Page 4«..3456..10..»

Archive for the ‘Hormone Clinic’ Category

Weight lifting benefits peri-menopausal women – Idaho State Journal

I admit to being a meathead. A gym rat and a few other adjectives would also fit. When I write an article or blog on lifting weights, I always fear people will think I am just presenting my addiction to justify it.

While that may be the case, strength training is becoming more and more prevalent in the medical literature as a better solution to some medical concerns than doing cardiovascular training (also called cardio).

Weight lifting can be beneficial for anyone, of any age. But people I see on a regular basis in my clinic include wonderful women in that intangible peri-menopausal state. These are women who are not quite at the change but in that elusive right before menopause situation.

Peri-menopause has many presentations including anxiety, irregular periods, mood changes, depression, weight gain, loss of cognitive abilities (best defined by my patients as brain fog), etc.

Weight lifting or strength training helps combat these symptoms. Strength training has been shown to increase the production of testosterone.

It is very common to think of testosterone as the male hormone. But it is very important in females as well, especially those in the peri-menopausal state.

When a woman enters the peri-menopausal state, natural testosterone production can decrease by over 50 percent. Strength training or weight lifting has been shown both to increase testosterone production and decrease several of the symptoms related to this pre-menopausal state.

Really hitting it hard in the gym helps prevent these symptoms of peri-menopause and menopause. Strength training decreases body fat, increases muscle mass, and optimizes hormones.

You can anticipate feeling better, looking better, and improving your quality of life if you take the time to move heavy objects that dont fight back!

So call me a meathead or gym rat I am OK with that just get to the gym and lift weights. You, your spouse, your family, and everyone else you deal with will appreciate it!

Read the original post:
Weight lifting benefits peri-menopausal women - Idaho State Journal

Hormone Replacement Therapy – The Sharp Clinic

At Sharp Clinic, our mission is to provide each patient with individualized care to have a more healthy, youthful and vigorous mind and body. Dr. Patrick Sharp, a renowned and recognized age management doctor, has extensive training in a comprehensive, evidence based approach to age management.

Cenegenics is a proactive, preventive approach to aging. It is about having the healthiest body and cognitive abilities at every age. People are living longer than ever before, and want to make the most of their years. Overall health, well-being, and longevity is the medical care of the future. The Sharp Clinic in Tulsa Oklahoma provides individualized health regimens to help the patient accomplish exactly that.

There are many reasons people look into hormone replacement therapy and treatment of an age management doctor. Your body might not be keeping up with your mental abilities and goals in life. Maybe youve heard about the supplement TA 65 and how it can deter the aging process, or youre suffering from low T (low testosterone), which can occur in men as they age and cause a decline in overall health. For these reasons and more, you may be considering hormone replacement therapy to slow down and possibly reverse the aging process.

At Sharp Clinic, we are more than just a hormone replacement center. We include nutrition and exercise, and evaluate your overall health. Sharp Clinics doctors believe its about creating a health-conscious lifestyle that will diminish the effects of aging and allow you to live the life you love for many more years to come. Global leader Cenegenics Medical Institute and Tulsa physician Patrick Sharp, DO partnered to launch Tulsa Oklahomas first age management medical center, where they work to prevent problems on the front end, rather than waiting for them to arise and then treat them.

The doctor of the future will give no medicine, but will interest her or his patients in the care of the human frame, in a proper diet, and in the cause and prevention of disease. Thomas Edison, US Inventor 1847-1931

At age 43 I began to see a decline in both my strength and endurance. I felt like I was in great physical shape however I was losing my edge. A colleague recommended I see Dr. Sharp based on his reputation and their results. I was most impressed by the depth of the examination and the review of my health evaluation. Dr. Sharps wellness regimen proved to me that I had not reached my potential both mentally and physically. With the help of a nutritionist, Dr. Sharp has customized a diet plan that has changed the way I look and feel. I recommend Dr. Sharp to all my friends and patients. B.W., Age 44

When I first came to Dr. Sharp, I was a typical middle-aged guy who had let his body gradually fall apart. In the first year of his care, my body fat dropped, my stamina improved and I felt like ten years had been shaved off. Since then my physical and mental have continued to improve. Dr. Sharp and Cenegenics deliver results. -J.M., Age 60

Excerpt from:
Hormone Replacement Therapy - The Sharp Clinic

New study shows transgender actors effective in teaching new doctors to provide respectful care – LGBT Weekly

Posted by Steve Lee, Editor Around the Nation, Online Only, Top Highlights Saturday, June 17th, 2017

NEW YORK By acting out scenarios commonly seen in the clinic, real-life transgender actors can help residents learn to provide more sensitive care to people with a different gender identity than the one they were assigned at birth. This is the main finding of a study published online June 15 in the Journal of Graduate Medical Education.

The opportunity to interact with a transgender patient in a low-stakes setting during medical training increased trainees comfort during future real-world outpatient encounters, says Richard E. Greene, MD, lead author of the study, from NYU Langone Medical Center. Even those who had baseline knowledge of care for transgender patients before the study found that learning in this safe, simulated way added value in helping them provide more sensitive care for transgender patients, adds Greene, an assistant professor in the Department of Medicine at NYU Langone.

As NYU Langones director of gender and health education, Greene designed the current study after many conversations with transgender patients who reported feeling discomfort, discrimination, and insensitivity in health care settings.

To study the problem, the research team employed a common teaching strategy that uses a standardized patient, an average person trained to consistently portray a patient in a certain medical situation. Each trainee in a class interviews the patient, seeking to determine the persons medical needs, communicate options, and offer reassurance. The new NYU research is one of the first published studies to employ transgender persons as standardized patients.

For the study, a transgender actress/standardized patient, who acted out a common outpatient scenario, rated the 23 internal medicine residents on their ability to communicate and to leave the patient satisfied with the interaction. The average scores using a newly designed behavioral measure achieved by the residents were 89 percent for overall communication and 85 percent for satisfaction.

Interestingly, the scores did not differ significantly from those achieved in nine control cases in which the standardized patients were not transgender. This suggests that transgender standardized patients can be just as effective as straight cisgender (or non-transgender) patients in teaching doctors, says Greene.

In the specific clinical scenario used in the study, the transgender actress was taking the anti-androgen hormone spironolactone for reducing masculinization, along with the feminizing hormone estradiol. She also came in for hypertension and had dangerously high blood levels of potassium, a condition known as hyperkalemia. The patient then expressed the desire to undergo an orchiectomy, a procedure for removing the testicles.

The residents were tasked with exploring and respecting the patients treatment goals, given her hormonal transition hormone therapy, and to make a plan for managing her hypertension and hyperkalemia. Additionally, the researchers wanted to see whether the residents asked questions that indicated sensitivity, like a patients preferred pronoun and gender identity, as well as to learn whether the discussion covered sexuality, sexual activity, and associated risks.

The results indicate that good communications skills helped some residents overcome their lack of transgender-specific clinical acumen and that going through this scenario training with a transgender actress helped them to shed preconceptions and be better prepared for the clinic.

On the other hand, most residents in the study did not directly address the patients gender identity and long-term goals of care, says Greene. This underscores the need to include transgender standardized patients in our teaching and curricula. Without them, a substantial gap in care remains.

A 2016 Williams Institute analysis of federal data found that 1.4 million adults identify as transgender across the United States. This figure is double that found a decade earlier.

In addition to Dr. Greene, Kathleen Hanley, MD, Tiffany E. Cook, BGS, Colleen Gillespie, PhD, and Sondra Zabar, MD, all from NYU, were study coauthors. Health Resources Services Administration Grant #T0BHP285770100 provided funding for this research.

Short URL: http://lgbtweekly.com/?p=80468

Read the original:
New study shows transgender actors effective in teaching new doctors to provide respectful care - LGBT Weekly

List of Weight Loss "Compliments" to Avoid Highlights the Complexities of Weight Loss, Says Dr. Feiz & Associates – Benzinga

The Southern California weight loss surgery clinic notes that defeating obesity is always healthful, but rarely simple.

Los Angeles, California (PRWEB) June 14, 2017

A June 8th article on Madame Noire offers a list of alleged compliments that can actually be taken as insults by people who have successfully managed to lose a significant amount of weight. While many of these observations can be made with the most benign intentions, the article notes that the complexities of weight loss make saying something like "Look how much weight she lost! Doesn't she look great?" can place undue attention on people who, generally speaking, just want to be left alone and accepted for who they are. Weight loss surgery specialists Dr. Feiz & Associates notes the article points up the reality that weight loss, with or without a surgical procedure, is more than just a physical change. It's a very personal matter that involves a complex interplay between physiological and psychological factors.

Dr. Feiz & Associates notes that many people assume weight loss surgery is an almost semi-magical procedure which actually causes fat to disappear on its own. In reality, such procedures as a sleeve gastrectomy work by creating physical changes that have psychological impacts. Specifically, the procedure removes approximately 75-85% of the stomach. The impact is twofold because the small stomach makes overeating physically uncomfortable but, perhaps more importantly, it also reduces the production of a hormone called ghrelin, which "tells" the brain that it's time to eat. The substance is believed to be largely responsible for creating the nagging hungry feelings that drives overweight people to continue eating, even when they know for a fact that they have consumed more than enough food; worse, ghrelin production tends to increase as individuals lose weight. Dr. Feiz & Associates says that, while sleeve gastrectomies do make weight loss a great deal easier, patients still have to muster the psychological energy to permanently change their approach to food and eating.

Dr. Feiz & Associates notes that the challenges involved with obesity and weight loss can lead to sensitivities that may well linger even after the additional weight has gone. They add that, for patients, this means realizing that they will have to address these matters, perhaps with the help of a coach or therapist, and develop a new relationship not only with food, but with their body. For friends and family of people who appear to be successfully dealing with their obesity, it means that a certain amount of sensitivity will be required, says the weight loss clinic.

Readers who would like to learn more about Dr. Feiz & Associates and if weight loss surgery might be right for them are invited to call (800) 868-5946. They can also the visit the clinic via the web at http://www.DrFeiz.com.

For the original version on PRWeb visit: http://www.prweb.com/releases/2017/06/prweb14415093.htm

The rest is here:
List of Weight Loss "Compliments" to Avoid Highlights the Complexities of Weight Loss, Says Dr. Feiz & Associates - Benzinga

Addressing baldness in women – Ibcworldnews

Addressing baldness in women

The sight of hair loss can be very worrying for a woman, at times making her lose confidence. Greater the stress, greater the hair loss. Pattern baldness is a serious concern amongst women.Dr Premalatha, DermatologistofHairline International Hair & Skin Clinictalks about hormone induced hair loss in women and the myths surrounding hair transplants.

It concerns changes in the level of androgens, the male hormones and alteration in female hormone levels.In PCOD(polycystic ovarian disease),women find hair on their head getting thinner while hair on their face gets coarser. Too much androgen brings in abnormal new hair growth, such as on the face, between the belly button and pubic area. One can see these signs by observing changes in menstrual periods. Another sign would be new acne formations. Procedures such as scalp analysis andblood tests can diagnose the cause ofhair loss in women. Another factor leading to hair loss is too much or too little of Thyroid hormone. The danger associated with female pattern baldness is that hair loss is permanent if not treated.

Q. Can you comment about the condition of hair in women during the time of pregnancy and delivery? After pregnancy and delivery, a phenomenon known as Telogen Effluvium is observed. It occurs due to many other reasons as well, like drastic weight loss, major surgery or high levels of stress.This phenomenon involves shedding of large amounts of hair each day, during shampooing, styling or brushing.Women experiencing the phenomenon witness large amounts of hair being shed usually 6 weeks to 3 months after a stressful event, like a pregnancy. At the peak of this condition, handfuls of hair may be lost. In order to find evidence to diagnose someone with Telogen Effluvium, doctors may look for small club-shaped bulbs on the fallen hair roots. The presence of the bulbs indicates that the hair has gone through a complete cycle of growth, suggesting the cycle may have sped up due to stress, because of pregnancy. The only thing one can do when experiencing Telogen Effluvium is wait until the hair loss slows down. Also other contributing factors such as stress related problems can be tackled by reducing anxiety through meditation and other recommended ways.

Q. The obvious answer to patterned chronic hair loss here is hair transplant. Can you tell us a bit about how it works? Both medical and surgical line of management should be considered.Hair transplant is a method of hair redistribution wherein hair is removed from areas on the scalp and placed on areas which are balding. Minor scars may appear on the areas where hair is removed, but the end result is permanent. Other solutions such as a change in hairstyle, or hair weaving, can also be utilized to improve appearance.Very few people however have the courage to undergo the treatment, even though latest researches show that market for hair transplantation is growing rapidly. Many myths surround this treatment, preventing people suffering from pattern balding from giving it a try.

Q. Can we discuss some of them? The method of hair transplant is holistic and all round yields good results. But people have false notions about it. A common myth is that old people cannot undergo treatment, preventing old people from undergoing it. Age has nothing to do with it. The texture and quality of your existing hair determines whether or not you are suitable for it.

Also, some people believe hair transplant is only possible at the initial stages of hair loss. On the contrary, it is actually the opposite. It is in fact more difficult to predict in the initial stages the extent of hair loss and whether you require treatment. It makes more sense to go to the physician when hair loss gets stable.The treatment does not give immediate results. The patient generally sees results after about 8 months, and the head filling with hair within 9-12 months.

Another myth is that surgery affects the brain. There is no connection whatsoever. Surgery involves only the skin of your scalp. There is no contact with any part of the brain.Lastly, a common misconception is that surgery leaves no scars. This is untrue. Every hair restoration technique leaves scars on the scalp. Surgery however reduces these scars to a formation of multiple dots. However, scarring is minimal and almost invisible even if you are completely bald.

Q. Concerns exist on affordability of the surgery. What is your comment?

Cost of surgery depends on a number of factors, especially the number of grafts to be transplanted. It can be a little costly, but definitely affordable. Most hair transplant clinics offer options of paying in instalments.

Continue reading here:
Addressing baldness in women - Ibcworldnews

Sinclair Cares: New recommendations about PSA test – Turn to 10

Dr. Stephen Eulau speaks with cancer patient Michael Pastula (KOMO-TV)

A year ago, Michael Pastula felt perfectly healthy. His only indication that something might be wrong was a blood test that showed elevated levels of a protein, indicating possible prostate cancer.

"You'll never know unless you're looking for it. And you need to look for it. You need to look for it," Pastula said.

The prostate-specific antigen -- or PSA -- test is a simple blood draw with quick results. Eight years ago, a government task force recommended against it, saying it led to unnecessary treatment.

In new draft recommendations, the U.S. Preventive Services Task Force say men 55 to 69 years old should talk to their doctors to decide if PSA screening is right for them.

They still warn that screening could lead to potential misdiagnosis and treatment that could cause impotence and urinary incontinence.

But the panel also says new evidence supports the benefits of screening, including reducing the chance of dying from prostate cancer and catching it before cancer spreads to other parts of the body.

Dr. Stephen Eulau, a radiation oncology specialist in Seattle, said he is happy to see the more open-minded approach.

"It's really, really important that the patient and the doctor have a conversation in a collaborative way so they can form a partnership in making this decision. It's very important to recognize that we're not just looking at a blood test. We're looking at a patient," Eulau said.

Pastula's cancer was aggressive, spreading to his lymph nodes and bladder.

"If you don't have something like a PSA test to give you at least an indication that something's going on, then people are going to die from this," Pastula said.

Pastula had surgery and was undergoing radiation.

"I think you have an excellent opportunity to cure this cancer," Eulau said.

"I'd be happy about that," Pastula responded.

Read the rest here:
Sinclair Cares: New recommendations about PSA test - Turn to 10

A new safe place for the LGBT community – Viet Nam News

Viet Nam News

Gia Lc

HCM CITY Eight years ago, a 24-year-old man from the Mekong Delta Province of ng Thp, who identified as gay at the time, decided he wanted to change his gender.

But he didnt know where to turn for advice.

I felt like a girl inside. Psychologically, thats how I felt, he said last Sunday during an interview at a signing ceremony for a new health clinic for the LGBT community in HCM City.

I could easily buy hormones from people who had visited Thailand for sex-change surgery. Hormones and that kind of surgery are still not available in Vit Nam, he said.

Changes in the national law, however, are expected to occur within several years, as the Ministry of Healths legal affairs department is working with several government agencies to compile a Law on Gender Transition.

The law is expected to allow sex-change surgery under certain criteria and include more detailed provisions about transgender people than what is in the current civil code. It will be submitted to the National Assembly next year, but may not take effect for another two to five years.

In 2015, the 24-year-old from ng Thp, who now identifies as a transgender woman, chose to have cosmetic surgery on her face, nose and breasts at a private beauty salon in Vit Nam.

Prior to the surgery, she began injecting hormones from a 0.5-millilitre tube every week for one year to help develop breasts, shrink muscle mass and reduce body hair.

After the cosmetic surgery, I continued to inject hormones, but only one tube every two weeks. I did not have any health problems from the injections.

However, my friends, who had gone through gender transition, had problems from overdoses because they did not go to a doctor, but just listened to advice from friends, she said.

They had vomiting and spinal pain, and at times felt dizzy. Others even had bleeding after returning to Vit Nam from Thailand where they had sex-change surgery.

Many of her friends did not want to go to Vietnamese health facilities because they felt uncomfortable, facing inquisitive eyes, she said.

Dr Tr Anh Duy of Bnh Dn Hospital in HCM City said that such unsupervised practices by people who fear discrimination are dangerous.

They can overdose or use substandard hormones, or those without clear origin. They also may not be using hormones in a hygienic way, he added.

Safe place

However, with a new dedicated centre for LGBT (lesbian, gay, bisexual and transgender) community, people who need counselling now have a place to go.

Though based in HCM City, the new centre will offer counselling to anyone in the country.

Patients in the LGBT community and those who have HIV can call the centre to receive counselling and monitoring of their health while taking hormones or after sex-change surgery performed outside the country.

The agreement to co-operate to provide counselling services was signed last Sunday between the Mens Health Center and G-Link, a social enterprise providing comprehensive health care and communication to improve societys awareness about transgender women and men who have sex with men.

The clinic will offer free counselling abouttherapy, examinations and treatments, all of which will be offered at low cost, to the LGBT community and people diagnosed with HIV. Foreigners who live and work in the country can also access the services.

The Mens Health Center will provide free HIV tests and free screening for sexually transmitted diseases such as gonorrhoea and syphilis. For those who test positive for HIV, G-Link will offer treatment assistance by connecting them with public health facilities which provide antiretroviral therapy.

Many people in the LGBT community have already called the centre and contacted staff via its website at http://www.menhealth.vn, and its Facebook fanpage at http://www.facebook.com/trungtamsuckhoenamgioi/

A 23-year-old man, who identified as MSM (men who have sex with men), said the clinic will be very useful and convenient for us.

According to the UK National Health Services guide to hormone therapy for trans people, blood tests must be taken to assess a patients health before hormone therapy. Doctors regularly test patients to see if they are absorbing the medicine and monitor any health problems. Hormone treatment can be adjusted or additional medication may be prescribed.

The Ministry of Health estimates that Vit Nam has 270,000 to 300,000 people who want to have transition to another gender.

As part of the countrys Civil Code issued in 2015, the Law on Civil Status addresses gender transition rights and the definition of transgender people.

Accordingly, individuals who have gone through gender transition have rights and responsibility to register their gender change. They have the right to redefine gender in case of congenital defects or indeterminate sex at birth and have medical intervention, according to a provision in the current Law on Civil Status.

The proposed Law on Gender Transition, however, is expected to extend those rights and will contain detailed provisions about citizens access to hormonal treatment and sex-change surgery.VNS

Visit link:
A new safe place for the LGBT community - Viet Nam News

This Is Why Your Boobs Get Sore When You’re On Your Period – Elite Daily

You know what its like.

Your breasts are so tender, the slightest touch brings you a surge of discomfort.

You cant enjoy sex like you usually do because, well, easy on the nipples, please.

To say the least, theres a lot going on during your menstrual cycle. Your uterus is shedding its wall, your hormone levels are unpredictably rising and falling, and your body is literally preparing for fertilization (honestly, the female anatomy sounds like a heroic machine).

But the sore boob situation, which 72 percent of women deal with every month, is just too much for this heroic machine to handle. I need some answers, and I need them now.

If you and your sore boobs are also in need of some answers, heres why your chesticles are aching so much when youre on your period.

It really is as simple as that.

In the beginning of your cycle, estrogen increases and then peaksright before your mid-cycle, which causes your breast ducts to enlarge.

Couple that with your bodys production of progesterone, which leads toswollen milk glands, and voil, youre sore AF.

Fibrocystic breast condition (FBC) essentially causes your breasts feel so tender and lumpy thatit hurts to hug someone.

But, dont worry, theres no need to freak out if you have FBC. Those lumps may be large and super uncomfortable, but theyre completely benign, and theyllshrink once youre done menstruating.

Plus, youre not alone.According to Mayo Clinic, more than half of women will experience these types of changes in their breastsat some point in their lives.

For women with simple hormone fluctuations, feel free to tell people to kindly stay away from your chesticles until the soreness goes away.

However, for more advanced relief, over-the-counter medicine can be a great option. In an interview with Elite Daily, Dr. Jennifer Wider, M.D., author ofThe Savvy Woman Patient,provides somekey tips on what to look for in your medication.

Dr. Wider suggests,

You can do a non-steroidal anti-inflammatory medication, which is a non-prescription medication like acetaminophen [Tylenol] or ibuprofen.

Dr. Wider also recommendstaking the medication even before it starts, and that will help prevent the pain, especially if women are joggers, or have large breasts, or the pain gets in the way of their daily functioning.

Magnesium supplements, which can be purchased over the counter as well, can also help relieve cyclic breast pain by lowering inflammation and reducing tenderness, says Dr. Wider.

Dr. Wider explains,

For some women, birth control pills can reduce breast pain and swelling before a period. The synthetic hormones get in the way of the bodys natural hormonal fluctuations. This may help reduce pain for some women.

However, she says, birth control is kind of a weird thing.

She continues,

Some women would say that birth control actually increases the breast pain. What birth control does and the symptoms it can alleviate, may vary by person.

According to Dr. Wider, many women simply arent wearing the right bra for the size of their breasts.

She stresses the importance of payingattention to how a bra feels on your body. Do the straps feel uncomfortably tight? Are you getting enough support from your cup size?

She says,

You may want to wear a sports bra or something that allows the breasts to swell without confining them, and that may help alleviate the pain a little bit.

Ultimately, Dr. Wider says its extremely important toknow the state of your breasts:

Its so important to do the proper exams. This way, if anything changes, youre a patient that can bring any change to the attention of a health care practitioner.

Dont be afraid to approach your doctor regarding pain relief options.

Remember, your body is heroic.If your body deserves anything, it deserves relief.

Subscribe to Elite Daily's official newsletter, The Edge, for more stories you don't want to miss.

Imani Brammer is a writer, on-air talent and YouTuber, where she produces videos on how to navigate the nuances of adulthood. Subscribe to her channel at YouTube.com/ImaniBrammer.

Read the original here:
This Is Why Your Boobs Get Sore When You're On Your Period - Elite Daily

Diabetes Breakthrough: Insulin-Delivery System Manages Blood Sugar – Newsmax

Diabetics have had insulin pumps and sensors available for the past 10 years, but new research on Medtronics MiniMed670G hybrid system means that pumps and sensors can now talk to each other. The result: newfound freedom for people with Type I diabetes.

Claire Bickel, a Connecticut teenager who is just finishing her freshman year of high school, became the first pediatric patient to get the new device as part of a company trial of the system. She was diagnosed with Type I diabetes just before her fifth birthday. The diagnosis has meant years of constant worry for her mother, Francesca Bickel.

Her doctor pediatric endocrinologist, Dr. Jennifer Sherr at Yale New Haven Childrens Hospitals diabetes clinic also suffered a lifetime with Type I diabetes. And when Medtronic developed the new pump she was included in the trial.

After years of waking up at night to check and correct her blood sugar, the pump which monitors and adjusts glucose levels continuously allowed her to get a full nights sleep.

I was like, Oh my God! This is what sleep is! she tells Newsmax Health. My kids told me I was nicer just because I was sleeping at night.

Our bodies are not pre-programmed for stress, exercise and food, and, so something that recognizes these changes is phenomenal.

The device is particularly beneficial for younger diabetics, she notes.

Its so important for pediatrics because we have worked tirelessly to keep Claires life normal, Sherr says. Often times she and her mother would be up at night checking her blood sugar. Now her sleep is better, her school work is better, and shes enjoying being in a play at school.

The sensor works with a tiny catheter with a needle, under the skin, which detects glucose in the fluid that surrounds skin tissues. Past insulin pumps gave pre-set amounts of the hormone, or different levels for different times of the day. You had to tell them to give extra insulin depending on how many carbs you ate.

But the new device constantly monitors blood sugar levels and insulin delivery to correct them is automatic. The catheter is changed every seven days and the pump is changed every two or three days.

It is still a lot for a patient to worry about, but it is a massive change in the diabetes paradigm, Sherr says.

Francesca Bickel notes the old pump her daughter used to use required a lot of work.

There was constant decision making and troubleshooting every day, she says. This takes some of that away and Claire can focus on being a teenager.

This new pump takes a lot of the burden off of going low. It does what the older pumps couldnt do. Its not a total closed loop where you never have to worry, so if your blood sugar shoots up fast, it cant adjust for that. But Claires blood sugar is low a lot less often because it is better regulated. Without activity, at night, the pump does an amazing job.

Type I diabetes is an autoimmune disease that kills insulin-producing cells in the pancreas. Insulin is the hormone that allows the body to process and store glucose. This new technology, allowing the sensor to communicate with the pump, is a real game changer for people living with Type I diabetes.

Sherr, an assistant professor of pediatric endocrinology at the Yale School of Medicine, notes Yale was chosen as a site for launching the 670G system because the university has experience in training individuals.

Claire was a good candidate for the first pediatric patient on the system because she has been very involved in her diabetes care. More than 26,000 people in the U.S. have Type I diabetes, and about 900 patients being treated at Yales clinic

2017 NewsmaxHealth. All rights reserved.

Continued here:
Diabetes Breakthrough: Insulin-Delivery System Manages Blood Sugar - Newsmax

This Doctor Says He Can Reverse Abortions – Mother Jones

And pro-life lawmakers are taking notice.

Nina Liss-SchultzJun. 9, 2017 6:00 AM

So-called crisis pregnancy centers are well known for trying to convince women not to end their pregnancies. But George Delgado, a physician with a crisis pregnancy center called Culture of Life Family Services clinic in San Diego, takes the practice a step further: He claims to have developed a technique to reverse the effects of a pill-induced abortion. Have you taken the first dose of the ABORTION PILLDo you regret your decision and wish you could reverse the effects of the abortion pill? reads the website of the project Delgado started. We are waiting to help you! The promotional language suggests that, with some strong and timely doses of the hormone progesterone, women can stop the abortion and carry the pregnancy to term: IT MAY NOT BE TOO LATE, IF YOU CALL QUICKLY.

The only problem, according to several doctors I spoke to, is that there is scant medical evidence that the procedure works. Based only on anecdotal accounts from pro-life doctors and a small case study, the abortion pill reversal protocol is experimental at best, they say. But that hasnt stopped conservative state legislatures from trying to push through laws requiring doctors tell their patients that, should they regret their abortions, they might be able to undo them.

A medication abortion typically involves two drugs. The first, mifepristone, which is administered in a doctors office, ends the pregnancy, and the second, misoprostol, which the woman takes at home, expels it from her body. Since 2000, when the Food and Drug Administration approved mifepristone sales, medication abortions have soared in popularity for women less than three months into their pregnancy. In 2014, abortion with mifepristone and misoprostol accounted for about a third of all abortions in the United States. Its also a target of anti-abortion advocates, who call it dangerous (major complications result in less than0.4 percent of all cases) and say that it contributes to an abortion-on-demand culture.

The abortion pill reversal protocol was born in 2009, when Delgado got a call about a woman in Texas who changed her mind after taking mifepristone. Then the medical director of Culture of Life Family Services, Delgado reasoned that progesterone, a hormone given to pregnant women to prevent miscarriage, might help. He found a Texas physician who agreed to give the woman progesterone injections. According to Delgado, it worked, and the woman carried the pregnancy to term.

After that, says Delgado, more requests started coming in. In 2012, Delgado co-authored a case study reviewing the experiences of six women whod contacted him for abortion reversals after taking mifepristone. Each were given doses of progesterone, which latches onto the same hormone receptors as mifepristone, and four of the six carried pregnancies to term. Through the study, Delgado got in touch with a North Carolina doctor, Matthew Harrison, who claims he oversaw the first successful reversal in 2007. Together they created the Abortion Pill Reversal group, which boasts foundational principles such as, It is reasonable and appropriate to respect a womans right to choose to reverse a medical induced abortion.

Through the group, which runs a hotline and prints testimonials from anonymous women whove reversed their abortionsnot following through with the abortion pill has been a tremendous blessingDelgado and Harrison say theyve amassed a network of over 350 doctors and mid-level practitioners across the country willing to try abortion reversal with progesterone. According to Delgado, the group has taken more than 2,000 calls and saved nearly 300 babies. We are very excited to give women this second chance at choice, he told me.

Word of Delgados technique soon spread to lawmakers. Americans United for Life, the influential anti-abortion advocacy group, wrote model legislation for abortion pill reversal. Testifying in front of an Arizona legislative committee in 2015, Dr. Allan Sawyer opined that women should not have their babies stolen from them just because they arent getting accurate information about their abortions. Thats why, said Sawyer, the former president of an anti-abortion OB-GYN group, he wants the state to ensure that doctors inform women that if a woman changes her mind it may be possible to reverse her medication abortion.

Less than a month later, Arizona became the first state to pass an abortion-pill reversal law requiring physicians who offer medication abortion to tell their patients that, should they come to regret their decisions, they might be able to undo them. Arkansas followed suit with a similar law. In 2016, South Dakota enacted an abortion reversal law, and this year, four more states introduced similar bills. The measures are similar to many other restrictions on abortion access and care that pro-life groups have pushedabout350 since 2010and play on the same tropes: Women regret their abortions, according to anti-abortion groups, and so if theyre given information and time to think about what theyre doing, they might change their mind.

But many doctors and medical experts have pointed to a number of problems with the technique. The leading medical association for obstetricians and gynecologists wrote of the 2015 Arizona bill: claims of medication abortion reversal are not supported by the body of scientific evidence. In a review of the literature on mifepristone, Dr. Daniel Grossman and others point out that Delgados study did not have approval from an institutional review board, which usually monitors research involving human subjects. Nor does the study actually make the case that the womens pregnancies continued because of the mifepristone; as Grossman explains, taking mifepristone alonewithout misoprostolcan result in a continued pregnancy up to 46 percent of the time, depending on the dosage and the gestational age of the fetus. In other words, doing nothing after taking mifepristone might be as effective as the progesterone doses.

Everyone I know who provides abortion would try to determine whether or not someone is feeling ambivalentthats a critical part of providing good care, says Karen Meckstroth, and OB-GYN at an abortion clinic in San Francisco. I dont think its wrong to talk to people about reversal as a theoretical possibility. But it could cause real harm if its not true.

Grossman, Meckstroth, and a third doctor, Matthew Zerden, at Planned Parenthood South Atlantic, all said that passing laws based on a single, and problematic, study leads to bad medicine. Zerden, whose Planned Parenthood affiliate has clinics in North Carolina, says that women receiving abortion care are already informed that they have other options, and that women must consultwith a nurse or doctor 72 hours before their abortion appointment because of a waiting period law in the state. The vast majority of patients dont change their mind, he says. Its extremely patronizing, what Delgado is insinuating. Indeed, a 2015 study of nearly 700 women found that 95 percent of women who got abortions reported that it was the right decision three years later.

Delgado counters that the method makes biologic sense and that further criticism of our work isnt warranted. In an interview with Mother Jones, Delgado pointed to what he called the three pillars that back up abortion pill reversal: first, the fact that progesterone interacts with the same hormone receptors as mifepristone, thereby, at least theoretically, canceling out the effects of the abortion drug (Grossman points out that mifepristone is known to bind more tightly to those receptors than progesterone). Second, Delgado points to a Japanese study involving pregnant rats who were given mifepristone and progesterone and did not abort. The third pillar, Delgado says, are the two new studies his team is publishing this year. One of those studies, which has not yet been submitted for peer review, will look at the hundreds of cases the group has documented since 2012, according to Delgado.

So far, none of the abortion reversal bills introduced this year have become law. And the Arizona measure never took effect and was ultimately struck down in court. After Delgado testified in support of Colorados bill in February, it was defeated in committee. Other measures in North Carolina, Indiana, and Georgia, have been stalled in committee.

But anti-abortion advocates are not giving up on lobbying lawmakersand in the meantime Meckstroth fears the procedure could do more harm than good. Its very experimental and its completely inappropriate to recommend it, says Meckstroth. For it to become law or a recommendation with no research is unfair to women.

Nina Liss-Schultz is the research editor at Mother Jones. You can reach her at nliss-schultz@motherjones.com.

Mother Jones is a nonprofit, and stories like this are made possible by readers like you. Donate or subscribe to help fund independent journalism.

Continue reading here:
This Doctor Says He Can Reverse Abortions - Mother Jones

New Clinic Fills Need for LGBT-focused Care – Hospitals & Health Networks


Hospitals & Health Networks
New Clinic Fills Need for LGBT-focused Care
Hospitals & Health Networks
The clinic, now in its fourth month, offers specialized primary care services for the LGBT community, including hormone therapy and monitoring, HIV care, and referrals for specialty services. It also provides support for family members, health ...

Original post:
New Clinic Fills Need for LGBT-focused Care - Hospitals & Health Networks

3-D Mammograms And Molecular Breast Imaging Personalized … – HuffPost

This article is authored by the Mayo Clinic Center for Individualized Medicine. The mission of the Center is to discover and integrate the latest in genomic, molecular and clinical sciences into personalized care for patients.

A picture is worth a thousand words. While that saying may be true, for the more than 50 percent of all women who have dense breast tissue, a picture from traditional, 2-D mammography may not tell the full story about whether they have breast cancer.

Breast density is like the wolf in sheeps clothing. Both tumors and dense breast tissue appear white on a mammogram. A traditional 2-D mammogram may not distinguish between the two. Thats why mammograms find as few as 40 percent of cancers in women with dense breasts, says Deborah Rhodes, M.D., a Mayo Clinic Breast Clinic physician.

If tumors are obscured by dense tissue on a mammogram, the tumor may go undetected for a year or longer during which time the tumor will grow which is a significant problem when you consider how closely survival from breast cancer is linked to tumor size at diagnosis. If we discover a tumor when it is less than 1 centimeter, that patient has over a 90 percent chance of surviving. If we could reliably find tumors in dense tissue when they are small, more lives could be saved," adds Dr. Rhodes.

In addition to dense breast tissue masking tumors on a mammogram, research has shown that women with dense breast tissue have a higher risk of developing breast cancer. Many states have now passed legislation mandating that women found to have dense breasts on a mammogram be provided with information about the impact of breast density on breast cancer detection and risk.

Because both Minnesota and Arizona have this legislation, and because national guidelines on breast cancer screening differ, Mayo Clinic breast specialists developed consensus guidelines for breast cancer screening in women with dense breasts.

Bringing dense breast tissue into focus - 3-D mammograms and molecular breast imaging (MBI)

In order to provide the best screening to detect breast cancer, Mayo Clinic physicians recommend that women with dense breasts initially have a 3-D mammogram and be given the option to have further screening with molecular breast imaging (MBI).

Dense breast tissue what you should know

Women with dense breast tissue have a higher proportion of dense tissue compared to fatty tissue in their breasts. You can find out whether you have dense breast tissue by talking with your physician and reading your mammogram report.

Factors that lead to women having dense breasts include:

Adjusting the lens researchers work to refine screening tools

Mayo Clinic Center for Individualized Medicine has supported development of molecular breast imaging as an individualized approach to cancer screening and will continue to support research that refines this technology in order to provide patients with dense breast tissue the best care.

Our goal is to identify the best tool to screen for and diagnose cancer at its earliest stages, when it is more treatable. By finding the best individualized care for women with dense breasts, I think we can greatly reduce the number of breast cancers diagnosed when they are already advanced - cancers that were not visible on an x-ray. We have already demonstrated that MBI can detect many cancers including advanced cancers that were not seen on traditional 2-D mammography. Our future research will continue to evaluate the effectiveness of 3-D mammograms and MBI. While this research is ongoing and important, MBI is available now as a tool for women who seek additional screening because they have dense breasts, says Dr. Rhodes.

Read more here:
3-D Mammograms And Molecular Breast Imaging Personalized ... - HuffPost

St. Louis Clinic Introduces Weight Loss Breakthrough – Benzinga

Conventional weight loss strategies are leaving people frustrated and unsuccessful in an era of processed foods, chemicals, and hormone disruptions. A new approach at Balanced Body Health Center, LLC is having patients shed 15-20 lbs of fat per month by adapting the body's ability to process these stresses.

St. Louis, MO (PRWEB) June 04, 2017

Sadly, our allopathic, insurance-based medical model for health care hasn't found a sustainable way to rid itself of Diabetes, weight gain, and the toll obesity has on our health. Instead, people are getting sicker, more inflamed, and more dependent on medications. A St. Louis clinic has taken upon itself to break this mold and offer a simple solution for people to live more vibrant and happy livesand get leaner in the process!

Functional Nutritionist, Dr. De Geer, explains 95% of diets don't work. Most people try to research weight loss strategies on their own and there's the infamous yo-yo effect where a person loses weight only to regain it later. A myth that consistently fails to explain the overweight epidemic is: weight problems are merely a consequence of taking in too many calories and not burning enough. A physician's typical advice regarding this issue is: "eat less and exercise more." This limited approach fails to touch upon hormones, toxins, food choices, inflammation, stress, and gut health.

Learn more at http://www.drdegeer.com/weight-loss-program/

At Balanced Body Health Center, LLC patients are educated on these factors and follow guidelines that result in 15-20 lbs of fat loss per month on average. Here, a person initially meets with a physician to casually discuss health and weight loss goals and to uncover metabolic roadblocks they may be facing. Most people live a lifestyle that promotes fat storage while shutting down pathways to access this later for energy.

Dr. De Geer explains fat cells accumulate hormones and toxins. "The more fat we have, the more hormonal problems and toxin-related issues we can face." Fat cells are also prime targets for hormone-disrupting chemicals that can increase the number and size of fat cells.

Another common condition gaining media attention is leaky gut. With leaky gut, the digestive tract lining breaks down, stimulating the release of inflammatory molecules. This downregulates the breakdown of fat cells and stimulates the production of more fat cells. These two mechanisms lead to an inability to lose weight. Also, those who are obese tend to have a less diverse collection of gut bacteria than those who maintain a healthy weight.

Balanced Body Health Center, LLC takes an innovative approach at removing toxins, controlling inflammation and completely transforming patients' lives. For an effective strategy on how lose weight, visit http://www.drdegeer.com/weight-loss-program/ or call (314) 541-8188 to schedule a consultation.

For the original version on PRWeb visit: http://www.prweb.com/releases/2017/06/prweb14386878.htm

Read the original:
St. Louis Clinic Introduces Weight Loss Breakthrough - Benzinga

Male Breast Cancer: Less Common Than For Women, But Still Serious – Health Essentials from Cleveland Clinic (blog)

Contributor: Jame Abraham, MD

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Its not unusual for a patient to ask if men can get breast cancer, and the answer to the question is yes. In 2017, about 2,470 new cases of invasive breast cancer will be diagnosed, and about 460 men will die from breast cancer, according to the American Cancer Society.

But breast cancer is about 100 times less common among men than among women. For men, the lifetime risk of getting breast cancer is about 1 in 1,000. The number of breast cancer cases in males relative to the population has been fairly stable over the last 30 years.

The most common symptoms of male breast cancer are:

There are myriad risk factors that increase the odds of a man developing breast cancer, but many men will develop the disease without experiencing any of these. Many risk factors are similar for men and women, including age, family history and genetic mutations.

One risk factor that increases the risk of breast cancer for both men and women is aging. In general, the risk of breast cancer goes up as a man ages, with an average age of diagnosis of 68.

Family history is important, too, as breast cancer risk is higher if other members of the family have had the disease. About 20 percent of men with breast cancer have a family history of it.

Genetic mutations, such as the BRCA2 gene, increase the risk of breast cancer for anyone, with a lifetime risk of 6 in 100. BRCA1 mutations, in particular, can increase the risk for breast cancer in men; the risk is about 1 in 100. Other important mutations are the CHEK2 and PTEN genes, which may be responsible for some breast cancers in men.

Theres a congenital condition called Klinefelter syndrome that affects 1 in 1,000 men. In normal men, the cells have a single X chromosome with a Y chromosome, while womens cells have two X chromosomes. Men with Klinfelter syndrome have cells with a Y chromosome, plus at least two X chromosomes. These men also have smaller-than-usual testicles, and theyre often infertile because theyre unable to produce functioning sperm cells. Compared with other men, they have lower levels of the male hormone androgen and more of the famale hormone estrogen. For this reason, they often develop swelling of the breast tissue, called gynecomastia. Some studies have shown that among men with this syndrome, the risk of getting breast cancer was about 1 percent, or 1 in 100.

Having been exposed to radiation in the past is also a risk factor for breast cancer in men. A man who had radiation to the chest for lymphoma or any other conditions has an increased risk of developing breast cancer.

Heavy alcohol consumption and liver disease increase the risk of breast cancer in men. Other risk factors include estrogen therapy or other hormonal therapy for prostate cancer, obesity, testicular condition such as undescended testis and some occupations, such as steel mill workers.

In general, the way male breast cancer is managed is similar to tactics used with female breast cancer. The disease could be diagnosed via a clinical examination, mammogram or ultrasound and, if an abnormality is found, the man will be considered for a biopsy of the lesion.

Definite treatment will include surgerythat may include removal of the breast, lump and lymph node surgery, and possibly chemotherapy and anti-estrogen therapy.

Overall prognosis depends upon the stage and other features of breast cancer.

Male breast cancer survivors face many challenges, since its a rare condition. Most of the data related to male breast cancer is derived from female breast cancer. We have only very limited data about specific treatment, prognosis and outcome of male breast cancer.

Its important for men with breast cancer to take care of themselves. This includes being compliant with their cancer treatment and having appropriate follow up.

Adopting a healthy lifestyle that includes eating healthy, exercising and avoiding tobacco and alcohol is imperative. Its a good idea to look for clinical trials; unfortunately, however, many breast cancer trials exclude men. My hope for patients is that this will change in the future.

This post is based on one of a series of articles produced by U.S. News & World Report in association with the medical experts at Cleveland Clinic.

More:
Male Breast Cancer: Less Common Than For Women, But Still Serious - Health Essentials from Cleveland Clinic (blog)

Online access to abortion pill may be safe alternative to clinics – KFGO

Thursday, June 01, 2017 11:40 a.m. CDT

By Lisa Rapaport

(Reuters Health) - Women who dont have access to reproductive health clinics can safely use telemedicine services to consult with a doctor and get drugs to terminate their pregnancy without surgery, suggests a study of Irish women.

About one quarter of the worlds population lives in countries with highly restrictive abortion laws and where women may resort to unsafe methods to end pregnancies. This results in an estimated 43,000 deaths every year, researchers write in The BMJ.

The current study focused on 1,000 women who used an online telemedicine service to get medical abortions in the Republic of Ireland and Northern Ireland, where abortions are illegal in most circumstances.

About 95 percent of the women reported successfully terminating their pregnancies without surgical intervention using medication they received in the mail after providing their medical details and consulting with a trained helpdesk team on how to use the drug. No deaths were reported, and less than 3 percent of the women had complications that required treatment like antibiotics or blood transfusions.

The results provide the best evidence to date that medication abortion conducted entirely outside the formal healthcare setting using online telemedicine can be highly effective and safe, said lead study author Dr. Abigail Aiken, a researcher at the University of Texas at Austin.

All of the women in the study got abortion pills through Women on Web (WoW), a nonprofit organization that provides access to medical abortions early in pregnancy for women who live in countries where access to safe abortion is limited.

While Women on Web only provides medication abortion through online telemedicine in countries where abortion is restricted, the findings of our study suggest that this model may be much more widely applicable, Aiken said by email. As long as a woman does not have a contraindication to medication abortion (there are a few of these, but they are rare) and her pregnancy is at a gestational age appropriate for the approved use of the medications in her country, medication abortion using a reputable online telemedicine service may be an appropriate option if she needs or prefers it.

Surgical abortions require in-person clinic visits, but many abortions are now done with medication and a growing number of women are getting pills by consulting with doctors online even when they live in places where abortion is legal.

In the U.S., medication abortions are typically performed before 10 weeks of pregnancy with two drugs mifepristone and misoprostol that can be self-administered at home. Healthcare providers can use telemedicine to interview patients and assess potential safety issues by reviewing lab test results and ultrasounds before prescribing medication.

In a typical two-step medical abortion regimen, women first take mifepristone. This pill works by blocking the hormone progesterone, which causes the lining of the uterus to break down and makes it impossible for the pregnancy to continue. Then, a day or two later, women take misoprostol, which causes the uterus to empty.

Women may be advised to have a clinic visit afterwards to confirm that the pregnancy was successfully terminated. In rare cases when ultrasound or a blood test shows the medical abortion didnt succeed, women require surgical abortions.

In the study, 93 women, or about 9 percent, experienced a symptom that they were told required medical attention, and most of the women followed advice to visit a clinician in person.

One limitation of the study is its reliance on women to accurately recall and report any side effects or problems, the authors note.

Still, women should be reassured by the results, said Dr. Wendy Norman, a researcher at the University of British Columbia in Vancouver who co-wrote an accompanying editorial.

When a woman has access to see a clinician in person to obtain a medical abortion, that is the preferred method, Norman told Reuters Health by email. In areas where medical abortion providers are not available, or areas where abortion is legally restricted, access to a qualified clinician via telemedicine provides a reasonable alternative to discuss the current pregnancy in the context of a woman's general health and health history, consider available options for her pregnancy, and to provide management of a medical abortion from start to finish if desired.

SOURCE: http://bit.ly/2rY2FQL and http://bit.ly/2qEP9xs The BMJ, online May 16, 2017.

Read the rest here:
Online access to abortion pill may be safe alternative to clinics - KFGO

Hair loss: What is female-pattern baldness? – BBC News


BBC News
Hair loss: What is female-pattern baldness?
BBC News
Hayley Jennings, who set up the Yorkshire Hair Loss Clinic, said the majority of her clients were women - especially mothers - in their 30s and 40s with female pattern hair loss. "This effects one ... Dihydrotestosterone (DHT) is the main hormone ...

and more »

Go here to read the rest:
Hair loss: What is female-pattern baldness? - BBC News

Here Are The Facts About Male Breast Cancer – KUTV 2News

Breast cancer is thought of as a womens disease, with less than 1 percent of breast cancers affecting men, according to breastcancer.org. Because of that, there is a lack of awareness about the disease in males, which leads to late diagnoses and lower chances of survival.

As part of Mens Health Month in June, learn the facts about male breast cancer and what can be done to treat it.

Everyone has breast tissue

Male bodies dont make as much of the hormone that stimulates breast growth as female bodies, but men still have breast tissue and can even develop medium or large breasts, according to breastcancer.org.

Usually these breasts are just mounds of fat, the website says. But sometimes men can develop real breast gland tissue because they take certain medicines or have abnormal hormone levels.

While testosterone in men and estrogen in women controls their sex characteristics, those hormones are found in both sexes.

Most people think of estrogen as an exclusively female hormone, but men also produce it though normally in small quantities, the Mayo Clinic says. However, male estrogen levels that are too high or are out of balance with testosterone levels can cause gynecomastia."

Gynecomastia happens when males have swollen breast tissue which, on its own, is not a serious problem but, because both the condition and breast cancer are related to more breast tissue, one could be a sign of the other.

Male breast cancer is usually advanced

Although breast cancer in men is uncommon, its usually diagnosed late, meaning the cancer is more advanced.

Overall survival is shorter in men, possibly because they tend to be older and have more comorbid conditions, according to research in medical journal the BMJ.

Having comorbid conditions means a person has more than one disease or condition at a time. Men may also have advanced stages of breast cancer because they ignore symptoms.

Men carry a higher mortality than women do, primarily because awareness among men is less and they are less likely to assume a lump is breast cancer, which can cause a delay in seeking treatment, the National Breast Cancer Foundation says.

Men can check for symptoms, at home

Men with a family history of breast cancer are at a higher risk of developing it, but all men should tell their doctor if they have any of these symptoms:

Before going to the doctor, men can perform a self-check, something they should do every month. That may sound like a lot, but it takes less than 30 seconds and is simple, involving looking for changes on or around the nipple and feeling in the area for lumps or discharge. Detailed instructions are available from multiple online resources.

Men can treat and beat breast cancer

If a biopsy confirms a man has cancer cells in his breast, medical tests will determine the stage. As with other cancers, a lower stage means the cancer has not progressed as far.

Treatment options could include surgery, chemotherapy, hormone therapy, radiation therapy and targeted therapy, according to the National Cancer Institute.

Men's and womens breast cancer survival rates are the same, so the stage is more important. For example, if men visit the doctor early, and the breast cancer is caught and treated at stage 0 or 1, there is a 100 percent survival rate, according to the American Cancer Society. That rate drops for every subsequent stage until stage 4, which has a 20 percent survival rate.

The best thing a man with a family history or symptoms of breast cancer can do is visit his doctor right away for diagnosis and treatment.

Sinclair Broadcasting is committed to the health and well-being of our viewers, which is why were introducing Sinclair Cares. Every month well bring you information about the Cause of the Month, including topical information, education, awareness and prevention.

Continued here:
Here Are The Facts About Male Breast Cancer - KUTV 2News

Judge Dismisses Mother’s Lawsuit Over Her Son’s Transition to a "Girl" – The New American

A federal judge in Minnesota dealt a devastating blow to parental rights last week. Senior U.S. District Judge Paul Magnuson dismissed a lawsuit brought by a mother who accused school officials, healthcare providers, and doctors of violating her parental rights by assisting her son with gender transition without the mothers consent.

Anmarie Calgaros case made international headlines last year when she sued her teenage son known only as EKJ for undergoing a sex change through hormonal therapy without her permission, as well as numerous state agencies for the role they played in helping him to transition from male to female. Calgaros lawsuit claimed that she was neither consulted nor informed about the transition, thereby stripping her of her constitutionally protected parental rights.

The U.S. Constitution says that parental rights are fundamental rights, that cant be terminated without due process, said Calgaros attorney, Erick Kaardal of the Thomas More Society.

At particular issue in Calgaros lawsuit was a Minnesota law that allows minors to undergo medical care and procedures without parental consent. According to Calgaros suit, Park Nicollet and Fairview Health Services began providing hormone therapy to her son in November without consulting Calgaro or even informing her about it. Calgaro also argued that St. Louis County violated her parental rights by providing government assistance in the form of medical payments to cover the costs of the childs transition.

Calgaro indicates she is fighting for parents to be included in their minors medical decisions.

"I'm also taking this action for the benefit of all parents and families, who may be facing the same violation of their rights so that they and others in the future may be spared from the same tragic events," she opined.

Sadly, some media outlets portrayed Calgaro less as a champion of parental rights and more as an anti-LGBTQ activist, even quoting critics who took issue with Calgaros and her attorneys repeated references to her son as male, which of course squares with reality, but not with her sons desire to be acknowledged as female.

For Calgaro, however, the case is not about her son's transgenderism, but with his ability to obtain medical treatment without her knowledge or consent, particularly potentially harmful treatment. At a press conference, Calgaro told reporters that "The transitioning thing isn't even the issue, the issue is that he's able to make these [medical] decisions."

In fact, scientists suggest that it is psychologically harmful for adolescents to undergo hormonal therapy in the name of transgenderism, as most children outgrow gender confusion.

"Children are a special case when addressing transgender issues. Only a minority of children who experience cross-gender identification will continue to do so into adolescence or adulthood, a study in The New Atlantis reads.

There is little scientific evidence for the therapeutic value of interventions that delay puberty or modify the secondary sex characteristics of adolescents, although some children may have improved psychological well-being if they are encouraged and supported in their cross-gender identification," it continues. "There is no evidence that all children who express gender-atypical thoughts or behavior should be encouraged to become transgender."

The study argues that enabling acceptance of transgenderism through medical intervention is particularly harmful. An area of particular concern involves medical interventions for gender-nonconforming youth. They are increasingly receiving therapies that affirm their felt genders, and even hormone treatments or surgical modifications at young ages, the authors observe.

Calgaros lawsuit also focused on the absence of an official legal process in the state for the emancipation of minors, and this absence served to create considerable confusion and inconsistencies in Calgaros case. Some of the agencies involved considered the teenage boy to be emancipated from his mother based on the grounds that he no longer lived with Calgaro and was not financially supported by her. EKJ reportedly moved out of his mothers home in 2015 to move in with his father so that he could attend a better school and has not returned since. He eventually moved in with friends until he finally began living on his own.

EKJ also filled out an emancipation form with the help of a homosexual advocacy group without Calgaros knowledge. In the lawsuit, Calgaro notes that the emancipation form was riddled with falsehoods. For example, the form claimed that Calgaro failed to report her teen son as a runaway and made no attempt to bring him home, thereby concluding that she wished to have no contact with him, all of which Calgaro denies.

The Minneapolis Star Tribune reports that an attorney with the Mid-Minnesota Legal Aid clinic then provided EJK with a letter that concluded the teen was legally emancipated under Minnesota law.

Meanwhile, Calgaros attorney noted at a news conference last year that Calgaro was never given notice that her child was seeking emancipation and the emancipation determination was reached without a hearing or court order.

"If there had been a court order of emancipation, then Anmarie would have received notice and an opportunity to be heard," said Kaardal.

Once it was determined that EKJ was emancipated, the school then refused to provide Calgaro her sons medical records, and the Department of Human Services refused to provide her information about her sons hormonal therapy, Life Site News reports.

Yet, while these particular agencies accepted EKJs emancipation determination, the St. Louis County District Court had rejected the teens application for a name change because of the lack of any adjudication relative to emancipation, underscoring the flimsy legal grounds on which the defendants case stood.

Calgaro turned to the federal court to intervene, and asked the court to stop the teens hormone treatment and award her financial damages.

But Judge Magnuson determined on Tuesday that Calgaros claims were meritless.

Magnuson admitted that the boy was not legally emancipated, and that Calgaro's parental right "remain[ed] intact." However, he decided that the defendants could not be held liable because they did not act under color of state law. Without evidence that the school and agencies violated a law or a policy or custom, Calgaro had no claim, he determined.

Magnuson revealed his flagrant disregard for parental rights by going so far as to question whether those include access to school records.

Furthermore, Kaardal asserts that Judge Magnusons decision has done little to clarify the states emancipation issue.

On the legislative front, people on the left and on the right believed that emancipation procedures in Minnesota should be put in statutes and codified, Kaardal said. But until then, its confusing and the courts decision hasnt cleared up that confusion.

NBC News notes the potential impact that a decision on the states emancipation process could have on abortion in Minnesota, since current statute mandates that a non-emancipated minor cannot access an abortion until 48 hours after parental notification has taken place.

Predictably, EJKs attorneys welcomed the judges decision, saying it shows the resilience of transgender youth and the importance of access to appropriate health care.

The law protects all young people, including transgender young people, and we are pleased that this outcome supports her access to essential health care and other critical service, said Asaf Orr, a staff attorney for the National Center for Lesbian Rights Transgender Youth Project in San Francisco.

According to theMinneapolis Star Tribune, Kaardal and Calgaro are considering an appeal.

Anmarie Calgaro is living a parents worst nightmare," Kaardalsaid. "Her minor child has been piloted by third parties through a life-changing, permanent body altering process by organizations that have no legal authority over him, and that have denied his own mother access.

View post:
Judge Dismisses Mother's Lawsuit Over Her Son's Transition to a "Girl" - The New American

As specter of GOP healthcare overhaul looms, Crist tours expanding LGBT clinic in St. Pete – Creative Loafing Tampa

"I thought it was, what's the right word, ill-conceived, shall we say? And merciless as well. Particularly in the way it treats the poor and the disabled in our society."

Crist chats with James Keane, Metros fundraising and events manager.Kate BradshawAs we wrote about last year, Metro Wellness is a nonprofit that offers specialized care and advocacy for the region's LGBT residents everything from HIV tests to hormone replacement therapy for gender transition to counseling for gay and trans youth. It's headquartered on the western edge of St. Petersburg's Kenwood neighborhood in an area where new apartment buildings seem to be going up by the month.

They're in the middle of a massive expansion officials with the organization say will better equip them to meet the needs of the community. And with any luck, event and retail space they plan on renting out will boost their revenue.

July of 2018 their target for cutting the proverbial ribbon is a long way off.

But with the looming (though uncertain) repeal and replacement of the Affordable Care Act and a spike in new HIV cases (largely among gay minority men under 30), demand for what they do will probably go up well before then.

On Wednesday morning, former Governor and current Congressman Charlie Crist, D-St. Petersburg, checked out the facility for the first time.

He did his usual thing introducing himself to the dozens of staff members going about their day, making conversation about sports and hometowns.

Crist speaks to Metro's CEO, who was home recovering from knee surgery, as Priya Rajkumar looks on.Kate Bradshaw

He was there to show his support for Metro and to find out more about what they do. As a Democrat in Congress, it doesn't seem likely that Crist could do all that much in D.C. in terms of pulling down federal money.

Metro doesn't get much in the way of federal funding anyway, beyond grants and savings on medications it doles out via the 340B Prescription Drug Program. Many of the services they provide are free, and they take insurance when it's applicable.

But if millions of people lose their health care under the Republicans' Affordable Health Care Act, that could put a huge burden on health nonprofits like Metro.

The health care act is going to be pretty crucial for us in terms of our ability to move forward as an organization, said Priya Rajkumar, Metro's chief operating officer, as she and her colleagues gave Crist the grand tour.

Needless to say, Crist wasn't a fan of the GOP plan, either.

I thought it was, what's the right word, ill-conceived, shall we say? And merciless as well. Particularly in the way it treats the poor and the disabled in our society. I think it's on its way to nowhere. I hope, he told Metro CEO Lorraine Langlois, who was at home recovering from a knee surgery at the time of the tour, during a phone call in which he congratulated her on Metro's success.

Notably, the tour took place the day before Pride Month starts. In June, St. Petersburg hosts the biggest Pride festival in the state. Metro has long been something of a hub during the event, as an adjacent parking lot served the parade's staging area for years. This year, the event's parade portion will take place in downtown St. Pete and the former staging area now belongs to a developer. There was controversy over the move, especially since Kenwood and the Grand Central District, where the parade has taken place for over a decade, make up the city's first gay-friendly area.

Perhaps the downtown move is a sign of how mainstream Pride has become, and how welcoming St. Pete is. Even so, given the political climate and the ideological bent that's helping shape federal and state health care policy, the need for services that cater to the LGBT community like the ones Metro provides isn't going anywhere.

Go here to see the original:
As specter of GOP healthcare overhaul looms, Crist tours expanding LGBT clinic in St. Pete - Creative Loafing Tampa

‘Defund Planned Parenthood’ has gained momentum. Texas shows the effects can go far beyond just clinics – Los Angeles Times

It was Aubrey Reinhardts last year at Texas Tech University. So when things started getting serious with her boyfriend, she decided it was time to look into birth control.

Reinhardt knew that abortion foes had been trying to strip Planned Parenthood of every penny it receives from government sources. But until that moment two years ago, Reinhardt recalled, she didnt appreciate what that could mean for a person like her who just needed somewhere to go for affordable contraception without feeling she was being judged.

Planned Parenthood had to close its two health centers in Lubbock, where Reinhardt was studying, so she turned to the campus clinic. But the doctor there told her she might have a blood clotting problem, and said Reinhardt would need to get approvals from three other doctors and a hormone specialist before she would prescribe contraception.

Reinhardt, now a 22-year-old law student in Dallas, was stunned. None of her previous physicians had suggested she might have such a problem. Could the doctor be using it as an excuse? She could feel herself tearing up.

Why are you crying? she recalled the doctor asking. Are you really in that big of a hurry to become sexually active?

Humiliated, Reinhardt hurried out of the office.

In the annals of the abortion wars, the call to defund Planned Parenthood has become one of the most potent and contentious rallying cries. The organization is the largest single provider of abortions in the country and has used its political clout to protect access to the procedure.

Now with President Trump in the White House and Republicans in control of Congress and statehouses across the nation, those seeking to curtail public funding for Planned Parenthood see opportunities to achieve their long-sought goal and they see Texas as a model to follow. But as Reinhardts experience shows, the effects of a successful defunding campaign can be far more extensive and potentially damaging than intended.

In 2011, Texas lawmakers slashed funding for family planning clinics rather than allow any of the money to go to Planned Parenthood. Because of the cuts, a quarter of the states clinics closed, making it harder for women of limited means to get a range of other basic health services, including contraception, breast and cervical cancer screenings, and testing for sexually transmitted infections.

Lawmakers have since attempted to repair the damage by directing more money to facilities not tied to abortion providers. But there isnt always a facility that can readily fill the void when women are denied access to Planned Parenthood, which serves about 2.4 million patients nationally each year.

Federally funded community health centers, which provide a range of low-cost primary care to poor families, are stretched thin. And family planning is not routinely offered at 40% of these facilities, according to a study by the Guttmacher Institute, which advocates for reproductive rights, including abortion.

After Reinhardts upsetting visit to the campus clinic, she called one such center in Lubbock. The soonest she could get an appointment was in April. It was January. She then tried facilities operated by Christian nonprofits. They didnt offer contraception.

So she called what was left of Planned Parenthood. They could see her right away, but their nearest locations were in El Paso and Fort Worth, both four-hour drives away.

Over spring vacation, Reinhardt drove to Fort Worth and received an implant that prevents pregnancies for up to four years. But she wondered, What about the mother that has two children, that works two jobs, that cant take off two days to drive four hours away to a clinic and come back?

It is already illegal to use federal dollars for abortions, except in cases of rape, incest or when the mothers life is in danger. And Planned Parenthood says about half of its health centers dont offer the procedure.

But the groups opponents argue that giving Planned Parenthood public funds for non-abortion-related care allows it to spend more of its private funds on abortions. In 2016, the group received $554.6 million from government sources, about 40% of its budget.

The Republican bill to replace Obamacare, which narrowly cleared the House on May 4, would prevent Planned Parenthood from receiving reimbursements from Medicaid for a year.

That would be a big hit. Medicaid, the federal-state program that insures more than 70 million poor Americans, accounts for the majority of Planned Parenthoods public funding, according to Congressional Budget Office estimates. Federal Title X family planning grants make up most of the rest.

The House bill, the American Health Care Act, faces an uncertain future in the Senate. And states have faced pushback from federal officials and the courts when they try to withhold federal money from Planned Parenthood themselves.

Texas, however, has found roundabout ways to chip away at the groups funding.

Texas Republicans scored their first big win in 2011 when the Legislature reduced the two-year budget for the states Family Planning Program to $38 million from $111 million. It also approved a new way to allocate the funds that prioritized community health centers and county health departments over specialized family planning clinics like those affiliated with Planned Parenthood.

The argument was that women would be better served if they had their reproductive health needs addressed at facilities that could provide more comprehensive care; critics contend it was a way to squeeze out Planned Parenthood.

Texas also wanted to exclude Planned Parenthood from a separate Medicaid-funded program that offered family planning coverage for certain women who didnt qualify for full healthcare benefits. But the Obama administration wouldnt allow that because of a federal law guaranteeing Medicaid clients their choice of providers.

The Legislatures solution: Forgo federal funding that had paid for 90% of the program and set up an entirely state-financed version called the Texas Womens Health Program. That effort, launched in 2013, does not contract with clinics affiliated with abortion providers.

Texas actions have provided a road map for other states to follow. In May, Planned Parenthood announced it was closing four of its 12 clinics in Iowa after lawmakers there decided to set up a state-run family planning program that can legally exclude the group.

Planned Parenthood wasnt the only organization hurt by such decisions. By 2013, 82 Texas clinics a third of them Planned Parenthood affiliates had closed or stopped offering family planning services, said Kari White of the Texas Policy Evaluation Project, which studied the defunding effort. None of the clinics performed abortions.

Of those that remained open, researchers found, many had to reduce hours or begin charging for services previously offered for free.

Even when there were other clinics nearby where women could use their state benefits, White said, women would often find that they did not stock the more expensive, long-acting birth control methods available at Planned Parenthood. So women switched to less effective methods, and a few years later, some had become pregnant.

State officials take issue with some of the conclusions because they are based on a study that sampled only patients enrolled in the Texas Womens Health Program expanded and rebranded last year as Healthy Texas Women and not those who received family planning care through other programs.

Now that Trump is in the White House, the state is applying to get its Medicaid funding back for Healthy Texas Women. Since 2013, the Legislature has also committed more than $150 million in additional state funds to rebuilding the network of family planning providers and improving care for poor women more than making up for the clinic closures, according to officials.

Although participation in the states womens health programs plunged from around 359,000 in 2011 to 201,000 two years later, state figures show, the number of clients enrolled has increased since then and in 2015 was approaching 364,000.

"Texas is committed to women's health, Republican state Sen. Jane Nelson, who heads the Senate Finance Committee, said in an email. The number of providers has tripled, and we are making sure that women throughout the state can access these vital services."

Kelly Hart, a spokeswoman for Planned Parenthood of Greater Texas, acknowledged the states efforts to improve family planning. But she said a question lingers: Can [those efforts] be as good as the citizens of this state deserve if you deny a major player in womens healthcare a seat in your program?

Planned Parenthood has 34 health centers left in Texas, four of which perform abortions.

Community health centers will try to fill the gap, but many will need to hire and train staff, reconfigure space and purchase equipment, said Jose Camacho, who heads an association of such facilities in Texas.

In the meantime, women who rely on publicly funded healthcare are still having trouble finding providers who will accept new patients and can see them in a timely manner, Planned Parenthood clinicians say. That can be critical for some patients.

Four years ago, Dayna Farris-Fisher, a mother of three from Plano, discovered a lump in her breast. She didnt have insurance, because her husband had been laid off. None of the low-cost clinics she tried could see her for at least four months.

In a panic, she called Planned Parenthood. Vivian Bigelow, a nurse practitioner at the groups local health center, saw her the next day.

But if a patient like Farris-Fisher, now 50, walked into her exam room today, Bigelow said, she would have to refer her somewhere else. The breast and cervical cancer screening program that paid for the diagnostic testing no longer accepts claims from Planned Parenthood, another casualty of the states defunding efforts.

That terrifies Farris-Fisher. In the five weeks that it took to confirm a diagnosis and begin treatment, her tumor doubled in size.

If I had had to wait for one of those other clinics, she said, I literally am convinced that I would be dead.

alexandra.zavis@latimes.com

Twitter: @alexzavis

ALSO

Upgrading U.S. nuclear missiles, as Russia and China modernize, would cost $85 billion. Is it time to quit the ICBM race?

The Church of Scientology wanted a vacant lot. So did the city of Clearwater, Fla. One of them won

Even with Irvine's diverse mix of cultures, some residents feel they don't 'fit'

Link:
'Defund Planned Parenthood' has gained momentum. Texas shows the effects can go far beyond just clinics - Los Angeles Times

How American Healthcare Is Failing Transgender Patients – Gizmodo

Dani Castro had developed a UTI, but was afraid to go to the doctor due to her track record of bad experiences. She collapsed and became unresponsive, so a friend drove her to the ER. (Content warning.)

I was hospitalized, and my gender marker was listed as male, she said. I had to push back and say something. They changed it, but before I was discharged the medical provider did a pelvic exam.

During the pelvic exam, the physician moved his fingers around inside of her vagina and told her he was impressed with the results of her surgery. Dani didnt have the energy or resources to file a lawsuit and dealt with the inappropriate, traumatizing eventthrough therapy, family and friends.

Today, Castro is a project director at the University of California, San Francisco Center of Excellence for Transgender Health. The UCSF center serves to offer comprehensive care to the trans community, and offers guidelines and resources for primary care providers treating transgender and gender non-binary people.

Castro says shes spoken to folks who have had disrespectful doctors and traumatizing experiences in the emergency room, and during the far more frequent routine visits. Often, Castro says, physicians just use trans patients to answer questions theyre curious about.

Madeline Deutsch, director of UCSF Transgender Care said that specific exams should only happen if its necessary, relevant and based on evidence. In her professional opinion, asking someone for a genital exam because, oh, well theyre taking hormones, maybe they have testicular cancermaybe first make sure theres evidence. Such a relationship between hormones and cancer has not been shown.

Patients already need to travel all over the country for gender-affirming surgery, and the waiting list could be over a year. Despite broader coverage for transgender services under the Affordable Care Act, some state health insurance plans still exclude them, and who knows what will happen with the outcome of the Affordable Care Act vote. Its no surprise that simply receiving preventative care is an ordeal for trans and gender non-binary folks.

Most of us dont go for prevention, said Castro. We go when its an emergency.

The situation is miserable. In 2015, 28,000 transgender people from all fifty states took the National Center for Transgender Equalitys United States Transgender Survey, the largest of its kind. A third had a discriminatory experience at the doctors office. A quarter of the respondents did not see a doctor when they needed to because of fear of being mistreated as a transgender person. A National LGBTQ Task Force survey of 6,450 transgender and gender non-binary people from 2011 documents cases of patients concealing their identities from their doctor, and what appears to be a general lack of sensitivityin the medical fieldwhen dealing with trans issues, including using the incorrect gender pronouns and even mocking patients. Around 20 percent of the participants of that study were flat-out denied care.

Theyre afraid to go to the doctor because of discrimination, and data shows that the fear is justified, said Deutsch. When patients arrive, theyre finding doctors who arent properly trained on how to care for them.

One 2011 survey completed by 132 American and Canadian medical school deans found that undergraduates received a median of just five hours of training in lesbian, gay, bisexual and transgender-related content. Of those schools, 44 had zero hours of LGBT content in their clinical studies.

As a result, trans folks might face what some have dubbed trans broken arm syndrome, where doctors blame whatever health ailment simply on the patient being trans. Malcolm Maune, who works for Trans Lifeline, a hotline staffed by transgender people for struggling transgender people, has lupus and has frequent interactions with doctors he trusts. But hes gone to new doctors whove assumed his troubles simply stem from taking testosterone. They think thats optional, somehow, he said. Theyll just attribute all kinds of things to it that have nothing to do with it.

Sure, a few studies have shown that some men receiving testosterone for other ailments have an increased risk of heart disease. But several studies comparing transgender men with cisgender women specifically havent found an increase in cardiovascular problems. And Maunes doctors ensure he has the same amount of testosterone as any cisgendered manand cisgendered men are more likely to suffer heart attacks younger, regardless! If people assigned male at birth are happy living with that heart disease risk, then Im happy being trans living with that heart disease risk, please and thank you very much.

Not all transgender or gender non-binary folks take hormones, but it is an important way for many trans people to match their physical appearance with their identity. And for them, hormone therapy isnt optional.

Uninformed medical advice could have devastating consequences. Taking someone off of their hormones is a good way to precipitate a suicide attempt, said Maune, adding that somewhere around 40 percent of trans people attempt suicide during their lifetime. This is a matter of life and death.

Somehow, even the endocrinologists who specialize in hormones arent knowledgeable in sex hormone treatment, Joshua Safer, Medical Director of the Transgender Center at Boston University, told me. Given the increasing number of folks who identify as transgender, possibly 1 in 137 teenagers, according to a recent New York Times report, It would be hard to have an endocrine practice without seeing some [trans people], he said. A 2017 study found that of 411 practicing endocrinologists, 80 percent had treated a transgender patient, but 80 percent never received training on how to care for them.

The Endocrine Society has a set of guidelines on treating transgender patients for endocrinologists, said Safer, but theyre not up-to-date. Today, they are literally called Endocrine Treatment of Transsexual Patients, transexual being a term no longer considered to be an umbrella term for transgender people. Theyre in serious need of being revised, said Safer. Weve been working at the revisions and are sorry theyve taken us until 2017.

These oversights lead to glaring omissions in even the most basic care, like advice on maintaining a healthy lifestyle. Trans folks already suffer from higher rates of diet pill use and eating disorders than other patients. Hormone therapy can lead to weight gain or weight loss, according to UCSF Transgender Care, which could exacerbate these issues. And yet, the folks undergoing hormone treatment that I talked to have had little dietary or nutrition advice from their doctors.

When my friend Mattie White chose to start taking hormones, she had questions. How should she eat? Should she alter her behavior or lifestyle? I would even ask, Are there any vitamins I should make sure I get enough of, things I should avoid? My doctors would just say, Take whatever you want. I asked my doctor if I should eat less protein so I dont have too much muscle mass. They said, If you want to, you can eat less. I want a more specific answer than that! This ambivalenceseems to be a repeating theme.

Sadly, much of the missing guidance is supplemented through message boards and testimonials shared online, like the common tip to decrease muscle mass by avoiding protein altogether. One person I spoke with, Sarah Garland, told me that she had found this posted on blogs, Reddits r/asktransgender board, or the Susans Place forum. I know that is not healthy, said Garland, but some people do it out of desperation.

Deutsch says its unacceptable that trans folks are not provided the same kind of health advice and basic care that many take for granted. I see fear and hesitation from medical providers on providing gender-affirming care, then walk around the clinic and see the curveballs other patients throw providers, she said. They take care of patients with far more complicated and rare situations that involve more complex and costly treatment that may have more side effects of risk.

Deutsch commented that yes, there is a lack of research studying transgender people specifically. But many providers are already treating patients who take hormones, and some of the ailments theyre blaming on hormones are just common ailments that people always have that doctors already know how to treat. High blood pressure is high blood pressure and high cholesterol is high cholesterol, said Deutsch.

If medical providers are unsure about how to treat a patient, there are guidelines that can help them not be shitty about it.

The Center of Excellence for Transgender Health offers some incredibly detailed guidelines that are readily available for a minimal amount of searching consistent with the degree of searching providers do on a daily basis for other uncommon symptoms, said Deutsch. These include ailments reasonlessly blamed on hormones like cardiovascular disease and testicular cancer.

Possibly most importantly, these guidelines provide instructions on how to perform an appropriate physical exam in a way that wont drive a patient away from seeing a doctor again. Things can get better.

Trans Lifeline is a hotline staffed by and for transgender people, with experts ready to chat to folks in distress or in need of support. Its numbers are (877) 565-8860 for the US and (877) 330-6366 in Canada.

Follow this link:
How American Healthcare Is Failing Transgender Patients - Gizmodo

Casino games android apk – Highest deposit bonus casino – Online casino casino site – Utah Political Capitol

Welcome to the UPC Show with Curtis Haring, Alex Cragun, and Dylan McDonnell. On the show today we talk about the growing fight between the legislature and the governor around a special session to potentially replace Jason Chaffetz, Speaker of

Read more

Welcome to the UPC Show with Curtis Haring and Alex Cragun with special guest Bob Kubichek. On the show today we talk about new signage requirements in bars versus restaurants, Donald Trump looks into Bears Ears, Jim Matheson has gotten

Read more

Welcome to the UPC Show with Curtis Haring and Alex Cragun. On the show today we talkabout Jason Chaffetzs surprise announcement, the rest of the Utah delegation is having poll trouble, Trumps budget has a real impact on Utah, and

Read more

Welcome to the UPC Show with Curtis Haring, Dylan McDonnell,and Alex Cragun. On the show today we talk about some proposed changes to an initiative to fund education, Chris Stewarthas a Democratic challenger, and Orrin Hatch might be on the

Read more

Welcome to the UPC Show with Curtis Haring, Dylan McDonnell,and Alex Cragun. In the first half: UTAs woes and Rocky Mountain Power assumes that EPA regulations will be rolled back. In the second half: An audit shows that sex-offender treatment

Read more

A general expressionof concern about the recent hospitalization of Senator Ralph Okerlund (RepublicanMonroe) was made at the Central Utah Leadership Summit, an annual gathering of elected officials and economic development experts in rural Utah. Public announcementsby both Byron Woodland, Board

Read more

Welcome to the UPC Show with Curtis Haring, Dylan McDonnell,and Alex Cragun. In the first half: Orrin Hatch says he is willing to step asideif someone like Mitt Romney steps in and people booingRepresentative Stewart at a recent town hall

Read more

Welcome to the UPC Show with Curtis Haring, Dylan McDonnell,and Alex Cragun. This week we round out the three part legislative extravaganza by talking about Business, specifically:HB 40 Check Cashing and Deferred Deposit Lending Amendments Brad Daw (Republican

Read more

View other reviews in this series: Agriculture, Air Quality, and Alcohol Business, Campaign Finance, Crime and the Courts Drugs HB 50 Opioid Prescribing Regulations from Representative Ray Ward (Republican Bountiful) If you have been paying attention to public

Read more

Read this article:
Casino games android apk - Highest deposit bonus casino - Online casino casino site - Utah Political Capitol

Performance Enhancing Drugs in Sports Fast Facts – KRTV Great Falls News

CNN Library

(CNN) -- Here's a look at the use of performance-enhancing drugs in sports.

Facts: "Doping" by professional athletes has been acknowledged as a problem since at least the 1960s.

The issue gained prominence as a result of the Bay Area Laboratory Co-Operative (BALCO) investigation, tell-alls by former professional athletes, a 2007 report on drugs in professional baseball and a scandal involving Russia's 2014 Olympic team.

About Performance-Enhancing Drugs: There are several types of performance-enhancing drugs, including anabolic steroids, stimulants, human growth hormone and diuretics.

Anabolic steroids are natural and synthetic substances which help build muscle mass, enabling athletes to train harder and recover quickly from strenuous workouts.

Tetrahydrogestrinone, also known as THG or the Clear, is a powerful steroid purportedly used by such high profile athletes as track star Marion Jones and baseball player Barry Bonds.

Stimulants, including amphetamines, impact the central nervous system, increasing alertness and decreasing appetite.

Human growth hormone (HGH) is taken for improved endurance and strength.

Androstenedione is a supplement that was sold over-the-counter until the FDA took action in 2004. It is banned by the NFL, Olympics, NCAA and MLB. The supplement is an anabolic steroid precursor, meaning that the body converts it into testosterone.

Timeline: 1967 - The International Olympic Committee (IOC) establishes a Medical Commission in response to an increase in the usage of performance enhancing substances.

1981 - After American discus thrower Ben Plucknett tests positive for steroids, he is banned from participating in future events by the International Amateur Athletics Federation (IAAF) and he is stripped of his world record.

1987 - The National Football League (NFL) begins testing players for steroids.

1988 - Congress passes the Anti-Drug Abuse Act, which makes possession and distribution of anabolic steroids for non-medical purposes a crime.

1990 - Congress strengthens the 1988 law by classifying anabolic steroids as a controlled substance.

1999 - The World Anti-Doping Agency (WADA) is established.

2000 - The US Anti-Doping Agency (USADA) is established.

2002 - Federal authorities launch an investigation into BALCO, a California lab that is suspected of selling performance enhancing drugs to elite athletes. (See BALCO Fast Facts for more details).

2003 - Major League Baseball begins testing players for steroids.

February 2005 - Retired baseball star Jose Canseco publishes an autobiography, "Juiced: Wild Times, Rampant 'Roids, Smash Hits and How Baseball Got Big." In the book, Canseco recounts his own steroid use and implicates other players.

March 2005 - Six former and current Major League Baseball players testify before the House Government Reform Committee about drugs in baseball. They include Mark McGwire, Sammy Sosa and Canseco.

March 2006 - MLB Commissioner Bud Selig announces an investigation of steroid use among pro baseball players. Former US Sen. George Mitchell will lead the investigation.

August 22, 2006 - The USADA bans sprinter Justin Gatlin for eight years after he tests positive for banned substances a second time. Gatlin is also forced to forfeit his 100-meter world record.

May 2007 - 1996 Tour de France winner Bjarne Riis admits using performance-enhancing drugs to win his title. Race organizers tell him to return his yellow first-place jersey.

September 20, 2007 - Cyclist Floyd Landis is stripped of his 2006 Tour de France title and he is banned for two years after a positive test for synthetic testosterone.

December 13, 2007 - The Mitchell Report is released. MLB players named in the steroid report include Barry Bonds, Roger Clemens and Andy Pettitte.

February 2008 - Former New York Mets clubhouse employee Kirk Radomski is sentenced to five years probation after pleading guilty to distributing steroids.

February 2009 - Alex Rodriguez admits to using performance-enhancing drugs while playing for the Texas Rangers.

January 2010 - Mark McGwire admits to using steroids during his career.

February 2012 - Three-time Tour de France winner Alberto Contador is stripped of his 2010 title for doping.

June 2012 - The USADA confirms that it is opening proceedings against Lance Armstrong and five former teammates. Armstrong denies the charges. (For more details about Armstrong's case, see our Lance Armstrong Fast Facts).

August 2012 - American cyclist Tyler Hamilton is stripped of his gold medal from the 2004 Olympics after he admits to doping.

January 2013 - MLB announces it will begin random testing for HGH.

July 2013 - Ryan Braun of the Milwaukee Brewers is suspended without pay for the rest of the 2013 season for violating the league's drug policy.

August 2013 - MLB suspends Kansas City Royals player Miguel Tejada for 105 games for amphetamine use.

August 2014 - Anthony Bosch, the founder of a Miami anti-aging clinic, surrenders to the Drug Enforcement Administration. He later pleads guilty to a charge of distributing steroids to athletes. His sentence is four years in federal prison.

September 2014 - The NFL and NFL Players Association reach an agreement regarding the league's performance-enhancing drug policy. The agreement calls for HGH testing and an overhaul of the drug program.

January 2015 - Kenya's Rita Jeptoo, a three-time Boston Marathon champion, is banned from competition for two years for doping.

September 2015 - The DEA announces that 90 people have been arrested and 16 underground steroid labs have been shut down in a sweeping drug bust called Operation Cyber Juice.

November 9, 2015 - A WADA report details evidence of doping in Russian athletics and a "deeply rooted culture of cheating at all levels." Russia is provisionally suspended as a member of the IAAF in response to the doping allegations.

March 2016 - At a press conference, tennis player Maria Sharapova admits to failing a drug test at the Australian Open. She is initially suspended for two years, but the ban is later reduced to 15 months.

July 18, 2016 - A WADA report alleges Russia ran a state-sponsored doping program during the 2014 Sochi Winter Olympics. On December 9, 2016, WADA releases an update to the report concluding that a"systematic and centralized cover-up" benefited more than 1,000 Russian athletes across 30 sports.

August 4, 2016 - The IOC announces that 271 athletes from the 389-member Russian Olympic team have been cleared to participate in the Games. The rest of the team - 118 athletes - are banned in the wake of the doping scandal.

August 7, 2016 - A swimmer from the Chinese Olympic team tests positive for a banned substance called hydrochlorothiazide, a blood pressure drug that doubles as a diuretic.

August 11, 2016 - John Anzrah, a sprint coach for the Kenyan Olympic team, is sent home after allegedly posing as an athlete to take a drug test. He is the second Kenyan running coach to face allegations that he tried to help athletes cheat on doping tests. Michael Rotich, the team's track and field manager, reportedly tried to bribe undercover journalists posing as coaches, offering to pay them in exchange for advance warning about drug tests.

August 24, 2016 - The International Weightlifting Federation reports that 15 Olympic weightlifters, including three Chinese gold medalists, have tested positive for illegal growth hormones and other banned substances in doping retests.

January 25, 2017 - The IOC rules that Usain Bolt's 2008 gold medal in the 4x100m relay no longer counts after one of his teammates tests positive for methylhexaneamine, a banned substance.

TM & 2017 Cable News Network, Inc., a Time Warner Company. All rights reserved.

Originally posted here:
Performance Enhancing Drugs in Sports Fast Facts - KRTV Great Falls News

Woman’s heartache at miscarrying twins – Belfast Telegraph

Woman's heartache at miscarrying twins

BelfastTelegraph.co.uk

A woman has told the heartbreaking story of her miscarriage and how she lost twins a fortnight apart.

http://www.belfasttelegraph.co.uk/news/northern-ireland/womans-heartache-at-miscarrying-twins-35760376.html

http://www.belfasttelegraph.co.uk/news/northern-ireland/article35760375.ece/f3af3/AUTOCROP/h342/2017-05-27_new_31501562_I1.JPG

A woman has told the heartbreaking story of her miscarriage and how she lost twins a fortnight apart.

Karen Irvine told of the devastating moment she realised she was losing her baby and - after suffering severe pain - she later learned she had been expecting twins.

"I was sitting at work when I realised I was losing my baby," Karen said. "The year was 2003, I was 41 years old and had undergone fertility treatment following years of trying to conceive.

"Only a week prior, I had been ecstatic with the news that I was five weeks pregnant and no way could I keep it a secret until week 12, as custom dictates. I told everyone immediately.

"This actually made things easier for me later, as I couldn't have hidden my grief, it was too painful.

"After one night in hospital and following a procedure the next day to remove the remaining 'products of conception', I was discharged.

"I went to bed and stayed there, weeping for the loss of our much-wanted baby and sinking into a deep depression."

However, over the next two weeks Karen began to experience abdominal pain which her GP said was her "womb shrinking back to the normal size".

But as the pain increased she sought advice from her local family planning clinic.

"On conducting a urine test the clinic said my pregnancy hormone levels oddly had increased rather than decreasing," she said.

"At home that evening I was in unbearable pain.

"At the Early Pregnancy Unit of the Royal Victoria Hospital doctors and consultants did not know what was wrong with me. One suggested appendicitis."

As an investigatory laparoscopy was about to be performed, and as Karen was going under the anaesthetic, someone mentioned an ectopic pregnancy. "I became inconsolable, begging the surgeon, if so, to move the baby into my womb," she said.

"Of course, I knew later that this is not possible and that my baby would already be dead.

"The following morning my surgeon sat at the end of my bed and said that I was lucky to be alive; I did not feel lucky, as my fallopian tube had burst and the remains of it and my foetus had been removed.

"My husband and I had lost twins two weeks apart, one from in the womb and the other in a fallopian tube. This was known as a 'heterotrophic' pregnancy."

The twins were named Tonii and Kyrie and had their names placed in the Book of Remembrance in St Anne's Cathedral.

After seven months Karen returned to work but as she struggled to come to terms with the loss she said the Mariposa Trust - a support charity providing support to thousands each week globally, who have suffered the loss of a baby at any stage of pregnancy, at birth or in infancy - helped her feel less alone.

Karen has urged people to attend the trust's Saying Goodbye service at St Anne's Cathedral tomorrow at 3.30pm.

Belfast Telegraph

Excerpt from:
Woman's heartache at miscarrying twins - Belfast Telegraph

The Best Foods to Eat When You Have Breast Cancer – Health Essentials from Cleveland Clinic (blog)

Contributor: Anna Taylor, MS, RD, LD, CDE

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

If you or someone you care about has recently been diagnosed with breast cancer, there will be questions. These may include: What should I eat?

During any cancer therapy, remember these four diet tips:

If you dont have nutrition-related side effects from your cancer treatment that limit your ability to eat and/or digest food, you can follow a generally healthy diet that includes:

Fruits and vegetables contain antioxidant and anti-estrogen properties. Cruciferous vegetables such as broccoli, cauliflower, kale, cabbage and Brussels sprouts are especially good to include and are rich in phytochemicals.

Whole grains are unprocessed foods that are high in complex carbohydrates, fiber, phytochemicals as well as vitamins and minerals. A study by researchers at Soochow University in Suzhou, China, found that high fiber intakes may have a positive effect by altering hormonal actions of breast cancer and other hormone-dependent cancers.

Some studies, including a study by researchers at the Karolinska Institute in Stockholm, Sweden, have suggested that the type of fat you consume may initiate the development of breast cancer. Limit your intake of saturated fat such as beef, lamb, organ meats, butter, cream, etc. and decrease your intake of foods containing trans fats, which also are called hydrogenated oils. Increase your intake of fatty fish like salmon, tuna, herring, and sardines to two to three times everyweek.

For good protein sources, increase your intake of poultry, fish, and legumes such as beans and lentils.Minimize your intake of cured, pickled and smoked foods. Soy in moderate amounts, which means one to two servings/day of whole soy foods, such as tofu, edamame and soy milk, also can be included. Studies, including research reported in the American Institute for Cancer Research, show that animals metabolize soy differently than humans. Not only is soy safe in moderate amounts, but research shows that soy contains isoflavones, a phytonutrient with anti-cancer properties. Up to threeservings of whole soy foods per day does not increase a breast cancersurvivors risk of recurrence or death.

Drinking alcohol is a known risk factor for breast cancer. A large, observational study of 105,986 women suggested that drinking three glasses of wine or more per week throughout life increases a womans risk of breast cancer by a small but significant percentage. The study saw a 15 percent increased risk of breast cancer when women drank an average of three to six drinks per week, compared to women who did not drink. Try to avoid intake of alcoholic beverages when possible.

Obese women have higher levels of estrogen circulating in their bodies than women who are in their ideal body weight range.

Many studies including a study conducted by researchers from the Iranian Institute for Health Sciences Research in Tehran, Iran, have demonstrated an association between body mass size and breast cancer in post-menopausal women.

Weight reduction should be accomplished through a healthy diet and regular exercise once treatment is completed. Weight loss during treatment is not typically encouraged, as this is often associated with undesired muscle loss, leading to fatigue, a suppressed immune system, and a slower healing process.

Allow your body the nutrients it needs to fight cancer; once treatment is done, consider meeting with a dietitian for individualized recommendations to decrease recurrence risk and support a healthy weight.

Phytonutrients support human health and are found in plant-based foods, including fruits, vegetables, beans, and grains. Below, find common foods that contain important phytochemicals.

If you experience nausea, your nutritionist may recommend that you try to eat more foods that are cool or at room temperature, because they dont have a strong odor. Your nutritionist also may advise you to eatlower-fat foodsince fats take longer to digest.

Dont skip meals entirely if you have nausea, since an empty stomach can make nausea worse. Instead, focus on small bites of food throughout the day. Avoid strong flavors. Feel free to incorporate ginger root into your recipes, as this can help settle a nauseated stomach.

If constipation becomes an issue, your nutritionist may encourage you to eat fiber-rich foods and increase your fluid intake. Low-intensity walking and warm beverages also can help encourage regular bowel movements.

To combat fatigue, choose high-protein snacks and small frequent meals rather than large meals. People often experience more fatigue when they are not eating well, or when they are losing weight during treatment.

If experiencing any side effect that affects your ability to eat regularly, ask your care team if you can meet with a dietitian to review individualized nutrition recommendations.

See the article here:
The Best Foods to Eat When You Have Breast Cancer - Health Essentials from Cleveland Clinic (blog)

Archives