Moss, 49, of Troy, Maine, went without dental appointments for seven years before breaking a tooth below the gum line in 2017.

Moss has since had four teeth pulled, a bridge installed, a root canal, two dental implants and seven cavities filled at a cost of $6,300, and expects to shell out another $5,000 in the next year — a bill Moss is paying off with a 19% interest credit card and $16,000 in annual income.

“That’s the cost of choosing to have teeth,” Moss said.

Now, Moss gets treated at a dental school in Portland — a two-hour drive for appointments that can last 3 1/2 hours.

A dental therapist nearby would have made preventive care easier in the first place, Moss said.

The ADA and its state chapters report spending over $3 million a year on lobbying overall, according to data from the National Institute on Money in Politics. The Maine chapter paid nearly $12,000 — a relatively hefty sum in a small state — to fight the 2014 law that spring.

Some opponents of dental therapists argue they create a segregated system that gives wealthy urbanites superior care and puts poor, rural residents on a lower tier. Dental groups in Nevada and Michigan had argued lawmakers should instead boost Medicaid reimbursement to encourage dentists to accept low-income patients.

Some see less noble reasons for opposition: competition and potential loss of profits.

“They’re afraid if dental therapists come in to take care of the poor, they’re going to compete for their patients,” said Frank Catalanotto, a dentistry professor at the University of Florida.

Despite signs of more openness, successes aren’t uniform. Legislation failed in North Dakota and Florida this spring. Bills are pending in Kansas, Massachusetts and Wisconsin, as well as Washington, where therapists could be authorized to practice outside reservations.

“Available data have yet to demonstrate that creating new midlevel workforce models significantly reduce rates of tooth decay or lower patient costs,” ADA President Jeffrey Cole said in an email.

But the recent authorization of dental therapists in so many states may indicate the lobby’s influence and the arguments of other opponents are beginning to lose power.

“There is no justification, no evidence to support their opposition to dental therapists,” said dental policy consultant Jay Friedman.

He and some cohorts suggest dental therapists may need only as much education as a hygienist and argue they shouldn’t be working primarily in clinics. Such rules don’t help vulnerable groups like poor children in rural schools, he said.

“It’s no longer a question of if dental therapists will be authorized in every state,” said Kristen Mizzi Angelone, manager of the Pew Charitable Trusts dental campaign, which has waged its own push for dental therapists. “At this point it’s really only a matter of when.”

(© Copyright 2019 The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten or redistributed.)

This content was originally published here.

La Jolla Dentistry: Dr. D’Angelo and team know the power of a smile – La Jolla Light

The dental trio of Dr. Joseph D’Angelo, Dr. Ashley Olson and Dr. Ryan Hoffman comprise one of the largest dental practices in La Jolla — in both number of dentists and office space.

Recently, they expanded their hours to make their comprehensive dentistry services more convenient for their patients. Now, the La Jolla Dentistry office is open Monday and Wednesday evenings, and also on Saturdays, which is quite unusual for a dental practice.

Dr. Ryan Hoffman, who joined the team almost two years ago, told the Light that accommodating the lives of their busy patients is important. “In addition to the technology and all the services we provide, the convenience of coming here is key for working families with children in school, or for college students with strict schedules.”

The D’Angelo, Olson, Hoffman dental office has been located at 1111 Torrey Pines Road since 2004, when Dr. D’Angelo ran a solo practice. “I started out with one or two treatment rooms and gradually doubled in size,” he said. “Then, we doubled again. We have 10 treatment rooms now, and we’ve increased the types of services we provide.”

He said the office is fully equipped to handle just about any dental concern — from implants to veneers, gum recontouring, cosmetic and restorative dentistry, and Invisalign treatments.

Dr. Olson, who joined Dr. D’Angelo seven years ago, noted: “We are continually evolving technology in our office so it gives us added tools to provide exceptional care.”

The philosophy of providing impeccable care permeates throughout the staff, and Dr. D’Angelo is proud of creating such a culture. The office space has a warm and welcoming feel and the treatment rooms have TVs in the ceiling and mounted on the wall.

Dr. Hoffman pointed out that more younger clients are coming in the door these days: “I’m seeing and hearing a lot more in terms of cosmetics, whether it’s Invisalign or veneers, or before-and-after products, because social media makes dentistry so accessible to many more people these days.”

Dr. D’Angelo added: “Every patient seems to have an understanding that they need to take care of their teeth, and fillings and crowns and cleanings are part of that. But I still say two-thirds of what we do is want-based. For the vast majority of people, even though they have regular dental needs, the things they want seem to take precedence over things they know they need.

“People have come to realize that a smile they feel comfortable with — and a smile they can share with other people — impacts everybody around them.”

He explained that patients aren’t accepting ugly removable appliances and bridges anymore, either, they want implants and Invisalign, and they want their teeth white. Those desires drive the practice, with 3,000 patients and more walking through the door each day.

All three dentists agree that it really all comes down to the power of a smile.

As Dr. Olson put it: “(A beautiful smile) improves your work life, your love life, and your sense of self-esteem.” Dr. Hoffman added that on a personal note, “I have friends who’ve never been in a serious relationship and they’ve invested in their smile and now they’re engaged! It’s not necessarily the smile that did that, but it’s the confidence that came from the smile that altered their personality.”

And that smile power is also reaching seniors. Dr. D’Angelo commented: “It’s amazing how many people in their 70s are still highly concerned about how their smile looks. When they feel confident about their smile it makes them feel younger, feel healthier, feel more engaged. We’re changing people’s lives. From that standpoint, what we do is incredibly rewarding.”

The La Jolla Dentistry office of Dr. Joseph D’Angelo, Dr. Ashley Olson and Dr. Ryan Hoffman at 1111 Torrey Pines Road, Suite 101 in La Jolla is a fee-for-service practice, which means it participates with all PPO plans as an out-of-network provider. (858) 459-6224. joethedentist.com

Business Spotlight features commercial enterprises that support La Jolla Light.

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The reception area at La Jolla Dentistry, 1111 Torrey Pines Road, Suite 101, La Jolla. (858) 459-6224. joethedentist.com
The reception area at La Jolla Dentistry, 1111 Torrey Pines Road, Suite 101, La Jolla. (858) 459-6224. joethedentist.com (Courtesy Photo)

This content was originally published here.

Things Your Orthodontist Won’t Tell You

Close up macro shot of a male mouth laughing and showing his straight teethicsnaps/ShutterstockYour smile is one of the first things somebody notices about you, and seeing an orthodontist practically ensures you’ll always have straight, pearly whites. At least, that’s the idea. But as with any other doctor, your orthodontist has some things they wish you knew, but probably won’t ever tell you. (By the way, you’ll definitely want to follow these 10 golden rules for white, healthy teeth.)

Someone else might’ve used your braces before you

Beautiful young woman with brackets on teeth close upVP Photo Studio/ShutterstockBefore you get grossed out, this isn’t always the case—and if it is, it’s not actually as skeevy as you might think. According to foxnews.com, some orthodontists professionally sterilize and remanufacture used braces through companies like Ortho-Cycle, which saves up to 50 percent on costs. This process “is based upon the dissolution of polymerized acrylates at temperatures at which simultaneous sterilization occurs,” according to orthocycle.com.

We know when you haven’t been wearing your Invisalign

Close-up Of Woman's Hand Putting Transparent Aligner In TeethAndrey_Popov/ShutterstockDespite how persistent you are when you tell your orthodontist you’ve been actively wearing your Invisalign, they’ll know the truth right away. “We know if you haven’t been wearing your Invisalign because of a cool feature [on the aligners] (not just because of your answer to our question or the way your teeth look),” says Dr. Matthew LoPresti, DDS, a cosmetic dentist in Stamford, CT. “There are little blue marks towards the back of your aligners that should wear away as you wear the Invisalign. If the blue mark looks untouched, we know you haven’t been wearing the aligners.” (Here are some things your dentists NEEDS you to start doing differently.)

Your treatment will probably take longer than what we initially tell you

Close up of smiling black woman at dentistRocketclips, Inc./ShutterstockYour orthodontist might tell you your treatment will only take a year and a half to two years, but that’s a rough estimate. A lot of treatments take much longer than expected. “Delays in the process may occur like a misdiagnosis of your case, patient’s neglect, or unanticipated movement of the teeth,” says Danica Lacson, a representative for Hawaii Family Dental.

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Our fees might be negotiable

Credit cards close upsumire8/ShutterstockLet’s be honest, a trip to the orthodontist is anything but cheap. “The good news, though, is that orthodontists offer a variety of payment plans. Many allow patients to pay through monthly installments with no interest, and with some orthodontists, you can negotiate the fee itself,” according to foxnews.com. “Some orthodontists will give a discount, usually 5 to 10 percent, if you pay the total in cash or with a credit card at the beginning of treatment.” (You won’t believe these shocking diseases that dentists find first.)

You have to wear retainers after you complete your treatment—forever

teeth with retainerOlga Miltsova/ShutterstockIf you think you’re done with orthodontics after you finish your treatment—think again. “A retainer holds your teeth in place. After you complete Invisalign or any orthodontics, it is necessary to hold those teeth in place,” says Dr. LoPresti. “There are different options which include a removable clear retainer that is worn at night or a permanent fixed retainer that gets bonded to the back of your teeth.”

We know when you’re lying about wearing your retainer

Dentist holding Retainer, Orthodontics Dental concept backgroundponsulak/ShutterstockNot only do you have to wear a retainer after you complete your treatment, but your orthodontist will definitely know if you’ve really been keeping up with it. “Patients that complete their advised treatment and achieve their desired result but then fail to wear their retainers, generally have teeth that drift apart,” says Dr. Timothy Chase, co-founder of SmilesNY. “This can cause a relapse such as crowding, spacing or flaring of the teeth.” (Whatever you do, never, ever ignore these symptoms of a cavity.)

We know when you eat or drink with your Invisalign in

Macro close up of healthy female teeth biting raspberry.karelnoppe/ShutterstockIt might seem harmless to eat or drink with your aligners in, but you won’t be fooling your orthodontist. “When patients eat or drink liquids (other than water) come in to see me, their Invisalign trays are often slimy, dirty, and stained,” says Dr. Chase. “Not only does this result in a cosmetically undesirable appearance to the aligners but it also damages them and can lead to decay.”

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Braces aren’t just a cosmetic treatment

Close-up of ceramic and metallic braces on teeth. Orthodontic Treatment. Dental Care Conceptsalajean/ShutterstockIt might seem like people go to the orthodontist just to straighten out their teeth, but there are tons of other reasons, too. While some people can go through life with crooked teeth and be just fine, others actually require fixture in order to chew and speak properly. “While we do want everyone to have a perfect smile, the reality is not everyone requires orthodontics,” says Seth Newman, DDS, a board-certified orthodontic specialist. (You’ll never catch your dentist eating these 15 foods—and you shouldn’t be snacking on them, either.)

We know you don’t floss or brush as much as you say you do

Close-up Of Young African Woman Flossing TeethAndrey_Popov/ShutterstockRemember all those times you lied to your dentist or orthodontist when they asked if you’ve been flossing? Yeah… they knew you weren’t. “Those who do not brush and floss properly generally have a higher incidence of plaque calculus, gingivitis, and tooth decay,” says Dr. Chase. “A single day of forgetting to floss is damaging but a week or a month of poor hygiene will result in swelling of the gums, bleeding and a foul odor.” (This is the easiest way to get rid of bad breath, according to a dentist.)

Even if you don’t think your child needs orthodontics, get them checked out anyway

retainer for teeth - Beautiful smiling girl with retainer for teethpattara puttiwong/ ShutterstockEven if your child doesn’t show any signs of needing to see an orthodontist, you should really bring them in for a check-up no later than age seven. “If we see a patient early, we can remove baby teeth and the canine has a good possibility of coming in properly,” according to Dr. Jackie Miller, an orthodontist in Washington, MO, and member of the American Association of Orthodontists. “An early visit to the orthodontist can prevent and help detect future problems.” (Here are some dental etiquette rules everyone should follow.)

If you smoke, your treatment might take longer

Beauty & SmokeQuinn Martin/ShutterstockIn case you needed more of a reason to not smoke, it might actually cause you to need to make more trips to your orthodontist’s office. “Smokers give away their habit because of the excessive plaque that builds up on their teeth,” according to Dr. Chase. “This can have a big impact orthodontic appliances used to straighten teeth and result in a longer treatment period.”

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This content was originally published here.

Elderly couple suicide: High medical bills blamed for elderly Washington couple found dead in apparent murder-suicide; left notes about high health care cost – CBS News

A sheriff’s department in Washington state shared a story about an elderly man who killed his ailing wife and then himself, apparently because they did not have enough money to pay for medical care. The devastating story was shared on the Whatcom County Sheriff’s Office Facebook page and has gone viral. 

A 77-year-old man called 911 and told the dispatcher, “I’m going to kill myself,” according to the sheriff’s department. He indicated he had prepared a note with instructions and the dispatcher tried to keep him on the line, with no success. The man disconnected the call, and when deputies arrived at the house, they sent a robot mounted camera inside.

Both the man and his wife were found dead by gunshot wounds. Detectives are investigating it as a likely murder-suicide. 

Murder / Suicide near Ferndale

At 0823 hours this morning deputies responded to the 6500 block of Timmeran Lane near…

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“Several notes were left citing severe ongoing medical problems with the wife and expressing concerns that the couple did not have sufficient resources to pay for medical care,” the sheriffs department’s post reads. “Next of kin information was left in a note and detectives are working with out of state law enforcement to notify the next of kin.”

The identity of the couple has not been released. Their two dogs were brought to the Human Society for care. Several firearms were also impounded.

“It is very tragic that one of our senior citizens would find himself in such desperate circumstances where he felt murder and suicide were the only option,” Sheriff Bill Elfo said, according to the post. “Help is always available with a call to 9-1-1.”

Americans spend more on health care than citizens of any other country, and that gap is projected to widen. Health care spending is expected to consume almost 20% of the U.S. gross domestic product by 2027, according to a recent estimate from the Centers for Medicare & Medicaid Services. 

Suicide rates have increased among all age groups in the U.S. between 2008 and 2017, including those age 65 and over.

How to get help for yourself or a loved one

If you are having thoughts of harming yourself or thinking about suicide, talk to someone who can help, such as a trusted loved one, your doctor, your licensed mental health professional if you already have one, or go to the nearest hospital emergency department.

If you believe your loved one or friend is at risk of suicide, do not leave him or her alone. Try to get the person to seek help from a doctor or the nearest hospital emergency department or dial 911. It’s important to remove access to firearms, medications, or any other potential tools they might use to harm themselves.

For immediate help if you are in a crisis, call the toll-free National Suicide Prevention Lifeline at 1-800-273-TALK (8255), which is available 24 hours a day, 7 days a week. All calls are confidential.

-Ashley Welch contributed to this report.

This content was originally published here.

World Health Organization declares Ebola outbreak an international emergency | Science | AAAS

An Ebola victim was laid to rest Sunday in Beni in the Democratic Republic of the Congo.

World Health Organization declares Ebola outbreak an international emergency

The World Health Organization (WHO) today declared that the Ebola outbreak in the Democratic Republic of the Congo (DRC), which surfaced in August 2018, is an international emergency. The declaration raises the outbreak’s visibility and public health officials hope it will galvanize the international community to fight the spread of the frequently fatal disease.

“It is time for the world to take notice and redouble our effort,” said WHO Director-General Tedros Adhanom Ghebreyesus said in a statement. “We all owe it to [current] responders … to shoulder more of the burden.”

As of today, Ebola has infected more than 2500 people in the DRC during the new outbreak, killing more than 1650. By calling the current situation a Public Health Emergency of International Concern (PHEIC), WHO in Geneva, Switzerland, has placed it in a rare category that includes the 2009 flu pandemic, the Zika epidemic of 2016 and the 2-year Ebola epidemic that killed more than 11,000 people in West Africa before it ended in 2016.

The declaration does not legally compel member states to do anything. “But it sounds a global alert,” says Lawrence Gostin, a global health lawyer at Georgetown University in Washington, D.C. During the West African epidemic, for instance, the U.S. Congress supplied $5.4 billion in the months after WHO’s emergency declaration.

Even as they declared the emergency, WHO officials attempted to tamp down reactions they said could harm both the DRC’s economy and efforts to stop the outbreak. “This is still a regional emergency and [in] no way a global threat,” said Robert Steffen, the chair of the emergency committee that recommended the PHEIC designation and an epidemiologist at the University of Zurich in Switzerland, during a press teleconference today. He added in a written statement: “It is … crucial that states do not use the PHEIC as an excuse to impose trade or travel restrictions, which would have a negative impact on the response and on the lives and livelihoods of people in the region.”

The DRC’s minister of health, Oly Ilunga Kalenga, issued a statement accepting the declaration but expressing concern about its motives and the potential impact on his country. “The Ministry hopes that this decision is not the result of the many pressures from different stakeholder groups who wanted to use this statement as an opportunity to raise funds for humanitarian actors,” Kalenga wrote. He said such funds could come “despite potentially harmful and unpredictable consequences for the affected communities that depend greatly on cross-border trade for their survival.”

Steffen’s committee previously declined three times, most recently last month, to recommend that WHO declare the outbreak an international emergency. What changed, he said today, was the 14 July diagnosis of a case of Ebola in the large, internationally connected city of Goma, from which 15,000 people cross the border into Rwanda each day; the murders last weekend of two health workers in the city that is currently the Ebola epicenter of the DRC; a recurrence of intense transmission in that same city, Beni, meaning the disease now has a geographical reach of 500 kilometers; and the failure, after 11 months, to contain the outbreak.

Funding is also at issue. In June, WHO announced its funding to fight the outbreak fell $54 million short; today, accepting the emergency committee’s recommendation, Tedros said the funds needed to stop the virus “will run to the hundreds of millions. Unless the international community steps up and funds the response now, we will be paying for this outbreak for a long time to come.” (A written report from today’s meeting added: “The global community has not contributed sustainable and adequate technical assistance, human or financial resources for outbreak response.”)

When the first known Ebola case in Goma was diagnosed this week, concern spiked about international spread. In addition to being a metropolis of nearly 2 million people where Ebola may spread quickly and be difficult to trace, Goma has an international airport. Separately today, the government of Uganda, in conjunction with WHO, issued a statement describing the case of a fish trader who died of Ebola on 15 July; she had traveled from the DRC to Uganda on 11 July before returning to the DRC.

“Although there is no evidence yet of local transmission in either Goma or Uganda, these two events represent a concerning geographical expansion of the virus,” Tedros said. The risk of spread in DRC, [and] in the region, remains very high. And the risk of spread outside the region remains low.”

Last month, the outbreak’s first known Ebola fatalities outside the DRC were reported in a 5-year-old boy and his grandmother. The two had traveled from the DRC to Uganda after attending the funeral of a relative who died from Ebola.

Health officials are also worried about the safety of those battling the outbreak. Since January, WHO has recorded 198 attacks on health facilities and health workers in the DRC, killing seven, including two workers who were murdered during the night of 13-14 July in their home in Beni. The two northeastern DRC provinces that have experienced the outbreak are also plagued by poor infrastructure, political violence, and deep community distrust of health authorities.

Josie Golding, epidemics lead at the Wellcome Trust in London applauded the declaration of the public health emergency. “There is a grave risk of a major increase in numbers or spread to new locations. … This is perhaps the most complicated epidemic the world has ever had to face, yet still the response in the DRC remains overstretched and underfunded.”

Gostin called the declaration “long overdue. Until now the world has turned a blind eye to this epidemic. WHO has been soldiering on alone, bravely alone. And it’s beyond WHO’s capacity to deal with all of this violence and community distrust.”

PHEICs are governed by the International Health Regulations, a global agreement negotiated in the wake of the 2003 SARS outbreak. The regulations, in force since 2007, stipulate that a PHEIC should be declared when an “extraordinary” situation “constitute[s] a public health risk to other States through the international spread of disease” and “potentially require[s] a coordinated international response.”

WHO officials also today addressed the thorny conflict over whether a second, experimental Ebola vaccine, in addition to a Merck vaccine that has already been given to 161,000 people in the DRC, should be deployed there now. Officials worry that Merck’s stockpile—although it is being stretched by reducing the dose of the vaccine being given to each recipient—will be depleted before the outbreak ends. But on 11 July, Kalenga gave a firm “no,” rejecting the use of any new experimental vaccine in the country because of unproven effectiveness and the potential for public confusion. (A Johnson and Johnson [J&J] vaccine that has been shown to be safe in healthy volunteers is waiting in the wings and its use has been advocated for by several infectious disease experts.)

But today, Michael Ryan, the executive director of WHO’s Health Emergencies Programme, said the organization still supports introducing the J&J vaccine if it can win “appropriate national approval.” “The Ministry has expressed concern about introducing a second vaccine … mainly around the issue of confusion in the local population. We are working through those issues about where and when the vaccine could be used,” Ryan said.

David Heymann, an infectious disease epidemiologist at the London School of Hygiene and Tropical Medicine, and formerly WHO’s assistant director-general for Health Security and Environment, said today’s emergency declaration may have set a precedent. “The Emergency Committee appears to have interpreted the need for funding as one of the reasons a PHEIC was called—this has not been done in the past.”

This content was originally published here.

Overtreatment, Lax Scientific Standards Raise Concerns in Dentistry | Forum | Forum | KQED

Chances are a dentist has told you to floss more. But studies from the Cochrane Institute and the American Dental Association have found that many common oral health recommendations such as biannual cleanings, yearly x-rays and flossing have not been verified through scientific research. Forum discusses efforts to steer dentistry toward more evidence-based practices and we’ll talk about challenges facing the field, including charges that many dentists overtreat their patients.

Mentioned on Air:
The Truth About Dentistry (The Atlantic)

Joel White, distinguished professor in restorative dentistry, UCSF School of Dentistry; vice chair, Department of Preventive and Restorative Dental Sciences

This content was originally published here.

Child detention is a mental health crisis

The children who have been detained in overcrowded, squalid migrant camps at the border aren’t just facing poor living conditions. They are also facing higher risks of serious mental health problems, some of which could be irreparable.

The big picture: Children are fleeing life-or-death situations in their home countries, and instead of healing their psychological and emotional trauma, federal officials are exacerbating the damage through means that the medical community views as flagrant violations of medical ethics.


The literature is clear: People who seek asylum and are detained in immigration camps, especially children, suffer “severe mental health consequences.” Those include detachment, depression and post-traumatic stress disorder, which put them at higher risk for committing suicide.

What they’re saying: Medical professionals remain appalled at what they’ve seen and are raising alarms the U.S. immigration system is still needlessly hurting the already vulnerable mental health of these kids.

  • Marsha Griffin, a pediatrician in Texas, visited the Ursula detention center in late June with colleagues from the American Academy of Pediatrics. She recalled a young boy in a cage crying because his father had been taken to court and he had lost his aunt’s phone number. Another child relinquished his space blanket, saying it led to nightmares. “This is child abuse and medical neglect,” Griffin said.

Between the lines: Parents and other adult caregivers are usually the only source of stability for children. Every expert interviewed said separating them in any capacity is psychologically damaging and morally intolerable.

  • “The children who are separated — I’m speechless,” said Rachel Ritvo, a child psychiatrist who has practiced at Children’s National Medical Center. “That was what was done in slavery. That’s what was done in the Holocaust.”

The bottom line: “Most kids will have lasting scars from what they have seen or are enduring right now,” said Wes Boyd, a psychiatrist and bioethicist at Harvard Medical School who has evaluated more than 100 asylum seekers in the past decade. “They’re going to need as much medical help as they do legal help.”

Go deeper: Growing up, and parenting, as a refugee

This content was originally published here.

What if My Dentist Hasn’t Sent My Child to the Orthodontist? | American Association of Orthodontists

You don’t have to wait for your dentist to refer your child to an orthodontist.

Parents are often the first to recognize that something is not quite right about their child’s teeth or their jaws. A parent may notice that the front teeth don’t come together when the back teeth are closed, or that the upper teeth are sitting inside of the lower teeth. They may assume that their dentist is aware of the anomaly, and that the dentist will make a referral to an orthodontist when the time is right. A referral might not happen if the dentist isn’t evaluating the bite.

AAO orthodontists don’t require a referral from a dentist to make an appointment with them.

Dentists and orthodontists may have different perspectives.

Dentists are looking at the overall health of the teeth and mouth. He/she could be looking at how well the patient brushes and flosses, or if there are cavities. While dentists look at the upper and lower teeth, they may not study how the upper and lower teeth make contact.

Orthodontists are looking at the bite, meaning the way teeth come together. This is orthodontists’ specialty. Orthodontists take the upper and lower jaws into account. Even if teeth appear to be straight, mismatched jaws can be part of a bad bite.

A healthy bite is the goal of orthodontic treatment.

A healthy bite denotes good function – biting, chewing and speaking. It also means teeth and jaws are in proportion to the rest of the face.

The AAO recommends children get their first check-up with an AAO orthodontist no later than age 7.

Kids have a mix of baby and permanent teeth around age 7. AAO orthodontists are uniquely trained to evaluate children’s growth as well as the exchange of baby teeth for permanent teeth. Orthodontists are expertly qualified to determine whether a problem exists, or if one is developing.

AAO orthodontists often offer initial exams at no (or low) cost, and at no obligation.

Visit Find an Orthodontist for AAO orthodontists near you.

When you choose an AAO orthodontist for orthodontic treatment, you can be assured that you have selected a highly skilled specialist. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possesses the skills and experience to give you your best smile. Locate AAO orthodontists through Find an Orthodontist at aaoinfo.org.

This content was originally published here.

Dentacoin Combines Forces with MobiDent to Promote Preventive Digital Dentistry

June 20th, 2018: We are beyond thrilled to announce our new partnership with MobiDent, an India-based company aimed at making in-home, prevention-oriented dental care accessible and affordable to everyone.

“MobiDent is attempting to create a new Ecosystem for dentistry by creating a new generation of dentists (called Digi Dentists), who are trained in home dental care at the MobiDent Academy for Digital Dentistry, empowered with Caddy Clinic and connected to families who can use our Digital Dentistry Revolution Platform to avail on-demand preventive dental care that is convenient, inexpensive and safe. Now if there is a currency available to all connected parties, why wouldn’t we use it?”, shares Vivek Madappa, Co-Founder at MobiDent.

MobiDent’s Caddy Clinic: “Dental Clinic in a Suitcase”
for Affordable & Accessible Dental Care

MobiDent was founded in January 2011 by Dr. Devaiah Mapangada and serial entrepreneur Vivek Madappa in Bangalore, India’s Silicon Valley. Its unique proposition is called Caddy Clinic, or “dental clinic in a suitcase” and it comprises a portable dental chair and dental instruments and equipment required for basic dental procedures.

Through its revolutionary mobile dental care services, MobiDent brings benefits to both patients and dentists. Patients receive regular dental care right at lower costs and without the unpleasant time-consuming visits in the dental offices. Practicing dentists have the opportunity to treat more patients and young professionals can start their career with lower risk and great savings compared to the investment needed for opening a conventional dental practice*. For the last 4 years the concept has attracted 40 dentists across India with 65 000 patients.

In 2016, MobiDent was placed among the Top 10 from 19,000 business ideas, participating in India’s largest entrepreneurship competition organized by The Economic Times & IIM-A. From the same 10 projects, MobiDent won the first prize awarded by the Royal Academy of Engineering, London.

* Unlike in conventional dentistry where founding a clinic typically costs upwards of Rs.8 lakh ($12,000), the MobiDent taxi model costs only Rs.75,000 ($1,125) and its van model – between Rs.1.5 lakh ($2,250) and Rs.3 lakh ($4,500). Source: www.knowledge.wharton.upenn.edu

Intelligent Prevention & Digital Technology:
Where MobiDent Aligns with Dentacoin

MobiDent also differs from traditional dentistry by its strong focus on preventive dental care, which reduces the chances for serious problems by 80-90%, and thus reduces the costs and pain, according to Dr. Devaiah Mapangada. On that note, MobiDent offers special annual packages for home services which include two home visits per year for a check-up, cleaning and polishing, as well as unlimited tele-consultations, a dental health report, and 10% off on any further treatment.

“This digitized, prevention-oriented, patient-centered approach towards dentistry is in complete alignment with the core mission of Dentacoin. We believe that our cooperation with MobiDent will help dentists achieve the needed higher efficiency while simultaneously dramatically improve patients’ access to preventive dental care,” comments Ali Hashem, Key Account Manager at Dentacoin Foundation.

Dentacoin (DCN) Implemented by MobiDent
for Payments & Rewards

“The moment I heard about Dentacoin, I was open to explore its potential. If the world is heading into a digital revolution, it is necessary to have a new, universal currency, which is not influenced by governments, countries and politics. A currency that can connect all of us digitally, ensuring trust and transparency”, explains Vivek Madappa, Co-Founder at MobiDent.

Now each purchase of Caddy Clinic (available on Indiegogo) will allow dentists to receive a 5% discount and claim their reward in Dentacoin, if they start using Dentacoin Trusted Reviews and accept DCN as a means of payment for their services.

In the upcoming months, MobiDent plans to release a mobile app to easily connect patients with dentists, where Dentacoin will also be implemented.

MobiDent in cooperation with Dentacoin sets a new direction in dentistry, focused on improving dental care and making it affordable through shifting the paradigm from “sick care” to patient-centered preventive dental care and utilizing the digital technology advantages. This partnership will also help expand the Dentacoin network, which currently consists of 4000+ dentists using our tools and thirty five clinics in 14 countries, accepting DCN as a means of payment for dental services. See all Dentacoin partner clinics

This content was originally published here.

A Black Immigrant Woman Is Now the Most Powerful Health Official in California

It was an early summer morning at the San Ysidro Health Center, situated on the Mexican border. A flu outbreak gripped a nearby ICE detention center, where a larger humanitarian crisis continued to unfold, threatening the future of hundreds of children.

In a small conference room, brimming with 20 or so of the San Diego area’s most diverse academic and activist minds, Nadine Burke-Harris sat at the head of the table. The 43-year-old pediatrician from San Francisco was appointed by Gov. Gavin Newsom to become California’s first-ever state surgeon general in February. The role is part policymaker, part spokesperson, and full-time advocate for the state’s public health. All of which were needed to protect children at the border, as Burke-Harris later opined in the Washington Post.

In a country where Black people, immigrants, and women all report being unseen by medicine—in research, in practice, and in policy—Burke-Harris is all three. And she is poised to become one of the most powerful women in U.S. state-level government. Ever.

With that new leverage, Burke-Harris has heaved her political and medical capital not toward the expected battle cries—curing cancer, ending HIV infection, or undoing the opioid crisis—but on an affliction which most people don’t even know they experience: toxic stress. “I am not a surgeon general who is going to just tell people to eat right and exercise,” she said.

To Burke-Harris, toxic stress is not about enduring a long line at Starbucks, being ghosted, gentrification, or negativity. It cannot be cured by a warm bath, a juice cleanse, exercise, or meditation. It’s what she calls “higher allostatic load”: the ongoing wear and tear from structural instability, and it bears heavily on people of color, women, queer people, homeless people, poor people, and anyone whose existence is systematically marginalized. This is called John Henryism or weathering, and is worse than a cradle-to-grave crisis: It’s womb-to-grave.

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Burke-Harris, pictured left, visiting with community members. Image: Office of the Governor

Black women in the U.S. have double to triple the likelihood of giving birth to a premature child as their white counterparts, quadruple the risk of dying in childbirth, and double the risk of their infant dying within the first year after birth. Meanwhile, a 2018 research letter in the Journal of the American Medical Association flagged the suicide risk of black boys aged 5 to 11 as triple that of white boys. Working-class men of color who escape the school-to-prison for-profit pipeline must try 16 times harder to get a therapy appointment than a middle-class white woman. A 2016 Journal of Health and Social Behavior study found that 30 percent of therapists responded to calls for help from middle-class white people, 21 percent to middle-class black women, and 13 percent to middle-class black men.

And on top of it all, a culture of intolerance makes the toxic stress even worse, what with BBQ Beckys, the outcries over a black Little Mermaid, the stigmatization of black athletes and their strength, and the everyday silencing of black pain. And the racial divide is widening.

It’s a good thing, then, that Burke-Harris has been readying herself for a role like this for her whole adult life. Burke-Harris was born in Canada to Jamaican parents; her father brought the family to Palo Alto when he got a Fulbright to teach biochemistry at Stanford. But she knows what it feels like to never feel quite settled in a country. She watched her mother nurse a brother’s 105-degree fever rather than go to the hospital, fearing it might endanger their immigration status. Nonetheless, she climbed quickly: undergrad at Berkeley, medical school at UC Davis, a public health degree at Harvard, and a residency at Stanford, where she was the only black person in her class. In medical school, someone assuming she was a janitor barked that she should “get a mop and mop up that mess.” She declined.

When asked if it’s stressful—as a public official, as a woman, as a minority, as an immigrant—to shoulder California’s hopes, she resists. “Why would I choose that when I can choose joy?” she said.

But Burke-Harris isn’t an advocate in the way one might presume. At the luncheon in San Diego, her telling of a story about an asthmatic 10-year-old girl took a sharp turn from anecdote to diagnosis, casually racing through medical specifications. She paused. “I’m new to public office,” she said unapologetically. “I’m a doctor.” The room erupted in laughter—Burke-Harris’s as well.

She debuted in the national consciousness as many these days do, via a viral video. In her TED talk—watched 2.3 million times since it posted in 2015—she discussed a kind of man-made pathogen tied to 7 out of the top 10 causes of death in the U.S. “Folks who are exposed in very high doses have triple the risk of heart disease and lung cancer,” she said, “and a 20-year difference in life expectancy.” The talk was about childhood trauma and toxic stress, which she later outlined in more detail in her book, The Deepest Well. The clinic she ran in one of the worst neighborhoods in San Francisco has been envied nationally and mimicked—badly—in New York.

But for all her scientific rigor, she is full of surprises. “Did you see Night School?” she asked me in the car, racing between back-to-back meetings. “There’s a scene in there where Tiffany Haddish asks Kevin Hart ‘What happened to you?’ instead of ‘What’s wrong with you?’ I’m probably the only person who cheered the medical accuracy there.”

Her friends say it’s not by chance that she reached this level. “Even back then, it was clear that she was guided by a fierce desire to help those who could not help themselves,” said Vivek Murthy, who, at 37, became the nation’s youngest-ever U.S. Surgeon General in 2014. Murthy and Harris-Burke are fellow alumni in the Soros Fellow program and share a dorky coffee mug with their faces on it. And they are aligned on their approach to health. “For most people and policymakers, prevention is less tangible than treatment,” Murthy said. “It’s much easier to picture treating someone with a heart attack than it is to imagine altering the complex threads that determine whether a future heart attack occurs.”

Kimberlydawn Wisdom is Michigan’s state surgeon general, the first state SG in the country, and a close friend. She said Burke-Harris’ appointment is a dream outcome. “California has the power to change the game as no other state,” Wisdom said. “Suddenly I can picture, in my own lifetime, every state and territory having their own surgeon general. It’s just too bad there’s only one Nadine. She’s proof that we’re evolving as a society to include not just diversity but also different perspectives, the true strength of real diversity.”

In her TED talk—watched 2.3 million times—she discussed a kind of man-made pathogen tied to 7 out of the top 10 causes of death in the U.S.

California’s reputation as a game-changer is well-earned. In 1990, San Luis Obispo, nestled in the central part of the state, became the first city in the world to ban all indoor smoking in public places, including bars and restaurants; California was the first state to ban smoking in the workplace in 1995 and, in June, Beverly Hills became the first U.S. city to ban tobacco sales.

California similarly has been a leader in requiring LGBTQ history in schools and banning gay conversion therapy, pushing for over-the-counter access to PrEP for HIV, legalizing medical and recreational marijuana, and pioneering needle exchanges. Pregnant Californians are entitled to four months of paid leave and new parents get three months (unpaid) to bond with their newborn, compared to the federal law, which doesn’t protect any amount of time. This year, California also passed a law much more revealing of baked-in bigotry: it became the first state to ban race-based hair discrimination.

Back in San Ysidro, Burke-Harris toured a maternal health building, complimenting breastfeeding posters (some in Tagalog), praising a cooking program that teaches recipes based on local grocery coupons, and asking lab technicians what software they’re using. But it was later, meeting with other pediatric activists, that the impact of her training became clear. “Working with children, we’re working with families and working with generations,” she said.”There’s a built-in comprehensiveness.” It makes for one hell of a training ground for public policy.

But before launching any new programs, Burke-Harris wants more data, so she helped pass a law requiring all recipients of Medicaid in California to have their Adverse Childhood Experience (ACE) scores evaluated and reported. This provides a metric through which to measure toxic stress.The program is $45 million to implement and $60 million to follow through over three years.

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Burke-Harris visiting with community members. Image: Office of the Governor

That’s music to Bruce Baldwin’s ears. Baldwin, a 63-year-old tobacco prevention treatment coordinator in California’s rural north, always thought early experimentation with alcohol and stronger drugs—beginning at 12—derailed his life. People would tell him to “be a man, tough it out.” But then he got sober, and his problems remained. It was only with more awareness that he realized his ACE score—the impact of an impoverished childhood without a mother—played a part too. “ACE scores go back further than you can even remember. Your body remembers, though.” He’s hoping Burke-Harris’ impact will help more people like him. “She changed my life with a YouTube video,” he said of her TED talk. “Imagine what she’ll be able to do with real power.”

As both of us packed our things into TSA trays at San Diego’s airport, I asked Burke-Harris to name something she wanted to be common knowledge a generation from now. “Heart attacks start in childhood,” she said without hesitation. “That’s why this is so important. It is the root of the root of pretty much every root. It’s where, how, and why everything begins.”

I asked her about her frequent analogy that toxic stress will be for the 21st century what infectious diseases were to the 20th century. Does that mean her goal is to be the Jonas Salk of our time?

“Yes,” she said with searing determination, her eyes aglow with the superpower of being seen. “That’s exactly what I want to do.”

This content was originally published here.

La Jolla Dentistry: Dr. D’Angelo and team know the power of a smile – La Jolla Light

The dental trio of Dr. Joseph D’Angelo, Dr. Ashley Olson and Dr. Ryan Hoffman comprise one of the largest dental practices in La Jolla — in both number of dentists and office space.

Recently, they expanded their hours to make their comprehensive dentistry services more convenient for their patients. Now, the La Jolla Dentistry office is open Monday and Wednesday evenings, and also on Saturdays, which is quite unusual for a dental practice.

Dr. Ryan Hoffman, who joined the team almost two years ago, told the Light that accommodating the lives of their busy patients is important. “In addition to the technology and all the services we provide, the convenience of coming here is key for working families with children in school, or for college students with strict schedules.”

The D’Angelo, Olson, Hoffman dental office has been located at 1111 Torrey Pines Road since 2004, when Dr. D’Angelo ran a solo practice. “I started out with one or two treatment rooms and gradually doubled in size,” he said. “Then, we doubled again. We have 10 treatment rooms now, and we’ve increased the types of services we provide.”

He said the office is fully equipped to handle just about any dental concern — from implants to veneers, gum recontouring, cosmetic and restorative dentistry, and Invisalign treatments.

Dr. Olson, who joined Dr. D’Angelo seven years ago, noted: “We are continually evolving technology in our office so it gives us added tools to provide exceptional care.”

The philosophy of providing impeccable care permeates throughout the staff, and Dr. D’Angelo is proud of creating such a culture. The office space has a warm and welcoming feel and the treatment rooms have TVs in the ceiling and mounted on the wall.

Dr. Hoffman pointed out that more younger clients are coming in the door these days: “I’m seeing and hearing a lot more in terms of cosmetics, whether it’s Invisalign or veneers, or before-and-after products, because social media makes dentistry so accessible to many more people these days.”

Dr. D’Angelo added: “Every patient seems to have an understanding that they need to take care of their teeth, and fillings and crowns and cleanings are part of that. But I still say two-thirds of what we do is want-based. For the vast majority of people, even though they have regular dental needs, the things they want seem to take precedence over things they know they need.

“People have come to realize that a smile they feel comfortable with — and a smile they can share with other people — impacts everybody around them.”

He explained that patients aren’t accepting ugly removable appliances and bridges anymore, either, they want implants and Invisalign, and they want their teeth white. Those desires drive the practice, with 3,000 patients and more walking through the door each day.

All three dentists agree that it really all comes down to the power of a smile.

As Dr. Olson put it: “(A beautiful smile) improves your work life, your love life, and your sense of self-esteem.” Dr. Hoffman added that on a personal note, “I have friends who’ve never been in a serious relationship and they’ve invested in their smile and now they’re engaged! It’s not necessarily the smile that did that, but it’s the confidence that came from the smile that altered their personality.”

And that smile power is also reaching seniors. Dr. D’Angelo commented: “It’s amazing how many people in their 70s are still highly concerned about how their smile looks. When they feel confident about their smile it makes them feel younger, feel healthier, feel more engaged. We’re changing people’s lives. From that standpoint, what we do is incredibly rewarding.”

The La Jolla Dentistry office of Dr. Joseph D’Angelo, Dr. Ashley Olson and Dr. Ryan Hoffman at 1111 Torrey Pines Road, Suite 101 in La Jolla is a fee-for-service practice, which means it participates with all PPO plans as an out-of-network provider. (858) 459-6224. joethedentist.com

Business Spotlight features commercial enterprises that support La Jolla Light.

Courtesy Photo
The reception area at La Jolla Dentistry, 1111 Torrey Pines Road, Suite 101, La Jolla. (858) 459-6224. joethedentist.com
The reception area at La Jolla Dentistry, 1111 Torrey Pines Road, Suite 101, La Jolla. (858) 459-6224. joethedentist.com (Courtesy Photo)

This content was originally published here.

My Orthodontist Thinks I Need Invisalign

I don’t try to make bad choices. Really, I don’t. In fact, I don’t think most people set out to do make them either. I think we all end up in a place we hoped not to be and in retrospect say, well, that was probably a bad idea.

Such was my life this past week when I found myself sitting in an orthodontist’s office being handed an estimate for approximately $8,000 (for Invisalign, I don’t want more braces, of which $3,500 would be covered by my insurance), that would essentially correct (or finish) the job I assumed was completed when I paid $4,000 to get my teefus fixed back in 2012. As sad as it is that if I have to pay all over again, how we got to this point is so much dumber than you can possibly imagine.

It all started in 2007 when I told my then-dentist I wanted braces. In order to do so, I was going to have to get my wisdom teeth removed, so I had all four of my wisdom teeth removed at the same time. Can we talk about that for a minute? Yes, let’s. If you’ve had your wisdom teeth removed, you know they can do general (put you out) or local (numb your mouth) anesthesia. Because all of my wisdom teeth were erupted, they opted for local anesthesia. This is where I learned about how my body responds to numbing agents and pain killers. Basically, it doesn’t. My mouth was numb for a solid 10 minutes before I started to feel the orthodontist literally breaking my teeth in half with some pliers.

Nigga. I cried so hard. It hurt so much, but I made it through thinking that I’d get some pain killers and be high off my gourd for the next week. First, they prescribed me Vicodin. It didn’t work. Then Percocet. Which also didn’t work. Literally, my body didn’t respond to pain killers AT ALL. I pretty much had to wait out the pain in the fetal position on my couch at home for a week and some change. After that experience, I put braces out of my mind, because short of checkups, I didn’t want anything unnecessary done to my teeth.

But then (and we’re about to get to the shenanigans now), while riding around in my car in 2011, I heard a commercial for braces and I said to myself, “P, you should get braces.” There was some number to call, so I called it. And it led me to a dentist’s office in Maryland. Well, I live in Washington, D.C., so that made sense. I scheduled an appointment and showed up for my consultation. And no lie when I tell you I was so dumbfounded at this office: the dentist was a black man but his entire office looked like a Pitbull video shoot. I was in an office full of some of the most beautiful women I’d ever seen. And they all worked there. As far as medical office spaces go, it might as well have been heaven.

I even remember calling a few of the homies to be like, “If you need a dentist, THIS IS WHERE YOU NEED TO BE!” I got my consultation and was told the braces would run me $4,000, and I’d walk away with pristine pearly whites. And all of the work would be handled in-house. And I should just come to them for regular dental services. Cool. SIGN ME UP.

That’s where it started going downhill. For one, while I thought the office was unreal, it was easily the most inappropriate office I’d ever been in. The dental assistants were a little too friendly and familiar. I’m not saying it was a happy endings spot or anything, I’m just saying the folks who worked there were super comfortable in ways that I’m not sure are…appropriate. Well, I got my braces and paid the cost to be the boss. Once that was done, and because my insurance changed, that office was no longer an option. Which made me sad, but I also figured that one complaint might take that office off the map anyway, so perhaps it was just time to move on.

I had permanent retainers on the back of my teeth and recently, the retainers on the back of my top row snapped. Because I could feel my teeth almost immediately start to shift, I found an orthodontist and scheduled an appointment the same way I found any new doctors: I checked the list of folks who would accept my insurance and looked for the black folks.

I went in for an appointment, and in the nicest possible way (and without professionally shitting on her fellow unnamed dentist), the orthodontist was like, “Yeah, your teeth ain’t supposed to do what they’re doing, ever, but since I wasn’t there in the first place, I’m not sure if this is accidental or intentional.” You can imagine how hard I clutched my pearls since I JUST got my braces off in 2012. I asked if she was saying the other dentist fucked up my teeth but made it look like the job was done and she would neither confirm nor deny this. I told her that’s what I get for staying at an office because everybody looks like J.Lo.

In order to address and correct the issue, the estimate came back a cool $8,000 strong. I’d feel dumb not getting them fixed since that was a decision I made in the first place and my teeth would just start crip walking again. Mildly, but a crip walk is a crip walk. But I can’t help but thinking I got got by a dentist’s office that didn’t feel right and stuck me for $4,000 out of pocket. And my teeth aren’t terrible, but the new ortho noticed some things that she had various curiosities about.

And it all takes me back to the fact that I seriously picked an office for braces based on a radio ad.

The moral of the story: Don’t pick dentist offices based on radio ads.

This content was originally published here.

Study: Psychiatric Diagnoses Are ‘Scientifically Meaningless’ In Treating Mental Health – Study Finds

LIVERPOOL, England — No two people are exactly alike. Therefore, attempting to classify each unique individual’s mental health issues into neat categories just doesn’t work. That’s the claim coming out of the United Kingdom that is sure to ruffle some psychologists’ feathers.

More people are being diagnosed with mental illnesses than ever before. Multiple factors can be attributed to this rise; many people blame the popularity of social media and increased screen time, but it is also worth considering that in today’s day and age more people may be willing to admit they are having mental health issues in the first place. Whatever the reason, it is generally believed that a psychiatric diagnosis is the first step to recovery.

That’s why a new study conducted at the University of Liverpool has raised eyebrows by concluding that psychiatric diagnoses are “scientifically meaningless,” and worthless as tools to accurately identify and address mental distress at an individual level.

Researchers performed a detailed analysis on five of the most important chapters in the Diagnostic and Statistical Manual of Mental Heath Disorders (DSM). The DSM is considered the definitive guide for mental health professionals, and provides descriptions for all mental health problems and their symptoms. The five chapters analyzed were: bipolar disorder, schizophrenia, depressive disorders, anxiety disorders, and trauma-related disorders.

Researchers came to a number of troubling conclusions. First, the study’s authors assert that there is a significant amount of overlap in symptoms between disorder diagnoses, despite the fact that each diagnosis utilizes different decision rules. Additionally, these diagnoses completely ignore the role of trauma or other unique adverse events a person may encounter in their life.

Perhaps most concerning of all, researchers say that these diagnoses tell us little to nothing about the individual patient and what type of treatments they will need. The authors ultimately conclude that this  diagnostic labeling approach is “a disingenuous categorical system.”

“Although diagnostic labels create the illusion of an explanation they are scientifically meaningless and can create stigma and prejudice. I hope these findings will encourage mental health professionals to think beyond diagnoses and consider other explanations of mental distress, such as trauma and other adverse life experiences.” Lead researcher Dr. Kate Allsopp explains in a release.

According to the study’s authors, the traditional diagnostic system being used today wrongly assumes that any and all mental distress is caused by a disorder, and relies far too heavily on subjective ideas about what is considered “normal.”

“Perhaps it is time we stopped pretending that medical-sounding labels contribute anything to our understanding of the complex causes of human distress or of what kind of help we need when distressed.” Professor John Read comments.

The study is published in the scientific journal Psychiatry Research.

This content was originally published here.

SUNDAY SOLILOQUY: Front Porch Dentistry – it was the only way during the old days – Alabama Pioneers

Front Porch Dentistry

by

Shannon Hollon

I remember my grandmother(Pauline Campbell Bearden) telling me a story once when they were staying with her grandparents( Pappy and Grandma) during the Great Depression.

Dr. Charles Campbell (Pappy) served as the local country doctor for Fosters and surrounding Tuscaloosa county area for many years.

Dr. Charles M. Campbell MD 1867-1939

On this certain occasion she and her brother(HT Campbell) watched out the front window as Pappy pulled a neighbor(John Ed)teeth with nothing but forceps and a cane bottom chair.

She said John Ed would hold on to the chair and give a grunt with each tooth extraction.

Dr. Campbell’s only claim to fame is he delivered a local baby Lurleen Burns Wallace who became the first and only female Governor of Alabama…By the way he was payed a calf for his delivery services of the future governor.

is a collection of lost and forgotten stories about the people who discovered and initially settled in Alabama.

Some stories include:

  • The true story of the first Mardi Gras in America and where it took place
  • The Mississippi Bubble Burst – how it affected the settlers
  • Did you know that many people devoted to the Crown settled in Alabama –
  • Sophia McGillivray- what she did when she was nine months pregnant
  • Alabama had its first Interstate in the early days of settlement

See historical books by Donna R. Causey


By (author):  Donna R Causey

List Price: $12.97 USD
New From: $12.97 USD In Stock

About Shannon Hollon

Shannon Hollon lives in McCalla Alabama graduated from McAdory High School and the University of Alabama at Birmingham. Served 9 years in the US Navy Seabees with one tour in Afghanistan.Currently employed with US Steel and serving on the board of directors for the West Jefferson County Historical Society. http://wjchs.com/

Liked it? Take a second to support Alabama Pioneers on Patreon!

This content was originally published here.

Guns and public health: Applying preventive medicine to a national epidemic – CBS News

It happened again … twice in less than twenty-four hours. Are any of us surprised? And can anybody help?

When a panel of seven doctors was asked how many had seen a gunshot victim within the past week, three hands went up. “I think people think that if their loved one gets to the hospital, that there’s magic there. But sometimes it’s just too much for us,” said Dr. Stephanie Bonne.

If there was ever a time for preventive medicine, it’s now, says a group of doctors. 

“A grandfather was shot yesterday,” said Dr. Roger Mitchell. “A son was shot yesterday. Yesterday – a mother was shot yesterday. And then the day before that, there were five other people that were shot that were connected to Americans in this country.”

They’ve had enough, and seen enough.

“The only thing worse than a death is a death that can be prevented,” said Dr. Ronnie Stewart. “And to go and talk to the mom of a child who was normal at breakfast and now is not here, is the worst possible thing. And honestly, it drives us to address this problem.”

Drs. Stewart, Boone and Mitchell, along with Drs. Albert Osbahr, Niva Lubin Johnson, Chris Barsotti and Megan Ranney were in Chicago this past winter as more than 40 medical organizations, who normally operate separately, joined forces to address the 40,000 firearm-related deaths that occur each year.

Nothing like this has ever happened, they said. “And we recognize that this is an epidemic that we can address,” said Dr. Barsotti.

Their meeting followed a tweet from the National Rifle Association last November that helped fuel a movement: “Someone should tell self-important anti-gun doctors to stay in their lane.”

Someone should tell self-important anti-gun doctors to stay in their lane. Half of the articles in Annals of Internal Medicine are pushing for gun control. Most upsetting, however, the medical community seems to have consulted NO ONE but themselves. https://t.co/oCR3uiLtS7

— NRA (@NRA)

In response, Dr. Bonne, a trauma surgeon in Newark, N.J., snapped a picture pof the waiting room and posted it to Twitter along with this message: “Hey, N.R.A., do you wanna see my lane? Here’s the chair that I sit in when I tell parents that their kids are dead.”

Hey @NRA ! Wanna see my lane? Here’s the chair I sit in when I tell parents their kids are dead. How dare you tell me I can’t research evidence based solutions. #ThisISMyLane #ThisIsOurLane #thequietroom pic.twitter.com/y7tBAuje8O

— Stephanie Bonne (@scrubbedin)

“And you hit send. And then what happens?” asked medical correspondent Dr. Jon LaPook.

“I was part of a chorus,” Dr. Bonne replied.

A chorus of thousands of medical professionals who responded #ThisIsOurLane.

“Our motto is do no harm, for physicians. But I think the community felt that harm was being done to us by that tweet,” said Dr. Lubin-Johnson.

Dr. Ranney said, “I remember sitting there and thinking, how can you lecture docs, many of whom are gun owners, about what we do and don’t know?”

Dr. Ranney is chief research officer for Affirm, an organization trying to address gun violence through the same tools doctors use to combat problems like obesity, the opioid crisis, and heart disease.

This public health approach is not new: in the 1950s, doctors worked with the auto industry to help make cars and roads safer. In the ’60 and ’70s, they spoke out against the dangers of tobacco; and in the ’80s and ’90s, to combat HIV and AIDS, they promoted safe sex and research.

Today, the focus is gun violence in all its forms. It may surprise you to know that mass shootings make up less than 1% of firearm-related deaths. The leading cause is suicide, followed by homicide, and then accidents.

But good answers on how best to prevent these deaths are hard to come by. That’s because of 1996 legislation defunding any research at the Centers for Disease Control and Prevention promoting gun control.

Rep. Jay Dickey (R-Ark.), who appended an amendment to a spending bill disallowing government funds from beings used to, in whole or in part, advocate or promote gun control, told the House, “This is an issue of federally-funded political advocacy … a[n] attempt by the CDC to bring about gun control advocacy all over the United States.” $2.6 million from the CDC’s budget was re-allocated, and it had a chilling effect on almost all firearm research. 

“What was lost was 20-some years of effort to understand and prevent a huge health problem,” said Dr. Garen Wintemute, whose work on handgun violence lost government funding after Congress passed that 1996 legislation. “Consciously, deliberately, repeatedly, over and over, we turned our back on this problem. It’s as if we, as a country, had said, ‘Let’s not study motor vehicle injuries. Let’s not study heart disease or cancer or HIV/AIDS.’

“And the result, I believe, is that tens of thousands of people are dead today whose lives could have been saved if that research had been done.”

In 2018, Congress said government dollars could be used to research gun violence, just not to promote gun control. But Dr. Wintemute says federal research into gun violence is still underfunded.

While private donations for research are now increasing, Dr. Wintemute has over the years spent more than $2 million of his own money to continue his research at the University of California-Davis.

Dr. LaPook asked, “Are you a wealthy man who can afford to just do that, as a rounding error?”

“It’s not rounding error,” he laughed. “But I live a very simple life. I earn an academic sector, ER doc’s salary.”

“So, you are changing your lifestyle in order to fund this research or have in the past?”

“Yes, that’s correct.”

“What drives you to do that?”

“People are dying,” Dr. Wintemute replied. “Given the capacity to do it, how can I not? It really is just that simple.”

His work has led to some surprising conclusions. For example, his studies revealed that in some states comprehensive background checks as implemented had no effect on the number of firearm-related deaths. That’s in part because of a lack of communication among agencies.

“We have learned that probably hundreds of thousands of prohibiting events every year do not become part of the data that the background checks are run on,” Dr. Wintemute said.

Consider the 2017 shooting of 46 parishioners at a church in Sutherland Springs, Texas. Due to a domestic violence conviction, the shooter should had been stopped from buying any guns, but that information was never shared with the FBUI, which oversees the background check system.

“So you think, okay, it’s not as effective as we want, but it can become effective if we do A, B, and C?” Dr. LaPook said.

“There’s no question about it,” Dr. Wintemute replied.

But it’s policy proposals from doctors on issues like background checks and registrations that concern gun-rights advocates.

Dr. LaPook said, “The point the N.R.A. was trying to make with its [“stay in your lane”] tweet was, what makes doctors experts on gun policy?”

“Doctors are not experts on gun policy unless they do their homework,” said Dr. Wintemute. “What doctors are experts on is the consequences of violence. If doctors choose to be, they can become experts on policy.”

When asked if advocating for gun control part of the mission of Affirm, Dr. Megan Ranney said no. “This is about stopping shooters before they shoot,” she said.

The NRA did not respond to “Sunday Morning”‘s repeated requests for an on-camera interview. However, in a phone conversation earlier this year, two representatives said the organization does support research into gun-related violence, but expressed concern that – say what they will – the ultimate goal of many who advocate such research is to take away the guns of responsible citizens.

Dr. Ronnie Stewart said, “We’re not well-served by this overly-simplistic view of simply two sides fighting each other. We have to work together. And that includes engaging firearm owners as a part of the solution, not a part of the problem.”

For these doctors, the issue isn’t about whose lane it is; it’s about what they can do.

As Dr. Stephanie Boone said, “I know that the house of medicine can fix this.”

And, Dr. Albert Osbahr added, “Enough is enough.”

       
For more info:

       
Story produced by Dustin Stephens.

This content was originally published here.

Decades of Dentistry: David Newman, DMD of Kilmarnock

“I fit the mold of having an interesting story about how I came to live—and practice—in the Northern Neck,” says Kilmarnock dentist David Newman.

“My grandmother grew up in Virginia. At one point, she was visiting with friends in Gloucester. They were having dinner with some people from the Northern Neck. One of the dinner guests from the Northern Neck mentioned that the local dentist was ill and was interested in selling his practice. My grandmother shared this bit of news with my parents, who, in turn, shared it with me. Well, I had just graduated from the University of Pennsylvania dental school and was working long days and some evenings for three different practices. I knew that wasn’t the professional life I wanted. So, I contacted the Northern Neck dentist, Dr. Brumback, and my wife Debbie and I made arrangements to meet him in Kilmarnock in front of a dress shop on Main Street.”

Anyone who has ever got off Interstate 95 and headed down Route 3 to Lancaster County knows it’s a long drive that seems to go on forever. “Debbie and I finally arrived in Kilmarnock. We easily found the dress shop on Main Street and I gave Dr. Brumback a call. He met us, and showed us his office and around the area. We hit it off. So, the next thing I knew, Dr. Brumback introduced me to Douglas Monroe, Jr., president and CEO of Chesapeake Bank. Doug and Chesapeake Bank worked with me to purchase the practice. It was the first of many business and personal banking experiences I’ve had with Chesapeake Bank. They’ve been my bank since day one,” says Newman.

Living in the Northern Neck

Moving from an urban or suburban region to a rural area can be an adjustment for some people, but for Newman, the bay, rivers and tributaries that surround the Northern Neck hold a special appeal. “I grew up on the Jersey shore and was always on the water. That’s what attracted me to the Northern Neck and Lancaster County.”

34 Years Later

“It’s been a great run for me. I enjoy knowing my patients and seeing them outside of my practice. I would like to bring in an associate to help me continue to offer high-quality dental care. I’m certain Chesapeake Bank will help them, too, so they can make their home here. It would be nice to get in a little more time on my boat with my rod and reel,” says Newman, grinning.

Share your story.

Do you have a story about how Chesapeake Bank helped you get there? Share it with us on Facebook or visit our site to let us know.

If you have a hope for the future, find out how Chesapeake Bank can help you get there, too. Visit  or call 800-434-1181.

This content was originally published here.

Why having a sister is good for your mental health | I Heart Intelligence.com

Sure, she can often drive you crazy by using your stuff without asking permission, singing annoyingly, or taking the last piece of candy. At the same time, however, she is one of your closest, most trusted supporters, a true friend, a play buddy, and a great accomplice in pranks.

Of course, we could be listing such wonderful sister qualities endlessly.

But what many people don’t think about is the connection between having a sister and our mental health.

So, if you haven’t called your sister recently to tell her how much you love her, you are about to be given a good reason to do so. Sisters can improve our mental health, and this is how it all works.

А 2010 Brigham Young University Brigham Young University study discovered having a sibling encouraged children to be more kind and helpful. And apparently, if you have a sister, regardless of the age gap, it’s even better.

The research involved 395 families with two or more children, including at least one child between the ages 10 and 14. The adolescent child was filmed while giving answers to questions about a sibling closest in age. A year later, researchers followed up with the families.

“What we know suggests that sisters play a role in promoting positive mental health,” Alex Jensen, an assistant professor at the School of Family Life at BYU, told Motherly, “and later in life they often do more to keep families in contact with one another after the parents pass.”

In addition, the study discovered that having a sister can help you become a kinder and more giving person.

This is due to the fact that sisters promote positive social behaviors such as altruism and compassion when they show love and affection.

But that doesn’t mean that brothers don’t matter. The study found that loving siblings impact each other positively no matter their gender or age differences.

“Sibling affection from either gender was related to less delinquency and more pro-social behaviors like greater kindness and generosity, volunteering, and helping others,” the study’s lead author, BYU professor Laura Padilla-Walker, told ABC News. “Even if there is a little bit of fighting, as long as they have affection, the positive will win out. If siblings get in a fight, they have to regulate emotions. That’s an important skill to learn for later in life.”

Do you have a sibling? If so, how would you describe your relationship? Share your stories with us in the comment section below.

This content was originally published here.

7 Facts About Orthodontics | American Association of Orthodontists

Whether you call the process “braces,” “orthodontics,” or simply straightening your teeth, these 7 facts about orthodontics – the very first recognized specialty within the dental profession – may surprise you.

1. The word “orthodontics” is of Greek origin.

“Ortho” means straight or correct. “Dont” (not to be confused with “don’t”) means tooth. Put it all together and “orthodontics” means straight teeth.

2. People have had crooked teeth for eons.

Crooked teeth have been around since the time of Neanderthal man. Archeologists have found Egyptian mummies with crude metal bands wrapped around teeth. Hippocrates wrote about “irregularities” of the teeth around 400 BCE* – he meant misaligned teeth and jaws.

About 2,100 years later, a French dentist named Pierre Fauchard wrote about an orthodontic appliance in his 1728 landmark book on dentistry, The Surgeon Dentist: A Treatise on the Teeth. He described the bandeau, a piece of horseshoe-shaped precious metal which was literally tied to teeth to align them.*

3. Orthodontics became the first dental specialty in 1900.

Edward H. Angle founded the specialty. He was the first orthodontist: the first member of the dental profession to limit his practice to orthodontics only – moving teeth and aligning jaws. Angle established what is now the American Association of Orthodontists, which admits only orthodontists as members.

4. Gold was the metal of choice for braces circa 1900.

Gold is malleable, so it was easy to shape it into an orthodontic appliance. Because gold is malleable, it stretches easily. Consequently, patients had to see their orthodontist frequently for adjustments that kept treatment on track.

5. Teeth move in response to pressure over time.

Some pressure is beneficial, however, some is harmful. Actions like thumb-sucking or swallowing in an abnormal way generate damaging pressure. Teeth can be pushed out of place; bone can be distorted.

Orthodontists use appliances like braces or aligners to apply a constant, gentle pressure on teeth to guide them into their ideal positions.

6. Teeth can move because bone breaks down and rebuilds.

Cells called “osteoclasts” break down bone. “Osteoblast” cells rebuild bone. The process is called “bone remodeling.” A balanced diet helps support bone remodeling. Feed your bones!

7. Orthodontic treatment is a professional service.

It’s not a commodity or a product. The type of “appliance” used to move teeth is nothing more than a tool in the hands of the expert. Each tool has its uses, but not every tool is right for every job. A saw and a paring knife both cut, but you wouldn’t use a saw to slice an apple. (We hope not, anyway!)

A Partnership for Success

Orthodontic treatment is a partnership between the patient and the orthodontist. While the orthodontist provides the expertise, treatment plan and appliances to straighten teeth and align jaws, it’s the patient who’s the key to success.

The patient commits to following the orthodontist’s instructions on brushing and flossing, watching what they eat and drink, and wearing rubber bands (if prescribed). Most importantly, the patient commits to keeping scheduled appointments with the orthodontist. Teeth and jaws can move in the right directions and on schedule when the patient takes an active part in their treatment.

AAO orthodontists are ready to partner with you to align your teeth and jaws for a healthy and beautiful smile.

When you choose an AAO orthodontist for orthodontic treatment, you can be assured that you have selected a highly skilled specialist. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligning teeth and jaws – and possess the skills and experience to give you your best smile. Locate AAO orthodontists through Find an Orthodontist at aaoinfo.org.

This content was originally published here.

13 Health Benefits of Watermelon – Cleansing, Alkalizing And Mineralizing

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Watermelon is one of my all-time favorite fruits. It is very cleansing, alkalizing and mineralizing—excellent for flushing out the kidneys and bladder, healing and preventing a wide range of ailments.

Watermelon is a member of the Cucurbitaceae family which comprises fruits like cantaloupe, pumpkin and similar plants that grow on vines on the ground.

Watermelons can be round, oblong or spherical in shape; light to dark green in color, with lighter mottling stripes.

Its succulent flesh is commonly bright red in color but there are also other varieties with dark brown, orange, yellow, pink and even white flesh.

Watermelon Nutrition Data

The water content in watermelon is extremely high at 92%. It is rich in beta-carotene, folate, vitamin C, vitamin B5 and smaller amounts of B1, B2, B3 and B6.

This big fruit is a rich source of essential minerals like calcium, magnesium, phosphorus, potassium, sodium and smaller amounts of copper, iron and zinc.

As in tomatoes, watermelon is loaded with lycopene, the red carotenoid pigment that gives the fruit its red color. This important antioxidant is powerful in neutralizing harmful free radicals in our body.

Perhaps, one of the most important compounds in watermelon is citrulline. Read on to learn more about what citrulline can do for your body.

Health Benefits of Watermelon Juice

Watermelon juice is very cleansing, alkalizing, diuretic and mineralizing.

Watermelon is so rich in vitamins, minerals, enzymes and phytonutrients. The benefits of drinking watermelon juice is that it is easily digestible and the nutrients are quickly absorbed by your body at the cellular level.

Drawing from the rich antioxidant and beta-carotene, the health benefits of watermelon are immense.

It is alkalizing

Consuming foods that are highly acidic will cause your blood to be acidic, potentially lowering your immune system and increasing the chances of developing a chronic disease.

The key to fighting and preventing diseases then, is to create an alkaline environment in your body. Due to its high water content, watermelon has a very alkaline pH, making it an excellent food for reversing symptoms of acidosis (over-acidity).

Harmful pathogens—parasites, harmful bacteria, viruses, fungi and yeasts—thrive in an acidic body, whereas an alkaline environment neutralizes the toxic condition, preventing cell damage and aging.

Watermelon has a 92% water content and is rich in electrolytes, making it an excellent rehydrating food. This is important, as dehydration causes the body to be acidic.

Reduces inflammation in the body

Recent studies have discovered that watermelons have 1.4x the lycopene content of tomatoes when compared in the same volume.

Lycopene is the phytonutrient in the fruit that gives it its red-pink color. And, in watermelon, this antioxidant is available in abundance.

Unlike lycopene from tomato that needs to be processed for best bioavailability, the lycopene from watermelon is available directly to the human body immediately after consumption. What this means, is that no processing of the watermelon is necessary to enjoy the benefits of lycopene.

Thanks to lycopene and other powerful nutrients in watermelon juice, they act as inhibitors for various inflammatory processes. Reducing inflammation provides relief and healing to individuals suffering from body and muscle aches, and various forms of arthritis.

Protects against asthma and allergy attacks

The presence of lycopene in high concentration in watermelons, plus its easy bioavailability, helps to reduce oxidative stress and inflammation in cases of asthma and allergies.

Several studies reported lower rates of wheezing and allergic rhinitis in children who consumed antioxidant-rich foods such as watermelon.

Oxidative stress resulting from excessive free radicals in the body, can have a harmful effect on the airway function, causing asthma and allergy attacks. In this case, consumption of watermelon juice helps raise the immune responses in preventing attacks.

Treats arthritis

The arthritis.org website agrees that watermelon is beneficial for individuals suffering from various forms of arthritis.

Studies show that watermelon can lower C-reactive Protein (CRP)—a measure of body-wide inflammation linked to arthritis flares and heart disease.

Watermelon is rich in carotenoid beta-cryptoxanthin, which is beneficial for individuals suffering from rheumatoid arthritis, reducing painful inflammatory joint conditions.

Treats conditions in the renal system

Among all fruits, watermelon has the highest amount of amino acid citrulline, a word derived from citrullus, a Latin word for watermelon. This compound is found in the highest concentration in the white rind (the white matter just under the skin).

This is why it is beneficial to include the rind when juicing watermelon, especially if you have a kidney or bladder issue.

High concentrations of citrulline and vitamin C (ascorbid acid) in watermelon rind juice help to break down kidney stones, clean out the kidneys and bladder, and reduce inflammation caused by free radicals.

The citrulline in watermelon is also key in making this fruit richly hydrating and naturally diuretic. The natural diuretic effect ensures that your kidneys and bladder are effectively flushed of toxins, thus reducing fluid retention in the body.

Ladies who have PMS issues with water retention may find relief when drinking watermelon juice a week prior to their menstruation, and also prevent bloating.

At the first sign of an urinary tract infection (UTI), start drinking freshly-extracted watermelon juice—flesh, seeds, rind and all—till symptoms are gone.

Calms the gastrointestinal tract

Like most fruits, watermelon juice has a natural laxative effect that helps improve regularity, for a healthy digestive system.

Watermelon juice helps to calm the gastrointestinal tract, regulates pH levels, reduces inflammation and acidity. This makes it an excellent, healing drink for individuals suffering from acid reflux.

Watermelon juice is one of the best juices to drink when one’s constipated. If you have chronic constipation, make it a point to drink a glass of watermelon juice daily to improve regularity. This is especially useful for children who are constipated—most kids love watermelon juice and it is easy to have them drink it.

To relieve that occasional constipation, drink a big jumbo glass of watermelon juice (about 20-30 ounces) on empty stomach.

Provides electrolytes to your body

Watermelon juice is rich in various minerals (calcium, magnesium, potassium, sodium and phosphorus) to replenish electrolytes lost after a good workout.

If you have any of these symptoms, chances are that you have an electrolyte imbalance: muscle aches, spasms, twitches and weakness; restlessness, frequent headaches, insomnia, heart palpitations, fatigue, numbness and pain in joints, and dizziness.

Drink watermelon juice consistently every day to supply your body with these rich minerals until your symptoms disappear.

Improves eye health

Watermelons contain high levels of beta-carotene (pro-vitamin A) that is converted into vitamin A (retinol) in your body when needed.

If you’ve read that vitamin A is toxic at high levels, that is only referring to supplementary sources (synthetic) and doesn’t apply here. Dietary sources (natural foods) of vitamin A is non-toxic at all, even in high amounts.

Beta-carotene is the red pigmentation that gives watermelon flesh its color. It is an antioxidant that protects your eyes from free radicals damage.

One of the main causes of eye problems is due to low intake of antioxidants and vitamin A in one’s diet. So it makes sense that when you flood your system with watermelon juice (or other high-antioxidant juices) that is rich in these compounds, they help to nourish and improve your eye health.

Vitamin A is essential for good vision, and it protects your eyes from various eye problems such as age-related macular degeneration, cataracts, retinal degeneration, night blindness and the like.

Lowers the risks of strokes and heart attacks

The health benefits of watermelon is just endless. The combination of high antioxidants, lycopene and other essential vitamins and minerals in this fruit plays an important role in reducing the risks of heart attacks and strokes.

Studies show that the rich nutrients in watermelon, along with lycopene are health-promoting agents that reduce risk of cardiovascular disorders.

High consumption of lycopene in watermelon has been observed to reduce the thickness of the internal layer of blood vessels, thus reducing the risk of myocardial infarction.

Risks of heart attacks, ischemic strokes and artheroslerosis are also much reduced when oxidation of LDL is prevented by drinking watermelon juice.

The diuretic effect of watermelon juice flushes out toxins and excess salt out of your body. This process causes the walls of your blood vessels to relax and widen, thus improving blood flow and lowering blood pressure. This can be observed even after drinking just one glass of watermelon juice.

Eliminates toxic wastes from your body

Watermelon is one of the best fruits to be included when doing a juice cleanse. Alternatively, you can also do just a watermelon detox as it is effective for removing toxic wastes from your body that are slowing down your metabolism.

When toxins are eliminated, it is only natural that your largest organ, your skin, will have a healthy glow. You may expect clearer, smoother skin that is properly hydrated.

Individuals who suffer from itchiness on the skin as a result of acidosis toxicity, may also find relief after a watermelon juice detox.

Protects against various cancers

Watermelon is a valued source of natural antioxidants with special reference to its lycopene, ascorbic acid and citrulline. These compounds have been shown to act as protection against chronic health problems such as cancer.

In fact, watermelon has the highest concentration of lycopene of any fresh fruit or vegetable. Lycopene has been extensively researched for its antioxidant and cancer-preventing properties.

It is reported to be especially protective against cancers of the prostate, lung, colorectal, endometrial and breast.

Improves sexual health

As discussed above, drinking watermelon juice relaxes and dilates your blood vessels and increases your overall energy and stamina. This works well for athletes as well as for men who needs that extra energy in bed!

Watermelon acts as a natural viagra, according to an Italian study. Consuming watermelon juice that has high content of citrulline has been found to improve erection hardness in men suffering from mild erectile dysfunction.

In the study, men with mild erectile dysfunction (erection hardness score of 3) received L-citrulline supplementation for a month. L-citrulline is the natural form of citrulline.

50% of the men were found to have an improvement in the erection hardness score from 3 (mild ED) to 4 (normal erectile function), with no adverse effects.

Number of intercourses per month increased, and all participants reported being very satisfied with the treatment.

Aids weight loss

Like all fruits and vegetables, watermelon is very low in calories. Consumption of 100 grams of watermelon provides about 30kcal. It contains almost 92% water and 7.55% of carbohydrates, out of which 6.2% are sugars and 0.4% dietary fiber.

Eating watermelon or drinking of its juice is very satiating and fulfills your body’s need for all the nutrients that it needs. It makes you feel full for longer.

And, because watermelon helps to keep your gastrointestinal tract healthy, prevents constipation, water retention and bloating, and removes toxins from the body—these all contribute to gradual weight loss.

As your body becomes healthier, weight loss often comes naturally.

Watermelon For Individuals With Diabetes Mellitus (Type 2)

Experimental studies have indicated that patients with high blood sugar levels (hyperglycemia) are more prone to risks of coronary complications. Elevated oxidative stress and LDL oxidation are major contributory factors.

As discussed above, watermelon juice is excellent in countering both these conditions: oxidative stress and LDL oxidation.

Lycopene in watermelon has the potential to reduce oxidized cholesterol in diabetic state. It has the ability to decrease body glucose and raise insulin level in type 2 diabetes.

In a study, watermelon extract was administered to diabetic rats. At the end of the study, a rise in insulin level 37% whilst decline in glucose 33% were observed. The study concluded that watermelon extract is a hyperinsulinemic and hypoglycemic product.

So, can you have watermelon if you have diabetes?

The answer depends on your overall diet. If you generally watch your diet and eating foods mostly low in sugar, it would not hurt for you to eat watermelon, even drink watermelon juice in moderatioin. Here are some tips:

While watermelon extract may not be easily available (per study above), perhaps for individuals who have diabetes—opt for watermelons that are less ripe. This article tells you how to pick ripe watermelons, the opposites are true for picking unripe watermelons.

The flesh of a less ripe watermelon will be lightly pinkish, not red, and will be low in sugar content.

Wash the watermelon clean, include the watermelon rind and skin in your juicing to enjoy its full benefits of kidney cleansing.

Health Benefits of Watermelon Seeds

Eating a small amount of watermelon seeds can give you the chance to enjoy its many nutrients and benefits.

Watermelon seeds are packed full of healthy fats. These fats can decrease your appetite, help you feel full, and strengthen your hair, skin, and nails.

Watermelon seeds are rich in zinc and magnesium, two essential minerals that the vast majority of Americans do not get enough of. Zinc and magnesium can help boost your metabolism, give you more energy, and prevent depression. These minerals also support mental clarity.

Another surprising nutrient you’ll find in watermelon seeds is iron. One ounce of watermelon seeds has 25% of the iron that a grown man needs every day. Hitting your recommended daily iron intake can prevent fatigue, improve mental functioning, and prevent anemia.

Watermelon Consumption Tips

So, the question is: Is eating too much watermelon bad for you?

While watermelon is great and beneficial for all the health conditions we discussed above, eating too much of anything in the long term may have an adverse effect.

It is fine though, to eat watermelon or drink its juice for a season, therapeutically, depending on the severity of your health condition.

Here are some tips on preparing and consuming watermelon.

Some of the links I post on this site are affiliate links. If you go through them to make a purchase, I will earn a small commission (at no additional cost to you). However, note that I’m recommending these products because of their quality and that I have good experience using them, not because of the commission to be made.

About Sara Ding

Sara Ding is the founder of Juicing-for-Health.com. She is a certified Wellness Health Coach, Nutritional Consultant and a Detox Specialist. She helps busy men and women identify their health issues at the root cause, in order to eliminate the problems for optimum physical/mental health and wellbeing.

This content was originally published here.

California health care: Some undocumented adults get coverage

California becomes first state to provide health care coverage to some undocumented adults


John Bacon


USA TODAY
Published 9:41 AM EDT Jul 10, 2019
In this May 9, 2019, file photo, California Gov. Gavin Newsom gestures towards a chart with proposed funding to deal with the state’s homelessness as he discusses his revised state budget during a news conference in Sacramento, Calif.
Rich Pedroncelli, AP

Gov. Gavin Newsom signed legislation making California the first state to provide health care coverage to young, undocumented adults, a $98 million measure targeting almost 100,000 people.

The immigrants, ages 19 to 25, are eligible for Medi-Cal, the state’s Medicaid program. The law signed Tuesday was a win for Newsom, who rejected as too expensive a state Senate plan to include adults 65 and older living in the state illegally.

President Trump has called the plan “crazy.” Newsom shrugs off the criticism, calling California “the most un-Trump” state in the nation.

Newsom signed the measure the same day the state forecast an average premium increase of less than 1% for 2020 in the state’s individual insurance marketplace, the lowest such rate change in the state program’s history.

The coverage expansion and the low average premium hike are mostly being funded through restoration of the individual mandate that requires California residents to purchase health insurance for themselves and their dependants. Californians who fail to purchase insurance would face a state tax penalty.

The plan is similar to a part of President Barack Obama’s health care law that Republicans in Congress eliminated as part of the 2017 overhaul to the tax code.

Not that the state is desperate for cash: California is projected to have a surplus of more than $20 billion, the largest in 20 years.

“The bold moves by Gov. Newsom and the Legislature will save Californians hundreds of millions of dollars in premiums and provide new financial assistance to middle-income Californians, which will help people get covered and stay covered,” said Peter Lee, Covered California’s executive director.

Lee said California is “building on the success of the Affordable Care Act” and expanding coverage to hundreds of thousands of people. The California Immigrant Policy Center lauded the inclusion of undocumented young adults but called the plan “bittersweet.”

“The exclusion of undocumented elders from the same health care their U.S. citizen neighbors are eligible for means beloved community members will suffer and die from treatable conditions'” said Cynthia Buiza, executive director of the California Immigrant Policy Center.

Newsom has pledged to further expand coverage in the future. The new rules are effective in January and are part of a larger effort to ensure everyone in the state has access to health insurance.

This content was originally published here.