Well-known Irmo orthodontist passes away at 42-years-old – ColaDaily.com | You need the news, not the paper

SHARE: FacebookTwitterLinkedinPinterestGoogle+tumblr Dr. Jim Raman. Photos obtained from Irmo Smiles website and Facebook. It was announced that a local orthodontist at Irmo Smiles, Jim Raman, has passed away. Irmo Smiles sent out a letter notifying patients of the doctor’s death, describing it as “a tragic loss.”  It was mentioned that all appointments of Raman’s wife Misti, who is also a…

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Simple math offers alarming answers about Covid-19, health care – STAT

Much of the current discourse on — and dismissal of — the Covid-19 outbreak focuses on comparisons of the total case load and total deaths with those caused by seasonal influenza. But these comparisons can be deceiving, especially in the early stages of an exponential curve as a novel virus tears through an immunologically naïve population.

Perhaps more important is the disproportionate number of severe Covid-19 cases, many requiring hospitalization or weekslong ICU stays. What does an avalanche of uncharacteristically severe respiratory viral illness cases mean for our health care system? How much excess capacity currently exists, and how quickly could Covid-19 cases saturate and overwhelm the number of available hospital beds, face masks, and other resources?

This threat to the health care system as a whole poses the greatest challenge.

As of March 8, about 500 cases of Covid-19 had been diagnosed in the U.S. Given the substantial underdiagnosis at present due to limitations in testing for the coronavirus, let’s say there are 2,000 current cases, a conservative starting bet.

We can expect a doubling of cases every six days, according to several epidemiological studies. Confirmed cases may appear to rise faster (or slower) in the short term as diagnostic capabilities are ramped up (or not), but this is how fast we can expect actual new cases to rise in the absence of substantial mitigation measures.

That means we are looking at about 1 million U.S. cases by the end of April; 2 million by May 7; 4 million by May 13; and so on.

As the health care system becomes saturated with cases, it will become increasingly difficult to detect, track, and contain new transmission chains. In the absence of extreme interventions like those implemented in China, this trend likely won’t slow significantly until hitting at least 1% of the population, or about 3.3 million Americans.

What does a case load of this size mean for health care system? That’s a big question, but just two facets — hospital beds and masks — can gauge how Covid-19 will affect resources.

The U.S. has about 2.8 hospital beds per 1,000 people (South Korea and Japan, two countries that have seemingly thwarted the exponential case growth trajectory, have more than 12 hospital beds per 1,000 people; even China has 4.3 per 1,000). With a population of 330 million, this is about 1 million hospital beds. At any given time, about 68% of them are occupied. That leaves about 300,000 beds available nationwide.

The majority of people with Covid-19 can be managed at home. But among 44,000 cases in China, about 15% required hospitalization and 5% ended up in critical care. In Italy, the statistics so far are even more dismal: More than half of infected individuals require hospitalization and about 10% need treatment in the ICU.

For this exercise, I’m conservatively assuming that only 10% of cases warrant hospitalization, in part because the U.S. population is younger than Italy’s, and has lower rates of smoking — which may compromise lung health and contribute to poorer prognosis — than both Italy and China. Yet the U.S. also has high rates of chronic conditions like cardiovascular disease and diabetes, which are also associated with the severity of Covid-19.

At a 10% hospitalization rate, all hospital beds in the U.S. will be filled by about May 10. And with many patients requiring weeks of care, turnover will slow to a crawl as beds fill with Covid-19 patients.

If I’m wrong by a factor of two regarding the fraction of severe cases, that only changes the timeline of bed saturation by six days (one doubling time) in either direction. If 20% of cases require hospitalization, we run out of beds by about May 4. If only 5% of cases require it, we can make it until about May 16, and a 2.5% rate gets us to May 22.

But this presumes there is no uptick in demand for beds from non-Covid-19 causes, a dubious presumption. As the health care system becomes increasingly burdened and prescription medication shortages kick in, people with chronic conditions that are normally well-managed may find themselves slipping into states of medical distress requiring hospitalization and even intensive care. For the sake of this exercise, though, let’s assume that all other causes of hospitalization remain constant.

Let me now turn to masks. The U.S. has a national stockpile of 12 million N95 masks and 30 million surgical masks for a health care workforce of about 18 million. As Covid-19 cases saturate nearly every state and county, virtually all health care workers will be expected to wear masks. If only 6 million of them are working on any given day (certainly an underestimate) they would burn through the national N95 stockpile in two days if each worker only got one mask per day, which is neither sanitary nor pragmatic.

It’s unlikely we’d be able to ramp up domestic production or importation of new masks to keep pace with this level of demand, especially since most countries will be simultaneously experiencing the same crises and shortages.

Shortages of these two resources — beds and masks — don’t stand in isolation but compound each other’s severity. Even with full personal protective equipment, health care workers are becoming infected while treating patients with Covid-19. As masks become a scarce resource, doctors and nurses will start dropping from the workforce for weeks at a time, leading to profound staffing shortages that further compound the challenges.

The same analysis applied to thousands of medical devices, supplies, and services — from complex equipment like ventilators or extracorporeal membrane oxygenation devices to hospital staples like saline drip bags — shows how these limitations compound one another while reducing the number of options available to clinicians.

Importantly — and I cannot stress this enough — even if some of the core assumptions I’m making, like the fraction of severe cases or the number of current cases, are off even by several-fold, it changes the overall timeline only by days or weeks.

Unwarranted panic does no one any good, but neither does ill-informed complacency. It’s inappropriate to assuage the public with misleading comparisons to the seasonal flu or by assuring people that there’s “only” a 2% fatality rate. The fraction of cases that are severe really sets Covid-19 apart from more familiar respiratory illnesses, compounded by the fact that it’s whipping through a population without natural immune protection at lightning speed.

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Individuals and governments seem not to be fully grasping the magnitude and near-inevitability of the national and global systemic burden we’re facing. We’re witnessing the abject refusal of many countries to adequately respond or prepare. Even if the risk of death for healthy individuals is very low, it’s insensible to mock decisions like canceling events, closing workplaces, or stocking up on prescription medications as panicked overreaction. These measures are the bare minimum we should be doing to try to shift the peak — to slow the rise in cases so health care systems are less overwhelmed.

The doubling time will naturally start to slow once a sizable fraction of the population has been infected due to the emergence of herd immunity and a dwindling susceptible population. And yes, societal measures like closing schools, implementing work-from-home policies, and canceling events may start to slow the spread before reaching infection saturation.

But considering that the scenarios described earlier — overflowing hospitals, mask shortages, infected health care workers — manifest when infections reach a mere 1% of the U.S. population, these interventions can only marginally slow the rate at which our health care system becomes swamped. They are unlikely to prevent overload altogether, at least in the absence of exceedingly swift and austere measures.

Each passing day is a missed opportunity to mitigate the wave of severe cases that we know is coming, and the lack of widespread surveillance testing is simply unacceptable. The best time to act is already in the past. The second-best time is right now.

Liz Specht is the associate director of science and technology at The Good Food Institute.

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Keeping the Coronavirus from Infecting Health-Care Workers | The New Yorker

The message is getting out: #StayHome. In this early phase of the coronavirus pandemic, with undetected cases accelerating transmission even as testing ramps up, that is critical. But there are many people whom the country needs to keep going into work—grocery cashiers, first responders, factory workers for critical businesses. Most obviously, we need health-care workers to care for the sick, even though their jobs carry the greatest risk of exposure. How do we keep them seeing patients rather than becoming patients?

In the index outbreak in Wuhan, thirteen hundred health-care workers became infected; their likelihood of infection was more than three times as high as the general population. When they went back home to their families, they became prime vectors of transmission. The city began to run out of doctors and nurses. Forty-two thousand more had to be brought in from elsewhere to treat the sick. Luckily, methods were found that protected all the new health-care workers: none—zero—were infected.

But those methods were Draconian. As the city was locked down and cut off from outside visitors, health-care workers seeing at-risk patients were housed away from their families. They wore full-body protective gear, including goggles, complete head coverings, N95 particle-filtering masks, and hazmat-style suits. Could we do that here? Not a chance. Health-care facilities don’t remotely have the supplies that would allow staff members to see every patient with all that gear on. In Massachusetts, where I practice surgery, the virus is circulating in at least eleven of our fourteen counties, and cases are climbing rapidly. So what happens if you are exposed to a coronavirus patient and you don’t have the ability to go full Wuhan? My hospital system, Partners HealthCare, has already sent more than a hundred staff members home for fourteen days of self-quarantine because they were exposed to the coronavirus without complete protection. If we had to quarantine every health-care worker who might have come into contact with a COVID-19 patient, we’d soon have no health-care workers left.

Yet there are lessons to be learned from two places that saw the new coronavirus before we did and that have had success in controlling its spread. Hong Kong and Singapore—both the size of my state—detected their first cases in late January, and the number of cases escalated rapidly. Officials banned large gatherings, directed people to work from home, and encouraged social distancing. Testing was ramped up as quickly as possible. But even these measures were never going to be enough if the virus kept propagating among health-care workers and facilities. Primary-care clinics and hospitals in the two countries, like in the U.S., didn’t have enough gowns and N95 masks, and, at first, tests weren’t widely available. After six weeks, though, they had a handle on the outbreak. Hospitals weren’t overrun with patients. By now, businesses and government offices have even begun reopening, and focus has shifted to controlling the cases coming into the country.

Here are their key tactics, drawn from official documents and discussions I’ve had with health-care leaders in each place. All health-care workers are expected to wear regular surgical masks for all patient interactions, to use gloves and proper hand hygiene, and to disinfect all surfaces in between patient consults. Patients with suspicious symptoms (a low-grade fever coupled with a cough, respiratory complaints, fatigue, or muscle aches) or exposures (travel to places with viral spread or contact with someone who tested positive) are separated from the rest of the patient population, and treated—wherever possible—in separate respiratory wards and clinics, in separate locations, with separate teams. Social distancing is practiced within clinics and hospitals: waiting-room chairs are placed six feet apart; direct interactions among staff members are conducted at a distance; doctors and patients stay six feet apart except during examinations.

What’s equally interesting is what they don’t do. The use of N95 masks, face-protectors, goggles, and gowns are reserved for procedures where respiratory secretions can be aerosolized (for example, intubating a patient for anesthesia) and for known or suspected cases of COVID-19. Their quarantine policies are more nuanced, too. What happens when someone unexpectedly tests positive—say, a hospital co-worker or a patient in a primary-care office or an emergency room? In Hong Kong and Singapore, they don’t shut the place down or put everyone under home quarantine. They do their best to trace every contact and then quarantine only those who had close contact with the infected person. In Hong Kong, “close contact” means fifteen minutes at a distance of less than six feet and without the use of a surgical mask; in Singapore, thirty minutes. If the exposure is shorter than the prescribed limit but within six feet for more than two minutes, workers can stay on the job if they wear a surgical mask and have twice-daily temperature checks. People who have had brief, incidental contact are just asked to monitor themselves for symptoms.

The fact that these measures have succeeded in flattening the COVID-19 curve carries some hopeful implications. One is that this coronavirus, even though it appears to be more contagious than the flu, can still be managed by the standard public-health playbook: social distancing, basic hand hygiene and cleaning, targeted isolation and quarantine of the ill and those with high-risk exposure, a surge in health-care capacity (supplies, testing, personnel, wards), and coördinated, unified public communications with clear, transparent, up-to-date guidelines and data. Our government officials have been unforgivably slow to get these in place. We’ve been playing from behind. But we now seem to be moving in the right direction, and the experience in Asia suggests that extraordinary precautions don’t seem to be required to stop it. Those of us who must go out into the world and have contact with people don’t have to panic if we find out that someone with the coronavirus has been in the same room or stood closer than we wanted for a moment. Transmission seems to occur primarily through sustained exposure in the absence of basic protection or through the lack of hand hygiene after contact with secretions.

Consider a couple of data points. Singapore so far appears not to have had a single recorded health-care-related transmission of the coronavirus, despite the hundreds of cases that its medical system has had to deal with. That includes one case reported this week of a critically ill pneumonia patient who exposed forty-one health-care workers in the course of four days before being diagnosed with COVID-19. These were high-risk exposures, including exposures during intubation and hands-on intensive care. Eighty-five per cent of the workers used only surgical masks. Yet, owing to proper hand hygiene, none became infected.

Our early experiences in the U.S. have so far been similar. The Centers for Disease Control and Prevention, in the face of limited information, recommended stricter precautions than have been employed in Asia, putting health-care workers on fourteen-day self-quarantine if they are exposed to an infected person for even a few minutes without protection, including a mask and goggles. That policy was implemented at U.C. Davis Medical Center, where the first case of community transmission was diagnosed, in late February. Eighty-nine health-care workers involved in the patient’s care were put under self-quarantine. None, it turned out, had been infected. Sacramento, Seattle, and San Francisco became coronavirus hot spots; as of this writing, however, significant occupational transmission has not been found.

This content was originally published here.

International Women’s Day: A Celebration of Women in Dentistry

Times have certainly changed since 1898, when Emma Gaudreau Casgrain became the first woman licensed to be a dentist in Canada. Today women are a growing force in the dental industry within Canada and beyond. According to the Canadian Institute for Health Information, the number of women dentists in Canada rose from 16 percent in 1991 to 28 percent in 2001. By 2011, the proportion had grown to 29.5.

International Women’s Day is the ideal time to take a closer look at the role of women in the field of dentistry.

More Women Are Graduating With Dentistry Degrees

The number of women practicing dentistry in Canada should continue growing with women graduating with dentistry degrees than men. For example, in 2016, 34 women graduated from the University of British Columbia’s (UBC) dentistry schools for every 24 males. Many dentists estimate roughly half of their graduating class members were women.

Dr. Alison Fransen, a general dentist at Wesbrook Village Dental Centre who graduated from UBC in 1997, said she had a “great experience in dental school,” which gave her “lots to learn.”

Dr. Wise Tang, a general dentist at Burnaby’s Mega Dental Group, added her experience of going through dentistry school and finding employment was “Challenging, but very rewarding.”

Dr. Julia McKay and Dr. Carlos Quiñonez, in their article “The Feminization of Dentistry: Implications for the Profession” published in the Journal of the Canadian Dental Association, stated female dental students bring something different to the classroom than their male peers. Female students are more emotionally sensitive and expressive, qualities which help them socialize with other students and respond to the patients they see during internships and hands-on course components.

Women in Dentistry Have Prominent Female Figures to Inspire Them

More Women Are Graduating With Dentistry DegreesIn her 2006 Psychology of Women Quarterly article “Someone like me can be successful: Do college students need same-gender role models?,” Penelope Lockwood explained female students are significantly more influenced by a role model’s gender than male students.

Female students, she wrote, feel much more motivated when reading about a successful woman in their field than a successful man. When citing career role models, female students also tended to identify women they look up to, largely because they felt they may face similar industry challenges to the women that inspired them. It’s significant that as more women excel in dentistry, more women are inspired to follow in their footsteps.

Burnaby dentist Dr. Wise Tang says Dr. Karen Burgess, who she observed practice during her volunteer program, is one of her greatest inspirations. Dr. Burgess is a trailblazing oral pathologist who works closely with Dr. Jonathan Irish diagnosing and treating mouth cancers at Princess Margaret’s Dental Oncology, Ocular, and Maxillofacial Prosthetics Clinic. This clinic is the busiest of its kind in Canada, seeing 14,000 patients every year.

Vancouver dentist Dr. Alison Fransen still considers Dr. Marcia Boyd, the dean while Dr. Fransen studied at UBC Dentistry, one of her greatest career role models. An Order of Canada recipient, Dr. Boyd was the first Canadian woman to serve as the president of the American College of Dentists. She also led a task force on the future of organized dentistry in British Columbia for the province’s College of Dental Surgeons and was an organizer and speaker for the American Dental Education Association’s International Women’s Leadership Conference.

Female Dentists Are Providing a Different Experience for Patients

Female Dentists Tend to Work DifferentlyFor centuries, a trip to the dentist has been perceived as something to fear. However, as more women enter the field, that perception is slowly changing, according to McKay and Quiñonez. While most female dentists don’t think their professional experiences are any different from those of their male counterparts, studies show female dentists bring different traits and practices to their clinics.

Female dentists are said to be more empathetic and better able to communicate with their patients. They seem to be less rushed and willing to discuss their patients’ ailments and concerns in a more caring, humane way than male dentists. Just 8 percent of female dentists expect their patients to experience pain in the chair compared to 46 percent of male dentists. This suggests female dentists will often take greater care to reduce the pain their patients experience than male dentists.

Female Dentists Tend to Work Differently

Once dental practices were male-dominated spaces, but today female representation is at an all time high. In fact, one-third of the dentists at 123 Dentists are women. Female dentists can also bring a different kind of decision-making to any practice, according to self-reported research cited by McKay and Quiñonez. Men replied in a survey that they usually base their decisions on objectivity, logic, and consistency, while the women reported being more motivated by how they feel. Their personal values, sympathies, and desire to maintain harmony and tact are important factors in patient care.

Female Dentists Tend to Work DifferentlyThe personal qualities women typically possess see them spearheading unique dental programs like Ontario’s Project Restoring Smiles. The women behind this initiative provide free dental procedures to survivors of domestic violence who are self-conscious about what their abuse has done to their smiles. These dentists provides extensive procedures costing thousands, including orthodontics, bleaching, crowns and bridges, root canals, extractions, dental implants, and surgical facial reconstruction free of charge.

“Our vision is to restore confidence in women who have survived domestic violence by addressing the physical effects of abuse,” Dr. Tina Meisami explained in a statement cited by women’s blog SheKnows. “Restoring a woman’s smile has an incredibly powerful impact on her overall physical and mental health.”

Since launching in 2011, Project Restoring Smiles has treated more than 45 patients to more than $200,000 worth of complimentary dental services.

The different character traits female dentists exhibit, as seen in the team from Project Restoring Smiles, translate into the different approaches McKay and Quiñonez saw female and male dentists taking in clinical practice. They noted male dentists tend to use gloves, masks, and protective eyewear less frequently than female dentists, who reported being more concerned with infection control. Women also typically favour preventative measures, while male dentists are more likely to advocate significant restoration. The willingness that these women have to head off problems before they arise could have a significant impact on their patients and the entire dental industry, in fact.

Female dentists are also more likely to refer the patients to specialists rather than attempting to resolve patient problems themselves. McKay and Quiñonez stated 70.3 percent of female dentists have referred simple and complex surgical cases to specialists compared to just 49.5 percent of male dentists.

Female Dentists Come From Diverse Backgrounds

Female Dentists Come From Diverse BackgroundsVarious scientific studies acknowledge that diversity in any industry makes professionals more creative, more diligent, and more hard-working.

For that reason, the large number of female dental professionals that come from nations outside of North America is also notable.

Burnaby dentist Dr. Wise Tang hails from Hong Kong and offers her services in English, Mandarin, and Cantonese, and is the owner of two 123Dentist offices.

Dr. Roshanak Rahmanian received her Doctor of Dental Surgery in Iran before completing a two-year qualifying program at the University of Toronto to practice in Canada.

Today she works as a general dentist at the Lonsdale Dental Centre in North Vancouver.

Representation of Women in Dentistry Goes Beyond Dentists

Representation of Women in Dentistry Goes Beyond DentistsWhen assessing the impact of women in dentistry, it makes sense to analyze the number of practicing dentists. However, this doesn’t tell the entire story. Approximately 98 percent of Canada’s dental hygienists are women, along with 95 percent of its dental assistants. Both these roles feature in the top five female-dominated professions in Canada.

Women are also taking a growing role in leading dental practices. For example, 28 percent of 123Dentist clinic owners are women. Anecdotal evidence also suggests more women are specializing in dentistry.

While general dentistry remains popular, many female dentists say they see more of their peers pursuing roles in specialties like oral surgery and endodontics. Women like these continue to make strides in dental specialties and assert themselves in exciting new dental fields.

Dentistry Is Growing to Reflect What Women Want

Women in dentistry typically demand different things than their male colleagues. They often want time off to raise children and usually retire earlier. In his article “The 5 Most Dangerous Trends Facing Dentists and Their Families Today,” Evan Carmichael noted that male dentists typically work for 35 years, while female dentists usually work for 20 years in the profession. This statistic is bound to change since the ratio of women to men in the industry is continually changing, and will be interesting to observe over the coming decades.

Dentistry Is Growing to Reflect What Female Dentists WantAs more women take roles in dentistry, we are seeing dental practices create more flexible working environments that reflect the needs of women. The current crop of dentists encourages those of the future to continue striving for the working conditions and work-life balance they need to achieve success.

We surveyed a number of female dentists and below are some of their comments and advice for women considering becoming dentists.

“My advice for future women dentists would be to know yourself and how to manage the stress of being a perfectionist, which can be in the nature of those personalities that go into dentistry,” one respondent said. “It can be overwhelming to own a practice, and be a ‘perfect’ clinical dentist, ‘perfect’ employer, ‘perfect’ colleague, lifelong learner and ‘perfect’ mother and still juggle everything with the impossible standards we set for ourselves. We wear many hats.”

“Having a dental career while being a mom is tough,” another respondent said. “One should strive to balance her career and family life, but the drive is the influence one can give to each and every patient and it’s priceless.”

While juggling the demands of dentistry with home life can be challenging, our dentists are showing they can do it all with ease, all while bringing new elements and approaches to an established industry. Although this was once a male-dominated field, women and their successes have now become integral to dentistry in Canada and beyond.

So with all of that said, we’d like to wish you all a happy International Women’s Day!

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Ohio health official estimates 100,000 people in state have coronavirus

A top health official in Ohio estimated on Thursday that more than 100,000 people in the state currently have coronavirus, a shockingly high number that underscores the limited testing so far.

Ohio Department of Health Director Amy Acton said at a press conference alongside Gov. Mike DeWine (R) that given that the virus is spreading in the community in Ohio, she estimates at least 1 percent of the population in the state has the virus.

“We know now, just the fact of community spread, says that at least 1 percent, at the very least, 1 percent of our population is carrying this virus in Ohio today,” Acton said. “We have 11.7 million people. So the math is over 100,000. So that just gives you a sense of how this virus spreads and is spreading quickly.”

She added that the slow rollout of testing means the state does not have good verified numbers to know for sure.

“Our delay in being able to test has delayed our understanding of the spread of this,” Acton said. 

The Trump administration has come under intense criticism for the slow rollout of tests. Dr. Anthony Fauci, a top National Institutes of Health official, acknowledged earlier Thursday it is “a failing” that people cannot easily get tested for coronavirus in the United States.

Not everyone with the virus has symptoms, and about 80 percent of people with the virus do not end up needing hospitalization, experts say. However, the virus can be deadly especially for older people and those with underlying health conditions.

The possible numbers in Ohio are a stark illustration of how many cases could be in other states as well, but have not been revealed given the lack of widespread testing.

More than 1,300 people in the U.S. have currently tested positive for the illness, according to data from Johns Hopkins University, while about three dozen people in the country have died.

Vice President Pence, who is overseeing the administration’s coronavirus response, said earlier Thursday that the U.S. can expect “thousands of more cases.”

Ohio officials said they are taking major actions to try to slow the spread of the virus. They are closing schools in the state for three weeks and banning large gatherings of 100 or more people. 

The state currently has just 5 confirmed positive cases, and 30 negative tests. Acton said Thursday that it appears that the number of cases of the virus doubles every six days.

As other experts have as well, she urged actions to slow the spread of the virus to avoid overwhelming the capacity of hospitals. Banning large gatherings and stopping school is part of that process.

“We’re all sort of waking up to our new reality,” she said, adding later that the state is “in a crisis situation.”

Noting the concerns about hospital capacity if the number of cases spikes too quickly, Acton said “there are only so many ventilators,” referring to machines that allow people to breathe when they cannot on their own.

Models indicate the number of cases could peak in late April to mid-May, she said.

If people are not seriously ill, she urged them to stay home so that only the sickest people who most need help are showing up at hospitals.

“This will be the thing this generation remembers,” she added. 

This content was originally published here.

Orthodontist, dentist practices told to shut down offices

TROY – Cooney Orthodontics, one of the region’s larger practices, is closing its two offices for 11 days except for emergency cases per recommendations from the the American Dental Association, the American Association of Orthodontics and the New York State Dental Association Board of Trustees.

Other practices have announced the same, such as The Smile Lodge pediatric dentistry office in Clifton Park, which serves children from the Mohawk Valley, Capital Region and Adirondacks.

“At this point, taken together with Governor Cuomo’s announcement closing additional businesses, we have decided for the safety of our patients and staff to temporarily close both our Troy and Ballston Lake offices starting Tuesday March 17th through Friday March 27th,” Cooney wrote. “If you have an appointment scheduled during this time, we will be reaching out to reschedule shortly,” the practice said in an email to patients.

This content was originally published here.

Whistle-Blower Reports on U.S. Health Workers Response to Coronavirus Outbreak – The New York Times

The levels of protection varied even while he was at Miramar, he said. Standards were more lax at first, but once people arrived who appeared to be sick, workers began donning personal protective equipment. He is now back at work, and has yet to be tested for coronavirus exposure.

In the complaint, the whistle-blower painted a grim portrait of agency staff members who found themselves on the front lines of a frantic federal effort to confront the coronavirus in the United States without any preparation or training, and whose own health concerns were dismissed by senior administration officials as detrimental to staff “morale.” They were “admonished,” the complaint said, and “accused of not being team players,” and had their “mental health and emotional stability questioned.”

March Air Reserve Base in Riverside, Calif., housed 195 people evacuated from Wuhan, China, for 14 days beginning in late January, while Travis in Northern California has housed a number of quarantined people in recent weeks, including some of the approximately 400 Americans on the Diamond Princess cruise ship that had docked in Japan.

The staff members, who had some experience with emergency management coordination, were woefully underprepared for the mission they were given, according to the whistle-blower.

“They were not properly trained or equipped to operate in a public health emergency situation,” the official wrote. “They were potentially exposed to coronavirus; appropriate measures were not taken to protect the staff from potential infection; and appropriate steps were not taken to quarantine, monitor or test them during their deployment and upon their return home.”

Some of the staff raised concerns with top officials with the agency, but saw no changes. The whistle-blower said they complained to Charles Keckler, an associate deputy secretary at Health and Human Services, in an email on Feb. 10. After the email, the complaint said, top officials, including Lynn Johnson, the assistant secretary for the Administration for Children and Families, “admitted that they did not understand their mission,” and that her agency “broke protocols” because of the “unprecedented crisis” and an “‘all hands on deck’ call to action” by Dr. Robert Kadlec, the top official for public health emergencies and disasters.

Since learning of the whistle-blower’s concerns last Wednesday, Mr. Gomez’s office and officials with the Ways and Means Committee have repeatedly pressed the Centers for Disease Control and Prevention for details. The whistle-blower has also notified the C.D.C. and the health agency inspector general about the concerns.

Representative Richard E. Neal, Democrat of Massachusetts and chairman of the Ways and Means Committee, said the complaint appeared to be part of a pattern of ineptitude and mistrust of civil servants by the Trump administration.

“The president has spent years assaulting our health care system, draining resources from key health programs, and showing utter disdain for career federal employees who are the backbone of our government,” Mr. Neal said in a statement provided to The Times. “It’s sadly no surprise we’re seeing this degree of ineptitude during a terrible crisis.”

This content was originally published here.

America is about to get a godawful lesson in why health care should never be a for-profit business

For four decades, American corporations have been caught up in a whole series of refinements that are intended to improve efficiency and productivity. Our processes are lean. Our efficiency is six-sigma. Our productivity has mysteriously run far ahead of employee compensation in a way that has made CEOs billionaires while leaving workers on food stamps.

It’s a system that maximizes profit. But it’s also a system that assumes that everything can be stripped to the bare bones; that business can make do with minimal staffing, minimal supplies, minimal alternatives. Nothing is there that makes the system in the least unprofitable. The system stands like a house of glass, waiting for something to challenge its fragility.

And in the United States, health care is just that kind of system.

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Like every other system in America, we now have a super-lean, infinite-sigma healthcare system, absolutely dependent on every cog remaining in place. It’s one in which there are fewer than a million hospital beds for the entire nation; one in which many, many rural counties have no hospital at all. Because that’s the most profitable way of running the system, and that’s what happens when health care is subjected to the winnowing of the marketplace—just barely enough health care, at the highest possible prices people will tolerate without demanding a change.

It’s exactly where a nation does not want to be when encountering a health crisis. And it’s why America is, unfortunately, about to get a lesson in why there is much more to a national health system than whether you pay for it in taxes or with checks to an insurance company.

In the 1960s, astronauts used to joke about flying on a giant rocket built by a collection of contractors who submitted the lowest bids. But NASA had a safety culture then, and now, that demanded each of those components be tested and retested until its function was as near certain as possible. A spacecraft is the opposite of “lean,” with a backup, and a backup, and a backup to the backup’s backup at every possible point—and a massive staff of very smart people standing by to get creative if Murphy scores a perfect strike.

None of this is true for our healthcare system. Failure very much is an option at every clinic and hospital in America. A certain level of failure is even assumed. Building a system with redundancies and experts who were not always pushed to their absolute limits would cost more. Every intern, doctor, and nurse (especially nurse) who you ever met was overworked, because running the system on the ragged edge of failure is exactly the sweet spot. Or at least it is as far as corporations whose goal is to milk every penny from the process are concerned. In the average hospital visit, there are more people involved in billing you than in treating you.

This thinking isn’t just pervasive and accepted—it’s also actively considered a very good thing. During his press event on Wednesday afternoon, before fumbling the hot coronavirus potato into the waiting hands of Mike “Smoking is good for you” Pence, Donald Trump defended the cuts he had made to the CDC and the experts on pandemics he had dropped from the National Security Council and the epidemiologists he had flushed from his planning team. He didn’t want those people sitting around when they weren’t needed, said Trump. Besides, he claimed, you could always go and get them when they were needed. Because somewhere, somehow, there is a system that keeps vital specialists waiting in hermetically sealed containers, fresh, ready, and informed to meet the nation’s needs.

That is, it goes without saying, bullshit. But let me say it again. Bullshit. The value of an expert brought in to repair a system after disaster strikes is so much less than the value of having that person on hand to plan that the old ounce of prevention being greater than pound of cure formula doesn’t begin to cover it. You cannot decide to hire some pilots after the plane has crashed.

The thing about extraordinary events is that they’re extraordinary. Planning for them will never improve profits. It will only save lives.

By treating health care like a business, Americans have already seen one of the first people who dared ask to be tested for COVID-19 get handed a bill for thousands of dollars, the primary result of which will be to dissuade other Americans from asking to be tested. Which is, right there, exactly the result that is best for insurance companies—and worst for the nation.

It’s an absolute certainty that Americans will hide their sniffles, drown their symptoms in over-the-counter drugs, and try to “tough it out” because they can’t afford health care. Besides, they have no paid sick leave, no paid child care, and no guarantee that missing a day’s work won’t mean being cast to the curb. All that “socialist” crap.

And because our whole system runs so excellently lean, American hospitals are already seeing shortages of everything from gowns to masks to painkillers, because the single-source, lowest-price vendor of those items happens to be in an area that’s already been overrun with the coronavirus. Not only have those factories on the far side of the planet been sitting idle for weeks, but what production has been available has been needed close to home. 

Right now in Hubei province, Chinese healthcare workers are staggering around in exhaustion. Or, as American hospital workers call it, Thursday. Our understaffed, undersupplied, overworked facilities spend every day running at their limits. That’s what is considered normal.

The concern about dollars over people is so accepted that on Thursday the White House announced two new members of the Coronavirus Task Force—Treasury Secretary Steven Mnuchin and National Economic Council chief Larry Kudlow. Though to be fair, it’s not as if they completely lack expertise. Kudlow does have long familiarity with taking nasally administered drugs from rolled $100 bills. So there’s that. And if in this version of The Stand the role of the Rat Man is to be played by Mnuchin … no one can say that this is not good casting.

Disaster is far from certain. Local and state officials can still take measures that will slow the impact of COVID. And antiviral medicines may prove effective, or maybe a vaccine will come along more quickly than expected— though, should either happen, you can assume there will be a line of Pharma Bros on hand to buy the companies involved and raise the prices to eye-watering levels. After all, holding people’s lives hostage is exactly what our healthcare system is all about.

COVID-19 is going to swing a big hammer at the glass house of American health care. All anyone can do is hope they don’t get cut in the process.

And then vote to change the damn system.

This content was originally published here.

When you notice your mental health declining

5 Powerful Ways to Help You Deal With Depression

Depression is a very serious medical and psychological disorder that puts your outlook on life in negative and dangerous perspective.

By its definition, depression drains your hope, energy and your motivation, making it extremely difficult to feel better.

It is a quite common disorder and one in third people have experienced depression during their lifetimes, in one way or another.

One person out of ten, experiences moderate to severe symptoms of depression.

To overcome depression, the key is to start with small steps.

Healing and getting better takes time and it is important that you don’t expect overnight results.

Try to make positive choices for each and every day.

When dealing with depression, it is crucial to make an effort and take action, no matter how hard it may seem when you are overwhelmed with negativity.

One of the simple methods is to come up with so-called ‘happy thoughts’.

Those are things that you enjoy and that make you feel good even when thinking about doing them.

Exercising, going out, spending time with family, friends and engaging in a pleasurable hobby are all highly beneficial and recommended steps.

The things that are most difficult to tackle are those that will help you most in the long run.

However, it is important to start small, by doing something that will make you feel good right now.

Every small step that you make is one step closer to becoming a healthier and better version of you.

1. Stay connected and get support

It is crucial that you reach out to other people when dealing with depression.

By knowing that you have help and support will help you keep healthy perspective towards the future you are planning to build.

When you are depressed, it is oftentimes difficult to connect to friends and family, but staying active and involved in social situations with other people can keep a positive effect on your mood and outlook.

You will simply feel less depressed when you are around other people.

Try to talk to a friend or family member who is a good listener.

They don’t need to be able to offer any helpful solutions. Just the mere act of talking and sharing how you feel can help you relieve depression.

One of the ‘tricks’ is partaking in social activities that help others – like volunteering.

Researches have come to the conclusion that providing support to others in need, be it to people or animals will boost your mood.

It doesn’t have to be anything big.

You can start small by simply offering a listening ear to a friend in need.

You will see that these small steps will help you go a long way.

2. Engage in activities that make you feel good

Even if you don’t feel like it at the moment, if you force yourself to engage in activity that you know will make you feel better, you will give yourself opportunity to break the depression cycle you’re in at the moment and open up to positive outcomes.

Typical for this situation is that you will feel glad that you forced yourself to partake in the said activity, as it will make you feel so much better about yourself and life.

Doing fun and pleasurable activities won’t cure your depression, but they will help you feel more energetic and increase production of ‘happy hormones’ in your brain.

These activities are known to help people relieve effects of depression:

  • Spending time in nature and in the sun
  • Making a list of things that you like about yourself
  • Fill a bathtub with warm water and have a long and relaxing bath
  • Read a book that you enjoy
  • Play with your pet
  • Listen to the music that is on your ‘favorites’ playlist
  • Watch funny video compilations
  • Make a list of small and easily achievable tasks and complete them one by one
  • Go out with your friend or a group of friends
  • Find a hobby that you enjoy doing
  • Find the way to express yourself – through art, exercise, dancing, learning or a hobby
  • Make small trips to places you always wanted to visit.

3. Build healthy habits

Having enough sleep is one of the most important things when dealing with depression.

If you sleep less than optimal eight hours, oftentimes both your mood and energy for that day will suffer.

If you have troubles with sleep, think about the stressful situations that you are exposed to, and try to grasp what it is that stresses you.

Finding the way to take control over a situation that causes you stress will help you relieve the pressure and feel better.

One of the useful practices that you should adopt are relaxation exercises such as yoga, deep breathing, muscle relaxation, meditation and many others.

4. Pay attention to the food you eat

Learn about what foods are beneficial and what to avoid.

Intake of certain types of food directly affect your brain and mood. Typical examples are caffeine, alcohol and trans-fats.

Avoid those whenever possible and try not to skip meals as it will make you additionally irritable.

Avoid sugary snacks and refined carbs.

Although they can lift your mood for a short time, they are known as energy crashers.

5. Get help from a professional

Making these small steps can significantly help you when dealing with depression, but they are not a substitute for getting a professional help.

Depression is a serious condition that can negatively affect your life in more ways than just one, but it is treatable and easily manageable if you seek professional help.


Rest assured that all these small steps together will bring you speedy and complete recovery.

Start small and start today, with any single thing from this list.

The post When you notice your mental health declining appeared first on The Powerful Mind.

This content was originally published here.

Nicole ‘The Lip Doctor’ Bell redefining cosmetic dentistry

Long Island native Dr. Nicole Bell, also known as “The Lip Doctor,” has risen to success as a result of fusing dentistry and advanced esthetics.

After graduating from Baldwin Senior High School, Bell attended Manhattan College in Riverdale, New York, on a full academic scholarship. Her dental career began with studies at Meharry Medical College in Nashville, Tennessee, where she earned a doctor of dental surgery degree in 2001.

Currently, Bell shares two locations — in Long Island’s Freeport village and in downtown Brooklyn — where she is certified to treat with lasers and performs most procedures without the use of a drill or anesthetic. 

Rolling out had the opportunity to speak with Bell about her passion for cosmetic dentistry, what differentiates her practices, and her advice for entrepreneurs in the medical field.

When did you realize that you wanted to be a doctor?

When I was 5 years old I won a science fair, and after the competition, I was asked what I wanted to be when I grow up. I said, “I want to be a doctor.” Having my parents segue and guide me along the way made me feel like there was nothing to prevent me from becoming a doctor. The word doctor just stuck with me, and I continued to move forward. Medicine was intriguing but, more specifically, dentistry became appealing to me in college. I was heavily influenced by the dean of my dental school who is now the president of the dental school at Meharry Medical College.

Click continue to read more.

God, Fam, Biz, and Good Vibes. Writing about the things and people who matter that are making an impact in our community. Content Producer / Editor, entrepreneur and former Fortune 500 Sales and Marketing Executive.

This content was originally published here.

14 Things You Should Know Before You Get Invisalign | Chief Health

Invisalign braces sound fantastic – don’t they? They actually are too! However, here are 14 things you should know before you get Invisalign…

Every time a celebrity smiles for the camera, we can’t help but notice the perfect set of teeth they have. Some people feel envious of the perfectly straight set of pearly whites, while others can only hope that they get new ones just like Dustin Matarazzo (Stranger Things).

Sometimes, even after wearing braces for a decade, teeth don’t become flawless. People, who have gone through the pain of wearing traditional braces know the discomfort of the entire process.

Even after taking them off, there might be significant space between the teeth, which can cause difficulty in chewing.

Apart from the functional challenges, uneven teeth can cause a significant lack of confidence. We have seen teenagers, and young adults shy away from photos and selfies because they are conscious of their crooked teeth.

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Some impressionable children spend hours in front of the mirror practicing closed-mouth smiles or daydreaming about the day they will have straight teeth.

Teeth can be stubborn, and it can take multiple rounds of braces and jaw surgeries to correct the dental alignment. It is not only a costly procedure but also a painful one. Most adults do not have a health insurance plan that covers dental surgeries.

Moreover, these surgeries can take multiple sittings over two to four weeks, depending upon the complications. One modern and almost pain-less alternative is the Invisalign method.

According to an expert Orthodontist, Invisalign is similar to braces, but instead of metal wires and brackets, Invisalign uses invisible, custom-made aligners or retainers of plastic. These are significantly less noticeable than regular braces.

If you are an adult, who has always shied away from wearing braces as a kid, or someone who remembers how odd it felt wearing colorful “straightjacket” on your teeth, the Invisalign braces are worth a try.

Since these are relatively new and not a lot of orthodontists in the city work with them, you might find it challenging to find consolidated information on Invisalign and their benefits. We are happy to share the insight from Invisalign users from the last few years –

1. You Will Need To Wear Them 22 Hours Per Day

We have seen actors wear their retainers before sleeping and take them off before leaving for work. Like many Hollywood fantasies, their retainer wear time is one as well.

You might want to rethink your plans of taking them off for going on date night or heading to bed. You should keep them on unless it is time for breakfast, lunch, or dinner. Moreover, you might want to invest in a couple of travel-sized toothbrushes for emergencies.

2. Breakfast, Lunch, & Dinner Are Your Friend

Taking Invisalign braces off and putting them back on can be a difficult task when you’re first starting out. With this in mind, you will want pack on the calories for breakfast, lunch, and dinner to avoid excess snacking and taking your braces off more than you need to.

3. You Might Receive More Attachments Than You Expect

Invisalign braces sometimes include attachments. These attachments hold the Invisalign aligners in place and stick to your teeth just like braces brackets. They are often enamel-colored so the bumps are virtually invisible.

It is quite similar to wearing braces, except the Invisalign attachments are inconspicuous and less uncomfortable. Be warned – you may be told that you only need a few and end up with 20 (or more).

4. You May Lose Weight

Since the recommended wear time is 22 hours, that leaves two hours to eat per day. It’s an ambitious goal, but you should do your best to follow the guidelines. It really sucks to pull off your aligners more times than necessary because of how tight the Invisalign braces are and how sore your teeth may become. Even if you attempt to pack on the calories at mealtime, you may still be hungry many hours throughout the day – resulting in weight loss.

5. Say Goodbye To Your Favorite Lipstick

Colored lip gloss and lipsticks won’t be your friend when you begin using Invisalign braces. Lipstick and colored lip gloss easily sticks to the aligners and the attachments. Clear lip balm and gloss will be okay, but even they can leave a waxy residue on the aligners. Dramatic eye makeup can draw some of the attention away from your teeth.

6. No More Manicures

Popping the aligners in and out is almost impossible without nails, so unless you’re hapy with chipped nails, you should only buff them and stay away from painting them. If you still want to have gorgeous nails and avoid chipping them, you will want to buy an aligner removal tool.

7. Kissing Gets Awkward

Who would’ve guessed it? Yes, it is really weird trying to kiss with a giant plastic device all in and around your mouth. However, Invisalign shouldn’t kill your love life unless kissing is all you’re good at… (Don’t worry – we are only teasing!)

8. Whitening Isn’t An Option Until After You’re Finished

As long as the attachments are on your teeth, whitening won’t be an option until the treatment is complete. However, brushing your teeth often and avoiding stain-causing beverages will help your enamel quite a bit.

9. You Will Have To Be More Careful About Oral Hygiene

Brushing your teeth will become an addiction once you get the Invisalign braces. It is quite easy to get food and bits of snacks in the attachments.

Unless you brush more than three times per day, at least once every meal, you will suffer from bad breath and cavities. Not brushing is the leading cause of plaque buildup and tartar formation.

Always carry a toothbrush and toothpaste set with you, along with a small bottle of any mouthwash your orthodontist recommends.

10. The Invisalign Attachments Capture Stains

When you drink tea and coffee, without a complementary brushing habit, you are at full risk of developing stains on your attachments. Although Invisalign is almost invisible, these stains can take away that advantage. You might end up with blotchy looking attachments with bits of sugary stacks stuck all over your teeth.

11. No Hot Food

You can only drink cold water, or drinks at room temperature because hot water and other hot beverages will easily stain the aligners. Plus, they might even warp the attachments.

You might want to avoid sugar and alcoholic drinks. Alcohol with high congener content can increase the plaque buildup and stain the aligners. Reports from regular Invisalign users state that drinking red wine can stain the retainers almost immediately.

12. You Will Receive A Refinement Aligner

Once you complete your basic set of Invisalign retainers, you will receive another set of custom designed refinement aligners that can fix any stubborn crooked teeth. These can take care of the slightly misaligned teeth and the unsightly spaces between them. You should speak with your orthodontist before you begin your Invisalign treatment.

13. Consult With Your Orthodontist When Planning Vacations

Find out from your orthodontist about the next set of appointment dates before you head off to the tropics for summer. Although the Invisalign attachments require next to no maintenance, as long as you are regular with your brushing and honest with your oral hygiene, you might want to consult your dental expert before you make big plans in the next few months.

14. It’s A Small Sacrifice For A Giant Gain

Wearing Invisalign retainers is a breeze compared to wearing the metal braces we received as children. The duration of wearing this retainer will vary from one person to another depending on the condition of their teeth. You should consult your orthodontist regarding the different stages of Invisalign and refinement retainer attachments.

There aren’t too many cons of wearing Invisalign instead of going for metal braces or corrective surgery. The cost is negligible considering the long-term positive effect of the retainers on teeth alignment and self-confidence. Invisalign will help you make the right choice in life, and it will give you the perfect teeth you have always desired.

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This content was originally published here.

Philippines declares state of public health emergency due to coronavirus | ABS-CBN News

Commuters mostly wearing face masks cross at a busy street in Mandaluyong on February 5, 2020. George Calvelo, ABS-CBN News

MANILA (UPDATE) – President Rodrigo Duterte has placed the Philippines under a state of public health emergency to arrest the spread of novel coronavirus infections after authorities confirmed local transmissions of the disease.

Over the weekend, health authorities confirmed 7 cases of COVID-19, bringing the total to 10. Duterte’s order came nearly 3 weeks after the Department of Health suggested declaring a public health emergency when the first cases emerged.

“The outbreak of COVID-19 constitutes an emergency that threatens national security which requires a whole-of-government response…” Duterte said in Proclamation No. 922 signed on Sunday.

“The declaration of a State of Public Health Emergency would capacitate government agencies and LGUs to immediately act to prevent loss of life, utilize appropriate resources to implement urgent and critical measures to contain or prevent the spread of COVID-19, mitigate its effects and impact to the community, and prevent serious disruption of the functioning of the government and the community,” he said.

READ: President Duterte issues Proclamation No. 922 declaring a state of public health emergency in the Philippines @ABSCBNNews pic.twitter.com/DPD5E5sME9

— Arianne Merez (@arianne_merez)

The declaration shall remain in effect until the President lifts or withdraws it.

With Duterte’s proclamation, all government agencies and local government units are urged to mobilize the necessary resources to “eliminate the COVID-19 threat.”

The health chief is also given authority to call upon the Philippine National Police and other law enforcement agencies for assistance in addressing the threat of the virus.

Health Secretary Francisco Duque III on Monday said the President’s proclamation paves the way for easier procurement of medical supplies needed to contain the virus as well as access to sufficient funding for agencies, including local government units, for proper response to the disease outbreak.

Duque added that the proclamation gives the government powers for mandatory quarantine of patients and requires health authorities to provide updates on issues concerning the disease outbreak.

Presidential Spokesman Salvador Panelo on Sunday said Duterte’s move came “after considering all critical factors with the aim of safeguarding the health of the Filipino public.” 

Over the weekend, the health department raised the country’s alert system to Code Red, Sub-level 1 because of the virus, which was meant to serve as a “preemptive call” for authorities and health workers to “prepare for possible increase in suspected and confirmed cases.” 

COVID-19 has killed 3,792 people while infecting more than 109,000 in 95 countries worldwide.

-with a report from Agence-France Presse

This content was originally published here.

Psychiatrist Prescribes Disney Trips As Mental Health Treatment

Mental Health has become more serious and frequently discussed in recent years. People are taking it more seriously to work out things going on inside their minds and find peace within situations that occur in our lives. While our society is more aware of the benefits of positive mental health, they are seeking help. There is no shame in that! Taking care of your personal health is important. So if you are thinking about seeing a Doctor and getting help, do it. Get the help you need. You may even get a Disney trip prescribed! In fact, one Psychiatric is even prescribing trips to Disney World or Disneyland! That is a treatment plan I fully support.

These new treatment plans have been used by Dr. Sanders at Psychiatry Today, who has been prescribing patients week-long getaways to Disney Resorts as part of his treatment plans. His approach is based on “humans exposed to environments encompassing the patient with positivity and experiences that are enriching have changed the outlook for the patients.” I can see why he believes the positive atmosphere manufactured by Disney would help people gain joy and be uplifting while dealing with a hard time. They are the World’s Happiest and most Magical place for a reason. While this is just part of his treatment plan We will leave the treatment plans and real work to the professionals.

We have discussed why it’s important for Adult Only Disney trips and we even listed the stress-free, positive environment. See, we were on to something! So if you need a trip to unwind, have some pixie dust sprinkled in your life, it looks like Disney is the way to go. Doctors orders. Even if it is just Doctor Who.

Is Disney your happy place? My name is Jamie Porter and Disney World has been my happy place for many years! My family and I have been AP for 8 years, and lucky enough to live here in Central Florida. I helped many friends and family plan their travel I became a Travel Agent with Amazing Magical Adventures. I have been a TA for 6 years and love it. If you have any questions or would like a FREE quote, feel free to follow me on Facebook @JamiePorterSellsTravel or email JamiePorter@AmazingMagicalAdventures.com

The post Psychiatrist Prescribes Disney Trips As Mental Health Treatment appeared first on Disney Addicts.

This content was originally published here.

SBA Finalist Spotlight: Northern Virginia Orthodontics

Thank you to Northern Virginia Orthodontics for answering a few of our questions.
Congratulations on being named a finalist for Health & Wellness Business of the Year!

1.Tell us your story of how your company got to where it is today? 

After finishing my orthodontic residency at the Medical College of Virginia in Richmond in 2006, my wife and I knew we wanted to move to Loudoun County. We both grew up nearby, and were aware of the planned residential growth, excellent schools, and the fact that Loudoun would be a great place to raise our kids and open an orthodontic practice. We settled on Brambleton Town Center, centrally located in Loudoun, to both live and work. With my vision to make an impact on patients, my team, and my community, I opened Northern Virginia Orthodontics in February of 2008. We saw just two patients that day, and despite the economy crashing in 2008 and 2009, NVO continued to grow thanks to our dedication to treating patients like our own family, over-delivering on top-notch service, and changing lives both inside and outside our office.

Since opening our doors in 2008, we’ve expanded twice in our Brambleton office, added the East Coast’s first, adult-only Invisalign Center, earned the title of Washingtonian Magazine’s Top 50 Places to Work, treated the most Invisalign patients in the state of Virginia, and in 2017 became the #2 Invisalign provider in the entire country.

Despite all these incredible accomplishments, what I’m most proud of is NVO’s impact on the local community. To date, NVO has donated over $1 million to local schools and organizations, as well as to pediatric cancer research and awareness. With our brand new 501(c)(3), The NVO Foundation, we can continue to do even more to help those in need right here in Loudoun County. It’s been an incredible ride going from just two patients that very first day to now seeing over 100 patients on a daily basis, but NVO is just as committed as ever to changing smiles and impacting lives.

2. What would it mean to you and your company to win a Small Business Award?  

Winning an award of this magnitude would serve as affirmation that Northern Virginia Orthodontics is impacting and improving the Loudoun County community, and would serve as fantastic recognition for our entire team.

3. If you weren’t running your own business/working at this business, what would you be doing?

I’ve always had a passion for medicine and helping others, hence becoming an orthodontist. I couldn’t imagine not working at NVO, but if I had to do anything else, I’d probably be a pilot.  I love flying and aeronautics.

4. What book are you reading right now? / What is your favorite book?

“Tools of Titans” by Tim Ferriss. It’s a study of successful people’s habits, and focuses on three critical elements – health, wealth and wise. Great read for anyone, especially business owners.

5. If you have 24-hours off, and your family was out of town, what would you do?

I’d work out, eat a healthy breakfast, then look for a D.C. sporting event to attend, like a Nationals or Capitals
game. Then a good glass of wine with dinner and call it a day – but I’d rather be with my family!

6. What is the smallest thing that has made the largest impact on your business?

Having no fear of change. It’s absolutely essential to assume risk, and to be open to change as your business grows.

7. What did you want to be when you grew up as a child? / What was a childhood dream that you had?

A professional baseball player. Baseball was my passion growing up, and remains a giant part of my family. My oldest son is currently plays baseball at the University of Arizona, and my wife and daughters love the sport as well.

8. Who is the one person that has influenced you the most in your career?

There are so many people that have influenced me along the way, but my older brother has definitely influenced me the most. He has a solution for every problem. He is an attorney by trade, but is always there when I need an opinion on anything business-wise and has been a huge part of NVO’s success.

9. What is your favorite thing about running a business in Loudoun County?

The growth and success of the county, and the pro-business mindset of its leaders.

10. If you’re not in the office where can we find you?

At my son’s baseball game, my daughters’ soccer games, a local winery, a D.C. sporting event, teaching the orthodontic residents at MCV (Medical College of Virginia), or out helping others.

11. What is your favorite weekend activity in Loudoun County?

Visiting one of Loudoun County’s many incredible wineries with family and friends.

The post SBA Finalist Spotlight: Northern Virginia Orthodontics appeared first on Loudoun Chamber.

This content was originally published here.

With only three official cases, Africa’s low coronavirus rate puzzles health experts

To date, only three cases of infection have been officially recorded in Africa, one in Egypt, one in Algeria and one in Nigeria, with no deaths.

This is a remarkably small number for a continent with nearly 1.3 billion inhabitants, and barely a drop in the ocean of more than 86,000 cases and nearly 3,000 deaths recorded in some 60 countries worldwide.

Shortly after the virus appeared, specialists warned of the risks of its spreading in Africa, because of the continent’s close commercial links with Beijing and the fragility of its medical services.

“Our biggest concern continues to be the potential for Covid-19 to spread in countries with weaker health systems,” Tedros Adhanom Ghebreyesus, the head of the World Health Organization, told African Union health ministers gathered in the Ethiopian capital of Addis Ababa on February 22.

In a study published in The Lancet medical journal on the preparedness and vulnerability of African countries against the importation of Covid-19, an international team of scientists identified Algeria, Egypt and South Africa as the most likely to import new coronavirus cases into Africa, though they also have the best prepared health systems in the continent and are the least vulnerable.

‘Nobody knows’

As to why the epidemic is not more widespread in the continent, “nobody knows”, said Professor Thumbi Ndung’u, from the African Institute for Health Research in Durban, South Africa. “Perhaps there is simply not that much travel between Africa and China.”

But Ethiopian Airlines, the largest African airline, never suspended its flights to China since the epidemic began, and China Southern on Wednesday resumed its flights to Kenya. And, of course, people carrying coronavirus could enter the country from any of the other 60-odd countries with known cases.

Favourable climate factors have also been raised as a possibility.

“Perhaps the virus doesn’t spread in the African ecosystem, we don’t know,” said Professor Yazdan Yazdanpanah, head of the infectious diseases department at Bichat hospital in Paris.

This hypothesis was rejected by Professor Rodney Adam, who heads the infection control task force at the Aga Khan University Hospital in Nairobi, Kenya. “There is no current evidence to indicate that climate affects transmission,” he said. “While it is true that for certain infections there may be genetic differences in susceptibility…there is no current evidence to that effect for Covid-19.”

Nigeria well-equipped

The study in The Lancet found that Nigeria, a country at moderate risk of contamination, is also one of the best-equipped in the continent to handle such an epidemic.

But the scientists had not anticipated that the first case recorded in sub-Saharan Africa would be an Italian working in the country.

Little more than a week ago, “our model was based on an epidemic concentrated in China, but since then the situation has completely changed, and the virus can now come from anywhere,” Mathias Altmann, an epidemiologist at the University of Bordeaux and one of the co-authors of the report, told FRANCE 24 on Friday. The short shelf-life of studies testify to the speed of the epidemic’s spread.

The Italian who tested positive for the coronavirus in Lagos had arrived from Milan on February 24 but had no symptoms when his plane landed. He was quarantined four days later at the Infectious Disease Hospital in Yaba. Several people from the company where he works have been contacted and officials are trying to trace other people with whom he might have had contact.

For Altmann, an expert in infectious diseases in developing countries, the fact that coronavirus appears to have entered sub-Saharan Africa through Nigeria is “actually good news”, because the country appears to be relatively well prepared for confronting the situation.

In a continent that “has had its share of epidemics and whose countries, therefore, have a huge knowledge of the field and real competence to react to this kind of situation”, Nigeria is in a very good position to confront the arrival of Covid-19, Altmann said.

“The CDC [Center for Disease Control] responsible for the entire region of West and Central Africa is located in Abuja, the capital of Nigeria, which means that their organisational standard in health matters is very high,” he added.

The country was already renowned for “succeeding to pretty quickly contain the Ebola epidemic in 2014,” Altmann points out. It took the Nigerian authorities only three months to eradicate Ebola in the country. The World Health Organization and the European Centre for Disease Prevention and Control at the time congratulated Nigeria for its reactivity and “world-class epidemiological detective work”.

But despite Nigeria’s strengths, the coronavirus pathogen represents a particular challenge, in that it is hard to detect. The virus may be present in an individual who has few or no symptoms, allowing it to spread quietly in a country where, like everywhere in Africa, there is “a shortage of equipment compared to Western countries, especially in diagnostic tools”, Altmann said.

Neighbouring countries like Chad or Niger have “less functional capacity to handle an epidemic,” Altmann said. But they also have an advantage: these are agricultural regions where people are outdoors more, “and viruses like this one prefer closed spaces and are less likely to spread in a rural setting,” he added.

(FRANCE 24 with AFP)

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This content was originally published here.

Body camera video: Florida girl forced to go to mental health facility asked officer if she was going to jail – CBS News

A police officer who was transporting the 6-year-old Florida girl who was forced to go to a mental health facility after an incident at school is heard calling her “pleasant” on body camera footage. She also openly questions why the girl is being taken away.

Nadia King was removed from school under the Baker Act, a law allowing authorities to force a psychiatric evaluation on anyone considered to be a danger to themselves or others. According to a sheriff’s report, a social worker who responded to the incident at Love Grove Elementary School in Jacksonville said Nadia was “destroying school property” and “attacking staff.”

But, the police body camera video shows a Duval County sheriff’s deputy leading a seemingly calm Nadia out of school on February 4. Nadia is heard asking the officer, “Am I going to jail?”

“No, you’re not going to jail,” the officer says.

Inside the police car, Nadia asks the officer if she has snacks. “No, I don’t have any snacks. I wish I did. I’m sorry,” the officer says.

The deputy is also heard talking to another officer about Nadia’s behavior while she is in custody.

“She’s been actually very pleasant. Right? Very pleasant,” the officer says.

“I think it’s more of them just not knowing how to deal with it,” the other officer says.

At one point, it appears Nadia, who has ADHD and a mood disorder, did not understand where she was going. 

“It’s a field trip?” she asks.

“Well I call it a field trip, anything away from school is a field trip, right?” an officer replies. 

Nadia was held in a mental health facility, away from her mother, for 48 hours. Her mother, Martina Falk, broke down while watching the body camera video.

“I can’t comment,” she said.

Falk’s attorney, Reganel Reeves, said, “She’s mortified. She’s horrified. Angry.”

They argue Nadia should have never been taken to the mental health center.

“If you can’t deal with a 50-pound child, 6-year-old, then you shouldn’t be in education,” Reeves said.  

Officials with Duval County Public Schools said student privacy laws prevent them from discussing details of the case. They did not respond to the body camera video, but said in an earlier statement that an initial review showed the school’s handing was “compliant both with law and the best interest of this student and all other students at the school.”

The family now plans to file a lawsuit.

“She’s going on a field trip to hell. That’s where she was going, and her life has forever changed,” Reeves said.

This content was originally published here.

Interest in vampires boosts the fang trade – Dentistry for the undead

VAMPIRES HAVE been a boon for Maven Lore’s bottom line. Once a graphic designer by trade, Mr Lore now makes fangs full-time in New Orleans. He attributes an increase in demand for his prosthetic vampire teeth to a growing interest in the undead. The popularity of vampire-themed films, novels and television programmes has helped create a customer base with a growing taste for fangs.

Halloween is now a billion-dollar industry in America. The National Retail Federation expected consumers to spend $8.8bn this year. Yet unlike candy corn or spider-web decorations, fangs have become a year-round phenomenon. Most of Mr Lore’s clients wear their fangs—which can cost as much as $1,200—regularly. Ninety percent of his customers are women between the ages of 20 and 40. They tend to be active in the vampire subculture of people who identify as or at least behave like vampires. Other customers want pointier teeth or simply think fangs will help them express their personalities better—“like jewellery”, Mr Lore says.

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A “fangsmith” in industry parlance, Mr Lore begins making vampire teeth by examining a client’s face and smile. He then tries to match the shade of the client’s human teeth to one of six acrylic tones. Next, he rolls two small balls of putty between his fingers and places each shaped fang on the tooth it is meant to cover—either the canine or the incisor, depending on the style. Finally, Mr Lore asks clients to hold their lips up for about five minutes as the acrylic sets.

Ninety percent of the time the fit is so precise that the fangs—which are otherwise removable—remain in place without glue. Unless, that is, they are being fitted on dentures, in which case they require a bit of adhesive.

Among Mr Lore’s most popular fangs are his Classic Canines, which look friendly, as fangs go. The Daywalkers are a double set covering the canine and the lateral incisor teeth that mimic fangs appearing in films such as “Underworld” and “The Vampire Diaries”.

Teresia Lischewski (pictured) bought a pair of Mr Lore’s fangs last Halloween and wears them “as often as humanly possible”. She says she gets regular use out of her fangs by attending vampire balls, comic-book conventions and events in the world of cosplay, in which humans dress up as characters from cartoons or video games. Ms Lischewski’s vampire teeth have been so well received that her human husband is even saving up for a pair of his own.

This content was originally published here.

Trump’s new budget slashes food stamps, student loans, and health care

The proposal would also fail to eliminate the deficit over 10 years.

Donald Trump is offering a $4.8 trillion election-year budget plan that recycles previously rejected cuts to domestic programs to promise a balanced budget in 15 years — all while boosting the military and leaving Social Security and Medicare benefits untouched.

Trump’s fiscal 2021 plan, to be released Monday, promises the government’s deficit will crest above $1 trillion only for the current budget year before steadily decreasing to more manageable levels.

The plan has virtually no chance, even before Trump’s impeachment scorched Washington. Its cuts to food stamps, farm subsidies, Medicaid, and student loans couldn’t pass when Republicans controlled Congress, much less now with liberal House Speaker Nancy Pelosi setting the agenda.

Pelosi (D-CA) said Sunday night that “once again the president is showing just how little he values the good health, financial security and well-being of hard-working American families.”

“Year after year, President Trump’s budgets have sought to inflict devastating cuts to critical lifelines that millions of Americans rely on,” she said in a statement. “Americans’ quality, affordable health care will never be safe with President Trump.”

Trump’s budget would also shred last year’s hard-won budget deal between the White House and Pelosi by imposing an immediate 5% cut to non-defense agency budgets passed by Congress. Slashing cuts to the Environmental Protection Agency and taking $700 billion out of Medicaid over a decade are also nonstarters on Capitol Hill, but both the White House and Democrats are hopeful of progress this spring on prescription drug prices.

The Trump budget is a blueprint written as if he could enact it without congressional approval. It relies on rosy economic projections of 2.8% economic growth this year and 3% over the long term — in addition to fanciful claims of future cuts to domestic programs — to show that it is possible to bend the deficit curve in the right direction.

That sleight of hand enables Trump to promise to whittle down a $1.08 trillion budget deficit for the ongoing budget year and a $966 billion deficit gap in the 2021 fiscal year starting Oct. 1 to $261 billion in 2030, according to summary tables obtained by The Associated Press. Balance would come in 15 years.

The reality is that no one — Trump, the Democratic-controlled House or the GOP-held Senate — has any interest in tackling a chronic budget gap that forces the government to borrow 22 cents of every dollar it spends. The White House plan proposes $4.4 trillion in spending cuts over the coming decade

Trump’s reelection campaign, meanwhile, is focused on the economy and the historically low jobless rate while ignoring the government’s budget.

On Capitol Hill, Democrats controlling the House have seen their number of deficit-conscious “Blue Dogs” shrink while the roster of lawmakers favoring costly “Medicare for All” and “Green New Deal” proposals has swelled. Tea party Republicans have largely abandoned the cause that defined, at least in part, their successful takeover of the House a decade ago.

Trump has also signed two broader budget deals worked out by Democrats and Republicans to get rid of spending cuts left over from a failed 2011 budget accord. The result has been eye-popping spending levels for defense — to about $750 billion this year — and significant gains for domestic programs favored by Democrats.

The White House hasn’t done much to draw attention to this year’s budget release, though Trump has revealed initiatives of interest to key 2020 battleground states, such as an increase to $250 million to restore Florida’s Everglades and a move to finally abandon a multibillion-dollar, never-used nuclear waste dump that’s political poison in Nevada. The White House also leaked word of a $25 billion proposal for “Revitalizing Rural America” with grants for broadband Internet access and other traditional infrastructure projects such as roads and bridges.

The Trump budget also promises a $3 billion increase — to $25 billion — for NASA in hopes of returning astronauts to the moon and on to Mars. It contains a beefed-up, 10-year, $1 trillion infrastructure proposal, a modest parental leave plan, and a 10-year, $130 billion set-aside for tackling the high cost of prescription drugs this year.

Trump’s U.S.-Mexico border wall would receive a $2 billion appropriation, more than provided by Congress but less than the $8 billion requested last year. Trump has enough wall money on hand to build 1,000 miles of wall, a senior administration official said, most of it obtained by exploiting his budget transfer powers. The official requested anonymity to discuss the budget before it is made public.

Trump has proposed modest adjustments to eligibility for Social Security disability benefits and he’s proposed cuts to Medicare providers such as hospitals, but the real cost driver of Medicare and Social Security is the ongoing retirement surge of the baby boom-generation and health care costs that continue to outpace inflation.

With Medicare and Social Security largely off the table, Trump has instead focused on Medicaid, which provides care to more than 70 million poor people and those with disabilities. President Barack Obama successfully expanded Medicaid when passing the Affordable Care Act a decade ago, but Trump has endorsed GOP plans — they failed spectacularly in the Senate two years ago — to dramatically curb the program.

Trump’s latest Medicaid proposal, the administration official said, would allow states that want more flexibility in Medicaid to accept their federal share as a lump sum; for states staying in traditional Medicaid, a 3% cap on cost growth would apply. Trump would also revive a plan, rejected by lawmakers in the past, to cut food stamp costs by providing much of the benefit as food shipments instead of cash.

The post Trump’s new budget slashes food stamps, student loans, and health care appeared first on The American Independent.

This content was originally published here.

‘So shocking:’ MU Dentistry student makes history as 1st African-American class president

MILWAUKEE — Dental tools in hand and teeth to work on is Chante Parker’s comfort zone. But being the first African-American class president for Marquette University’s School of Dentistry is still sinking in.

Chante Parker

“I’m the one that’s imprinting on history and it’s like, I never thought that,” said Parker.

Park has been class president since July of 2019 and serves as an ambassador for her class to create new initiatives for the dental school. She had no idea she’d be the first African-American to step into those shoes in the school’s 125 years of existence.

“I realize the magnitude of this opportunity, but it’s just so shocking to believe that it’s me,” Parker said.

Parker grew up in Atlanta and completed her undergraduate degree at The University of Miami, so she said moving to Milwaukee was a culture shock.

“It’s very segregated in where people live and where people thrive, and how the city runs itself,” said Parker. “I’m not used to that.”

Being hands-on helps Parker learn how to create beautiful smiles while she hopes to bring smiles to the community by setting an example.

“To help shift that dynamic and change the perspective and show that black people can do well, you can do anything that you want to do,” Parker said.

As Parker preps a crown, some might say she wears one herself as a catalyst for an inclusive community.

Marquette University School of Dentistry

“It made me feel like I had purpose in being here,” said Parker.

Parker will graduate in 2022. She hopes to open her own practice and offer free services to underprivileged communities.

This content was originally published here.

Spanish socialist govt moves to let doctors kill sick patients as health care costs rise

MADRID, February 14, 2020 (LifeSiteNews) — A majority in the lower chamber of Spain’s Congress has voted to consider a bill that would legalize euthanasia and assisted suicide in case of “clearly debilitating diseases without a cure, without a solution and which cause significant suffering.”

Spanish daily El País reported that the 350-member Congress of Deputies passed a measure on Tuesday by a vote of 201 to 140, with two abstentions. Following debate in committee, the bill would go to the Senate for a final vote. In its current form, if passed, the law would allow voluntary euthanasia as well as assisted suicide. This is the third time the bill has emerged in Congress, where its proponents hope it will be approved in June.

Assisted suicide means that a doctor prescribes lethal drugs to a patient, who then self-administers the drugs. Voluntary euthanasia can be defined as when a physician or medical professional kills a patient at the patient’s request. Both forms of killing are legal in Belgium, Canada, Colombia, Luxembourg, the Netherlands, and in the state of Victoria in Australia. Switzerland and some states in the U.S. allow assisted suicide.

Both forms of dealing death would be legalized by the Spanish legislation, which would allow doctors to object on the basis of conscience but require them to refer patients to doctors willing to assist in death. The bill also requires that patients not have to wait more than a month after making a request for either assisted suicide or euthanasia. After two doctors consider an initial request, patients would then make an additional request for approval by a government committee.

The Catholic Church, as well as the Popular Party and Vox Party, has expressed vehement opposition to the bill. From the floor of Congress, Deputy José Ignacio Echániz of the Popular Party accused Spain’s socialist government on Tuesday of seeking to “save money” on care for “people who are expensive at the end of their lives.” He said, “For the Socialist Party, euthanasia is cost-saving measure.”

Euthanasia as cost-saving measure

Echániz said the socialist government is having trouble paying for its welfare policies: “Every time one of these people with these characteristics disappears, there also disappears an economic and financial problem for the government. For each one of these people who is pushed toward death by euthanasia, the government is saving a great deal. Behind this is a leftist philosophy to avoid the social cost of an aging population in our country.”

While offering legislation to improve palliative care, Echániz said it is “curious” that despite Spain’s excellent medical care, socialists are calling for euthanasia rather than “defending life until the last moment.”

Madrid mayor José Luis Martínez-Almeida and city chief executive Isabel Díaz Ayuso, both of whom represent the Popular Party, also denounced the bill. In an interview with Antena 3 radio, Díaz Ayuso reproached the socialists for their reasoning, saying, “Death is not dignity; it is death,” and added, “Life is dignity.” The euthanasia bill, she argued, is a “red herring” being offered by her opponents to distract from their failings.

Speaking for the pro-life Vox Party, Rocio Monasterio said in a news conference on Tuesday that Vox will mount strong opposition the bill. “We believe in the dignity of the person,” she said while calling for more resources for palliative care. Vox, she said, defends the dignity of people from conception to natural death, unlike the leftists, who “want to eliminate all those whose lives, according to the Socialist Party, are no longer useful.”

Vox Deputy Lourdes Méndez took to the floor on Tuesday, warning Congress that they had embarked on legislation that resembled Nazi law of the 1930s with which the German Third Reich could legally murder mentally and physically handicapped people who had been judged “unfit.”

Méndez said, “The weakest and most vulnerable would be pressured by the system and would come to feel that they are a burden.” While she also proposed a bill for palliative care, she said, “In the face of suffering, we propose to offer companionship; we propose a culture of care and propose to relieve pain. You propose in the face of suffering to eliminate the sick; you propose death.” Speaking directly to the socialists, she said, “May God forgive you!”

The Spanish bishops’ conference has condemned euthanasia, issuing a document titled “Sowers of Peace” in December, saying that the Tradition and Magisterium of the Church “have been constant in stressing the dignity and sacredness of every human life” and its opposition to legalized euthanasia and assisted suicide.

The Church, the document reads, offers various ways of accompanying the sick and suffering, “shaping the many charisms that have inspired many institutions and congregations dedicated to their care.” This is based on the words of Jesus Christ, who said, “I was sick, and you visited me” (Matt. 25:36), and in the parable of the Good Samaritan (Lk. 10:25–37).

Critics of the leftist euthanasia bill point out that both euthanasia and assisted suicide are beyond the scope of medicine and also violate the Hippocratic Oath, well enshrined in the medical profession, which states: “I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect.”

In a statement, the Catholic bishops said there is a flawed belief that assisted suicide and euthanasia are acts of autonomy, saying: “[I]t is not possible to understand euthanasia and assisted suicide as something that refers exclusively to the autonomy of the individual, since such actions involve the participation of others, in this case, of health personnel.” Instead of promoting death, Spain should instead embrace palliative care that can ease suffering, they said.

Fr. Pedro Trevijano Etcheverria, a Spanish theologian and columnist, reacted to the vote that came on the day Catholics commemorate the apparition of the Virgin Mary at Lourdes to a simple peasant girl, Bernadette, in 1800s France. The shrine at Lourdes, which is known all over the world for its healing waters, has drawn millions of ailing visitors and their companions for more than a century. Tuesday is also known among Catholics also as the International Day of the Sic, Trevijano Etcheverria mused, pointing out that while the irony of advancing a bill to kill sick people on that day might have been lost on Spain’s leftists, it would be easily recognized by Satan.

This content was originally published here.

7 summertime dental tips from Vestavia Family Dentistry and Facial Aesthetics

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Vestavia Family Dentistry
The staff at Vestavia Family and Facial Aesthetics Dentistry staff

What is it about summer and forgetting to take care of our teeth?

Is it the oppressive heat in Birmingham, Alabama or just having more time on our hands? We all seem to lapse into some bad habits concerning our dental care. Think about it – Summer is the only time we all try “Pop Rocks and Cokes”… Right?

Let’s get the summer started off right in 2019. Dr. G. Robin Pruitt, Jr. and the staff at Vestavia Family Dentistry & Facial Aesthetics gave Bham Now some useful tips to pass along to our readers for the summer. Check them out.

Front entrance of Vestavia Family Dentistry & Facial Aesthetics

Tip #1 – Drink the right beverage

It is hot out there. Birmingham has already experienced record high temperatures reaching in the mid 90s in May. This summer, stay hydrated and healthy. But think carefully when you choose your beverage – some drinks can increase your risk of tooth decay.

For example – When you are hot, you sweat. Don’t reach for a sports drink to rehydrate. Many sports drinks contain sugar as their top ingredient and can be as bad for your teeth as drinking soda. If you are going to have a sports drink, look for one that is low in sugar to prevent damage to your teeth.

The best alternative? Water. Keep your mouth moist by drinking water throughout the day. This helps wash away plaque-causing bacteria and can even improve your breath. Also, save some money by choosing tap – fluoridated tap water which strengthens your enamel, making your teeth more resistant to decay.

Tip #2 – Avoid bubbles, try tea

Photo from Milos Tea Facebook page

Simply put, drinks with bubbles – the carbonated drinks which may contain acid – can wear down your enamel. If you must drink the carbonated drinks use a straw. This reduces contact with your teeth. Finish the drink quickly, instead of sipping over a long period of time. Same concept. Less contact, less damage to your teeth.

An alternative to the bubbles. Along with water, try tea. Tea contains compounds that suppress bacteria, slowing down tooth decay and gum disease. Just remember: Don’t add sugar!

Tip #3 – Don’t chew ice

Chewing ice may cool you off on a hot summer day, but it is not good for your teeth. Use ice as something to cool your drink and not as a food. Chewing ice can leave your teeth weak and vulnerable to breaking and can cause damage to your enamel.

Tip #4 – Teeth Healthy Snacks

Whether it is packing snacks for summer day camps or on vacation. Choose teeth-healthy snacks. Fresh foods are full of vitamins and dairy products such as cheese & yogurts are full of calcium. Make sure to pack a healthy snack for days on the go!

Tip #5 – Play Sports – Protect your teeth

. Photo via Children’s of Alabama’s Instagram

Stay safe during summer activities – Wear a mouthguard during summer sports. Even though summer sports may not be high contact, your teeth can still be at risk if you take a fall. Also, don’t run at the pool – wouldn’t want to slip and fall! Be safe and protect your teeth.

Tip #6 – Pack a dental “kit” for those vacations

Don’t you hate checking into a hotel or beginning that camping trip on that summer vacation and you notice your remembered the shampoo and soap, but forgot the toothbrush, floss and mouthwash. Hop on over to the local drugstore and fully stock your travel bag with all these dental necessities for the whole family.

Tip #7 Make your summer appointment now

Stay on routine and go ahead and schedule your end-of-summer appointment – it’s a good idea to make your child’s back-to-school appointment early in the summer to avoid the August rush and help ensure you get the appointment time that works best for you.

If you have any questions about any of these tips, Dr. Pruitt and the staff at Vestavia Family Dentistry & Facial Aesthetics welcome your questions and will try to provide you answers.

Also, feel free to re-visit their New Year’s resolution list of tips story – Vestavia Family Dentistry & Facial Aesthetics recommends 5 dental resolutions for 2019.

Who says you can’t make mid-year summer dental resolutions too!

Reach them at 205-823-3223 or visit their website at:

http://www.vestaviafamilydentistry.com

Sponsored by:

The post 7 summertime dental tips from Vestavia Family Dentistry and Facial Aesthetics appeared first on Bham Now.

This content was originally published here.

Our November Practice of the Month — Zammitti & Gidaly Orthodontics

mysocialpractice.com

Congratulations to our November Practice of the Month — Zammitti & Gidaly Orthodontics!

This month we’d like to spotlight an absolute social media powerhouse practice, Zammitti & Gidaly Orthodontics! They’re using social media dental marketing to reach new audiences, strengthen relationships with current patients, and stand out in their community.

They also impressed us with their phenomenal reviews presence, with over 350 positive patient reviews across Facebook and Google.

We reached out to Michelle Camp, patient care and marketing coordinator of the practice, for some insight on how social media is growing their business and what’s been working for them. Take something from what their team has learned to apply in your own social media strategy!

Ready for a quick demo of our reviews service? Fill out the form below.

Q&A With Michelle Camp, Marketing Coordinator

(Responses edited for length and clarity.)

What has been the biggest surprise of social media marketing for you?

The biggest surprise of using social media in our practice is how fun and exciting it is creating the posts. Our staff has really loved getting involved in taking pictures, sharing their fun facts or just listening to our silly post ideas. Taking pictures of the staff and patients is a fun and quick way to break up the day/week and add some excitement to our patient’s visits.

Which of your team’s social media efforts have shown to be most effective?

The social media tool or tactic that has been most successful has been our “Fun Fact Friday”–where each staff member shares a little fact about themselves that our patients may not otherwise know. People love getting to know our staff and doctors through these posts. Our patients look forward to this post in particular because it is fun to see everyone’s unique answers while also thinking about what their answer would be for each week’s fun fact.

What has been the biggest challenge of using social media in your practice?

The biggest challenge of social media marketing has been staying fresh and current. We have a large multi-doctor, multi-location practice and it can be difficult to make sure all employees/doctors/locations are included while being sure we are not posting the same thing each week. My Social Practice has helped us with this challenge by providing interesting new content ideas.

What has been the biggest benefit to your patients since you started using social media?

The number one benefit of our social media for our patients is that it helps patients to develop a more intimate relationship with our practice. With our daily posts our patients get a little glimpse behind the scenes while also getting to know our employees and doctors more. Our patients can see that we are a family that works hard while having fun too.

What has been the biggest benefit to your practice since you started using social media?

The #1 benefit social media has brought to our practice is the ability to always stay on people’s minds. Everyone is scrolling through Facebook and Instagram at some point throughout the day. When they scroll past our posts it helps people to think about us when they otherwise wouldn’t. If they are current patients it may be a reminder to tell a friend about our office. If they are not patients yet it may be that extra reminder to call our office to schedule a consultation. Social Media brings our practice into people’s homes and into their everyday conversations.

What kind of feedback have you gotten from patients about your social media?

Luckily, the feedback we have received from our patients about our social media efforts has been positive. We have had parents of patients and older patients themselves tell us how much they enjoy our posts. I personally have been able to use this feedback to get to know our patients more, asking them what they dressed up as for Halloween or what their least favorite food is.

What do you do in your office to promote your social media presence?

Right now our employees promote our social media presence in a low-key, laid-back manner. It may be as simple as mentioning a recent post or telling a patient to look for an upcoming post. Of course, taking pictures of patients and telling them to look for their photo on our social media is a great way to promote also! We don’t ever want a patient or parent to feel pressured or uncomfortable so something as simple as “check us out on Facebook/Instagram” has done the trick so far.

What advice would you have for a dental practice just starting to build their social media presence?

For a dental practice just starting out on social media I would tell them to stay true to their values and beliefs. Social media is an amazing platform that can reach a lot of people, it is important that what is being displayed on your practice’s social media is a great representation of who you are and what you believe in. Put your best qualities out there and let social media be another marketing platform that keeps you on people’s minds.

Which My Social Practice product or service has been the most help to you?

My Social Practice’s Engagement Boxes have been the biggest help for our practice. Each engagement box has included a great variety of fun and interesting tools/props/ideas to help our posts stay fun and fresh. Each engagement box has been filled with fun props along with well-made signs and ideas for each post. We have always been impressed with the content delivered within each box!

Thank you for sharing, Michelle! Your team really understands how social media grows dental practices, and we’ve loved watching your online presence grow!

Dental social media marketing is about growing practices through increasing your reach, enhancing your local reputation, and building relationships with patients and potential patients. My Social Practice has remained laser-focused on these key objectives for over a decade as we’ve built the perfect dental social media solution.

Even if you have no social media experience and no time to learn, My Social Practice can do all the heavy lifting for you—growing your practice while you focus on serving your patients.

and we’d love to show you step-by-step how we can make your practice shine online!

Ready for a quick demo of our social media service? Fill out the form below.

The post Our November Practice of the Month — Zammitti & Gidaly Orthodontics appeared first on My Social Practice – Social Media Marketing for Dental & Dental Specialty Practices.

This content was originally published here.

Bloomberg: We Can No Longer Provide Health Care to the Elderly

Another video of former New York City Mayor Michael Bloomberg has resurfaced. Back in 2011, the billionaire paid his respects to the Segal family for the passing of Rabbi Moshe Segal of Flatbush. During that time, Jewish families undergo Shiva, a 7-day mourning period. Bloomberg stopped by to issue his condolences to the family.

Interestingly enough, the then-mayor used the opportunity to talk about overcrowding in emergency rooms, Obamacare and a range of other issues, The Yeshiva World reported at the time. One of those topics included denying health care to the elderly.

“They’ll fix what they can right away. If you’re bleeding, they’ll stop the bleeding. If you need an x-ray, you’re gonna have to wait,” Bloomberg said. “All of these costs keep going up. Nobody wants to pay any more money and, at the rate we’re going, health care is going to bankrupt us.”

But don’t worry. He believes he has a way of addressing cost concerns.

“Not only do we have a problem but we gotta sit here and say which things we’re gonna do and which things we’re not. No one wants to do that,” he said. “If you show up with prostate cancer, you’re 95-years-olds, we should say, ‘Go and enjoy. Have nice– live a long life.’ There’s no cure and there’s nothing we can do. If you’re a young person, we should do something about it. Society’s not willing to do that, yet. So they’re gonna bankrupt us.”

Who is Michael Bloomberg to decide who should and should not receive health care treatments? He has a ton of money and we know he’d do everything in his power to get the best doctors and treatment available if he or his loved ones became ill. They wouldn’t be told they’re too old or too broke, would they?

And who would be impacted by this decision? At what point is someone too old to treat? 60? 75? 80? What’s the arbitrary number, Mike? Whatever random number you decide on?

What about those who have chronic illnesses, like diabetes or multiple sclerosis? Do they suddenly stop receiving treatment once they hit a certain age, because they’re no longer deemed worthy?

And here I thought Democrats were supposed to want to take care of anybody and everybody. Guess not.

Bloomberg explaining how healthcare will “bankrupt us,” unless we deny care to the elderly.

“If you show up with cancer & you’re 95 years old, we should say…there’s no cure, we can’t do anything.

A young person, we should do something. Society’s not willing to do that, yet.” pic.twitter.com/7E5UFHXLue

— Samuel D. Finkelstein II (@CANCEL_SAM)

This content was originally published here.

Canadian Man Accused Of Unauthorized Horse Dentistry: ‘A Display of Lawless Bravado’

A Canadian man is facing a lifetime ban on practicing veterinary medicine after accusations he’s been performing unauthorized horse dentistry.

The Manitoba Veterinary Medical Association (MVMA) is seeking a permanent injunction against Kelvin Brent Asham, accused of treating horses—including giving one horse a sedative—without veterinary certification.

An investigator described Asham’s actions as “a display of lawless bravado,” according to court documents.

The MVMA says it’s been trying to stop Asham for the past three years: It first became aware of his activities in 2015, when a complaint was filed about a 16-year-old gelding he had treated. Asham sedated the horse, filed down its teeth—a process known as “floating”—pulled one tooth and tried to extract another.

horse teeth dentist
The sharp edges of horses’ teeth occasionally needs to be filed down to save the horse from pain when eating or holding a bit in its mouth. The term “floating” comes from the file used in the process, known as a “float.”
Anna Elizabeth/Getty

Leon Flannigan, an animal protection officer in Manitoba, investigated the claims and determined the horse had suffered “irreparable damage.” In an affidavit, Flannigan said he’d met with Asham in 2016 at a Tim Horton’s donut shop in Selkirk. Asham allegedly told Flannigan he’d been floating horse teeth since 1996 and had performed the procedure on four other horses owned by the same person as the gelding.

Asham also told Flannigan that most vets float teeth improperly, and that he had different tools than vets use. “Off the record, I do thousands of horses,” Asham allegedly told Flannigan. “I do a good job. I am willing to fight this in court.”

This incident caused the MVMA to send Asham a cease-and-desist letter in 2017, as he is not a licensed veterinarian.

But last year, the MVMA found out that Asham was still working as a equine dentist and was recommended on Facebook. The MVMA hired private investigator Russ Waugh to go undercover and try to hire Asham.

According to Waugh’s affidavit, Asham told him the horse Waugh brought in could be treated for $200 CAD (about $150), the average price for floating teeth. After the investigation, the MVMA filed suit against Asham, asking a judge to ban Asham from acting as a vet.

“By engaging in the unauthorized practice of veterinary medicine, the respondent effectively declares himself to be outside the law,” writes Robert Dawson, an attorney for the association.

This isn’t Asham’s first run-in with the law: In December 2001, the then-37-year-old was arrested after admitting to carrying 10 one-kilogram bricks of cocaine in his truck. Asham and Barry Vaughan Hancock, who was also in the truck when it was pulled over, were each charged with possession of cocaine for the purposes of trafficking.

At the time, Hancock was an equine dentist.

This content was originally published here.

American health care system costs four times more than Canada’s single-payer system | Salon.com

The cost of administering health care in the United States costs four times as much as it does in Canada, which has had a single-payer system for nearly 60 years, according to a new study.

The average American pays a whopping $2,497 per year in administrative costs — which fund insurer overhead and salaries of administrative workers as well as executive pay packages and growing profits — compared to $551 per person per year in Canada, according to a study published in the Annals of Internal Medicine last month. The study estimated that cutting administrative costs to Canadian levels could save more than $600 billion per year.

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The data contradicts claims by opponents of single-payer health care systems, who have argued that private programs are more efficient than government-run health care. The debate over the feasibility of a single-payer health care has dominated the Democratic presidential race, where candidates like Sen. Bernie Sanders, I-Vt., and Sen. Elizabeth Warren, D-Mass., advocate for a system similar to Canada’s while moderates like former Vice President Joe Biden and former South Bend, Indiana Mayor Pete Buttigieg have warned against scrapping private health care plans entirely.

Canada had administrative costs similar to those in the United States before it switched to a single-payer system in 1962, according to the study’s authors, who are researchers at Harvard Medical School, the City University of New York at Hunter College, and the University of Ottawa. But by 1999, administrative costs accounted for 31% of American health care expenses, compared to less than 17% in Canada.

The costs have continued to increase since 1999. The study found that American insurers and care providers spent a total of $812 billion on administrative costs in 2017, more than 34% of all health care costs that year. The largest contributor to the massive price tag was insurance overhead costs, which totaled more than $275 billion in 2017.

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“The U.S.-Canada disparity in administration is clearly large and growing,” the study’s authors wrote. “Discussions of health reform in the United States should consider whether $812 billion devoted annually to health administration is money well spent.”

The increase in costs was driven in large part due to private insurers’ growing role in administering publicly-funded Medicare and Medicaid programs. More than 50% of private insurers’ revenue comes from Medicare and Medicaid recipients, according to the study. Roughly 12% of premiums for private Medicare Advantage plans are spent on overhead, compared to just 2% in traditional Medicare programs. Medicaid programs also showed a wide disparity in costs in states that shifted many of their Medicaid recipients into private managed care, where administrative costs are twice as high. There was little increase in states that have full control over their Medicaid programs.

As a result, Americans pay far more for the same care.

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The average American spent $933 in hospital administration costs, compared to $196 in Canada, according to the research. Americans paid an average of $844 on insurance companies’ overhead, compared to $146 in Canada. Americans spent an average of $465 for physicians’ insurance-related costs, compared to $87 in Canada.

“The gap in health administrative spending between the United States and Canada is large and widening, and it apparently reflects the inefficiencies of the U.S. private insurance-based, multipayer system,” the authors wrote. “The prices that U.S. medical providers charge incorporate a hidden surcharge to cover their costly administrative burden.”

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Despite the massive difference in administrative costs, a 2007 study by the Centers for Disease Control and Canada’s health authority found that the overall health of residents in both countries is very similar, though the US actually trails in life expectancy, infant mortality, and fitness.

Many of the additional administrative costs in the US go toward compensation packages for insurance executives, some of whom pocket more than $20 million per year, and billions in profits collected by insurers.

“Americans spend twice as much per person as Canadians on health care. But instead of buying better care, that extra spending buys us sky-high profits and useless paperwork,” said Dr. David Himmelstein, the study’s lead author and a distinguished professor at Hunter College. “Before their single-payer reform, Canadians died younger than Americans, and their infant mortality rate was higher than ours. Now Canadians live three years longer and their infant mortality rate is 22% lower than ours. Under Medicare for All, Americans could cut out the red tape and afford a Rolls Royce version of Canada’s system.”

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Himmelstein later told Time that the difference in administrative costs between the two countries would “not only cover all the uninsured but also eliminate all the copayments and deductibles.”

“And, frankly, have money left over,” he added.

Democrats like Biden and Buttigieg have argued that it would be a mistake to switch to a single-payer system because many people have private insurance plans they like. Both have proposed a public option, which would allow people to buy into a government-run health care program but would not do away with private plans.

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But study senior author Dr. Steffie Woolhandler, at Hunter College and lecturer at Harvard Medical School, argued that a public option would make things worse, not better, because they would leave profit-seeking private insurance in place.

“Medicare for All could save more than $600 billion each year on bureaucracy, and repurpose that money to cover America’s 30 million uninsured and eliminate copayments and deductibles for everyone,” she said. “Reforms like a public option that leave private insurers in place can’t deliver big administrative savings. As a result, public option reform would cost much more and cover much less than Medicare for All.”

This content was originally published here.

Researchers at Texas A&M Say Brisket Has Health Benefits

Is BBQ Healthy

Texas BBQ lovers, we have some incredible news for you. Studies have shown that brisket can actually be considered healthy eating. So if you thought you’d have health risks if you eat anything other than grilled chicken at your favorite BBQ joint, you now have scientific evidence to back up enjoying your brisket.

According to researchers at Texas A&M, beef brisket contains high levels of oleic acid, which produces high levels of HDLs, the “good” kind of cholesterol.

Oleic acid has two major benefits: it produces HDLs, which lower your risk of heart disease, and it lowers LDLs the “bad” type of cholesterol.

Researchers say this also applies to most red meats like ground beef.

“Brisket has higher oleic acid than the flank or plate, which are the trims typically used to produce ground beef,” said Dr. Stephen Smith, Texas A&M AgriLife Research scientist. “The fat in brisket also has a low melting point, that’s why the brisket is so juicy.”

According to Health.com, “Grilling meats at high heat can cause the carcinogens heterocyclic amine (HCA) and polycyclic aromatic hydrocarbons (PAHs) to form.”

One way to avoid having any issues cooking your meat at high temperatures is to use a marinade. Certain spices will aid in eliminating HCAs during the grilling process so consider adding spices like thyme, sage, and garlic when you marinate your meat. 

On your next cookout, you can also find other ways to be healthy outside of just marinating your meat and enjoying your brisket without guilt. Consider some healthy grilling staples like adding veggies to your kebab skewers for a healthy side dish. Maybe eliminate the potato salad and coleslaw since those BBQ foods tend to be higher in unhealthy fats.

This post was originally published in 2016.

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The post Researchers at Texas A&M Say Brisket Has Health Benefits appeared first on Wide Open Country.

This content was originally published here.

Our November Practice of the Month — Zammitti & Gidaly Orthodontics

mysocialpractice.com

Congratulations to our November Practice of the Month — Zammitti & Gidaly Orthodontics!

This month we’d like to spotlight an absolute social media powerhouse practice, Zammitti & Gidaly Orthodontics! They’re using social media dental marketing to reach new audiences, strengthen relationships with current patients, and stand out in their community.

They also impressed us with their phenomenal reviews presence, with over 350 positive patient reviews across Facebook and Google.

We reached out to Michelle Camp, patient care and marketing coordinator of the practice, for some insight on how social media is growing their business and what’s been working for them. Take something from what their team has learned to apply in your own social media strategy!

Ready for a quick demo of our reviews service? Fill out the form below.

Q&A With Michelle Camp, Marketing Coordinator

(Responses edited for length and clarity.)

What has been the biggest surprise of social media marketing for you?

The biggest surprise of using social media in our practice is how fun and exciting it is creating the posts. Our staff has really loved getting involved in taking pictures, sharing their fun facts or just listening to our silly post ideas. Taking pictures of the staff and patients is a fun and quick way to break up the day/week and add some excitement to our patient’s visits.

Which of your team’s social media efforts have shown to be most effective?

The social media tool or tactic that has been most successful has been our “Fun Fact Friday”–where each staff member shares a little fact about themselves that our patients may not otherwise know. People love getting to know our staff and doctors through these posts. Our patients look forward to this post in particular because it is fun to see everyone’s unique answers while also thinking about what their answer would be for each week’s fun fact.

What has been the biggest challenge of using social media in your practice?

The biggest challenge of social media marketing has been staying fresh and current. We have a large multi-doctor, multi-location practice and it can be difficult to make sure all employees/doctors/locations are included while being sure we are not posting the same thing each week. My Social Practice has helped us with this challenge by providing interesting new content ideas.

What has been the biggest benefit to your patients since you started using social media?

The number one benefit of our social media for our patients is that it helps patients to develop a more intimate relationship with our practice. With our daily posts our patients get a little glimpse behind the scenes while also getting to know our employees and doctors more. Our patients can see that we are a family that works hard while having fun too.

What has been the biggest benefit to your practice since you started using social media?

The #1 benefit social media has brought to our practice is the ability to always stay on people’s minds. Everyone is scrolling through Facebook and Instagram at some point throughout the day. When they scroll past our posts it helps people to think about us when they otherwise wouldn’t. If they are current patients it may be a reminder to tell a friend about our office. If they are not patients yet it may be that extra reminder to call our office to schedule a consultation. Social Media brings our practice into people’s homes and into their everyday conversations.

What kind of feedback have you gotten from patients about your social media?

Luckily, the feedback we have received from our patients about our social media efforts has been positive. We have had parents of patients and older patients themselves tell us how much they enjoy our posts. I personally have been able to use this feedback to get to know our patients more, asking them what they dressed up as for Halloween or what their least favorite food is.

What do you do in your office to promote your social media presence?

Right now our employees promote our social media presence in a low-key, laid-back manner. It may be as simple as mentioning a recent post or telling a patient to look for an upcoming post. Of course, taking pictures of patients and telling them to look for their photo on our social media is a great way to promote also! We don’t ever want a patient or parent to feel pressured or uncomfortable so something as simple as “check us out on Facebook/Instagram” has done the trick so far.

What advice would you have for a dental practice just starting to build their social media presence?

For a dental practice just starting out on social media I would tell them to stay true to their values and beliefs. Social media is an amazing platform that can reach a lot of people, it is important that what is being displayed on your practice’s social media is a great representation of who you are and what you believe in. Put your best qualities out there and let social media be another marketing platform that keeps you on people’s minds.

Which My Social Practice product or service has been the most help to you?

My Social Practice’s Engagement Boxes have been the biggest help for our practice. Each engagement box has included a great variety of fun and interesting tools/props/ideas to help our posts stay fun and fresh. Each engagement box has been filled with fun props along with well-made signs and ideas for each post. We have always been impressed with the content delivered within each box!

Thank you for sharing, Michelle! Your team really understands how social media grows dental practices, and we’ve loved watching your online presence grow!

Dental social media marketing is about growing practices through increasing your reach, enhancing your local reputation, and building relationships with patients and potential patients. My Social Practice has remained laser-focused on these key objectives for over a decade as we’ve built the perfect dental social media solution.

Even if you have no social media experience and no time to learn, My Social Practice can do all the heavy lifting for you—growing your practice while you focus on serving your patients.

and we’d love to show you step-by-step how we can make your practice shine online!

Ready for a quick demo of our social media service? Fill out the form below.

The post Our November Practice of the Month — Zammitti & Gidaly Orthodontics appeared first on My Social Practice – Social Media Marketing for Dental & Dental Specialty Practices.

This content was originally published here.

Flight From China Diverted Away From Ontario Airport, Top County Health Official Preaches Calm on Coronavirus – NBC Los Angeles

Los Angeles County’s top public health official said Tuesday residents should not be alarmed about the coronavirus, despite the spread of the disease in China and the growing number of deaths attributed to it.

“At this moment, (there is) absolutely nothing to be afraid of,” Department of Public Health Director Barbara Ferrer told the Board of Supervisors.

Supervisor Kathryn Barger asked for the update to counter misinformation as many Chinese communities prepare for Lunar New Year celebrations.

“There is no need to panic and there is no need for people to cancel their activities” Ferrer said. “There’s nothing that indicates that there’s human-to-human transmission in L.A. County.”

The first case of coronavirus in Los Angeles County was confirmed Sunday. The patient was a traveler returning through Los Angeles International Airport home to Wuhan City, China, which is the epicenter of the deadly disease. The person felt sick, told officials and is now being treated at a local hospital well-equipped for the task, Ferrer said.

The individual came into “close contact with a very small number of other people,” she said.

The only people who should be concerned are those who have been in close contact with someone with a confirmed case of the disease for at least 10 minutes, according to Ferrer.

The CDC’s guidance indicates people who have casual contact with a case — “in the same grocery store or movie theater” — are at “minimal risk of developing infection.”

Ferrer provided reassurances about the trajectory of the disease in the United States to date, given that it has been circulating in China since early December and despite extensive travel between the two countries, only five U.S. cases have been confirmed.

The coronavirus outbreak was first noted in December in the industrial city of Wuhan in the Hubei province of central China. Since then, more than 5,975 cases have been reported in China, with at least 132 deaths.

“In China, the situation is dire,” Ferrer told the board. “What happened in China is not what’s happening in the United States right now.”

On Saturday, the Orange County Health Care Agency confirmed a case of coronavirus after a traveler from Wuhan tested positive. The two Southland cases are the only confirmed cases in California so far, and two of five in the United States. The other U.S. cases were reported in Arizona, Illinois and Washington state, according to the latest available data on the website for the Centers for Disease Control and Prevention.

Health officials in San Diego County are awaiting results of tests on a potential case there involving a person who recently traveled to impacted areas in China.

The CDC has expanded screening to 20 airports and will now be screening all travelers from China, not just Wuhan, as of Tuesday night, Ferrer said.

Hong Kong closed borders with mainland China Tuesday, CNN reported, and concern over the virus rattled global financial markets Monday, with the Dow Jones Average dropping more than 450 points.

The United States and several other countries are making plans to evacuate citizens from Wuhan. San Bernardino County officials were working with the U.S. State Department on a plan to potentially use Ontario International Airport as the repatriation point for up to 240 American citizens, including nine children, but that plane was diverted to March Air Reserve Base in Riverside County.

Those passengers were expected to first land in Alaska, where they would be screened by CDC workers before being cleared to proceed into the continental U.S., according to San Bernardino County officials.

Supervisor Hilda Solis said she was worried about discrimination related to the virus.

“I’m really concerned about how people are going to be mistreated,” Solis said.

Ferrer asked all Angelenos to help in that regard.

“People should not be excluded from activities based on their race, country of origin, or recent travel if they do not have symptoms of respiratory illness,” she said.

There is no vaccine for the virus, only treatment for the symptoms, but residents can take steps to reduce the risk of getting sick from this and other viruses. Health officials recommend staying home when sick, washing hands frequently and getting a flu shot.

“Thirty thousand people will probably die this year from influenza alone,” Ferrer noted.

Even if the virus is not spreading in the United States, rumors are.

USC students were shaken by an erroneous late night claim on social media that a student on campus contracted the coronavirus. The school issued a statement Tuesday morning denying anyone on campus was diagnosed with the virus.

For general information about the coronavirus, go to www.cdc.gov.

This content was originally published here.

Important Studies on Opioid Prescribing: Implications for Dentistry – TeethRemoval.com

Recently on this site several articles have appeared discussing opioid prescribing after wisdom teeth removal see for example the posts Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal? and Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse. Very recently several interesting studies regarding opioid prescribing have published.

The first study is titled “Trends in Opioid Prescribing for Adolescents and Young Adults in Ambulatory Care Settings” written by Hudgins et al. appearing in Pediatrics in June 2019 (vol.143, no. 6, e20181578). The article explored opioid prescribing for adolescents (ages 13 to 17) and young adults (ages 18 to 22) receiving care in emergency departments and outpatient clinics. Data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) and National Ambulatory Medical Care Survey (NAMCS) over the time period from January 1, 2005, to December 31, 2015 was used. It was found the most common conditions associated with opioid prescribing among adolescents visiting emergency departments was dental disorders (59.7%), clavicle fractures (47%) and ankle fractures (38.1%) and among young adults visiting emergency departments was dental disorders (57.9%), low back pain (38%), and neck sprain (34.8%). Thus in both cases when someone ages 13 to 22 goes to an emergency department because of a dental disorder they are nearly 60% likely to leave with an opioid prescription. Studies suggest that adolescents and young adults are the most likely to misuse and abuse opioid medications. Thus the authors imply it is possible that many of these opioids being prescribed for dental disorders are being used for non medical use.

An accompanying commentatory of the article by Hudgins also provides additional insights into the article titled “Opioids and the Urgent Need to Focus on the Health Care of Young Adults” written by Callahan also appearing in Pediatrics in June 2019 (vol. 143, no. 6, e20190835). Callahan says that research looking at young adults is often not available as they often get grouped into adolescents in studies. Callahan states:

“Efforts to improve research and health care for young adults are further hindered by (1) the lack of a consensus definition of young adulthood, (2) the false perception that young adults are healthy, (3) fragmented health insurance coverage during young adulthood, and (4) little organized advocacy on behalf of young adults.”

Callahan thus calls for more research tailored to young adults. Young adults are of course a target demographic for wisdom teeth surgery.

The second study is titled “Comparison of Opioid Prescribing by Dentists in the United States and England” written by Suda et al. appearing in JAMA Network Open in 2019 (vol. 2, no. 5,e194303). The article explored opioid prescribing differences by dentists in the United States of America and England. The authors looked at data from IQVIA LRx in the U.S. and the NHS Digital Prescription Cost Analysis in England. The authors found in 2016 dentists prescribed more than 11,440,198 opioid prescriptions in the U.S. and 28,082 opioid prescriptions in England. Dental prescriptions for opioids were 37 times greater in the US than in England. In the U.S. various opioids were prescribed including hydrocodone-based opioids (62.3% of time), codeine (23.2% of the time), oxycodone (9.1% of the time), and tramadol (4.8% of the time) whereas in England only the codeine derivative dihydrocodeine was prescribed. The authors state:

“The significantly higher opioid prescribing occurs despite similar patterns of receiving dental care by children and adults, no difference in oral health quality indicators, including untreated dental caries and edentulousness, and no evidence of significant differences in patterns of dental disease or treatment between the 2 countries.”

The authors in the article by Suda point out that the patients included in the study from England were limited to receiving medications from the U.K.’s National Health Service. However they feel that their study shows that U.S. dentists prescribe too many opioids and this practice is contributing to the opioid epidemic in the U.S.

In both studies above it seems that the authors feel that patients in the U.S. are receiving too many opioids for dental related issues and that other medications that can provide pain relief should be given. When opioids are given they should be prescribed in the shortest duration necessary to deal with the expected amount of pain the patient is dealing with. However, a limitation of both studies is the authors were unable to assess the appropriateness of the opioid prescriptions given.

This content was originally published here.

Federal Government Misled Public on E-Cigarette Health Risk: CEI Report

A new report from the Competitive Enterprise Institute calls into question government handling of e-cigarette risk to public health, especially last week after the U.S. Centers for Disease Control and Prevention (CDC) tacitly conceded that the spate of lung injuries widely reported in mid-2019 were not caused by commercially produced e-cigarettes like Juul or Njoy.

Rather, the injuries appear to be exclusively linked to marijuana vapes, mostly black market purchases – a fact that the Competitive Enterprise Institute pointed out nearly six months ago. The CDC knew that, too, but for months warned Americans to avoid all e-cigarettes.

“The Centers for Disease Control failed to warn the public which products were causing lung injuries and deaths in 2019,” said Michelle Minton, co-author of the CEI report.

“By stoking unwarranted fears about e-cigarettes, government agencies responsible for protecting the health and well-being of Americans have been scaring adult smokers away from products that could help them quit smoking,” Minton explained.

Now that the CDC has finally began to inform the public accurately, it’s too little too late, the report warns. The admission has done little to slow the onslaught of prohibitionist e-cigarette policies sweeping the nation, and the damage to public perception is already done.

Nearly 90 percent of adult smokers in the U.S. now incorrectly believe that e-cigarettes are no less harmful than combustible cigarettes, according to survey data from April 2019. Yet the best studies to-date estimate e-cigarettes carry only a fraction of the risk of combustible smoking, on par with the risks associated with nicotine replacement therapies like gum and lozenges. Meanwhile, traditional cigarettes contribute to nearly half a million deaths in the U.S. every year.

The CEI report traces the arc of CDC and FDA messaging and actions, starting in late June 2019, about young people hospitalized after vaping. Concurrent news reporting ultimately revealed, though virtually never in the headline, that the victims were vaping cartridges containing tetrahydrocannabinol (THC), the key ingredient in cannabis, with many admitting to purchasing these products from unlicensed street dealers. Yet for months the CDC consistently refused to acknowledge the role of the black market THC in the outbreak, which had a ripple effect on news reporting and on state government handling of the problem.

By September 2019, over half of public opinion poll respondents (58 percent) said they believed the lung illness deaths were caused by e-cigarettes such as Juul, while only a third (34 percent) said the cases involved THC/marijuana.

The CEI report warns that federal agencies should not be allowed to continue misleading the public about lower-risk alternatives to smoking.

View the report: Federal Health Agencies’ Misleading Messaging on E-Cigarettes Threatens Public Health by Michelle Minton and Will Tanner.

This content was originally published here.

Updated Sedation Guidelines in Dentistry for Children – TeethRemoval.com

Recently new guidelines have been issued regarding the use of sedation for dental procedures performed on children. In the past on this site some scrutiny has been placed on sedation provided to children during dental procedures because of many deaths that have occurred, see for example What to Ask the Dentist Before Children Have Sedation and Pediatric Dental Death in Cambridge, Ontario, Canada Spurs Comments on Dental Anesthesia. In the June 2019 edition (vol. 143, no. 6) of Pediatrics in an article titled Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures written by Coté and Wilson updated guidelines for the use of sedation in dentistry is provided. These guidelines were updated for the American Academy of Pediatric Dentistry (AAPD) and American Academy of Pediatrics (AAP) for the first time in three years. These recommendations apply to all of those whom are providing deep sedation or general anesthesia in an office environment to children even if the state board does not mandate such a recommendation.

What has changed in these recommendations has been intensely contested when it comes to giving sedation to those undergoing wisdom teeth removal. The guidelines in the 2019 edition of Pediatrics call for two trained personnel to be present when deep sedation or general anesthesia is given to a child at a dental facility. The previous guidelines called for one trained person to be present when deep sedation or general anesthesia is given to a child at a dental facility. Specifically the June 2019 guidelines state:

“During deep sedation and/or general anesthesia of a pediatric patient in a dental facility, there must be at least 2 individuals present with the patient throughout the procedure. These 2 individuals must have appropriate training and up-to-date certification in patient rescue… including drug administration and PALS [ pediatric advanced life support] or Advanced Pediatric Life Support (APLS). One of these 2 must be an independent observer who is independent of performing or assisting with the dental procedure. This individual’s sole responsibility is to administer drugs and constantly observe the patient’s vital signs, depth of sedation, airway patency, and adequacy of ventilation.”

The guidelines call that the independent observer must one of: a certified registered nurse anesthetist, a physician anesthesiologist, an oral surgeon, or a dentist anesthesiologist. The independent observer must be trained in PALS or APLS and capable of managing any airway, ventilatory, or cardiovascular emergency resulting from deep sedation or general anesthesia given to the child. The person performing the dental procedure must be trained in PALS or APLS and be able to provide assistance to the independent observer if a child experiences any adverse events while sedated.

It is reported that the guidelines developed rely mostly on medical data because data for sedation in dental offices is not as readily available. Steps are being taken to incorporate more data regarding dental sedation into new guidelines. The reason for the updated guidelines is to increase safety for children having dental procedures in dental offices.

It is not clear how the American Association of Oral and Maxillofacial Surgeons may react to these June 2019 guidelines. They have long argued that their care model of having an oral and maxillofacial surgeon administer the sedation and perform the dental surgery is safe and cost effective (as seen in a recent May 2019 tweet below). Even so other physician organizations in the past have questioned their care model and it has long been suggested on this site that it may be safer to have oral surgery performed at a hospital if you are receiving sedation or anesthesia, see for example Anesthesia in the Oral and Maxillofacial Surgeons Office.

Oral and maxillofacial surgery anesthesia teams have the extensive training and experience needed to assist patients with pain and anxiety during procedures. https://t.co/sN9C5LCVHo #oralsurgery #myoms pic.twitter.com/fDhR3Jiz2d

— AAOMS (@aaoms)

Additional Source:

This content was originally published here.

Straighten Out Your Orthodontics Billing

Managing billing at your orthodontics practice can take up as much time as you spend with your patients. If your current payment software doesn’t integrate with other platforms like QuickBooks Online, you could be spending hours reconciling payments.

Integrated technology cuts through the red tape for orthodontic payment processing. Integrated payments means that your billing, credit card processing, customer management, and business analytics are all in one place. In this blog, we’ll explore how you can straighten out your orthodontics billing and save money with integrated technology.

Use ACH to Save on Fees

ACH, or “automated clearinghouse,” payments are great for invoicing patients. ACH payments are a secure, low-cost option, especially if you send invoices through a virtual terminal.

ACH costs less than $1 per transaction to providers, unlike credit cards that vary in percentages, usually between 3-4% per transaction. Those savings add up, especially if you’re billing a patient for a high-cost procedure. Once you send a patient an invoice, they can enter their bank account information and complete the payment. Patients can also set up autopay for recurring invoices so you don’t have to worry about late payments. You’ll get paid faster and at a much lower cost.

Use Practice Management Software to Track Your Payer Mix

Your payer mix is crucial to your practice’s cash flow. A payer mix is the total distribution of how your patients pay for their care. They can pay through private insurance, government-funded options, or completely out of their own pocket. Having a good balance between the three creates a steady cash flow for your practice. For instance, if your payer mix leans towards federal insurance programs like Medicaid, changes in regulations can upset your cash flow and revenue.

You can track your payer mix through practice management software like OrthoTrac. You can even check the status of insurance claims and reimbursement so you get paid faster. To stay competitive, you should assess your payer mix and make adjustments as necessary, like accepting more forms of insurance. And to work even more efficiently, choose a payment processor like Fattmerchant that integrates seamlessly with OrthoTrac and other practice management software.

Sync Your Data to End Reconciliation

Integrated technology means you don’t have to stop using the tools you already love, like QuickBooks Online. Integrated technology will work with other tools to create a seamless experience. You can manage patients, their insurance information, payments, and outstanding invoices all without needing to log into separate tools.

Fattmerchant integrates with practice management software like OrthoTrac and DentalXchange, plus 200 other applications and platforms. You can manage the most vital aspects of your orthodontic practice’s billing from one platform. Plus, with our 2-way sync with QuickBooks Online, your data is automatically transferred between the two platforms, making reconciling a thing of the past.

See how integrated payment technology can help your orthodontics practice.

The post Straighten Out Your Orthodontics Billing appeared first on Fattmerchant.

This content was originally published here.

‘It’s okay not to be okay’: Café offers mental health help, supports suicide prevention

CHICAGO — While the coffee is good, “Sip of Hope” serves up much more than a cup of joe on the Northwest Side.

Through a partnership with Dark Matter Coffee, the café donates 100% of its proceeds to mental health education and suicide prevention.

“It doesn’t matter who you are or where you come from… five out of five people have good days and bad days,” owner Johnny Boucher said. “It’s okay not to be okay.”

Nationwide, suicide rates are the highest recorded in 28 years. Boucher opened Sip of Hope in honor of those who will never get the chance to pull up a chair.

“I personally have lost 16 people to suicide and the overarching issue they all faced was silence,” Boucher said.

His antidote is a place to talk through dark moments without judgement, a cafe serving up a cup of joe and compassion.

“The goal is always to meet people where they’re at and not where we expect them to be,” Boucher said. “You can talk to our baristas because they’re trained in mental health first aid.”

And on top of that, the coffee is great.

Ryan Shannon is now a regular. The Navy veteran says to him depression equaled weakness.

“I came home and I wasn’t the same,” Shannon said. “My leg and traumatic brain injury really took a toll.”

The former collegiate athlete found himself not only unable to stand, but also unwilling to find his way back. He says he wrote a suicide note and had a plan, but it was his wife who saved him that day.

He said she saved his life simply by listening and showing him he’s not alone.

Since then, Shannon has gone on to clean up in adaptive sports, winning a gold medal in Warrior Games, silver in track and finish his MBA.

“I still have bad days but… I now understand you can climb back out of it. You’re not in a dark room alone. There’s a lot of people out there that care,” Shannon said.

And at Sip of Hope, there’s a seat for anyone in need of more than a strong cup of coffee to make it through their day.

“In a country where we talk about building more walls, we need to build more tables and seats,” Boucher said.

If you or someone you know needs help, the National Suicide Prevention Lifeline offers crisis counseling free of charge every day of the year- at 1-800-273-8255, or text the word “home” to 741741.

This content was originally published here.

Dental House NYC: Dentistry with a Pampering Spa Twist – Beauty News NYC – The First Online Beauty Magazine

Start 2019 with a dental re-boot. There’s nothing typical about the newly opened Dental House apart from its efficiency and professionalism. Located on the NE corner of 13th Street and Seventh Avenue in Greenwich Village, it’s an art-filled, airy, modern neighborhood dental practice – where things are carried out with more thought and pampering than your typical dental practice. For example, your lips are slathered with a softening, aromatic Rose Salve for your comfort, you’ll savor dark chocolate treats, sunglasses to cut any machine glare, and glasses of water to stay hydrated. Here you can enjoy all of the typical dental office treatments: x-rays, cleanings, whitening treatments, and more.

If you’ve ever hoped for a dental visit that would be soothing and reassuring while offering a full suite of typical services, then Dental House is indeed your dream dental office. Dr. Sonya Krasilnikov is well-experienced, charming, and able to thoroughly explain every aspect of your necessary treatments. You may have just found your favorite new dentist! Her partner, Dr. Irina Sinensky, is equally awesome.

Check out the Dental House website, and schedule and appointment to check off those health-oriented New Year’s resolutions:

You’ll leave Dental House with a Theo Dark Chocolate bar. Dark chocolate is a healthy snack option for dental care because cocoa beans contain beneficial ingredients that disrupt plaque formation and strengthen enamel. The less sugar in the chocolate, the better the chocolate is for you. Enjoy!

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This content was originally published here.

Waitlist for child mental health services doubles under Ford government: report | CP24.com

TORONTO — Wait times for children and youth mental health services have more than doubled in two years, according to a report from care providers who are urging Premier Doug Ford’s government to increase spending to address the delays.

The report from Children’s Mental Health Ontario, released Monday by the association representing Ontario’s publicly funded child and youth mental health centres, says 28,000 children and youth are currently on wait lists for treatment across the province. The number is up from approximately 12,000 in 2017.

Chief Executive Officer Kimberly Moran said rising rates of depression and anxiety among children and youth and years of under-funding have contributed to the rise in wait times.

“It’s frustrating from a service provider’s perspective,” Moran said. “They understand that when we wait, kids can get more ill and they watch that happen … and I think families are just outraged that they have to wait this long.”

The report shows wait times for service can vary dramatically depending where in the province a child seeks treatment and on the care required. Waits can range from just days for mild issues to nearly two and a half years for more complex behavioural interventions, the report said.

The group calls on the government to live up to its spending commitments on mental health services, asking it to direct $150 million towards hiring front-line clinicians in the spring budget.

If the province spent that money, it could quickly ramp up hiring for over 14,000 workers and that would cut the average wait for care to around 30 days, the report said.

“The government hasn’t kept their promise about reducing wait times,” Moran said. “We want to hold them to account for that.”

Ford has promised to spend $1.9 billion on mental health care over the next decade, a commitment that would include bolstering addictions and housing supports across the province. He has also said the money will help cut wait times for youth who need treatment.

The $1.9 billion pledge will be matched by the federal government, bringing the total commitment to $3.8 billion.

Health Minister Christine Elliott’s office did not immediately provide comment on the latest report.

Meanwhile on Friday, Sarah Cannon told a legislative finance committee holding pre-budget consultations in Niagara Falls, Ont., that spending on the mental health services should be needs-based. The mother of two girls who have made multiple suicide attempts after struggling with anxiety and depression said treatment is still not given priority in the health-care system.

“If I took my daughter to the hospital tomorrow and she was diagnosed with cancer, treatment would be immediate,” she said. “When I took my daughter to the hospital after she almost died (by suicide) … they needed us to wait.”

Cannon said increased funding would bolster treatment capacity in the system and could have a profound impact on the lives of children and their families.

“We are fighting for our children’s lives,” she said. “That’s what it comes down to.”

The executive director of mental health programs at SickKids and the SickKids Centre for Community Mental Health told pre-budget consultations at the legislature last week about increases in demand for that hospital’s services.

Christina Bartha said because of the strain on front-line service providers, families from well outside Toronto are seeking care in hospital because they don’t know where else to turn.

“Many families drive to SickKids seeking help, and when we try to refer them back to their home community, we see the long wait times that they are facing.”

Bhutila Karpoche, NDP critic for Mental Health and Addictions, said Friday that the report offers a snapshot of a youth “mental health crisis” and underscores the urgent need for investment.

Karpoche has tabled a private members’ bill that, if passed, would cap wait times for children and youth mental health services at 30 days.

“When I tabled the bill the wait list was up to 12,000 children waiting on average 18 months,” she said. “In the year since the government has let the bill languish … we’re now seeing how much worse it’s gotten.”

This content was originally published here.

Local music and art at Magic City Dentistry’s open house party on January 23

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Magic City Dentistry
Photography by Ann Sydney Williamson on display at Magic City Dentistry (photo of photo by Nathan Watson)

Magic City Dentistry is launching their first party of 2020 with Botox specials, giveaways, Rock and Roll photography from Ann Sydney Williamson and a live music performance from Taylor Hollingsworth. The fun kicks off on January 23 at 4:30PM–you don’t want to miss it!

Part Dentistry, Part Art Gallery

Magic City Dentistry
Magic City Dentistry is conveniently located in the heart of downtown. Photo via Nathan Watson for Bham Now

I’ve said it before and I’ll say it again–Magic City Dentistry has an atmosphere unlike any dentist office I’ve ever visited. For starters, every patient and employee is so friendly and outgoing. And there’s the fact that every examination room is outfitted with a TV–so you can catch up on your latest Netflix binge.

But my favorite part of visiting Magic City Dentistry is getting to see all of the art. In the past, Magic City Dentistry has displayed art from Lauren Strain, Sonia Summers, Eric Poland and many more. 

Magic City Dentistry’s Newest Exhibit

Magic City Dentistry
Photography by Ann Sydney Williamson on display at Magic City Dentistry. Photo via Nathan Watson for Bham Now

The latest artist to grace the walls is Ann Sydney Williamson, a local photographer.

Ann Sydney has been a photographer for 7 years. It all started when she was touring with bands and decided to start taking photos with her phone. She noticed that she had a knack for capturing captivating moments, so she picked up a fancy camera and began to teach herself photography.

Ann Sydney took this photo of her husband, the drummer of Lee Bains III & The Glory Fires, in 2014. Photo via Ann Sydney Williamson

“I started only shooting bands, and then I starting taking photos of my travels. I really like odd cultural events, so I just starting taking photos of them.”

Ann Sydney Williamson

Since then, Ann Sydney expanded her photography to her travels, life and adventures. But for this art opening, she’s going back to her roots by showing off her best photos of the rock and roll shows she’s attended throughout the years.

  • View her work: Website | Facebook | Instagram

The Fun Starts January 23

Magic City Dentistry
Ann Sydney and her husband figure out the best way to hang her framed photos. Photo via Nathan Watson for Bham Now
  • When: January 23, 4:30PM to 7PM
  • Where: Magic City Dentistry, 2117 1st Ave N, Birmingham, AL 35203
  • What: An art opening for Ann Sydney Williamson

Just like the opening of Sonia Summer’s exhibit in August, Magic City Dentistry is hosting a gala for the art opening. Here are the top 4 things I’m looking forward to!

1. Meet the Artist & Buy Her Work

Ann Sydney Williamson and her husband, Blake (the drummer for Lee Bains III & The Glory Fires) will be at the party to answer any questions you have about her art. Plus, during the gala (or any time you visit Magic City Dentistry), you can purchase any print or framed photo that you like.

  • Prints: $75
  • Framed photographs: $150

PS: If you see a print that you’d like framed, Ann Sydney can arrange to have it framed for you.

2. Eat, Drink and Socialize

This art gala is the perfect opportunity to make new friends in Birmingham. There will be food, wine and beer from Trimtab Brewing.

3. See a Free Show by Taylor Hollingsworth

Based on this photo, you can tell that Taylor’s music has psychedelic roots! Photo via Taylor Hollingsworth

While you enjoy Ann Sydney’s photographs, Birmingham native musician Taylor Hollingsworth will be putting on a free show! Taylor writes, plays, and records his own music, and has released nine solo albums. In addition to his solo work, Taylor has toured with Conor Oberst and the Mystic Valley Band, Dead Fingers, Maria Taylor, Monsieur Jeffrey Evans and his Southern Ace’s and 

“Taylor’s writing gets right to the heart. His music is a mix of psychedelic, punk and blues–but with an old country spin. I have personally seen people cry upon hearing some of his songs and I have too!”

Kristye Dixon, Practice Development Manager

4. Get Entered to Win Big

Ann Sydney took this photo of Henry “Gip” Gipson of Gip’s Place. Photo courtesy of Magic City Dentistry

Each guest gets an entry for several exciting raffle items, such as a free Teeth Whitening from Magic City Dentistry and a free framed photograph from Ann Sydney Williamson.

Plus, Magic City Dentistry is offering their botox units at a discount for one night only. At the gala, you can purchase botox for $10 per unit–regularly $13 per unit!

The best part? This entire event is FREE and open to the public.

  • Address: 2117 1st Ave N, Birmingham, AL 35203
  • Hours: 7AM-5PM Monday and Wednesday | 8AM-6PM Tuesday | 8AM-4PM Thursday | 8AM-1PM Friday
  • Contact: 205.238.6800 | Website | Facebook | Instagram

This art gala for Ann Sydney Williamson is the perfect chance to find out what Magic City Dentistry is all about. From celebrating and supporting local artists, to providing a warm, comfortable environment for their guests, you can get the full experience on January 23.

So come out and enjoy art, music, and good company at Magic City Dentistry.

Tag us on social media @bhamnow with your favorite photograph at Magic City Dentistry!

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The post Local music and art at Magic City Dentistry’s open house party on January 23 appeared first on Bham Now.

This content was originally published here.

Killing a Baby Isn’t Health Care, It’s a Slap in the Face of God

On Friday, Donald John Trump became the only sitting president to personally address the 47-year old March for Life in Washington, D.C.

Not George W. Bush, nor Ronald Reagan.

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Donald John Trump!

On the day of the march, Bernie Sanders tweeted, “abortion is health care.”

Abortion is health care.

No, Bernie, it’s not. It is killing babies — the exact opposite of healthcare.

Getting pregnant takes an overt act. It’s not accidental. Babies are a gift from God. Killing a baby — especially for your convenience — is slapping God in the face.

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Now I don’t know about you, but whatever my flaws, I can read odds and count. French mathematician Blaise Pascal posited from a philosophical point of view that humans bet with their lives that God either exists or does not.

Or, put into the terms of a Vegas sportsbook, if you believe in God in this life, and find in the next that there is no God, no harm no foul. But if you don’t believe in God and find out there is a God, you’re screwed. And, by the way, Pascal thought of this in the 17th century, well before the Westgate Superbook was built — and well before Elvis played the theater there.

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Now, I live in the front range of the Sierra Nevada mountains. I can see them out my back door.

I used to live on Mount Charleston over Las Vegas.

Even if you can convince me that these works of natural art were indeed caused by a “big bang” which had no actual cause, I’d still make even money bets on God. So would most people.

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So, Bernie: Do you really think that God would want you to destroy one of his creations? If you do, you are even more warped than I originally thought.

Doctors take an oath to “first, do no harm.”

How can killing a baby in (or out) of the womb possibly be “no harm”?

When I hear someone from NARAL bleating about choices, what I’m hearing is pure selfishness. OK, I’d be willing to listen to those who bring up rape, incest or — if it were not a fig leaf — the health of the mother. Perhaps an ethics committee of real doctors.

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But destroying one of God’s gifts for the mere convenience of a woman who just doesn’t want a baby? Nonstarter. They call it pro-choice. Right. The choice between murder and not killing a baby.

You don’t like it?

Then get sterilized or be careful.

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As far as the murdering Democrats go, remember Pascal’s wager.

What position would you like to be in when you meet God? Would you like to be in the position to say you have never been a party to a murder?

The views expressed in this opinion article are those of their author and are not necessarily either shared or endorsed by the owners of this website.

We are committed to truth and accuracy in all of our journalism. Read our editorial standards.

This content was originally published here.

The World Health Organization just declared the Wuhan coronavirus outbreak a global health emergency

Doctors and public-health experts at the World Health Organization in Geneva have declared the Wuhan coronavirus outbreak a “public-health emergency of international concern” (PHEIC).

The virus has so far sickened at least 8,100 people and killed 170 in China, where it originated. Cases have been reported in 19 other countries.

“Over the past few weeks, we have witnessed the emergence of a previously unknown pathogen, which has escalated into an unprecedented outbreak,” WHO director general Tedros Adhanom Ghebreyesus said on Thursday when he announced the emergency declaration. “We don’t know what sort of damage this virus could do if it were spread in a country with a weaker health system. We must act now to help countries prepare for that possibility.”

The PHEIC designation is reserved by the WHO for the most serious, sudden, unexpected outbreaks that cross international borders. These diseases pose a public-health risk without bounds and may “require a coordinated international response,” the WHO said on its website.

The global health-emergency declaration has been around since 2005, and it’s been used only five times before.

A global emergency was declared for two Ebola outbreaks, one that started in 2013 in West Africa and another that’s been ongoing in the Democratic Republic of the Congo since 2018. Other emergency alerts were used for the 2016 Zika epidemic, polio emerging in war zones in 2014, and for the H1N1 swine flu pandemic in 2009.

The emergency designation puts the 196 member countries of the WHO on alert that they should step up precautions, such as screening travelers and monitoring international trade in hopes of preventing the outbreak from spreading out of control.

Last week, the WHO committee was split about whether to declare the new coronavirus outbreak — which experts suspect originated at an animal market in the Chinese city of Wuhan — an international emergency. Members delayed their final decision by a day, saying they needed more time to gather information about the virus’s severity and transmissibility.

“This declaration is not a vote of no confidence in China,” Ghebreyesus said on Thursday.

Symptoms of the coronavirus — which is in the same family as the common cold, pneumonia, MERS, and SARS — can range from mild to deadly. Most of the fatalities so far have been among the elderly and patients with preexisting conditions. Only a laboratory test can confirm that a virus is the novel coronavirus.

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This content was originally published here.

Invisalign vs. Traditional Braces: Why Some People Still Choose the Metal Look

Getting teeth straight is almost a rite of passage. Middle schools and high schools are full orthodontia, but sometimes we need a little help realigning our smiles in adulthood, too. Invisalign, the game-changing brand of clear aligners has been around since 1997 and has been a clear choice for teeth straightening since then. But traditional braces aren’t obsolete and are still a viable option for those who want to straighten their smile. 

You May Also Like: Should You Be Doing At-Home DIY Teeth Straightening?

A Clear-Cut Case
Invisalign are clear, removable, plastic aligners that are custom made to fit your smile and slip over your teeth to straighten them for anywhere from 10 to 14 months. Invisalign aligners gradually move your teeth back into place. The cosmetic dentists we spoke to said Invisalign has been the clear choice for patients for mainly for aesthetic reasons. “The trays are clear and barely visible so they don’t make people feel self-conscious when wearing them,” says New York cosmetic dentist Irene Grafman, DDS. “Also, the trays are way more comfortable than having brackets on all your teeth which can cause tissue irritation.” 

“My patients choose Invisalign to avoid metal braces,” says Malibu, CA cosmetic dentist Bob Perkins, DDS. “The biggest benefit of Invisalign is the fact that you don’t have to have a silver band across your smile for years.” Newport Beach, CA cosmetic dentist Robert McHarris, DDS adds time and budget are also big factors in choosing the clear trays: “The cost is often comparable or less than metal braces and sometimes treatment time is accelerated compared to metal braces.”

Ceramics & Metallics
Traditional braces are made up of metal or ceramic brackets and metal wires. Today’s metal brackets are smaller and less noticeable than the metallic braces of the past. Ceramic braces are the same size and shape as metal braces, but have clear or tooth-colored brackets and sometimes wires that blend in with teeth. 

“Good candidates for traditional braces are people with severe jaw related issues, such as top and bottom jaw not in alignment,” says Dr. McHarris. “Often these cases also require services of an oral surgeon.”

Dr. Grafman adds that she typically will consider traditional braces for more extensive cases. “Anytime I must bring down an ankylosis tooth, which is one that never came down, or if I have to move a tooth that is straight right or left without tilting it. Traditional braces are also good for when you lose a tooth and the molars can shift or tilt into that space. If I need to open up the space for an implant, it is better done with braces.”

Whether comfort is king or metallic orthodontia is the only option, the good news is the waiting period for straighter teeth isn’t that long. In just a little over a year, it’s possible to comfortably and affordably shift and straighten your teeth for your best smile yet.

This content was originally published here.

Health officials warn Denver airport travelers of potential measles exposure after 3 children hospitalized

Three children visiting Colorado have been hospitalized with measles, leading health officials to warn people who traveled through Denver International Airport earlier this week that they are at risk for the highly contagious disease.

The children tested positive after traveling to a country with an ongoing measles outbreak. They did not have the MMR — or measles, mumps and rubella — vaccine, according to a news release from Tri-County Health Department, which covers Adams, Arapahoe and Douglas counties.

The Centers for Disease Control and Prevention considers three or more cases of measles “linked in time and place” to be an outbreak. However, Tri-County Health spokesman Gary Sky said the department doesn’t consider this to be an outbreak because the patients are related.

Health officials said individuals who visited these locations may have been exposed to measles:

  • Denver International Airport between 1:15 and 5:45 p.m. Dec. 11
  • Children’s Hospital Colorado’s Anschutz Campus Emergency Department between 1 and 7:30 p.m. Dec. 12

Local health officials have not said where the family was traveling from. But the news of the measles cases in Colorado comes the same day that health officials in California warned about exposure from patients who traveled through Los Angeles International Airport.

It’s unclear how many people are at risk of exposure.

Officials at Denver International Airport said they do not know how many people potentially came in contact with the children. Roughly 179,000 people passed through the airport via departing, arriving or connecting flights on Dec. 11, said airport spokeswoman Emily Williams.

Health officials are contacting people who are believed to be at risk for measles, including those who visited Children’s Hospital on Dec. 12. The Tri-County Health Department will likely contact “well over 100” people in its investigation, said Dr. Bernadette Albanese, a medical epidemiologist.

“We’re doing this investigation for a reason, and that reason is precisely to prevent secondary spread — and having a non-ideal vaccination rate in Colorado isn’t helping matters,” she said.

There is no ongoing risk of exposure at these two locations, however, travelers should be on the lookout for measles symptoms, which can develop seven to 21 days after contact, the news release said.

Measles has various symptoms including high fever, cough, runny nose, watery eyes and a rash. The illness can lead to pneumonia and swelling of the brain, according to the Centers for Disease Control and Prevention.

Measles is highly contagious and up to 90% of people close to a person with the illness become infected if they are not immune, according to the CDC.

Representatives of the Colorado Department of Public Health and Environment and Children’s Hospital Colorado declined to discuss the measles cases and deferred questions to Tri-County Health Department.

Several measles outbreaks have occurred across the United States this year, but until now there was only one case reported in Colorado. In January, a Denver resident was placed in isolation and treated for the respiratory illness.

But health experts have warned that Colorado’s low vaccination rate makes communities here vulnerable to an outbreak. The immunization rate for the MMR shot was 87.4% during the 2018-19 school year, meaning the state doesn’t meet the threshold needed to protect a community from a measles outbreak.

The state’s low vaccination rate has come under scrutiny this year and a bill to make it harder to opt out of such shots was debated by legislators before it failed. Gov. Jared Polis has said he’s “pro-choice” when it comes to vaccinations. He said believes the solution to raise the low immunization rate is through education and access rather than eliminating nonmedical exemptions.

If a person has symptoms that could be measles they should call their doctor’s office or a hospital first, the news release said.

Due to incorrect information from a health official, this story originally mischaracterized the measles cases at Denver International Airport as an outbreak.

This content was originally published here.

Outcomes Data Registry for Dentistry – TeethRemoval.com

Using large amounts of data from many different dentists or surgeons is a way to improve the quality of healthcare. From such clinical data registries in healthcare
many things can be gleaned regarding information about individual surgeries or medical devices. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has recently launched OMS Quality Outcomes Registry or OMSQOR for short which is discussed on pages 7-12 of the March/April 2019 issue of AAOMS Today. The groundwork for OMSQOR actually began in 2014 and OMSQOR officially launched in January 2019. The way OMSQOR works is that treatment data from all members who participate will be collected in a national registry that will be used to help improve the quality of care and patient outcomes. Such quality data will allow for tracking surgical outcomes, complications, and possible gaps in treatment. OMSQOR will even allow an individual surgeon to compare their patients to all patients in the database to identify areas in their practice they may be lacking and improvement is needed. AAOMS is encouraging all of their members to sign up and participate.

The data registry will be used to help AAOMS be able to better advocate on behalf of oral and maxillofacial surgeons along with conduct additional research to improve outcomes. Practice patterns across the entire specialty can be tracked. This can allow for better reimbursement for services that is fair where insurance companies may be challenging them. This can also allow for better data showing how often an anesthesia death occurs by oral and maxillofacial surgeons. This is important to them because many have challenged their delivery model of having the surgeon both perform surgery and deliver anesthesia which is not how surgeries are conducted in other specialties. The data registry can allow for the frequency of particular complications after particular surgeries to be identified. Of particular interest is identifying the frequency of nerve injuries after wisdom teeth surgery. The data registry can also be used to explore medical prescription prescribing habits which is of particular interest with recent studies demonstrating possible over prescribing of opioids which are then diverted to non medical use. According to the AAOMS Today article:

“Often, anesthesia advocacy stalls because AAOMS does not know how many anesthetics OMSs safely and routinely use. With OMSQOR, relevant aggregate data can be collected and safety statistics shared with federal and state agencies as well as insurance companies.”

Currently the safety of oral and maxillofacial surgeons delivery anesthesia is measured by several morbidity and mortality studies that have been conducted over time see for exaxmple http://www.teethremoval.com/mortality_rates_in_dentistry.html along with anecdotal reports and hearing about patient death or serious injury from media reports. Included with OMSQOR, is a Dental Anesthesia Incident Reporting System (DAIRS) which is an anonymous self-reporting system used to gather and analyze
information about dental anesthesia incidents. For example if an equipment fails or a cardiac event occurs in a patient a surgeon could report this anonymously using DAIRS. All dental dental anesthesia providers are being encouraged to report to DAIRS in order to help improve patient outcomes.

Even with the advantages of OMSQOR it is true that some members may be hesitant to want to use the system. This is because it can potentially be a significant time burden involved with the initial set-up to import all the data and surgeons may frankly just not like everyone else knowing intimate details about their practice. In addition their may be concerns with patient privacy. Both patient information and surgeon information will however be de-identified in the data registry so these concerns should not be subdued. Even so it may be possible to re-identify de-identified data. For example if there is a rare complication or death that occurs and is then picked up by the news media it may be possible to piece together who the patient and doctor is. Even with the limitations it seems that if many oral and maxillofacial surgeons and dental anesthesia providers use both OMSQOR and DAIRS then patient outcomes for dental procedures including wisdom teeth surgery may improve in the future.

This content was originally published here.

‘I’m slowly dying here’: ‘Sedated’ Assange tells friend during Christmas Eve call from UK prison as health concerns mount

Julian Assange sounded like a shell of the man he once was during a Christmas Eve phone call, British journalist Vaughan Smith told RT, noting the WikiLeaks founder had trouble speaking and appeared to be drugged.

Assange was allowed to make just a single call from the maximum security Belmarsh prison in southeast London for the Christmas holiday, hoping for a reminder of the world beyond his drab confines of steel and concrete.

“I think he simply wanted a few minutes of escape” and to revive “happy memories,” Smith told RT, adding that Assange had spent the holiday at his home in 2010. The brief conversation was far from cheerful, however, with Assange’s deteriorating condition increasingly apparent throughout the call.

He said to me that: ‘I’m slowly dying here.’

“His speech was slurred. He was speaking slowly,” the journalist continued. “Now, Julian is highly articulate, a very clear person when he speaks. And he sounded awful… it was very upsetting to hear him”

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© REUTERS/Hannah McKay/File Photo
Assange CANNOT be extradited because of treaty between US-UK argues legal team

Though Assange didn’t say it out loud during the call, Smith said he believes the anti-secrecy activist is being sedated, noting that “It seemed pretty obvious that he was,” and said others who visited Assange were of the same opinion.

Smith isn’t the first to raise this issue, but British authorities have so far refused to divulge whether Assange has been given psychotropic drugs in prison, insisting only that they aren’t “mistreating” him. But given that he is “being kept in solitary confinement for 23 hours a day,” with requests by numerous doctors to examine his physical condition denied, Smith said he has a hard time taking the officials at their word.

“Julian was extremely good company over Christmas in 2010,” the journalist said, but the man he talked to on the phone last week sounded like a different person. “I just don’t understand… why he’s in Belmarsh Prison in the first place. He’s a remand prisoner. He’s not a danger to the public.”

Also on rt.com

FILE PHOTO: Supporters of  Julian Assange protest outside Westminster Magistrates Court in London © Reuters / Henry Nicholls
Julian Assange will ‘disappear for the rest of his life’ inside ‘inhumane’ US prison, UN envoy warns… if he makes it that far

Belmarsh is a Category A prison – the highest level in the UK penal system – intended for “highly dangerous” convicts and those likely to attempt escape, typically befitting murderers and terrorists. While Assange meets none of those criteria and was initially locked up for a minor offense of skipping bail, he was nonetheless thrown in Belmarsh and punished as if he were a violent, hardened criminal. He now awaits proceedings for extradition to the US.

The explanation may be as simple as taking revenge against somebody who dared to speak truth to power, Smith believes, and to make an example for anyone who might follow Assange’s lead in fighting state and corporate secrecy.

“What is clear that what is happening to Julian is much more about vengeance and setting an example to dissuade other people from holding American power to account in this way,” he said.

[Assange] delivered a discussion, a debate about what transparency should look like in the digital age… The debate got quashed it never really happened, instead he’s being victimized… That’s’ why he’s in Belmarsh.

Going forward, Smith said it will be important to continue pressuring the British government to answer a litany of questions about Assange, his treatment in prison and his health, as well as to push for an “independent assessment” of the situation. Confined in one form or another since taking refuge in the Ecuadorian Embassy in 2012 and now denied the ability to defend himself in court, Assange should finally receive a fair hearing.

“This whole thing, really we need to be asking more questions. This needs to be held much more in the open… Julian has had his freedom compromised for nearly a decade now,” Smith said. “It’s completely disgraceful. This is bullying. He deserves better.”

This content was originally published here.

The Oral-Systemic Connection & Our Broken Healthcare System – International Academy of Biological Dentistry and Medicine

Say Ahh, the world’s first documentary on oral health, takes a sobering look at the state of our national healthcare system. Despite being one of the wealthiest nations in the world, home to some of the most advanced medicine and technology, America is suffering from a drastic decline in the overall health of its citizens. …

This content was originally published here.

Health care in America is dysfunctional — but its lack of transparency is downright dangerous

Wow, you survived cancer? What’s your secret to health care?

As absurd as that sounds, it’s a question many Americans who get sick are still asking as we ring in the year 2020. Getting health care in this country is still so circuitous it often does feel like a secret — a maze deciphered in private that’s never quite mastered. The reward for solving it? Perhaps your life; perhaps the loss of your life savings. And that’s if you’re lucky.

Even with the Affordable Care Act, almost 30 million are without health insurance in the U.S. And if you’ve perused plans on the ACA marketplace, you’ll know why. They’re pricey, and a new year brings fears that insurance premiums are once again rising. (Who knew the inflation rates on a pap smear were that high?!) Meanwhile, 14 Republican-led states are still refusing to expand Medicaid as stipulated in the ACA, even though the federal government would pay for 90 percent of the cost. Why? Something about “repeal and replace” or “socialism.” It’s hard to keep track.

Even with the Affordable Care Act, almost 30 million are without health insurance in the U.S. And if you’ve perused plans on the ACA marketplace, you’ll know why.

I traveled to three states, each with their own unique health care access challenges, for my new MSNBC special “Red, White, and Who?” Between Texas, New York and Utah there are major differences in how easy it is to see a doctor without going bankrupt. But every single person I spoke with — regardless of job, socioeconomic status or even political affiliation — had one identical anxiety: healthcare in one of the most advanced countries in the world is ridiculously, hopelessly complicated.

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“I’m retired, but I feel like a have a job,” Larry Chiuppi told me sitting outside at an RV park in Houston, blocks from one of the top cancer treatment hospitals in the country. Larry has been caring for his wife Nancy Raimondi, who has blood cancer, for over a year. During that time, he himself was diagnosed with prostate cancer. Even with her Medicare and his private health plan under the ACA, navigating the billing systems for the endless hospital visits, specialists and tests — each with their own separate charges — requires a huge amount of time and vigilance. He tells me they once got a $14,000 bill for a stem cell transplant because someone forgot to link Nancy’s Medicare. Larry imagined many people would’ve just tried to pay it. And most Americans don’t have a retiree’s free time and Larry’s persistence to help them through the bureaucracy, an added burden of getting well.

When the political gets personal

We also don’t all have a mother like Sandra Stein. She and her family live in New York, a state where the uninsured population is less than five percent, and 6.5 million are on Medicaid. I met Sandra on a street corner in upper Manhattan, where activists were flyering for the New York Health Act, a bill that would give every New Yorker state-funded care. Sandra believes in single-payer healthcare because she has experienced the mind-numbing labyrinth that is the private insurance system firsthand.

When her son was nearly three, he developed a rare neurological disease that left him unable to walk or speak. At the time, she and her husband had private insurance, which was “relatively good insurance,” according to Sandra. But that didn’t make things easier. When they first went to the hospital in an ambulance, the doctors there didn’t take their insurance even though the hospital did. Her son ultimately stayed in three different hospitals over the course of 15 months.

“When we got home it was my job to figure out the pile of bills and the collections threats,” she told me. It’s been eight years, but Sandra’s voice cracked like the memory happened yesterday. I couldn’t imagine how hard it must’ve been to be afraid for your child’s life while collections agents breathed down your neck. Sandra says the billing department sought her out even while her son was in the ICU, and that there were so many billing errors that she ultimately asked for an audit.

And yet, Sandra, Larry and Nancy are the lucky ones. They have health insurance, and they have the time and resources to be able to make their way through the bureaucratic hall of mirrors and toward a fighting chance at getting well.

It’s this cruel opacity of the private insurance system, on top of the rising monthly costs of just having a plan, that can be the difference between life and death. And it keeps a surprising number of Americans away from the system altogether. Like a rodeo cowboy I met in Texas, whose story you’ll just have to watch (I’m not spoiling it all!). It’s also led Americans like Sandra to believe that a massive simplification of our health care system is far overdue.

For many, that simplification comes in the form of cutting out the profit motive and moving toward government-funded insurance, like Medicare for All, which Big Pharma’s enemy number one Sen. Bernie Sanders and I hashed out over bagels in a New York City deli.

Medicare for All and private insurance for none

Ultimately what became clear through my travels is that healthcare in America is often overpriced and even dysfunctional, but it’s the lack of transparency that can be the most insidious. You pretty much have to be a health care policy expert, or have a loved one who can quit their job to become one, in order to ensure proper help.

It’s also strange that in a country that loves the free market as much as we do, we the consumer have no idea how much anything costs when we walk into a hospital. Why would we? Our health is priceless, so we are simply at the mercy of an ineffective system. That is, unless we fight for something different.

“Red, White, and Who” premieres on MSNBC on Dec. 29 at 9 p.m. E.T.

This content was originally published here.

Embracing the future of dentistry: Rendezvous Dental now offering Tele-dentistry

The future of medicine as we know it is evolving, whether we like it or not. You may have even heard the term “telemedicine” in recent talks about healthcare.

With the introduction of internet and technology, a world of possibilities could open up; from access to top medical professionals all over the world, to medical assessments conducted from the comfort of your home.

The ability to diagnose (and in some cases, treat) remotely are made possible. For obvious reasons, this new technology could have some positive implications for rural communities like ours.

As healthcare as we know it evolves, the same rings true for oral health. The dental field is adopting Tele-dentistry which involves “the exchange of clinical information and images over remote distances for dental consultation and treatment planning.” .

What does this mean for patients?
For you, the patient, this could mean access to better oral healthcare, online consultations, and in some cases lower costs. For example, you can now get a professional opinion from your dentist without taking time off work or pulling your kid out of school.

Here locally, Rendezvous Dental is embracing the future of dentistry.
Forward-thinking dentists, like Dr. Colton Crane at Rendezvous Dental are already using this cutting-edge technology to improve the patient experience.

Let’s try it!
Tele-dentistry with Rendezvous Dental is easy. Visit their website and follow the instructions. Fill out the online form, describe your concern in detail, and attach two images from different angles. For just $25, you can have a response from Dr. Crane within 2-3 hours (during business hours)!

In most cases this is enough for Crane to decide if your problem is cause for immediate concern or something that can wait until your next cleaning. In a pinch, antibiotics could be prescribed too. Should an x-ray or further exam be in order, Rendezvous Dental will apply your $25 as a credit.

This new service is currently available online at rendezvousdental.com/tele-dentistry. For more information, call Rendezvous Dental at  or stop by their office at 312 N 8th St. W. in Riverton.

This content was originally published here.

starsis applies terrazzo furniture to orthodontist surgery in south korea

in the south korean city of hwaseong-si, design studio starsis has realized the interior of an orthodontist practice. characterized by bright spaces and a rich material palette, the project has been formed by the architect to perfectly fit the needs and background of the client while creating a tranquil environment for awaiting customers.

all images © hong seokgyu

when approaching the design, starsis took inspiration from teeth and the layout of the human jaw to create a plan from rounded, overlapping shapes. after applying this idea to the architecture, it resulted in an internal space in which the oval forms overlap. by limiting straight lines and placing curves inside the tight space, the organic aesthetic is maximized, creating a soft and friendly atmosphere within the orthodontist surgery.

the reception desk and hardwood shelves made from terrazzo, viewed from the waiting area

the interior is defined by white walls lit with warm-colored lights, terrazzo furniture, wooden fittings built into the walls and plants full of lush greenery to provide a sense of ease and relaxation for those who visit the practice for treatment. these materials are combined by the steel furniture, which is finished with paint and placed above the terrazzo floor in perfect harmony.

the entrance viewed from the corridor, and wooden and steel furniture for waiting customers

the furniture and reception desk viewed through the glass window

the wall with the reception desk and hardwood shelves made from terrazzo

the walls are 3.7m high and made of steel for solidity

there is an inspection room, a corridor and a powder room

the triage room viewed through the glass where the floor and walls are finished with 50 x 50mm white tiles

the corridor leading to the examination room

the corridor leading to the consulting office and photography room

on the wall there is built-in furniture where examination instruments can be placed and stored

steel pillars with sketches of spatial symbols and geometric shapes

project info:

project name: malocclusion ; offbeat teeth

location: 127-5, dongtansunhwan-daero, hwaseong-si, gyeonggi-do, south korea

total area: 2198.31 ft2 (204.23 m2)

designboom has received this project from our ‘DIY submissions‘ feature, where we welcome our readers to submit their own work for publication. see more project submissions from our readers here.

edited by: lynne myers | designboom

This content was originally published here.

Christian health cost sharing ministries offer no guarantees

Eight-year-old Blake Collie was at the swimming pool when he got a frightening headache. His parents rushed him to the emergency room only to learn he had a brain aneurysm. Blake spent nearly two months in the hospital.

His family did not have traditional health insurance. “We could not afford it,” said his father, Mark Collie, a freelance photographer in Washington, North Carolina.

Instead, they pay about $530 a month through a Christian health care sharing organization to pay members’ medical bills. But the group capped payments for members at $250,000, almost certainly far less than the final tally of Blake’s mounting medical bills.

“Just trust God,” the nonprofit group, Samaritan Ministries, in Peoria, Illinois, said in a statement about its coverage, and advises its members that “there is no coverage, no guarantee of payment.”

More than 1 million Americans, struggling to cope with the rising cost of health insurance, have joined such groups, attracted by prices that are far lower than the premiums for policies that must meet strict requirements, like guaranteed coverage for preexisting conditions, established by the Affordable Care Act. The groups say they permit people of a common religious or ethical belief to share medical costs, and many were grandfathered in under the federal health care law mainly through a religious exemption.

These Christian nonprofit groups offer far lower rates because they are not classified as insurance and are under no legal obligation to pay medical claims. They generally decline to cover people with preexisting illnesses. They can set limits on how much their members will pay, and they can legally refuse to cover treatments for specialties like mental health.

“Nothing is guaranteed,” said Dr. Carolyn McClanahan, a physician who is also a financial planner in Jacksonville, Florida. “You have to depend on the largess of the program.”

The main requirement for membership is adherence to a Christian lifestyle. And the alternative sharing plans keep flourishing, especially now that the Trump administration has relaxed rules to permit alternatives to the ACA that don’t provide such generous coverage.

But state regulators in New Hampshire, Colorado and Texas are beginning to question some of the ministries’ aggressive marketing tactics, often using call centers, and said in some cases people who joined them were misled or did not understand how little coverage they would receive if they or a family member had a catastrophic illness.

On Monday, Washington state fined one of the larger health-sharing ministries, Trinity Healthshare, $150,000 and banned it from offering its product to state residents because it was operating as an unauthorized insurer.

In December, Nevada insurance regulators warned consumers to beware of these plans. “They may seem enticing because they may be cheap, look and sound like they are in compliance with the Affordable Care Act (‘ACA’), when in reality these plans are not even insurance products,” the department said.

The Texas attorney general brought a lawsuit last summer against Aliera Healthcare, which marketed Trinity’s ministry program, to stop it from offering “unregulated insurance products to the public.” The Houston Chronicle featured one couple who was left with more than $100,000 in unpaid medical bills. Trinity said most members are satisfied with its services.

Aliera, which says it has stopped offering its plans in Texas, said it is working with regulators to resolve their concerns. The company says it has taken steps to make sure its customers are not confused about what they are buying.

Because the groups are not technically considered insurance, they operate with no government oversight. “Regulators haven’t been willing to assert any control or regulatory authority over these plans,” said Katie Keith, who serves as a consumer representative to the National Association of Insurance Commissioners and teaches health law at Georgetown University. “They feel their hands are tied. At the end of the day, it’s not insurance.”

Families who have joined the groups recount winding up with medical bills not covered by the ministries, with no legal way to appeal decisions to reject coverage for care. Some groups ask their members to push hospitals and doctors to write off their bills rather than use members’ money to pay their expenses.

“These plans offer a false sense of security,” said Jenny Chumbley Hogue, who runs an insurance agency in north Dallas. She refuses to offer them to her clients.

Several states have taken action against one ministry they say has deceived people about what they are buying. “The nature of what we’re hearing from consumers around the state is absolutely heart breaking,” said Kate Harris, chief deputy insurance commissioner in Colorado, one of the states that is trying to prevent the ministry from operating there.

But health share ministries have become particularly attractive to people like the Collie family who don’t qualify for a federal subsidy and can’t afford an ACA plan. Even though premiums in the ACA market have stabilized, critics of the law insist people need alternatives. “That’s the real driver behind the growth,” said Dr. Dave Weldon, a former Republican congressman from Florida who is president of the Alliance of Health Care Sharing Ministries, which represents the two largest groups.

When Dan Plato left his job to become self-employed as a consultant, he discovered that an ACA policy for 2018 would cost his family around $1,300 a month. “It was very expensive and beyond our needs,” he said. Membership in Liberty Healthshare, a ministry established by Mennonites in Canton, Ohio, was less than half the price, according to Plato, who blogged about his experience.

But some Liberty members reported trouble getting their medical bills covered. Plato says a small bill for flu shots went unpaid and ended up in collection. At the end of the year, he was left wondering if Liberty would be able to cover the family in the event of a serious medical emergency. “It’s not something we could trust in that situation,” said Plato, who switched to one of the plans offered by United Healthcare also exempt from the ACA rules for 2019.

Robyn Lytle, who works as an event planner in Chicago, joined Liberty for 2018, only to find that her daughter’s medical tests were never paid for. “It’s been a year and half, and I’ve been sent to collection,” said Lytle, who says Liberty had covered some of her family’s other expenses. She switched to an ACA plan for 2019.

Liberty Healthshare declined to comment.

Other people complain that the ministries can be vague about coverage. Greg Snider and his wife joined Medi-Share, the program offered by Christian Care Ministry. Based in West Melbourne, Florida. Medi-Share says it has more than 400,000 members across the country.

Snider said he had just dropped traditional coverage when his wife was diagnosed with a heart condition, but he says he was assured by Medi-Share that her care could still be covered. She underwent surgery last year to address an abnormal heart rhythm. “After the procedure, the bills start rolling in,” Snider said, including $177,000 for the surgery alone.

Snider says Medi-Share urged him to plead with the hospital after determining he would owe more than $100,000. He said he had assumed the $800 a month he paid into a pool would help cover the expenses. After he tweeted his frustrations, the ministry told him that he would owe only $1,500 for the surgery because the hospital had forgiven the rest, he said. He now owes thousands of dollars in related medical bills and is unsure of their status.

If Medi-Share decides not to pay, Snider knows he has little recourse: “It is completely and solely up to them.” He has since gotten a job where he is covered under his employer.

Medi-Share says that more than 80% of the $774 million it collected last year went to members’ medical bills. “We take great care to ensure prospective members understand what is considered a preexisting condition and what is eligible for sharing,” it said.

It does its part to reduce medical spending, it says, through negotiating with doctors and hospitals and claims it saved members more than $500 million last year. “We consider this process to be one way in which we contribute to the overall objective of reducing medical costs,” the ministry said in a statement.

Medi-Share says it has an extensive network of more than 700,000 providers. But even if a member goes to an in-network provider, the ministry may still decide not to pay the bill. “Fundamentally, we have found that there is often a lack of understanding of what is covered,” said Brendan Miller, an executive with MultiPlan, which arranges networks for Medi-Share as well as insurers.

That uncertainty has led some hospitals and doctors in the MultiPlan network to refuse to treat ministry patients rather than absorb unpaid costs.

Colorado is one of several states, including Washington, Texas and New Hampshire, that are trying to stop Trinity Healthshare, and its administrator, Aliera Healthcare, from operating in their states because they say the ministry is misleading its residents.

In a statement, Aliera said “it’s deeply disappointing to see state regulators working to deny their residents access to more affordable alternatives offered by health care sharing ministries.”

Trinity says its website makes clear that the ministry does not offer health insurance.

Regulators also worry about these plans siphoning off healthy individuals from the ACA marketplaces, leading to higher premiums for Obamacare policies.

“The ministries have been very concerned about bad actors invading this space,” said Weldon, the alliance president, who says his members are very clear that they are not insurance companies. “They all operate call centers, and they all bend over backward to inform people inquiring that it is not insurance,” he said.

In the case of Samaritan, which says it covers 271,000 people, the ministry pointed to its Save to Share program, where members can contribute extra to cover more of their bills.

With Blake’s bills likely to far exceed the cap — Collie has not yet tallied them yet — he created a GoFundMe account to help pay for his son’s care.

Collie says the ministry remains a viable alternative, noting it paid for numerous medical bills before his son’s hospitalization. “Every single person has prayed for me and my family,” he said. But he was enormously relieved when he found out recently his son qualified for Medicaid, the state-federal insurance program, and will cover the boy’s full medical care.

In some states, officials are starting to consider requiring the groups to register, to obtain more information for consumers.

Peter V. Lee, a former Obama administration official who now runs the California ACA marketplace, said ministries should be subject to some oversight, including disclosure of how much of the money collected is spent on care.

“There should not be a religious exemption for transparency — where the money goes and if it will be there if consumers need it,” he said.

California is also requiring brokers, who are paid hefty commissions by some of the ministries to enroll members, to make sure their clients understand they are not buying insurance.

Some ministries, like Samaritan, say they do not use brokers or agents. “We also have never, nor will we ever, use insurance agents or brokers to sell Samaritan because we don’t want people to confuse us with insurance,” it said.

This content was originally published here.

Using AI to improve dentistry, VideaHealth gets a $5.4 million polish

Florian Hillen, the chief executive officer of a new startup called VideaHealth, first started researching the problems with dentistry about three years ago.

The Massachusetts Institute of Technology and Harvard educated researcher had been doing research in machine learning and image recognition for years and wanted to apply that research in a field that desperately needed the technology.

Dentistry, while an unlikely initial target, proved to be a market that the young entrepreneur could really sink his teeth into.

“Everyone goes to the dentist [and] in the dentist’s office, x-rays are the major diagnostic tool,” Hillen says. “But there is a lack of standard quality in dentistry. If you go to three different dentists you might get three different opinions.”

With VideaHealth (and competitors like Pearl) the machine learning technologies the company has developed can introduce a standard of care across dental practices, say Hillen. That’s especially attractive as dental businesses become rolled up into large service provider plays in much of the U.S.

Screen Shot 2019 09 16 at 16.33.16 1

Image courtesy of VideaHealth

Dental practitioners also present a more receptive audience to the benefits of automation than some other medical health professionals (ahem… radiologists). Because dentists have more than one role in the clinic they can see enabling technologies like image recognition as something that will help their practices operate more efficiently rather than potentially put people out of a job.

“AI in radiology competes with the radiologist,” says Hillen. “In dentistry we support the dentist to detect diseases more reliably, more accurately, and earlier.”

The ability to see more patients and catch problems earlier without the need for more time consuming and invasive procedures for a dentist actually presents a better outcome for both practitioners and patients, Hillen says.

It’s been a year since Hillen launched the company and he’s already attracted investors including Zetta Venture Partners, Pillar and MIT’s Delta V, who invested in the company’s most recent $5.4 million seed financing.

Already the company has collaborations with dental clinics across the U.S. through partnerships with organizations like Heartland Dental, which operates over 950 clinics in the Midwest. The company has seven employees currently and will use its cash to hire broadly and for further research and development.

Screen Shot 2019 09 25 at 2.53.42 PM

Photo courtesy of VideaHealth

This content was originally published here.

U.S. health system costs four times more to run than Canada’s single-payer system

In the United States, a legion of administrative healthcare workers and health insurance employees who play no direct role in providing patient care costs every American man, woman and child an average of $2,497 per year.

Across the border in Canada, where a single-payer system has been in place since 1962, the cost of administering healthcare is just $551 per person — less than a quarter as much.

That spending mismatch, tallied in a study published this week in the Annals of Internal Medicine, could challenge some assumptions about the relative efficiency of public and private healthcare programs. It could also become a hot political talking point on the American campaign trail as presidential candidates debate the pros and cons of government-funded universal health insurance.

Progressive contenders for the Democratic nomination, including Sen. Bernie Sanders of Vermont and Sen. Elizabeth Warren of Massachusetts, are calling for a “Medicare for All” system. More centrist candidates, including former Vice President Joe Biden and former South Bend, Ind., Mayor Pete Buttigieg, have questioned the wisdom of turning the government into the nation’s sole health insurer.

It’s been decades since Canada transitioned from a U.S.-style system of private healthcare insurance to a government-run single-payer system. Canadians today do not gnash their teeth about co-payments or deductibles. They do not struggle to make sense of hospital bills. And they do not fear losing their healthcare coverage.

To be sure, wait times for specialist care and some diagnostic imaging are often criticized as too long. But a 2007 study by Canada’s health authority and the U.S. Centers for Disease Control and Prevention found the overall health of Americans and Canadians to be roughly similar.

Some Canadians purchase private supplemental insurance, whose cost is regulated. Outpatient medications are not included in the government plan, but aside from that, coverage of “medically necessary services” is assured from cradle to grave.

The cost of administering this system amounts to 17% of Canada’s national expenditures on health.

In the United States, twice as much — 34% — goes to the salaries, marketing budgets and computers of healthcare administrators in hospitals, nursing homes and private practices. It goes to executive pay packages which, for five major healthcare insurers, reach close to $20 million or more a year. And it goes to the rising profits demanded by shareholders.

Administering the U.S. network of public and private healthcare programs costs $812 billion each year. And in 2018, 27.9 million Americans remained uninsured, mostly because they could not afford to enroll in the programs available to them.

“The U.S.-Canada disparity in administration is clearly large and growing,” the study authors wrote. “Discussions of health reform in the United States should consider whether $812 billion devoted annually to health administration is money well spent.”

The new figures are based on an analysis of public documents filed by U.S. insurance companies, hospitals, nursing homes, home-care and hospice agencies, and physicians’ offices. Researchers from Hunter College, Harvard Medical School and the University of Ottawa compared those to administrative costs across the Canadian healthcare sector, as detailed by the Canadian Institute for Health Information and a trade association that represents Canada’s private insurers.

Compared to 1999, when the researchers last compared U.S. and Canadian healthcare spending, the costs of administering healthcare insurance have grown in both countries. But the increase has been much steeper in the United States, where a growing number of public insurance programs have increased their reliance on commercial insurers to manage government programs such as Medicare and Medicaid.

As a result, overhead charges by private insurers surged more than any other category of expenditure, the researchers found.

In U.S. states that have retained full control over their Medicaid programs, the growth of administrative costs was negligible, they reported. (The same was true for Canada’s health insurance program.) But in states that shifted most of their Medicaid recipients into private managed care, administrative costs were twice as high.

America’s Health Insurance Plans, a group representing private health insurance companies, said administrative practices shouldn’t be blamed for escalating the cost of care in the United States.

“Study after study continues to demonstrate the value of innovative solutions brought by the free market,” AHIP said in a statement. “In head-to-head comparisons, the free market continues to be more efficient than government-run systems.”

AHIP cited a recent report by the Medicare Payment Advisory Commission (MedPAC), an independent body that advises Congress. The report showed that Medicare Advantage plans — which are privately administered — deliver benefits at 88% of the cost of traditional Medicare.

Even so, the study authors concluded that if the U.S. healthcare system could trim its administrative bloat to bring it in line with Canada’s, Americans could save $628 billion a year while getting the same healthcare.

“The United States is currently wasting at least $600 billion on healthcare paperwork — money that could be saved by going to a simple ‘Medicare for All’ system,” said senior author Dr. Stephanie Woolhandler, a health policy researcher at Hunter College and longtime advocate of single-payer systems.

That sum would be more than enough to extend coverage to the nation’s uninsured, she said.

This content was originally published here.

How Invisalign® Encourages My Teen’s Passion for Adventure

This post was sponsored by the Invisalign® brand and all opinions expressed in my post are my own.

My teen is always up for an adventure. If you asked Ryan what his favorite hobbies are, he’d tell you traveling and photography. He loves an adventure. We all do. It’s one of the reasons I homeschool, or road school, to be able to take our learning on the go. Whether we’re at home or exploring El Morro in Puerto Rico we’re not ones to turn down an adventure!

That’s one of the reasons we love Invisalign® treatment so much!

Invisalign aligners are transforming Ryan’s smile without compromise and with more predictability* thanks to SmartTrack® material. With over 20 years of innovation and 7 million+ smiles have enabled Invisalign treatment to correct simple to complex orthodontic cases, like Ryan’s. He can continue to go on all the adventures, eat all the things he likes (and even try new foods) while in treatment. Unlike traditional braces, there’s no restrictions when it comes to food! So there’s no holding him back when it comes to eating his way through our travels. (*compared to 0.30 inch off-the-shelf aligners)

Before we started his treatment, Ryan and I sat down and went over all the instructions from Dr. Segal, his orthodontist at Segal & Iyer. I made sure he understood that this was his responsibility. I cannot wear his Invisalign® aligners for him, only he can.

In order for his treatment to be successful, he has to make sure he follows all the directions Dr. Segal gave him. 

It’s been about 10 weeks since he started treatment and he’s done phenomenally well. He wears his aligners all day long, only taking them out to eat or drink. In just these 10 weeks, he’s already notified such a difference in his smile that it encourages him to keep going.

It’s boosted his confidence so much and he readily smiles more for pictures and throughout our whole trip.

Plus we didn’t have to worry about any unexpected office visits (like you do with traditional braces) while we’re away. If a set of aligners break, you just move back to your old set or up to you new set.* That’s it!

*Consult your Invisalign provider before reverting to previous aligners or wearing new aligners

When his case fell out of his backpack in Disney and his top aligners broke, we didn’t worry. He just moved onto the next pack. Simple as can be.

I always try to include an educational aspect into all our trips. Since we homeschool and travel a lot, I use every place we visit as a learning tool. Whether it’s through the local cuisine or just immersing ourselves into the local scene, he’s able to enjoy anything our adventures bring while not having to worry about his orthodontic treatment.

When it comes time to plan out our trips, we don’t worry that Invisalign treatment will hold us back. Invisalign aligners give him ( and me) the confidence to know that he can try all the new foods he wants and we won’t have to avoid any restaurants tough to chew foods. Plus since Invisalign aligners transform his smile without compromise, we can still get the perfect family shot or selfie where he’s actually smiling.  When we sit down and discuss what historical sites or things we want to learn more about and make a list of things to see and do, and Ryan makes sure to packing his aligners is at the top of that list!

Sometimes I even put him in charge of all our educational activities and I let him plan the whole itinerary.  It’s doubles as a research project. He’ll look into the different sites and activities available and pick out ones he thinks we’ll all enjoy.

If you or your child need orthodontic care, Invisalign aligners are a convenient choice for active and jet-setting families.

Invisalign aligners let you transform your smile without compromise, so nothing holds Ryan back from hiking, swimming and truly exploring and immersing himself into wherever we’ll be.

Parents, you can learn more about Invisalign treatment for your tween or teens here, and be sure to take the free Smile Assessment for them!

To find an Invisalign provider near you, check out the Doctor Locator!

Dawn

The post How Invisalign® Encourages My Teen’s Passion for Adventure appeared first on A New Dawnn.

This content was originally published here.