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Goosby ’74, Gounder ’97 named to Biden-Harris Transition COVID-19 Advisory Board – The Daily Princetonian

Posted: November 23, 2020 at 2:59 am

Dr. Cline Gounder 97 and Dr. Eric Goosby 74 were recently named as members of President-elect Joe Bidens COVID-19 Advisory Board, which aids the Biden transition teams response to COVID-19.

Its a tremendous honor and privilege to be asked to serve in the midst of a crisis like this, and Im just glad I have the training and experience to be of help, Gounder told The Daily Princetonian.

Gounder is Clinical Assistant Professor at New York University and cares for patients at Bellevue Hospital Center. According to the Biden-Harris Transition Teams official website, she studied how to treat tuberculosis and HIV in South Africa, Lesotho, Malawi, Ethiopia, and Brazil from 1998 to 2012. She later served as Assistant Commissioner and Director of the Bureau of Tuberculosis Control for the New York City Department of Health and Mental Hygiene.

Goosby is an internationally recognized expert on infectious diseases and Professor of Medicine at the UCSF School of Medicine, according to the website. He served as the founding director of the Ryan White CARE Act, the largest federally funded HIV/AIDS program during the Clinton Administration. During the Obama presidency, Goosby implemented the U.S. Presidents Emergency Plan for AIDS Relief (PEPFAR) and was later appointed as Special Envoy for tuberculosis by the United Nations Secretary General.

Goosby, who majored in biology before attending medical school at the University of California, San Francisco, did not respond to a request for comment.

At the University, Gounder began as a pre-med engineer, but she later switched to Molecular Biology. Her senior thesis, for which she conducted research with professor Arnold Levine at the World Health Organization, inspired her to seek a career in public health.

Public health allows you to leverage science in service of people, Gounder said.

After graduating, Gounder deferred her enrollment to Johns Hopkins Bloomberg School of Public Health to work with former presidential candidate and activist Ralph Nader 55 on Capitol Hill, where she observed policies being created in real time.

Those are pretty amazing opportunities that are still paying dividends today, Gounder said.

Gounder and Goosbys role on the Advisory Board is, among other purposes, to provide a public-health perspective on plans drafted over the last several months. The outgoing Trump administrations refusal to grant access to confidential intelligence briefings, however, has complicated the Advisory Boards work.

The fact that the GSA, so Government Services Administration, has still not gone through ascertainment, or ascertained the election results, is a major problem because thats preventing us from legally being able to move forward with conversations with folks in the administration right now in terms of interfacing with our counterparts and getting really critical information, Gounder explained.

She analogized the current situation to a war where those in power withhold essential information.

Where are we at with our supply chains for any number of critical materials? Whats the quality control on those items? Where are they? How quickly can they be deployed elsewhere, maybe reallocated elsewhere depending on the need? she asked.

Were not being given that information. And so, while we have access to publicly available information, it would be like saying, oh, well, you can wage war reading The New York Times, thats enough information, she said. I mean, obviously thats crazy. People are dying in the meantime.

Though COVID-19 cases are surging across the country, many Americans still intend to travel during Thanksgiving a fact that Gounder characterized as a paradox.

If these are people you love and care about, the most important thing you can do to show that you care about them is [to] follow these mitigation measures, she said.

Gounder believes cases will continue to rise rapidly over December and January, before Biden takes office. She emphasized the widespread danger that faces the United States, which she said faces pandemic conditions similar to those of late February and early March.

I think people have been through it, theyre exhausted, and I think for them to understand what an emergency we are in right now, what is brewing, what is about to hit, I just dont think people are ready to hear it, she said. And I think they wont recognize it until it hits them.

In terms of a vaccine, Gounder urged that promising data from Pfizer and Moderna be taken with a grain of salt. While the vaccines inch closer to federal approval, she believes much remains to be surmounted, including vaccine production and distribution.

I think there is light at the end of the tunnel, but the tunnel is still long, she said.

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UCD Post-doctoral Research Fellow Level 1, School of Medicine job with UNIVERSITY COLLEGE DUBLIN (UCD) | 234707 – Times Higher Education (THE)

Posted: November 23, 2020 at 2:59 am

Applications are invited for a temporary post of a UCD Post-doctoral Research Fellow Level 1 within the UCD School of Medicine

University College Dublin is seeking applications for a Postdoctoral Research Fellow position to work on a collaborative research project in Precision Oncology Ireland (a Science Foundation Ireland Strategic Partnership Programme). The project is in collaboration with AstraZeneca.

Immune Checkpoint inhibitors (ICIs) have opened a new avenue for cancer therapy. However, responses are variable between different patients and cancer types. For instance, clinical studies of ICIs in epithelial ovarian cancer have yielded low response rates despite being an extremely antigenic tumour, with a very dynamic tumour microenvironment, The objective of this study is to work with AstraZeneca, systems biologists and clinician scientists to improve the efficacy of ICIs in low response cancers such as epithelial ovarian cancer - the most lethal form of female cancer.

The main aims of the project are to:

This project is carried out by an interdisciplinary team at Systems Biology Ireland (SBI) at UCD and AstraZeneca (Cambridge, UK). This post will be located at SBI and jointly supervised by Prof Walter Kolch (systems biology, proteomics) and Prof Donal Brennan (clinician, single cell sequencing). The position may also include opportunities to visit AstraZeneca. The ideal candidate will have a strong background in (onco)immunology and cell biology, a solid working knowledge of signal transduction and omics methods to analyse signalling processes.

This is a research focused role, where you will conduct a specified programme of research supported by research training and development under the supervision and direction of a Principal Investigator.

The primary purpose of the role is to further develop your research skills and competences, including the processes of publication in peer-reviewed academic publications, the development of funding proposals, the mentorship of graduate students along with the opportunity to develop your skills in research led teaching.

Precision Oncology Ireland (POI; http://www.precisiononcology.ie) is a consortium of 5 Irish Universities, 6 Irish Charities, and 8 companies aiming to develop new diagnostics and therapeutics for the personalised treatment of cancer. The consortium is part-funded by Science Foundation Ireland under their Strategic Partnership Programme. The shared vision is to combine cutting-edge genomics, proteomics, metabolomics and imaging technologies integrated through computational analysis and modelling to generate molecular profiles that allow us to better understand cancer pathogenesis, progression and response to therapies. Bringing together experimental and computational advances combined through data integration is a key competitive advantage of the POI consortium. The results will be better diagnostics, personalised cancer therapies, and acceleration of cancer drug discovery and development.

Systems Biology Ireland (SBI, http://www.ucd.ie/sbi), established in 2009, has successfully developed an integrated mathematical modelling and experimental research programme focusing on the design of new diagnostic and therapeutic approaches to diseases, primarily cancer, based on a systems level, mechanistic understanding of cellular signal transduction networks. To accomplish these goals, SBI uses mathematical and computational modelling approaches in combination with cutting edge experimental technologies in genomics, transcriptomics, proteomics, advanced microscopy and flow cytometry as well as cell biology and molecular biology methods. SBI's expertise, particularly in the area of modelling in systems pharmacology and therapeutics, strategically position it at the crossroads between biology and medicine. The purpose-built SBI facility sits in the space between the UCD Conway Institute and the Health Sciences Centre (UCD Charles Institute of Dermatology and School of Medicine). It is physically linked to both buildings, providing access to existing technology platforms, educational and conference facilities and ideally placed to train allied healthcare professionals. The facility houses a multidisciplinary team of some 50 researchers including bioinformaticians

Salary: 38,631 - 41,025 per annumAppointment on the above range will be dependent on qualifications and experience

Closing date: 17:00hrs (local Irish time) on 27th November 2021

Applications must be submitted by the closing date and time specified. Any applications which are still in progress at the closing time of 17:00hrs (Local Irish Time) on the specified closing date will be cancelled automatically by the system. UCD are unable to accept late applications.

UCD do not require assistance from Recruitment Agencies. Any CV's submitted by Recruitment Agencies will be returned.

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Study Reveals How Smoking Worsens COVID-19 Infection in the Airways – Technology Networks

Posted: November 23, 2020 at 2:59 am

UCLA researchers using a model of airway tissue created from human stem cells have pinpointed how smoking cigarettes causes more severe infection by SARS-CoV-2, the virus that causes COVID-19, in the airways of the lungs.

The study, led by scientists at the Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research at UCLA and published in Cell Stem Cell, will help researchers better understand COVID-19 risks for smokers and could inform the development of new therapeutic strategies to help reduce smokers' chances of developing severe disease.

Cigarette smoking is one of the most common causes of lung diseases, including lung cancer and chronic obstructive pulmonary disease, and most demographic studies of COVID-19 patients have indicated that current smokers are at increased risk of severe infection and death. But the reasons why have not been entirely clear.

To help understand how smoking affects SARS-CoV-2 infection on a cellular and molecular level, Dr. Brigitte Gomperts partnered with co-senior authors Vaithilingaraja Arumugaswami, an associate professor of molecular and medical pharmacology, and Kathrin Plath, a professor of biological chemistry, to recreate what happens when the airways of a current smoker are infected with SARS-CoV-2.

The team utilized a platform known as an air-liquid interface culture, which is grown from human airway stem cells and closely replicates how the airways behave and function in humans. The airways, which carry air breathed in from the nose and mouth to the lungs, are the body's first line of defense against airborne pathogens like viruses, bacteria and smoke.

"Our model replicates the upper part of the airways, which is the first place the virus hits," said Gomperts, a professor pulmonary medicine and member of the UCLA Jonsson Comprehensive Cancer Center. "This is the part that produces mucus to trap viruses, bacteria and toxins and contains cells with finger-like projections that beat that mucus up and out of the body."

The air-liquid interface cultures used in the study were grown from airway stem cells taken from the lungs of five young, healthy, nonsmoking tissue donors. To replicate the effects of smoking, the researchers exposed these airway cultures to cigarette smoke for three minutes per day over four days.

"This type of model has been used to study lung diseases for over a decade and has been shown to mimic the changes in the airway that you would see in a person who currently smokes," said Gomperts, who is also vice chair of research in pediatric hematology-oncology at the UCLA Children's Discovery and Innovation Institute.

Next, the group infected the cultures exposed to cigarette smoke -- along with identical cultures that had not been exposed -- with live SARS-CoV-2 virus and the two groups were compared. In the models exposed to smoke, the researchers saw between two and three times more infected cells.

Digging further, the researchers determined that smoking resulted in more severe SARS-CoV-2 infection, at least in part, by blocking the activity of immune system messenger proteins called interferons. Interferons play a critical role in the body's early immune response by triggering infected cells to produce proteins to attack the virus, summoning additional support from the immune system, and alerting uninfected cells to prepare to fight the virus. Cigarette smoke is known to reduce the interferon response in the airways.

"If you think of the airways like the high walls that protect a castle, smoking cigarettes is like creating holes in these walls," Gomperts said. "Smoking reduces the natural defenses and that allows the virus to set in."

Reference: Purkayastha A, Sen C, Garcia G et al. Direct exposure to SARS-CoV-2 and cigarette smoke increases infection severity and alters the stem cell-derived airway repair response. Cell Stem Cell. 2020. doi:10.1016/j.stem.2020.11.010

This article has been republished from the following materials. Note: material may have been edited for length and content. For further information, please contact the cited source.

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Four years after landing in US, graduating ISU senior is on his way to medical school – Iowa State University News Service

Posted: November 23, 2020 at 2:59 am

Mohamed Elrashed Shogar, graduating in genetics, stands inside a Molecular Biology Building laboratory where he has conducted much of his undergraduate research. Photo by Christopher Gannon. Larger image. All photos and videos were shot following physical distancing guidelines, and with staff wearing face coverings.

AMES, Iowa A headache started Mohamed Shogars journey to a career in medicine.

His mothers relentless headaches forced her to travel more than 900 miles from their home to Sudans capital, Khartoum, for treatment. She never found relief, and it frustrated Shogar, who is graduating from Iowa State University next weekend with a bachelors degree in genetics.

Shes the reason, Shogar said. She motivated me to pursue a career in medicine.

He was also bothered by the physician shortage in his hometown of Al Fashir. Shogar noticed the same physician shortage when he arrived in the United States and again thought, Why not pursue a career in medicine to help them out?

Shogars mother has a Ph.D. and his father is a high school principal. Education was the biggest priority for his family. So, after graduating high school, Shogar came to the U.S. in 2016.

After traveling to Egypt to meet with the U.S. ambassador and receive a green card, Shogar was on his way.

The first time, when I landed in Chicago, I was so overwhelmed, he said. I didnt know what to expect. I didnt know the language or the culture. I had just finished high school, and the future wasnt clear to me.

He headed to Cedar Rapids, where he lived with his cousin for a few months and talked to newfound friends about his educational options in the state. One friend suggested starting out at a community college before heading to a four-year university. So, Shogar enrolled at Kirkwood Community College and took English as a Second Language classes while working full time at the Nordstrom warehouse. He gained medical experience as a phlebotomist at Mercy Medical Center in Cedar Rapids before taking some courses at the University of Iowa.

In 2018, he transferred to Iowa State to finish his genetics degree. At the same time, hes worked as a phlebotomist at Mary Greeley Medical Center.

I wouldnt have done it without the people who helped me out, he said. Im so grateful for them.

During his first semester in Ames, Shogar had to take organic chemistry considered one of the most difficult courses at Iowa State. He struggled during the first exam and felt defeated. But he went to the office of chemistry professor Arthur Winter for help. They talked about college courses generally, and how to study. On Shogars next organic chemistry exam, he received a near-perfect score.

Shogar found community and friendship in his classes as well as student organizations, such as the Sudan United Association and the Minority Association for Pre-Health Students.

He typically travels back to Sudan every winter to visit his family, but with the ongoing COVID-19 pandemic and his post-graduation plans, that visit is on hold. Right now, hes in the midst of the nerve-wracking process of applying to medical schools.

Shogar said going to school and working through the pandemic has been mentally and emotionally draining.

It also had an impact on my education journey, he said. I was not able to shadow and volunteer, which is a very important part in medical school applications.

He also found a mentor in Mark Hargrove, Morrill Professor of biochemistry, biophysics and molecular biology (BBMB), who talked with Shogar about his plans after graduation. To build his research experience, Gordon connected Shogar with Alan DiSpirito, professor of BBMB, whose lab works with methanobactin to study its effects on Wilsons disease, a genetic disorder that causes excessive copper build-up in the body.

This has been an amazing experience, honestly, Shogar said. Its been such a welcoming environment.

The opportunities that I got here, I dont think I would be able to get in Sudan. In terms of the quality of education, I cant even compare it.

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Integrative Medicine Therapies Effectively Increase Quality of Life for Patients With Myeloproliferative Neoplasms – Oncology Nurse Advisor

Posted: November 23, 2020 at 2:55 am

Patients with myeloproliferative neoplasms (MPNs) who were treated with certain integrative medicine (IM) therapies had lower levels of negative symptoms and reported a higher quality of life (QOL). These findings, from an online survey, were published in Cancer Medicine.

For this study, 858 patients with MPNs were recruited by researchers at the Mayo Clinic Arizona through social media and email during 2016. Patients were assessed by the MPN-Symptom Assessment Form Total Symptom Score (MPN-SAF TSS), Patient Health Questionnaire (PHQ)-2, Brief Fatigue Inventory (BFI) Usual, and for quality of life.

More than 2 dozen IM therapies were reported, including multiple forms of exercise, massage, nutrition, meditation, and several types of physical, group, and psychological therapies.

Lower average MPN-SAF TSS scores were reported by patients who participated in aerobic exercise (33.2 vs 39.7; P <.001) and strength training (34.0 vs 37.7; P =.013).

Mean QOL was reported as higher among patients who received massage (5.0 vs 4.6; P =.04) and went to support groups (5.4 vs 4.6; P =.002).

The likelihood of experiencing symptoms of depression was lower among patients who participated in aerobic exercise (odds ratio [OR], 0.60; 95% CI, 0.42-0.86; P =.006), yoga (OR, 0.61; 95% CI, 0.39-0.94; P =.025), and strength training (OR, 0.58; 95% CI, 0.37-0.91; P =.019).

This study may have been limited by its overwhelming gender bias, in which the ratio of women to men was 3:1.

The study authors concluded that in addition to pharmacologic therapies, IM therapies may aid in alleviating negative symptoms of MPN and increase quality of life.

Disclosure: Multiple authors declared affiliations with industry. Please refer to the original article for a full list of disclosures.

Reference

Gowin K, Langlais BT, Kosiorek HE, et al. The SIMM study: survey of integrative medicine in myeloproliferative neoplasms. Cancer Med. Published online November 3, 2020. doi:10.1002/cam4.3566

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RAKxa in Bangkok is a fully integrative medical wellness retreat – Globetrender

Posted: November 23, 2020 at 2:55 am

RAKxa promises tailored wellness programmes that fuse science-led technology with holistic therapies and anti-inflammatory cuisine. Olivia Palamountain reports

Fully integrative wellness and medical retreat RAKxawill open this Decemberin Bangkok.

It will deliver tailored wellness programmes designed by certified medical doctors combining advanced medical treatments with holistic therapies.

The first of its kind in Thailand, RAKxa promises a fullytransformative experience through personalised three- to- fourteen dayprogrammes based on real results using cutting -edge technology.

The opening of RAKxa typifies the current appetite for Hyper Health and Extreme Wellness clinics, facilities and treatments, as reported in Globetrenders Future of Luxury Travel Forecast, now amplified more than ever before due to thecoronavirus pandemic.Situated on Bang Kachao, a protected island on the Chao Phraya Riverpopular with cyclists and nature lovers, the facility is surrounded bylush botanical gardens and comprises 40 Garden Villas, 20 Pool Villas and 2 Residences. The Pool Villas and Presidential Villas are expected in early 2021.A series of 10 different programmes are on offer, each focused on a different health goal. These include gut health, body/facial, and de-stressing solutions plus immunity boosting, 2020s hottest health trend.

Nightly rates for the Immunity Booster package start from US$2,000 per person with a minimum of a three-night stay.

Guests begin the RAKxa experience at home with a pre-arrival questionnaire to help the team establish long-term health goals and tailor the programme accordingly.

The medical side of things comes care of the VitalLife Scientific Wellness Clinic (a subsidiary company of the Bumrungrad International Hospital). It provides DNA tests, epigenetics, gut microbiome and inflammation analysis. The clinic will also offer light therapy, IV nutrient therapy, CryoSauna, infrared sauna and hormone replacement therapy. The VitalLife medical doctors will work alongside practitioners at RAKxas Holistic Wellness Centre RAKxa Jai. Holistic treatments span Traditional Thai Medicine (TTM), Traditional Chinese Medicine (TCM), Ayurvedic treatments and energy healing practices.

Each day will be packed with acombination of these specialised holistic and scientific treatments along witha bespoke diet plan and activity schedule for optimum results.

Fitness training takes place in the Olympic-standard medical gym with hydrothermal spa facilities, while activities include dance classes, Tai Chi, Yoga, Muay Thai boxing and hiking.Fuelling the experience is cuisine from RAKxas two restaurants Unam and Ukhao eachguided by an anti-inflammatory philosophy and centred on local, seasonal and sustainable ingredients. Cooking classes and organic food lectures are also on the menu.

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I’m An Integrative Pediatrician & This Is What People Get Wrong About My Job – mindbodygreen.com

Posted: November 23, 2020 at 2:55 am

When you hear the word "integrative," does it make you think of "woo-woo" pseudoscience?I'm here to tell you the reality is far from that. Integrative care simply means blending the best of modern, Western medicine with ancient and holistic practicesand I, like many experts, believe it's truly the future of health care.

It is a common misconception that integrative doctors don't believe in or follow science. I was trained in pediatrics at one of the top-rated Western pediatric residencies in America, and my partner trained in an Ivy League pediatric program.Science always guides our decisions.

Modern medicine is amazing and wonderful. We have cures for diseases that caused major suffering just a few years ago.If your child gets pneumonia, we have antibiotics that can heal them within days.If your child gets injured, there is technology like X-rays and MRIs that can show us exactly what is going on.This is nothing short of magic.

But unfortunately, in today's medical system, we focus our attention far more on treatment than on prevention or the root cause of disease. In many scenarios, we don't need to use a medication, but Western medicine is often quick to jump to a pill. That's because today's doctors (myself included) were taught all about pharmaceutical medicine, and it's often the only solution we know.

Integrative medicine doesn't reject pharmaceutical interventions but rather expands a practitioner's options to support the body.An integrative pediatrician may use supplements, tinctures, or ancient healing practices in place or alongside medications. The trick is in balancing those two worlds and recognizing when it would be unsafe to use a natural option in place of a medication.

Integrative pediatricians come in all shapes and sizes. Some are generalists who perform all regular pediatric functions with a natural spin.Others are more specialized and focus on specific conditions like autism, ADHD, cancer, behavior issues, Lyme disease, PANDAS/PANS, autoimmune conditions, gut health issues, and others.

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Acupressure Spots To Massage When You Have A Mild Headache – Moms

Posted: November 23, 2020 at 2:55 am

If you still find your headache lingering after all your usual tricks or you want to avoid taking medication, consider trying acupressure.

Nothing stops productivity quite like a headache. It's impossible to focus with all that throbbing going on inside your head, and good luck falling asleep at night. Your response might be to grab an over-the-counter pain reliever or drink a tall glass of water. If you still find your headache lingering after all your usual tricks or you want to avoid taking medication, consider trying acupressure.

WARNING: If you are pregnant or think you might be pregnant consult a doctor, as some pressure points might interfere with your pregnancy.

Acupressure is an ancient style of massage used in Traditional Chinese Medicine. According to Rogel Cancer Center, the goal of acupressure is to stimulate "the movement of qi ("life energy") through the 14 channels inside the body" to help restore the body's balance and promote healing. This is done by pressing specific spots on the body called acupressure points. We've investigated which pointsare frequentlytargeted to relieve a mild headache, so you can try them out at home the next time you're in need of some pain relief.

RELATED: Is Your Wine Causing Your Headaches?

Memorial Sloan Kettering recommends performing acupressure on the point LI4, also known as Hegu, to help ease headache pain. Thisacupressure point is found between the base of your thumb and index finger. To perform acupressure on this point, start by using your right thumb and index finger to find acupoint LI4 on your left hand. Your thumb should be on the top of your hand and your index finger will be on your palm. Press your right thumb and index finger together firmly on the acupressure point but not to the point of pain, and move your thumb in a circle as you continue applying pressure. Do this for five minutes and then repeat on your left hand.

Explore Integrative Medicine recommends the acupressure point GB20, or Feng Chi, to relieve headaches. To find this point, place afingerbehindeach ear and slowlymove them across your neck and toward your head. You are looking for the soft grooves where your neck muscles attach to your skull. To perform acupressure here, clasp your hands together and intertwine your fingers. Open your hands slightly to form a cup shape, and then place your palms on the back of your head with your thumbs resting on the acupressure point. Use your thumbs to massage in a circular motion for thirty seconds to two minutes.

U.S. News interviewed Melissa Dana, a licensed acupuncturist and East Asian medicine practitioner, to learn about acupressure in relieving headaches. One of the acupressure points Dana recommends is GB21, or Jian Jing. This pressure point is located "between your neck and the point where your arm meets your shoulder." Find the point on each side of your neck and use your fingers to massage in a circular motion. Dana suggests doing this in short intervals and using continuous motion as you don't want to be pressing on these trigger points in the neck for too long.

Our final acupressure point recommendation for headache relief is B10, or Tian Zhu, recommended by the Alaska Sleep Clinic. This point is located "on the back of the neck, one-half inch below the base of the skull." If you were able to locate GB20 earlier, B10 is found just below. Apply firm pressure and massage in a circular motion for one minute. Because GB20 and B10 are so close together, it may be helpful to view the video below to learn how to find your B10 acupressure point, or use this image from Chair Tai Chifor agreat visual of GB20, GB21, and B10 in relation to one another.

READ NEXT: How Botox Helped Ease Chrissy Teigen's Severe Headaches

Sources: rogelcancercenter.org, mskcc.org, exploreim.ucla.edu-gb20, health.usnews.com, alaskasleep.com, chairtaichi.wordpress.com

I Didn't Realize How Sad My Childhood Was Until I Had My Own Kids

Megan is a freelance writer and mom to a one-year-old daughter. She enjoys reading, a warm cup of coffee, and staying up much later than she should to binge watch Netflix.

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He went to the doctor for distress over marital woes. Then he uncovered a shocking secret – New Zealand Herald

Posted: November 23, 2020 at 2:55 am

Lifestyle

22 Nov, 2020 09:15 PM2 minutes to read

A US man who went to see his doctor after becoming depressed over a failing marriage is suing, claiming the same doctor he saw was the one having an affair with his wife. Photo / 123RF, File

A US man who went to see his doctor after becoming depressed over a failing marriage is suing, claiming the same doctor he saw was the one having an affair with his wife.

Peirson Tone is suing doctor Ronald Rosen for $2.9 million for professional negligence.

After struggling to mend relations with his wife, Tone visited Rosen, who counselled him on ways to improve his marriage and prescribed him marijuana and CBD.

In addition to traditional medicine, Rosen offers patients a range of holistic alternatives, according to his website.

He's trained to perform acupuncture, osteopathic manipulation and biodynamic cranial osteopathy. He is also a certified laughter yoga leader.

From 2015 to 2018, Tone, his wife and two children received medical care at Rosen's clinic, Open Paths Integrative Medicine in Oregon, according to the suit.

At some point, the suit says, Rosen began a relationship with Tone's wife.

After the visit, Tone learned Rosen had been involved with his wife for an "extended" period of time, the complaint states. The couple later divorced.

"As a result of (Rosen's) conduct, the plaintiff sustained emotional distress including ... the loss of his marriage and emotional and social destruction of his family," the lawsuit alleges.

Rosen has been licensed to practice medicine in Oregon since 1991, according to the Oregon Medical Board.

He has no prior cases of medical malpractice.

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Access to medicine, food and supportive care: A clinic serving immigrant communities focuses on keys to getting people through the COVID-19 surge. -…

Posted: November 23, 2020 at 2:55 am

As COVID-19 surges across Minnesota and state hospitals near capacity, Sahan Journal checked in with a Minneapolis community health clinic to see how immigrant populations are coping.

Roli Dwiveldi is the chief clinic officer at Community-University Health Care Center in Minneapolis Ventura Village Neighborhood. A federally qualified health center, CUHCC specializes in serving patients who dont have health insurance.

Roughly 40 percent of CUHCCs patients are Black and East African, about 23 percent Latino, and the rest are white, Asian and indigenous.

Instead of contracting COVID-19 from going to the bars at night or informal gatherings, Dwiveldi said most of CUHCCs patients are contracting the virus from their living situation or workplace.

Many also dont have easy access to COVID-19 testing, which is why CUHCC has been going to their homes and neighborhoods periodically with mobile testing events.

We spoke with Dwiveldi about how the recent COVID-19 surge is affecting immigrant populations, what people can do to protect themselves, and what to expect in the coming months once a vaccine becomes available.

This conversation has been edited for clarity.

What has your COVID-19 patient volume looked like recently? Has it gone up as infections across the state have gone up?

Dr. Dwiveldi: Yes, definitely. The disparities are real, especially in our Latinx communities, our Black communities, and our indigenous and Native American populations.

The reason the disparities exist is because of the social determinants of health, which can be access to care, transportation, language barriers, and how a lot of folks are essential employees. To respond to these needs, we bring teams of folks to the communities to provide testing.

In the last couple of weeks theres been more demand for testing. Last week, in just three hours we had 40 patients show up for the testing.

Are patients who know theyre infected with the virus coming to the clinic to be treated?

We are trying to keep patients in their houses and provide the care that they need there. The main things that matter is if our patients have access to medication, to food, to supportive care. We serve a lot of patients who experience homelessness. So, having connections in the communities to provide housing so that they can quarantine themselves is key. In my mind, that is safer than getting medicine.

How many of your patients are experiencing mild and moderate symptoms versus serious symptoms?

Most of the patients are in the younger age group, up to age 35 or 40, and they are experiencing mild to moderate illness. Weve had some folks in their 70s or 80s who needed hospitalization to stabilize, and then they got discharged. The majority of folks are mild to moderate illnesses and can be managed at home.

What medications are you recommending for patients infected with COVID-19?

At CUHCC, one of our providers is very interested in integrative medicine. We have been recommending a lot of immune boosters like vitamin D, vitamin C, melatonin, black seed oil. If someone has a fever, then we recommend hydration and Tylenol. We had a patient with signs and symptoms of pneumonia. In that case, we will treat them with antibiotics and inhalers.

How long are symptoms in patients generally lasting?

It is unpredictable. There are acute symptoms and then there are chronic symptoms. Acute symptoms like a fever might resolve within two weeks; a cough might resolve in three weeks. But chronic symptoms like fatigue, shortness of breath, nausea, fogginessall those can take several weeks, or up to two or three months.

How are most of your patients getting infected? From the state level, were hearing the leading cause in recent weeks is people going out to restaurants and bars.

For us it is more like experiencing homelessness, living in crowded housing, being an essential employeethose are the factors which are mainly responsible for infection. Things like living in public housing, working in a crowded environment. People have a fear that if they dont go back to work they might lose their job.

There are some people who have not been able to follow recommendations like wearing a mask or keeping good hygiene because they dont have access to those things.

Because of the disparities, a lot of our patients also have uncontrolled diabetes, uncontrolled asthma, obesity, and heart problems. The bottom line is systemic inequities lead to comorbidities and put many of our patients at a higher risk of getting a severe COVID-19 illness.

What percentage of CUHCCs COVID-19 testing are coming back positive?

In the beginning we were around 25-26 percent. But since we launched mobile testing and started doing larger events, we are at 16 percent. I know this is way, way higher than the state or national average. (Editors note: Since the pandemic began in March, the overall number of peoples COVID-19 tests who came back positive across the state is 7 percent as of November 20. But positive rates across the state have increased sharply in recent weeks. Minnesotas most recent seven-day average was 15 percent.)

Are you advising the community to act any differently than a few months ago, given the recent surge of infections?

Religious gatherings are very common in the communities we serve. I have been asking people to not go to mosques, dont be engaged in any social or religious gatherings. Just pray at home. Also, I get a lot of questions from our patients like, Well, if I had it once, that means I had it and I cannot get it again. No, you can get it again, even if you had it once.

A lot of our community members are following masking guidance but are not using the masks correctly. So we have done a lot of education around using the masks correctly.

Come to the clinic only if it is needed. We can provide care by telehealth. Some patients dont want to come to the clinic at all because there is so much fear of, If I go to the clinic I will get the virus. While the other population, they will be coming to the clinic all the time because it is hard for them to do telehealth. Were trying to find the balance and making sure that we have adequate access for the people who need to come to the clinic to get the care, and also provide adequate care to the people at home. We have done a lot of work on telehealth education, setting up people on My Chart and engaging our interpreters to do education at mobile testing events.

Any other guidelines you want to tell people right now?

Stay home when you are sick; dont step outside at all. If you have any COVID-19 symptoms, quarantine. Take a lot of immune boosters. Stay healthy by eating healthy and also taking vitamin D and vitamin C, elderberry juiceall the immune boosters that can keep you safe.

Have you started talking to patients about the coming COVID-19 vaccine?

We have, and it is going to be a very long journey. It will be very hard to immunize the number of people to get the effectiveness where we want to be. There is so much fear and lack of trust around the vaccine. We will have to break so many barriers. I am working on a task force with community-based researchers, physicians from different health care systems, a lot of members from the Somali community, the Latinx community and Native American communities to build messaging around the vaccine. It will require a lot of work.

Have you come up with ways to earn community trust over the vaccine yet?

I had a meeting with an imam a few weeks ago, and we started talking about it. The best way will be engaging leaders that the community already trusts. I can say a hundred things and people might not understand or trust or believe me. But if a community leaderespecially a religious leader says something that the community can understand and process, it can go a long way.

We will be transparent with what the data is showing about the vaccine. Ultimately, our job is to be as honest as we can be to put the communities we serve in the drivers seat so they have the power to make the decision to get vaccinated.

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Access to medicine, food and supportive care: A clinic serving immigrant communities focuses on keys to getting people through the COVID-19 surge. -...

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