USC Professor Placed on Leave after Black Students Complained His Pronunciation of a Chinese Word Affected Their Mental Health | National Review

The University of Southern California has placed a communications professor on leave after a group of black MBA candidates threatened to drop his class rather than “endure the emotional exhaustion of carrying on with an instructor that disregards cultural diversity and sensitivities” following the instructor’s use, while teaching, of a Chinese word that sounds like a racial slur.

Greg Patton, a professor at the university’s Marshall School of Business, was giving a lecture about the use of “filler words” in speech during a recent online class when he used the word in question, saying, “If you have a lot of ‘ums and errs,’ this is culturally specific, so based on your native language. Like in China, the common word is ‘that, that, that.’ So in China it might be ‘nèi ge, nèi ge, nèi ge.’”

In an August 21 email to university administration obtained by National Review, students accused the professor of pronouncing the word like the N-word “approximately five times” during the lesson in each of his three communication classes and said he “offended all of the Black members of our Class.”

The students, who identified themselves as “Black MBA Candidates c/o 2022” wrote that they had reached out to Chinese classmates as they were “appalled” by what they had heard. 

“It was confirmed that the pronunciation of this word is much different than what Professor Patton described in class,” the students wrote. “The word is most commonly used with a pause in between both syllables. In addition, we have lived abroad in China and have taken Chinese language courses at several colleges and this phrase, clearly and precisely before instruction is always identified as a phonetic homonym and a racial derogatory term, and should be carefully used, especially in the context of speaking Chinese within the social context of the United States.”

The students accused the professor of displaying “negligence and disregard” in using the word and said he “conveniently stop[ped] the zoom recording right before saying the word,” calling his actions calculated. 

“Our mental health has been affected,” the group continued. “It is an uneasy feeling allowing him to have the power over our grades. We would rather not take his course than to endure the emotional exhaustion of carrying on with an instructor that disregards cultural diversity and sensitivities and by extension creates an unwelcome environment for us Black students.”

The students added that the incident “has impacted our ability to focus adequately on our studies.”

“No matter what way you look at this, the word was said multiple times today in three different instances and has deeply affected us. In light of the murders of George Floyd and Breonna Taylor and the recent and continued collective protests and social awakening across the nation, we cannot let this stand,” the group concluded, before calling for an immediate remedy to the situation. 

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In response, Dean Geoff Garrett apologized for the professor’s use of a “Chinese word that sounds very similar to a vile racial slur in English,” in an email on August 24 obtained by National Review, saying “understandably, this caused great pain and upset among students.”

“I am deeply saddened by this disturbing episode that has caused such anguish and trauma,” he said.

The dean announced that a new instructor would immediately take over instruction for the remainder of the class.

Two days later, in an email to members of the USC Marshall Graduate Student Association Executive Board, Patton apologized, explaining that he has taught the course for 10 years and had been given the example by several international students years ago.

“The inclusion is part of a deep and sustained effort at inclusion as I have reached out to find and include many international, global, diverse, female, broad and inclusive leadership examples and illustrations to enhance communication and interpersonal skill in our global workplace,” he said. 

“I have since learned there are regional differences, yet I have always heard and pronounced the word as ‘naaga’ rhyming with ‘dega,’” the professor wrote.

He added that the transcript of the session records his pronunciation as “naga” and that his pronunciation of the word comes from time spent in Shanghai. 

“Given the difference in sounds, accent, context and language, I did not connect this in the moment to any English words and certainly not any racial slur,” he wrote.

“Unfortunately messages have circulated that suggest ill intent, extensive previous knowledge, inaccurate events and these are factually inaccurate. Fortunate [sic] we have transcripts, audio, video, tracking of messages and a 25 year record,” he wrote. “I have strived to best prepare students with Global, real-world and applied examples and illustrations to make the class content come alive and bring diverse voices, situations and experiences into the classroom.”

He said he had received positive feedback on the lesson in years past but accepted blame for failing “to realize all the many different additional ways that a particular example may be heard across audiences members based on their own lived experiences.”

In a statement to Campus Reform, USC said Patton “agreed to take a short term pause while we are reviewing to better understand the situation and to take any appropriate next steps.”

According to a brief bio on the school’s website, Patton is “an expert in communication, interpersonal and leadership effectiveness” who has received “numerous teaching awards, been ranked as one of the top teaching faculty at USC and helped USC Marshall achieve numerous #1 worldwide rankings for Communication and Leadership skill development.”

“Professor Patton has extensive international experience, has trained, coached and mentored thousands of leaders worldwide, and created scores of successful leadership programs,” the bio adds.

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Illinois orthodontist wins ADA Stanford Award for retainer research

An Illinois orthodontist won the American Dental Association’s 2019 John W. Stanford New Investigator Award for her research paper evaluating the effects of eight cleaning methods on copolyester polymer, a material commonly used in clear thermoplastic retainers.

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Association Between Universal Masking and SARS-CoV-2 Positivity Among Health Care Workers

The institutional review board of MGB approved the study and waived informed consent. Using electronic medical records, we identified HCWs providing direct and indirect patient care who were tested for SARS-CoV-2 with reverse transcriptase–polymerase chain reaction between March 1 and April 30, 2020. The primary criterion for testing HCWs in our health care system was having symptoms consistent with SARS-CoV-2 infection. Information on the job description of each HCW was obtained by linking their record to the MGB Occupational Health Services and Human Resources databases.

We identified 3 phases during the study period: a preintervention period before implementation of universal masking of HCWs (March 1-24, 2020); a transition period until implementation of universal masking of patients (March 25–April 5, 2020) plus an additional lag period to allow for manifestations of symptoms (April 6-10, 2020), as previously defined5; and an intervention period (April 11-30, 2020). Positivity rates included the first positive test result for all HCWs in the numerator and HCWs who never tested positive plus those who tested positive that day in the denominator. For each HCW, any tests subsequent to their first positive test result were excluded. Using weighted nonlinear regression, we fit the best curve for the preintervention and intervention periods (based on R2 value). The number of daily tests was used as the weight such that days with more tests had more weight in determining the curve. The overall slope of each period was calculated using linear regression to estimate the mean trend, regardless of curve shape. The change in overall slope between the preintervention and intervention periods was compared to determine any statistically significant change in mean trend, using a 2-sided α = .05. The analysis was conducted using R version 4.0 (R Foundation).

Discussion

Universal masking at MGB was associated with a significantly lower rate of SARS-CoV-2 positivity among HCWs. This association may be related to a decrease in transmission between patients and HCWs and among HCWs. The decrease in HCW infections could be confounded by other interventions inside and outside of the health care system (Figure), such as restrictions on elective procedures, social distancing measures, and increased masking in public spaces, which are limitations of this study. Despite these local and statewide measures, the case number continued to increase in Massachusetts throughout the study period,6 suggesting that the decrease in the SARS-CoV-2 positivity rate in MGB HCWs took place before the decrease in the general public. Randomized trials of universal masking of HCWs during a pandemic are likely not feasible. Nonetheless, these results support universal masking as part of a multipronged infection reduction strategy in health care settings.

Section Editor: Jody W. Zylke, MD, Deputy Editor.

Corresponding Author: Deepak L. Bhatt, MD, MPH, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115 (dlbhattmd@post.harvard.edu).

Accepted for Publication: July 1, 2020.

Published Online: July 14, 2020. doi:10.1001/jama.2020.12897

Author Contributions: Dr Bhatt had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Wang and Ferro contributed equally to this article.

Concept and design: Wang, Ferro, Hashimoto, Bhatt.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Wang, Ferro.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Wang, Zhou.

Administrative, technical, or material support: Wang, Ferro, Hashimoto.

Supervision: Hashimoto, Bhatt.

Conflict of Interest Disclosures: Dr Bhatt discloses the following relationships: advisory board: Cardax, CellProthera, Cereno Scientific, Elsevier Practice Update Cardiology, Level Ex, Medscape Cardiology, PhaseBio, PLx Pharma, Regado Biosciences; board of directors: Boston VA Research Institute, Society of Cardiovascular Patient Care, TobeSoft; chair: American Heart Association Quality Oversight Committee, NCDR-ACTION Registry Steering Committee, VA CART Research and Publications Committee; data monitoring committees: Baim Institute for Clinical Research, Cleveland Clinic, Contego Medical, Duke Clinical Research Institute, Mayo Clinic, Mount Sinai School of Medicine, Population Health Research Institute; honoraria: American College of Cardiology, Baim Institute for Clinical Research, Belvoir Publications, Duke Clinical Research Institute, HMP Global, Journal of the American College of Cardiology, K2P, Level Ex, Medtelligence/ReachMD, MJH Life Sciences, Population Health Research Institute, Slack Publications, Society of Cardiovascular Patient Care, WebMD; deputy editorship: Clinical Cardiology; research funding: Abbott, Afimmune, Amarin, Amgen, AstraZeneca, Bayer, Boehringer Ingelheim, Bristol-Myers Squibb, Cardax, Chiesi, CSL Behring, Eisai, Ethicon, Ferring Pharmaceuticals, Forest Laboratories, Fractyl, Idorsia, Ironwood, Ischemix, Lexicon, Lilly, Medtronic, Pfizer, PhaseBio, PLx Pharma, Regeneron, Roche, Sanofi Aventis, Synaptic, The Medicines Company; royalties: Elsevier; site coinvestigator: Biotronik, Boston Scientific, CSI, St Jude Medical, Svelte; trustee: American College of Cardiology; unfunded research: FlowCo, Merck, Novo Nordisk, Takeda. No other disclosures were reported.

Additional Contributions: We thank Stacey A. Duey, MT(ASCP), MCHP, Mass General Brigham, for assistance in extracting data from the Research Patient Data Registry, and Karen Hopcia, ScD, ANP-BC, Mass General Brigham, for assistance in extracting data from Occupational Health Services. No compensation was received for their roles.

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Japan’s Abe to meet media as hospital visits fuel health concerns | News | Al Jazeera

Japanese Prime Minister Shinzo Abe is set to hold a news conference on Friday afternoon in which he is expected to address growing concerns about his health after two recent hospital examinations within a week.

Ruling party officials have said Abe’s health is fine, but the hospital visits, one lasting more than seven and a half hours, have fuelled speculation about whether he will be able to continue in the job until the end of his term in September 2021. On Monday, he became Japan’s longest-serving leader, beating a record set by his great-uncle Eisaku Sato half a century ago.

Under fire for his handling of the coronavirus pandemic and scandals among party members, Abe – who vowed to revive the economy with his “Abenomics” policy of spending and monetary easing – has recently seen his support decline to one of the lowest levels of his nearly eight years in office.

While he has beefed up Japan’s military spending and expanded the role of its armed forces, his dream of revising the country’s pacifist constitution has failed because it lacks broad public support. 

Shinzo Abe becomes Japan’s longest continuously serving PM

Sources have told Reuters that Abe would consult his doctors before meeting the media, either by phone or another hospital visit.

COVID-19 measures

The prime minister is expected to provide an explanation about his health and lay out new measures to fight the coronavirus at the news conference which is due to start at 5pm (08:00 GMT). Among them will be a pledge to secure enough vaccines for everyone in the nation by early 2021, paying for this with reserve funds, Japanese media said.

Abe, who has been struggling with the chronic condition ulcerative colitis since his teens, has not provided any detail about the hospital visits. Returning from the last visit on Monday, he said he wanted to take care of his health and do his utmost at his job.

Speculation that he would step down has been dismissed by allies in his ruling Liberal Democratic Party including Chief Cabinet Secretary Yoshihide Suga, who told Reuters on Wednesday that he meets Abe twice a day and has not seen any change in his health.

He added that Abe’s comments on Monday that he would continue to do his best in the job “explains it all”.

Abe has been prime minister since 2012; his second stint in the role. He resigned abruptly from his previous term in 2007 because of his illness, which he has been able to keep in check with medicine that was not previously available.

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Machine learning helps Invisalign patients find their perfect smile | CIO

Machine learning helps Invisalign patients find their perfect smile

Align Technology’s mobile app helps Invisalign wearers stay on schedule, while machine learning and other features help lure prospective consumers to try the orthodontic device.

The mobile computing trend requires enterprises to meet consumers’ expectations for accessing information and completing tasks from a smartphone. But there’s a converse to that arrangement: Mobile has also become the go-to digital platform companies use to market their goods and services.

Align Technology, which offers the Invisalign orthodontic device to straighten teeth, is embracing the trend with a mobile platform that both helps patients coordinate care with their doctors and entices new customers. The My Invisalign app includes detailed content on how the Invisalign system works, as well as machine learning (ML) technology to simulate what wearers’ smiles will look like after using the medical device.

“It’s a natural extension to help doctors and patients stay in touch,” says Align Technology Chief Digital Officer Sreelakshmi Kolli, who joined the company as a software engineer in 2003 and has spent the past few years digitizing the customer experience and business operations. The development of My Invisalign also served as a pivot point for Kolli to migrate the company to agile and DevSecOps practices.

The pitch for a perfect smile

My Invisalign is a digital on-ramp for a company that has relied on pitches from enthusiastic dentists and pleased patients to help Invisalign find a home in the mouths of more than 8 million customers. An alternative to clunky metal braces, Invisalign comprises sheer plastic aligners that straighten patients’ teeth gradually over several months. Invisalign patients swear by the device, but many consumers remain on the fence about a device with a $3,000 to $5,000 price range that is rarely covered completely by insurance.

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Mercury Use in Dentistry Is on Its Way Out

This Mercury-Free Dentistry Week, we celebrate the 20th anniversary of Consumers for Dental Choice, the nonprofit advocates moving mercury-free dentistry from dream to reality.

From protecting dentists’ right to practice without mercury-laden dental amalgam fillings to obtaining mandated fact sheets to inform patients about amalgam’s mercury content, to bans and restrictions on amalgam use around the world, Consumers for Dental Choice and its leader, former state Attorney General Charlie Brown, are making mercury-free dentistry more widely available than ever before.

And, that progress is starting to sway the U.S. Food and Drug Administration (FDA), the chief regulator of dental amalgam, at the federal level. Thanks to your donations, Consumers for Dental Choice has reopened the door for FDA action against amalgam.

I ask that you continue your support by donating at ToxicTeeth.org, and I will match all donations during Mercury-Free Dentistry Week (August 23 to 29, 2020) up to $150,000. So, double your impact today. Together, we can win the campaign for mercury-free dentistry at FDA that has come so far.

>>>>> Click Here <<<<<

Consumers for Dental Choice Sues the FDA — and Wins

The FDA is legally required to classify — that is, issue a rule for — all medical devices, including dental amalgam. But for 30 years, FDA dodged its legal duty to classify amalgam.

Consumers for Dental Choice put an end to FDA’s negligence. In 2008, this dynamic nonprofit organization assembled plaintiffs and sued FDA, demanding that amalgam be classified. The judge agreed and told FDA to sit down with Consumers for Dental Choice to determine a deadline. FDA was compelled to commit to classifying amalgam by July 2009.

But when July 2009 came around it was clear the FDA had not considered the science — especially the evidence of harm amalgam can cause vulnerable populations like children, pregnant women and breastfeeding mothers. Its abysmal rule reflected it, posing no restrictions on amalgam use to protect the public — or even requiring that patients be told that amalgam is made of mercury.

Nonetheless, FDA’s rule acknowledged that amalgam could be harmful and that there was no proof of safety for the populations most susceptible to this toxin:

“The developing neurological systems in fetuses and young children may be more sensitive to the neurotoxic effects of mercury vapor. Very limited to no clinical information is available regarding long-term health outcomes in pregnant women and their developing fetuses, and children under the age of six, including infants who are breastfed.”

Fortunately, Consumers for Dental Choice never puts all its eggs in one basket. So, Charlie and his team challenged FDA’s rule while pursuing other opportunities to advance mercury-free dentistry, like defeating pro-mercury state dental boards, fighting for amalgam fact sheet laws for patients at the state level and getting amalgam into the Minamata Convention on Mercury.

And as Consumers for Dental Choice racked up win after win — regaining licenses for mercury-free dentists persecuted by state boards, gaining fact sheets to protect dental patients, achieving an amalgam reduction requirement in the Minamata Convention — the FDA’s rule became more and more outdated and the U.S. slipped further and further behind.

Consumers for Dental Choice’s Game-Changing Return to FDA

Almost a decade after the FDA issued its flawed amalgam rule, Consumers for Dental Choice launched a nonstop campaign focused on getting FDA moving again on amalgam. And that campaign is starting to bear fruit. To succeed, Consumers for Dental Choice brought a whole new ball game to the FDA, giving the agency even more reasons to act.

First, Consumers for Dental Choice assembled an accomplished team of experts to approach the FDA. In 2018, they unveiled the Chicago Declaration to End Mercury Use in the Dental Industry at the University of Illinois School of Public Health.

This declaration, signed by 50-plus heavy-hitter environmental groups, called on the FDA “to bring its policies in line with the Federal Government as a whole and with its responsibilities under the Minamata Convention and to publicly advise a phase down of the use of mercury amalgams with the goal of phasing out entirely.”

Furthermore, it recommended immediately ceasing amalgam use in children, pregnant women and breastfeeding mothers. Working with some key signatories to the Chicago Declaration, Consumers for Dental Choice sent the declaration to FDA — and their team got meetings with the top of the agency.

Second, Consumers for Dental Choice organized a strong showing of public support from you. Do you remember its online petition that almost 50,000 of you signed? Consumers for Dental Choice presented it to the FDA in person at its first meeting with the agency and has continued to make sure your voice is heard via such means as the public comments on patient preferences it asked you to submit to the FDA last spring.

As one article’s headline described the result, “FDA Gets Mouthful on Mercury Dental Fillings After Requesting Public Comment on Device Regulation.” Third, Consumers for Dental Choice presented the FDA with new science showing amalgam’s harmful effects.

FDA Flips Their Position on Amalgam

Having reached the top of the agency, Consumers for Dental Choice could submit scientific studies that someone at the FDA would read. As a result, FDA’s most recent scientific review of amalgam flips FDA’s position on a major issue.

FDA now recognizes evidence that shows once dental amalgam is implanted in the human body, its elemental mercury can convert to toxic methylmercury — the same type of mercury that the FDA warns about in fish.

Furthermore, FDA is starting to recognize the bioaccumulative effect of amalgam’s mercury. With patients exposed to so many sources of mercury — from high-mercury fish in their diets, occupational exposures in their workplaces and waste incinerators emitting mercury in their neighborhoods — the mercury from amalgam could very well be the straw that breaks the camel’s back.

Consumers for Dental Choice laid a track record of victories on the table at the FDA. Working with strong local partners, Consumers for Dental Choice has won amalgam phase-out set dates in the Philippines, Ireland, Slovakia, Finland, Nepal, Moldova, Czech Republic and New Caledonia.

Consumers for Dental Choice has also won — again partnering with a local partner — bans on amalgam use in children in the European Union, Vietnam and Tanzania, and public warnings about amalgam’s mercury in Nigeria.

And, it let the FDA know about these victories because if other countries can do it, so can the U.S. Armed with this new support, Consumers for Dental Choice succeeded in persuading the FDA to reopen the amalgam issue, starting with a new FDA review and scientific advisory committee meeting.

Consumers for Dental Choice Convinces the FDA

In November 2019, the promised FDA scientific advisory committee met to discuss metal implants and specifically dental amalgam. First, the committee heard from the public, primarily Consumers for Dental Choice’s team of 16 experts.

Consumers for Dental Choice executive director Charlie Brown testified alongside 15 heavy hitters from the Children’s Environmental Health Network, Tuskegee University, International Indian Treaty Council, Organic & Natural Health Association and Connecticut Coalition for Environmental Justice, as well as city and county commissioners, a physician expert in environmental justice, a pharmacist specializing in toxicology and several attorneys — all speaking out for mercury-free dentistry.

You can see Consumers for Dental Choice’s team and their colleagues in action in the video at the top of this article, which shares highlights of the advisory panel meeting. The FDA advisory committee members discussed amalgam among themselves. They recommended that the agency provide information to patients about the risks of dental amalgam, especially for vulnerable populations.

Committee members expressed particular concern about the disproportionate use of amalgam in disadvantaged populations, including communities of color and low-income communities that are already exposed to higher levels of toxins. And many committee members even called for an end to amalgam use:

Dr. McDiarmid — “I’ll speak for myself and say I think that the evidence is there because we can show an exposure and we know the behavior of these neurotoxicants in the developing brain of children. We really need to think about continuing to just bless this because the evidence isn’t quite there.”

Dr. Connor — “But it seems like if a product came on the market today that said it’s 50% made with a material we know is highly toxic and we’re only going to use it predominantly in disadvantaged populations, we wouldn’t be having a meeting, you know? FDA would not approve it without a meeting.

So, I mean, I’ll leave that right there in terms of our discussion, but if this were coming on the market today saying it’s 50% highly toxic material and we’re predominantly going to use it in disadvantaged populations, it wouldn’t even be a question.”

Dr. Weisman — “So given all that, my feeling is that mercury-containing amalgam should probably be on its way out.”

Mr. Lison — “I think everybody would agree that mercury in the body isn’t a good thing. I see no reason why it shouldn’t be phased out as quickly as possible.”

Even the FDA advisory committee chair, Dr. Rao, agreed as he summed up the committee’s conclusions to the FDA:

“And I think, generally, the Panel feels in response to Question Number 6 that the evidence that was presented and is available currently confirms what was previously known and tends to move the needle a little bit further along in the direction that there is some recognition and understanding of the risks associated with mercury-containing amalgams.

These risks are to the environment and also to the patient, and potentially, to the — and to the dental professionals involved in the insertion of these. I don’t think there’s been any clear understanding of a quantified increase in risk that is available currently.

But the trend seems to be that when there are alternatives available to the use of mercury, the general direction should be to move away from using mercury-containing amalgams and towards non-mercury-containing products to help with dental restorations.”

So, the consensus of its own advisory committee is that FDA’s silence on amalgam must end. But as executive director Charlie Brown explains:

“FDA has a history of not acting on advisory committee recommendations, so Consumers for Dental Choice is keeping them on the agency’s plate. We’ve been following up with meetings, letters from experts and multiple memos answering specific questions raised at the committee meeting.”

Now It’s Your Turn to Act

Consumers for Dental Choice has brought a whole new ball game to FDA, and this time it looks like the FDA is ready to play ball. But you don’t have to wait on the government; you can go to a mercury-free dentist now by checking out Consumers for Dental Choice’s listing of mercury-free dentists.

With your continuing support, this effective advocacy organization can make the dream of mercury-free dentistry a reality at the FDA. Will you consider a donation to this 501(c)(3) nonprofit organization dedicated to advocating mercury-free dentistry?

If you donate during Mercury Awareness Week (August 23 to 29, 2020), I will double your money. I’ll match you, dollar for dollar (up to $150,000). Donations are tax-deductible and can be made online at ToxicTeeth.org. Checks can be mailed to:

Consumers for Dental Choice
316 F St., N.E., Suite 210
Washington DC 20002

Thank you for helping make the dream of mercury-free dentistry into reality for all patients, everywhere.

>>>>> Click Here <<<<<

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Pedophilia Is a Mental Health Issue. It’s Still Not Treated as One

On the nights when the mental sexual images of children were most overwhelming, Joseph Parker took cold showers and baths, hoping the shock of freezing water would push his intrusive thoughts away. Other times, he would fixate on a picture of the Sri Lankan Buddhist monk Henepola Gunaratana, so that the monk’s “wrinkly face” might replace the disturbing imagery in his head.

Parker, who is using a pseudonym to protect his identity, had known he was attracted to children since he was 17, but he didn’t start having overpowering sexual urges until he was 24. (He’s now 26.) These urges were the worst when he was falling asleep. “As soon as I tried to release myself from wakefulness, my mind would sink into the pool of sexual energy, and I would feel this horrible sense of joy and happiness towards children,” he said.

He read online about medications that could lower testosterone levels and, as a result, sex drive—a process sometimes referred to as “chemical castration.” When he asked a psychiatrist for these drugs, he was given Risperidone, an antipsychotic, instead. He took that for about a year, then added on Sertraline, an antidepressant, but only found these drugs mildly helpful. He turned to the internet to get what he had wanted in the first place.

From a Turkish division of the pharmaceutical company Bayers, he ordered cyproterone acetate, which lowers testosterone, along with the female hormone estradiol, and now takes the two medications together. The website that processes the sales is frequently shut down because of its illicit nature: “To my knowledge this is their third or fourth website change, at least, since I came upon them 14 months ago,” he said.

Parker wishes it wasn’t this hard for pedophiles to get sex-drive reducing medications. But for many pedophiles—and especially pedophiles who have not committed crimes—access to even talk therapy, let alone medication, can be difficult to come by, and the process is riddled with fears about being reported to legal authorities.

In the past several decades, researchers have arrived at new understandings about pedophilia, the sexual attraction to children. Pedophilia appears to be an in-born sexual preference, something a person does not choose and cannot change. A pedophile’s attraction to children is consistent—not a phase—and they develop their attraction to children around the same time that other people develop sexual attractions.

While researchers’ knowledge has been evolving, access to widespread, up-to-date healthcare hasn’t kept up pace. Outside of the handful of researchers who provide therapy and medication to pedophiles, the barriers to finding an informed therapist or psychiatrist remain high. This has led to a hodgepodge of therapeutic approaches in the community, or people self-medicating, like Parker did. Many pedophiles are only directed towards treatment in the context of the criminal justice system, where in some states, chemical castration is used on sex offenders.

Yet importantly, researchers have established there’s a distinction between pedophilia and child molestation, a difference between the attraction itself and the crime. “Most people hear these words and think that they’re synonyms. They’re not,” said James Cantor, a Canadian clinical psychologist and neuroscientist who studies pedophilia.

Only about half of child sex offenders are genuine pedophiles. The other half prefer adults sexually, and are abusing children because they’re available or easily manipulated. (Child porn offenders, on the other hand, are nearly always pedophiles because of the ready availability of adult porn alternatives.)

The goal of any modern, preventative treatment for pedophila should be to help people manage their sexual interests rather than try to change them, Cantor said. This can involve the voluntary use of hormone-reducing medication to control urges or therapy. Since pedophilia and sexual abuse are not synonymous, treatment for pedophilia is also not solely about preventing child sexual abuse—it’s about helping people with their overall mental health and well-being too. That’s a concept that may be hard to accept. It involves recognizing that people who are sexually attracted to children deserve to live healthy and meaningful lives.

Online support groups for non-offending pedophiles have only recently entered the public eye. The most well-known group, the Virtuous Pedophiles, was formed in 2012 as a safe place for pedophiles to discuss their struggles and commitment to not offend. Parker belongs to the Virtuous Pedophiles and is known to the community as Double22. Another organization, the Association for Sexual Abuse Prevention (ASAP) was formed by some members of the Virtuous Pedophiles, and they are currently ramping up their goal to create a platform to connect pedophiles to mental health professionals.

“In my opinion, they should not be seen as second class patients.”

In April of this year, the first randomized placebo-controlled study of a hormone-reducing drug for pedophilia took place in Sweden. Published in JAMA Psychiatry, it found that the drug reduced both high sexual desire and sexual attraction to children, and that the effects were noticeable within two weeks.

The study is the first to include people who self-identified as pedophiles and were seeking help of their own accord, not just people funneled from the criminal justice system. What’s even more remarkable about the study is that it included a placebo group—the first pedophilia study to do so. In an editorial about the study, Peer Briken, a professor of sex research at the University Medical Centre Hamburg-Eppendorf in Germany, wrote that it “marks a milestone in clinical sexual science and the field of forensic psychiatry.”

“I think one of the biggest problems is that people just don’t understand this as a mental health issue,” said Fred Berlin, an associate professor in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine. “Rightfully, people are concerned about protecting children. And so we just quickly stigmatize people who are attracted to children and often don’t even see them as human beings with a problem who might be deserving of help.

“In my opinion, they should not be seen as second class patients.”

In 2014, journalist Luke Malone wrote an article about young people, some of them minors, who were discovering that they were attracted to children, and how they were coping with it. It was adapted as an episode of This American Life, one of several high-profile media pieces about pedophiles that explored the complicated existence of being born attracted to children—and how hard it is to get help.

When Adam, one of the young pedophiles in Malone’s story, admitted to a therapist what was wrong, “she just became extremely cold and harsh,” he told Malone. “She even, a few times, almost got to the level of shouting.” She ended up telling Adam’s mother.

“There is a huge reason [pedophiles] would avoid therapists and doctors—those people have an obligation to report them to police if they think children might be in danger in the future,” said Ethan Edwards, one of the co-founders of the Virtuous Pedophiles, who uses a pseudonym.“Especially if they are not specifically trained in the issue, and with the common belief that all pedophiles molest children sooner or later, it is very perilous for a pedophile to seek out a therapist.”


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Christoffer Rahm, a psychiatrist, researcher at the Karolinska Institute, and the senior author on the JAMA study from April, once worked at a clinic linked to a Swedish national helpline focused on sexuality, PrevenTell. Rahm ended up meeting some pedophiles who called in; one was a bus driver who brought children to school. The bus driver was struggling with his impulses and fantasies, but had not sexually offended in any way. Rahm looked for research to help determine the best treatment for his patient and found a gap in the literature: There were no rigorous comparisons of different medications, or recommendations about who might do best with therapy. (As far as we know, female pedophiles are rarer, and the research on treatment for them even more sparse.)

Cantor feels it’s more than just a gap when it comes to pedophilia. “It is a black hole,” he said. “This is a topic that scientists in the fields of mental health are not just uninterested in—it is actively repugnant.”

That’s what motivated Rahm to conduct his study. “If there are people seeking help for this, the best thing would be to manage it in a preventative phase before the damage is done,” he said. “Of course, society needs to say that any kind of abuse against a child is not okay. But it is counterproductive if these people can’t even seek help with a professional.”

The medication Rahm studied is Degarelix, approved by the FDA in 2006 for treatment of advanced prostate cancer. This is the first time that it’s been used off-label for pedophilia. It’s an injection that starts working right away and lasts for about three months. It works by shutting down signals from the brain to the body to produce testosterone.

In qualitative interviews Rahm’s team did during the study, they found that some of their participants experienced positive effects. “They described feeling an inner calm,” Rahm said. “They felt less pressure, that they had a better intimate life with their partners. Some described that the annoying thoughts around children disappeared so they can focus on other things. And many described that they had lost that enervating impulse to masturbate, and were able to see children as just human beings and not sexual symbols.” A majority of the participants in the group that got the active drug said that they would want to continue taking it.

Many of the therapies that have been used for pedophiles have not been validated this way, but deployed through forensic psychology and the criminal justice system. Though Berlin has prescribed hormone-reducing medications to countless patients, he feels that the legal system usually doesn’t collaborate with doctors and scientists who are studying the use of these drugs. “As a physician, I think that’s completely inappropriate,” he said.

If someone goes to prison being sexually attracted to children, there’s nothing about prison that can get rid of that attraction, or enhance a person’s ability to resist temptation later on, Berlin said. It also leads to a mistrust of treatment, because of a history of involuntary use of chemical castration and aversion therapy—a therapy that associates negative cues with images of young children to dissuade future attraction.

“The idea that we can solve this simply through punishment and incarceration is very naive,” Berlin said.

Talk therapy should focus on managing a person’s sexual interests, with an explicit acknowledgment that those interests will likely never change. In the past, therapy sometimes focused on searching for trauma, because of the belief that a history of abuse led someone to abuse. The truth is a bit more complicated. Having been sexually abused in your own childhood could be a factor in committing sexual abuse as an adult, but is not necessarily a factor in pedophilia.

“This is what I’ve heard over and over,” Cantor said. “They knew. They always knew it. All their past therapists were telling them to focus on trauma, what happened in their childhood. But their genuine experience of it was that they were born this way.”

“We need to move on to the next generation of research and quality development.”

Cantor said that once that basic framework of therapy changes from changing one’s sexuality to managing it, people adapt very quickly. It makes more sense to his patients, and they’re able to better commit. If a person has looked at child porn or committed sexual abuse in the past, a therapist would help them examine how and why their self-control broke down, and how to set up their life so that it doesn’t happen again—not how to stop being attracted to children.

For some people, this process could be paired with sex-drive reducing drugs. “Some people find they would rather live in that state than with those nagging sex drive that they can’t express and can do anything to do anything about,” Cantor said.

Yet even in those states that have issued mandates for sex offenders to receive hormone-reducing drugs as punishment, it can be incredibly difficult for non-offending pedophiles who want it to get medication. “I get letters from people around the country all the time wanting access and they can’t even get access to it,” Berlin said.

Rahm doesn’t advocate for medication to be used for every pedophile for life—his study explores whether this specific drug could help. He said a person may only want and need it for a few months. It could help a person through a difficult time, or be combined with the start of a behavioral therapy practice. “We need to move on to the next generation of research and quality development,” Rahm said. “We need to evaluate our treatments and to get evidence-based treatments out there so we know what we’re doing.”

The word “castration” has a dark history, and dark connotations. It’s often been wielded involuntarily: In Germany the number of involuntary castrations of sex offenders increased as a result of the Nazi German Act, with at least 2,800 sex offenders were castrated between 1934 and 1944. In the United States, Black men accused of raping or sexually assaulting white women could find themselves subject to castration. For reasons like these, Rahm is torn about calling Degarelix “chemical castration.” While he thinks researchers and clinicians should accurately describe what the drug is doing and its side effects, he worries that referring to it as castration could scare people away, or disregard the consent and autonomy of patients who want it.

Rahm said that every person who participated in their study did so voluntarily, and was informed in detail about any possible side effects from taking Degarelix. They had the option to quit the study at any moment. He’s also currently running another placebo-controlled study on a non-pharmacological option: therapy geared specifically towards pedophiles that they can access anonymously, through the dark web.

The mere existence of Rahm’s studies is important, outside of the details of the findings. Doing placebo-controlled studies on pedophilia was previously thought to be impossible, because of the ethical implications of not giving an active treatment to a group of people attracted to children.

In Briken’s editorial, he wrote that because the medication they used was fast-acting, and they allowed anyone with pedophilia into the study—not just those who were high-risk for offending—it helped make the placebo group ethically possible. Briken concluded that Rahm’s study was “the most important contribution to the field of pharmacotherapy of pedophilic disorders since” the original study of hormone reducing drugs in 1998, and offers a starting point for a more comprehensive approach to pedophila treatment.

In Germany, Prevention Project Dunkelfeld, which offers therapy and medication, has 10 locations throughout Germany, and a person can get help while remaining completely anonymous.

The demand for their work is high: After a BBC documentary on the Dunkelfeld Institute aired, the Guardian reported that Dunkelfeld’s hotline was overwhelmed with calls from British pedophiles. “One British man was so desperate, he moved to Germany to be able to access a Dunkelfeld programme,” the Guardian wrote. “In an email exchange with the Guardian, the man, who wished to remain anonymous, wrote: ‘So far, all I have ever received from the NHS is doors slammed in my face.'”

There’s not as well-known a center for pedophiles in the U.S. to go to. Richard Kramer, the educational director at B4U-ACT, an online support group for pedophiles, said he figured out he was attracted to pubescent boys in his 20s. (His attraction is to boys around the age of 12 or 13, which is technically called hebephilia.) “I was very ashamed about it and thought that I was seriously defective as a human being,” Kramer said, who is using a pseudonym. “I really wasn’t able to find any information about it. They didn’t want to go to the library for fear that people would see what I’m looking up.”

When he began reading information online, he said, everything he encountered was very negative. “It said that I would be a monster, I would have hundreds of victims, and that my entire life would be centered around an elaborate plot to deceive parents and to manipulate children into abusing them,” he said. “So I thought, well, this is what they think about me. I have no interest in seeing them and seeing a therapist.”

A big part of being successful in therapy is having the support of family and friends, something that pedophiles can lack. They often are going through difficult treatments alone, and are unable to talk about it to others. You can’t tell co-workers, or ask a boss for time off for your appointments. “You have two choices,” said Michael Seto, a forensic psychologist and sexologist at the University of Toronto. “You don’t do it or you lie about it.”

When Kramer was ready to look for a therapist again, he didn’t really care what kind of approach they used, but was more concerned about whether they understood enough about pedophiles to not treat him like a criminal. His goals didn’t involve a struggle to control his impulses, but to manage the shame and sense of isolation from others because he couldn’t be honest.

“We have to insist that people who have this orientation not act upon it,” Berlin said. “If we think about that, that can be quite a burden. It’s not surprising that some of these folks might be in need of mental health assistance, because of the effect of experiencing these attractions on their sense of self-esteem and self-worth.”

“Happy, mentally healthy people do not molest children.”

Some pedophiles are attracted to adults and children; some, only children. For those who are exclusively attracted to children and dedicated to non-offending, Kramer said, there needs to be a space for helping them grieve over not being able to have romantic and sexual relationships. “How do they deal with loneliness?” he said. There are other concerns, some almost mundane: How, for instance, do they deal with answering questions friends and co-workers ask about their personal lives? He’s had friends who asked him if he was gay, and he said he wasn’t sure how to answer.

“I’m not exactly gay, but I’m definitely not straight and I’m definitely not asexual,” he said. “How do you respond to that?”

Gary Gibson founded the ASAP as one potential solution to this problem. Through an involvement with the Association for the Treatment of Sexual Abusers (ATSA), Gibson has been curating a list of therapists to whom he can refer pedophiles. The list is now around 400 names long. ASAP primarily focuses on non-offending pedophiles, but they will also help people who have offended and want to stop. “People are just desperate out there,” Gibson said.

He has worked with pedophiles who were so desperate for help that they underwent physical castrations. One man traveled to Mexico to have the operation done; when he returned, he tried to find a doctor to supervise his recovery and medications. “I could not find a doctor who would take him on,” Gibson said. “They didn’t want him in the office. I did find a therapist to work with him, and I kind of lost contact with him. I’m worried about what happened to him.”

Until recently ASAP has been handled almost entirely by Gibson, but ASAP is currently undergoing a significant expansion. It has increased its office and volunteer staff, is making a new, online database of mental healthcare providers, and creating a 24/7 helpline. Gibson said his dream is to get a multimillion dollar grant to create a mentor program for teenagers, aged 13 to 17, who are learning that they’re pedophiles. “I’ve applied three times,” he said. “Maybe the third time’s the charm, because I’ve been denied twice.”

The goal is to help every non-offending person attracted to children find therapy if they want or need it, said Robert Hillman, a “lifelong virtuous (non-offending) pedophile,” and the new president of ASAP.  Hillman said that the mantra is: “All pedophiles are born non-offending,” and the aim is to help keep it that way. “Happy, mentally healthy people do not molest children,” he said.

“People do the most desperate things when they feel the most desperate,” Cantor said. “A lot of what these groups and therapy provide is helping people lead a life that is worth protecting. When they have a life worth protecting, that’s when people get the energy and the willpower to control themselves, because they don’t want to risk the life that they have.”

What Hillman and Gibson want is the opportunity for any person attracted to children to chart their own path, and figure out what works best for them. That may include an experimentation with medication, and it may not. ASAP doesn’t control their therapists—they all operate independently, using different methods of treatment. They’re not always successful. “One guy has committed suicide that I know of,” Gibson said said. “But I think that we have probably saved a few lives and saved many children from being abused.”

These support groups and therapy networks are providing a lifeline, but alone, they don’t guarantee a consistency in treatment, nor fill the gaps in the scientific literature when it comes to which treatments might be best for a certain person. There might be certain hormone-reducing medications that are less risky or work better than others; certain pedophiles that fare better without drugs; certain therapeutic practices that are more helpful than others. Those answers aren’t clear-cut.

As with all medications, some people have good experiences and others do not. Pedophiles can identify as “ego-dystonic” or “ego-syntonic.” Ego-syntonic people consider pedophilia as part of their identity, and can be okay with fantasizing and masturbating about children (though not with porn), while ego-dystonic people are not. It may be that treatment should be different with those who have different attitudes towards their attraction, even if members of both groups have the same commitment to not offend.

After about five weeks, Parker said that he felt better from the medication he had ordered online. “It was night and day,” he said. “I can’t tell you what a weight was lifted off of me, or a pressure from under me that was relieved. Whenever I think about it I just lay back in my chair and breathe a contented sigh, knowing that I won’t suffer like that again. Both physical urges in my body and intrusive imagery in my mind have disappeared.”

He doesn’t think that medication should be thought of only as a stop-gap to a person committing sexual abuse. “Offending was never a danger for me in the first place,” he said. He doesn’t take the medication to stop himself from molesting a child, but as a way to improve his quality of life.

When Max Weber, who helps run a peer-support website for pedophiles in Germany, realized his attraction to young girls in his early 20s, he said, he was terrified. “My picture of pedophilia at the time was the same wrong impression most parts of society have: that pedophiles were bound to offend,” he said.

Weber got treatment at Dunkelfeld, and said he views medication like a pair of eyeglasses. “You can put [them] on to help yourself focus on things that you want to change about your life.”

To Weber, pedophilia was like being surrounded by deep water; he had to struggle to stand on his toes to avoid drowning. “I needed all my strength to cope with it and don’t drown in my own fears and self-hate,” he said. “As a result sexual impulses felt very powerful since, when you are standing on your toes, even the slightest push could throw you over.”

He took medication for about nine months. During that time when his sexual feelings were repressed, he regained a foothold on his life, he said, and found that even without medication he is able to be around children without issue. “I now know that I am in charge, and no one can make me offend other than myself,” he said.

Two years ago, David, a 22 -year-old recent college graduate from New York and a volunteer for a peer-support group including pedophiles, desperately wanted to take hormone-altering medication. “I hated myself for having feelings about children, and I just wanted to be like everyone else,” he said. “I was also going online and finding articles about how to raise libido, and doing the opposite of all of the advice I found. But I couldn’t find a therapist I felt safe coming out to.”

Since then, he said that support groups like Virtuous Pedophiles have helped him realize that being attracted to children is not something he chose, and he’s not tempted towards any illegal behaviors. “In the end, there was no need for me to go through such a treatment with dangerous side effects,” he said.

Though he never ended up trying medication, David thinks his experience with peer support reveals something important about. It can help reduce physical symptoms, but the rest—the support, the isolation, the shame—all needs to be addressed outside of just taking a pill.

“I struggled with serious depression, anxiety, and self-hatred as a teenager starting to understand that I was a pedophile,” David said. “Becoming less isolated, having people to help when I was hurting, and being able to help others in the same way is what brought me back from that.”

Hillman was a patient of Berlin’s about 25 years ago. “I was on the brink of madness from the desires and from the shame and self-hatred and loathing,” he said. “It was crushing me and I was not going to survive it.” He took hormone-reducing medication with Berlin’s help, and said that combined with therapy, it saved his life. “Since I was at that time and have always been non-offending, my anti-androgen therapy was not mandatory in any way and thus I started and stopped it several times, because of the affordability issues,” Hillman said. “But I can attest that the medication did reduce my thoughts and therefore some of my distress.”

Then he found the Virtuous Pedophiles group about one year ago, and the support he’s culled from the others there has given him a new gusto for life, without medication. “Now I am dedicated to living. And I am dedicated to making sure no one else has to waste their life just to be virtuous,” he said.

Hillman said that these narratives reveal how all pedophiles are different. “Some will benefit from meds and some will not,” he said. “Some are against medication, some are not.”

Rahm hopes to continue studying treatment options for pedophilia, in a rigorous way. In his view of a forthcoming modern pedophile treatment, each person would get an individual assessment and be offered an evidence-based treatment. It would work with helping a pedophile address both their personal feelings and concerns, and also their risk of offending.

“In my vision, some people need therapy, some need medication, some need both, and some won’t have any effect on any of these. They need something else,” Rahm said. This is nothing novel or groundbreaking, he added. “I would just like to apply modern psychiatric thinking to this group.”

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Boris Johnson plans to resign in 6 months because of lingering coronavirus health problems, according to Dominic Cummings father-in-law

  • Boris Johnson plans to resign in six months, according to the father-of-law of his chief adviser.
  • Dominic Cummings’ father-in-law Sir Humphry Wakefield reportedly said that the prime minister would quit early next year due to lingering health problems caused by the coronavirus.
  • Johnson was admitted to an intensive care unit with COVID-19 in April but returned to work just weeks later.
  • Wakefield compared Johnson’s condition to an injured horse who returns to work too soon.
  • “If you put a horse back to work when it’s injured it will never recover,” he is quoted as saying.
  • A Downing Street source described the claim he plans to stand down as “utter nonsense.”

UK prime minister Boris Johnson plans to stand down in 6 months time because of lingering health problems caused by the coronavirus, the father-in-law of his closest aide Dominic Cummings, has reportedly said.

The Times of London diary reported a conversation between Sir Humphry Wakefield, father of Cummings’ wife Mary, and Anna Silverman last week, in which he is alleged to have revealed that Johnson would resign early next year due to the lasting effects of his time in intensive care.

Silverman says she had the conversation with Wakefield when she bumped into him on a trip to Chillingham Castle in Northumberland, northeast England.

Wakefield reportedly compared Johnson’s condition to that of an injured horse who is brought back too early.

“If you put a horse back to work when it’s injured it will never recover,” the Times quotes him as saying.

However, a Downing Street source strongly denied the claim that Johnson was planning to resign in six months’ time, describing it to Business Insider as “utter nonsense.”

Prime Minister Johnson spent five days in intensive care at London’s St Thomas’ Hospital in April after catching the coronavirus. He has since revealed that doctors made “arrangements” for his death and that he was given “litres and litres of oxygen” at the height of his illness in order to keep him alive.

“It was a tough old moment, I won’t deny it. They had a strategy to deal with a ‘death of Stalin’-type scenario,” Johnson said in an interview with The Sun newspaper in May.

“I was not in particularly brilliant shape and I was aware there were contingency plans in place.”

He said: “The doctors had all sorts of arrangements for what to do if things went badly wrong.

“They gave me a face mask so I got litres and litres of oxygen and for a long time I had that and the little nose jobbie.”

There have been multiple reports in the months following his hospitalisation, that his health remains poor.

However, Downing Street has been keen to dispel any suggestions of lingering health problems, with the prime minister posing for photographs whilst doing press-ups, and photos of Johnson jogging being distributed to UK news outlets.

Johnson has been UK prime minister for just over a year after succeeding Theresa May as Conservative party leader in July last year.

He will have to stay on as prime minister for nearly another four years in order to fight the next general election, which is due to take place in May, 2024.

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DNC Illegal Immigrant: ‘I Need Health Insurance. I Deserve it, Right?’

The Democrats’ used their convention on August 19 to prod Americans to welcome ill migrants who enter the United States in search of American health care.

The video features an illegal immigrant who brought her disabled daughter into the United States for life-saving health care. Americans saved the child but cannot yet cure the spina bifida that keeps her apparently confined to a wheelchair.

Jessica Sanchez, the grown daughter, told the Democrats’ audience, “I don’t have the right ID, so I can’t get health insurance through the [Obamacare] exchange. I need health insurance. I deserve it, right?”

“Of course you do,” her mother, Sylvia, said in Spanish. “We all deserve hope, a good life, and health.”

“My mother had no choice,” said Lucy, Sylvia’s U.S.-born daughter. “There was no time to wait to save my sister. She came here looking for a miracle.”

“It breaks my heart to see how babies are separated from their families at the border,” the mother added. “That’s wrong. Those babies need to be with their families.”

“I want to go to law school,” said Jessica. “I want to help my community.”

This segment endorsing a welcome for all sick foreigners is a dramatic escalation from the Democrats’ unpopular promises to fund health care for at least 11 million resident illegal aliens, most of whom work long hours for low wages in the U.S. labor market that is flooded by illegal and legal immigrants.

The Democrats’ video extends their free-health care offer to many millions of people living outside the United States, including roughly 175 million people in Mexico and Central America.

The Democrats’ pitch to migrants is politically risky, partly because many legal-immigrant Latinos have a very ambivalent view of foreign Latinos. For example, in April, a Washington Post poll showed that Latinos were the strongest advocates for a near-total halt to legal immigration during the coronavirus epidemic and economic crash. Other polls show that white, black, and brown Americans will welcome legal migrants but also want limits to protect jobs and resources.

Any bar against foreigners getting life-saving health care is easy to write — but very painful to implement or to ensure public support. For example, foreigners can arrive as tourists, then bring their dying children to hospitals, while also offering to work low-wage jobs. Illegal immigrants get injured at construction sites, can spread epidemics, or be struck down by health problems that can be swiftly and cheaply cured by eager Americans.

But the opposite policy is also painful: Any legal approval for foreigners to use U.S. hospitals will create a global magnet for many millions of poor foreigners who are crippled or dying of cancer, heart diseases, and other ailments. For example, the 2018 caravans of Central American migrants included some who told reporters they were hoping to get treatment for cancer and heart ailments.

In practice, the U.S. quietly provides health care to at least ten million illegal migrants who are in the United States, while also erecting tough physical and legal barriers to the arrival of yet more illegal aliens. This generous healthcare policy is backed by hospital chains that gain millions of extra customers and billions in extra revenue.

President Donald Trump’s deputies also allow a modest number of foreigners to get health care after flying into the United States as tourists. The number of patients and the cost of the “Deferred Action” policy is unpublished.

In 2019, Trump’s deputies dropped a revamp of the program amid an emotional, media-magnified response by Joe Biden, hospitals, and pro-migration groups.

The Democrats used their convention to escalate the dispute.

Trump’s deputies reduce plan to curb the number of overstay illegals using US healthcare after Joe Buden accused officials of cruelly wanting to ‘unplug’ sick kids. It seems DHS/USCIS will grandfather existing patients but block future arrivals. https://t.co/snx3dTkJeD

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Whitmer signs order calling racism a public health crisis

Whitmer signs order calling racism a public health crisis

Beth LeBlanc
The Detroit News
Published 3:15 PM EDT Aug 5, 2020

Gov. Gretchen Whitmer signed Wednesday an order declaring racism a public health crisis and creating the Black Leadership Advisory Council to “elevate Black voices.”

The executive directive asks the Michigan Department of Health and Human Services to have all state employees undergo implicit bias training for employees and “make health equity a major goal.”

Gov. Gretchen Whitmer addresses the state during a speech in Lansing, Mich., Wednesday, Aug. 5, 2020.
Michigan Office of the Governor via AP

People applying to the leadership council must do so by Aug. 19. 

“We must confront systemic racism head on so we can create a more equitable and just Michigan,” Whitmer said in a statement. “This is not about one party or person. I hope we can continue to work towards building a more inclusive and unbiased state that works for everyone.” 

Early in the virus’ path through Michigan, the virus has hurt the Black community more than other communities, and the trend has held true through the summer. 

African-American individuals have made up about 27% of the confirmed cases in Michigan and 39% of the deaths, despite making up 14% of the state’s population, according to state data. 

In April, Whitmer appointed the Michigan Coronavirus Task Force on Racial Disparities chaired by Lt. Gov. Garlin Gilchrist to study the issue of racial disparity. 

While the virus has been challenging for all state residents, “they have been especially tough for Black and Brown people who for generations have battled the harms caused by a system steeped in persistent inequalities,” Gilchrist said.

“These are the same inequities that have motivated so many Americans of every background to confront the legacy of systemic racism that has been a stain on our state and nation from the beginning,” he said.

Whitmer’s Wednesday executive order would task the council with reviewing state laws that perpetuate inequities, promoting legislation seeking “to remedy structural inequities,” providing advice to community groups seeking to benefit the Black community and promoting cultural arts in the African-American community. 

The task force will consist of 16 members and will fall under the Michigan Department of Labor and Economic Opportunity. 

“We are blessed to have a governor who is willing to hear us, march with us and use her office to build a better, more equal world.” Flint Mayor Sheldon Neeley said. 

Whitmer’s separate directive to the state health department requires it to review data and find ways to advocate for communities of color. Data on health disparities among Black people should be analyzed and made available.

The directive requires all existing state employees to complete implicit bias training and new hires to do so within 60 days. 

The department will use an Equity Impact Assessment tool to guide state officials through the potential implications their decisions may have on minorities, according to Whitmer’s office. 

The governor’s remarks come a day after the state of Michigan upped its tally of confirmed cases to 84,050 and its count of deaths related to the virus to 6,220. Hospitalizations linked to the virus have remained relatively low despite upward trends in cases since June. 

“Overall we are seeing a plateau in cases after a slight uptick in June and July,” Khaldun said. 

The Detroit, Grand Rapids and Kalamazoo regions have a little more than 40 cases per million people per day, the Jackson and Upper Peninsula regions about 35 cases per million people per day and the Saginaw and Lansing regions have just under 30 cases per million people per day, the chief medical executive said.  

All of those regions, with the exception of Lansing, have seen decreasing daily case averages over the last weeks, Khaldun said. 

The Traverse City region, which recently came under stricter rules by Whitmer, is averaging about 10 cases per million people per day, she said. 

The state considers daily case incidences that rise above 20 cases per million people per day to be cause for concern, while a safer level is one that stays below 10 cases per million people per day. 

“These are all good signs and we will continue to monitor these metrics,” Khaldun said. But “these plateauing trends are not reason to let our guard down.”

eleblanc@detroitnews.com

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Phil Murphy to Slap 2.5% Tax on Health Insurance Premiums in New Jersey – Shore News Network

TRENTON, NJ – A new bill in Trenton has been passed and is headed for Governor Phil Murphy’s desk that includes a 2.5% tax on health insurance for everyone in New Jersey.  That money will be put in a health insurance affordability fund to provide health insurance for illegal aliens and to support the NJ FamilyCareAdvantage program.

The bill requires entities to pay an annual assessment that is 2.5% of the entity’s net written premiums as defined by the bill.

The bill requires the commissioner to calculate and issue to the health provider a certified assessment that is 2.5% of the entity’s net written premiums. The bill requires entities to pay the assessment issued by the commissioner to the State Treasurer no later than May 1 of each year, as prescribed by the commissioner.

The bill reads:

The bill provides that if the commissioner determines that the amount of the assessment will reduce the State’s total revenue, the commissioner may reduce the assessment. The bill establishes in the Department of the Treasury a nonlapsing revolving fund to be known as the “Health Insurance Affordability Fund.” This fund is to be the repository for all monies collected pursuant to the bill. As directed by the commissioner, in consultation with the Commissioners of the Department of Human Services and the Department of Health, the monies in the fund are to be used only for the purposes of increasing affordability in the individual market and providing greater access to health insurance to the uninsured, including minors, with a primary focus on households with an income below 400 percent of the federal poverty level, expanding eligibility, or modifying the definition of affordability in the individual market, through subsidies, reinsurance, tax policies, outreach and enrollment efforts, buy-in programs, such as the NJ FamilyCare Advantage 2 Program, or any other efforts that can increase affordability for individual policyholders or that can reduce racial disparities in coverage for the uninsured. The bill provides that a report currently required to be issued by the Commissioner of Banking and Insurance by June 1, 2022 shall also set forth the impacts of the measures taken pursuant to the bill on affordability and reductions in racial disparities in health insurance coverage, including impacts by income level, race, and immigration status. The report shall make recommendations to increase affordability and reduce the uninsured rate in New Jersey, as appropriate, based on the data available to the department. The bill also requires that the assessments collected pursuant to the bill be used only for the purposes contained in the bill, with certain provisions to ensure the assessments are used for those purposes in future fiscal years.

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FDA to Henry Ford Health: You can’t use hydroxychloroquine for COVID-19

FDA denies Henry Ford Health request to use hydroxychloroquine for COVID-19 patients

Kristen Jordan Shamus
Detroit Free Press
Published 5:43 PM EDT Aug 13, 2020

Weeks after the U.S. Food and Drug Administration revoked emergency use authorization of hydroxychloroquine to treat COVID-19, saying the drug doesn’t help coronavirus patients and has potentially dangerous side effects, Henry Ford Health System filed for permission to continue using it. 

The Detroit-based health system told the Free Press this week that it sought emergency use authorization July 6 to resume treating some COVID-19 patients with the drug, which is commonly used as an anti-malarial medication and for people with autoimmune diseases like lupus. 

The request came four days after Henry Ford published a controversial study in the International Journal of Infectious Diseases that suggested hydroxychloroquine slashed the COVID-19 death rate in half. The peer-reviewed observational study contradicted other published reports that showed the drug doesn’t help coronavirus patients and could cause heart rhythm problems in some people.

The FDA denied Henry Ford’s request this week.

More: After Fauci criticism, Henry Ford Health clams up on hydroxychloroquine study

More: Hydroxychloroquine saved coronavirus patients’ lives, Michigan study shows

“The U.S. Food and Drug Administration informed us that it would not grant our request for an emergency use authorization for hydroxychloroquine for a segment of COVID-19 patients meeting very specific criteria,” said Dr. Adnan Munkarah, Henry Ford’s executive vice president and chief clinical officer, in a statement. 

The patients who would have received the drug would have had to meet the same criteria as those who were enrolled in Henry Ford’s initial study:

Henry Ford’s study was widely criticized because it was observational, retrospective and not randomized or controlled. Additionally, the health system used hydroxychloroquine in combination with dexamethasone, a steroid, which has been known to improve outcomes for people with COVID-19.

Hope, and conflicting research

Early in the pandemic, hydroxychloroquine looked like it could be a promising treatment for COVID-19, but use of the drug quickly became political.

A French study published March 20 suggested the drug helped people with coronavirus, reporting it “is significantly associated with viral load reduction/disappearance in patients with COVID-19.” Positive outcomes, it noted, were improved when used in combination with the antibiotic azithromycin. 

The next day, President Donald Trump tweeted that hydroxychloroquine and azithromycin “have a real chance to be one of the biggest game changers in the history of medicine.”

Encouraged by those preliminary findings, researchers around the world began to launch their own investigations of the drug, and the FDA issued an emergency use authorization March 28 to allow doctors to begin treating patients with it in hospitalized settings outside clinical trials. 

Henry Ford Health System was among many nationally and across the state to begin using hydroxychloroquine in that way. Michigan Medicine, the Detroit Medical Center and McLaren Health Care also used it.

In early April, both Michigan Medicine and Henry Ford announced they would enroll patients in studies testing the effectiveness of hydroxychloroquine for the treatment of coronavirus. Henry Ford’s study was a retrospective analysis of 2,541 patients hospitalized between March 10 and May 2, 2020 across its six hospitals.

In the weeks that followed, more research suggested that the drug might not help coronavirus patients and could cause some harm. 

An April 23 preliminary review of 368 novel coronavirus patients at U.S. Veterans Health Administration hospitals suggested that the use of hydroxychloroquine — with or without azithromycin — did not reduce the likelihood of needing a mechanical ventilator and it may actually have made patients more likely to die.  

And a review of the initial French study found it was flawed and overstated the benefits of hydroxychloroquine treatment. The review also showed that patients who had bad outcomes after using the drug were dropped from the study, skewing the results. 

Still, Trump continued to publicly praise the drug’s effectiveness, and spoke at White House Coronavirus Task Force news conferences about how he was taking it himself with hopes it would prevent him from contracting the virus.  

With evidence mounting, the FDA issued a warning in late April, urging caution about using hydroxychloroquine in COVID-19 patients. 

“Hydroxychloroquine and chloroquine have not been shown to be safe and effective for treating or preventing COVID-19,” it said. “They are being studied in clinical trials.”

The drugs, it warned, “can cause abnormal heart rhythms such as QT interval prolongation and a dangerously rapid heart rate called ventricular tachycardia. … Patients who also have other health issues such as heart and kidney disease are likely to be at increased risk of these heart problems when receiving these medicines.”

But the federal agency didn’t revoke emergency use authorization of hydroxychloroquine until June 15, writing: “In light of ongoing serious cardiac adverse events and other potential serious side effects, the known and potential benefits of chloroquine and hydroxychloroquine no longer outweigh the known and potential risks for the authorized use.”

The World Health Organization announced June 17 that it would stop testing hydroxychloroquine in coronavirus patients through its Solidarity Trial. The National Institutes of Health halted its hydroxychloroquine study a few days later.

The FDA’s Adverse Events Reporting System logged 9,363 reports of bad reactions to hydroxychloroquine and related medications just in the first eight months of this year. Of them, 8,936 were classified as serious reactions in which 402 people died.

Comparatively, in all of 2019, there were 8,059 reports of adverse reactions to the drug, and 6,982 were considered serious; 146 people died. 

The politics of hydroxychloroquine

When Henry Ford Health System published its hydroxychloroquine study in early July showing success in the treatment of COVID-19 — cutting the mortality rate from 26% among those who did not receive the medicine to 13% among those who did — it was met with skepticism by many in the medical community.

Among the critics was Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Disease, who called the study “flawed” in his testimony in late July at a congressional hearing on the federal government’s efforts to control the pandemic.

Dr. Anthony Fauci, director of the National Institute for Allergy and Infectious Diseases, testifies before a House Subcommittee on the Coronavirus Crisis hearing on a national plan to contain the COVID-19 pandemic, on Capitol Hill in Washington, DC, July 31, 2020.
KEVIN DIETSCH, Pool/AFP via Getty Images

Patients in the Henry Ford study, Fauci said, were given corticosteroids, which are known to be of a benefit to people with COVID-19. And it wasn’t randomized or placebo-controlled, the gold standard for medical studies. 

Yet, Henry Ford’s hydroxychloroquine research was hailed by the president as proof that the drug he touted from the beginning of the COVID-19 crisis works. 

Trump took to Twitter on July 6 — the same day Henry Ford asked the FDA for authorization to resume using hydroxychloroquine in COVID-19 patients — alleging Democrats disparaged the drug for political reasons.

The next day, Dr. Steven Kalkanis, Henry Ford Health System’s chief academic officer and senior vice president, told the Free Press that medicine shouldn’t be political. 

Dr. Steven Kalkanis, CEO of the Henry Ford Medical Group and chief of clinical academics for the Henry Ford Health System.
Henry Ford Health System

“We’re scientists, not politicians,” Kalkanis said. “We’ve never had a preconceived agenda with this study or any study regarding hydroxychloroquine. We simply wanted to use the resources and the opportunity of COVID, given that Detroit was such a hard-hit region, to find out which treatments worked and which treatment didn’t.

“So early on, we embarked on several different studies, and we wanted to let the data lead us to what is appropriate for patients. We stand behind the results of our study. We found that, you know, among 2,500 patients, the use of hydroxychloroquine cut the death rate in half.”

Last week, Henry Ford issued an open letter about its study, saying, “the political climate that has persisted has made any objective discussion about this drug impossible.”

The health system said in the letter that it will no longer comment outside the medical community on the use of hydroxychloroquine to treat novel coronavirus. 

“We are deeply saddened by this turn of events,” said the letter, signed by both Munkarah and Kalkanis.

Dr. Adnan Munkarah, Henry Ford Health System’s executive vice president and chief clinical officer.
Ray Manning/Henry Ford Health System

“Like all observational research, these studies are very difficult to analyze and can never completely account for the biases inherent in how doctors make different decisions to treat different patients. Furthermore, it is not unusual that results from such studies vary in different populations and at different times, and no one study can ever be considered all by itself.”

Trump has continued to support the use of hydroxychloroquine, saying in a July 28 White House news briefing that he believes in its benefit and that “many doctors think it is extremely successful.”

“I took it for a 14-day period, and I’m here. Right?” he said. “I’m here. I happen to think it’s — it works in the early stages. I think front-line medical people believe that, too — some, many. And so we’ll take a look at it. … It’s safe. It doesn’t cause problems. I had no problem. I had absolutely no problem, felt no different. Didn’t feel good, bad, or indifferent.”

Henry Ford is continuing with another research study of hydroxychloroquine that was announced in April in conjunction with Detroit Mayor Mike Duggan. Called the WHIP COVID-19 study, it’s the first large-scale U.S. study to investigate whether using the drug can prevent coronavirus among 3,000 health care workers and first responders.

“The decision does not impact the ongoing WHIP COVID-19 study, a randomized, double-blind investigation of hydroxychloroquine as a preventive treatment,” Munkarah said. 

The outcome of that research has yet to be published.

Contact Kristen Jordan Shamus: 313-222-5997 or kshamus@freepress.com. Follow her on Twitter @kristenshamus. 

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.

Artist Draws Wholesome Watercolor Comics Where A Cat Is Giving Out Mental Health Advice (20 Pics)

Artist Hector Janse van Rensburg aka ‘S**tty Watercolour’ aka ‘Swatercolour’ is making us happier and our lives more wholesome with his comics that feel like miniature hugs and feature a meowtivational cat. The UK-based painter has become a global phenomenon and is now known as the world’s favorite self-deprecating artist.

“The comics that came before this series were less optimistic, and this series is a bit like a response to that. They sometimes approach difficult issues like mental health, but the aim of the comics is not to solve the issues but to show a different perspective on them. That new perspective often comes from the cat, who is based on my cat Ona who passed away a few years ago,” Hector told Bored Panda about his newest work.

We’ve collected some of Hector’s best work featuring the lovely cat, so scroll down, upvote your fave comics, and read on for our full interview with the painter about his art, as well as for his advice when drawing “happy little wobbly blobs of color.”

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“Before I started painting online about 8 years ago, I had never had any interest in art and now it looks like that’s where my life is going,” Hector said. “Ostensibly, that just means I’m sitting at my desk with a brush more often than a keyboard, but it is a whole different type of challenge to think of things about human nature that I want to communicate in my paintings.”

He added: “One part of that is that it’s like I’m living through my art, which can be difficult.”

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We wanted to find out how the painter manages to stay passionate about art. However, Hector told us that passion might be the wrong thing to focus on. Instead, the key is discipline.

“I think if you rely on some feeling of passion to motivate you then you will have a hard time. I’ve been doing a comic every day recently and I tend to wake up, think of an idea, and then have it painted by lunchtime,” he revealed a bit about his disciplined schedule.

“The schedule around my painting process is quite robotic by now, and I think doing it that way opens up a clear space where you can be more creatively free. If I didn’t have a schedule and instead waited around for inspiration that was good enough to motivate me to paint, then I probably wouldn’t be as productive.”

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Hector said that the ideas for his comics come from negative thoughts that he can turn into more positive ones.

“So I think about the ways in which people can feel bad and how you might approach them as a friend would. I don’t think I find it too difficult to think of ideas which is probably a testament to how nice my cat was,” he complimented his cat Ona for being a fantastic feline.

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Bored Panda also wanted to hear what advice Hector would give other potential artists who are dabbling with watercolor paintings. He said that a lot depends on each individual artist’s end-goal: there are two paths that they can take.

“For me, it’s that the niceness and technical ability of a painting are different things and you can aim at either,” he said.

“It’s perfectly possible to make happy little wobbly blobs of color and people will enjoy them if the message is good and sincere. There’s probably a boundary of neatness that you should stay within but messiness is cool too. Also, most of my pictures look very bad at first, and then it’s only after a while that they come together. I think that’s because a few wobbly blobs on their own look like an accident, but a finished painting of wobbly blobs looks purposeful.”

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Hector, who has a Philosophy, Politics, and Economics degree from the University of York, has been experimenting with watercolors since December 2011. He revisited an old watercolor set when he felt bored and depressed. Originally, he started uploading his illustrations on Reddit in 2012, then he spread his gaze wider and moved on to Tumblr and Twitter.

The cartoonist admits that he’s inspired by Sir Quentin Blake who illustrated the children’s books written by beloved author Roald Dahl. So if you felt that you found his art style oddly familiar and felt nostalgia for your childhood when looking at Hector’s drawings, this is why!

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This content was originally published here.

Esper eyes $2.2 billion cut to military health care – POLITICO

Roughly 9.5 million active-duty personnel, military retirees and their dependents rely on the military health system, which is the military’s sprawling government-run health care framework that operates hundreds of facilities around the world. The military health system also provides care through TRICARE, which enables military personnel and their families to obtain civilian healthcare outside of military networks.

The latest news in defense policy and politics.

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Under the proposal in the latest version of Esper’s defense-wide review, the armed services, the defense health system and officials at the Office of the Secretary of Defense for Personnel and Readiness would be tasked to find savings in their budgets to the tune of $2.2 billion for military health. Officials arrived at that number recently after months of discussions with the impacted offices during the review, said a third defense official. A fourth added that the cuts will be “conditions-based and will only be implemented to the extent that the [military health system] can continue to maintain our beneficiaries access to quality care, be it through our military health care facilities or with our civilian health care provider partners.”

However, the first two senior defense officials said the cuts are not supported by program analysis nor by warfighter requirements.

DoD Unified Medical Budget vs Veteran Medical Care Costs (in Billions) | President’s Budget Historical Data

The department’s effort to overhaul the military health system have recently come under scrutiny, as lawmakers pressed the Pentagon on whether the pandemic would affect those plans.

“A lot of the decisions were made in dark, smoky rooms, and it was driven by arbitrary numbers of cuts,” said one senior defense official with knowledge of the process. “They wanted to book the savings to be able to report it.”

“It imperils the ability to support our combat forces overseas,” added a second senior official, who argued that Esper’s moves are weakening the ability to protect the health of active-duty troops in military theaters abroad. “They’re actively pushing very skilled medical people out the door.”

However, a Pentagon spokesperson said the system will “continually assesses how it can most effectively align its assets in support of the National Defense Strategy.

“The MHS will not waver from its mission to provide a ready medical force and a medically ready force,” said Pentagon spokesperson Lisa Lawrence. “Any potential changes to the health system will only be pursued in a manner that ensures its ability to continue to support the Department’s operational requirements and to maintain our beneficiaries access to quality health care.”

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Esper rolled out the results of the first iteration of the defense-wide review in February, revealing $5.7 billion in cost savings that he said would be put toward preparing the Pentagon to better compete with Russia and China, including research into hypersonic weapons, artificial intelligence, missile defense and more.

But the proposed health cuts, in the second iteration of the defense-wide review, would degrade military hospitals to the point that they will no longer be able to sustain the current training pipeline for the military’s medical force, potentially necessitating something akin to a draft of civilian medical workers into the military, the two defense officials said.

The second official noted the challenge in finding outside doctors given longstanding complaints from some U.S. hospitals and researchers that there aren’t enough physicians to serve civilians.

“How’s a ‘draft’ even going to work?” the official said “The U.S. is dealing with a doctor shortage.”

As a result, the proposed reductions would hurt combat medical capability without actually saving money, the officials argued. The Pentagon is already significantly overspending on private sector care and TRICARE because patients are being pushed out of undermanned military health facilities to the private health care network, they said. The cuts also would follow nearly a decade of the Pentagon holding military health spending flat, even as spending on care for veterans and civilians has ballooned.

The officials blamed the Pentagon’s Cost Assessment and Program Evaluation office, or CAPE, under the leadership of John Whitley, who has been acting director since August 2019, for the cuts. CAPE conducts analysis and provides advice to the secretary of defense on potential cuts to the defense budget.

During Whitley’s confirmation hearing to be the permanent CAPE director last week, Sen. Doug Jones (D-Ala.) pressed him on the health cuts.

“Folks in my state have expressed some concern and opposition to some of the policies, which allow only active-duty service members to visit military treatment facilities,” Jones said. “What do I tell those folks?”

“The department does have work to do on expanding choice and access to beneficiaries,” Whitley responded. “Sometimes that’s in an MTF, sometimes that’s in the civilian health care setting.”

Whitley has specifically tried to eliminate the Murtha Cancer Center as an unnecessary expense, said one senior official.

Last fall, Whitley and CAPE also sought to close the Uniformed Services University of the Health Sciences, which prepares graduates for the medical corps, as part of the defense-wide review, the people said. Although at the time Esper denied the proposal, CAPE is now seeking major cuts to USU as part of the $2.2 billion. The reductions include eliminating all basic research dollars for combat casualty care, infectious disease and military medicine for USU, as well as slicing operational funds.

“What’s been proposed would be devastating, and it’s coming right out of Whitley’s shop,” said the senior official. “Instead of a clean execution, USU would be bled to death.”

The officials pointed out that USU has contributed to the Covid-19 response in recent months by graduating 230 medical officers and Nurse Corps officers early from the class of 2020 School of Medicine, leading and participating in research clinical trials for virus countermeasures and contributing to the Operation Warp Speed effort to develop a vaccine.

This content was originally published here.

Europe’s Top Health Officials Say Masks Aren’t Helpful in Beating COVID-19 – Foundation for Economic Education

That’s less than one-third of the number of Danes who die from pneumonia or influenza in a given year.

Despite this success, Danish leaders recently found themselves on the defensive. The reason is that Danes aren’t wearing face masks, and local authorities for the most part aren’t even recommending them.

This prompted Berlingske, the country’s oldest newspaper, to complain that Danes had positioned themselves “to the right of Trump.”

“The whole world is wearing face masks, even Donald Trump,” Berlingske pointed out.

This apparently did not sit well with Danish health officials. They responded by noting there is little conclusive evidence that face masks are an effective way to limit the spread of respiratory viruses.

“All these countries recommending face masks haven’t made their decisions based on new studies,” said Henning Bundgaard, chief physician at Denmark’s Rigshospitale, according to Bloomberg News. (Denmark has since updated its guidelines to encourage, but not require, the use of masks on public transit where social distancing may not be possible.)  

Denmark is not alone.

Despite a global stampede of mask-wearing, data show that 80-90 percent of people in Finland and Holland say they “never” wear masks when they go out, a sharp contrast to the 80-90 percent of people in Spain and Italy who say they “always” wear masks when they go out.

Dutch public health officials recently explained why they’re not recommending masks.

“From a medical point of view, there is no evidence of a medical effect of wearing face masks, so we decided not to impose a national obligation,” said Medical Care Minister Tamara van Ark.

Others, echoing statements similar to the US Surgeon General from early March, said masks could make individuals sicker and exacerbate the spread of the virus.

“Face masks in public places are not necessary, based on all the current evidence,” said Coen Berends, spokesman for the National Institute for Public Health and the Environment. “There is no benefit and there may even be negative impact.”

In Sweden, where COVID-19 deaths have slowed to a crawl, public health officials say they see “no point” in requiring individuals to wear masks.

“With numbers diminishing very quickly in Sweden, we see no point in wearing a face mask in Sweden, not even on public transport,” said Anders Tegnell, Sweden’s top infectious disease expert.

What’s Going on With Masks?

The top immunologists and epidemiologists in the world can’t decide if masks are helpful in reducing the spread of COVID-19. Indeed, we’ve seen organizations like the World Health Organization and the CDC go back and forth in their recommendations.

CDC does not currently recommend the use of facemasks to help prevent novel #coronavirus. Take everyday preventive actions, like staying home when you are sick and washing hands with soap and water, to help slow the spread of respiratory illness. #COVID19 https://t.co/uArGZTJhXj pic.twitter.com/yzWTSgt2IV

— CDC (@CDCgov)

For the average person, it’s confusing and frustrating. It’s also a bit frightening, considering that we’ve seen people denounced in public for not wearing a mask while picking up a bag of groceries.

Opening day at Trader Joe’s in North Hollywood, Ca.

Karen is mad she was mask shamed… pic.twitter.com/pF3Zgj3w2E

— Rex Chapman🏇🏼 (@RexChapman)

The truth is masks have become the new wedge issue, the latest phase of the culture war. Mask opponents tend to see mask wearers as “fraidy cats” or virtue-signalling “sheeple” who willfully ignore basic science. Mask supporters, on the other hand, often see people who refuse to wear masks as selfish Trumpkins … who willfully ignore basic science.

There’s not a lot of middle ground to be found and there’s no easy way to sit this one out. We all have to go outside, so at some point we all are required to don the mask or not.

It’s clear from the data that despite the impression of Americans as selfish rebel cowboys who won’t wear a mask to protect others, Americans are wearing masks far more than many people in European countries.

Polls show Americans are wearing masks at record levels, though a political divide remains: 98 percent of Democrats report wearing masks in public compared to 66 percent of Republicans and 85 percent of Independents. (These numbers, no doubt, are to some extent the product of mask requirements in cities and states.)

Whether one is pro-mask or anti-mask, the fact of the matter is that face coverings have become politicized to an unhealthy degree, which stands to only further pollute the science.

Last month, for example, researchers at Minnesota’s Center for Infectious Disease Research and Policy responded to demands they remove an article that found mask requirements were “not based on sound data.”

The school, to its credit, did not remove the article, but instead opted to address the objections critics of their research had raised.

First, Do No Harm

The ethics of medicine go back millennia. 

The Hippocratic Oath famously calls on medical practitioners to “first, do no harm.” (Those words didn’t actually appear in the original oath; they developed as a form of shorthand.)

There is a similar principle in the realm of public health: the Principle of Effectiveness.

Public health officials say the idea makes it clear that public health organizations have a responsibility to not harm the people they are assigned to protect.

“If a community is at risk, the government may have a duty to recommend interventions, as long as those interventions will cause no harm, or are the least harmful option,” wrote Claire J. Horwell Professor of Geohealth at Durham University and Fiona McDonald, Co-Director of the Australian Centre for Health Law Research at Queensland University of Technology. “If an agency follows the principle of effectiveness, it will only recommend an intervention that they know to be effective.”

The problem with mask mandates is that public health officials are not merely recommending a precaution that may or may not be effective.

They are using force to make people submit to a state order that could ultimately make individuals or entire populations sicker, according to world-leading public health officials.

That is not just a violation of the Effectiveness Principle. It’s a violation of a basic personal freedom.

Mask advocates might mean well, but they overlook a basic reality: humans spontaneously alter behavior during pandemics. Scientific evidence shows that American workplaces and consumers changed the patterns of their travel before lockdown orders were issued.

As I’ve previously noted, this should come as no surprise: Humans are intelligent, instinctive, and self-preserving mammals who generally seek to avoid high-risk behavior. The natural law of spontaneous order shows that people naturally take actions of self-protection by constantly analyzing risk.

Instead of ordering people to “mask-up” under penalty of fines or jail time, scientists and public health officials should get back to playing their most important role: developing sound research on which people can freely make informed decisions.

See the World Health Organization’s Latest Guidelines on Masks and COVID-19

Editor’s note: This story was updated to reflect Denmark’s recent update on mask guidelines. 

This content was originally published here.

Riccobene Associates Family Dentistry Donates to Local Food Banks

Riccobene Associates Family Dentistry is working hard to do all they can to help those in need during the COVID-19 outbreak. Since the company’s founding over 19 years ago, the dental group has always given back to the communities they serve. This week and in weeks to come, the Riccobene staff will be teaming up with local food banks to help carry out their mission in providing food and support for those in need. Each of the 30+ Riccobene locations across North Carolina will be participating in this community initiative, donating non-perishable food items, including canned fruits and vegetables, cereal, peanut butter, juice boxes and other needed food items. 

The Riccobene team encourages allwho are able, to support their local food banks. With many schools and businesses shutting down to prevent the spread of COVID-19, thousands will be left without food. Smiles on Us, a community outreach program Riccobene Associates started to give back to local communities, is determined to take advantage of this opportunity to make a big impact. 

“We’re proud to participate in the community’s efforts to help children and families across North Carolina who are in need. It’s the right thing to do, and it’s who we are as a company,” says Whitney Suiter, Director of Marketing at Riccobene Associates.

To encourage donations, Riccobene Associates has provided a list of food banks across North Carolina. 

List of Local Food Banks

Raleigh

1924 Capital Boulevard, Raleigh, NC 27604

Wake Forest

149 E Holding Avenue, Wake Forest, NC 27587

Knightdale

111 N First Ave, Knightdale, NC 27545

Cary

187 High House Road, Cary, NC 27511

Apex

1600 Olive Chapel Road, Suite 408, Apex, NC 27502

Garner

209 S Robertson Street, Clayton, NC 27520

Clayton

Samaritan Shelf Food PantryWest Clayton Church of God // 143 Short Johnson Rd, Clayton, NC 27520

Selma

401 W Anderson St, Selma, NC 27576

Goldsboro

Community Soup Kitchen112 West Oak St. Goldsboro 27530 (no website) 919-731-3939

Greensboro

3210 Summit Avenue, Greensboro, Nc, 27405

Charlotte

500-B Spratt Street, Charlotte, NC 28206

Fayetteville

Hunger Can’t Wait406 Deep Creek Road, Fayetteville, NC 28312

Clemmons

2585 Old Glory Road, Suite 109, Clemmons, NC 27012

Benson

Deliverance Church- 103 E Main St, Benson, NC 27504

Rocky Mount

1725 Davis Street, Rocky Mount, NC 27803

Holly Ridge

12395 NC Hwy 50, Hampstead, NC 28443

Oxford

ACIM (Area Congregations In Ministry) – 634 Roxboro Rd, Oxford, NC 27565

Wilmington

1314 Marstellar Street, Wilmington, NC 28401

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Dr. Scott Atlas disputes COVID-19 fear mongering tactics from our health officials –

Dr. Scott Atlas disputes COVID-19 fear mongering tactics from our health officials

SAN DIEGO (KUSI) – As coronavirus cases continue to increase across the United States, health officials and Democrat politicians seem to be using that statistic to fear monger and justify closure orders.

Dr. Scott Atlas of the Hoover Institute, discussed why we don’t need to be scared of the increase spread of coronavirus on Good Morning San Diego with KUSI’s Paul Rudy.

Atlas said that he has done more than a superficial analysis of the numbers, and after analyzing them, he doesn’t get scared.

Explaining, “When you look all over at the states who are seeing a lot of new cases, you have to look at who is getting infected because we should know by now, that the goal is not to eliminate all cases, that’s not rational, it’s not necessary, if we just protect the people who are going to have serious complications. We look at the cases, yes there’s a lot more cases, by the way they do not correlate in a time sense to any kind of reopening of states. If you look at the timing, that’s just a misstatement, a false narrative. The reality is they may correlate to the new protests and massive demonstrations, but it’s safe to say the majority of new cases are among younger, healthier people.”

Furthermore, Dr. Atlas emphasized the fact that the death rates are not going up, despite the increase in cases. “And that’s what really counts, are we getting people who are really sick and dying, and we’re not, and when we look at the hospitalizations, yes, hospitals are more crowded, but that’s mainly due to the re-installation of medical care for non COVID-19 patients.”

Dr. Atlas used Texas of an example saying, “90+% of ICU beds are occupied, but only 15% are COVID patients. 85% of the occupied beds are not COVID patients. I think we have to look at the data and be aware that it doesn’t matter if younger, healthier people get infected, I don’t know how often that has to be said, they have nearly zero risk of a problem from this. The only thing that counts are the older, more vulnerable people getting infected. And there’s no evidence that they really are.”

Dr. Atlas then pointed out the hospitalization length of stay is about half of what it once was.

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.

Health expert Zeke Emanuel says 250,000 Americans could die of COVID by end of year – CBS News

Bioethicist Dr. Zeke Emanuel is predicting that up to 250,000 Americans could die directly from the coronavirus by the end of the year. In an interview with CBS News chief Washington correspondent Major Garrett, Emanuel, who is the vice provost for Global Initiatives and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, slammed the Trump administration’s response to the pandemic as “incompetent and pretty disastrous.”

“Before the year is out, we’ll probably have, I would think, between 220,000 and 250,000 Americans who died directly from COVID, not to mention those people who are dying indirectly,” Emanuel said in this week’s episode of “The Takeout” podcast. Emanuel singled out people with heart conditions or in need of cancer treatment who may not visit the doctor due to concerns about catching the virus as factors contributing to high indirect mortality rates.

“You’ll have a huge increase in mortality because of COVID, and that is, it seems to me, to be a failure,” Emanuel said. Emanuel is also a senior fellow for the left-leaning think tank Center for American Progress, and he is also on former Vice President Joe Biden’s campaign task force to address the coronavirus.

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Highlights from this week’s episode:

Emanuel noted that several states have seen an uptick in cases in recent weeks, and that the daily death tolls are comparable to what they were at the onset of the pandemic in the U.S. in March.

“That’s not progress, that’s regression. In some ways, you can say we’ve wasted four months,” Emanuel said. He also shot down President Trump’s claim that 40 million people had been tested. Forty million tests have been administered, with some people receiving multiple tests.

“We were extremely slow to develop good testing, and we still don’t have the best testing that we should,” Emanuel said.

However, Emanuel and the Trump administration do agree on one point: Schools should be reopened safely in the fall.

“We need to open up primary and secondary schools in the fall. I think it’s really important. I think you can do it safely. But whenever I say it, I don’t mean ‘no COVID,’ I mean ‘you will get COVID and kids will get COVID,’ but you can do it in a way that tries to minimize those cases,” Emanuel said. “It’s not risk-free. Life is not risk-free. But I think it’s probably worth it.”

Emanuel bemoaned how wearing a mask has become politicized, in part because the president has largely avoided wearing a mask in public.

“I heard someone saying, ‘Oh only sissies wear masks.’ Baloney! You wear a mask because you don’t want to spread it to someone else, and you don’t want to catch it from someone else,” Emanuel said. “Will it absolutely protect you? No. Will it decrease your chance of getting COVID? Yes.”

For more of Major’s conversation with Emanuel, download “The Takeout” podcast on Art19, iTunesGooglePlaySpotify and Stitcher. New episodes are available every Friday morning. Also, you can watch “The Takeout” on CBSN Friday at 5pm, 9pm, and 12am ET and Saturday at 1pm, 9pm, and 12am ET. For a full archive of “The Takeout” episodes, visit www.takeoutpodcast.com. And you can listen to “The Takeout” on select CBS News Radio affiliates (check your local listings).  

Producers: Arden Farhi, Jamie Benson, Sara Cook and Eleanor Watson
CBSN Production: Eric Soussanin, Julia Boccagno and Grace Segers
Show email: TakeoutPodcast@cbsnews.com
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Facebook: Facebook.com/TakeoutPodcast

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The Democrats’ Baffling Silence as Millions of Americans Lose Their Health Insurance

One of the many things that made the United States uniquely vulnerable to the coronavirus pandemic is the relationship between health care and employment in this country. About half of all Americans have employer-provided insurance; if you don’t, you are left to a mass of overlapping state and federal programs, though depending on where you live, you might find none of them overlap with you. It has been clear from the start that this patchwork health care nonsystem would cause unique problems fighting the coronavirus, and people are undoubtedly dead directly because of these problems. Months into the pandemic, the twin crises of Covid-19 and gaps in insurance are compounding each other: A new report from Families USA suggests that more than five million people have lost their insurance already; another report, from the Urban Institute, predicts another 10 million will lose their coverage by the end of the year.

It is easy to look at any issue plaguing America, from the coronavirus and health care to crumbling schools or roads, and say that the Republicans are standing in the way of progress, which they are. But there’s another dynamic at play with health care. It plainly doesn’t matter very much to our leaders—whether it’s Nancy Pelosi or Donald Trump—whether people have insurance and whether they get health care. Once a government gets used to a situation where tens of millions of people don’t have health insurance, which has always been the case in the U.S., how do we get our leaders to care when another five or 10 million are added to that number? Once you have accepted that some people don’t get to have health care, as if they’re just part of the scenery, why would another five million people at risk of financial ruin or death spur action?

The Trump administration’s response to the health insurance crisis has been predictably nonexistent. The Los Angeles Times noted Tuesday that the Trump administration has not made any sort of push to stem the loss of health insurance, with no effort to encourage people to sign up for Affordable Care Act marketplace coverage, for example. Larry Levitt, executive vice president of the Kaiser Family Foundation, told the paper that this is because the ACA is such a “political football,” adding, “what you’d normally think would be good government simply isn’t happening.” Expecting Republicans to practice good government is like expecting a dog to practice good hygiene.

On the Democratic side, there has been a range of proposals, but none that have been advocated for very forcefully. The Heroes Act, a $3 trillion stimulus bill passed by the House that was never intended to survive whole in the Senate, would fully subsidize Cobra, the program that allows laid-off workers to keep their employer-provided insurance. This usually comes at a laughably unaffordable cost, as employees must pay both their portion and the employer’s portion of the premium, but the Democratic bill would pay insurers to make it free for ex-employees instead. The left-wing criticism of this is that it provides a huge giveaway to insurers, who charge far more than they need to in premiums to rake in massive profits, instead of expanding government health insurance to laid-off people. (And, of course, many employer-sponsored insurance plans are too expensive for people to use even if their premiums are paid, because of high deductibles and co-insurance.)

That’s all true, but put that aside for a moment and think strategically. Even if making Cobra free for ex-workers were the best possible thing Democrats could get out of the Senate, why roll it into this bill that will never pass? Minimizing the loss of health insurance is among the most urgent tasks of this pandemic, along with controlling the spread of disease, providing economic relief, and preventing a wave of evictions. (Not on the list: getting bailout funds to lobbyists.)

If the Democrats wanted to run on health care against Trump, which worked in 2018 and which Joe Biden has shown an interest in doing despite struggling to articulate basic facts about his health care plan, this would be a perfect time to introduce a bluff-calling bill. Expanding Cobra is the barest minimum the government could do to provide health insurance in this crisis; Republicans don’t even have a counterproposal, because they fundamentally do not want more people to have health insurance. Expanding Cobra is such a centrist, even right-wing idea that Republican strategists write in their memos that Republicans should do it, because the alternative is expanding Medicaid, which is increasingly popular. And we can’t have that.

The Democrats could cut and paste the Cobra segment of the Heroes Act, introduce a stand-alone bill, call it the Health Access Protection Act or something suitably Third Way–ish, and dare the Republicans to vote against keeping laid-off workers on their health insurance—if, that is, they really believed in and wanted this solution to happen. There’s plenty of money for ads on the Democratic side, still. You could argue that splitting off any one part of the bill would damage the chances for success on the overall bill, or you could see the Democrats’ inability to capitalize on the fact that more than five million people have lost their health insurance as further evidence that they do not understand what a crisis American health care was already in long before the first Covid-19 case.

The lack of urgency that has characterized the federal response to this crisis—in 10 days, the expanded unemployment benefits expire, and we have no idea whether anything will be done to extend them—is simply a continuation of how the government has tolerated the obvious failures of the system up to this point. People without health insurance, like those with insurance, have bodies that break down, stop working, throw out weird symptoms and lumps and fluids, produce anxiety or depression. When these things happen to uninsured people, they often end up going to the emergency room, and rack up bills that they can’t pay, costing hospitals and the government money and often ruining their lives.

A person without health insurance can still catch the coronavirus, infect others, and get dangerously or fatally sick, without knowing that they are supposed to be able to go to the doctor about that for free: The Department of Health and Human Services reported last week that it has paid out far fewer claims for Covid-19 testing and treatment for the uninsured than it expected. Everything about the health care system is complicated, hostile, and potentially ruinous for people without health insurance, so it’s not surprising if a lot of people couldn’t shake that experience off within a matter of weeks and months. It’s true that our health care system was not designed to handle a pandemic, but it would be more accurate to say that our system was not designed to provide health care to people en masse, whether that is regular checkups or chemotherapy.

All of this would be fixed by passing Medicare for All, which Democratic voters like and which gets favorability ratings comparable to or better than the Affordable Care Act’s. It would not pass the Senate, of course, but it would provide a club to beat Republicans with. Barring a sudden change of heart on single-payer, it would still be easy and beneficial for Democratic leadership to do anything at all to show they care about people who have lost their health insurance. Propose a bill. Hold a press conference. Take a camera and go to a hospital, a homeless shelter, or a McDonald’s and talk to uninsured people who would tell you that yes, actually, I would like it if Mitch McConnell would allow me to have health insurance. All of this would be better than nothing, as inadequate as expanding Cobra would be. But Democrats won’t do these things, because they don’t really care. Once you’ve accepted 27 million uninsured, what’s another five million lives?

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.

As Pandemic Toll Rises, Science Deniers in Louisiana Shun Masks, Comparing Health Measures to Nazi Germany

Science denial in America didn’t begin with the Trump administration, but under the leadership of President Trump, it has blossomed. From the climate crisis to the COVID-19 pandemic, this rejection of scientific authority has become a hallmark of and cultural signal among many in conservative circles. This phenomenon has been on recent display in Louisiana, where a clear anti-mask sentiment has emerged in the streets and online even as COVID-19 cases rise.
“Are you a masker or a free breather?” Pastor Tony Spell asked the crowd while speaking from the bed of a pickup truck at a July 4 “Save America” rally in Baton Rouge. At the end of March Spell gained international attention for his refusal to stop his church’s services despite Gov. John Bel Edwards’ stay-at-home order, which was issued to slow the Louisiana’s rapid rise in COVID-19 cases.
 
“It has never been about a virus — it is about destroying America,” Spell claimed, before equating a government whose public health measures restrict church gatherings and require protective face coverings in public to Germany under Hitler. A crowd of less than 200 roared in agreement at the rally that was held across from the governor’s mansion. 

Pastor Tony Spell
Pastor Tony Spell speaking at the “Save America” rally in Baton Rouge on July 4.

Attendees of a "Save America" rally in Baton Rouge on July 4
Attendees of the “Save America” rally in Baton Rouge on July 4 including one holding a fan.

On July 8, another conservative voice, Louisiana State Representative Danny McCormick, posted a video on Facebook making a similar comparison to Nazi Germany. “This isn’t about whether you want to wear a mask or you don’t want to wear a mask — this is about your right to wear a mask or not,” McCormick said. “This is about liberty. Your body is your private property … People who don’t wear a mask will be soon painted as the enemy — just as they did the Jews in Nazi Germany. Now is the time to push back before it is too late.”

 At a press conference the day after McCormick posted his video, Gov. Edwards announced that the state had lost its previous gains against the coronavirus. 

McCormick’s statements come about six months into a public health crisis that has infected 71,884 Louisiana residents and killed 3,247, as of July 9. Despite the pandemic’s accelerating and deadly spread, the complaints by McCormick, Pastor Spell, and the others joining them at a handful of protests in Baton Rouge  illustrate a pervasive disdain for science held by many associated with the Republican Party. 

Louisiana State Rep. Danny McCormick
State Representative Danny McCormick at an “End the Shutdown” protest in Baton Rouge, Louisiana, on April 25.

State Rep. Danny McCormick's talking points at an "end the shutdown" rally in Louisiana
State Representative Danny McCormick’s talking points on an index card he held while making a speech during an “End the Shutdown” rally in Baton Rouge on April 25.

A DeSmog investigation found that a number of groups behind protests against pandemic stay-home orders are also part of the climate change countermovement, a term coined by sociologist Robert Brulle. U.S. Sen. Sheldon Whitehouse (D-RI) has called this network of individuals and organizations disputing climate science the “web of denial.”

April and May rallies in Louisiana pushing to open the state followed larger rallies in Idaho, Michigan, and North Dakota. Helping tie together what Trump has called the “liberate” movement is the State Policy Network (SPN). As DeSmog has reported, SPN is “a network of state-level conservative think tanks advancing pro-corporate agendas, [and] has received money from the likes of the Koch family, the Devos family, the Mercer Family Foundation, and others.” 

Woman with a COVID-19 denial sign at an "end the shutdown" rally in Baton Rouge
Woman with a Covid-19 denial sign at an “End the Shutdown” protest in Baton Rouge, Louisiana, on April 25.

Woman with a COVID-19 denial sign targeting Bill Gates, a common target of the right wing
Woman with a Covid-19 denial sign sporting a message for Bill Gates, a common target of the right wing, at an “End the Shutdown” protest in Baton Rouge, Louisiana, on April 25.

At an April 25 “End the Shutdown” rally in Baton Rouge, rally-goers, led by Rep. McCormick, marched from the State Capitol building to the nearby lawn across from the governor’s mansion to express their anger with his handling of the crisis. In a speech, McCormick offered talking points to counter Gov. Edwards’ emergency orders meant to address the COVID-19 pandemic. The talking points mirrored a memo sent by GOP political operative Jay Connaughton to Republican State Sen. Sharon Hewitt and shared with GOP state legislators. Hewitt is one of Louisiana’s top conservative leaders. In 2018 she was named “National Legislator of the Year” by the American Legislative Exchange Council (ALEC).

Veronica Lemoa, a stay-at-home mom, at the "end the shutdown" protest on April 25 in Baton Rouge
Veronica Lemoa, a stay-at-home mother, at an “End the Shutdown” protest on April 25, 2020 in Baton Rouge, Louisiana. 

Young girl at an "Open Louisiana" event in Baton Rouge May 2
Young girl at an “Open Louisiana” event in Baton Rouge on May 2 across from the Governor’s Mansion. 

Despite President Trump’s praise for Gov. Edwards, a Democrat, for his handling of the pandemic, anti-mask protesters are equating the governor’s stay-at-home order and mask mandate with the first step to tyranny. Spell, who was arrested for defying the mask mandate, did not stop with his sharp criticism of the governor — and also had some for Trump. While he is glad the Trump administration deemed churches “essential,” in order to reopen them, Spell proclaimed that he doesn’t need the president’s permission, and warned: “If they can give you your right to go to church, then they can take from you your right to go to church.”


Pastor Tony Spell speaking on the July 4 at rally in Baton Rouge. 

At the July 4 rally, many expressed their support for Trump, and saw the upcoming presidential election as the most important in their lifetime. They labeled those who wear protective face coverings “sheep.” Out of the less than 200 rally-goers, I saw only two people with face masks. One was worn by a man that had the words “Dixie Beer” painted on it, which was expressing his disdain over the decision by the owner of the New Orleans beer company to change the beer’s name in response to anti-racism demonstrations. The other mask I noticed at the rally was worn on a woman’s arm. 

The only man wearing a face mask at a "save America" rally on July 4
The only man wearing a mask on his face at a “Save America” rally in Baton Rouge on July 4. He expressed his displeasure that the owner of Dixie Beer is changing the New Orleans beer’s name. 

Woman with a mask on her arm at the "save America" July 4 rally
Woman wearing a face mask on her arm at the “Save America” rally in Baton Rouge on July 4. 

In an April 1 op-ed in Newsweek, Rochester Institute of Technology philosophy professor Lawrence Torcello, and Pennsylvania State University climate scientist Michael E. Mann wrote: “Unfortunately, President Trump has again emerged as a leading source of disinformation. Having called COVID-19, as he previously did with climate change, a ’hoax,’ he now resorts to calling COVID-19 the ‘Chinese Virus.’ In the case of both COVID-19 and climate change, he has outsourced policy decision-making to science deniers. In both cases he is as wrong as he is xenophobic — and in both cases his predictable disinformation endangers lives.”

In February, before the first COVID-19 cases were identified in Louisiana, Gov. Edwards finally broke away from Trump on espousing climate science denial. 

Louisiana will not just accept or adapt to climate change impacts,” Edwards stated at a news conference in Baton Rouge. “Louisiana will do its part to address climate change.” In a reversal of his previous statements that questioned humans’ well-established role in driving the climate crisis, he said, “Science tells us that rising sea level will become the biggest challenge we face, threatening to overwhelm our best efforts to protect and restore our coast. Science also tells us that sea level rise is being driven by global greenhouse gas emissions.”

But Sharon Lavigne, founder of RISE St. James, a community group fighting petrochemical industry expansion in Louisiana’s Cancer Alley, doubts his sincerity. “If the governor is serious about reducing carbon emissions, he needs to pull the plug on Formosa.” Plastics giant Formosa is poised to start building a petrochemical complex in St. James Parish that has received permits to spew the emissions equivalent of 2.6 million cars. 

Petrochemical companies are one of Louisiana’s top producers of carbon dioxide, one of the globe-warming gases linked to human-caused climate change. However, the governor has not walked back his support of Formosa’s project. 

Edwards was the first governor in the country to point out that African Americans are being disproportionately impacted by the pandemic. But he has yet to address the impact which ongoing pollution from the petrochemical industry plays in the poor health of predominantly Black communities living near existing plants, or future ones, such as Formosa’s in St. James Parish.

Many U.S. leaders have failed to take to heart scientists’ warnings that half-measures to combat climate change and the COVID-19 pandemic won’t work. Meanwhile, temperatures across America are hitting new record highs, and cases of the coronavirus continue to rise exponentially, leading top U.S. infectious disease official Dr. Anthony Fauci to advise states “having a serious problem” with a surge in coronavirus cases to “seriously look at shutting down.” 

Protester across from the Louisiana Governor's Mansion on May 2
Protester across from the Governor’s Mansion in Baton Rouge on May 2 with a protest sign against Anthony Fauci, Bill Gates, and the “New World Order.”  

Protesters across from the Louisiana Governor's Mansion on May 2
Protesters across from the Governor’s Mansion in Baton Rouge on May 2.   

As with climate change, theoretical models have proven essential for anticipating what is likely to happen in the future. In the case of coronavirus, the initial spread of this virus is occurring at an exponential rate as models predicted,” Torcello and Mann pointed out in their Newsweek op-ed. “This means we can anticipate that larger sums of people will become infected in the coming weeks. We know the majority of those infected by COVID-19 will experience mild or no symptoms while remaining highly contagious, and we know that for others, COVID-19 will create the need for ventilators and other emergency medical supports that we do not yet have in sufficient supply. It is worth emphasizing: The fact that most people will experience mild symptoms is irrelevant to a crisis, like COVID-19, which is grounded in the math of large numbers.”

In his 1995 book The Demon-Haunted World, astronomer and science writer Carl Sagan presaged, with trepidation, an America wherein “our critical faculties in decline, unable to distinguish between what feels good and what’s true, we slide, almost without noticing, back into superstition and darkness…a kind of celebration of ignorance.”

After viewing some of my photos from the recent “Save America” rally, Mann wrote in an email: “These people, sadly, are the purest embodiment of Sagan’s chilling prophecy.”

Protester across from the Governor’s Mansion on May 2 with a protest sign that is a variation of the Gandsen Flag. 
Protester across from the Governor’s Mansion on May 2 with a protest sign that is a variation of the Gandsen Flag. 

Trump supporters at a rally across from the Governor’s Mansion on July 4.
Trump supporters at a rally across from the Governor’s Mansion on July 4.

Protesters at an “End the Shutdown" event in Baton Rouge on April 25 march from the Capital Building to the Governor’s Mansion nearby. 
Protesters at an “End the Shutdown” event in Baton Rouge on April 25 march from the Capital Building to the Governor’s Mansion nearby. 

Main image: Woman holding an anti-mask sign at a July 4 “Save America” rally in Baton Rouge. Credit: All photos and video by Julie Dermansky for DeSmog

This content was originally published here.

Millions Have Lost Health Insurance in Pandemic-Driven Recession – The New York Times

The White House and Congress have done little to help. The Trump administration has imposed sharp cuts on the funding for outreach programs that assist people in signing up for coverage under the health law. And while House Democrats have passed legislation intended to help people to keep their health insurance, the bill is stuck in the Republican-controlled Senate.

Rather than expand access to subsidized insurance under the Affordable Care Act, Mr. Trump has promised to directly reimburse hospitals for the care of coronavirus patients who have lost their insurance. But there is little evidence that has begun.

“Helping people keep their insurance through a public health crisis surprisingly has not gotten much attention,” said Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation. “This is the first recession in which the A.C.A. is there as a safety net, but it’s an imperfect safety net.”

The Families USA study is a state-by-state examination of the effects of the pandemic on laid-off adults younger than 65, the age at which Americans become eligible for Medicare. It found that nearly half — 46 percent — of the coverage losses from the pandemic came in five states: California, Texas, Florida, New York and North Carolina.

In Texas alone, the number of uninsured jumped from about 4.3 million to nearly 4.9 million; three out of every 10 Texans are uninsured, the research found. In the 37 states that expanded Medicaid under the Affordable Care Act, 23 percent of laid-off workers became uninsured; the percentage was nearly double that — 43 percent — in the 13 states that did not expand Medicaid, which include Texas, Florida and North Carolina.

Five states have experienced increases in the number of uninsured adults that exceed 40 percent, the analysis found. In Massachusetts, the number nearly doubled, rising by 93 percent — a figure Mr. Dorn attributed to a large number of people losing employer-based coverage there. Across the country as a whole, more than one in seven adults — 16 percent — is now uninsured, the analysis found.

To generate the estimates, Mr. Dorn examined the number of laid-off workers in each state and calculated how many had become uninsured based on coverage patterns since 2014, when the central provisions of the Affordable Care Act went into effect. The underlying data for those patterns comes from work published by the Urban Institute in April.

This content was originally published here.

Health Service Blames ‘Error’ After Telling 600,000 Healthy People They’d Had COVID-19

More than 600,000 military-connected Americans affiliated with the Tricare health plan were told in error Friday that they had been diagnosed with COVD-19.

The individuals and families were in the military health system’s East Region, according to Military.com.

The foul-up began when beneficiaries received an email that began with some very jarring news.

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“As a survivor of COVID-19, it’s safe to donate whole blood or blood plasma, and your donation could help other COVID-19 patients,” the email stated.

The email then went on to explain itself.

“Your plasma likely has antibodies (or proteins) present that might help fight the coronavirus infection. Currently, there is no cure for COVID-19. However, there is information that suggests plasma from COVID-19 survivors, like you, might help some patients recover more quickly from COVID-19,” it said.

A few hours later, Humana Military, which manages Tricare across 31 states and the District of Columbia, tried to calm the waters it had roiled.

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“In an attempt to educate beneficiaries who live close to convalescent plasma donation centers about collection opportunities, you received an email incorrectly suggesting you were a COVID-19 survivor. You have not been identified as a COVID-19 survivor and we apologize for the error and any confusion it may have caused,” Humana’s email said.

According to Military Times, Marvin Hill, Humana’s corporate communications lead, said the company apologized “for the confusion caused by the original message.”

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The initial, potentially panic-inducing message went to some of those living near a plasma collection facility and was not based “on any medical information or diagnosis,” Hill said.

Plasma from individuals who have had COVID-19, which is called “convalescent plasma,” can be used as a possible treatment for the disease.

“As a part of an effort to educate military beneficiaries about convalescent plasma donation opportunities, Humana was asked to assist our partner, the Defense Health Agency. Language used in email messages to approximately 600k beneficiaries gave the impression that we were attempting to reach only people who had tested positive for COVID-19. We quickly followed the initial email with a clear and accurate second message acknowledging this. We apologize,” Hill said in a statement, Military Times reported.

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Have you recovered from #COVID19 and live near @FtBraggNC? Your plasma could help save a life. The @WomackAMC is holding blood drives July 27-31.

Donors are needed to fuel a study about the effectiveness of convalescent plasma.

“Our goal is to encourage all personnel who have fully recovered from COVID-19 to donate their convalescent plasma as a way to help their friends, family, or colleagues who may be suffering from the disease now or who may contract the disease in the future. The need is now,” Army Col. Audra Taylor, chief of the Armed Services Blood Program, told Military Times.

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The U.S. Food and Drug Administration approved convalescent plasma as an investigational therapy in March for those hospitalized with the illness, and more than 35,000 patients in the U.S. have received it.

To date, there have been “encouraging reports and a lot of mechanistic reasoning that in fact convalescent plasma may be helpful,” said Dr. Janet Woodcock, director of the Center for Drug Evaluation and Research at the Food and Drug Administration, according to Military Times.

“These studies are being done as we speak … we need donors. Blood drives are ongoing, and the U.S. government will be trying to accelerate these drives for convalescent plasma,” Woodcock said.

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

This content was originally published here.

The Real Truth About Dentistry – TeethRemoval.com

An intriguing long form piece appears in the May 2019 issue in Atlantic titled “The Truth About Dentistry: It’s much less scientific—and more prone to gratuitous procedures—than you may think,” written by Ferris Jabr, see https://www.theatlantic.com/magazine/archive/2019/05/the-trouble-with-dentistry/586039/. This article has a lot of people talking including dentists, physicians, and patients who have experience with dentists throughout the Internet on forums and Twitter (see https://www.whitecoatinvestor.com/forums/topic/the-truth-about-dentistry-critical-longform-piece-in-the-atlantic/). The main shortcoming with this article in the Atlantic is it relies on an anecdotal story which forms the basis of the entire article. There are several themes to the article that will be discussed below along with additional themes not mentioned that are involved to form the real truth about dentistry.

1. Dentistry is a Business and some Dentists, just like in other Professions, are Bad Apples.

The article describes a dentist Lund who overtreats patients by performing more expensive procedures that are not necessary in order for him to make more money and does this for many many years. Dentist Lund’s way of making extra money is by having patients with cavities receive root canals with incision and drainage when cavities are the proper treatment.

I had a brother inlaw that was a dentist. I mention how the dentist is always trying to sell me on something. He said to me “We are a business too”. That was all I needed to know…..

— Patrick Husting (@patrickhusting)

“Years ago, at a routine dental cleaning, the wife was diagnosed with 18 asymptomatic ‘small cavities’  that needed to be fixed. So we got a 2nd opinion, lo and behold, no cavities. Somebody apparently needed a new boat.” – portlandia via whitecoatinvestor.com

2. There is a Unique Power Dynamic in Dentistry that is Unlike Other Relationships

Many aspects of the dental experience have resemblances to torture experiences. When a dentist is standing over a patient inserting sharp instruments into their mouth they often feel powerless. Perhaps because of this the vast majority of patients who see a dentist do not get a second opinion from another dentist. This is unlike medical doctor visits where seeing a second doctor for another opinion is more commonplace. Furthermore the vast majority of patients are not reading medical and dental literature on their own and discussing it with their dentists if there were any disagreements.

dentist mouth - The Real Truth About Dentistry
This image is from Pixabay and has a PIxabay license

3. Dentists Have very Little Checks and Balances on Their Practice

The article presents a story of a young dentist Zeidler who buys the practice of of retiring dentist Lund who had overtreated patients for years. After several months Zeidler suspects there is a problem because he was only making 10 to 25% of the prior dentist Lund’s reported income. Zeidler also encounters many of the patients of the practice and notices a large number of them have had more extensive treatment performed than needed. Zeidler spends nine month’s pooring over Lund’s patient records. The records demonstrate vast amounts of overtreatment. Thus the overtreatment by the dentist went unchecked for many many years and it was not until the dentist retired and the patients and records were seen by someone else that the overtreatment was detected. Most dentists have individual private practices which is unlike medical doctors who usually work for a hospital or organization with more oversight.

4. There is Little Scientific Evidence to Back Dental Treatments

The article discusses oral health studies performed by Cochrane which is a well respected evidence based medicine organization that conducts systematic reviews. Nearly all of the studies performed in the field of dentistry by Cochrane have shown either: 1) there is no evidence that the treatment works or 2) there is not enough evidence to say one way or the other that the treatment works. What to do in regards to dealing with healthy asymptotic wisdom teeth is one of these treatments in dentistry where there is a lack of scientific evidence to support either preventative removal or watchful waiting.

5. Dentists are Paid Based on Treatment and Not Prevention which is being made Worse Due to Large Student Loans

The reality is if everyone had healthy teeth and no need for dental treatment besides occasional cleanings, exams, and x-rays dentists would not make much money. The pay structure for dentists rewards procedures and treatments. Dentists today graduate from school with a large amount of debt and they also want to buy an individual practice to run. This can lead them in debt of well over $500,000 which can push them to recommend treatments and procedures that are not really needed to try to pay this debt off.

6. There is a Lack of Focus on Quality Improvement due to a Culture of Cover-Up

Everyone can agree that patients want high quality care at an affordable price. However dentists are hesitant to make real strides towards quality improvement due to fear of being sued and increased liability insurance premiums. Human error can never be completely eradicated and human nature is not perfect. Humans have varying anatomy that can’t always be anticipated. Thus protocols should be in place for dealing with things such as sexual assault in the dental office and to address what one should do when the wrong tooth is extracted. Similarly protocols should be in place to best identify what to look for on panoramic radiography to determine if a wisdom tooth is at high risk of damaging a nerve and if cone beam computed tomography or coronectomy should be performed. Similarly protocols should be in place when a sharp or needlestick injury occurs in the dental office. In addition protocols should be in place for when a dental instrument breaks and is left in a patient during a procedure. It seems that dentists could be sharing data with each other about what goes on in their practice and they could be addressing sensitive issues instead of pretending that they don’t and won’t again occur.

This content was originally published here.

Health Officials Had to Face a Pandemic. Then Came the Death Threats. – The New York Times

“There’s a big red target on their backs,” Ms. Freeman said. “They’re becoming villainized for their guidance. In normal times, they’re very trusted members of their community.”

Some critics of the public health directors have said that they believe that allowing businesses to operate is worth the risk of spreading the coronavirus, and that health directors are too cautious about reopenings. Others have cited conspiracy theories that claim that the coronavirus is a hoax; that the development of a vaccine is part of a massive effort to track citizens and monitor their movements; and that wearing a mask or cloth face covering is a practice that impedes personal freedom.

In Washington State, where rural counties are struggling with new outbreaks and trying to warn residents to take basic precautions to stem the spread of the virus, pleas from local health officials have often been answered with hostility and threats.

In Yakima County, which has more than six times as many cases per capita as the county that includes Seattle, hospitals have reached capacity and patients were being taken elsewhere for medical care. Gov. Jay Inslee warned over the weekend that “we are frankly at the breaking point,” and has said he would require Yakima residents to wear face coverings in an effort to slow the virus’s spread.

“I’ve been called a Nazi numerous times,” said Andre Fresco, the executive director of the Yakima Health District. “I’ve been told not to show up at certain businesses. I’ve been called a Communist and Gestapo. I’ve been cursed at and generally treated in a very unprofessional way. It’s very difficult.”

Updated June 22, 2020

Is it harder to exercise while wearing a mask?

A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.

I’ve heard about a treatment called dexamethasone. Does it work?

The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.

What is pandemic paid leave?

The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.

Does asymptomatic transmission of Covid-19 happen?

So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.

What’s the risk of catching coronavirus from a surface?

Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.

How does blood type influence coronavirus?

A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.

How many people have lost their jobs due to coronavirus in the U.S.?

The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.

My state is reopening. Is it safe to go out?

States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.

What are the symptoms of coronavirus?

Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

How can I protect myself while flying?

If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

What should I do if I feel sick?

If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

How do I get tested?

If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.

In California, angry protesters have tracked down addresses of public health officers and gathered outside their homes, chanting and holding signs. Last week, a group called the Freedom Angels did just that in Contra Costa County, Calif., filming themselves and posting the videos on Facebook.

“We came today to protest in front of our county public health officer’s house, and some people might have issues with that, that we took it to their house,” one woman said in a video. “But I have to tell you guys, they’re coming to our houses. Their agenda is contact tracing, testing, mandatory masks and ultimately an injection that has not been tested,” she said, apparently referring to a vaccine even though none have been approved.

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.

Unarmed specialists, not LAPD, would handle mental health, substance abuse calls under proposal

Several Los Angeles City Council members called Tuesday for a new emergency-response model that uses trained specialists, rather than LAPD officers, to render aid to homeless people and those suffering from mental health and substance abuse issues.

A motion submitted by City Council members Nury Martinez, Herb Wesson, Marqueece Harris-Dawson, Curren Price and Bob Blumenfield asks city departments to work with the Los Angeles Police Department and Los Angeles Homeless Services Authority to develop a model that diverts nonviolent calls for service away from the LAPD and to “appropriate non-law enforcement agencies.”

The LAPD now has a “greater role in dealing with homelessness, mental health and even COVID-19-related responses” the motion states, blaming budget cuts to social service programs for the city’s increased reliance on police officers.

“We have gone from asking the police to be part of the solution, to being the only solution for problems they should not be called on to solve in the first place,” the motion said.

The petition is the latest eruption of a longstanding debate within the Los Angeles Homeless Services Authority over how — or whether — to work with law enforcement.

It’s unclear how large the new response team would be, but in a statement, council members cast the program as part of an effort to reimagine public safety and reduce unnecessary police interactions.

Representatives for the Los Angeles Police Protective League, the union representing rank-and-file officers, have previously pointed to the increased demands placed upon police officers, saying officers now perform the duties of therapists, drug treatment counselors, social workers and EMTs.

Jerretta Sandoz, vice president of the union’s board of directors, said Tuesday that the union agreed that “not every call our city leaders have asked us to respond to should be a police response.”

“We are more than willing to talk about how, or if, we respond to noncriminal and nonemergency calls so we can free up time to respond quickly to 911 calls, crackdown on violent crime, and property crime and expand our community policing efforts,” Sandoz said.

The council members’ motion comes after tens of thousands of people have protested in Los Angeles streets in recent weeks, decrying police brutality and calling for a new approach to long-held strategies over policing, particularly in Black communities.

The City Council on Tuesday also voted to move ahead with studying ways to cut the LAPD’s budget by $100 million to $150 million and put the money into community programs. The council vote was 11-3, with Councilmen Paul Koretz, Joe Buscaino and John Lee dissenting.

A report back to the council on those proposed budget cuts is expected in the coming weeks.

The People’s Budget effectively calls for the dismantling of the LAPD, with the proceeds devoted to housing, healthcare, mental health, parks and many other services.

Buscaino, a former police officer who now serves as a reserve officer, told The Times that his no vote reflected his belief that “real police reform” will come from expanding an existing LAPD program focused on building relationships between police officers and communities.

Separately, the council members’ motion submitted Tuesday also asks for a report back on crisis intervention models, including the “Cahoots” program in Eugene, Ore. The program, short for Crisis Assistance Helping Out on the Streets, sends in teams of medics and mental health counselors if 911 operators determine armed intervention isn’t needed.

The program’s teams handled 18% of the 133,000 calls to 911 last year, requesting police backup only 150 times, Chris Hecht, executive coordinator of White Bird Clinic, which runs the operation, said in an interview.

The program operated on a $2-million budget last year that Hecht said saved the Eugene-Springfield, Ore., area about $14 million in costs of ambulance transport and emergency room care.

Times staff writer Richard Read, in Seattle, contributed to this report.

This content was originally published here.

Some in Melbourne’s COVID-19 hotspots dismiss the health risks as testing blitz gets underway – ABC News

On the streets of Broadmeadows in Melbourne’s north, there is both deep concern and general indifference to the Victorian Government’s coronavirus testing blitz, with some locals saying that not even a deadly virus would cause them to change their behaviour.

A team of 800 health workers will try to test 10,000 people a day in Melbourne’s 10 problem suburbs, with the aim to carry out about 100,000 tests in 10 days.

Broadmeadows is one of the hotspots with a worrying spike in the number of cases of COVID-19.

A child getting a test for COVID-19 with a man putting a swab in her mouth.

But while some Broadmeadows locals expressed fear and urged their fellow residents to heed health warnings, others described the virus as “rubbish”.

“I’ve been out and about, and everyone has, and I haven’t met a person that’s got it,” one man said.

He said he was still hugging and kissing people in greeting and said COVID-19 was not dangerous.

“It’s not deadly, it’s like any other virus,” he said.

“A person who’s 99 years old is dying, 100 years old is dying … they’re going to die the next day regardless, so why does it matter?

“I’m not going to stop my whole life for coronavirus, I’ve got to work, I’ve got a business to run … just like everyone else in Broadmeadows.”

A man in a black top with a beard.

Others said they were not surprised to learn that Broadmeadows was a hotspot.

“No-one listens to the rules … not staying home, hugging, kissing,” one man said.

Some urged the Government to introduce heftier fines for failing to practice social distancing.

“People think they don’t get sick, but this is not a game anymore,” one woman said, describing the behaviour of some as “stupid”.

“[They] are hugging, they’re kissing, they’re too close to each other,” she said.

But other locals said they were not worried about hugging and were not practising social distancing.

“In our community everybody does that,” one man said.

Why are some suburbs hotspots? We may never know

Deputy Chief Health Officer Annaliese van Diemen called the comments that everyone was going to get coronavirus “concerning”.

She urged people to continue to keep their distance in order “to keep this at bay in our community”.

“People need to avoid hugging each other and they need to avoid shaking hands. They need to stay 1.5 metres apart,” she told ABC News Breakfast.

“I would thoroughly disagree that everybody has it and that everybody is going to get it.”

Four health workers wearing PPE speak to a woman in a dressing gown at a coronavirus testing station on a residential street.

Dr van Diemen said the testing blitz was underway and had been going well.

“We’ve had good engagement from the community, lots of tests done yesterday,” she told ABC Radio Melbourne.

“We’re expecting that to increase over coming days.”

But we may never know why some suburbs were hotspots and others were not.

“It’s clear there was still some virus lurking around, that there [were] some transmission chains,” she said.

“With significantly increased movement, increased mixing, increased gathering sizes and frequency, those last few infections have just had the chance to take off.”

She said there was a complex set of factors at play, like, for example the fact some workforces in these hotspots had to continue to physically attend work during the lockdown.

Two men greet and embrace each other in a street.

Elsewhere, as the testing blitz got underway, people said they were unfazed to be living or working in one of Melbourne’s coronavirus hotspots.

One woman from Keilor Downs in Melbourne’s north-west said she was getting on with life and had been dismissing the concerns expressed by her relatives for her safety as “rubbish”.

“I ignore the hotspot, Keilor’s a wonderful place to live, hotspot or not,” she said.

She was unimpressed by the testing blitz.

“I reckon we’re crushing a peanut with a sledgehammer.”

In Pakenham, some said they were living life as normal, despite the virus.

“I haven’t seen anybody with COVID,” one woman said.

But Kay from Cafe Transylvania in Hallam said she was praying for people to listen.

“It’s better for everyone to do the right thing,” she said.

A woman holds a swab to her mouth as an ambulance officer watches.

Premier urges everyone to be cooperative

The first three days of Victoria’s testing blitz will focus on Keilor Downs and Broadmeadows, where health workers will aim to test half the population.

The focus will then move to other hotspot suburbs over the course of the 10-day program.

Stay up-to-date on the coronavirus outbreak

A map highlighting eight suburbs in Melbourne's north and west.

The other suburbs central to the ramped-up testing program are Maidstone, Albanvale, Sunshine West, Brunswick West, Fawkner, Reservoir as well as Hallam and Pakenham in the outer south-eastern suburbs.

A map showing Hallam and Pakenham highlighted in orange.

Victoria’s Premier Daniel Andrews said ambulances and other testing vans would be at the end of many streets to make it easy for residents to be tested.

“They will be invited to come and get a test, and they’ll only have to travel 50 metres or 100 metres in order to complete that test,” Mr Andrews said.

The blitz was announced on a day when Victoria recorded 33 more coronavirus infections and another childcare centre, Connie Benn Early Learning Centre in Fitzroy, was forced to close after a parent of a child who attended the centre tested positive to COVID-19.

Mr Andrews said he was “confident” the strategy would help contain community transmission in Victoria.

He urged everyone to be cooperative and get tested.

What you need to know about coronavirus:

This content was originally published here.

Airway Perspective on AAO Obstructive Sleep Apnea and Orthodontics White Paper – Spear Education

Author’s note: The topic of the impact of tooth extraction on the airway can be very contentious. My hope is this article serves as a tool to allow collegial discourse between restorative dentists concerned with airway and the orthodontists who they look to for solutions.

Recently, I had a new patient come to see me “looking for some veneers.” She had four bicuspids removed for orthodontics in the early 1970s and was given a headgear, but routinely found it on the floor at night. Also, her tonsils and adenoids were removed when she was very young due to recurrent infections.

She complains of a lifetime of poor sleep and never feeling refreshed. She is on multiple high blood pressure medications and has reflux. Ten years ago, she was snoring so badly her husband requested a sleep study.

The study diagnosed her with snoring and apnea. The treatment was UPPP (palatal surgery) and repair of a deviated septum. She feels that she can breathe better than before the surgery, but the symptoms never cleared. She still snores and has unrefreshing sleep.

My examination revealed multiple teeth with recession, some significant. Generalized pathologic wear and erosion. The maxillary anterior teeth were retroclined with lingual facets from pathway wear. The lower anteriors were over erupted. The tongue volume appeared normal, but the oral volume was limited. Her airway, on examination, was constricted with an exaggerated protective retraction of her tongue during examination of the oropharynx.

I thought to myself, “Could the removal of four teeth and subsequent retraction of the anterior teeth be culpable in her medical and dental history?”

The OSA and orthodontics relationship is relatively new

In 2019, the American Association of Orthodontists (AAO) released its “Obstructive Sleep Apnea and Orthodontics” white paper. It was the culmination of a two-year project by a panel of sleep medicine and dental sleep experts. They were tasked to produce guidelines for the role of orthodontists in the management of obstructive sleep apnea (OSA).

In the end, the group could not develop any formal OSA guidance for orthodontists. This is interesting given that orthodontists are charged with managing the anatomy of the airway and they work with medical providers on airway anatomy issues like cleft palates and orthognathic surgery.

While it was not stated in the paper, in my opinion, the reason for the lack of specificity of recommendations comes from the nature of the science that was being evaluated. When medical colleagues review dental literature, routinely they are struck by the poor quality of the data. Dental research is typically not well funded, the numbers of participants are limited, the follow-up is short, and it lacks untreated control subjects.

Orthodontics takes years to complete and many years to determine any impact. And finally, the relationship between OSA and orthodontics is a relatively new concept that has rarely been tested in sleep laboratories. Instead, most studies on airway change look at cephalometric or CBCT volumetric alteration and infer (all be it incorrectly) that bigger is better. The conclusions of the AAO white paper are, therefore, going to be constrained by this lack of quality evidence.

Bicuspid extraction addressed

Curiously, section 12 of the AAO white paper, “Fallacies About Orthodontics in Relation to OSA,” addresses the issue of bicuspid extraction. It begins, “Conventional orthodontic treatment never has been proven to be an etiologic factor in the development of obstructive sleep apnea. When one considers the complex multifactorial nature of the disease, assigning cause to any one minor change in dentofacial morphology is not possible.”

This conclusion is true, but the key word is “proven.” There is also a lack of proof orthodontics is not a factor in the development of OSA. The disease is multifactorial but minor changes in oral volume, vertical dimension, and mandibular protrusion have been shown to change the airway and sleep apnea significantly. To argue that removal of four teeth is an unremarkable change is, at least, questionable given available data.

The paper continues, “The specific effects on the dental arches and the muscles and soft tissues of the oral cavity following orthodontic extractions can differ significantly, depending on the severity of dental crowding, the amount of protrusion of the anterior teeth and the specific mechanics used to close the extraction spaces.”

Zhiai Hu1 published a systematic review evaluating the effect of teeth extraction on the upper airway. It included only seven articles. They were divided by the reason for treatment:

The Class I bimax group all had anterior tooth retraction without boney changes. Three of the four articles showed a reduction in upper airway dimension, the last showed a reduction but not to the level of significance.

The one article on crowding differed because the orthodontic technique allowed the molars to move forward ~3mm. That created an increase in the airway dimension.

Finally, the unspecified group did not provide a discussion of the direction of movement (retractive or molar movement) and found small increases for both extraction and non-extraction groups. A conclusion that can be reached from this review is if you retract the anterior teeth, the airway size reduces and if the molars move forward, the airway improves or remains the same.

Impact of volumetric change

The white paper goes on to state, “The impact that orthodontic treatment with or without dental extractions may have on the dimensions of the upper airway also has been examined directly, first with two-dimensional cephalograms and more recently with three-dimensional CBCT imaging…

“In discussing orthodontic treatment to changes in the dimensions of the upper airway, it also is helpful to understand that an initial small or subsequently reduced or increased size does not necessarily result in a change in airway function.”

This is one of the issues medicine has with dental literature. Dental researchers rarely study the actual impact of the volumetric change. It is not enough to say the space is smaller. It needs to be quantified with sleep data. It also needs to be followed over time.

However, Christian Guilleminault highlighted a reduction in the ideal size of the upper airway can lead to abnormal breathing over time, initially with flow limitation, then with a progressive worsening toward full-blown OSA.2> Rarely would testing at the completion of orthodontics demonstrate a compromise. It is the stressful breathing night after night that compromises the airway and makes people more prone to breathing issues during sleep.

Existing evidence suggests the opposite

The AAO white paper does highlight a paper that attempts to answer the question about compromise later in life.

“One such study assessed dental extractions as a cause of OSA later in life with a large retrospective examination of dental and medical records… The study concluded that the prevalence of OSA was essentially the same in both groups, and that dental extractions were not a causative factor in OSA.”

A.J. Larsen3 reviewed insurance records for 5,500 patients between the ages of 40-70. Dental radiographs determined if the subjects were missing four bicuspids or had a full complement of teeth. They matched the two groups for age, BMI, etc. Then they reviewed their medical records to see if the subject had received a diagnosis for apnea.

The results showed that 9.56% of the non-extraction and 10.71% of the extraction group had a diagnosis of OSA. This was not significantly different. Thus, the authors’ conclusion was there was not a relationship between OSA and premolar extractions.

It is currently estimated that 80-90% of OSA patients are undiagnosed. Larsen’s paper states because the subjects all have insurance, they would expect physicians would note the symptoms and get them a sleep study and diagnosis.

There is absolutely no evidence to support that assertion and the existing evidence suggests just the opposite. From pediatricians to primary care, physicians are not diagnosing apnea effectively. The conclusion of the article should be extraction and non-extraction individuals are underdiagnosed at almost the same rate.

Orthodontic literature is not conclusive

The AAO paper goes on to state, “Overall it can be stated that existing evidence in the literature does not support the notion that arch constriction or retraction of the anterior teeth facilitated by dental extractions, and which may (or may not) be the objective of orthodontic treatment, has a detrimental effect on respiratory function.”

Once again, it is true existing evidence does not support that position because there is no quality evidence at this time, not that the relationship does not exist. This should, in my opinion, be a call for more research rather than posturing the topic as a fallacy.

Orthodontic literature is not conclusive on whether premolar extractions impact the airway. A weakness of all the studies is they are based on CBCT or cephalometric radiographic measurements and not sleep data. How a patient uses the existing airway volume is more critical than the size and that’s never measured.

Is there ever a time when I agree with an orthodontic recommendation of extractions? Absolutely. I will, however, ask my specialist:

The most important take away should be the need to intervene earlier. Attempting to direct craniofacial development may keep us from ever needing to know the answer to, “Does the extraction of four bicuspids impact the airway?”

Jeffrey Rouse, D.D.S., is a member of Spear Resident Faculty.

1. Hu Z, Yin X, Liao J, Zhou C, Yang Z, Zou S. The effect of teeth extraction for orthodontic treatment on the upper airway: a systematic review. Sleep and Breathing. 2015;19(2):441-451.

2. Guilleminault C, Huseni S, Lo L. A frequent phenotype for paediatric sleep apnoea: short lingual frenulum. ERJ Open Research. 2016;2(3):00043-02016.

3. Larsen AJ, Rindal DB, Hatch JP, et al. Evidence Supports No Relationship between Obstructive Sleep Apnea and Premolar Extraction: An Electronic Health Records Review. Journal of Clinical Sleep Medicine. 2015;11(12);1443-1448.

This content was originally published here.

G.O.P. Faces Risk From Push to Repeal Health Law During Pandemic – The New York Times

“People now see a clear and present threat when others don’t have health care,” he said. “Republicans have no response to that because their entire worldview on health care is built on an assumption that’s now out of date.”

And with Mr. Trump making dubious claims about health care — like suggesting people inject or drink bleach, and promoting an unproven malaria drug — Democrats are seeking to paint him and his party as ignorant on an important issue.

In a recent survey, Mr. Ayres asked swing-state voters how government should help workers who have recently lost insurance coverage. The poll found that 47 percent supported a major government expansion of health care, 31 percent believed the best option for laid-off workers was to go on Medicaid, and only 16 percent preferred federal subsidies for Affordable Care Act premiums.

Based on that research, and given the Republican inclination to favor a private-sector approach, Mr. White, who is president of a business-oriented coalition called the Council for Affordable Health Coverage, has called for the government to help pay for premiums under COBRA, the program that allows unemployed workers to buy into their former employers’ plan.

“Republicans must offer private market coverage solutions that are preferable to Medicaid (which is now more popular than Obamacare),” Mr. White wrote in a policy memo.

Ms. Pelosi’s bill is aimed at shoring up the Affordable Care Act, which she helped muscle through Congress during her first speakership, and reducing premiums, which are skyrocketing. Ms. Pelosi had intended to unveil the measure in early March, for the health law’s 10th anniversary, at a joint appearance with former President Barack Obama. But the event was canceled amid the mounting coronavirus threat.

The bill would expand subsidies for health care premiums under the Affordable Care Act so families would pay no more than 8.5 percent of their income for health coverage; allow the government to negotiate prices with pharmaceutical companies; provide a path for uninsured pregnant women to be covered by Medicaid for a year after giving birth; and offer incentives to those states that have not expanded Medicaid under the law to do so.

One thing it will not have, aides to Ms. Pelosi say, is a “public option” to create a government-run health insurer, an idea embraced by former Vice President Joseph R. Biden Jr., the presumptive Democratic presidential nominee. The bill being introduced by Ms. Pelosi has no chance of passing the Senate and becoming law, but it will give Democrats another talking point to use against Republicans.

The health law has already survived two court challenges. In the current Supreme Court case, 20 states, led by Texas, argue that when Congress eliminated the so-called individual mandate — the penalty for failing to obtain health insurance — lawmakers rendered the entire law unconstitutional. The Trump administration, though a defendant, supports the challenge.

The justices are expected to hear arguments in the fall, just as the presidential and congressional races are heating up. But Mr. Cole, the Republican congressman, said other issues related to the coronavirus pandemic would also be at play in November.

“If we look like we’re on top of it in September or October and we’re on the way to a vaccine, then it will break to the president’s advantage,” he said. “If we’re in the middle of a second wave, obviously not.”

This content was originally published here.

Virginia Health Dept Urges Citizens to Snitch on Churches and Gun Ranges | Dan Bongino

Virginia’s Department of Health is joining others who have encouraged their state’s citizens to snitch on each other – but only for select reasons.

As the Washington Free Beacon’s Andrew Stiles reports:

The Virginia Department of Health is encouraging citizens to lodge anonymous complaints against small businesses for violating Gov. Ralph Northam’s (D.) coronavirus-related restrictions on public gatherings.

Virginia residents can report alleged violations of Northam’s executive orders regarding the use of face masks and capacity requirements in indoor spaces via a portal on the health department’s website, a practice commonly known as “snitching.” 

The webpage gives snitchers several options regarding the “type of establishment” on which they are intending to snitch. These include “indoor gun range” and “religious service,” among others. Republican state senator Mark Obenshain expressed concern that churches and gun ranges were “specifically” singled out, noting, “there is nothing to prevent businesses from snitching on competitors, or to prevent the outright fabrication of reports.”

Meanwhile, when protesters were out in full force in the tens of thousands earlier in the month, VA’s health department merely encouraged them to wear masks and wash their hands. They also recommended social distancing, which would obviously be impossible in such an environment. “We support the right to protest, and we also want people to be safe” they said.

What do they think is going to do more to spread the virus, a dozen people at a gun range, or tens of thousands in the streets? Even if those at the gun range transmitted the virus at a higher rate, the latter would still infect more people due to sheer volume.

It is indeed the case that coronavirus cases are on the rise nationally (as you’d expect after weeks of mass protest), but not all cases are created equal. The vast majority of cases are mild and asymptomatic, and the median age of those infected is drastically lower than it was months ago (meaning most new cases are among those least likely to die of the virus).

That’s evident in Florida, where cases are exploded – but the death rate has precipitously declined because the average person infected is now only 37 years old. In March it averaged in the mid fifties.

In many states more people above the age of 100 have died of the virus than those under 40. On the day coronavirus deaths peaked, for every person aged 24 or younger that died of the virus, 319 people above the age of 85 died of it.

This content was originally published here.

Henry Ford Health study: Hydroxychloroquine lowers COVID-19 death rate

Hydroxychloroquine lowers COVID-19 death rate, Henry Ford Health study finds

Sarah Rahal and Beth LeBlanc
The Detroit News
Published 6:42 PM EDT Jul 2, 2020

A Henry Ford Health System study shows the controversial anti-malaria drug hydroxychloroquine helps lower the death rate of COVID-19 patients, the Detroit-based health system said Thursday.

Officials with the Michigan health system said the study found the drug “significantly” decreased the death rate of patients involved in the analysis.

The study analyzed 2,541 patients hospitalized among the system’s six hospitals between March 10 and May 2 and found 13% of those treated with hydroxychloroquine died while 26% of those who did not receive the drug died.

Among all patients in the study, there was an overall in-hospital mortality rate of 18%, and many who died had underlying conditions that put them at greater risk, according to Henry Ford Health System. Globally, the mortality rate for hospitalized patients is between 10% and 30%, and it’s 58% among those in the intensive care unit or on a ventilator.

An arrangement of hydroxychloroquine pills.
John Locher, AP

“As doctors and scientists, we look to the data for insight,” said Steven Kalkanis, CEO of the Henry Ford Medical Group. “And the data here is clear that there was a benefit to using the drug as a treatment for sick, hospitalized patients.”

The study, published in the International Society of Infectious Disease, found patients did not suffer heart-related side effects from the drug. 

Patients with a median age of 64 were among those analyzed, with 51% men and 56% African American. Roughly 82% of the patients began receiving hydroxychloroquine within 24 hours and 91% within 48 hours, a factor Dr. Marcus Zervos identified as a potential key to the medication’s success. 

“We attribute our findings that differ from other studies to early treatment, and part of a combination of interventions that were done in supportive care of patients, including careful cardiac monitoring,” said Zervos, division head of infectious disease for the health system who conducted the study with epidemiologist Dr. Samia Arshad. 

Other studies, Zervos noted, included different populations or were not peer-reviewed.

“Our dosing also differed from other studies not showing a benefit of the drug,” he said. “We also found that using steroids early in the infection associated with a reduction in mortality.”

But Zervos cautioned against extrapolating the results for treatment outside hospital settings and without further study. 

Lynn Sutfin, spokeswoman for the Michigan Department of Health and Human Services, respond to the study Thursday by noting “prescribers have a responsibility to apply the best standards of care and use their clinical judgment when prescribing and dispensing hydroxychloroquine or any other drugs to treat patients with legitimate medical conditions.”

Dr. Marcus Zervos identified administering steroids early in the infection as a potential key to the medication’s success.
Zoom screenshot

The study found about 20% of patients treated with a combination of hydroxychloroquine and azithromycin died and 22% who were treated with azithromycin alone compared with the 26% of patients who died after not being treated with either medication. 

Henry Ford Health has been working on multiple clinical trials of hydroxychloroquine, including one that is testing whether the drug can prevent COVID-19 infections in first responders who work with coronavirus patients. The first responder clinical trial was trumpeted by Trump administration officials early in the pandemic.

Many health care institutions, including the World Health Organization, suspended clinical trials of the drug touted by President Donald Trump after a faulty study was published in the British medical journal The Lancet on May 22. The WHO restarted the trials in June.

The study is vital, Zervos said, as medical workers prepare for a possible second wave of the virus and there is plenty of research that still needs to be conducted to solidify an effective treatment.

In this May 18, 2020 file photo, President Donald Trump tells reporters that he is taking zinc and hydroxychloroquine. Results published Wednesday, June 3, 2020, by the New England Journal of Medicine show that hydroxychloroquine was no better than placebo pills at preventing illness from the COVID-19 coronavirus. The drug did not seem to cause serious harm, though – about 40% on it had side effects, mostly mild stomach problems.
Evan Vucci, AP, File

Still, use of the malaria drug became highly controversial.

Doctors at Michigan Medicine, the University of Michigan’s health system, remain steadfast in their decision not to use hydroxychloroquine on coronavirus patients, which they stopped using in mid-March after their own early tracking of the treatment found little benefit to patients with some serious side effects.

Michigan’s largest system of hospitals, Southfield-based Beaumont Health, also stopped using the decades-old anti-malarial drug as a coronavirus treatment after deciding it was ineffective. 

St. Joseph Mercy health system has also backed away from the treatment. The system has St. Joseph hospitals in Ann Arbor, Chelsea, Howell, Livonia and Pontiac, as well as the Mercy Health hospitals in Grand Rapids, Muskegon and Shelby. 

Heidi Pillen, director of pharmacy at Beaumont Health, confirmed on Thursday that the health system is not using hydroxychloroquine to treat COVID-19 patients. 

A recent United Kingdom study evaluating hydroxychloroquine in hospitalized patients with coronavirus was stopped after preliminary analysis found it didn’t have any benefit. About 26% of patients in the trial using the drug died, compared with about 24% receiving the usual care, according to the Oxford University study. 

But doctors at Detroit Medical Center’s Sinai-Grace told The Detroit News in April, when the hospital was overloaded with senior COVID patients, that they were giving the drug to anyone they could.

srahal@detroitnews.com

Twitter: @SarahRahal_

This content was originally published here.

Motivated by his son Beau, Joe Biden pledges help for veterans with burn pit health issues – CBS News

Throughout his presidential campaign, one of the most striking elements of Joe Biden‘s appeal has been his empathy. The personal tragedies he has suffered inform his interactions with voters who are also experiencing loss. And his sorrow could also guide policy decisions as commander-in-chief, offering assistance to veterans who may be suffering from service-related medical conditions — as he believes his son did. 

With a familiar quiver in his voice, Biden regularly on the campaign trail shares memories of his son Beau, who died in 2015 from glioblastoma brain cancer. A handful of times Biden detailed how he thinks his son’s cancer may have been related in part to the large, military base burn pits during his 2009 service in the Iraq War.

“He volunteered to join the National Guard at age 32 because he thought he had an obligation to go,” Biden told a Service Employees International Union convention in October. “And because of exposure to burn pits — in my view, I can’t prove it yet — he came back with Stage Four glioblastoma.”

Biden’s precise language — “in my view, I can’t prove it yet” — appears to be intentional as he lends his voice to the ongoing and somewhat controversial debate over whether the burn pits caused lasting health issues for American veterans.

“We don’t have 20 years”  

As the Iraq and Afghanistan military operations grew, so did the installations of bigger burn pits on military bases, rather than the smaller burn barrels that had previously been used. The pits were meant to dispose of everything from garbage to sensitive documents and even more hazardous materials. 

“They build as big as this auditorium,” Biden said to a CNN town hall audience in February, “It’s about 8-to-10-feet-deep and they put everything in it they want to dispose of and can’t leave behind, from flammable fuel to plastics to all range of things.”

But in the middle of a war zone, concern about the burn pits was sometimes considered secondary to other safety issues. 

“You’ve got dust storms, you have the enemy, you have all sorts of things going on that some smoke in the air doesn’t really seem like as important of an issue at the moment,” Jim Mowrer, who befriended Beau at Camp Victory in Iraq in 2009, told CBS News. Other times, Mowrer, 34, who now serves as co-chair for the Veterans for Biden committee, said he tried to filter the air by wearing a face covering.

“The concern factor became more of a concern after we came home,” Beau’s overseas boss, Command JAG Kathy Amalfitano, 59, told CBS News. Amalfitano said she remembers discussing the burn pits with Beau a few times, but added “I know our thought process was that this was part of the deployment.”

Biden is not alone in thinking burn pits impacted soldiers’ health.

Since 2014, more than 200,000 Afghanistan and Iraq War veterans have registered in the “Airborne Hazards and Open Burn Pit Registry” run by the Department of Veterans Affairs (VA), detailing exposure to service-related airborne hazards from burn pit smoke and other pollution.

And while these veteran health concerns seem widespread, the VA’s policy only recognizes “temporary” irritation from burn pit exposure. Citing a range of studies, the department states that “research does not show evidence of long-term health problems from exposure to burn pits.”

One ongoing study is by National Jewish Health and funded by the Defense Department, and is examining lung issues and has yielded “a spectrum of diseases that are related to deployment,” the study’s principal investigator Dr. Cecile Rose told CBS News last year. ” [The diseases] weren’t there before, and they are clearly there after people have returned from these arid and extreme environments.” However, Rose cautioned that findings are complicated by other possible culprits, like desert dust and diesel exhaust.

Advocates for veterans say not enough is being done to address veterans’ health claims regarding the burn pits.

From 2007 to 2018, the VA processed 11,581 disability compensation claims that had “at least one condition related to burn pit exposure,” a department spokesman told The New York Times last year. But the department only accepted 2,318 of these claims. The department said the rest did not show evidence connected to military service or the condition in the claim was not “officially diagnosed,” the Times noted. 

The VA did not respond to CBS News’ request this week for updated numbers.

“I always push back on…the VA administration folks who try to use the ‘perfect study’ as a criteria to show proof,” California Representative Raul Ruiz, a doctor and vocal burn pits critic, told CBS News. Ruiz criticized the VA’s reliance on long-term studies to validate clams. 

“We don’t have 20 years because then these veterans are going to be dying without the care they need,” Ruiz said.

A report five years ago by a Defense Department inspector general said it was “indefensible” that military personnel “were put at further risk from the potentially harmful emissions from the use of open-air burn pits.” But the Supreme Court last year rejected a victims’ lawsuit against contractors who oversaw some of the burn pits.

“If these [burn pits] had happened in the United States, the Environmental Protection Agency and Centers for Disease and Control would have this corrected immediately,” said Iraq War veteran Jeremy Daniels, adding he believes burn pits caused him to be wheelchair bound.

Modern-day “Agent Orange”?

Biden on the campaign trail invoked the healthcare struggles of Vietnam veterans exposed to the herbicide Agent Orange to explain the need to address burn pits.

“You were entitled to military compensation if you could prove that Agent Orange caused whatever the immune system damage was to you,” Biden said, accenting the word “prove” during a Veterans Day town hall in Oskaloosa, Iowa. “But you had to prove it and it’s very hard to prove.”

After reading a book on burn pits detailing Beau’s case, Biden has advocated easing this burden of proof for veterans who say the burn pits have harmed them in some way, as he first told PBS.

Biden has a plan that pushes for congressional approval to expand the list of “presumptive conditions”– meaning veterans’ health conditions would be presumed causal to the burn pits making them eligible for greater VA healthcare. He also aims to expand the claim eligibility period for toxic exposure conditions to five years after service instead of one year and increase federal research by $300 million in part to focus on toxic exposure from burn pits.

This push has intensified in recent years on Capitol Hill, and bills funding more research into burn pits have already been signed by President Trump. The recent National Defense Authorization Act also required the Department of Defense to implement a plan to phase out burn pits and disclose the locations of the still-operating pits. Enclosed incinerators are an alternative.

There were nine active military burn pits in the Middle East as of last year, according to the Defense Department’s April 2019 “Open Burn Pit Report to Congress” shared with CBS News, though some advocates think the actual number is higher. 

Some veterans expressed doubt that recent efforts will lead to more aid for veterans exposed to burn pits, given the slow-moving bureaucracy and concern over higher health care costs. And others question whether a Biden administration would act more decisively than the Obama administration, which primarily focused on long-term studies.

But Biden says that his motivation is far greater than his family’s own personal loss, and that the “only sacred” commitment the United States has is to American soldiers.

“It’s not because my son died…[he] went from very, very healthy but he lived in the bloom of those burn pits for a long time. He’s passed—it doesn’t affect him,” Biden said in Oskaloosa. “But the point is that every single veteran shouldn’t have to prove and wait until science demonstrates beyond a doubt…We just have to change the way we think a little bit.”

May 30 will mark the five-year anniversary of Beau Biden’s death.

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.

Ontario’s health minister shopped at Toronto LCBO while awaiting COVID-19 test results | CP24.com

Ontario’s health minister says she was following the advice of medical professionals when she decided to shop at a Toronto LCBO on Wednesday afternoon while awaiting her COVID-19 test results.

Health Minister Christine Elliott and Premier Doug Ford, who have since tested negative for the virus, underwent COVID-19 testing on Wednesday after learning that the province’s education minister, Stephen Lecce, had earlier come in contact with someone who tested positive for the virus.

Ford and Elliott, who had held a joint press conference with Lecce one day earlier, decided to skip their daily briefing at Queen’s Park on Wednesday afternoon out of an abundance of caution.

Elliott also cancelled an appearance at a Brampton mobile testing site that was scheduled for 3 p.m.

Lecce released a statement shortly before 2 p.m. on Wednesday confirming that his test results had come back negative and about an hour-and-a-half later, Elliott was seen shopping at an LCBO near Dupont Street and Spadina Avenue.

A photo sent to CP24 shows Elliott, who is wearing a surgical mask, standing beside a basket and looking at the store’s VQA wine selection.

“Minister Lecce’s results came back negative before I went for testing and so while there was no real need for me to go to be tested, I had made a public commitment to do so and so that’s where I went,” Elliott told reporters at Queen’s Park on Thursday.

“I went and while I was at the assessment centre having the test, I was advised that because I had not directly been in contact with anyone with COVID that I did not need to self-isolate…That was the medical advice I was given and that is what I did and my test results came back negative of course.”

Elliott and Ford returned to Queen’s Park for their daily COVID-19 update on Thursday afternoon.

“To be clear, both Premier Ford and Minister Elliott have had no known contact with anyone who has tested positive for COVID-19, and as a result, there is no need for either of them to self-isolate,” a statement from the premier’s office read.

“They will continue to follow public health guidelines.”

Lecce’s office confirmed Thursday that he will continue to self-isolate.

“Minister Lecce is feeling well and continues to work from home. He is following the advice of his doctor by continuing to monitor for any symptoms,” a statement from the education minister’s office read.

“Out of an abundance of caution, although the exposure risk was extremely low, he will be self-isolating for the remainder of the 14 days since the time of exposure, on June 6. The Minister again would like to offer his sincere thanks to the team at UHN and everyone yesterday who sent positive thoughts and messages.”

Public health experts have cautioned that negative test results are not always an indication that a person isn’t infected with the virus, especially when tests are conducted a short time after exposure.

Those who have tested negative for the virus are still advised to monitor for symptoms as the virus has an incubation period of 14 days.

“As we outlined our testing criteria at the assessment centres… if you have signs and symptoms and you’re suspected of being a COVID case, you will get your test and then you are supposed to stay in self-isolation until you get results,” Dr. David Williams, Ontario’s chief medical officer of health, said at a news conference on Thursday.

“Other criteria, you say, ‘Well, I was in contact with a known positive.’ That is another reason to get tested and you still have to self-isolate until you get that result back, including people who say, ‘Well I’m not sure but I was in a highly risky area, I don’t know.’’”

He noted that the rules are different for people who are not experiencing symptoms of the virus and have not been in contact with a known case.

“Testing asymptomatic people… say 5,000 workers, none of them have symptoms, none of them are cases, we are not going to say all 5,000 wait for five, six days to get results back. They just continue going to work because it is asymptomatic testing,” he added.

“They have no signs and symptoms, they have no contact with a case, no possible contact with a case, and there is no evidence of an outbreak. So it is a different situation altogether.”

This content was originally published here.

Arizona coronavirus: Banner Health reaches capacity on ECMO lung machines

Arizona’s largest health system reaches capacity on ECMO lung machines as COVID-19 cases in the state continue to climb

Stephanie Innes
Arizona Republic
Published 2:24 PM EDT Jun 6, 2020
Coronavirus 2019-nCoV vials
solarseven, Getty Images/iStockphoto

Hospitalizations in Arizona of patients with suspected and confirmed COVID-19 have hit a new record and the state’s largest health system has reached capacity for patients needing external lung machines.

Arizona’s total identified cases rose to 25,451 on Saturday according to the most recent state figures. That’s an increase of 4.4%, since Friday when the state reported 24,332 identified cases and 996 deaths. 

Some experts are saying that Arizona is experiencing a spike in community spread, pointing to indicators that as of Saturday continued to show increases — the number of positive cases, the percent of positive cases and hospitalizations.

Also, ventilator and ICU bed use by patients with suspected and confirmed COVID-19 in Arizona hit record highs on Friday, the latest numbers show.

Statewide hospitalizations as of Friday jumped to 1,278 inpatients in Arizona with suspected and confirmed COVID-19, which was a record high since the state began reporting the data on April 9. It was the fifth consecutive day that hospitalizations statewide have eclipsed 1,000.

On Saturday morning, officials with Banner Health notified the Arizona centralized COVID-19 surge line that  Banner hospitals are unable to take any new patients needing ECMO — extracorporeal membrane oxygenation.

ECMO is an an external lung machine that’s used if a patient’s lungs get so damaged that they don’t work, even with the assistance of a ventilator.

The Arizona surge line is a 24/7 statewide phone line for hospitals and other providers to call when they have a COVID-19 patient who needs a level of care they can’t provide. An electronic system locates available beds and appropriate care, evenly distributing the patients so that no one system or hospital is overwhelmed by patients.

Banner Health, which is the state’s largest health system, is also nearing its usual ICU bed capacity, officials said Friday and if current trends continue is at risk of exceeding capacity. Banner Health typically has about half of Arizona’s suspected and confirmed COVID-19 hospitalized patients.

The state’s death toll on Saturday was 1,042, with 30 new deaths reported. On Friday the tally for the first time reached four figures — 1,012 total deaths —  three weeks after Gov. Doug Ducey’s stay-at-home order expired.

What we know about the known deaths, based on the state data:

Ducey said at a Thursday news conference that “we mourn every death in the state of Arizona.”

“… I’m confident that we’ve made the best and most responsible decisions possible, guided by public health, the entire way,” Ducey said.  

Saturday marked Arizona’s fifth consecutive day of high numbers of new coronavirus cases reported, with 1,119 positives reported Saturday, a record 1,579 reported on Friday, 530 on Thursday, 973 on Wednesday and 1,127 new cases reported on Tuesday.

Dr. Cara Christ, director of the Arizona Department of Health Services, said at a Thursday news conference that the increase in cases was expected given increased testing and reopening. 

“As people come back together, we know that there is going to be transmission of COVID-19,” Christ said. “We are seeing an increase in cases, and so we will continue to monitor at this time. But we have to weigh the impacts of the virus versus the impacts of what a stay-at-home order can have on long-term health as well.”

Before this week, new cases reported daily have typically been in the several hundreds. The state has reported new cases each day, typically in the several hundreds. The daily increase in case numbers also reflects a lag in obtaining results from the time a test was conducted.

Additional deaths are reported each day as well and have varied between single- and double-digit increases. The number of deaths reported each day represents the additional known deaths reported by the Health Department that day, but could have occurred weeks prior and on different days.

The date with the most deaths in a single day so far is April 30 with 26 deaths, followed by May 7 with 25 deaths and April 23 and May 8 with 24 deaths each. Next comes April 20 with 23 deaths and April 19, May 3 and May 5 with 22 deaths on each of those days, according to Friday’s data, which is likely to change in the days ahead as more deaths are identified.

Maricopa County’s confirmed case total was at 12,761 on Saturday according to state numbers. 

“We are seeing some indicators that the number of cases in Maricopa County are starting to rise,” county spokesman Ron Coleman said this week in an email. “This is in addition to an increase from increased testing.”

The number of Arizona cases likely is higher than official numbers because of limits on supplies and available tests, especially in early weeks of the pandemic. 

The percentage of positive tests per week increased from 5% a month ago to 6% three weeks ago to 9% two weeks ago, and 11% last week. The ideal trend is a decrease in percent of positives tests out of all tests. 

In addition to an increase in hospitalizations, ventilator use in Arizona by suspected and positive COVID-19 patients statewide jumped to 292 on Friday, which was the highest number reported since the state data began on April 9.

Also, ICU bed use by patients with positive and suspected COVID-19 on Friday was 391 — a record high and the 11th consecutive day that the number has been higher than 370.

The latest Arizona data

As of Saturday morning, the state reported death totals from these counties: 489 in Maricopa, 205 in Pima, 85 in Coconino, 72 in Navajo, 57 in Mohave, 49 in Apache, 41 in Pinal, 24 in Yuma, six in Yavapai, 4 in Cochise, three in Santa Cruz and three in Gila.

La Paz County officials reported two deaths and Graham County reported one death, although the state site listed them as just having fewer than three deaths. Greenlee County reported no deaths.

Of the statewide identified cases overall, 47% are men and 53% are women. But men made up a higher percentage of deaths, with 54% of the deaths men and 46% women as of Saturday.

Overall, Arizona has 354 cases and 14.49 deaths per 100,000 residents, according to state data.

The scope of the outbreak differs by county, with the highest rates in Apache, Navajo, Santa Cruz, Yuma and Coconino counties.

Of all confirmed cases, 9% are younger than 20, 42% are aged 20 to 44, 16% are aged 45 to 54, 14% are aged 55 to 64 and 17% are over 65. This aligns with the proportions of testing done for each age range.

The state Health Department website said both state and private laboratories have completed a total of  271,646 diagnostic tests for COVID-19, and 109,266 serology, or antibody, tests.

Most COVID-19 diagnostic tests come back negative, the state’s dashboard shows, with 7.2% positive. For serology tests, 3% have come back positive.

Maricopa County’s Department of Public Health provided more detailed information on a total of 12,685 cases Friday (the state reported the county case total at 12,761):

Cases rise in other counties

According to Friday’s state update, Pima County reported 2,950 identified cases. Navajo County reported 2,152 cases, while Yuma County reported 1,850; Apache County 1,692; Coconino County 1,267; Pinal County 1,067; Santa Cruz County 530; Mohave County 485; and Yavapai County 326. 

La Paz County reported 158 cases, Cochise County 122, Gila County 43, Graham County 39 and Greenlee County nine, according to state numbers.

The Navajo Nation reported a total of 5,808 cases and at least 269 confirmed deaths as of Friday. The Navajo Nation includes parts of Arizona, New Mexico and Utah.

237 cases in Arizona prisons

The Arizona Department of Corrections’ online dashboard said 237 inmates had tested positive for COVID-19 as of Friday, up from 198 one day prior. 

The cases were at these eight facilities: 75 in Florence, 97 in Yuma, 28 in Tucson, 12 in Phoenix, nine in Marana, six in Eyman, six in Perryville, two in Kingman and two in Lewis.

Four inmate deaths have been confirmed — two in Florence and two in Tucson, and three deaths are under investigation, the dashboard says.

Ninety-nine staff members have self-reported positive for the virus, and 69 have been certified as recovered, the department said. 

Both legal and nonlegal visitations have been suspended through June 13, at which point the department will reassess. Temporary video visitation will be available to approved visitors and inmates who have visitation privileges, the department announced. Inmates are eligible for one 15-minute video visit per week. CenturyLink also is giving inmates two additional 15-minute calls for free during each week visitation is restricted.

Separately, the Maricopa County Jail system as of Friday was reporting 30 inmates who had tested positive for COVID-19, county officials said. That was up from six positive inmates one week prior.

Arizona Republic reporter Alison Steinbach contributed to this article

Reach the reporter at Stephanie.Innes@gannett.com or at 602-444-8369. Follow her on Twitter @stephanieinnes

Support local journalism. Subscribe to azcentral.com today.

This content was originally published here.

Local orthodontist has concerns for Do-It-Yourself braces

BETTENDORF, Iowa (KWQC) – Getting braces is an expensive task, which makes do-it-yourself videos from online even more attractive. Orthodontists have noticed more and more patients coming to them with teeth actually worse than before because they tried correcting the problem themselves, in order to save money.

Dr. Steven Mack is an orthodontist at Mack Orthodontics in Bettendorf, Iowa, and he says he’s seen patients who order kits from online to fix their teeth instead of going to a professional. “You’re not just ordering shampoo online and you can send it back, or shoes,” he said. “It’s something that effects your body and effects your health.”

With all information being a click away nowadays, kids feel they can learn and know everything. “It’s a different generation nowadays. Kids want to do something, they immediately want to go to YouTube and watch a video,” said Dr. Mack. “They wake up, they’ve got a device in their hand and it’s just so common to them.”

“The internet has definitely played a role in this. I think people think that because I can buy shampoo and all these products online through Amazon and have them shipped directly to my house,” he said. “They need to remember moving teeth is not a product.”

Dr. Mack said the complications and health risks from not seeing a professional actually lead to higher prices later, when more work is needed to fix what a patient has made worse.

“There’s a lot of risks and possible complications that you can have if it’s not done properly,” he said. “It may cost you time, it may cause injury to yourself which can lead to possibly thousands of dollars of repair work.”

Dr. Mack says at the end of the day, let the pro’s be the pro’s.

“Who do you go to if there’s a problem? If things aren’t working you need to have a name, face, and person in office that you can follow up on,” he said. “At least you’re going to have options that you know are going to only solve problems and not create problems.”

This content was originally published here.

44 Black Mental Health Support Resources for Anyone Who Needs Them | SELF

Black lives matter. Black bodies matter. Black mental health matters. This latest string of rampant and wanton brutality against Black people flies in the face of these indisputable truths. As a Black woman myself, I’ve spent years trying to process the violence and racism that are part and parcel of living in this country in this skin. But I’ve never had to do it during a pandemic that, of course, is decimating Black lives, health, and communities the most.

In my years as a mental health reporter and editor, I’ve been heartened to slowly see the collection of mental health resources for Black people start to grow. It’s still not where it needs to be, but there is solidarity and support out there if you need help processing what’s happening (and there’s nothing weak about needing it, either). Here’s a list of resources that may help if you’re looking for mental health support that validates and celebrates your Blackness.

It starts with people to follow on Instagram who regularly drop mental health gems, then goes into groups and organizations that do the same, followed by directories and networks for finding a Black mental health practitioner. Lastly, I’ve added a few tips to keep in mind when seeking out this kind of mental health support, especially right now.

People to follow

Alishia McCullough, L.P.C.: McCullough’s Instagram places an emphasis on Black mental wellness and self-love, along with social justice issues like fat liberation. She also posts about participating in live virtual panels on issues like living with an abuser while social distancing and having to live with toxic family during the new coronavirus crisis, so if you’re craving that kind of content, consider following along.

Bassey Ikpi: Ikpi is a mental health advocate who I first became familiar with when she appeared on The Read podcast, where she talked about her now best-selling debut essay collection, I’m Telling the Truth But I’m Lying, in which she writes about her experiences having bipolar II and anxiety. Ikpi is also the founder of the Siwe Project, a global non-profit that increases awareness around mental health in people of African descent.

Cleo Wade: The best-selling author of Heart Talk and Where to Begin: A Small Book About Your Power to Create Big Change in Our Crazy World, Wade’s poetic Instagram dispatches offer quiet meditations on life, love, spirituality, current events, relationships, and finding inner peace.

Donna Oriowo, Ph.D.: I first heard about Oriowo, a sex and relationship therapist, when a friend told me I had to listen to a recent Therapy for Black Girls podcast episode where Oriowo discussed whether Issa and Molly can repair their friendship on Insecure. Oriowo shared so much insight into Issa and Molly’s psyches that I was having lightbulb moment after lightbulb moment. And as a sex and relationship therapist, her Instagram feed destigmatizes Black sexuality and relationships specifically, which is essential.

Jennifer Mullan, Psy.D.: Mullan’s mission is, as her Instagram handle so succinctly sums up, decolonizing therapy. Check out her feed for ample conversation about how mental health (and access to related services) are impacted by trauma and systemic inequities, along with hope that healing is indeed possible.

Jessica Clemons, M.D.: Dr. Clemons is a board-certified psychiatrist who spotlights Black mental health. Her Instagram encompasses everything from mindfulness to motherhood, and her live Q + As and #askdrjess video posts really make it feel like you’re not only following her, but connecting with her, too.

Joy Haven Bradford, Ph.D.: Bradford is a psychologist who aims to make discussions about mental health more accessible for Black women, particularly by bringing pop culture into the mix. She’s also the founder of Therapy for Black Girls, a much-loved resource that includes a great Instagram feed and podcast.

Mariel Buquè, Ph.D.: Click the follow button if you could use periodic “soul check” posts asking how your soul is holding up, gentle ways to practice self-care, help sorting through your feelings, advice on building resilience, and so much more.

Morgan Harper Nichols: If you don’t already follow Nichols but like stirring art mixed with uplifting messages, you’re in for a treat. Her Instagram feed is a swirly, colorful dream of what she describes as “daily reminders through art”—reminders of how valid it is to still seek joy, and of your worth, and of the fact that “small progress is still progress.”

Nedra Glover Tawwab: In Tawwab’s Instagram bio, the licensed clinical social worker describes herself as a “boundaries expert.” That expertise is critical right now, given that safeguarding our mental health as much as possible pretty much always requires firm boundaries. Tawwab also holds weekly Q+A sessions on Instagram, so stay tuned to her feed if you have a question you’d like to submit.

Thema Bryant-Davis, Ph.D.: A licensed psychologist and ordained minister, some of Bryant-Davis’s clinical background focuses on healing trauma and working at the intersection of gender and race. If you happen to be avoiding Twitter as much as possible for the sake of your mental health, like I am, you might like that her feed is mainly a collection of her great mental health tweets that you would otherwise miss.

Brands, collectives, and organizations to follow

Balanced Black Girl: This gorgeous feed features photos and art of Black people along with summaries of their podcast episode topics, worthwhile tweets you can see without having to scroll through Twitter, and advice about trying to create a balanced life even in spite of everything we’re dealing with. Balanced Black Girl also has a great Google Doc full of more mental health and self-care resources.

Black Female Therapists: On this feed, you’ll find inspirational messages, self-care Sunday reminders, and posts highlighting various Black mental health practitioners across the country. They have also recently launched an initiative to match Black people in need with therapists who will do two to three free virtual sessions.

Black Girls Heal: This feed focuses on Black mental health surrounding self-love, relationships, and unresolved trauma, along with creating a sense of community. (Like by holding “Saturday Night Lives” on Instagram to discuss self-love.) Following along is also an easy way to keep track of the topics on the associated podcast, which shares the same name.

Black Girl in Om: This brand describes their vision as “a world where womxn of color are liberated, empowered & seen.” On their feed, you can find helpful resources like meditations, along with a lot of joyful photos of Black people, which I personally find incredibly restorative at this time.

Black Mental Wellness: Founded by a team of Black psychologists, this organization offers a ton of mental health insight through posts about everything from destigmatizing therapy, to talking about Black men’s mental health, to practicing gratitude, to coping with anxiety.

Brown Girl Self-Care: With a mission described as “Help Black women healing from trauma go from ‘every once in a while’ self-care to EVERY DAY self-care,” this feed features tons of affirmations and self-care reminders that might help you feel a little bit better. Plus, in June, they’re running a free virtual Self-Care x Sisterhood circle every Sunday.

Ethel’s Club: This social and wellness club for people of color, originally based in Brooklyn, has pivoted hard during the pandemic and now offers a digital membership club featuring virtual workouts, book clubs, wellness salons, creative workshops, artist Q+As, and more. Membership is $17 a month, or you can follow their feed for free tidbits if that’s a better option for you.

Heal Haus: This cafe and wellness space in Brooklyn has of course closed temporarily due to the pandemic. In the meantime, they’ve expanded their online offerings. Follow their Instagram to stay up to date with what they’re rolling out, like their free upcoming Circle of Care for Black Womxn on June 5.

The Hey Girl Podcast: This podcast features Alexandra Elle, who I mentioned above, in conversation with various people who inspire her. Its Instagram counterpart is a pretty and calming feed of great takeaways from various episodes, sometimes layered over candy-colored backgrounds, other times over photos of the people Elle has spoken to.

Inclusive Therapists: This community’s feed specializes in regular doses of mental health insight, a lot of which seems especially geared towards therapists. With that said, you don’t have to be a therapist to see the value in posts like this one that notes, “You are whole. The system is broken.”

The Loveland Foundation: Founded by writer, lecturer, and activist Rachel Elizabeth Cargle, The Loveland Foundation works to make mental health care more accessible for Black women and girls. They do this through multiple avenues, such as their Therapy Fund, which partners with various mental health resources to offer financial assistance to Black women and girls across the nation who are trying to access therapy. Their Instagram feed is a great mix of self-care tips and posts highlighting various Black mental health experts, along with information about panels and meditations.

The Nap Ministry: If you ever feel tempted to underestimate the pure power of just giving yourself a break, The Nap Ministry is a great reminder that, as they say, “rest is a form of resistance.” Rest also allows for grieving, which is an unfortunately necessary practice as a Black person in America, especially now. In addition to peaceful and much-needed photos of Black people at rest, there are great takedowns of how harmful grind/hustle culture can be to our health.

OmNoire: Self-described as “a social wellness club for women of color dedicated to living WELL,” this mental health resource actually just pulled off a whole virtual retreat. Follow along for affirmations, self-care tips, and images that are inspirational, grounding, or both. (Full disclosure: I went on a great OmNoire retreat a year ago.)

Saddie Baddies: Gorgeous feed, gorgeous mission. Along with posts exploring topics like respectability politics, obsessive-compulsive disorder, self-harm, and loneliness, this Instagram features beautiful photos of people of color with the goal of making “a virtual safe space for young WoC to destigmatize mental health and initiate collective healing.”

Sad Girls Club: This account is all about creating a mental health community for Gen Z and millennial women who have mental illness, along with reducing stigma and sharing information about mental health services. Scroll through the feed and you’ll see many people of color, including Black women, openly discussing mental health—a welcome sight.

Sista Afya: This Chicago-based organization focuses on supporting Black women’s mental health in a number of ways, like connecting Black women to affordable and accessible mental health practitioners and running mental health workshops. They also offer a Thrive in Therapy program for Illinois-based Black women making less than $1,500 a month. For $75 a month, members receive two therapy sessions, free admission to the monthly support groups, and more.

Transparent Black Girl: Transparent Black Girl aims to redefine the conversation around what wellness means for Black women. Their feed is a mix of relatable memes, hilarious pop culture commentary, beautiful images and art of Black people, and mental health resources for Black people. Transparent Black Guy, the brother resource to Transparent Black Girl, is also very much worth a follow, particularly given the stigma and misconceptions that often surround Black men being vulnerable about their mental health.

Directories and networks for finding a Black (or allied) therapist

Here are various directories and networks that have the goal of helping Black people find therapists who are Black, from other marginalized racial groups, or who describe themselves as inclusive. This list is not exhaustive, and some of these resources will be more expansive than others. They also do different levels of vetting the experts they include. If you find a therapist via one of these sites who seems promising, be sure to do some follow-up searches to learn more about them.

This content was originally published here.

Myant partners with Canadian expert for dentistry PPE innovation

Myant Inc., a world leader in Textile Computing, has announced a partnership with Dr Natalie Archer DDS, a recognized Canadian dental expert, to collaboratively develop a new line of personal protective equipment (PPE) designed to address the extreme risks that dental professionals face as they reopen their practices to serve their communities.

The types of PPE under development include both washable textile masks intended for support staff in dental practices, and washable textile-based respirators that meet NIOSH N95 standards for dental professionals who work in critical proximity to patients.

Risks for dental professionals

Social distancing is one of the basic ways to mitigate the spread of the coronavirus, with health officials advising people to maintain distancing of two metres with others. With governments progressively reopening their economies and allowing businesses to begin serving their communities again, the challenge of maintaining two metre distancing will become a potential source of danger for both front-line workers and for those that they serve.

“This is especially true for people working in the dental industry whose work environment is literally at the potential source of infection: the mouths and noses of their patients,” Myant said in an article on its website. “An analysis conducted by Visual Capitalist, leveraging data from the Occupational Information Network, suggests that dentists, dental hygienists, dental assistants, and dental administrative staff are among the professions and support staff at the highest risk of exposure to coronavirus. Their work requires close proximity / physical contact with others, and they are routinely exposed to potential sources of infectious diseases.”

“The public health risk is magnified when you consider the volume of patients coming in and out of a dental practice,” Myant adds. “Consider the contact tracing challenge if a single asymptomatic dental hygienist tests positive for COVID-19. That dental hygienist may work in a practice with two dentists, a billing coordinator, a receptionist, and perhaps three other dental hygienists who each see 100 patients a week (with each patient coming with a loved one in the waiting room). It is clear that dental professionals will need to be among the most vigilant in our communities when it comes to the adoption of effective PPE in order to protect themselves and society from a potential second-wave of the virus.”

Partnership to drive innovation in dental PPE

Recognizing this challenge Myant, the textile innovator that pivoted to innovation in PPE as a response to COVID-19, has partnered with one of Canada’s pre-eminent dental experts to design a line of PPE geared specifically to meet the challenges that dentists, other dental professionals and their staff will face, in the Post-COVID normal. Dr. Natalie Archer DDS was the youngest dentist ever elected to serve on the Board of the Royal College of Dental Surgeons of Ontario and served as the governing body’s Vice President between 2011 and 2012. As a recognized and trusted subject matter expert on dentistry-related topics, she is regularly asked to speak to the public in the Canadian media. Dr. Archer will be working closely with the Myant team, advising on the design and the certification process for a new line of PPE for dental professionals currently under development.

Reflecting on her motivations, Dr. Archer told Myant: “Dental professionals feel a tremendous responsibility to get back to serving their communities, but as both members and servants of the community, we must be safe and responsible for both patients and the people that treat them. Like other dental professionals, I am concerned about maintaining levels of PPE.”

“With disposable PPE I feel there will always be a concern of running out, the expense, uncertain quality, not to mention environmental concerns because of all of the waste. Also, there is a real problem with the discomfort that currently available PPE poses for dental professionals who typically work long shifts and whose work is physical. I am excited to be innovating with the team at Myant to address the real world clinical problems that we are facing now in dentistry by producing PPE that is protective, comfortable, and reusable, which will help all of us stay safe and allow us to do our jobs.”

The PPE for dental professionals will be designed and manufactured at Myant’s Toronto-based, 80,000 square foot facility which has the current capacity to produce 340,000 units of PPE a month. Plans are underway to expand that capacity to produce over one million units per month as communities across Canada and the United States start looking for ways to re-open in a safe and responsible manner.

 “This new development highlights the agility with which Myant is able to operate, rapidly integrating the domain expertise of our partners to unlock the potential behind our core textile design and commercialization capabilities,” said Myant Executive Vice President Ilaria Varoli. “Textiles are everywhere in our daily lives and we look forward to working with partners like Dr. Archer to make life better, easier, and safer for all people.”

Ilaria Varoli, EVP, Myant Inc.(c) Myant.Ilaria Varoli, EVP, Myant Inc.(c) Myant.

Further information

To stay up to date on Myant’s dental PPE developments, join the Myant PPE Dental Mailing List.

For consumers interested in purchasing non-dental PPE, please visit www.myantppe.ca.

For B2B inquiries about Myant’s non-dental PPE, please contact us at .

This content was originally published here.

How The ‘Lost Art’ Of Breathing Impacts Sleep And Stress : Shots – Health News : NPR

Breathing slowly and deeply through the nose is associated with a relaxation response, says James Nestor, author of Breath. As the diaphragm lowers, you’re allowing more air into your lungs and your body switches to a more relaxed state.

Sebastian Laulitzki/ Science Photo Library


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Breathing slowly and deeply through the nose is associated with a relaxation response, says James Nestor, author of Breath. As the diaphragm lowers, you’re allowing more air into your lungs and your body switches to a more relaxed state.

Humans typically take about 25,000 breaths per day — often without a second thought. But the COVID-19 pandemic has put a new spotlight on respiratory illnesses and the breaths we so often take for granted.

Journalist James Nestor became interested in the respiratory system years ago after his doctor recommended he take a breathing class to help his recurring pneumonia and bronchitis.

While researching the science and culture of breathing for his new book, Breath: The New Science of a Lost Art, Nestor participated in a study in which his nose was completely plugged for 10 days, forcing him to breathe solely through his mouth. It was not a pleasant experience.

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Nestor says the researchers he’s talked to recommend taking time to “consciously listen to yourself and [to] feel how breath is affecting you.” He notes taking “slow and low” breaths through the nose can help relieve stress and reduce blood pressure.

“This is the way your body wants to take in air,” Nestor says. “It lowers the burden of the heart if we breathe properly and if we really engage the diaphragm.”

Interview Highlights

On why nose breathing is better than mouth breathing

The nose filters, heats and treats raw air. Most of us know that. But so many of us don’t realize — at least I didn’t realize — how [inhaling through the nose] can trigger different hormones to flood into our bodies, how it can lower our blood pressure … how it monitors heart rate … even helps store memories. So it’s this incredible organ that … orchestrates innumerable functions in our body to keep us balanced.

On how the nose has erectile tissue

The nose is more closely connected to our genitals than any other organ. It is covered in that same tissue. So when one area gets stimulated, the nose will become stimulated as well. Some people have too close of a connection where they get stimulated in the southerly regions, they will start uncontrollably sneezing. And this condition is common enough that it was given a name called honeymoon rhinitis.

James Nestor’s previous book, Deep, focused on the science behind free diving.

Julie Floersch/Riverhead Books


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James Nestor’s previous book, Deep, focused on the science behind free diving.

Another thing that is really fascinating is that erectile tissue will pulse on its own. So it will close one nostril and allow breath in through the other nostril, then that other nostril will close and allow breath in. Our bodies do this on their own. …

A lot of people who’ve studied this believe that this is the way that our bodies maintain balance, because when we breathe through our right nostril, circulation speeds up [and] the body gets hotter, cortisol levels increase, blood pressure increases. So breathing through the left will relax us more. So blood pressure will decrease, [it] lowers temperature, cools the body, reduces anxiety as well. So our bodies are naturally doing this. And when we breathe through our mouths, we’re denying our bodies the ability to do this.

On how breath affects anxiety

I talked to a neuropsychologist … and he explained to me that people with anxieties or other fear-based conditions typically will breathe way too much. So what happens when you breathe that much is you’re constantly putting yourself into a state of stress. So you’re stimulating that sympathetic side of the nervous system. And the way to change that is to breathe deeply. Because if you think about it, if you’re stressed out [and thinking] a tiger is going to come get you, [or] you’re going to get hit by a car, [you] breathe, breathe, breathe as much as you can. But by breathing slowly, that is associated with a relaxation response. So the diaphragm lowers, you’re allowing more air into your lungs and your body immediately switches to a relaxed state.

On why exhaling helps you relax

Because the exhale is a parasympathetic response. Right now, you can put your hand over your heart. If you take a very slow inhale in, you’re going to feel your heart speed up. As you exhale, you should be feeling your heart slow down. So exhaling relaxes the body. And something else happens when we take a very deep breath like this. The diaphragm lowers when we take a breath in, and that sucks a bunch of blood — a huge profusion of blood — into the thoracic cavity. As we exhale, that blood shoots back out through the body.

On the problem with taking shallow breaths

You can think about breathing as being in a boat, right? So you can take a bunch of very short, stilted strokes and you’re going to get to where you want to go. It’s going to take a while, but you’ll get there. Or you can take a few very fluid and long strokes and get there so much more efficiently. … You want to make it very easy for your body to get air, especially if this is an act that we’re doing 25,000 times a day. So, by just extending those inhales and exhales, by moving that diaphragm up and down a little more, you can have a profound effect on your blood pressure, on your mental state.

On how free divers expand their lung capacity to hold their breath for several minutes

The world record is 12 1/2 minutes. … Most divers will hold their breath for eight minutes, seven minutes, which is still incredible to me. When I first saw this, this was several years ago, I was sent out on a reporting assignment to write about a free-diving competition. You watch this person at the surface take a single breath there and completely disappear into the ocean, come back five or six minutes later. … We’ve been told that whatever we have, whatever we’re born with, is what we’re going to have for the rest of our lives, especially as far as the organs are concerned. But we can absolutely affect our lung capacity. So some of these divers have a lung capacity of 14 liters, which is about double the size for a [typical] adult male. They weren’t born this way. … They trained themselves to breathe in ways to profoundly affect their physical bodies.

Sam Briger and Joel Wolfram produced and edited this interview for broadcast. Bridget Bentz, Molly Seavy-Nesper and Deborah Franklin adapted it for the Web.

This content was originally published here.

Suddenly, Public Health Officials Say Social Justice Matters More Than Social Distance – POLITICO

“The injustice that’s evident to everyone right now needs to be addressed,” Abraar Karan, a Brigham and Women’s Hospital physician who’s exhorted coronavirus experts to use their platforms to encourage the protests, told me.

It’s a message echoed by media outlets and some of the most prominent public health experts in America, like former Centers for Disease Control and Prevention director Tom Frieden, who loudly warned against efforts to rush reopening but is now supportive of mass protests. Their claim: If we don’t address racial inequality, it’ll be that much harder to fight Covid-19. There’s also evidence that the virus doesn’t spread easily outdoors, especially if people wear masks.

The experts maintain that their messages are consistent—that they were always flexible on Americans going outside, that they want protesters to take precautions and that they’re prioritizing public health by demanding an urgent fix to systemic racism.

But their messages are also confounding to many who spent the spring strictly isolated on the advice of health officials, only to hear that the need might not be so absolute after all. It’s particularly nettlesome to conservative skeptics of the all-or-nothing approach to lockdown, who point out that many of those same public health experts—a group that tends to skew liberal—widely criticized activists who held largely outdoor protests against lockdowns in April and May, accusing demonstrators of posing a public health danger. Conservatives, who felt their own concerns about long-term economic damage or even mental health costs of lockdown were brushed aside just days or weeks ago, are increasingly asking whether these public health experts are letting their politics sway their health care recommendations.

“Their rules appear ideologically driven as people can only gather for purposes deemed important by the elite central planners,” Brian Blase, who worked on health policy for the Trump administration, told me, an echo of complaints raised by prominent conservative commentators like J.D. Vance and Tim Carney.

Conservatives also have seized on a Twitter thread by Drew Holden, a commentary writer and former GOP Hill staffer, comparing how politicians and pundits criticized earlier protests but have been silent on the new ones or even championed them.

“I think what’s lost on people is that there have been real sacrifices made during lockdown,” Holden told me. “People who couldn’t bury loved ones. Small businesses destroyed. How can a health expert look those people in the eye and say it was worth it now?”

Some members of the medical community acknowledged they’re grappling with the U-turn in public health advice, too. “It makes it clear that all along there were trade-offs between details of lockdowns and social distancing and other factors that the experts previously discounted and have now decided to reconsider and rebalance,” said Jeffrey Flier, the former dean of Harvard Medical School. Flier pointed out that the protesters were also engaging in behaviors, like loud singing in close proximity, which CDC has repeatedly suggested could be linked to spreading the virus.

“At least for me, the sudden change in views of the danger of mass gatherings has been disorienting, and I suspect it has been for many Americans,” he told me.

The shift in experts’ tone is setting up a confrontation amid the backdrop of a still-raging pandemic. Tens of thousands of new coronavirus cases continue to be diagnosed every day—and public health experts acknowledge that more will likely come from the mass gatherings, sparked by the protests over George Floyd’s death while in custody of the Minneapolis police last week.

“It is a challenge,” Howard Koh, who served as assistant secretary for health during the Obama administration, told me. Koh said he supports the protests but acknowledges that Covid-19 can be rapidly, silently spread. “We know that a low-risk area today can become a high-risk area tomorrow,” he said.

Yet many say the protests are worth the risk of a possible Covid-19 surge, including hundreds of public health workers who signed an open letter this week that sought to distinguish the new anti-racist protests “from the response to white protesters resisting stay-home orders.”

Those protests against stay-at-home orders “not only oppose public health interventions, but are also rooted in white nationalism and run contrary to respect for Black lives,” according to the letter’s nearly 1,300 signatories. “Protests against systemic racism, which fosters the disproportionate burden of COVID-19 on Black communities and also perpetuates police violence, must be supported.”

“Staying at home, social distancing, and public masking are effective at minimizing the spread of COVID-19,” the letter signers add. “However, as public health advocates, we do not condemn these gatherings as risky for COVID-19 transmission.”

Was it fair to decry conservatives’ protests about the economy while supporting these new protests? And if tens of thousands of people get sick from Covid-19 as a result of these mass gatherings against racism, is that an acceptable trade-off? Those are questions that a half-dozen coronavirus experts who said they support the protests declined to directly answer.

“I don’t know if it’s really for me to comment,” said Karan. He did add: “Addressing racism, it can’t wait. It should’ve happened before Covid. It’s happening now. Perhaps this is our time to change things.”

“Many public health experts have already severely undermined the power and influence of their prior message,” countered Flier. “We were exposed to continuous daily Covid death counts, and infections/deaths were presented as preeminent concerns compared to all other considerations—until nine days ago,” he added.

“Overnight, behaviors seen as dangerous and immoral seemingly became permissible due to a ‘greater need,’” Flier said.

The frustration from some conservatives is an outgrowth of how Covid-19 has affected the United States so far. In Blue America, the pandemic is a dire threat that’s killed tens of thousands in densely packed urban centers like New York City—and warnings from infectious-disease experts like Tony Fauci carry the weight of real-world implications. In many parts of Red America, rural states like Alaska and Wyoming still have fewer than 1,000 confirmed cases, and some residents are asking why they shuttered their economies for a virus that had little visible effect over the past three months.

Pollsters also have consistently found a partisan split on how Americans view the pandemic, with Democrats believing that the media is underplaying the risks of Covid-19 while Republicans say that the threat has been exaggerated. That attitude may change with virus numbers on the march in states like Alabama and Arkansas.

People on both sides are already trying to figure out whom to blame if coronavirus cases jump as widely expected after hundreds of thousands of Americans spilled into the streets this past week, sometimes in close proximity for hours at a time. When we discussed the possible risks of a large public gathering, protest supporters like Karan and Koh seized on police behaviors —like using pepper spray and locking up protesters in jail cells—which they noted created significant risks of their own to spread Covid-19.

“Trump will try to blame protestors for [the] spike in coronavirus cases he caused,” a spokesperson for Protect Our Care, a progressive-aligned health care group, wrote in a memo circulated to media members on Wednesday. While acknowledging the risks of mass protests, “the reality is that the spikes in cases have been happening well before the protests started—in large part because Trump allowed federal social distancing guidelines to expire, failed to adequately increase testing, and pushed governors to reopen against the advice of medical experts,” the spokesperson claimed.

Contra those claims, public health experts like Koh generally acknowledge that it’s going to be difficult to tease apart why Covid-19 cases could jump in the coming weeks, given the sheer number of Americans joining mass gatherings, states relaxing restrictions and other factors that could pose challenges for disease-tracing on a large scale.

Some experts also are cautious of condemning states for rolling back restrictions after inconclusive evidence from states that already moved to do so. For instance, a widely shared Atlantic article in April framed the decision by Georgia’s GOP governor to relax social-distancing restrictions as an “experiment in human sacrifice.” A month later, Georgia’s daily coronavirus cases have stayed relatively level and it’s not clear whether the rollback led to significant new outbreaks.

What is clear is that the only successful tactic to stop Covid-19 remains social distancing and, failing that, thoroughly wearing personal protective equipment. Yet there’s also considerable video and photo evidence of maskless protesters, sometimes closely huddled together with public officials—also sans mask—in efforts to defuse tensions, or recoiling from police attacks that forced them to remove protection.

That means a collision between the protests and coronavirus is coming, which will force decisions big and small. Will local leaders need to reimpose restrictions when cases go up? Will that advice be trusted? Or is it possible that their guidance was too draconian all along?

Some participants in the new protests—whether marching themselves or drawn in from the sidelines—say they recognize the threat they’re facing.

A Washington, D.C., man named Rahul Dubey attracted national attention for sheltering protesters from the police inside his home on Monday night. On Wednesday, he told me that he was on the way to get a coronavirus test and was planning to self-quarantine himself for two weeks—having spent hours in close proximity to dozens of maskless people.

It’s a reminder of a line often heard from medical experts: Public health should be above politics. Now some conservatives are invoking it too.

“The virus doesn’t care about the nature of a protest, no matter how deserving the cause is,” Holden said.

This content was originally published here.

Everyday Superhero: Dr. Andrew V., Cosmetic Dentistry – My Jaanuu

We asked Dr. Andrew Vo – a dentist, spin instructor and Captain in the United States Army – for his best self care tips, even when life and work throw a lot at you.

Where are you from? Huntington Beach, CA

What is your favorite part about your job?

I love to change negative experiences a patient may have had into positive ones, building a long and lasting relationship with each and every one of my patients and using my profession to truly change lives for the better.

Why did you choose cosmetic dentistry?

I originally chose cosmetic dentistry because I wanted to help people smile, to help build more confidence, and to help patients live the life that is worth living. In addition to cosmetic dentistry, I also love working on pediatric patients. I decided to go back to school this June to specialize in pediatric dentistry. When I first started my journey in dentistry, I first worked with children and I miss working with them so much. I want to learn more about treating children, become an advocate for pediatric health, and create future mission trips with a foundation of knowledge.

What does self care mean to you?

Taking care of yourself both physically and mentally in order to take care of your loved ones.

You’ve got a lot going on, how do you practice self care?

Being in the fitness community (GritCycle and Equinox) and teaching indoor cycling for these companies, I am so blessed to have met such incredible people. Everyone has challenging days, but these two communities are filled with love, positivity and joy, which helps me practice self care.

Have you always known how to practice self care? If not, how did you find your balance?

I love food, and sometimes the foods that I consume aren’t the best choices. At one time in my life, I was overweight, unmotivated and depressed. I found my balance and changed my life when I found fitness and the people that inspired me to live a better and healthier life.

Why is it important for healthcare professionals to take time for self care?

We all get busy with our jobs and often times we make up excuses not to exercise because we don’t have time or to eat healthy because it takes too long. It is never too late to change, just take one step at a time and you will eventually get there.

How long have you been cycling? What made you decide to become an instructor?

I have been cycling for the past 12 years and decided to become an instructor because I wanted to make a difference and share my story. I wasn’t always in shape and healthy. It was when I hit rock bottom and had to make a choice to either keep going down the dirt road or be proactive and commit to living my best life. It wasn’t easy, but I got there. I love teaching indoor cycling to help people realize that they are loved, that they are accepted, and that it is NEVER too late to change for the better.

Hear more from our Everyday Superheroes here and here.

This content was originally published here.

Minn. health officials urge caution after news of ICU beds filling up – StarTribune.com

Metro hospitals are running short on intensive care unit beds due to an increase in patients with COVID-19 and other medical issues, prompting health officials to call for more public adherence to social distancing to slow the spread of the infectious disease.

The Minnesota Department of Health on Friday reported a record 233 patients with COVID-19 in ICU beds, but doctors and nurses said patients with other illnesses resulted in more than 95% of those beds in the Twin Cities to be filled.

Patients with unrelated medical problems needed intensive care, along with patients recovering from surgeries — including elective procedures that resumed May 11 after they had been suspended due to the pandemic.

“We are tight,” said Dr. John Hick, an emergency physician directing Minnesota’s Statewide Healthcare Coordination Center. “Resuming elective surgeries plus an uptick in ICU cases has constricted things pretty quickly.”

At different times, Hennepin County Medical Center and North Memorial Health Hospital were diverting patients to other hospitals. Almost all heart-lung bypass machines were in use for severe COVID-19 patients and others at the University of Minnesota Medical Center and Abbott Northwestern Hospital in Minneapolis.

As planned, Children’s Minnesota took on some young adult patients to take pressure off the general hospitals.

People might think the pandemic is over because public restrictions are being scaled back, but “in the hospitals, it is not over and it is not getting back to normal,” said nurse Emily Sippola, adding that her United Hospital was opening a third COVID-specific unit ahead of schedule. “The pace is picking up.”

The pressure on hospitals comes at a crossroads in Minnesota’s response to the pandemic, which is caused by a novel coronavirus for which there is yet no vaccine. Infections and deaths are rising even as Gov. Tim Walz lifted his statewide stay-at-home order on Monday and faced pressure this week to pull back even more restrictions on businesses and churches.

Despite talks with Walz on Friday, leaders of the Catholic Archdiocese of St. Paul and Minneapolis issued no change in guidance for their churches to defy the governor’s order and hold indoor masses at one-third seating capacity starting Tuesday. President Donald Trump might have altered those talks when he threatened to supersede any state government that tried to keep churches closed any longer, although the White House didn’t cite any law giving him the right to do so.

A single-day record of 33 COVID-19 deaths was reported Friday in Minnesota — with 25 in long-term care and one in a behavioral health group home — raising the death toll to 842. Infections confirmed by diagnostic testing increased by 813 on Friday to 19,005 overall, and Dr. Deborah Birx, the White House’s coronavirus response coordinator, called out Minneapolis for having one of the nation’s highest rates of diagnostic tests being positive for COVID-19.

People can slow the spread of COVID-19 if they continue to wear masks, practice social distancing, wash hands and cover coughs, said Dr. Ruth Lynfield, state epidemiologist.

“There are those among us who will not do well with this virus and will develop severe disease, and I think we need to be very mindful of that,” she said. “It’s not high-tech. We know what to do to prevent transmission of this virus.”

While as many as 80% of people suffer mild to moderate symptoms from infection, the virus spreads so easily that it will still lead to a high number of people needing hospital care. Health officials are particularly concerned about people with underlying health problems — including asthma, diabetes, smoking, and diseases of the heart, lungs, kidneys or immune system.

Individuals with such conditions and long-term care facility residents have made up around 98% of all deaths. The state’s total number of long-term care deaths related to COVID-19 is now 688.

The University of Minnesota’s Center for Infectious Disease Research and Policy estimates that only 5% of Minnesotans have been infected so far and that this rate will increase substantially.

Hospitals working together

Part of the state response strategy is aggressive testing of symptomatic patients to identify the course of the virus and hot spots of infection before they spread further. Widespread testing is being scheduled in long-term care facilities that have confirmed cases, and testing has taken place in eight food processing plants with cases as well.

The state averaged nearly 7,000 diagnostic tests per day this week, and the state should get a boost from a new campaign of testing clinics at six National Guard Armory locations across Minnesota from Saturday through Monday, said Jan Malcolm, state health commissioner.

The state’s pandemic preparedness website as of Friday indicated that 1,045 of 1,257 available ICU beds were occupied by patients with COVID-19 or other unrelated medical conditions — and that another 1,093 beds could be readied within 72 hours.

Several hospitals are already activating those extra beds, though in some cases they are finding it difficult to find the critical care nurses to staff existing ICU beds — much less new ones, said Dr. Rahul Koranne, president of the Minnesota Hospital Association. Staffing difficulties, rather than a lack of physical bed space, caused some of the hospitals to divert patients.

Nurses in the Twin Cities reported being called in for overtime shifts for the Memorial Day weekend, which in typical years also launches a summerlong increase of car accidents and traumatic injuries. North Memorial, HCMC and Regions Hospital in St. Paul are trauma centers.

“This increased trauma volume typically persists throughout the summer season and into fall,” North Memorial said in a statement provided by spokeswoman Katy Sullivan. “To be able to provide the needed level of care for the community and honor our commitments to our healthcare partners throughout Minnesota and western Wisconsin, we need to preserve some capacity for emergency trauma care.”

An increase in surgeries might have contributed to the ICU burden, but Koranne said many didn’t fit the definition of elective. Some patients delayed the removal of tumors due to the pandemic but can no longer afford to do so.

“They are patients who have been waiting for critical time-sensitive procedures that their physician is worried might be getting worse,” Koranne said. “To call those type of procedures elective could not be further from the truth.”

Competing hospitals have long cooperated when others needed to divert patients, but that has increased with the help of the state COVID-19 coordinating center and is showing in how they are managing ICU bed shortages, hospital leaders said.

“We all have surge plans in place,” said Megan Remark, Regions president, “but more than ever before, everyone is working together and with the state to ensure that we can provide care for all patients.”

This content was originally published here.

O’Leary retires; Tsunoda to take over orthodontics practice – Wisconsin Rapids City Times

For the City Times

WISCONSIN RAPIDS – Dr. Michael O’Leary, of O’Leary Orthodontics, will retire after 42 years practicing orthodontics in the Wisconsin Rapids area.

“I extend my deepest and sincere thanks for the confidence, trust, and support shown throughout the years by my patients and the community,” Dr. Michael O’Leary said. “Superior care for my patients is of utmost importance to me. We took some time to find the right doctor and I am thrilled to announce that Dr. Kan Tsunoda joined the practice in May. I will miss all of you very much, but I know you will really like him.”

Dr. Kan Tsunoda will continue to provide orthodontic treatment under the new practice name “Rapids Orthodontics.”

“Rest assured, the familiar faces on the orthodontic support team will still be at Rapids Orthodontics to provide the same level of personalized care,” the company said in a release.

Tsunoda attended dental school at Midwestern University College of Dental Medicine-IL and completed his masters in oral biology and orthodontic specialty certificate at the University of Illinois at Chicago.

Tsunoda said he enjoys the outdoors and is excited to be a part of the community with his wife and four daughters.

For more information, call 715-421-5255 or visit www.RapidsOrthodontics.com.

Rapids Orthodontics is located at 440 Chestnut Street, Wisconsin Rapids.

This content was originally published here.

Wealthiest Hospitals Got Billions in Bailout for Struggling Health Providers – The New York Times

But it is not just another deep-pocketed investor hunting for high returns. It is the Providence Health System, one of the country’s largest and richest hospital chains. It is sitting on nearly $12 billion in cash, which it invests, Wall Street-style, in a good year generating more than $1 billion in profits.

With states restricting hospitals from performing elective surgery and other nonessential services, their revenue has shriveled. The Department of Health and Human Services has disbursed $72 billion in grants since April to hospitals and other health care providers through the bailout program, which was part of the CARES Act economic stimulus package. The department plans to eventually distribute more than $100 billion more.

Those cash piles come from a mix of sources: no-strings-attached private donations, income from investments with hedge funds and private equity firms, and any profits from treating patients. Some chains, like Providence, also run their own venture-capital firms to invest their cash in cutting-edge start-ups. The investment portfolios often generate billions of dollars in annual profits, dwarfing what the hospitals earn from serving patients.

Representatives of the American Hospital Association, a lobbying group for the country’s largest hospitals, communicated with Alex M. Azar II, the department secretary, and Eric Hargan, the deputy secretary overseeing the funds, said Tom Nickels, a lobbyist for the group. Chip Kahn, president of the Federation of American Hospitals, which lobbies on behalf of for-profit hospitals, said he, too, had frequent discussions with the agency.

One formula based allotments on how much money a hospital collected from Medicare last year. Another was based on a hospital’s revenue. While Health and Human Services also created separate pots of funding for rural hospitals and those hit especially hard by the coronavirus, the department did not take into account each hospital’s existing financial resources.

“This simple formula used the data we had on hand at that time to get relief funds to the largest number of health care facilities and providers as quickly as possible,” said Caitlin B. Oakley, a spokeswoman for the department. “While other approaches were considered, these would have taken much longer to implement.”

That pattern is repeating in the hospital rescue program.

For example, HCA Healthcare and Tenet Healthcare — publicly traded chains with billions of dollars in reserves and large credit lines from banks — together received more than $1.5 billion in federal funds.

Angela Kiska, a Cleveland Clinic spokeswoman, said the federal grants had “helped to partially offset the significant losses in operating revenue due to Covid-19, while we continue to provide care to patients in our communities.” The Cleveland Clinic sent caregivers to hospitals in Detroit and New York as they were flooded with coronavirus patients, she added.

Critics argue that hospitals with vast financial resources should not be getting federal funds. “If you accumulated $18 billion and you are a not-for-profit hospital system, what’s it for if other than a reserve for an emergency?” said Dr. Robert Berenson, a physician and a health policy analyst for the Urban Institute, a Washington research group.

Hospitals that serve poorer patients typically have thinner reserves to draw on.

Even before the coronavirus, roughly 400 hospitals in rural America were at risk of closing, said Alan Morgan, the chief executive of the National Rural Hospital Association. On average, the country’s 2,000 rural hospitals had enough cash to keep their doors open for 30 days.

At St. Claire HealthCare, the largest rural hospital system in eastern Kentucky, the number of surgeries dropped 88 percent during the pandemic — depriving the hospital of a crucial revenue source. Looking to stanch the financial damage, it furloughed employees and canceled some vendor contracts. The $3 million the hospital received from the federal government in April will cover two weeks of payroll, said Donald H. Lloyd II, the health system’s chief executive.

This content was originally published here.

‘This is not about politics’: GOP governor says wearing masks is public health issue

WASHINGTON — Ohio Republican Gov. Mike DeWine on Sunday dismissed the politicization of wearing masks in public to help contain the spread of the coronavirus, imploring Americans during the Memorial Day Weekend to understand “we are truly all in this together.”

With many states like Ohio beginning to relax stay-at-home restrictions, DeWine underscored the importance of following studies that show masks are beneficial to limiting the spread of the virus in an exclusive interview with “Meet the Press.”

“This is not about politics. This is not about whether you are liberal or conservative, left or right, Republican or Democrat,” DeWine said.

“It’s been very clear what the studies have shown, you wear the mask not to protect yourself so much as to protect others. This is one time where we are truly all in this together. What we do directly impacts others.”

DeWine made the comments in response to an emotional plea from North Dakota Gov. Doug Burgum, who last week denounced the idea that mask-wearing should be a partisan issue.

Public health experts continue to say mask usage can help stunt the spread of the virus and recommend that people wear masks where social distancing is not feasible. But the White House has sent mixed signals on the practice.

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President Trump has repeatedly bucked the practice of wearing a mask in public, reportedly telling advisers he thought doing so would send the wrong message and distract from the push to reopen the economy.

He did not wear one during a visit to an Arizona mask production facility earlier this month. And while he did wear one for part of his trip to a Ford manufacturing plant in Michigan last week, he took it off before speaking to reporters and said “I didn’t want to give the press the pleasure of seeing it.”

Vice President Pence did not wear a mask while touring the Mayo Clinic in Minnesota last month, but donned one during another tour days later in Indiana after criticism.

O’Brien: The president wears masks ‘when necessary’

Robert O’Brien, Trump’s national security adviser, told “Meet the Press” Sunday that he and many other members of White House staff wear masks during work and hope that will set an “example” for Americans looking to return to the office. And he defended the president’s conduct by arguing that if proper social-distancing measures are taken, Trump doesn’t always need to wear a mask.

“I think Gov. DeWine was spot on when he talked about office-workers wearing the masks, and mask usage is going to help us get this economy reopened,” he said.

“And we do need to get the country reopened because we can’t get left behind by China or others with respect to our economy.”

The question of how to safely reopen the American economy is weighing heavy this Memorial Day weekend, as every state across the country is beginning to move toward relaxing coronavirus-related restrictions.

There have been more than 1.6 million coronavirus cases in America including more than 97,700 deaths as of Sunday morning, according to NBC News’ count. And 38 million Americans have filed unemployment claims since March 14.

As governors like DeWine are trying to balance the public health risks of removing restrictions with the economic risks of keeping most of America shut in their homes, the Ohio governor said that he’s confident “we can do two things at once.”

“We want to continue to up that throughout the state because it is really what we need as we open up the economy. This is a risk, but it’s also a risk if we don’t open up the economy, all the downsides of not opening up the economy,” he said.

This content was originally published here.

Cranston orthodontist fears a burglary, but finds a turkey

John Hill Journal Staff Writer jghilliii

CRANSTON, R.I. — It was Columbus Day and Joseph E. Pezza and his wife had gotten back from a weekend in Nashville. The Pontiac Avenue orthodontist decided to stop by the office to check the mail and make sure everything was set for Tuesday morning.

But someone was already waiting in the office. He’d come through the office window, a fully grown wild turkey.

The waiting area was strewn with broken glass, Pezza said, and at first he thought he been the victim of a burglary. He went into his office to leave a message for the building manager and while he was wondering if he should call the police, the reason for the carnage became apparent.

“I went back into the room and all of a sudden this bird flies over my head,” Pezza said.

Pezza said he immediately headed back to his office, closed the door and waited for the building crew.

Pezza and his son Gregory are Pezza Orthodontics, located in a four-story office building off Pontiac Avenue near the interchange with Pontiac Avenue and Route 37. Birds sometimes bump into the back windows of the building, some of the office staff said, but the turkey was a first.

“It was double-pane glass, “ Pezza said, in wonder that the bird could fly high enough and fast enough to smash through the window. And survive

The maintenance crew worked to get the bird into a large bucket to get the bird out of the building, Pezza said, but it collapsed and died, possibly of shock or injuries suffered in the crash.

For now, the window is covered with a square of wood, with a felt turkey hanging from the center.

He declined to say if the incident was going to affect his plans for Thanksgiving.

This content was originally published here.

Pelosi calls for public health benefits for illegal immigrants

House Speaker Nancy Pelosi said it is “absolutely essential” that illegal immigrants also get access to health benefits amid the coronavirus pandemic.

“It’s in everyone’s interest that everyone be in the health-care loop. … it’s absolutely essential that we’re able to get benefits to everyone in our country when we’re testing, when we’re tracing, when we’re treating and the rest,” the California Democrat said during a teleconference call.

Pelosi said Democrats want to undo a provision in coronavirus legislation that prevents families with mixed immigration status from receiving stimulus payments from the Internal Revenue Service.

“We want to address the mixed-family issue,” she said during her weekly news conference Thursday, without committing to it being part of the next bill the House passes on the pandemic, according to the San Francisco Chronicle.

Responding to a question about supporting undocumented immigrants more broadly than the stimulus payments, the speaker said she was pleased that the Federal Reserve is looking at ways to extend lending programs to nonprofits, including those that work with illegal immigrants.

California has partnered with nonprofits to set up a $125 million fund to provide cash payments to undocumented immigrants in the state.

“We are well-served if we recognize that everybody in our country is part of our community and … helping to grow the economy. Most of what we are doing is to meet the needs of people, but it’s all stimulus, so we shouldn’t cut the stimulus off,” Pelosi said.

House Speaker Nancy Pelosi said a “guaranteed income” for Americans,…

On Tuesday, Pelosi pressed ahead with a sweeping package even as a host of Republican leaders express hesitation about additional spending.

She promises that the Democrat-controlled House will deliver legislation to help state and local governments through the crisis, along with additional funds for direct payments to individuals, unemployment insurance and a third installment of aid to small businesses.

Pelosi is leading the way as Democrats fashion the package, which is expected to be unveiled soon even as the House stays closed while the Senate is open.

Senate Majority Leader Mitch McConnell said earlier this week that it’s time to push “pause” on more aid legislation — even as he repeated a “red line” demand that any new package include liability protections for hospitals, health care providers and businesses.

With Post wires

This content was originally published here.