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Archive for the ‘Hormone Physician’ Category

Major study finds testosterone therapy is no fountain of youth – Philly.com

Testosterone supplements have grown into a $2 billion market, with millions of men of a certain age taking it for low energy, low libido, low mood what marketers call “low T” even though that’s not an approved use.

Now, the first study to rigorously test whether the quintessential male hormone can fight the toll of aging shows it isn’t much of a youth elixir.

A year of testosterone treatment was no better than a placebo for memory and thinking, and it increased fatty plaque in coronary arteries, a risk factor for heart disease. The hormone helped anemia and low bone density in the minority of men with those conditions, which can be treated with other, proven therapies.

The results, published Tuesday in the Journal of the American Medical Association and JAMA Internal Medicine, add to findings from a year ago: Testosterone did not improve fatigue or walking speed, and its modest benefits on sexual function faded by the end of the study.

“The hopes for testosterone-led rejuvenation for older men are dimmed and disappointed if not yet finally dashed,” University of Sydney professor of medicine David J. Handelsman concluded in an editorial accompanying the latest results.

University of Pennsylvania endocrinologist Peter Snyder, who led the complicated, government-funded clinical trials involving 788 senior men at 12 medical centers, disagreed.

“It shows for the first time that treatment of older men with low testosterone has certain benefits, including bone density and anemia,” Snyder said. “I would say the effects on bone and anemia were striking.”

He added a caveat. Even though the $50 million “T Trials” are the most conclusive studies ever done on the hormone, researchers didn’t follow enough men long enough to tell whether testosterone increases risks such as heart attacks, stroke, or prostate cancer.

AbbVie, which donated its leading brand, Androgel, to the trials, said in a statement that the company is “committed to our patients and is proud of our continuous support of research that advances science for the benefit of hypogonadism patients.”

Actually, hypogonadism occurs when the body doesn’t produce enough of the hormone due to disease, injury, or chemotherapy.It’s the condition for which testosterone-replacement therapy is approved.

Prescribing testosterone for age-related deficiency which is only vaguely defined took off in 2000. The trend was driven not by solid scientific evidence, but by the introduction of convenient, rub-on testosterone products, the first being Androgel. Many men are put on testosterone with no tests of their levels or despite tests showing normal levels, a study of Medicare claims found.

Two years ago, the U.S. Food and Drug Administration cracked down on this overprescribing. It ordered drugmakers to revise product labeling to stress the approved use, and to warn that the drug may increase the risk of heart attacks and stroke. Another order that manufacturers conduct a clinical trial to clarify the heart risks is “under discussion,” the FDA said Friday.

Concerns about testosterone use also led the National Institute on Aging to fund the T Trials, which began enrolling men over age 64 in 2009.

T Trials researchers had to screen more than 50,000 men to find 788 with confirmed abnormally low testosterone levels along with one or more age-related symptom that the hormone might help. More than 60 percent of the men were also obese, a condition that can depress testosterone levels.

Now, with a clearer scorecard on benefits, Snyder would like to see the government fund a study to tease out the risks an effort that would take 5,000 men, five years of treatment, and $500 million.

Other experts see no point in defining the downsides of a therapy with weak upsides.

“The improvements in outcomes in the T Trials were minimal,” said Deborah Grady, a professor of medicine at the University of California, San Francisco, and an editor of JAMA Internal Medicine.

Grady was a leader of the Women’s Health Initiative, the mammoth government study that in 2002 shattered the deeply held belief that menopausal hormone therapy protected women’s hearts. The National Institutes of Health agreed to fund the initiative because estrogen, unlike testosterone, had decades of circumstantial evidence of cardiac benefits.

Testosterone’s cardiac effects are still unsettled. Some studies that mine medical records including one in Tuesday’s JAMA Internal Medicine have found men taking it have fewer heart problems.

The T Trials’ anemia findings add to the complexity.

Testosterone is known to increase production of red blood cells, which carry hemoglobin, a protein that ferries oxygen. In 126 men with mild anemia a deficiency of red blood cells or hemoglobin that can cause fatigue testosterone was better than a placebo at boosting hemoglobin. The hormone corrected anemia that had no apparent cause, as well as anemia caused by iron deficiency or inflammation.

However, in six men, the hormone triggered an oversupply of red blood cells. Testosterone labeling warns about this because the blood can become too thick, a risk for dangerous blood clots or stroke.

Like all participants in the trials, the six men were closely monitored, so the problem was detected, their testosterone dose was reduced, and their red blood cell counts returned to normal, Snyder said.

“The results illustrate that decisions about testosterone treatment need to be individualized,” said Evan Hadley , director of the National Institute on Aging’s geriatrics division.

Physician Michael Carome, director of health research at the consumer advocacy organization Public Citizen, drew a different bottom line: “This body of research indicates that testosterone is not the fountain of youth that some patients, doctors, and industry have hoped, or represented it as being.”

Published: February 21, 2017 11:03 AM EST The Philadelphia Inquirer

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Major study finds testosterone therapy is no fountain of youth – Philly.com

Family pushes bill expanding medical training in schools – WBIR.com

Currently only a school nurse can administer a shot to a student in the condition, but a bill in the state legislature would allow other school employees to be trained so they could also intervene.

Grant Robinson , WBIR 11:57 PM. EST February 19, 2017

KNOXVILLE – On Wednesday a couple from Knoxville will address the senate education committee in support of a bill that would expand access for training and administering a life-saving drug.

Adrenal insufficiency is a condition where a body doesn’t produce cortisol – a hormone essential for managing stressors.

People with the disease may go into adrenal crisis, a medical state marked by severe pain, low blood pressure and loss of consciousness that if untreated can lead to death.

Adrenal crisis can be treated, but under the current state law school nurses are the only employees at schools who can administer the shot.

Senate Bill 117 amends that law by allowing other school employees to be trained to administer the injection.

Landon Adzima is a junior at Gibbs High School and lives with adrenal insufficiency. During last year’s wresting state tournment, Landon suffered an adrenal crisis.

“There’s nothing I could really compare it to,” Adzima said. “It just felt like my body was shutting down and that I was helpless and there was nothing I could do about it.’

Adzima’s parents were in attendance and were able to administer the drug. They worry that if a student is at school and the nurse is off campus, an adrenal crisis could cause lasting damage.

“We think it’s important that school employees could be properly trained to give this injection in the absence of a school nurse,” Andy Adzima said. “They’re always the nearest person to the student in an emergency that might happen at the school and the time they might have to wait for someone who’s legally allowed to give this injection could make a huge difference.”

The bill would only require schools to train personnel if a parent or guardian notified the school that a student is diagnosed with adrenal insufficiency.

The bill is sponsored by Senator Richard Briggs (R – Knoxville), who is also a physician.

( 2017 WBIR)

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Family pushes bill expanding medical training in schools – WBIR.com

Quick fix: Zeman turns last-place Pescara around in 3 days – The Republic

ROME Turnarounds dont get much quicker than this.

Three days after he was hired, Zdenek Zeman coached last-place Pescara to its first outright win of the season by a score of 5-0 the first time the Abruzzo club has won with a five-goal margin in Serie A history.

All I can do is thank the lads because we only had three training sessions together but they showed that if we dedicate ourselves and if we stay focused we can do well, Zeman said after the victory over Genoa on Sunday. We broke the spell.

For its only other victory this season, Pescara was awarded a 3-0 win over Sassuolo in August because Sassuolo used an ineligible player. Sassuolo had won 2-1.

Previous coach Massimo Oddo was fired last week after six consecutive losses in the last two of which Pescara had conceded a total of 11 goals.

So on Thursday, Pescara rehired the 69-year-old Zeman, a chain-smoking Czech coach known as the Bohemian who had guided the club to the Serie B title five years earlier with a record number of goals.

Known for his all-out attacking style and 4-3-3 formation, Zemans impact was immediate.

After an own-goal five minutes in, Gianluca Caprari the only holdout from Zemans first spell at Pescara scored two, English-born Libya international Ahmad Benali added another and 20-year-old Alberto Cerri got his first Serie A goal.

The result prompted the firing of Genoa coach Ivan Juric.

Zeman doesnt say much but when he does speak hes very clear, Cerri said. He told us to clear our heads and give our all.

Pescara is still 11 points from safety with 13 matches to go but its only one point behind penultimate Crotone and two points behind Palermo. The goal is to catch Empoli, which is 10 points ahead.

It doesnt depend only on us, it depends on how the others do, too, Zeman said. We would need the three squads ahead of us to stall and us to leap forward. Plus, we still have to face (Serie A leader) Juventus so we already have one less match available even though well try to win that one.

Zeman, who will turn 70 before the end of the season, has a long history with Juventus. He accused the Turin power of drug abuse nearly 20 years ago when he coached Roma, sparking a years-long trial.

In 2004, Juventus physician Riccardo Agricola was convicted of administering banned substances, including the hormone EPO, to Juventus players from 1994-98, and was handed a suspended sentence of 22 months. He was cleared on appeal a year later.

Zeman left Pescara in 2012 to return to Roma, which was an offer he said he couldnt refuse. But memories of his first spell at Pescara, when the club scored a Serie B-record 90 goals in 42 games with a team that featured current Italy internationals Ciro Immobile, Lorenzo Insigne and Marco Verratti made it easy for him to come back.

Zeman said he inherited a squad in poor physical condition.

Were going to have to work on that aspect a lot, Zeman said. The important thing is that the lads dont think the season is over.

Pescaras hard-core ultra fans stayed away from the Genoa match in protest at the squads poor results.

I would have liked for them to have come out and given us a hand, Zeman said. I hope we can convince them to return.

Andrew Dampf on Twitter: http://www.twitter.com/asdampf

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Quick fix: Zeman turns last-place Pescara around in 3 days – The Republic

The Secret Behind Trump’s Flowing Locks – eParisExtra.com (blog)

Whether you like the President or not, its hard not to like his full head of hair. As Trump himself said As everybody knows, I do not wear a wig. My hair may not be perfect but its mine. The Presidents hair has been a topic of jokes, intrigue and even magazine covers. Some have even suggested that he has grown more hair over the past few years. When most men his age are going bald, what is Mr. Trumps secret?

According to Trumps personal physician, Bornstein, he credited the drug finasteride for Trumps hair growth and said that Trump has all his hair. Finasteride is better known by the name Propecia.

But what is finasteride, and how does it work? This is an oral drug approved by the Food and Drug Administration (FDA) to treat and reverse male pattern baldness. This type of baldness usually begins at the temples and leaves a bald top with some hair around the sides of the head.

Finasteride blocks the action of an enzyme called 5-alpha-reductase. This enzyme changes testosterone to another hormone (DHT) that causes hair loss in males. Finasteride increases hair growth on the scalp by inhibiting this enzyme and also fuels new hair cell growth ( journal Expert Opinion in Drug Discovery) . The effect of finasteride on the scalp will only last as long as the medicine is taken. When it is stopped, the hair will be lost.

Finasteride is also used to treat BPH (benign prostate enlargement) which is common as men age. Men with BPH usually have difficulty urinating and a need to get up at night to urinate. Finasteride helps make these symptoms less severe and reduces the chance that prostate surgery will be needed. It may be used alone or in combination with other medicines.

Finasteride works by increasing the level of testosterone which in turn decreases prostate size and reduces hair loss. If one were to speculate, it is possible that the President has a low PSA and a relatively high testosterone level due to the effect of finasteride.

According to the Journal of Investigative Dermatology, Finasteride has gone through three placebo-controlled trials to assess its effects on male pattern baldness. Men who had taken finasteride had 107 more hairs per square inch after one year of use and 277 more hairs per square inch after five years of use. It should be noted that the average person may have anywhere from 1,050 to 1,935 hairs per square inch according to the journal. No wonder, Mr. Trumps head of hair looks fuller!

The drug has relatively few side effects. Rarely, men reported erectile dysfunction and decreased libido, and there was a slight association with depression, but it is considered a safe drug.

Irrespective of your political leanings, or whether you personally like the President or not, or whether you think he is going to win a lot, Mr. Trump has certainly won the battle of hair. He has managed to avoid baldness and maybe even grow hair. Whether he has done this with the help of Finasteride, remains a matter of speculation until we know for sure. But finasteride remains an option for those men who are starting to lose hair, and would like to hang on for a little bit longer.

This information is strictly an opinion of Dr Prakash, and is not intended to replace the advice of your doctor. Dr Chris Prakash is a contributing columnist, and author of eParisExtras The Doctor is In column. He is a medical oncologist at Texas Oncology Paris. He is board certified in Internal Medicine, Oncology and Hematology. He can be reached at 9037850031, or Sucharu.prakash@usoncology.com

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The Secret Behind Trump’s Flowing Locks – eParisExtra.com (blog)

What’s It Like Getting Health Care As A Black Transgender Person? – BuzzFeed News

Your Post Has Been Launched!

Fabulous! Don’t forget to share with your friends on Twitter and Facebook.

We want to hear your stories.

And its not for a lack of trying, either.

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Shoot, maybe you dont even have insurance, which means you cant get the health care you really need.

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Maybe they refused to use your preferred pronoun or made sweeping generalizations without ever actually asking about your lifestyle.

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Maybe they said snide or even outright mean things to you. And because of this mistreatment, you knew that place wasnt the right one for you even if it was just to get checked up for a nagging cough or an eye exam. Maybe such an instance even forced you to travel two hours now just to see someone whos trans-friendly and knows what theyre doing.

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If so, please share your secrets with the class.

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You can submit your story (anonymously, if you want to) in the form below. You can also view the form here, which might be easier on mobile. Please share as much detail as you can vent to us! The more we know about your experience, the more likely it is that we can include you in a future post. Your story, whether related or unrelated to transition, could help other people with their own medical struggles.

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Chief justice cheers turnout at Longview off-site session – Longview News-Journal

Fifth-grader Sophia Yastrebov craned her neck Thursday to reach the microphone and ask Texas Supreme Court justices a question they probably ask themselves from time to time.

Do you ever have trouble separating your personal preferences from a persons legal rights? the Longview home-school student asked during a question-and-answer session after the courts Longview session in the Belcher Center at LeTourneau University.

Eleven-year court veteran Justice Phil Johnson fielded that one.

The answer to that is, sometimes, he told Sophia and the audience of more than 1,000 high school and college students, hundreds of lawyers, scores of judges and others from across the region who came to see the states highest civil court hear two cases.

In all, some 1,400 people saw a scene Thursday they would have had to travel to Austin to see before 1997, when voters changed the Texas Constitution to allow off-site sessions.

In answering Sophias on-point question, Johnson confessed he might enter a case thinking one way.

But you research the law, he said. You just come out differently than you would prefer to come out. The answer is, we have a system of laws that has to be predictable. And people have to depend on them.

That was just one lesson but a major one that the nine justices said they wanted to leave behind. The judges acknowledged their job is an obscure one to most Texans, hopefully less so after each of their roughly twice-yearly out-of-town sessions.

Theyve been in mystery for too long, retired Longview plumber Peter Saccoccio said after watching the two cases be heard either of which could set legal precedent.

Making all Texas courts transparent is not merely a campaign promise for the justices, all of whom are Republicans.

Weve gone to high schools and universities across the state, Chief Justice Nathan Hecht told a lunch audience after the morning session. But the best I can remember is, this is the best off-site meeting we have held.

Hecht credited Longviews John and Susan Coppedge, whom he met in 1987, the year he campaigned for his first election to the Texas Supreme Court, for sharing his love of making Texans more aware of their judiciary.

Coppedge is recognized statewide as an expert on the Texas judiciary, often shepherding hopefuls for the Supreme Court, Court of Criminal Appeals and local appellate venues through their political campaigns.

Thursdays events, which included all nine justices teaching afternoon continuing education classes for lawyers in the Gregg County Courthouse, climaxed a two-year effort by the retired surgeon.

Hecht and the court are mandating that all Texas courts go online, with electronic filing implemented in stages. Civil courts are wrapping up that change now, and criminal courts are to be added beginning July 1.

By 2019, all of the court records in all of the trial courts other than justices of the peace and municipal courts will be electronic, Hecht said, adding the next step after that will be opening that portal to all residents.

We need to open up the court records, so people can see the cases that are being filed, he said.

The court will issue rulings from the morning sessions by the end of its term this summer. At roughly one hour apiece, the hearings brought a reunion of sorts for the justices.

Former Supreme Court Justice Craig Enoch and former Chief Justice Wallace Jefferson were squaring off in an inheritance dispute that had wended its way up through the trial and appellate courts in Fort Worth, Waco and Austin.

And now were in Longview, Enoch noted as he began his 20-minute allotment to speak.

Enoch represents a family claiming the woman who was married to their grandfather had been unduly influenced to alter her will by a niece and nephew to whom she is related by blood. The Kinsel family is claiming their stepgrandmother, Lesey Kinsel, was unduly influenced by her nephew and niece, Bob Oliver and Jane Lindsey, while living with dementia.

Justice Eva Guzman stopped Enoch at one point, asking whether someone who has lost competence can regain it.

Enoch replied that medical testimony in the trial record says incompetence is incurable despite good days and bad days.

Enoch said the stepgrandmother had amended her will three times through the years.

All of a sudden, she makes a significant change to the trust, he said, adding the woman dropped the Kinsels from her will and sold her ownership in their grandfathers ranch under direction of the niece and nephew and a law firm that also is being sued by the Kinsels. Once you have undue influence, then any change is improper.

Jefferson represents that law firm, Jackson Walker.

He said the niece and nephew brought their aunt, the Kinsels stepgrandmother, to his clients office in 2007.

The first thing he did was separate Lesey from Jane and Bob, Jefferson said. And he brought in a second lawyer, as witness, while he asked questions to see if she was competent.

The Kinsels won a $3 million jury verdict at the trial court level, but it was reversed on appeal because that court ruled a claim of interference with inheritance rights doesnt exist.

A ruling for the Kinsel family would establish such a right.

The second case involves a doctor who asked to be dismissed from a wrongful death suit under a claim of governmental immunity.

Dr. Leah Anne Gonski Marino was in a residency program in 2015 at a University of Texas Physicians Clinic in Houston, but she was paid by the nonprofit UT Health Systems Foundation.

Her claim of governmental immunity led to her dismissal by the trial court, but an appeals court rejected that dismissal on grounds the nonprofit foundation is not a governmental entity and doesnt control the doctors work.

The lawsuit arose from a hormone injection Marino gave the plaintiffs pregnant daughter, when the daughters regular physician was not available.

The pregnant woman later developed breathing problems and died, along with her unborn twins, en route to a hospital.

Liability typically follows control, attorney Joseph Gourrier argued for the mother and grandmother suing the doctor.

The justices peppered Gourrier, and defense counsel John Strawn Jr., with questions trying to pin down whether the UT medical foundation is a governmental entity. Court members drew multiple citations by the attorneys of the bylaws, policies and other documents governing the assignment of residencies to young doctors under the arrangement of the two UT entities.

The case has implications statewide, including in Longview where Christus Good Shepherd Medical Center offers a medical residency program for doctors in partnership with UT Health Northeast near Tyler.

Justices eager to meet students, public Thursday

Texas Supreme Court will gavel-in at Longview’s Belcher Center Thursday

Texas Supreme Court to hear weighty issues in Longview

Security tight for visit by state’s highest court

Texas Supreme Court needed voters’ permission to travel

Texas Supreme Court Longview stop expected to draw thousands

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Chief justice cheers turnout at Longview off-site session – Longview News-Journal

Older women reduce their endometrial cancer risk with weight loss – Fox News

Postmenopausal women who intentionally lost weight over the course of three years had a much lower risk of endometrial cancer up to 11 years later compared to women whose weight didn’t change, a U.S. study finds.

Overall, women who intentionally lost 5 percent or more of their body weight had 29 percent lower risk of developing endometrial cancer during the study period, and the effect was most pronounced for obese women, whose risk dropped by 66 percent with weight loss.

“We decided to do the study because we realized that, although obesity increases the risk of endometrial cancer, research couldn’t say if intentional weight loss, especially among older persons, could reduce that risk,” lead author Juhua Luo, of the School of Public Health at Indiana University in Bloomington, told Reuters health in an email.

Endometrial cancer is the most common gynecologic cancer in the U.S. and the fourth most common cancer among women. About 2.8 percent of American women will be diagnosed with endometrial cancer at some point during their lifetime, according to the National Cancer Institute.

Body fat is thought to increase risk of this hormone-sensitive cancer by increasing the amount of estrogen a woman produces, the researchers write in Journal of Clinical Oncology.

For their study, Luo and her colleagues analyzed data on more than 36,000 women between the ages of 50 and 79 who participated in the larger, long-term Women’s Health Initiative study.

All the women were weighed at the beginning of the study period and again three years later when they were also asked if they had intentionally tried to lose weight in the previous few years. The study team followed the women for an average of 11 more years and found that 566 women were diagnosed with endometrial cancer during that time.

With women whose weight remained stable as the reference point, researchers found that women who dropped pounds were significantly less likely to develop endometrial cancer, and those who gained weight saw an 8 percent to 23 percent increase in risk. For women who had not used hormone replacement therapy for menopausal symptoms and gained weight, risk rose by 30 percent.

“It is not too late to lose weight to reduce cancer risk, even if you are older,” Luo said.

The study only looked at older women, but Luo said she thinks it is reasonable to think the effects might apply to younger women too, and more research is indicated.

“The majority of women with endometrial cancer are diagnosed with early-stage tumors that are associated with a high cure rate. However, despite this paradigm, not only is the incidence of endometrial cancer increasing, but the number of women who die as a result of the disease also is increasing,” Dr. Jason Wright, chief of gynecologic oncology at Columbia University College of Physicians and Surgeons and New York Presbyterian Hospital, writes in an editorial accompanying the study.

In 2016, the number of deaths from endometrial cancer in the United States reached 10,170, which is a 25 percent increase compared with just five years earlier, he writes.

Luo’s findings suggest that weight loss, even by a modest amount, can lower a woman’s risk of endometrial cancer, Wright told Reuters Health by email.

“Fatty tissue releases estrogen which can stimulate the endometrium and increase a woman’s risk of endometrial cancer,” Wright said.

At present, the only women for whom screening is recommended are those with Lynch syndrome, a genetic abnormality that predisposes women to the development of endometrial and colorectal cancer among other cancer types, Wright noted.

“Most endometrial cancers will have symptoms early such as vaginal bleeding. Women with vaginal bleeding should consult with their physician for evaluation,” he said.

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Older women reduce their endometrial cancer risk with weight loss – Fox News

With health care repeal looming, women turn to IUDs and other long-term birth control – Kansas City Star


Kansas City Star
With health care repeal looming, women turn to IUDs and other long-term birth control
Kansas City Star
The IUD has become the go-to option for women like Sowle who are looking for safe and effective contraception that doesn't involve the hassle or specific hormones associated with daily pills and can last for years at a time. Because the … While the

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With health care repeal looming, women turn to IUDs and other long-term birth control – Kansas City Star

A lot of blood, for no reason? Common, costly clot test has few benefits – Knowridge Science Report

A half billion dollars at least gets spent each year on blood tests to see which hospital patients have a genetic quirk that makes their blood more likely to form dangerous clots.

And most of that spending probably isnt necessary, according to a new paper by a University of Michigan Medical School team.

Writing in the Journal of Hospital Medicine, they review whats known about testing for the trait called inherited thrombophilia, and call for a drastic cut in the tests use by doctors across America.

After all, they write, hospitalized people who have already had such dangerous clots, called venous thromboembolisms or VTEs, dont need a positive genetic test to justify taking medication and making other changes to prevent future ones.

And theres no evidence that medication to prevent clots will help hospital patients who havent yet had a VTE. Testing their DNA for inherited thrombophilia wont change that.

In other words, the authors say, ordering inherited thromboembolism testing on inpatients is something doctors do for little or no reason.

And according to the teams analysis of data pulled from medical records, they do it hundreds of thousands of times a year in Medicare patients alone.

Often, it appears, the test gets ordered to satisfy curiosity about why a patient had a VTE, to see if theyre among the seven percent of Americans with a genetic mutation that makes blood more prone to clot.

There are several tests for several traits, so patients often get them in combination whats called a hypercoagulable workup.

But if doctors are following guidelines grounded in evidence, the test result should rarely change a patients care.

So, except in very specific cases where such clots are highly likely such as women with a family history of clots who are pregnant or getting hormone replacement therapy theres probably not much reason to do the test at all.

Resisting temptation

More testing is not always better, says Christopher Petrilli, M.D., an assistant professor of internal medicine at U-M and co-first author of the new paper.

Testing for this disorder is almost never beneficial, and in fact can even be harmful because it can cause undue psychological distress for the patient, and unnecessary expense for the healthcare system, he adds.

Physicians and patients should resist the temptation to perform costly search for an underlying genetic cause of venous thrombosis, says co-first author Lauren Heidemann, M.D., also an assistant professor of medicine.

Petrilli and Heidemann both hospitalists who specialize in treating patients in the U-M Health Systems University Hospital have set out to address such no reason testing at UMHS and beyond.

Theyve co-founded a local chapter of the group Providers for Responsible Ordering, which aims to help physicians, nurse practitioners and physician assistants reduce over-testing and use health care resources appropriately.

Theyve also led the effort to make UMHS one of more than 40 founding members of the High Value Practice Academic Research Alliance, which is working to bring institutions together to help one another implement strategies that make better use of resources.

The current climate of public attention on new genetic testing options and personalized medicine could make this difficult in some cases, they note in the paper.

Ideally, genetic tests to find out whether someone carries a certain genetic trait should be used when theres clear information about the risks, benefits and costs of that test.

With national health care spending reaching an unsustainable level, we as physicians need to be vigilant about becoming stewards of health care resources, says Heidemann.

For the paper, Petrilli, Heidemann and their colleagues reviewed the full scope of literature and established guidelines on inherited thrombophilia testing.

They illustrated the situation by applying this information to a hypothetical case of a young patient with a VTE but no family history who suffers a pulmonary embolism a dangerous health emergency where clots form in the lower extremities and travel to the lungs, potentially cutting off oxygen to the body unless treatment starts quickly.

They note the conclusions about VTE prevention and treatment that have been reached by several medical bodies including an American College of Chest Physicians guideline recommending against giving clot-prevention medication to people with the genetic trait but no VTE history.

Want more Medicine news? Follow Knowridge Science Report onFacebook.

News source: University of Michigan. The content is edited for length and style purposes. Figure legend: This Knowridge.com image is for illustrative purposes only.

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A lot of blood, for no reason? Common, costly clot test has few benefits – Knowridge Science Report

Ask the Doctor: Dizziness, Graves’ disease, herbal remedies – WNDU-TV

Doctor Rob Riley joins us from Memorial Family Medicine every Tuesday to answer viewer questions.

Here are the questions he addressed during NewsCenter 16 at Noon on February 14, 2017:

“My daughter plays travel softball and practices all year round. The last two practices she has gotten sick. She gets light-headed and dizzy. She also gets nauseous, has trouble breathing, and her chest hurts. Any idea what this could be?”

Dr. Riley: That group of symptoms — dizziness, nausea, shortness of breath, and chest discomfort — makes me think of anxiety attack as one possibility. With acute anxiety, people can hyperventilate, and that can cause all of those symptoms. Other possibilities include just one of these common viruses we’re seeing right now where the symptoms may not be all that apparent unless the person is exerting themselves, like at softball practice. Rarely, this can be something more serious like a heart issue, so I think it’s worth having your daughter checked out by her physician to make sure everything’s OK and to get proper treatment if that’s needed.

“Are there any natural alternatives for treating Graves’ disease?”

Dr. Riley: Graves’ disease is a disease of the thyroid gland where the gland gets confused and produces too much thyroid hormone. For reasons that aren’t well understood, the immune system produces a substance that stimulates the gland. Symptoms include racing heart, sweating, high blood pressure. We usually treat this either with medications that shut down the thyroid gland’s ability to make thyroid hormone, or by destroying the overactive gland with radiation. There’s really no so-called natural treatment that will shut down the thyroid gland’s production, so one of these options is the way to go in most cases.

“What’s your take on essential oils and herbal remedies?”

Dr. Riley: There’s a certain appeal to the idea of using substances found in nature to treat our illnesses rather than things cooked up in a laboratory. It feels safer. But natural doesn’t always mean safe — there are plenty of poisons in nature. In terms of effectiveness for various conditions, scientists started studying herbal remedies in earnest in the 1980’s and 90’s. Unfortunately, the results have been mostly disappointing, though studies have shown mixed results for some products. In general, the most commonly used products appear to be generally safe, though there are some risks of interacting with medications. So, in general, I don’t object to people trying an herbal remedy for a non-life threatening condition. If they feel they benefit, that’s great. But I don’t think the science is solid enough to recommend herbal treatments as first-line for any particular medical condition at this time.

Dr. Riley joins us from Memorial Family Medicine.

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Ask the Doctor: Dizziness, Graves’ disease, herbal remedies – WNDU-TV

The Thyroid Problem: How you can identify thyroid issues and free your health – Black Hills Pioneer

Could your thyroid actually be sabotaging your health? You or one of your loved ones could be suffering from thyroid problems, and Dr. Troy Howard of the Medical Center of Spearfish is here to help you identify and eradicate the problem, leaving you to a lifetime of wellness.

The thyroid gland is a butterfly shaped organ located at the midline of the neck, just below the Adams apple, and is responsible for creating and secreting thyroid hormone. This special hormone regulates cell metabolism throughout the entire body, helping you stay balanced and healthy. When problems occur with this organ, such as the growth of a thyroid nodule, your metabolism can become unregulated, wreaking havoc on your body. Unfortunately, around 50 percent of the population will have a thyroid nodule somewhere within their thyroid gland.

Thyroid nodules are small growths within the thyroid gland, itself. While the overwhelming majority of thyroid nodules are benign, they are still capable of causing health issues. If the growth is large enough they may become palpable to the touch and can cause compressive symptoms by pressing on your windpipe or esophagus, causing shortness of breath or difficulty swallowing. Another issue that can arise from these growths is the excess production of the hormone thyroxine, which may lead to hyperthyroidism and cause symptoms such as weight loss, intolerance to heat, tremors, nervousness, and rapid or irregular heartbeat. Despite these issues, thyroid nodules can present asymptomatic, causing no outward sign of this inward problem. Some nodules can even be cancerous. Using ultrasound and fine needle biopsy, your physician can help determine if a thyroid nodule has features concerning for cancer.

The majority of thyroid nodules are caused by overgrowth of normal thyroid tissue. The cause is usually unknown; however, in some cases, autoimmune problems, iodine deficiencies, and overactive thyroid can put you a higher risk for developing a nodule.

To find out if you or a loved one is suffering from a nodule, they can be initially diagnosed by a physical exam performed by your primary care physician. If there is suspicion of a thyroid nodule, usually your physician will order several tests and obtain a tissue sample from within the nodule to help better characterize its significance and healthy risk. Once a thyroid nodule has been diagnosed, you may be counseled by your primary care physician, or referred to a specialist either an endocrinologist or a surgeon. If surgery is required, you can put yourself in the experienced hands of Dr. Howard, who can assure his patients of an extremely low rate issues resulting from the procedure.

For more information about thyroid problems, or to schedule a consultation with Dr. Howard, call The Medical Center of Spearfish at 559-3201. Or, visit http://www.MedicalCenterofSpearfish.com.

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The Thyroid Problem: How you can identify thyroid issues and free your health – Black Hills Pioneer

5 Reasons Real Women Chart Their Menstrual Cycle – Verily


Verily
5 Reasons Real Women Chart Their Menstrual Cycle
Verily
The term for observing and tracking one's basal body temperature, cervical mucus, hormone levels, or some combination of these is fertility awareness based methods, or FABMs. Dr. Marguerite Duane, family physician and executive director of Fertility …

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5 Reasons Real Women Chart Their Menstrual Cycle – Verily

Holistic Medicine Doctor in Dever, Colorado | BioViveMD

BioViveMD Your True Wellness Partner Serving Westminster, Centennial, Cherry Creek, Longmont, Lone Tree, Parker, Littleton, and all of Denver Biovive Medicine Colorados Leading Bioidentical Hormone Therapy Clinic

At BioViveMD, part of the BodyLogicMD physicians network, we dont cut corners. BioViveMD, is the anti-aging clinic where we take a comprehensive, cutting-edge, yet common sense approach to your health. At BioviveMD, we provide effective non-surgical alternatives to your anti-aging, skin rejuvenation, and sexual wellness needs. Restoring and maintaining health requires a multifaceted and comprehensive assessment of your needs there is no single supplement or pill to address the complexity of the human body. We focus on the foundations of health with hormone replacement and nutritional guidance, and further expand upon treatment tailored to the individual needs of each patient. We also embrace revolutionary techniques using platelet rich plasma (PRP), including the renowned Vampire Series of aesthetic treatments, the O-Shot and Priapus Shot sexual wellness therapies that promote true cellular rejuvenation, and the use of PRP for hair regrowth and regeneration. Aging happens, but looking and feeling youthful is often something that we can improve and control. We strive to provide safe and effective solutions for optimal health by advocating preventive and non-surgical alternatives to establish enduring optimal wellness. We work with you to explore your specific health concerns in designing a comprehensive health plan, and we focus on education as well so that you understand the steps you are taking for a better future. Together, lets find a healthy and vibrant you! We are not a bargain health business. Rather, we seek a long-term relationship with our clients. We want to be your true partner in wellness, rejuvenation and anti-aging. From weight loss and detoxification to sexual wellness and facial rejuvenation, we provide the knowledge, experience and skills to effectively and safely effect positive change in your life.

Dr. Lai of BioViveMD knows that the key to balanced health is addressing the needs of your entire body and designing a customized treatment plan that delivers lifelong solutions, not short-term fixes. From the pillars of nutrition to cutting-edge technology, like platelet rich plasma therapy, Dr. Lai will personally customize a treatment plan specifically for your unique needs and help you restore total wellness, from the inside out.

Bioidentical Hormone Replacement Therapy

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What’s in store: Chronos – bestofneworleans.com

Chronos (3200 N. Arnoult Road, Metairie, 504-267-4549; http://www.chronosbhw.com) is locally owned and operated by Drs. Mace Scott and Miguel Aguilera. Scott and Aguilera are daily fixtures at Chronos, as is Dr. Shannon Pickens, a cosmetic dermatologist. All three share the philosophy that mental and physical health require a multi-tiered approach focused on improving well-being through exercise and propernutrition.

Chronos opened in Metairie in 2013. Scott, an ER physician, noticed that many of the patients he treated could have avoided a trip to the hospital if preventive measures had been taken. This, and personally noticing the effects of aging on his own body, motivated him to create a place that addressed these issues.

“We want to help people have a better quality of life,” Scott says. “Our goal is to help improve your life, improve your health and improve your overall well-being.” Chronos incorporates a medical spa, a day spa and a fitness facility all under one roof. Chronos’ mission is to help clients look better, feel healthier and be happier through preventive care.

Mace challenges the belief that having less energy and becoming softer around the middle is a natural part of the aging process. He and his team offer services that minimize the physical effects of aging, such as hormone replacement therapy (HRT), a medical procedure that treats hormone deficiencies associated with perimenopause and post menopause in women and andropause in men. As men and women age, their hormones often have unexpected effects on their moods, energy levels, libidos and bodies. HRT rebalances hormones that were once abundant in youth and can help enhance quality of life.

Chronos also offers a range of cosmetic non-surgical treatments. Fillers like Botox, Restylane and Dysport are available, as well as body sculpting services like Cool Sculpting and BodyFX, non-invasive treatments that can help reduce fatty deposits in problem spots like the thighs, chin and stomach area, with no down time. Chronos also offers state-of-the-art facials like intense pulsed light (IPL) photofacials, Ultherapy, Forma and Fractora treatments, microneedling and HydraFacials, in addition to other spa services such as massages, manicures and pedicures.

Chronos recently launched its EMPower fitness series. EMPower helps participants build up their endurance and strength through a rigorous 60-minute workout that incorporates boxing and interval training while also building core strength. Chronos’ fitness center is open daily, and offers boot camp, spinning and yoga classes, as well as one-on-one personal training and individualized workout plans.

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What’s in store: Chronos – bestofneworleans.com

Physicians’ Education Resource Plans Most Impactful Miami … – PR Web (press release)

“I would go so far as to say there will never be another text book, old fashioned text book printed on paper, about breast cancer in our lifetime because the rate of change is too great.” – Dr. Patrick Borgen

Cranbury, NJ (PRWEB) February 13, 2017

Physicians’ Education Resource (PER) will host the 34th Annual Miami Breast Conference, which has been bringing together top surgical, medical, and radiation oncologists, with the aim of fostering awareness of the state-of-the-art treatments in each therapeutic area and encouraging cross team cooperation in the clinic. The conference, will be chaired by Patrick I. Borgen, MD, chair, Department of Surgery Maimonides Medical Center Brooklyn, New York.

We are in a renaissance period in the understanding of breast cancer. The rate of change, of what we do clinically, of how we put this disease into boxes, of how we predict response, has never, ever changed at a faster rate, Dr. Borgen says. I would go so far as to say there will never be another text book, old fashioned text book printed on paper, about breast cancer in our lifetime because the rate of change is too great. By the time you got the book at Barnes and Noble and got it home, it would be out of dateSo this really makes Miami important.

Miami Breast Cancer Conference will present 90 lectures in a highly interactive survey forum, which allows the top oncologists to collaborate to improve clinical pathways and clinical algorithms. The conference will also include Medical Crossfire debates where oncologists can voice their opinions on some the fields most pressing issues. This years debates include whether field radiation therapy is ready for the main stage, and whether extended hormone blockade needed for every patient diagnosed with ER positive breast cancer.

Dr. Borgen added, Everything about Miami is geared towards our mantra of hear it Friday and use it on Monday. So, this is a clinical-based conference this is like our tumor boards back home. Virtually every one of our 90 lectures has a clinical case thumbnail with a question.

The conference also includes a massive poster session, which contains 70 posters signifying some of the top breast cancer research from 15 countries, so that research can take a more global approach to breast cancer care.

About PER Since 1995, PER has been the educational resource of choice for live and online activities focusing on oncology and hematology. PER provides high-quality, evidence-based activities featuring leading national and international faculty with a focus on practice-changing advances and standards of care in treatment and disease management. Activities also include topics on emerging strategies currently under investigation, supportive care, diagnosis and staging, prevention, screening and early detection, and practice management. With the rapid advances occurring in the field of oncology, understanding how to use molecular data to diagnose and stage patients, selecting the most appropriate candidates for novel therapeutic agents, individualizing treatment based on tumor type, and referring patients to clinical trials will continue to ensure the highest level of patient care is provided. PER serves the oncology health care community, including physicians, fellows, advanced practice nurses, nurses, physician assistants, pharmacists, and researchers. PER is part of the Cranbury, N.J.-based Michael J. Hennessy Associates, Inc. family of businesses. Learn more at http://www.gotoper.com and http://www.mjhassoc.com

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Physicians’ Education Resource Plans Most Impactful Miami … – PR Web (press release)

Windsor doctor penalized for ‘reckless’ narcotics prescribing – Windsor Star


Windsor Star
Windsor doctor penalized for 'reckless' narcotics prescribing
Windsor Star
She reported that Barnard was administering human growth hormone to help patients with weight loss, despite the fact its use for weight loss has been discredited and rejected by the medical community. The investigator also noted numerous examples of …

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Windsor doctor penalized for ‘reckless’ narcotics prescribing – Windsor Star

‘Bathroom Bill’ is discrimination – Emporia Gazette

Current House Bill Text ColorSwatch/NoneStrokeStyle/$ID/SolidText ColorSwatch/NoneStrokeStyle/$ID/Solid$ID/NothingText ColorText Color$ID/NothingText ColorText Color2171 defines sex as the physical condition of being male or female, which is determined by a persons chromosomes, and is identified at birth by a persons anatomy as if this is always the case.

In the case of transgender children, this is not the case. This bills wording reveals major biological ignorance and discrimination against a handicap.

Usually, but not always, XY chromosomes produce a boy and XX produces a girl. However, a relatively high rate of babies are born XO: one X chromosome and no second X or a Y. This is called Turner syndrome. I have had at least six Turner syndrome students in my classrooms during my teaching career that I know of. Additional cases when chromosomes fail to separate normally produce individuals who are XXX, XXY, XYY, and XXXY, etc.

The bill states that sex is identified at birth. Not always. If a couple do not already know the sex of their child, the first announcement they await is its a boy or its a girl! But sometimes the delivering physician has to say Ill get back to you on that when the genital anatomy is ambiguous and not clearly either male or female. There are many causes for when the body does not follow normal development. Today, science understands most of them.

In the case of androgen insensitivity, a baby girl appears to have the external and internal anatomy of a girl, until they biopsy the gonadal tissues and discover internal testes! Testes produce testosterone that flows through the bloodstream and body tissues respond to the testosterone by developing male tissues. But in this case, the childs cells lack the receptors and ignore the testosterone. The child has XY chromosomes and testes but the childs body develops female.

Altogether there are five major factors that must align for normal sexual development: chromosomes, anatomy, hormones and brain development for gender and for sexual ideation. Most of us are very lucky to develop with all five of these in agreement. We inherit XY, have male anatomy, produce testosterone, feel comfortable in a more-or-less masculine role, and are sexually attracted to females after puberty. Or we inherit XX chromosomes, have female anatomy, produce estrogens (there are several), feel comfortable in a more-or-less feminine role, and are sexually attracted to males.

But some children are not as fortunate, and their chromosomes, anatomy, hormones, and brain development do not align. This is not uncommon. Taken in total, some form of sexual ambiguity is more common than all cases of Down syndrome and cystic fibrosis combined.

Forget the rest of the LGB alphabet. This is not about gay rights. The only group that is targeted by this legislation is transgender children. Usually by age 6, a childs brain develops a feeling of being either masculine or feminine. It is not learned. And at this age, it has nothing to do with sexual attraction.

For most of us, our feeling of being male or female will align with our anatomy. But for transgender children, this feeling of being masculine or feminine does not align with their birth anatomy. This is biological. It is not a choice. They will not decide to be a boy one day and a girl the next. These children will usually be facing hormone treatments and a series of reconstructive surgeries. But due to widespread ignorance among outside adults, some Kansas transgender children stay at home, homeschooled because of the discomfort they feel at school by the very same attitudes demonstrated in HB2171.

Masculinity or femininity is not something you learn or can change; it develops during the last trimester before birth. Dr. Dick Swaabs research team in the Netherlands was the first to clearly locate this brain difference over a decade ago.

This is a handicap, and HB2171 reflects an ignorance, indeed a cruel attitude toward those children whose brain development for gender identity does not match their birth anatomy.

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‘Bathroom Bill’ is discrimination – Emporia Gazette

People get test results, have more tests done at Live Healthy 2017 Health Fair – Grand Island Independent

AURORA Live Healthy 2017 Health Fair was supposedly a one-day event that drew a number of health care providers and visitors to the Ag Building at the Hamilton County Fairgrounds.

But some people prepared for the Saturday event well in advance by attending one of the three Memorial Health Clinics in January and February to get a low-cost blood draw, according to Tina Hunt, marketing director for Aurora Community Health. Hunt said people then could go to Saturdays health fair to pick up their results, or they could go to Memorial Healths online portal.

Its a big thing for people to pick up their results, Hunt said.

She provided a folder that showed blood draw test results for white and red blood counts.

The folder also provided explanations for what each test might possibly mean. For example, a low amount of red blood cells could indicate anemia.

The blood draw also included explanations for five cholesterol and triglycerides tests, including explanations of what each means and when it might be advisable to consult a physician.

Several tests look at both kidney and liver function.

Its a complete blood panel, but also we do TSH (thyroid stimulating hormone), Hunt said. Theres some extra thyroid functioning tests with it. People may want to do the extra A1C, which is for diabetes. And then we also have the PSA (prostate-specific antigen). Its really a complete panel plus.

Both the A1C and PSA tests came with an additional cost.

People could also schedule appointments to get three types of cardiovascular tests performed by the Bryan Health mobile screening unit. That was a popular attraction.

Bryan Health was not the only health-care provider from outside Aurora to be at Saturdays health fair. CHI Health St. Francis had a visually arresting booth that showed the health pink lung of a non-smoker next to a blackened, shriveled lung for a smoker.

The Central District Health Department, based in Grand Island, but covers Hall, Hamilton and Merrick counties, also had a booth in the Ag Building. Senior living and assisted-living centers near Aurora were also at the fair. There were booths for hospice care, message therapists and an organization that sells devices for older people living at home, for use in an emergency such as a fall.

But with Memorial Community Health acting as the host for its own event, it was no surprise they had the most booths.

We have 14 booths, Hunt said, who noted that those booths showed the full range of health care provided by Memorial Community Health, including:

Memorial Community Care, which provides long-term care.

The three Memorial Health Clinics, located in Aurora, Clay Center and Harvard.

East Park Villa, which provides assisted and independent living.

Memorial Community Health, the hospital.

Hunt said the health fair also allows Memorial Community Health to show off its many departments and services such as radiology, diabetes education and pulmonary rehab. She said pulmonary rehab is relatively new, with the pulmonary and respiratory therapist busy working with people who have COPD, chronic bronchitis and other respiratory ailments. She said people may be surprised at the broad range of surgeries performed at Memorial Community Health.

The health fair had a booth for its OB/GYN department. However, Hunt noted that Memorial Community Health also has a doula who provides information, as well as emotional and physical support to women before, during and after childbirth.

The health fair also included a couple fitness demonstrations and a yoga demonstration by Mardell Jasnoski.

Jasnoski said some people say they are not limber enough to do yoga but, she added, that is the very reason they should consider it. She said people can increase their flexibility through yoga.

Jasnoski said yoga also works helps people with deep breathing, as well as maintaining balance, which becomes increasingly important as people age.

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People get test results, have more tests done at Live Healthy 2017 Health Fair – Grand Island Independent

Colorado House panel rejects three GOP abortion bills – The Denver Post

Colorado House Democrats on Thursday beat backthree Republican-sponsoredabortion bills, the most restrictive of whichwould have made it a crime for a physician to perform anabortion in most cases.

The hearing stretched past midnight before the final bill was killed, with emotional testimony from dozens of people, including medical experts, activists on both sides and women who had had abortions and later regretted it.

The measures to impose new restrictions on abortion were debated a week after the Democrat-controlled House passed a resolution reaffirming its support for abortion rights in the state. None of the bills had much chance of passing, something abortion-rights advocatesreiteratedoften leading up to the vote.

These three bills are more of the old, tired attempts to interfere with womens health care, said Sarah Taylor-Nanista, a spokeswoman atPlanned Parenthood of the Rocky Mountains, in a statement.

The first to be rejected, House Bill 1086, would have required abortion doctors to tell patients about a hormone-boosting pill that backers say can reverse an abortion in progress, as long as its taken before misoprostol, the second drug taken in the course of a chemically induced abortion.

In a 2012 case study involving six women, four reportedly gave birth after using the drug. But several medical experts who testified at the hearing likened the bill tothe state endorsingbogus science, sayingthere are no peer-reviewed scientific studies backing the drug, and a number of medical groupsdispute its effectiveness.

The American Congress of Obstetricians and Gynecologistsdoesnt recommend its use, saying that simply not taking misoprostol is just as effective at preserving a pregnancy as the reversal drug.

Supporters of the billsaid it was vital that women considering an abortion were presented with all their options, while opponents decried what they called agovernment intrusion into the doctor-patient relationship.

This is an information measure it allows (a woman who has an abortion) to understand that after the first pill, theres still a chance that the pregnancy is viable, said state Rep. Dan Nordberg, R-Colorado Springs, one of the measures sponsors. This is simply informing her of the potential options no more, no less.

Why would we legislate the care a doctor provides a patient? countered Rep. Susan Lontine, D-Denver. politicians should stay out of the doctors office.

Another defeated measure, House Bill 1085, would have imposed new regulations on abortion clinics, requiring them to file detailed annual reports with the state and submit to regular inspections. It also would have required that clinics have certain advancedmedical equipment on hand, such as ultrasounds and resuscitation and life-supportmachines for infants.

Opponents likened it to a Texas law that was struck down by the Supreme Court for being too burdensome, forcing many abortion providers to close. Supporters disputed the comparison.

The third measure, House Bill 1108, echoes the personhood movement, which Colorado voters have rejected three timesat the ballot box.The bill would havemade it a felony for a physician to take an unborn life, defined as beginning at conception. It contains exceptions for cases in which a pregnant womanslife is in danger.

Democrats pointedly questioned the measures constitutionality, suggesting that passing the bill would subject the state to a costly legal challenge that it was likely to lose.

Do either one of you believe this bill is constitutional?State Rep. Daneya Esgar, D-Pueblo, at one point asked the bills two sponsors, Republican state Reps. Kim Ransom and Steve Humphrey.

Humphrey deflected the question, citing potential changes to the makeup of the Supreme Court: I believe the constitutionality of the Roe v. Wade decision is in big trouble.

If Supreme Court nominee Neil Gorsuch is confirmed, conservatives would likely still need at least another seat to hope for a reversal of the 1973 decision legalizing abortion. He would replace conservative Antonin Scalia, restoring the ideological split from much of the Obama era.

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Colorado House panel rejects three GOP abortion bills – The Denver Post

Dems defeat anti-choice bills – Pueblo Chieftain

In a House committee meeting that went past midnight Thursday, Democrats defeated three Republican-sponsored abortion bills, one of which would have criminalized abortion in most cases.

Democrats in the House Health, Insurance, & Environment Committee shot down the three bills, with Pueblo state Rep. Daneya Esgar, a Democrat asking two sponsors of the bills, Do either one of you believe this bill (House Bill 1108) is constitutional?

State Rep. Steve Humphrey answered, according to a Denver Post report, I believe the constitutionality of the Roe v. Wade decision is in big trouble.

Democrats said HB1108 echoes the personhood movement, which Colorado voters have rejected three times in general elections. The bill would have made it a felony for a physician to take an unborn life, defined as beginning at conception. It contains exceptions for cases in which a pregnant womans life is in danger.

Another rejected bill, HB1086, would have required abortion doctors to tell patients about a hormone-boosting pill that backers say can reverse an abortion in progress, as long as its taken before misoprostol, the second drug taken in the course of a chemically induced abortion.

Another measure, HB1085, would have imposed new regulations on abortion clinics, requiring them to file detailed annual reports with the state and submit to regular inspections. It also would have required that clinics have certain advanced medical equipment on hand, such as ultrasounds and resuscitation and life-support machines for infants.

In a press release, Republicans wrote, The outcome of todays votes is out of touch with the shifting public attitudes towards abortion, and in the four decades since the Roe v. Wade decision, scientific research has wholly disproved the long-held medical justifications for abortion.

Compiled by Peter Strescino from newspaper, wire and email sources.

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Dems defeat anti-choice bills – Pueblo Chieftain

Shed pounds to lower the risk – Times of India

Obesity is a serious problem across the world, with increasing risk of diabetes. Recently, there is change in the name of disease by the American Association of Clinical Endocrinologists (AACE), as ABCD- adiposity-based chronic disease. This indicates harmful effects of fatty tissues in the body, and its chronicity.

Previous two decades had seen tripling of obesity in developing countries, those who adopted western lifestyle. Population of the Middle East, Pacific Islands, Southeast Asia, India, and China are facing the greatest risk. As a result, the number of diabetic people in these countries are likely to increase from 84 million in 2000 to 228 million by 2030. Hence, in order to prevent the incidences of diabetes and other chronic diseases it is necessary to control obesity.

Modification of food, action in exercise, and reduction of at least 5% body weight decreases risk of diabetes by nearly 60%, following the same changes for around seven years decreases this risk by 40%. Benefits of weight loss in diabetes for glucose control are better in early diabetes stages than later. Thus, weight loss is essential and crucial step in managing diabetes. Although weight poses a burden on tissues, maintaining lost weight, bundled up with glucose levels, activity levels, will benefit in the long run.

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Shed pounds to lower the risk – Times of India

Human Growth Hormone – Rejuvalife Vitality Institute

SERVING BEVERLY HILLS AND LOS ANGELES, CALIFORNIA

Human growth hormone (HGH) is naturally produced by the pituitary gland, and acts as a catalyst for glandular secretions critical to maintaining a healthy body. It also fuels growth during childhood and adolescence, and continues to maintain organs, tissues, muscles, bone, and heart function throughout your life. Human growth hormone injections have been FDA-approved for treating poor growth in children, as well as medical disorders.

As early as the age of 40, HGH production begins declining. This decrease is more dramatic in people who have experienced a minor or traumatic brain injury, radiation, or surgery to the pituitary gland. Adults who have a deficiency of growth hormone, injections may be able to help.

The symptoms of declining HGH levels include:

Osteoporosis

Mental confusion

Obesity

Cardiovascular problems

Decreased immunity

Human growth hormone replacement therapy has been shown to improve:

Increased bone density and muscle mass

Decrease in body fat

Improved mood

Improve the hearts ability to contract

Increased capacity to exercise

At Rejuvalife, we can help combat HGH deficiencies through an effective hormone replacement therapy plan. This hormone replacement plan can significantly improve the symptoms the deficiency. HGH therapy is administered by injection, as supplements taken orally will be digested by the stomach before the body can absorb it.

Take a look at our anti-aging procedures videos in our online video gallery.

Dr. Berger is a diplomat of the American Academy of Anti-Aging Medicine, and world-renowned for his age-defying results. As a leader in anti-aging, wellness and non-surgical cosmetic medicine, he possesses a unique combination of skills that make him a true specialist in his field.His techniques, for rejuvenating your health and appearance, effectively integrate Eastern philosophies with world-class Western medical technologies. With an artistic eye, a keen sense of aesthetics and his knowledge of science, Dr. Berger offers transformative results that will not only help you look great, but also help you feel your absolute best.

We understand that choosing a doctor or facility, for any treatment but especially anti-aging, can be a difficult decision. You can rest assured that with Dr. Berger and Rejuvalife, you are in good hands. He is dedicated to providing his patients with only the safest, most advanced, state-of-the-art treatment options.

Please contact Rejuvalife Vitality Institute using the form at the right side of the page or call (310) 276-4494 today to schedule your HGH consultation. Dr. Andre Berger serves patients in Beverly Hills and Los Angeles, California.

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Human Growth Hormone – Rejuvalife Vitality Institute

Doctor’s Tip: What is the safest cookware? – Glenwood Springs Post Independent

The current issue of the University of California, Berkeley Wellness Letter has a useful article about the pros and cons of various types of cookware. Here are some of the highlights:

TEFLON

Teflon, which prevents sticking, was discovered by a DuPont chemist in 1938. It is a brand name for polytetrafluoroethylene (PTFE), and other companies have developed other brands.

Fumes from heating PTFE-coated pots and pans to temperatures over 660 degrees can cause symptoms in humans and death in pet birds.

There is no evidence that ingesting PTFE flakes from old cookware causes cancer. However there are concerns about cancer and hormone disruption from another chemical, called PFOA, which until 2015 was used in the manufacturing of PTFE and which persists in our environment and our bodies.

The replacements for PFOA may not be any safer (we dont know yet). The nonprofit advocacy group Environmental Working Group advises consumers to avoid all nonstick cookware and kitchen utensils.

At the very least, avoid high temperatures with stick-free cookware, and replace it when it starts to deteriorate.

ALUMINUM

Aluminum cookware can scratch and stain easily and can give acidic food such as tomato sauce a bitter taste because aluminum leaches into the food.

In his book Power Foods For The Brain, Dr. Neal Barnard points out that there is still concern that aluminum ingestion may be linked to Alzheimers.

Ideally you should avoid aluminum cookware because you dont want to risk brain health.

If you do buy it, buy the anodized variety, which has a harder surface. However if labeled nonstick, it may contain PFTE-related compounds.

At the very least, avoid acid foods with aluminum cookware.

CAST IRON

To maintain a cast-iron pan you have to rub oil on the surface, and a well-seasoned pan is fairly stick-free.

Iron leaches into acidic food.

Although we need some iron in our diet, we get plenty from what we eat (even if you are plant-based). Too much iron causes free radicals to form, which contribute to aging, cancer, heart disease and other health problems. According to Dr. Barnard, there is a link between high blood iron levels and Alzheimers.

Cast-iron cookware should be dried as soon as it is washed and should not be put in the dishwasher to avoid rusting (i.e. oxidation).

CERAMIC-COATED

It is non-stick but contains no PTFE or PFOA, is heat-stable and flake-resistant.

It is therefore thought to be free of health and environmental concerns.

However, some products may use nanoparticle coatings, and the long-term health and environmental effects of nanoparticles are unknown.

COPPER

Copper can leach into food, especially acidic foods such as tomatoes, unless its lined with stainless steel.

We need a small amount of copper in our diet, but too much causes health problems. Dr. Barnard talks in his book about evidence linking copper to Alzheimers, so its best to avoid copper cookware.

STAINLESS STEEL

Stainless steel cookware does not react with food and doesnt rust.

Some has an inner core of copper or aluminum that helps food cook more uniformly, but this should not be a problem as long as the surface is stainless steel.

GLASS

Pyrex is the best-known brand and was introduced over a century ago.

Glass is inert, does not react with food, and poses no known health or environmental problems.

So the bottom line is this: Avoid copper, aluminum and iron cookware for optimal health. Ideally use glass and stainless steel for cooking. Ceramic cookware is safe if it is not coated with nanoparticles, which have not been proven yet to be safe for us and for the environment. If sticking is a problem with these safe options, a small amount of oil rubbed on the surface solves that, but as per a previous health tip column, added oils cause several health problems and carcinogens form when oils reach their smoke point. So its better to use vegetable broth, water, wine or soy sauce to prevent sticking.

Dr. Feinsinger, who retired from Glenwood Medical Associates after 42 years as a family physician, now has a nonprofit Center For Prevention and Treatment of Disease Through Nutrition. He is available for free consultations about heart attack prevention and any other medical concerns. Call 970-379-5718 for an appointment. For questions about his columns, email him at gfeinsinger@comcast.net.

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Doctor’s Tip: What is the safest cookware? – Glenwood Springs Post Independent

Nonbinary students confront surgery challenges – Yale Daily News (blog)

Britton O’Daly Feb 10, 2017

Staff Reporter

Brianna Loo

Though the Yale Health Plan extended insurance coverage to gender-affirming surgeries in 2013 in order to benefit gender-questioning students at Yale, Yale Healths current approval process for these surgeries can undermine care options for students who do not conform to a binary gender, according to two transgender students.

Yale Health follows the standard of care for transgender health and sex reassignment surgery, as defined by the World Professional Association for Transgender Health. According to WPATH standards, surgeons, prior to performing sex-reassignment surgery, must be confident that the referring mental health professional(s), and if applicable the physician who prescribes hormones, are competent in the assessment and treatment of gender dysphoria. Once gender dysphoria a condition in which ones psychological gender identity differs from ones biological sex has been documented by a mental health professional, the surgeon may then consult with the patient about an operation.

On the Yale Health Plan, Yale Mental Health operates as the gatekeeper between students and the required medical consultations for gender-affirmation surgery. Still, this system has attracted the criticism of Yale students who claim that the process favors students who identify as either trans man or trans woman over those who are gender nonconforming and therefore may not match Yales definition of gender dysphoria.

It was all tremendously emotionally draining, said a Yale alum who was refused a consultation under Yales health plan. I also had the sense that Yale had drawn out the process of rejecting me because I was about to graduate and lose health insurance and had not been forthright with me about how my application would be considered.

The former student, who identifies as trans, said they began their application for a sex-reassignment surgery consultation in spring 2016, but was ultimately rejected by a Yale Health committee that determined their request for surgery to be cosmetic. The committee also justified its rejection by arguing that the student had not been living as the opposite gender.

The alum told the News that Yale Healths decision perpetuates a false belief that only trans men or trans women require surgery and that other trans identities between the male and female binaries, like the anonymous students, are not legitimate. The committee never met the student in person, but grounded their judgment on letters written by the students psychiatrist and therapist.

The Directors Office of Yale Health referred all questions to Yales Office of Public Affairs & Communications, but Yale spokespeople did not respond to questions about the exact process by which Yale Health judges applications for consultation.

Yale, Brown, Cornell, Dartmouth, Harvard and Penn all cover transition-related medical expenses on their student health insurance. Princeton does not cover gender-affirming surgeries, but does offer hormone therapy to students. The fall 2015 Yale College Council Task Force on LGBTQ Resources also noted that Brown and Columbia are the only two Ivy League schools to offer gender-neutral rooming, a detail that trans students interviewed during the report identified as an area for change.

According to Maria Trumpler GRD 92, director of the Office of LGBTQ Resources, the coverage of sex-reassignment surgeries under the Yale Health Plan has significantly improved the lives of many Yale students. Still, she noted that the insurance plan is self-reflective and reviewed periodically by a committee to improve students medical care.

For several years theyve been discussing the issue, which is that there is not a particular gender identity that someone has to have to access hormones or surgery, said Trumpler. You do not have to identify as a transgender male or transgender female.

Still, the anonymous alum said they also ran into difficulties making a case for a consultation because mental health professionals typically assume patients have already decided they want to go through with the surgery prior to their first consultation. However, the alum in question wanted to talk to a medical professional about potential surgery before making an informed decision. Additionally, the former student told the News in an email that the committee member who communicated with them over the phone was unknowledgeable about the nuances of trans* experiences and at times offensive.

Isaac Amend 17, a staff columnist for the News, said that this type of decision from Yale Mental Health prevents gender nonconforming people from receiving much-needed treatment.

The medical establishment is prejudiced against nonbinary people, ignoring the fact that gender fluidity exists, Amend said. Doctors can propagate a notion of not being trans enough, which is toxic to the mental health of patients.

Amend added that there is a community of nonbinary or gender fluid students at Yale, and that he knows of students who have had to tell psychiatrists that they are more trans than they feel, out of a fear that the doctors will withhold treatment if they appear more gender fluid.

Laurence Bashford 18 and Kyle Ranieri 18, the respective 2017 and 2016 coordinators of the Yale LGBTQ Co-Op, said in a joint email to the News that there have been great steps made by the Yale administration to guarantee needed and deserved treatments to trans students within the student community.

We are particularly wary of the fact that many important treatments for instance, laser hair treatment as part of the transitioning process are deemed unimportant or cosmetic and, so, are not available through regular University coverage, Bashford said.

The Yale Health Center was completed in 2010.

Contact Britton ODaly at britton.odaly@yale.edu.

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Nonbinary students confront surgery challenges – Yale Daily News (blog)

What causes infertility and how can it be treated? – WRDW-TV

Wednesday, Feb. 8, 2017

(WRDW/WAGT) — A new study with Occupational and Environmental Medicine shows work schedules and physically demanding jobs hurt women’s fertility. However, what else causes infertility, how is it diagnosed, and how can it be treated?

Infertility can occur in either the male or female. Female infertility accounts for 50% or one-third of all infertility cases, and is a common problem with women between the ages of 15 and 44.

Causes of male infertility include varicocele (when veins become enlarged inside your scrotum), low or absent sperm count, sperm damage or certain diseases.

Female infertility is caused by a number of factors including age, a hormone imbalance, a tumor or cyst, eating disorders such as anorexia or bulimia, alcohol or drug use, thyroid gland problems, excess weight, stress, intense exercise that causes a significant loss in body fat, and extremely brief menstrual cycles. In addition, ovulation disorders, tubal blockage, uterine fibroids, and endometrial polyps can also cause female infertility.

In women, these tests could include a urinalysis or a blood test to check for infections or a hormone problem. A physician might also want to conduct a pelvic exam, breast exam, or an ultrasound of the reproductive organs.

In men, these tests would include looking at your medical history. A physician may also want to conduct a seminal analysis, a urinalysis, or an ultrasound of the reproductive organs.

In men, surgery and sperm retrieval techniques can be performed. Antibiotic treatment and hormone treatment can also treat infertility issues.

A physician may also recommend intrauterine insemination (a process where the sperm is washed and injected) or In Vitro Fertilization where eggs are collected and fertilized by sperm outside the body, and then inserted into a surrogate.

In women and men, this means taking steps to prevent sexually transmitted diseases, avoiding illicit drugs, avoid heavy or frequent alcohol use, avoid smoking, reduce stress, keeping your weight off, adopt good personal hygiene and health practices, and have annual checkups with your doctor once you’re sexually active.

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What causes infertility and how can it be treated? – WRDW-TV

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