Posted in coronavirus, disease, Health, news, pets

“Low Level’ of Coronavirus Found in Pet Pooch

Image above from Unilad

A report released this week from the Hong Kong Agriculture, Fisheries and Conservation Department (AFCD) states a pet pomeranian of a patient infected with COVID-19, the novel coronavirus, has tested weakly positive for the virus as well.

The dog had no symptoms of COVID-19 (fever, cough, respiratory distress), however oral and nasal cavity samples tested “weakly positive” for the virus.

Although we have not heard of a previous case of COVID transferring from a human to their pet, the dog has been quarantined at a facility at the Hong Kong Port of Hong Kong-Zhuhai-Macao Bridge.

The AFCD is also considering this may be an environmental contamination causing the weakly positive test.  Repeated testing on the dog will be conducted and once proven negative after the 14 day quarantine period, may be released back to his owner.

Pet owners are urged not to kiss their pets and wash their hands thoroughly after handling them, whether they have coronavirus or not.  If a pet does appear to show symptoms of being ill, they should be put under quarantine by appropriate authorities.

Currently over 83,000 people in multiple countries have been affected by the virus. The death toll is over 2,850, the majority of whom have been from China. In the US, 60 cases have been confirmed.

This is a developing story.

What is coronavirus?

 

HERO_coronavirus

Coronaviruses come in multiple types and can cause an array of illnesses from the common cold to SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome). The latter two causing severe illness, as SARS killed over 700 people and sickened over 8000 in the 2002-2003 outbreak.

Hence a coronavirus can be unpredictable, mutate to more virulent forms, or cause mild upper respiratory illness.

How is Coronavirus spread?

The virus can be spread from human contact with animals, and human to human contact. Scientists believe COVID-19 may be transmitted by saliva and respiratory secretions but are still investigating its ability to be spread by this “droplet transmission.”

What are the symptoms of the Coronavirus strain COVID-19?

As with most viruses, this strain can cause any of the following symptoms:

  • Fever
  • Cough – dry early on and then in later stages may be productive
  • Runny nose
  • Headache
  • Fatigue/malaise
  • Sore throat
  • Wheezing
  • Difficulty breathing
  • Nausea
  • Vomiting
  • Diarrhea
  • Lack of appetite

How long after exposure can one become sick?

The incubation period can range anywhere from 2-14 days.

How does one die from Coronavirus?

If the illness persists or becomes severe, one could potentially suffer from pneumonia, respiratory difficulty and even secondary infections.

How does one tell if they have a mild Coronavirus strain or a deadly one?

The early onset of disease could mimic a cold or flu, hence it may be difficult to tell. However, severe or persistent symptoms could suggest a more aggressive strain of the virus and will warrant immediate evaluation.  Medical providers have been urged to ask patients about their travel habits and exposure to others who may have been exposed and to notify local health departments to facilitate testing of those who demonstrate symptoms of the COVID-19 strain.

Is there a vaccine for COVID-19?

No, however, we have heard a vaccine for COVID-19 is being researched and may be in its early development.

What is the treatment for this strain of Coronavirus?

At this time there is no specific treatment for this strain. However, supportive measures can be instilled such as rest, fluids and maintaining oxygenation in severe cases.

How can we prevent a COVID-19 infection?

Experts urge avoiding sick contacts and washing hands thoroughly. Cover your nose and mouth when sneezing and coughing to avoid spreading illness if you are sick.  And if you do have a family member with COVID-19, the CDC suggests the following:

The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, CDC always recommends everyday preventive actions to help prevent the spread of respiratory diseases, including:
  • Avoid close contact with people who are sick.
  • Avoid touching your eyes, nose, and mouth.
  • Stay home when you are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
  • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
  • Follow CDC’s recommendations for using a facemask.
    • CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19.
    • Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to  others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).
  • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician

Posted in disease, flu, Health, news, vaccinations

This Year’s Flu Shot Efficacy Improved Over Last Year

The CDC reports a mid-season efficacy rate of 50% for this year’s flu shot, being 45% effective for adults and 55% effective for children, up from a 47% estimated efficacy last year.

In a good year flu shot efficacy may be 65%.  It’s difficult to reach higher numbers as viral flu strains mutate easily and immune systems of the general public are so varied.  Per the CDC the flu shot during the 2010-2011 flu season was one of the most effective.

 

vaccine-effectiveness_v3

This year two waves of flu strains hit the country, Influenza B and H3N2.  But despite the double whammy the flu shot offered fair protection.

They report the following:

The interim VE estimates published today also estimated the benefits provided by vaccination in different age groups. In addition to the VE estimate of 55% reported among children 6 months through 17 years of age, VE was estimated to be 25% among adults 18-49 years old, and 43% among adults 50 years of age and older. The lower VE point estimates observed among adults 18-49 years appear to be associated with a trend suggesting lower VE in age this group against A(H1N1)pdm09 viruses (VE = 5%). CDC will continue to monitor VE in this age group against A(H1N1)pdm09 viruses as more study participants are enrolled throughout the season. This will help CDC determine if VE against A(H1N1)pdm09 viruses in this age group is actually lower than in previous seasons, and if so, to investigate possible causes.

 

This year an estimated 26 million people were affected by the flu with over 250,000 hospitalizations and 14,000 deaths.

To date, 92 children have died this year from flu related illness, being a more severe season for children.

Flu season peak is still occurring and high flu activity is still being reported in multiple states.

It is not too late to get the flu shot and medical providers are still recommending vaccination.

spanish book

Learning Medical Spanish is Easy!!!

 

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is a Board Certified Family Physician

 

Posted in children, Health, news, Social Media, vaccinations

Over 2/3 of Online Vaccine Information Videos May Contain Misinformation

The number of children who are unvaccinated in the US is rising, and health experts believe misinformation obtained online could be to blame.

A study published in Clinical Pediatrics this month found over 2/3 of online videos to be incorrect when discussing vaccine health risks.

Dr. Daliah Wachs with students and faculty from Touro University Nevada reviewed 200 videos on YouTube that resulted when searching the terms “vaccines,” “vaccine risk,” “vaccine side effects,” and “vaccines and autism,” and found 68% of the videos to contain misinformation.   They additionally found that most of the misinformation occurred within the first 2 minutes of the video.

The most common types of misleading information were:

  • Factually contradicting the CDC or UpToDate, a widely used clinical resource for clinicians and patients
  • Offering anecdotal evidence (based on personal accounts or hearsay)
  • Utilizing unreliable resources or not citing resources

The study authors write: “It is important to recognize that most of the population does not possess a background in medicine or research. The majority of people are susceptible to taking information at face value, and lack the time and energy to delve into the credibility of a video on vaccines as we have in this study.”

The failure by the viewer to fact check the information or sources provided may also come from a misled perception that the online health video was produced by a renowned clinical resource.

If the video is an opinion piece, it many times does not specify.

Wachs states, “when a parent has a child who is unvaccinated, the reasoning can span over a wide range… anywhere from religious preference, to inability to take off work, to fearing a side effect, to distrust of the medical community.

“Parents on the fence about vaccination may feel apprehensive about bringing this up to their medical provider and turn to online education instead.  So this study gives insight to the types and quality of information to which some parents may be exposed.”

Although the majority of children in the US are routinely vaccinated, in 2018 the CDC found the proportion of children “who received no vaccine doses by age 24 months” to be gradually increasing.

 

ultimate book cover final

Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician

 

 

 

 

Posted in diabetes, disease, Health, medications, news

Insulin and Other Medications Being Sold Online Illegally on Craigslist

As drug prices keep rising, patients are turning to unconventional routes to purchase their medication.  However, those who sell and distribute medications without a license are doing it illegally….and putting the buyer at risk.

A new study in JAMA looked at the illegal sales of drugs such as insulin, albuterol, and epinephrine (EpiPen) and found multiple ads placed during a 12 day period in June 2019 on Craigslist.  The medications that treat diabetes, asthma and anaphylaxis respectively are life saving medications which have unfortunately skyrocketed in price over the last 10 years.

Craigslist is a popular website that allows millions of people to post classified ads, ranging anywhere from job opportunities, to services, to goods and products, to items wanted.

Study authors write:

Reports in the lay press suggest that patients who cannot afford prescription medications seek out discounted products in online marketplaces such as Craigslist.1 The unregulated sale and purchase of prescription medication is prohibited by law and Craigslist policy.24

Many of the drugs sold could be surplus, as the seller may have had a recent medication switch by their provider.  Others may have been prescriptions obtained and sold for a profit.

Study authors found the albuterol, asthma inhalers to be sold higher than prescription cost, but many of the insulin products were at a discount.

Sellers can get away with the higher prices as buyers may feel the are saving money overall by not going into a medical clinic to obtain the prescription.

 

albuterol online

However, medications not sold by a pharmacy could carry risks.  If opened they could be contaminated.  If it’s an insulin product, the pen or vial needs to be refrigerated before use, or in a climate that doesn’t exceed room temperature depending on the manufacturer’s warning.   One cannot assume the storage and distribution of the medication was done properly.

 

insulin online 2

Hence if a buyer is an insulin dependent diabetic they may be purchasing less than optimal potency of their life saving medication. The same holds true with an albuterol inhaler used during as asthmatic attack or an EpiPen used during severe allergic reactions.

Medical providers are urging patients to not seek discounted products online when it comes to their disease management but instead to reach out to them or the pharmacy for generic alternatives and pharmaceutical company discounts.

 

 

ultimate book cover final

Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in Health, news, relationships, sex, Valentines

How to Show Love (Without Being Uncomfortable or Awkward)

Valentine’s Day is here again, and expectations are high when it comes to displays of affection.  But for many us, our attempts at being romantic feel awkward and fake.  “I Love You So Much” may not breeze out of our mouths naturally and a poorly executed show of emotion can be worse than no show at all.

So let’s look at some creative ways to show affection that can make a lasting impression….

Don’t use the word “love” if you can’t

Many people will expect the word to be used right out the gate when a relationship hits the “love” level.  Even if you are comfortable with reaching this level, you may have a difficult time saying the word love.

So don’t. Tell them you want to tell them that you “love” them but the 4 letter word doesn’t even begin to describe it.

“I want to tell you ‘I love you’ but it doesn’t even begin to describe how I feel about you…..”

You can also reach for other vocabulary that may include:

  • devoted
  • enchanted
  • infatuated
  • cherish
  • worship

that may be easier to say….

Also telling someone that you are in love with them flows a little smoother than I love you, taking the directness out of the equation.

Valentine’s Day: The Least Liked Holiday of the Year

A picture is worth 1000 words

Don’t worry if you are inept at painting, sketching or doodling.  Fortunately your camera phone can make amazing art….

love rose

Image from Business Insider

 

And if you’re light on creativity, the internet offers tons of content that you can personalize and give to your betrothed.

love hands

Image from mindbodygreen.com

 

Write a small poem (or borrow one)

Poetry helps take the pressure off anything, except for those who can’t write it. So don’t try to be a Whitman, Frost or Dickenson…be you….and make it simple and sweet!

My world was lonely, cold and dark

until you brought it light

I love you more than words can say

you make my heart beam bright……

 

ugh that’s mushy huh….let’s try another…..

 

Roses are Red

Violets are Blue

I can’t write poetry

But I do love you

 

ok, so if poetry isn’t your thing, we have one more option….

How to Give the Perfect First Kiss

Gifts

Tokens of love do not have to be big or expensive (if you found the right partner).  So any of the following can go along way….

  • a bottle of wine (with their name on the label)
  • a playlist of their favorite songs
  • a song dedication to them over the radio
  • a stuffed toy
  • a book
  • a gift certificate
  • a funny knickknack/ desk calendar
  • puppy

No matter what you do, honesty is the best policy.  Not telling someone you love them because you are afraid can be tragic if you both are meant to be. So sometimes explaining your timidness and how you want to express your feelings and can’t may be all they need to hear.

Good luck and Happy Valentine’s Day!

 

IMG_1781

The Baby Boomer’s Guide to Online Dating

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and Board Certified Family Physician

Posted in coronavirus, disease, Health, news

New Coronavirus is Named Covid-2019

The WHO has released the name of the new coronavirus….Covid 2019.

We believe Covid-2019 stands for Coronavirus Identified in 2019.

The name is devoid of any reference to geographical location, demographic or animal to avoid misinformation or bias.

Currently over 43,000 people in multiple countries have been affected by the virus. The death toll is over 1000, the majority of whom have been in China.

In the US, 13 cases have been confirmed, comprised by those reported in Washington, Illinois, Massachusetts, Arizona, Wisconsin and California.  No deaths have been reported on the mainland.

What is coronavirus?

 

HERO_coronavirus

Coronaviruses come in multiple types and can cause an array of illnesses from the common cold to SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome). The latter two causing severe illness, as SARS killed over 700 people and sickened over 8000 in the 2002-2003 outbreak.

Hence a coronavirus can be unpredictable, mutate to more virulent forms, or cause mild upper respiratory illness.

How is Coronavirus spread?

The virus can be spread from human contact with animals, and human to human contact. Scientists believe the strain of 2019-nCoV may be transmitted by saliva and respiratory secretions but are still investigating its ability to be spread by this “droplet transmission.”

What are the symptoms of the Coronavirus strain 2019-nCoV?

As with most viruses, this strain can cause any of the following symptoms:

  • Fever
  • Cough – dry early on and then in later stages may be productive
  • Runny nose
  • Headache
  • Fatigue/malaise
  • Sore throat
  • Wheezing
  • Difficulty breathing
  • Nausea
  • Vomiting
  • Diarrhea
  • Lack of appetite

How long after exposure can one become sick?

The incubation period can range anywhere from 2-14 days.

How does one die from Coronavirus?

If the illness persists or becomes severe, one could potentially suffer from pneumonia, respiratory difficulty and even secondary infections.

How does one tell if they have a mild Coronavirus strain or a deadly one?

The early onset of disease could mimic a cold or flu, hence it may be difficult to tell. However, severe or persistent symptoms could suggest a more aggressive strain of the virus and will warrant immediate evaluation.  Medical providers have been urged to ask patients about their travel habits and exposure to others who may have been exposed and to notify local health departments to facilitate testing of those who demonstrate symptoms of the 2019-nCoV strain.

Is there a vaccine for 2019-nCoV?

No, however, we have heard a vaccine for 2019-nCoV is being researched and may be in its early development.

What is the treatment for this strain of Coronavirus?

At this time there is no specific treatment for this strain. However, supportive measures can be instilled such as rest, fluids and maintaining oxygenation in severe cases.

How can we prevent a 2019-nCoV infection?

Experts urge avoiding sick contacts and washing hands thoroughly. Cover your nose and mouth when sneezing and coughing to avoid spreading illness if you are sick.  And if you do have a family member with 2019-nCoV, the CDC suggests the following:

PREVENTION STEPS FOR PEOPLE CONFIRMED TO HAVE, OR BEING EVALUATED FOR 2019-NCOV INFECTION WHO RECEIVE CARE AT HOME
YOUR DOCTORS AND PUBLIC HEALTH STAFF WILL EVALUATE WHETHER YOU CAN BE CARED FOR AT HOME. IF IT IS DETERMINED THAT YOU CAN BE ISOLATED AT HOME, YOU WILL BE MONITORED BY STAFF FROM YOUR LOCAL OR STATE HEALTH DEPARTMENT. YOU SHOULD FOLLOW THE PREVENTION STEPS BELOW UNTIL A HEALTHCARE PROVIDER OR LOCAL OR STATE HEALTH DEPARTMENT SAYS YOU CAN RETURN TO YOUR NORMAL ACTIVITIES.
STAY HOME EXCEPT TO GET MEDICAL CARE
YOU SHOULD RESTRICT ACTIVITIES OUTSIDE YOUR HOME, EXCEPT FOR GETTING MEDICAL CARE. DO NOT GO TO WORK, SCHOOL, OR PUBLIC AREAS, AND DO NOT USE PUBLIC TRANSPORTATION OR TAXIS.
SEPARATE YOURSELF FROM OTHER PEOPLE IN YOUR HOME
AS MUCH AS POSSIBLE, YOU SHOULD STAY IN A DIFFERENT ROOM FROM OTHER PEOPLE IN YOUR HOME. ALSO, YOU SHOULD USE A SEPARATE BATHROOM, IF AVAILABLE.
CALL AHEAD BEFORE VISITING YOUR DOCTOR
BEFORE YOUR MEDICAL APPOINTMENT, CALL THE HEALTHCARE PROVIDER AND TELL THEM THAT YOU HAVE, OR ARE BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED.
WEAR A FACEMASK
YOU SHOULD WEAR A FACEMASK WHEN YOU ARE IN THE SAME ROOM WITH OTHER PEOPLE AND WHEN YOU VISIT A HEALTHCARE PROVIDER. IF YOU CANNOT WEAR A FACEMASK, THE PEOPLE WHO LIVE WITH YOU SHOULD WEAR ONE WHILE THEY ARE IN THE SAME ROOM WITH YOU.
COVER YOUR COUGHS AND SNEEZES
COVER YOUR MOUTH AND NOSE WITH A TISSUE WHEN YOU COUGH OR SNEEZE, OR YOU CAN COUGH OR SNEEZE INTO YOUR SLEEVE. THROW USED TISSUES IN A LINED TRASH CAN, AND IMMEDIATELY WASH YOUR HANDS WITH SOAP AND WATER FOR AT LEAST 20 SECONDS.
WASH YOUR HANDS
WASH YOUR HANDS OFTEN AND THOROUGHLY WITH SOAP AND WATER FOR AT LEAST 20 SECONDS. YOU CAN USE AN ALCOHOL-BASED HAND SANITIZER IF SOAP AND WATER ARE NOT AVAILABLE AND IF YOUR HANDS ARE NOT VISIBLY DIRTY. AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH WITH UNWASHED HANDS.
AVOID SHARING HOUSEHOLD ITEMS
YOU SHOULD NOT SHARE DISHES, DRINKING GLASSES, CUPS, EATING UTENSILS, TOWELS, BEDDING, OR OTHER ITEMS WITH OTHER PEOPLE IN YOUR HOME. AFTER USING THESE ITEMS, YOU SHOULD WASH THEM THOROUGHLY WITH SOAP AND WATER.
MONITOR YOUR SYMPTOMS
SEEK PROMPT MEDICAL ATTENTION IF YOUR ILLNESS IS WORSENING (E.G., DIFFICULTY BREATHING). BEFORE GOING TO YOUR MEDICAL APPOINTMENT, CALL THE HEALTHCARE PROVIDER AND TELL THEM THAT YOU HAVE, OR ARE BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK YOUR HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
PREVENTION STEPS FOR CAREGIVERS AND HOUSEHOLD MEMBERS
IF YOU LIVE WITH, OR PROVIDE CARE AT HOME FOR, A PERSON CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, YOU SHOULD:
  • MAKE SURE THAT YOU UNDERSTAND AND CAN HELP THE PERSON FOLLOW THE HEALTHCARE PROVIDER’S INSTRUCTIONS FOR MEDICATION AND CARE. YOU SHOULD HELP THE PERSON WITH BASIC NEEDS IN THE HOME AND PROVIDE SUPPORT FOR GETTING GROCERIES, PRESCRIPTIONS, AND OTHER PERSONAL NEEDS.
  • HAVE ONLY PEOPLE IN THE HOME WHO ARE ESSENTIAL FOR PROVIDING CARE FOR THE PERSON.
    • OTHER HOUSEHOLD MEMBERS SHOULD STAY IN ANOTHER HOME OR PLACE OF RESIDENCE. IF THIS IS NOT POSSIBLE, THEY SHOULD STAY IN ANOTHER ROOM, OR BE SEPARATED FROM THE PERSON AS MUCH AS POSSIBLE. USE A SEPARATE BATHROOM, IF AVAILABLE.
    • RESTRICT VISITORS WHO DO NOT HAVE AN ESSENTIAL NEED TO BE IN THE HOME.
    • KEEP ELDERLY PEOPLE AND THOSE WHO HAVE COMPROMISED IMMUNE SYSTEMS OR CHRONIC HEALTH CONDITIONS AWAY FROM THE PERSON. THIS INCLUDES PEOPLE WITH CHRONIC HEART, LUNG OR KIDNEY CONDITIONS, AND DIABETES.
  • MAKE SURE THAT SHARED SPACES IN THE HOME HAVE GOOD AIR FLOW, SUCH AS BY AN AIR CONDITIONER OR AN OPENED WINDOW, WEATHER PERMITTING.
  • WASH YOUR HANDS OFTEN AND THOROUGHLY WITH SOAP AND WATER FOR AT LEAST 20 SECONDS. YOU CAN USE AN ALCOHOL-BASED HAND SANITIZER IF SOAP AND WATER ARE NOT AVAILABLE AND IF YOUR HANDS ARE NOT VISIBLY DIRTY. AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH WITH UNWASHED HANDS.
  • WEAR A DISPOSABLE FACEMASK, GOWN, AND GLOVES WHEN YOU TOUCH OR HAVE CONTACT WITH THE PERSON’S BLOOD, BODY FLUIDS AND/OR SECRETIONS, SUCH AS SWEAT, SALIVA, SPUTUM, NASAL MUCUS, VOMIT, URINE, OR DIARRHEA.
    • THROW OUT DISPOSABLE FACEMASKS, GOWNS, AND GLOVES AFTER USING THEM. DO NOT REUSE.
    • WASH YOUR HANDS IMMEDIATELY AFTER REMOVING YOUR FACEMASK, GOWN, AND GLOVES.
  • AVOID SHARING HOUSEHOLD ITEMS. YOU SHOULD NOT SHARE DISHES, DRINKING GLASSES, CUPS, EATING UTENSILS, TOWELS, BEDDING, OR OTHER ITEMS WITH A PERSON WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION. AFTER THE PERSON USES THESE ITEMS, YOU SHOULD WASH THEM THOROUGHLY (SEE BELOW “WASH LAUNDRY THOROUGHLY”).
  • CLEAN ALL “HIGH-TOUCH” SURFACES, SUCH AS COUNTERS, TABLETOPS, DOORKNOBS, BATHROOM FIXTURES, TOILETS, PHONES, KEYBOARDS, TABLETS, AND BEDSIDE TABLES, EVERY DAY. ALSO, CLEAN ANY SURFACES THAT MAY HAVE BLOOD, BODY FLUIDS AND/OR SECRETIONS OR EXCRETIONS ON THEM.
    • READ LABEL OF CLEANING PRODUCTS AND FOLLOW RECOMMENDATIONS PROVIDED ON PRODUCT LABELS. LABELS CONTAIN INSTRUCTIONS FOR SAFE AND EFFECTIVE USE OF THE CLEANING PRODUCT INCLUDING PRECAUTIONS YOU SHOULD TAKE WHEN APPLYING THE PRODUCT, SUCH AS WEARING GLOVES OR APRONS AND MAKING SURE YOU HAVE GOOD VENTILATION DURING USE OF THE PRODUCT.
    • USE A DILUTED BLEACH SOLUTION OR A HOUSEHOLD DISINFECTANT WITH A LABEL THAT SAYS “EPA-APPROVED.” TO MAKE A BLEACH SOLUTION AT HOME, ADD 1 TABLESPOON OF BLEACH TO 1 QUART (4 CUPS) OF WATER. FOR A LARGER SUPPLY, ADD ¼ CUP OF BLEACH TO 1 GALLON (16 CUPS) OF WATER.
  • WASH LAUNDRY THOROUGHLY.
    • IMMEDIATELY REMOVE AND WASH CLOTHES OR BEDDING THAT HAVE BLOOD, BODY FLUIDS AND/OR SECRETIONS OR EXCRETIONS ON THEM.
    • WEAR DISPOSABLE GLOVES WHILE HANDLING SOILED ITEMS. WASH YOUR HANDS IMMEDIATELY AFTER REMOVING YOUR GLOVES.
    • READ AND FOLLOW DIRECTIONS ON LABELS OF LAUNDRY OR CLOTHING ITEMS AND DETERGENT. IN GENERAL, WASH AND DRY WITH THE WARMEST TEMPERATURES RECOMMENDED ON THE CLOTHING LABEL.
  • PLACE ALL USED DISPOSABLE GLOVES, GOWNS, FACEMASKS, AND OTHER CONTAMINATED ITEMS IN A LINED CONTAINER BEFORE DISPOSING THEM WITH OTHER HOUSEHOLD WASTE. WASH YOUR HANDS IMMEDIATELY AFTER HANDLING THESE ITEMS.
  • MONITOR THE PERSON’S SYMPTOMS. IF THEY ARE GETTING SICKER, CALL HIS OR HER MEDICAL PROVIDER AND TELL THEM THAT THE PERSON HAS, OR IS BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK THE HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
  • CAREGIVERS AND HOUSEHOLD MEMBERS WHO DO NOT FOLLOW PRECAUTIONS WHEN IN CLOSE CONTACT WITH A PERSON WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, ARE CONSIDERED “CLOSE CONTACTS” AND SHOULD MONITOR THEIR HEALTH. FOLLOW THE PREVENTION STEPS FOR CLOSE CONTACTS BELOW.
  • DISCUSS ANY ADDITIONAL QUESTIONS WITH YOU STATE OR LOCAL HEALTH DEPARTMENT
PREVENTION STEPS FOR CLOSE CONTACTS
IF YOU HAVE HAD CLOSE CONTACT WITH SOMEONE WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, YOU SHOULD:
  • MONITOR YOUR HEALTH STARTING FROM THE DAY YOU FIRST HAD CLOSE CONTACT WITH THE PERSON AND CONTINUE FOR 14 DAYS AFTER YOU LAST HAD CLOSE CONTACT WITH THE PERSON. WATCH FOR THESE SIGNS AND SYMPTOMS:
    • FEVER. TAKE YOUR TEMPERATURE TWICE A DAY.
    • COUGHING.
    • SHORTNESS OF BREATH OR DIFFICULTY BREATHING.
    • OTHER EARLY SYMPTOMS TO WATCH FOR ARE CHILLS, BODY ACHES, SORE THROAT, HEADACHE, DIARRHEA, NAUSEA/VOMITING, AND RUNNY NOSE.
  • IF YOU DEVELOP FEVER OR ANY OF THESE SYMPTOMS, CALL YOUR HEALTHCARE PROVIDER RIGHT AWAY.
  • BEFORE GOING TO YOUR MEDICAL APPOINTMENT, BE SURE TO TELL YOUR HEALTHCARE PROVIDER ABOUT YOUR CLOSE CONTACT WITH SOMEONE WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK YOUR HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
  • IF YOU DO NOT HAVE ANY SYMPTOMS, YOU CAN CONTINUE WITH YOUR DAILY ACTIVITIES, SUCH AS GOING TO WORK, SCHOOL, OR OTHER PUBLIC AREAS.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician

Posted in disease, Health, news

First American, Living in Wuhan, Dies of Coronavirus

The novel coronavirus, temporarily named 2019-nCoV, has killed an American who was living in Wuhan, China, the epicenter of the current outbreak.

The 60 year-old US citizen may have been a woman with underlying health conditions, according to the NY Times, but no more details have been released.

Currently 34,000 people in multiple countries have been affected by the virus. The death toll is currently 724, the majority of whom have been in China.

In the US, 12 cases have been confirmed, comprised by those reported in Washington, Illinois, Massachusetts, Arizona, Wisconsin and California.  No deaths have been reported on the mainland.

What is coronavirus?

 

HERO_coronavirus

Coronaviruses come in multiple types and can cause an array of illnesses from the common cold to SARS (Severe Acute Respiratory Syndrome) and MERS (Middle East Respiratory Syndrome). The latter two causing severe illness, as SARS killed over 700 people and sickened over 8000 in the 2002-2003 outbreak.

Hence a coronavirus can be unpredictable, mutate to more virulent forms, or cause mild upper respiratory illness.

How is Coronavirus spread?

The virus can be spread from human contact with animals, and human to human contact. Scientists believe the strain of 2019-nCoV may be transmitted by saliva and respiratory secretions but are still investigating its ability to be spread by this “droplet transmission.”

What are the symptoms of the Coronavirus strain 2019-nCoV?

As with most viruses, this strain can cause any of the following symptoms:

  • Fever
  • Cough – dry early on and then in later stages may be productive
  • Runny nose
  • Headache
  • Fatigue/malaise
  • Sore throat
  • Wheezing
  • Difficulty breathing
  • Nausea
  • Vomiting
  • Diarrhea
  • Lack of appetite

How long after exposure can one become sick?

The incubation period can range anywhere from 2-14 days.

How does one die from Coronavirus?

If the illness persists or becomes severe, one could potentially suffer from pneumonia, respiratory difficulty and even secondary infections.

How does one tell if they have a mild Coronavirus strain or a deadly one?

The early onset of disease could mimic a cold or flu, hence it may be difficult to tell. However, severe or persistent symptoms could suggest a more aggressive strain of the virus and will warrant immediate evaluation.  Medical providers have been urged to ask patients about their travel habits and exposure to others who may have been exposed and to notify local health departments to facilitate testing of those who demonstrate symptoms of the 2019-nCoV strain.

Is there a vaccine for 2019-nCoV?

No, however, we have heard a vaccine for 2019-nCoV is being researched and may be in its early development.

What is the treatment for this strain of Coronavirus?

At this time there is no specific treatment for this strain. However, supportive measures can be instilled such as rest, fluids and maintaining oxygenation in severe cases.

How can we prevent a 2019-nCoV infection?

Experts urge avoiding sick contacts and washing hands thoroughly. Cover your nose and mouth when sneezing and coughing to avoid spreading illness if you are sick.  And if you do have a family member with 2019-nCoV, the CDC suggests the following:

PREVENTION STEPS FOR PEOPLE CONFIRMED TO HAVE, OR BEING EVALUATED FOR 2019-NCOV INFECTION WHO RECEIVE CARE AT HOME
YOUR DOCTORS AND PUBLIC HEALTH STAFF WILL EVALUATE WHETHER YOU CAN BE CARED FOR AT HOME. IF IT IS DETERMINED THAT YOU CAN BE ISOLATED AT HOME, YOU WILL BE MONITORED BY STAFF FROM YOUR LOCAL OR STATE HEALTH DEPARTMENT. YOU SHOULD FOLLOW THE PREVENTION STEPS BELOW UNTIL A HEALTHCARE PROVIDER OR LOCAL OR STATE HEALTH DEPARTMENT SAYS YOU CAN RETURN TO YOUR NORMAL ACTIVITIES.
STAY HOME EXCEPT TO GET MEDICAL CARE
YOU SHOULD RESTRICT ACTIVITIES OUTSIDE YOUR HOME, EXCEPT FOR GETTING MEDICAL CARE. DO NOT GO TO WORK, SCHOOL, OR PUBLIC AREAS, AND DO NOT USE PUBLIC TRANSPORTATION OR TAXIS.
SEPARATE YOURSELF FROM OTHER PEOPLE IN YOUR HOME
AS MUCH AS POSSIBLE, YOU SHOULD STAY IN A DIFFERENT ROOM FROM OTHER PEOPLE IN YOUR HOME. ALSO, YOU SHOULD USE A SEPARATE BATHROOM, IF AVAILABLE.
Call ahead before visiting your doctor
Before your medical appointment, call the healthcare provider and tell them that you have, or are being evaluated for, 2019-nCoV infection. This will help the healthcare provider’s office take steps to keep other people from getting infected.
Wear a facemask
You should wear a facemask when you are in the same room with other people and when you visit a healthcare provider. If you cannot wear a facemask, the people who live with you should wear one while they are in the same room with you.
Cover your coughs and sneezes
Cover your mouth and nose with a tissue when you cough or sneeze, or you can cough or sneeze into your sleeve. Throw used tissues in a lined trash can, and immediately wash your hands with soap and water for at least 20 seconds.
Wash your hands
Wash your hands often and thoroughly with soap and water for at least 20 seconds. You can use an alcohol-based hand sanitizer if soap and water are not available and if your hands are not visibly dirty. Avoid touching your eyes, nose, and mouth with unwashed hands.
Avoid sharing household items
You should not share dishes, drinking glasses, cups, eating utensils, towels, bedding, or other items with other people in your home. After using these items, you should wash them thoroughly with soap and water.
Monitor your symptoms
Seek prompt medical attention if your illness is worsening (e.g., difficulty breathing). Before going to your medical appointment, call the healthcare provider and tell them that you have, or are being evaluated for, 2019-nCoV infection. This will help the healthcare provider’s office take steps to keep other people from getting infected. Ask your healthcare provider to call the local or state health department.
Prevention Steps for Caregivers and Household Members
IF YOU LIVE WITH, OR PROVIDE CARE AT HOME FOR, A PERSON CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, YOU SHOULD:
  • MAKE SURE THAT YOU UNDERSTAND AND CAN HELP THE PERSON FOLLOW THE HEALTHCARE PROVIDER’S INSTRUCTIONS FOR MEDICATION AND CARE. YOU SHOULD HELP THE PERSON WITH BASIC NEEDS IN THE HOME AND PROVIDE SUPPORT FOR GETTING GROCERIES, PRESCRIPTIONS, AND OTHER PERSONAL NEEDS.
  • HAVE ONLY PEOPLE IN THE HOME WHO ARE ESSENTIAL FOR PROVIDING CARE FOR THE PERSON.
    • OTHER HOUSEHOLD MEMBERS SHOULD STAY IN ANOTHER HOME OR PLACE OF RESIDENCE. IF THIS IS NOT POSSIBLE, THEY SHOULD STAY IN ANOTHER ROOM, OR BE SEPARATED FROM THE PERSON AS MUCH AS POSSIBLE. USE A SEPARATE BATHROOM, IF AVAILABLE.
    • RESTRICT VISITORS WHO DO NOT HAVE AN ESSENTIAL NEED TO BE IN THE HOME.
    • KEEP ELDERLY PEOPLE AND THOSE WHO HAVE COMPROMISED IMMUNE SYSTEMS OR CHRONIC HEALTH CONDITIONS AWAY FROM THE PERSON. THIS INCLUDES PEOPLE WITH CHRONIC HEART, LUNG OR KIDNEY CONDITIONS, AND DIABETES.
  • MAKE SURE THAT SHARED SPACES IN THE HOME HAVE GOOD AIR FLOW, SUCH AS BY AN AIR CONDITIONER OR AN OPENED WINDOW, WEATHER PERMITTING.
  • WASH YOUR HANDS OFTEN AND THOROUGHLY WITH SOAP AND WATER FOR AT LEAST 20 SECONDS. YOU CAN USE AN ALCOHOL-BASED HAND SANITIZER IF SOAP AND WATER ARE NOT AVAILABLE AND IF YOUR HANDS ARE NOT VISIBLY DIRTY. AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH WITH UNWASHED HANDS.
  • WEAR A DISPOSABLE FACEMASK, GOWN, AND GLOVES WHEN YOU TOUCH OR HAVE CONTACT WITH THE PERSON’S BLOOD, BODY FLUIDS AND/OR SECRETIONS, SUCH AS SWEAT, SALIVA, SPUTUM, NASAL MUCUS, VOMIT, URINE, OR DIARRHEA.
    • THROW OUT DISPOSABLE FACEMASKS, GOWNS, AND GLOVES AFTER USING THEM. DO NOT REUSE.
    • WASH YOUR HANDS IMMEDIATELY AFTER REMOVING YOUR FACEMASK, GOWN, AND GLOVES.
  • AVOID SHARING HOUSEHOLD ITEMS. YOU SHOULD NOT SHARE DISHES, DRINKING GLASSES, CUPS, EATING UTENSILS, TOWELS, BEDDING, OR OTHER ITEMS WITH A PERSON WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION. AFTER THE PERSON USES THESE ITEMS, YOU SHOULD WASH THEM THOROUGHLY (SEE BELOW “WASH LAUNDRY THOROUGHLY”).
  • CLEAN ALL “HIGH-TOUCH” SURFACES, SUCH AS COUNTERS, TABLETOPS, DOORKNOBS, BATHROOM FIXTURES, TOILETS, PHONES, KEYBOARDS, TABLETS, AND BEDSIDE TABLES, EVERY DAY. ALSO, CLEAN ANY SURFACES THAT MAY HAVE BLOOD, BODY FLUIDS AND/OR SECRETIONS OR EXCRETIONS ON THEM.
    • READ LABEL OF CLEANING PRODUCTS AND FOLLOW RECOMMENDATIONS PROVIDED ON PRODUCT LABELS. LABELS CONTAIN INSTRUCTIONS FOR SAFE AND EFFECTIVE USE OF THE CLEANING PRODUCT INCLUDING PRECAUTIONS YOU SHOULD TAKE WHEN APPLYING THE PRODUCT, SUCH AS WEARING GLOVES OR APRONS AND MAKING SURE YOU HAVE GOOD VENTILATION DURING USE OF THE PRODUCT.
    • USE A DILUTED BLEACH SOLUTION OR A HOUSEHOLD DISINFECTANT WITH A LABEL THAT SAYS “EPA-APPROVED.” TO MAKE A BLEACH SOLUTION AT HOME, ADD 1 TABLESPOON OF BLEACH TO 1 QUART (4 CUPS) OF WATER. FOR A LARGER SUPPLY, ADD ¼ CUP OF BLEACH TO 1 GALLON (16 CUPS) OF WATER.
  • WASH LAUNDRY THOROUGHLY.
    • IMMEDIATELY REMOVE AND WASH CLOTHES OR BEDDING THAT HAVE BLOOD, BODY FLUIDS AND/OR SECRETIONS OR EXCRETIONS ON THEM.
    • WEAR DISPOSABLE GLOVES WHILE HANDLING SOILED ITEMS. WASH YOUR HANDS IMMEDIATELY AFTER REMOVING YOUR GLOVES.
    • READ AND FOLLOW DIRECTIONS ON LABELS OF LAUNDRY OR CLOTHING ITEMS AND DETERGENT. IN GENERAL, WASH AND DRY WITH THE WARMEST TEMPERATURES RECOMMENDED ON THE CLOTHING LABEL.
  • PLACE ALL USED DISPOSABLE GLOVES, GOWNS, FACEMASKS, AND OTHER CONTAMINATED ITEMS IN A LINED CONTAINER BEFORE DISPOSING THEM WITH OTHER HOUSEHOLD WASTE. WASH YOUR HANDS IMMEDIATELY AFTER HANDLING THESE ITEMS.
  • MONITOR THE PERSON’S SYMPTOMS. IF THEY ARE GETTING SICKER, CALL HIS OR HER MEDICAL PROVIDER AND TELL THEM THAT THE PERSON HAS, OR IS BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK THE HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
  • CAREGIVERS AND HOUSEHOLD MEMBERS WHO DO NOT FOLLOW PRECAUTIONS WHEN IN CLOSE CONTACT WITH A PERSON WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, ARE CONSIDERED “CLOSE CONTACTS” AND SHOULD MONITOR THEIR HEALTH. FOLLOW THE PREVENTION STEPS FOR CLOSE CONTACTS BELOW.
  • DISCUSS ANY ADDITIONAL QUESTIONS WITH YOU STATE OR LOCAL HEALTH DEPARTMENT
PREVENTION STEPS FOR CLOSE CONTACTS
IF YOU HAVE HAD CLOSE CONTACT WITH SOMEONE WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION, YOU SHOULD:
  • MONITOR YOUR HEALTH STARTING FROM THE DAY YOU FIRST HAD CLOSE CONTACT WITH THE PERSON AND CONTINUE FOR 14 DAYS AFTER YOU LAST HAD CLOSE CONTACT WITH THE PERSON. WATCH FOR THESE SIGNS AND SYMPTOMS:
    • FEVER. TAKE YOUR TEMPERATURE TWICE A DAY.
    • COUGHING.
    • SHORTNESS OF BREATH OR DIFFICULTY BREATHING.
    • OTHER EARLY SYMPTOMS TO WATCH FOR ARE CHILLS, BODY ACHES, SORE THROAT, HEADACHE, DIARRHEA, NAUSEA/VOMITING, AND RUNNY NOSE.
  • IF YOU DEVELOP FEVER OR ANY OF THESE SYMPTOMS, CALL YOUR HEALTHCARE PROVIDER RIGHT AWAY.
  • BEFORE GOING TO YOUR MEDICAL APPOINTMENT, BE SURE TO TELL YOUR HEALTHCARE PROVIDER ABOUT YOUR CLOSE CONTACT WITH SOMEONE WHO IS CONFIRMED TO HAVE, OR BEING EVALUATED FOR, 2019-NCOV INFECTION. THIS WILL HELP THE HEALTHCARE PROVIDER’S OFFICE TAKE STEPS TO KEEP OTHER PEOPLE FROM GETTING INFECTED. ASK YOUR HEALTHCARE PROVIDER TO CALL THE LOCAL OR STATE HEALTH DEPARTMENT.
  • IF YOU DO NOT HAVE ANY SYMPTOMS, YOU CAN CONTINUE WITH YOUR DAILY ACTIVITIES, SUCH AS GOING TO WORK, SCHOOL, OR OTHER PUBLIC AREAS.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician

Posted in Health, news, sex

Sex Doll “Brothels”….What Are The Risks?

Warning: Graphic Content

As automation displaces workers from their jobs, and social media displaces in-person social behavior, dolls and robots may replace us in the bedroom.

Reports of a Las Vegas sex doll social club have surfaced and have raised a few eyebrows among other things.

Daily Mail reports:

The Las Vegas Sex Dolls Experience prides itself on being the ‘first establishment in Nevada where sex dolls are ready,’ the company states on its social media pages and websites.
But the company’s website also insists: ‘We are not a brothel’.

Allegedly, customers can purchase dolls, and take them for a test run in a private setting.

 

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Sex dolls and robots aren’t anything new. The sex toy/tech industry is a mulitibillion dollar empire.

Why is the sex doll industry growing?

Despite the obvious reasons, here are some not-so-obvious ones why sex with dolls/robots is rising in popularity:

  • Less stigma associated with it now than in the past
  • Preferences can be fine tuned
  • Economical, depending on the re-usability
  • Helps avoid having sex with one who could be underage, married, or litigious
  • Offers a means for extramarital sex without it officially being “adultery” for some couples
  • They don’t talk, hence the doll won’t say “no” or “I have a headache”
  • The doll won’t say “ow” thus allowing multiple different positions
  • The myth of it being “STI free”

 

alessandro-male-sexdoll

 

What are the risks of having sex with a doll or robot?

For one, sexually transmitted illness (STI’s) CAN be transmitted if the doll/machine is not cleansed thoroughly.

Secondly, if forceful sex is not checked, chafing and penis “fracture” (which is not a fracture but a severe penile injury) can occur.

Some experts also believe it will accelerate impotence in some as intimacy is lacking.

Finally, a report published in the BMJ suggested that rather than protect women from assault, they could objectify them more, “intensifying existing physical and sexual violence against women and children.”

Since sex dolls and robots can cost well into the thousands, customers may be hesitant to invest in one without knowing they will be satisfied with their purchase.   And “club” owners may find the idea of having very few “live” employees economically advantageous.   Doll/robot shops…or clubs…. might spring up faster than you think……

 

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The Baby Boomer’s Guide to Online Dating

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

Posted in cancer, Entertainment, Health, news

Shannen Doherty Reveals Her Stage 4 Breast Cancer Diagnosis

The 48 year-old 90210 star revealed on Good Morning America that her breast cancer has returned.

Originally diagnosed in 2015, she went into remission within 2 years.  Unfortunately, it returned last year fairly aggressively.

She had hoped to keep the news private, but a concurrent lawsuit with State Farm involving damages to her house during the 2018 Woolsey Fire was going to cause her condition to be revealed in court papers and she would rather her fans, “hear it from her.”

She states, “Our life doesn’t end when we get that diagnosis. We still have some living to do.”

Celebrities such as Julia Louise-Dreyfus, Olivia Newton-John, Christina Applegate and Cynthia Nixon have also revealed their breast cancer diagnoses, helping raise awareness for the most common cancer to affect women.  It’s the second most common cause of cancer death in females.

How common is breast cancer?

1 in 8 women will develop invasive breast cancer over the course of their lifetime. According to Breastcancer.org, an estimated 276,000 cases of invasive breast cancer are expected to be diagnosed in women in the US this year with 48,500 cases of non-invasive breast cancer.

42,000 women and 500 men are expected to die this year of breast cancer.

 

What are the risk factors for breast cancer?

Risk factors for breast cancer include:

  • Age greater than 50
  • Family History
  • BRAC1 and BRAC2 genetic mutations
  • Alcohol use
  • Never been pregnant or becoming pregnant for the first time over 35 years old
  • Early menarche at age 11 or younger
  • Obesity, especially after menopause
  • Dense breasts
  • Lack of physical activity
  • Use of oral contraceptives
  • Previous “precancerous” tumors such as atypical hyperplasia
  • DES exposure
  • Previous radiation therapy

How is breast cancer staged?

Breast cancer is staged based on size of the tumor, if lymph nodes are affected and whether the cancer has spread to distant areas of the body.  Prognosis varies greatly on the stage.

 

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IMAGE ABOVE FROM JOHNSTON HEALTH

 

Is family history a huge factor?

85% of breast cancer cases occur in women with NO family history.

 

Screening of breast cancer

Mammograms are the first line screening tool for breast cancer and are currently recommended biennial for women aged 50-74.  However for those at higher risk, mammogram screening should start earlier, with possible follow-up ultrasound, and be performed more regularly.

 

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3-D MAMMOGRAM IMAGE

 

ultimate book cover final

Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician

 

Posted in cancer, Entertainment, Health, news, Politics, Radio

Rush Limbaugh Reveals He Has Advanced Lung Cancer

69 year-old Rush Limbaugh has revealed on air that he has “advanced” lung cancer and will be undergoing treatment.

He was diagnosed in January after he was exhibiting symptoms of shortness of breath.

The conservative talk show icon will take some time off for treatment but still hopes to continue broadcasting.

“I wish I didn’t have to tell you this, and I thought about not trying to tell anybody, I thought about trying to do this without anybody knowing, because I don’t like making things about me,” he said. But “there are going to be days that I’m not going to be able to be here, because I will be undergoing treatment, or I’m reacting to treatment.”

https://video.foxnews.com/v/6129307883001#sp=show-clips

Early lung cancer can be silent.  As it progresses, however, symptoms such as chronic cough, wheeze, blood in sputum, lethargy and weight loss can ensue.

Limbaugh was known for his affinity for cigars.  It is unclear how much he smoked.

Although lung cancer risk drops dramatically the longer one avoids tobacco products, the resulting tissue damage, injury to one’s immune response, and genetic mutations may persist.  Moreover, lung cancer can occur even in non-smokers.

Lung cancer is the number one cause of cancer related death in the US for both men and women, surpassing breast and colon cancer.

According to the American Cancer Society, they estimate in 2020 there will be 228,820 new cases and 135,720 deaths from lung cancer.

Prognosis depends on the stage of cancer at time of diagnosis.  According to American Lung Association:

The five-year survival rate for lung cancer is 56 percent for cases detected when the disease is still localized (within the lungs). However, only 16 percent of lung cancer cases are diagnosed at an early stage. For distant tumors (spread to other organs) the five-year survival rate is only 5 percent.

This is a developing story.

 

ultimate book cover final

Great Gift!!!

The Ultimate Medical Student HandBook

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, iHeart Radio and is Board Certified Family Physician