As we work to protect public health, we also need to protect the income of hourly workers who support our campus – Microsoft on the Issues

As the impact of COVID-19 spreads in the Puget Sound region and northern California, Microsoft has asked its employees who can work from home to do so. As a result, we have a reduced need in these regions for the on-site presence of many of the hourly workers who are vital to our daily operations, such as individuals who work for our vendors and staff our cafes, drive our shuttles and support our on-site tech and audio-visual needs.

We recognize the hardship that lost work can mean for hourly employees. As a result, we’ve decided that Microsoft will continue to pay all our vendor hourly service providers their regular pay during this period of reduced service needs. This is independent of whether their full services are needed. This will ensure that, in Puget Sound for example, the 4,500 hourly employees who work in our facilities will continue to receive their regular wages even if their work hours are reduced.

While the work to protect public health needs to speed up, the economy can’t afford to slow down. We’re committed as a company to making public health our first priority and doing what we can to address the economic and societal impact of COVID-19. We appreciate that what’s affordable for a large employer may not be affordable for a small business, but we believe that large employers who can afford to take this type of step should consider doing so.

We’re committed to taking additional constructive steps to support the public during this challenging time. While this announcement is focused on Puget Sound and northern California, we’re exploring how best to move forward in a similar way in other parts of the country and the world that are impacted by COVID-19.

We also recognize the vital role that our technology plays in supporting people and organizations each day, especially those working tirelessly to reduce the impact of COVID-19. We’re actively pursuing additional steps around the world to help healthcare teams stay connected with telehealth solutions, schools and universities stay connected with students through virtual classrooms and online learning, and governments stay connected with their citizens with the latest guidance and resources made available online. Across the global economy, we’re working to enable employees to work remotely without sacrificing collaboration, productivity and security. In a time of fluid change and demanding challenges, we all have an important role to play.

This content was originally published here.

Riccobene Associates Family Dentistry Donates to Local Food Banks

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

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

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

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

List of Local Food Banks

Raleigh

1924 Capital Boulevard, Raleigh, NC 27604

Wake Forest

149 E Holding Avenue, Wake Forest, NC 27587

Knightdale

111 N First Ave, Knightdale, NC 27545

Cary

187 High House Road, Cary, NC 27511

Apex

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

Garner

209 S Robertson Street, Clayton, NC 27520

Clayton

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

Selma

401 W Anderson St, Selma, NC 27576

Goldsboro

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

Greensboro

3210 Summit Avenue, Greensboro, Nc, 27405

Charlotte

500-B Spratt Street, Charlotte, NC 28206

Fayetteville

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

Clemmons

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

Benson

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

Rocky Mount

1725 Davis Street, Rocky Mount, NC 27803

Holly Ridge

12395 NC Hwy 50, Hampstead, NC 28443

Oxford

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

Wilmington

1314 Marstellar Street, Wilmington, NC 28401

The post Riccobene Associates Family Dentistry Donates to Local Food Banks appeared first on .

This content was originally published here.

Designing a Welcoming Orthodontics Office – Spear Education

With more adults being referred for orthodontic care, it’s necessary to create an office that is welcoming not only for children, but for older patients, as well.

The first thing your patients notice when they walk into your practice is the design. With that in mind, use these office design techniques to make your practice feel more welcoming for patients of all ages.

Adult-friendly amenities

Filling an orthodontics office with toys, video games and family-friendly movies may be a hit for kids. However, the approach does not provide key conveniences for adult patients, who account for one in four of the orthodontic patients in the U.S., according to the American Association of Orthodontists.

“Most ortho practices are set up to be efficient for providers, and attractive to children and adolescents, who are generally their target market,” said Spear Resident Faculty member Dr. Cheryl DeWood.

After 22 years in private practice as a general practitioner, Dr. DeWood chose to pursue an education and career in orthodontics.

Based on her experience as a practicing orthodontist since 2005, Dr. DeWood learned that an office designed around child-like elements fails to make adult patients feel welcome.

“This type of set-up emphasizes a ‘fun’ or juvenile atmosphere and is generally lacking in adult amenities, including private treatment areas,” Dr. DeWood said. “For GPs who are looking to refer adults, this isn’t very appealing.”

“I have been telling my colleagues for years that they are missing a growing part of the ortho market by limiting their ability to accommodate adult patients,” she said.

For example, the ADA Marketplace blog recommends that “stacks of magazines, books or newspapers can help keep the adults happily preoccupied.”

The ADA also encourages having soothing music playing in the office and access to refreshments like coffee and tea.

Effective use of color and light

The color scheme you pick for your practice can have a significant psychological impact on your patient. According the ADA Center for Professional Success, utilizing bright and bold colors like red and yellow can cause your patient’s anxiety to rise, whereas shades like sky blue or cool-toned purples can have more of a relaxing or cheerful effect.

Orange, the complement to blue on the color wheel, can be used for smaller touches in an orthodontics office for a bright accent. But if orange is used too much, it can be overstimulating.

Industry experts also recommend adding a few lamps with warm bulbs to your office to create a sunny, inviting space, or swapping out old light fixtures for lamps with a modern look for a fresh, new atmosphere.

Reduce stress with aquariums

It’s no accident that fish tanks are utilized in numerous dental and health care offices.

A 2015 U.K. study by the National Marine Aquarium, Plymouth University and the University of Exeter found that viewing an aquarium display led to lower blood pressure, lower heart rate and an improvement of mood, and these benefits increase as the number of fish increase.

The study says that “an individual does not need to spend long in front of an (aquarium), just five minutes, to derive significant benefits.”

The ADA Marketplace blog adds that aquariums can be particularly helpful for offices that have pediatric patients but can decrease stress in patients of all ages.

According to the ADA, “not every aquarium has to have the grandeur (or price tag) of a 1,000-gallon tank. A simple tank is a great tool for keeping people calm as the colors, lights and animal life provide a healthy distraction from stress.”

This content was originally published here.

Public Health Experts: Single-Payer Systems Coping With Coronavirus More Effectively Than For-Profit Model

As the coronavirus pandemic places extraordinary strain on national healthcare systems around the world, public health experts are making the case that countries with universal single-payer systems have thus far responded more efficiently and effectively to the outbreak than nations like the United States, whose fragmented for-profit apparatus has struggled to cope with the growing crisis.

“There is no need for people to worry about the tests or vaccine or cost of care if people become ill.”
—Helen Buckingham, Nuffield Trust

“It is too soon to see definite outcomes among competing healthcare systems. But even in this early phase, public health experts say the single-payer, state-run systems are proving themselves relatively robust,” the Washington Post reported Sunday. “Unlike the United States, where a top health official told Congress the rollout of testing was ‘failing‘ and where Congress is only now moving through a bill that includes free testing, the single-payer countries have been especially nimble at making free, or low-cost, virus screening widely available for patients with coughs and fevers.”

While the Trump administration only recently took steps to massively expand COVID-19 testing—sparking concerns that the outbreak in the U.S. is far more severe than official numbers suggest—countries with forms of single-payer healthcare like South Korea and Denmark have for weeks been offering “drive-through” testing and other innovative mechanisms, allowing them to quickly test hundreds of thousands of their citizens and respond accordingly.

“Unhampered government intervention into the healthcare sector is an advantage when the virus is spreading fast across the country,” said Choi Jae-wook, a professor of preventive medicine at Korea University in Seoul.

South Korea has done more than just “flatten the curve” of new Covid-19 infections. It bought the curve down through:
– Aggressive testing (20,000 tests daily, “drive through” testing)/isolation
– School holiday extended
– Government advice to stay inside
– large events cancelled pic.twitter.com/MGzuX9Oc6w

— Tom Hancock (@hancocktom) March 13, 2020

Jorgen Kurtzhals, the head of the University of Copenhagen medical school, told the Post that the strength of Denmark’s single-payer system is that it has “a lot of really highly educated and well-trained staff, and given some quite un-detailed instructions, they can actually develop plans for an extremely rapid response.”

“We don’t have to worry too much about whether this response or that response demands specific payments here and there,” said Kurtzhals said. “We are aware that there will be huge expenditure within the system. But we’re not too concerned about it because we have a direct line of communication from the national government to the regional government to the hospital directors.”

None of which is to say that countries with forms of single-payer healthcare or nationalized systems are flawlessly handling the COVID-19 pandemic, which has infected at least 173,000 people and killed more than 6,000 worldwide.

“We don’t have to worry too much about whether this response or that response demands specific payments here and there.”
—Jorgen Kurtzhals, University of Copenhagen

Britain’s National Health Service (NHS), following years of austerity imposed by Conservative governments, is facing staff and supply shortages as hospitals are being overwhelmed with patients. Canada, like the U.K., is struggling with a shortage of ventilators.

But Helen Buckingham, director of strategy and operations at the London-based Nuffield Trust think tank, told the Post that the NHS is in a relatively good position to cope with COVID-19 because it has “a very clear emergency planning structure.”

Additionally, Buckingham noted, “there is no need for people to worry about the tests or vaccine or cost of care if people become ill.”

David Fisman, an epidemiologist at the University of Toronto, said that in a “time of crisis” like the coronavirus pandemic, “having a healthcare system that’s a public strategic asset rather than a business run for profit allows for a degree of coordination and optimal use of resources.”

During the Democratic presidential primary debate Sunday night in Washington, D.C., former Vice President Joe Biden cited Italy’s struggles to contain COVID-19 as evidence that the Medicare for All system advocated by rival candidate Sen. Bernie Sanders (I-Vt.) would not be effective in a pandemic. Italy has been the hardest-hit country outside China with nearly 25,000 cases of the novel coronavirus.

“With all due respect for Medicare for All, you have a single-payer system in Italy,” said Biden. “It doesn’t work there.”

Critics were quick to take issue with Biden’s talking point. “[Single-payer] isn’t the reason Italy is having problems,” tweeted HuffPost healthcare reporter Jonathan Cohn. “Italy’s problem is health system capacity. Independent of health system design.”

This is the dumbest point. No, single payer does not solve the problem of pandemics. But it definitely solves the problem of thousands and thousands of people going bankrupt because there’s a pandemic. It solves the problem of people not seeking out care for fear of bankruptcy. https://t.co/L2Cx2VJGZj

— Jill Filipovic (@JillFilipovic) March 16, 2020

Dr. David Himmelstein, co-founder of Physicians for a National Health Program and distinguished professor of public health at the City University of New York at Hunter College, said in a statement Sunday night that the “fragmented system” in the United States “leaves public health separate and disconnected from medical care, and provides no mechanism to appropriately balance funding priorities.”

“As a result, public health accounts for less than 3 percent of overall health expenditures, a percentage that has been falling for decades, and is about half the proportion in Canada or the U.K.,” said Himmselstein. “One result is that state and local health departments that are the front lines in dealing with epidemics have lost 50,000 position since 2008 due to budget cuts.”

On the debate stage Sunday evening, Sanders made the case for transitioning the U.S. to a single-payer program, arguing that the coronavirus “exposes the incredible weakness and dysfunctionality of our current healthcare system.”

“How in God’s name does it happen,” said Sanders, “that we end up with 87 million people who are uninsured or underinsured and there are people who are watching this program tonight who are saying, ‘I’m not feeling well. Should I go to the doctor? But I can’t afford to go to the doctor. What happens if I am sick?'”

“So the word has got to go out, and I certainly would do this as president:  You don’t worry,” Sanders added. “People of America, do not worry about the cost of prescription drugs. Do not worry about the cost of the healthcare that you’re going to get, because we are a nation—a civilized democratic society. Everybody, rich and poor, middle class, will get the care they need. The drug companies will not rip us off.”

This content was originally published here.

About half of France’s coronavirus patients in intensive care are under 65, health official says

A French health official says warnings to stay home in the coronavirus pandemic are in some cases falling on deaf ears while noting that the virus hasn’t just been posing a risk to seniors.

French health ministry official Jérôme Salomon said Monday that the situation is “deteriorating very quickly” while providing this statistic: of the between 300 and 400 coronavirus patients in intensive care in France, about half of them are younger than 65, The New York Times reports.

Salomon is looking to “dispel the notion that the virus seriously threatens only the elderly,” the Times reports, and Mother Jones observes that even though the novel coronavirus is “understood to be particularly lethal among the elderly,” these numbers “underscore the reality that younger generations can still face serious consequences.”

Salomon also said Monday that in France, “a lot of people have not understood that they need to stay at home,” and as a result, “we are not succeeding in curbing the outbreak of the epidemic,” per Reuters. Most nonessential businesses in France were ordered to be closed over the weekend.

France has confirmed more than 5,400 cases of the novel coronavirus, and by Sunday, the number of deaths had risen to 127. Salomon said Monday the number of cases has been doubling “every three days.” Brendan Morrow

NBCUniversal announced Monday it will make Universal Pictures films that are playing in theaters right now, including The Invisible Man and The Hunt, available to rent at home for $19.99 beginning this Friday, per The Hollywood Reporter. The rental period will last 48 hours. This is a game-changer for theatrical moviegoing, as major studio films typically play in theaters exclusively for about three months before being made available for home viewing. The Hunt hit theaters just three days ago.

Universal’s new policy will also apply to at least one upcoming movie: Trolls World Tour, which is set to be made available digitally on the same day it’s released in theaters — at least, the theaters that are still open. The policy isn’t expected to apply to all of Universal’s upcoming movies, the Reporter says.

“We hope and believe that people will still go to the movies in theaters where available, but we understand that for people in different areas of the world that is increasingly becoming less possible,” NBCUniversal CEO Jeff Shell said.

Is Sen. Mitt Romney (R-Utah) ready to join the Yang Gang?

Romney is out with a proposal that should make entrepreneur and former 2020 Democratic candidate Andrew Yang proud, on Monday saying every American adult should receive a check for $1,000 amid the COVID-19 coronavirus pandemic.

This step, Romney said, will “help ensure families and workers can meet their short-term obligations and increase spending in the economy.” Romney added that “expansions of paid leave, unemployment insurance, and SNAP benefits” are also “crucial,” but the $1,000 check “will help fill the gaps for Americans that may not quickly navigate different government options.”

The Utah senator offered numerous other proposals for responding to the coronavirus crisis, including providing grants to small businesses impacted by the pandemic and deferring student loan payments “for a period of time to ease the burden for those who are just graduating now, in an economy suffering because of the COVID-19 outbreak.”

Yang’s central proposal during his 2020 campaign was to provide Americans with a universal basic income of $1,000 a month, an idea that some Democrats have been re-upping in the midst of the coronavirus crisis. Like Romney, Sen. Sherrod Brown (D-Ohio) is also backing the $1,000 payment idea, saying a check in that amount should go to all middle class and low-income adults because “we can’t leave the hardest-hit Americans behind.”

Romney’s proposal is for a one-time check and not a monthly payment as Democrats like Yang have called for. But Rep. Alexandria Ocasio-Cortez (D-N.Y.) tweeted Monday, “GOP & Democrats are both coming to the same conclusion: Universal Basic Income is going to have to play a role in helping Americans weather this crisis.”

This content was originally published here.

Sen. Joe Manchin erupts into shouting match with McConnell: You’re ‘more concerned about the health of Wall Street’ – Alternet.org

Sen. Joe Manchin erupts into shouting match with McConnell: You’re ‘more concerned about the health of Wall Street’

by David Edwards

Sen. Joe Manchin (D-WV) called out Senate Majority Leader Mitch McConnell (R-KY) on Monday for being more concerned with propping up the economy than providing supplies to hospitals fighting the novel coronavirus.

“You can throw all the money at Wall Street you want to,” Manchin said after McConnell blamed Democrats for a stalled stimulus bill. “People are afraid to leave their homes. They’re afraid of the health care. I’ve got workers who don’t have masks. I’ve got health care workers who don’t have gowns.”

“And it looks like we’re worried more about the economy than we are the health care and the wellbeing of the people of America,” the West Virginia senator complained.

McConnell interrupted: “The American people are waiting for us to act today! We don’t have time for this! We don’t have time for it!”

“Let me ask you a question,” Manchin implored.

“Answer my question!” McConnell demanded. “In what way would the Democratic Party be disadvantaged?”

“Thirty hours [of debate] or 30 days, as long as you have the votes, 51 votes rule,” Manchin said. “So the final vote is going to be on passage, whether you have to negotiate or not with us.”

“Here’s the way it works!” McConnell exclaimed. “We have been fiddling around as the senator from Maine pointed out for 24 hours…”

At that point, Manchin reclaimed his time, silencing McConnell.

“We just have a little different opinion about this,” Manchin said. “You can’t throw enough money to fix this if you can’t fix the health care.”

“My health care workers need to be protected,” he added. “But it seems like we’re talking about everything else about the economy versus the health care. That doesn’t make any sense to me whatsoever.”

“It seems like we’re more concerned about the health care of Wall Street,” Manchin remarked. “That’s the problem that I’ve had on this.”

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Illinois orthodontist wins ADA Stanford Award for retainer research

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

This content was originally published here.

In just 24 hours, 1,000 retired health care workers volunteered to help fight coronavirus in New York City – CBS News

In just 24 hours, 1,000 retired health care workers in New York City volunteered to join the fight against coronavirus, Mayor Bill de Blasio said in an interview with WCBS 880 on Wednesday. The mayor likened their bold decision to his parents’ generation entering war.

“This is going to be like a war effort. Most New Yorkers haven’t experienced what this city and this country is like in a full-scale war,” de Blasio said. “My parents both served in the war effort in WWII. I heard these stories from the youngest years of my life.”

“When the entire community, the entire city, the entire nation are in common cause, it’s a different reality and everyone is going to have to work together to overcome this crisis, and we’re going to use every tool, every building, every resource to get us through this,” the mayor said.

He added that he asked earlier this week for retired health care workers to return to work, and he had good news: “In the last 24 hours, 1,000 New Yorkers who are retired medical personnel have volunteered to join the effort to fight coronavirus. I think that’s so inspiring. So many people are coming forward to help and that’s how we’re going to beat this back.”

Last week, other elected officials called on “former” health care workers to rejoin the workforce, including Colorado Governor Jared Polis and New York Governor Andrew Cuomo.

According to Polis, former health care workers include anyone retired or working in another field whose medical license is still active or can be reactivated.

Health care workers have been struggling to balance providing care with the fear of exposing their families to the illness. Some say they do not have the protective equipment they need.

“We are two weeks or three weeks away from running out of the supplies that we need most for our hospitals,” de Blasio said Thursday, according to The Associated Press

Lack of hospital beds has also been a concern — especially in New York City. In his interview with WCBS 880, de Blasio said the city is looking to convert large spaces like hotels into health care facilities or logistics staging. On Wednesday, Cuomo said President Trump agreed to send a Navy ship to New York City that will function as a hospital. 

This content was originally published here.

Simple math offers alarming answers about Covid-19, health care – STAT

Much of the current discourse on — and dismissal of — the Covid-19 outbreak focuses on comparisons of the total case load and total deaths with those caused by seasonal influenza. But these comparisons can be deceiving, especially in the early stages of an exponential curve as a novel virus tears through an immunologically naïve population.

Perhaps more important is the disproportionate number of severe Covid-19 cases, many requiring hospitalization or weekslong ICU stays. What does an avalanche of uncharacteristically severe respiratory viral illness cases mean for our health care system? How much excess capacity currently exists, and how quickly could Covid-19 cases saturate and overwhelm the number of available hospital beds, face masks, and other resources?

This threat to the health care system as a whole poses the greatest challenge.

As of March 8, about 500 cases of Covid-19 had been diagnosed in the U.S. Given the substantial underdiagnosis at present due to limitations in testing for the coronavirus, let’s say there are 2,000 current cases, a conservative starting bet.

We can expect a doubling of cases every six days, according to several epidemiological studies. Confirmed cases may appear to rise faster (or slower) in the short term as diagnostic capabilities are ramped up (or not), but this is how fast we can expect actual new cases to rise in the absence of substantial mitigation measures.

That means we are looking at about 1 million U.S. cases by the end of April; 2 million by May 7; 4 million by May 13; and so on.

As the health care system becomes saturated with cases, it will become increasingly difficult to detect, track, and contain new transmission chains. In the absence of extreme interventions like those implemented in China, this trend likely won’t slow significantly until hitting at least 1% of the population, or about 3.3 million Americans.

What does a case load of this size mean for health care system? That’s a big question, but just two facets — hospital beds and masks — can gauge how Covid-19 will affect resources.

The U.S. has about 2.8 hospital beds per 1,000 people (South Korea and Japan, two countries that have seemingly thwarted the exponential case growth trajectory, have more than 12 hospital beds per 1,000 people; even China has 4.3 per 1,000). With a population of 330 million, this is about 1 million hospital beds. At any given time, about 68% of them are occupied. That leaves about 300,000 beds available nationwide.

The majority of people with Covid-19 can be managed at home. But among 44,000 cases in China, about 15% required hospitalization and 5% ended up in critical care. In Italy, the statistics so far are even more dismal: More than half of infected individuals require hospitalization and about 10% need treatment in the ICU.

For this exercise, I’m conservatively assuming that only 10% of cases warrant hospitalization, in part because the U.S. population is younger than Italy’s, and has lower rates of smoking — which may compromise lung health and contribute to poorer prognosis — than both Italy and China. Yet the U.S. also has high rates of chronic conditions like cardiovascular disease and diabetes, which are also associated with the severity of Covid-19.

At a 10% hospitalization rate, all hospital beds in the U.S. will be filled by about May 10. And with many patients requiring weeks of care, turnover will slow to a crawl as beds fill with Covid-19 patients.

If I’m wrong by a factor of two regarding the fraction of severe cases, that only changes the timeline of bed saturation by six days (one doubling time) in either direction. If 20% of cases require hospitalization, we run out of beds by about May 4. If only 5% of cases require it, we can make it until about May 16, and a 2.5% rate gets us to May 22.

But this presumes there is no uptick in demand for beds from non-Covid-19 causes, a dubious presumption. As the health care system becomes increasingly burdened and prescription medication shortages kick in, people with chronic conditions that are normally well-managed may find themselves slipping into states of medical distress requiring hospitalization and even intensive care. For the sake of this exercise, though, let’s assume that all other causes of hospitalization remain constant.

Let me now turn to masks. The U.S. has a national stockpile of 12 million N95 masks and 30 million surgical masks for a health care workforce of about 18 million. As Covid-19 cases saturate nearly every state and county, virtually all health care workers will be expected to wear masks. If only 6 million of them are working on any given day (certainly an underestimate) they would burn through the national N95 stockpile in two days if each worker only got one mask per day, which is neither sanitary nor pragmatic.

It’s unlikely we’d be able to ramp up domestic production or importation of new masks to keep pace with this level of demand, especially since most countries will be simultaneously experiencing the same crises and shortages.

Shortages of these two resources — beds and masks — don’t stand in isolation but compound each other’s severity. Even with full personal protective equipment, health care workers are becoming infected while treating patients with Covid-19. As masks become a scarce resource, doctors and nurses will start dropping from the workforce for weeks at a time, leading to profound staffing shortages that further compound the challenges.

The same analysis applied to thousands of medical devices, supplies, and services — from complex equipment like ventilators or extracorporeal membrane oxygenation devices to hospital staples like saline drip bags — shows how these limitations compound one another while reducing the number of options available to clinicians.

Importantly — and I cannot stress this enough — even if some of the core assumptions I’m making, like the fraction of severe cases or the number of current cases, are off even by several-fold, it changes the overall timeline only by days or weeks.

Unwarranted panic does no one any good, but neither does ill-informed complacency. It’s inappropriate to assuage the public with misleading comparisons to the seasonal flu or by assuring people that there’s “only” a 2% fatality rate. The fraction of cases that are severe really sets Covid-19 apart from more familiar respiratory illnesses, compounded by the fact that it’s whipping through a population without natural immune protection at lightning speed.

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Individuals and governments seem not to be fully grasping the magnitude and near-inevitability of the national and global systemic burden we’re facing. We’re witnessing the abject refusal of many countries to adequately respond or prepare. Even if the risk of death for healthy individuals is very low, it’s insensible to mock decisions like canceling events, closing workplaces, or stocking up on prescription medications as panicked overreaction. These measures are the bare minimum we should be doing to try to shift the peak — to slow the rise in cases so health care systems are less overwhelmed.

The doubling time will naturally start to slow once a sizable fraction of the population has been infected due to the emergence of herd immunity and a dwindling susceptible population. And yes, societal measures like closing schools, implementing work-from-home policies, and canceling events may start to slow the spread before reaching infection saturation.

But considering that the scenarios described earlier — overflowing hospitals, mask shortages, infected health care workers — manifest when infections reach a mere 1% of the U.S. population, these interventions can only marginally slow the rate at which our health care system becomes swamped. They are unlikely to prevent overload altogether, at least in the absence of exceedingly swift and austere measures.

Each passing day is a missed opportunity to mitigate the wave of severe cases that we know is coming, and the lack of widespread surveillance testing is simply unacceptable. The best time to act is already in the past. The second-best time is right now.

Liz Specht is the associate director of science and technology at The Good Food Institute.

This content was originally published here.

Keeping the Coronavirus from Infecting Health-Care Workers | The New Yorker

The message is getting out: #StayHome. In this early phase of the coronavirus pandemic, with undetected cases accelerating transmission even as testing ramps up, that is critical. But there are many people whom the country needs to keep going into work—grocery cashiers, first responders, factory workers for critical businesses. Most obviously, we need health-care workers to care for the sick, even though their jobs carry the greatest risk of exposure. How do we keep them seeing patients rather than becoming patients?

In the index outbreak in Wuhan, thirteen hundred health-care workers became infected; their likelihood of infection was more than three times as high as the general population. When they went back home to their families, they became prime vectors of transmission. The city began to run out of doctors and nurses. Forty-two thousand more had to be brought in from elsewhere to treat the sick. Luckily, methods were found that protected all the new health-care workers: none—zero—were infected.

But those methods were Draconian. As the city was locked down and cut off from outside visitors, health-care workers seeing at-risk patients were housed away from their families. They wore full-body protective gear, including goggles, complete head coverings, N95 particle-filtering masks, and hazmat-style suits. Could we do that here? Not a chance. Health-care facilities don’t remotely have the supplies that would allow staff members to see every patient with all that gear on. In Massachusetts, where I practice surgery, the virus is circulating in at least eleven of our fourteen counties, and cases are climbing rapidly. So what happens if you are exposed to a coronavirus patient and you don’t have the ability to go full Wuhan? My hospital system, Partners HealthCare, has already sent more than a hundred staff members home for fourteen days of self-quarantine because they were exposed to the coronavirus without complete protection. If we had to quarantine every health-care worker who might have come into contact with a COVID-19 patient, we’d soon have no health-care workers left.

Yet there are lessons to be learned from two places that saw the new coronavirus before we did and that have had success in controlling its spread. Hong Kong and Singapore—both the size of my state—detected their first cases in late January, and the number of cases escalated rapidly. Officials banned large gatherings, directed people to work from home, and encouraged social distancing. Testing was ramped up as quickly as possible. But even these measures were never going to be enough if the virus kept propagating among health-care workers and facilities. Primary-care clinics and hospitals in the two countries, like in the U.S., didn’t have enough gowns and N95 masks, and, at first, tests weren’t widely available. After six weeks, though, they had a handle on the outbreak. Hospitals weren’t overrun with patients. By now, businesses and government offices have even begun reopening, and focus has shifted to controlling the cases coming into the country.

Here are their key tactics, drawn from official documents and discussions I’ve had with health-care leaders in each place. All health-care workers are expected to wear regular surgical masks for all patient interactions, to use gloves and proper hand hygiene, and to disinfect all surfaces in between patient consults. Patients with suspicious symptoms (a low-grade fever coupled with a cough, respiratory complaints, fatigue, or muscle aches) or exposures (travel to places with viral spread or contact with someone who tested positive) are separated from the rest of the patient population, and treated—wherever possible—in separate respiratory wards and clinics, in separate locations, with separate teams. Social distancing is practiced within clinics and hospitals: waiting-room chairs are placed six feet apart; direct interactions among staff members are conducted at a distance; doctors and patients stay six feet apart except during examinations.

What’s equally interesting is what they don’t do. The use of N95 masks, face-protectors, goggles, and gowns are reserved for procedures where respiratory secretions can be aerosolized (for example, intubating a patient for anesthesia) and for known or suspected cases of COVID-19. Their quarantine policies are more nuanced, too. What happens when someone unexpectedly tests positive—say, a hospital co-worker or a patient in a primary-care office or an emergency room? In Hong Kong and Singapore, they don’t shut the place down or put everyone under home quarantine. They do their best to trace every contact and then quarantine only those who had close contact with the infected person. In Hong Kong, “close contact” means fifteen minutes at a distance of less than six feet and without the use of a surgical mask; in Singapore, thirty minutes. If the exposure is shorter than the prescribed limit but within six feet for more than two minutes, workers can stay on the job if they wear a surgical mask and have twice-daily temperature checks. People who have had brief, incidental contact are just asked to monitor themselves for symptoms.

The fact that these measures have succeeded in flattening the COVID-19 curve carries some hopeful implications. One is that this coronavirus, even though it appears to be more contagious than the flu, can still be managed by the standard public-health playbook: social distancing, basic hand hygiene and cleaning, targeted isolation and quarantine of the ill and those with high-risk exposure, a surge in health-care capacity (supplies, testing, personnel, wards), and coördinated, unified public communications with clear, transparent, up-to-date guidelines and data. Our government officials have been unforgivably slow to get these in place. We’ve been playing from behind. But we now seem to be moving in the right direction, and the experience in Asia suggests that extraordinary precautions don’t seem to be required to stop it. Those of us who must go out into the world and have contact with people don’t have to panic if we find out that someone with the coronavirus has been in the same room or stood closer than we wanted for a moment. Transmission seems to occur primarily through sustained exposure in the absence of basic protection or through the lack of hand hygiene after contact with secretions.

Consider a couple of data points. Singapore so far appears not to have had a single recorded health-care-related transmission of the coronavirus, despite the hundreds of cases that its medical system has had to deal with. That includes one case reported this week of a critically ill pneumonia patient who exposed forty-one health-care workers in the course of four days before being diagnosed with COVID-19. These were high-risk exposures, including exposures during intubation and hands-on intensive care. Eighty-five per cent of the workers used only surgical masks. Yet, owing to proper hand hygiene, none became infected.

Our early experiences in the U.S. have so far been similar. The Centers for Disease Control and Prevention, in the face of limited information, recommended stricter precautions than have been employed in Asia, putting health-care workers on fourteen-day self-quarantine if they are exposed to an infected person for even a few minutes without protection, including a mask and goggles. That policy was implemented at U.C. Davis Medical Center, where the first case of community transmission was diagnosed, in late February. Eighty-nine health-care workers involved in the patient’s care were put under self-quarantine. None, it turned out, had been infected. Sacramento, Seattle, and San Francisco became coronavirus hot spots; as of this writing, however, significant occupational transmission has not been found.

This content was originally published here.

Ohio health official estimates 100,000 people in state have coronavirus

A top health official in Ohio estimated on Thursday that more than 100,000 people in the state currently have coronavirus, a shockingly high number that underscores the limited testing so far.

Ohio Department of Health Director Amy Acton said at a press conference alongside Gov. Mike DeWine (R) that given that the virus is spreading in the community in Ohio, she estimates at least 1 percent of the population in the state has the virus.

“We know now, just the fact of community spread, says that at least 1 percent, at the very least, 1 percent of our population is carrying this virus in Ohio today,” Acton said. “We have 11.7 million people. So the math is over 100,000. So that just gives you a sense of how this virus spreads and is spreading quickly.”

She added that the slow rollout of testing means the state does not have good verified numbers to know for sure.

“Our delay in being able to test has delayed our understanding of the spread of this,” Acton said. 

The Trump administration has come under intense criticism for the slow rollout of tests. Dr. Anthony Fauci, a top National Institutes of Health official, acknowledged earlier Thursday it is “a failing” that people cannot easily get tested for coronavirus in the United States.

Not everyone with the virus has symptoms, and about 80 percent of people with the virus do not end up needing hospitalization, experts say. However, the virus can be deadly especially for older people and those with underlying health conditions.

The possible numbers in Ohio are a stark illustration of how many cases could be in other states as well, but have not been revealed given the lack of widespread testing.

More than 1,300 people in the U.S. have currently tested positive for the illness, according to data from Johns Hopkins University, while about three dozen people in the country have died.

Vice President Pence, who is overseeing the administration’s coronavirus response, said earlier Thursday that the U.S. can expect “thousands of more cases.”

Ohio officials said they are taking major actions to try to slow the spread of the virus. They are closing schools in the state for three weeks and banning large gatherings of 100 or more people. 

The state currently has just 5 confirmed positive cases, and 30 negative tests. Acton said Thursday that it appears that the number of cases of the virus doubles every six days.

As other experts have as well, she urged actions to slow the spread of the virus to avoid overwhelming the capacity of hospitals. Banning large gatherings and stopping school is part of that process.

“We’re all sort of waking up to our new reality,” she said, adding later that the state is “in a crisis situation.”

Noting the concerns about hospital capacity if the number of cases spikes too quickly, Acton said “there are only so many ventilators,” referring to machines that allow people to breathe when they cannot on their own.

Models indicate the number of cases could peak in late April to mid-May, she said.

If people are not seriously ill, she urged them to stay home so that only the sickest people who most need help are showing up at hospitals.

“This will be the thing this generation remembers,” she added. 

This content was originally published here.

Did Bloomberg Say Elderly Cancer Patients Should Not Be Treated To Alleviate Health Care Costs?

In February 2020, we received multiple inquiries from readers about the accuracy of reports which claimed that 2020 Democratic presidential candidate Mike Bloomberg had once said health care providers should not treat elderly patients with cancer due to the improbability of their recovery and as a means of prioritizing treatments for younger patients and stemming a rise in health care costs and hospital overcrowding. 

On Feb. 18, the right-leaning Daily Caller website published an article with the headline “Mike Bloomberg Said Elderly Cancer Patients Should Be Denied Treatment to Cut Costs.” The article reported that:

Billionaire and Democratic presidential candidate Michael Bloomberg said in a 2011 video that elderly cancer patients should be denied treatment in order to cut health care costs. “All of these costs keep going up, nobody wants to pay any more money, and at the rate we’re going, health care is going to bankrupt us,” said Bloomberg, who was then New York City’s mayor.

“‘We’ve got to sit here and say which things we’re going to do, and which things we’re not, nobody wants to do that. Y’know, if you show up with prostate cancer, you’re 95 years old, we should say, ‘Go and enjoy. Have a nice [inaudible]. Live a long life. There’s no cure, and we can’t do anything.’ If you’re a young person, we should do something about it,” Bloomberg said in the video.

The same article was later republished by the National Interest magazine, and on Feb. 17 the right-leaning Red State blog published an article with a headline that stated “Bloomberg Suggests Denying Care to Elderly Patient With Cancer Because Not Cost Effective in 2011 Video.”

All three articles contained a 40-second video clip of Bloomberg sitting with a group of men, making the following remarks:

[…] And what things they can’t fix right away. If you’re bleeding, they’ll stop the bleeding, if you need an X-Ray, you’re going to have to wait. All of these costs keep going up, nobody wants to pay any more money, and at the rate we’re going, health care is going to bankrupt us. So not only do we have a problem, it’s going to bankrupt us, and we’ve got to sit here and say which things we’re going to do and which things we’re not. Nobody wants to do that. If you show up with prostate cancer and you’re 95 years old, we should say ‘Go and enjoy, have a nice [inaudible], lead a long life.’ There’s no cure and you can’t do anything. If you’re a young person, we should do something about it. Society’s not willing to do that yet. So we’re going to bankrupt us, and we’re not looking at […]

Bloomberg says we should deny healthcare to the elderly.

“If you show up with cancer & you’re 95 years old, we should say, Go & enjoy. There’s no cure, we can’t do anything. A young person, we should do something. Society’s not willing to do that yet.”

Bloomberg undoubtedly made the remarks shown in that video. Although the 40-second clip was cut from longer footage, it was not doctored or further edited. Likewise, the video did not present the remarks in their full and proper context, but that did not serve to substantially alter or misrepresent the sense or meaning of what Bloomberg said. He did indeed propose that, in light of rising health care costs and hospital overcrowding in New York, health care providers should not attempt to treat elderly patients with terminal cancer, instead prioritizing younger patients with better prospects of recovery. 

Analysis

The conversation shown in the video took place in February 2011. Bloomberg was “sitting shiva” (a Jewish mourning ritual) with the family of Rabbi Moshe Segal, a Brooklyn man who, according to his family, spent 73 hours in a New York emergency room before his death. Shimon Gifter, a Brooklyn photographer, recorded more than nine minutes of Bloomberg’s visit and posted it to his YouTube channel. 

The full conversation can be viewed below. In the interest of providing as much context as possible, the following is an unedited transcript of the section of the discussion during which Bloomberg made his comments about treating elderly cancer patients. The first few seconds shows Bloomberg entering the room, greeting and shaking hands with Segal’s family members, some of whom thank him for his visit. Bloomberg, who was mayor of New York City at that time, sits and observes that the deceased was “young.” A brother of Segal replies “Very young,” then quickly segues into a conversation about health care:

Segal’s brother: …I apologize for bringing up conditions in New York City during this [visit], but in light of my brother’s death, I must tell you that we have, I know you know this, but from personal experience the overcrowding in the emergency rooms is insane. He was there for 73 hours [inaudible] —

Bloomberg: It’s going to get worse with the health care bill [the Affordable Care Act] and with the governor’s cutbacks, because the governor’s cutbacks — which, he may not have any choice in all fairness to the governor — but there’d be less money, some of these small hospitals will close, some of these other programs, and people will come to the HHC [New York Health and Hospitals Corporation] hospitals, and that’s —

Segal’s brother: — They’ll be there for days, [inaudible].

Bloomberg: Well, they try to decide what things they can fix right away and what things they can’t fix right away. If you’re bleeding, they’ll stop the bleeding, if you need an X-Ray, you’re going to have to wait. That’s just — all of these costs keep going up, nobody wants to pay any more money, and at the rate we’re going, health care is going to bankrupt us. So not only do we have a problem, it’s going to bankrupt us, and we’ve got to sit here and say which things we’re going to do and which things we’re not. Nobody wants to do that. If you show up with prostate cancer and you’re 95 years old, we should say, ‘Go and enjoy, have a nice [inaudible], lead a long life.’ There’s no cure and you can’t do anything. If you’re a young person, we should do something about it. Society’s not willing to do that yet. So we’re going to bankrupt us, and we’re not looking at prophylactic care. We’re not trying to take care of things so we don’t get sick. Nobody ever says thank you for keeping you from getting sick, they say thank you if you’re sick and we cure you […].

We invited Bloomberg’s presidential campaign to provide any context, background or additional information that might impinge upon a viewer’s understanding of his remarks. We also asked the campaign whether Bloomberg stood by what he said. We did not receive a response of any kind in time for publication.

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Your child’s mental health is more important than grades

1. “Children represent the future, encourage, support and guide them.” Catherine Pulsifer

2. “My children have always been great inspiration for me, and great teachers, and keep me very close to the ground and very humble.” Wayne Dyer, In Spirit

3. As a parent, you must increase socialization skills in your children so that they will feel motivated enough to mingle with others. Marvin Ryan, Self Esteem

4. I believe adults and parents who do not get involved in children’s lives effectively forfeit any right to attempt to influence their lives.

5. It is easier to build strong children than to repair broken men. Frederick Douglass

6. Kids are kids the world around. No matter what, if you give them a soccer ball, a deck of cards, or anything, and if you close your eyes, you would never know where you were from the sound of it. It’s just incredible to hear them laughing. I know that what I’m getting is far more than anything I possibly can give them. Fay Deavignon
Motivational Poems |

7. “Indeed, the world children are being born into now is in many ways enormously different from the era in which we were raising our children.” Myla and Jon Kabat-Zinn,

8. Often mothers and fathers hesitate to be too involved, not wanting to be seen as clamoring or insistent – as stereotypical sports parents. It is a difficult thing to balance: coaches may know a sport, but they are rarely the best judges of what is best for a child. Michael Sokolove, Warrior Girls

9. The most valuable gift that you can give your children is not money; it is the ability to think positively. The money will soon be gone, but the ability to think positively will go on to help your children be a success throughout their lives. Mary Kay

10. “Parents with their words, attitudes, and actions possess the ability to bless or curse the identities of their children.” Craig Hill,

11. “I understood once I held a baby in my arms, why some people… keep having them.”

12. “And, most importantly, I know that we need to directly teach our children the most vital lessons, rather than assume that they’ll be understood.” Galit Breen, Kindness Wins
Kindness |

13. We are children of a large family, and must learn, as such children do, not to expect that our little hurts will be made much of – to be content with little nurture and caressing, and help each other the more. George Eliot
Quote of the Day |

14. “In the best of all possible worlds, parents and guardians love their children, unconditionally. They accept their children with all their imperfections, flaws, quirks and challenges, because real love never has to be earned; it’s given freely by those who are able to love.” Marcia Sirota, Be Kind, Not Nice

The post Your child’s mental health is more important than grades appeared first on Wake Up Your Mind.

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Nicole ‘The Lip Doctor’ Bell redefining cosmetic dentistry

Long Island native Dr. Nicole Bell, also known as “The Lip Doctor,” has risen to success as a result of fusing dentistry and advanced esthetics.

After graduating from Baldwin Senior High School, Bell attended Manhattan College in Riverdale, New York, on a full academic scholarship. Her dental career began with studies at Meharry Medical College in Nashville, Tennessee, where she earned a doctor of dental surgery degree in 2001.

Currently, Bell shares two locations — in Long Island’s Freeport village and in downtown Brooklyn — where she is certified to treat with lasers and performs most procedures without the use of a drill or anesthetic. 

Rolling out had the opportunity to speak with Bell about her passion for cosmetic dentistry, what differentiates her practices, and her advice for entrepreneurs in the medical field.

When did you realize that you wanted to be a doctor?

When I was 5 years old I won a science fair, and after the competition, I was asked what I wanted to be when I grow up. I said, “I want to be a doctor.” Having my parents segue and guide me along the way made me feel like there was nothing to prevent me from becoming a doctor. The word doctor just stuck with me, and I continued to move forward. Medicine was intriguing but, more specifically, dentistry became appealing to me in college. I was heavily influenced by the dean of my dental school who is now the president of the dental school at Meharry Medical College.

Click continue to read more.

God, Fam, Biz, and Good Vibes. Writing about the things and people who matter that are making an impact in our community. Content Producer / Editor, entrepreneur and former Fortune 500 Sales and Marketing Executive.

This content was originally published here.

Guy Sets Up Dog Walking Group To Get Men Out In The Fresh Air And Talk About Mental Health

Rob Osman from Bristol, England, has had it pretty rough. The 38-year-old has battled with anxiety and depression for most of his life, and at one point was reduced to living in his sister’s windowless basement smoking far too much weed to care. Eventually, however, Rob found a way out of the rut.

Many things have helped him to get better, including the pursuit of a psychology and counseling degree at a local university. But the best remedy was walking his Hungarian Vizsla, Mali. As they were strolling outside, Rob felt his body relax and the tension melting away.

Realizing the huge healing power of this simple everyday activity, he set up a group called Dudes & Dogs. It’s a mental wellness community that encourages men to get out in the fresh air for a walk and talk about their feelings.

Image credits: dudes_anddogs

“Talking helps. It really does,” Osman wrote on the group’s website. “It’s helped me no end, but sometimes as men, we aren’t the best at it. Well Dudes & Dogs wants to change that for the next generation. There is no doubt things are changing. We want to be a part of that. By simply getting outside, talking things through, we can start to change our mood.”

Image credits: dudes_anddogs

It all started during one of those wet, windy, and cold days that the UK is so notorious for. There was no way in hell Rob wanted to go out, especially not the way he was feeling.

But there was the dog. She didn’t care that her owner felt like crap. She didn’t care that the weather was rubbish, she just wanted to get out and play. “It’s been the best therapy I’ve ever had,” Rob said.

Image credits: dudes_anddogs

Pretty soon Osman started inviting friends on walks with Mali. Some days they would chat but often they simply hang out. But most importantly, discovered that his friends were also benefiting from the dog and fresh. This got the man thinking if he could expand this model to more people. More men.

Image credits: dudes_anddogs

They are very resistant to seeking mental health treatment. According to a study by Priori, 40% of men won’t talk to anyone about their mental health. Dogs, however, seem to ease them into having these conversations.

“They need someone to listen,” Osman told TODAY. “The idea of using a dog gives people an hour away from the family and gets them out. Dogs are like four-legged antidepressants. When people are around them they drop their defenses. They play with the dog.”

Image credits: dudes_anddogs

To learn more about the program watch the video below

Image credits:

Image credits: jamesbeckphotography

If you want to support Dudes & Dogs, check out their crowdfunding campaign

Image credits: dudes_anddogs

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Image credits: Rob Osman

Image credits: Rob Osman

Image credits: Rob Osman

Image credits: Rob Osman

Here’s what some of the guys who went on a walk with Rob had to say about it

This content was originally published here.

Orthodontist, dentist practices told to shut down offices

TROY – Cooney Orthodontics, one of the region’s larger practices, is closing its two offices for 11 days except for emergency cases per recommendations from the the American Dental Association, the American Association of Orthodontics and the New York State Dental Association Board of Trustees.

Other practices have announced the same, such as The Smile Lodge pediatric dentistry office in Clifton Park, which serves children from the Mohawk Valley, Capital Region and Adirondacks.

“At this point, taken together with Governor Cuomo’s announcement closing additional businesses, we have decided for the safety of our patients and staff to temporarily close both our Troy and Ballston Lake offices starting Tuesday March 17th through Friday March 27th,” Cooney wrote. “If you have an appointment scheduled during this time, we will be reaching out to reschedule shortly,” the practice said in an email to patients.

This content was originally published here.

Person dies from coronavirus in Washington state, first in the US, health officials say

President Trump makes remarks in the White House press briefing room on the coronavirus.

Health officials in Washington confirmed Saturday that one person has died from coronavirus, marking the first disease-related death in the U.S.

Seattle and King County Public Health officials issued a vague media advisory announcing the first COVID-19 death in the U.S., adding that there was an undisclosed number of new cases, as well.

News of the death comes on the heels of three new cases in California, Oregon and Washington in which the patients were infected by unknown means. They had not recently traveled overseas or had come into contact with anyone who had.

President Trump said during a press conference Saturday that 22 people in the U.S. have been stricken by the new coronavirus and that additional cases are “likely.”

“Unfortunately, one person passed away overnight,” Trump said, referring to a patient in Washington state in their 50s who was “medically high-risk.”

“Four others are very ill,” Trump said. “Thankfully 15 are either recovered fully or they’re well on their way to recovery. And in all cases, they’ve been let go in their home.”

He said: “Additional cases in the United States are likely. But healthy individuals should be able to fully recover.”

The number of COVID-19 cases in the United States is considered small. Worldwide, the number of people sickened by the virus hovered Friday around 83,000, and there were more than 2,800 deaths, most of them in China.

The new COVID-19 cases of unknown origins mark an escalation of the worldwide outbreak in the U.S. because it means the virus could spread beyond the reach of preventative measures such as quarantines, though state health officials said that was inevitable and that the risk of widespread transmission remains low.

As new cases have popped up in the United States, COVID-19 has become a polarizing point of contention between Democrats and the White House.

At a rally in South Carolina Friday night, Trump accused his Democratic critics of “politicizing” the coronavirus outbreak and dismissed the criticism about his handling of the virus as “their new hoax” and insisted “we are totally prepared.”

Fox News’ Marisa Schultz contributed to this report.

This content was originally published here.

Whistle-Blower Reports on U.S. Health Workers Response to Coronavirus Outbreak – The New York Times

The levels of protection varied even while he was at Miramar, he said. Standards were more lax at first, but once people arrived who appeared to be sick, workers began donning personal protective equipment. He is now back at work, and has yet to be tested for coronavirus exposure.

In the complaint, the whistle-blower painted a grim portrait of agency staff members who found themselves on the front lines of a frantic federal effort to confront the coronavirus in the United States without any preparation or training, and whose own health concerns were dismissed by senior administration officials as detrimental to staff “morale.” They were “admonished,” the complaint said, and “accused of not being team players,” and had their “mental health and emotional stability questioned.”

March Air Reserve Base in Riverside, Calif., housed 195 people evacuated from Wuhan, China, for 14 days beginning in late January, while Travis in Northern California has housed a number of quarantined people in recent weeks, including some of the approximately 400 Americans on the Diamond Princess cruise ship that had docked in Japan.

The staff members, who had some experience with emergency management coordination, were woefully underprepared for the mission they were given, according to the whistle-blower.

“They were not properly trained or equipped to operate in a public health emergency situation,” the official wrote. “They were potentially exposed to coronavirus; appropriate measures were not taken to protect the staff from potential infection; and appropriate steps were not taken to quarantine, monitor or test them during their deployment and upon their return home.”

Some of the staff raised concerns with top officials with the agency, but saw no changes. The whistle-blower said they complained to Charles Keckler, an associate deputy secretary at Health and Human Services, in an email on Feb. 10. After the email, the complaint said, top officials, including Lynn Johnson, the assistant secretary for the Administration for Children and Families, “admitted that they did not understand their mission,” and that her agency “broke protocols” because of the “unprecedented crisis” and an “‘all hands on deck’ call to action” by Dr. Robert Kadlec, the top official for public health emergencies and disasters.

Since learning of the whistle-blower’s concerns last Wednesday, Mr. Gomez’s office and officials with the Ways and Means Committee have repeatedly pressed the Centers for Disease Control and Prevention for details. The whistle-blower has also notified the C.D.C. and the health agency inspector general about the concerns.

Representative Richard E. Neal, Democrat of Massachusetts and chairman of the Ways and Means Committee, said the complaint appeared to be part of a pattern of ineptitude and mistrust of civil servants by the Trump administration.

“The president has spent years assaulting our health care system, draining resources from key health programs, and showing utter disdain for career federal employees who are the backbone of our government,” Mr. Neal said in a statement provided to The Times. “It’s sadly no surprise we’re seeing this degree of ineptitude during a terrible crisis.”

This content was originally published here.

America is about to get a godawful lesson in why health care should never be a for-profit business

For four decades, American corporations have been caught up in a whole series of refinements that are intended to improve efficiency and productivity. Our processes are lean. Our efficiency is six-sigma. Our productivity has mysteriously run far ahead of employee compensation in a way that has made CEOs billionaires while leaving workers on food stamps.

It’s a system that maximizes profit. But it’s also a system that assumes that everything can be stripped to the bare bones; that business can make do with minimal staffing, minimal supplies, minimal alternatives. Nothing is there that makes the system in the least unprofitable. The system stands like a house of glass, waiting for something to challenge its fragility.

And in the United States, health care is just that kind of system.

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Like every other system in America, we now have a super-lean, infinite-sigma healthcare system, absolutely dependent on every cog remaining in place. It’s one in which there are fewer than a million hospital beds for the entire nation; one in which many, many rural counties have no hospital at all. Because that’s the most profitable way of running the system, and that’s what happens when health care is subjected to the winnowing of the marketplace—just barely enough health care, at the highest possible prices people will tolerate without demanding a change.

It’s exactly where a nation does not want to be when encountering a health crisis. And it’s why America is, unfortunately, about to get a lesson in why there is much more to a national health system than whether you pay for it in taxes or with checks to an insurance company.

In the 1960s, astronauts used to joke about flying on a giant rocket built by a collection of contractors who submitted the lowest bids. But NASA had a safety culture then, and now, that demanded each of those components be tested and retested until its function was as near certain as possible. A spacecraft is the opposite of “lean,” with a backup, and a backup, and a backup to the backup’s backup at every possible point—and a massive staff of very smart people standing by to get creative if Murphy scores a perfect strike.

None of this is true for our healthcare system. Failure very much is an option at every clinic and hospital in America. A certain level of failure is even assumed. Building a system with redundancies and experts who were not always pushed to their absolute limits would cost more. Every intern, doctor, and nurse (especially nurse) who you ever met was overworked, because running the system on the ragged edge of failure is exactly the sweet spot. Or at least it is as far as corporations whose goal is to milk every penny from the process are concerned. In the average hospital visit, there are more people involved in billing you than in treating you.

This thinking isn’t just pervasive and accepted—it’s also actively considered a very good thing. During his press event on Wednesday afternoon, before fumbling the hot coronavirus potato into the waiting hands of Mike “Smoking is good for you” Pence, Donald Trump defended the cuts he had made to the CDC and the experts on pandemics he had dropped from the National Security Council and the epidemiologists he had flushed from his planning team. He didn’t want those people sitting around when they weren’t needed, said Trump. Besides, he claimed, you could always go and get them when they were needed. Because somewhere, somehow, there is a system that keeps vital specialists waiting in hermetically sealed containers, fresh, ready, and informed to meet the nation’s needs.

That is, it goes without saying, bullshit. But let me say it again. Bullshit. The value of an expert brought in to repair a system after disaster strikes is so much less than the value of having that person on hand to plan that the old ounce of prevention being greater than pound of cure formula doesn’t begin to cover it. You cannot decide to hire some pilots after the plane has crashed.

The thing about extraordinary events is that they’re extraordinary. Planning for them will never improve profits. It will only save lives.

By treating health care like a business, Americans have already seen one of the first people who dared ask to be tested for COVID-19 get handed a bill for thousands of dollars, the primary result of which will be to dissuade other Americans from asking to be tested. Which is, right there, exactly the result that is best for insurance companies—and worst for the nation.

It’s an absolute certainty that Americans will hide their sniffles, drown their symptoms in over-the-counter drugs, and try to “tough it out” because they can’t afford health care. Besides, they have no paid sick leave, no paid child care, and no guarantee that missing a day’s work won’t mean being cast to the curb. All that “socialist” crap.

And because our whole system runs so excellently lean, American hospitals are already seeing shortages of everything from gowns to masks to painkillers, because the single-source, lowest-price vendor of those items happens to be in an area that’s already been overrun with the coronavirus. Not only have those factories on the far side of the planet been sitting idle for weeks, but what production has been available has been needed close to home. 

Right now in Hubei province, Chinese healthcare workers are staggering around in exhaustion. Or, as American hospital workers call it, Thursday. Our understaffed, undersupplied, overworked facilities spend every day running at their limits. That’s what is considered normal.

The concern about dollars over people is so accepted that on Thursday the White House announced two new members of the Coronavirus Task Force—Treasury Secretary Steven Mnuchin and National Economic Council chief Larry Kudlow. Though to be fair, it’s not as if they completely lack expertise. Kudlow does have long familiarity with taking nasally administered drugs from rolled $100 bills. So there’s that. And if in this version of The Stand the role of the Rat Man is to be played by Mnuchin … no one can say that this is not good casting.

Disaster is far from certain. Local and state officials can still take measures that will slow the impact of COVID. And antiviral medicines may prove effective, or maybe a vaccine will come along more quickly than expected— though, should either happen, you can assume there will be a line of Pharma Bros on hand to buy the companies involved and raise the prices to eye-watering levels. After all, holding people’s lives hostage is exactly what our healthcare system is all about.

COVID-19 is going to swing a big hammer at the glass house of American health care. All anyone can do is hope they don’t get cut in the process.

And then vote to change the damn system.

This content was originally published here.

Visiting an Orthodontist – Women Fitness Magazine

The Benefits of Visiting an Orthodontist
The Benefits of Visiting an Orthodontist

The Benefits of Visiting an Orthodontist : When we know that something is going wrong with our teeth, a toothache or sensitivity perhaps, we generally think about making an appointment to see a dentist. However, what about when you have a dissatisfaction with your smile?

If you have always been unhappy about the state of your teeth or you just want to see an improvement in your smile, then what you need to do is visit an orthodontist. You may be interested to know that your orthodontist in Stockport can offer various non-surgical treatments that your dentist can’t. Read on to find out what services your orthodontist can provide:

What does an Orthodontist do?

An orthodontist is a qualified dentist who has undertaken years of study to become a specialist. He or she can help adults and children alike with common dental problems using a variety of non-surgical procedures and corrective appliances. These include aligners such as Invisalign or metal braces to correct crooked teeth, but this is just one of the issues an orthodontist can help with.

An orthodontist can diagnose a problem which may not have occurred to the patient, but which has been causing significant difficulties in eating and smiling and could even have been causing pain. These can include:

An incorrect jaw position or jaw joint disorder such as temporomandibular disorder, or night-time teeth grinding can also be diagnosed and treated.

Other services which an orthodontist can provide include:

Why visit an Orthodontist?

Too many people are inclined to simply put up with dental problems, particularly where there are cosmetic anomalies rather than having things fixed. The problem is that if things are not treated, they can go on to become much worse over time.

For example, where the teeth are overcrowded or overlapping, they can be difficult to clean properly. Eventually, this could lead to tooth decay and even gum disease. A gap in the teeth, which is called a diastema, can become larger over time and this can have the effect of pushing adjoining teeth out of position. An orthodontist can correct this by pulling the teeth back together essentially filling in the gap.

Problems with the teeth generally start in childhood and having misaligned teeth, or too many teeth, in childhood can be especially problematic for the child as they grow. Early visits to an orthodontist are advisable where braces will usually be recommended and fitted to precisely correct the child’s problem teeth.

Gum Disease

Dentists will always advise on how to prevent gum disease and will tell you that the best way is to practice correct oral hygiene through regular brushing and flossing of the teeth, and using the correct type of toothbrush and toothpaste. Unfortunately, gum disease is still a problem which if left untreated can have far-reaching effects.

Gum disease begins with plaque, which if not properly removed turns into tartar. This build-up can cause the gums to become sore and inflamed. Tartar is very difficult to remove and can only be removed professionally by your dentist or orthodontist.

When teeth are misaligned or overcrowded, there is a greater likelihood of developing gum disease through an inability to clean them properly, but if your teeth are correctly aligned and spaced this likelihood reduces. Corrective orthodontic treatment, along with advice on correct brushing and flossing techniques, will ensure good oral health as well as a healthy smile you can be proud of.

Related Videos about the Benefits of Visiting an Orthodontist :

Why should you care about orthodontics?

The benefits of Orthodontics and Straight Teeth In Children and Adults – Winnipeg Dentist

HOW BRACES WORK

Why orthodontics matters

Why Visit an Orthodontist?

Reasons For Orthodontic Treatment

The Benefits of Visiting an Orthodontist

orthodontist appointment stages, how long after your first orthodontist appointment do you get braces, orthodontist consultation fee, orthodontist vs dentist, what happens at your second orthodontist appointment, orthodontist consultation questions, orthodontist meaning,


This content was originally published here.

International Women’s Day: A Celebration of Women in Dentistry

Times have certainly changed since 1898, when Emma Gaudreau Casgrain became the first woman licensed to be a dentist in Canada. Today women are a growing force in the dental industry within Canada and beyond. According to the Canadian Institute for Health Information, the number of women dentists in Canada rose from 16 percent in 1991 to 28 percent in 2001. By 2011, the proportion had grown to 29.5.

International Women’s Day is the ideal time to take a closer look at the role of women in the field of dentistry.

More Women Are Graduating With Dentistry Degrees

The number of women practicing dentistry in Canada should continue growing with women graduating with dentistry degrees than men. For example, in 2016, 34 women graduated from the University of British Columbia’s (UBC) dentistry schools for every 24 males. Many dentists estimate roughly half of their graduating class members were women.

Dr. Alison Fransen, a general dentist at Wesbrook Village Dental Centre who graduated from UBC in 1997, said she had a “great experience in dental school,” which gave her “lots to learn.”

Dr. Wise Tang, a general dentist at Burnaby’s Mega Dental Group, added her experience of going through dentistry school and finding employment was “Challenging, but very rewarding.”

Dr. Julia McKay and Dr. Carlos Quiñonez, in their article “The Feminization of Dentistry: Implications for the Profession” published in the Journal of the Canadian Dental Association, stated female dental students bring something different to the classroom than their male peers. Female students are more emotionally sensitive and expressive, qualities which help them socialize with other students and respond to the patients they see during internships and hands-on course components.

Women in Dentistry Have Prominent Female Figures to Inspire Them

More Women Are Graduating With Dentistry DegreesIn her 2006 Psychology of Women Quarterly article “Someone like me can be successful: Do college students need same-gender role models?,” Penelope Lockwood explained female students are significantly more influenced by a role model’s gender than male students.

Female students, she wrote, feel much more motivated when reading about a successful woman in their field than a successful man. When citing career role models, female students also tended to identify women they look up to, largely because they felt they may face similar industry challenges to the women that inspired them. It’s significant that as more women excel in dentistry, more women are inspired to follow in their footsteps.

Burnaby dentist Dr. Wise Tang says Dr. Karen Burgess, who she observed practice during her volunteer program, is one of her greatest inspirations. Dr. Burgess is a trailblazing oral pathologist who works closely with Dr. Jonathan Irish diagnosing and treating mouth cancers at Princess Margaret’s Dental Oncology, Ocular, and Maxillofacial Prosthetics Clinic. This clinic is the busiest of its kind in Canada, seeing 14,000 patients every year.

Vancouver dentist Dr. Alison Fransen still considers Dr. Marcia Boyd, the dean while Dr. Fransen studied at UBC Dentistry, one of her greatest career role models. An Order of Canada recipient, Dr. Boyd was the first Canadian woman to serve as the president of the American College of Dentists. She also led a task force on the future of organized dentistry in British Columbia for the province’s College of Dental Surgeons and was an organizer and speaker for the American Dental Education Association’s International Women’s Leadership Conference.

Female Dentists Are Providing a Different Experience for Patients

Female Dentists Tend to Work DifferentlyFor centuries, a trip to the dentist has been perceived as something to fear. However, as more women enter the field, that perception is slowly changing, according to McKay and Quiñonez. While most female dentists don’t think their professional experiences are any different from those of their male counterparts, studies show female dentists bring different traits and practices to their clinics.

Female dentists are said to be more empathetic and better able to communicate with their patients. They seem to be less rushed and willing to discuss their patients’ ailments and concerns in a more caring, humane way than male dentists. Just 8 percent of female dentists expect their patients to experience pain in the chair compared to 46 percent of male dentists. This suggests female dentists will often take greater care to reduce the pain their patients experience than male dentists.

Female Dentists Tend to Work Differently

Once dental practices were male-dominated spaces, but today female representation is at an all time high. In fact, one-third of the dentists at 123 Dentists are women. Female dentists can also bring a different kind of decision-making to any practice, according to self-reported research cited by McKay and Quiñonez. Men replied in a survey that they usually base their decisions on objectivity, logic, and consistency, while the women reported being more motivated by how they feel. Their personal values, sympathies, and desire to maintain harmony and tact are important factors in patient care.

Female Dentists Tend to Work DifferentlyThe personal qualities women typically possess see them spearheading unique dental programs like Ontario’s Project Restoring Smiles. The women behind this initiative provide free dental procedures to survivors of domestic violence who are self-conscious about what their abuse has done to their smiles. These dentists provides extensive procedures costing thousands, including orthodontics, bleaching, crowns and bridges, root canals, extractions, dental implants, and surgical facial reconstruction free of charge.

“Our vision is to restore confidence in women who have survived domestic violence by addressing the physical effects of abuse,” Dr. Tina Meisami explained in a statement cited by women’s blog SheKnows. “Restoring a woman’s smile has an incredibly powerful impact on her overall physical and mental health.”

Since launching in 2011, Project Restoring Smiles has treated more than 45 patients to more than $200,000 worth of complimentary dental services.

The different character traits female dentists exhibit, as seen in the team from Project Restoring Smiles, translate into the different approaches McKay and Quiñonez saw female and male dentists taking in clinical practice. They noted male dentists tend to use gloves, masks, and protective eyewear less frequently than female dentists, who reported being more concerned with infection control. Women also typically favour preventative measures, while male dentists are more likely to advocate significant restoration. The willingness that these women have to head off problems before they arise could have a significant impact on their patients and the entire dental industry, in fact.

Female dentists are also more likely to refer the patients to specialists rather than attempting to resolve patient problems themselves. McKay and Quiñonez stated 70.3 percent of female dentists have referred simple and complex surgical cases to specialists compared to just 49.5 percent of male dentists.

Female Dentists Come From Diverse Backgrounds

Female Dentists Come From Diverse BackgroundsVarious scientific studies acknowledge that diversity in any industry makes professionals more creative, more diligent, and more hard-working.

For that reason, the large number of female dental professionals that come from nations outside of North America is also notable.

Burnaby dentist Dr. Wise Tang hails from Hong Kong and offers her services in English, Mandarin, and Cantonese, and is the owner of two 123Dentist offices.

Dr. Roshanak Rahmanian received her Doctor of Dental Surgery in Iran before completing a two-year qualifying program at the University of Toronto to practice in Canada.

Today she works as a general dentist at the Lonsdale Dental Centre in North Vancouver.

Representation of Women in Dentistry Goes Beyond Dentists

Representation of Women in Dentistry Goes Beyond DentistsWhen assessing the impact of women in dentistry, it makes sense to analyze the number of practicing dentists. However, this doesn’t tell the entire story. Approximately 98 percent of Canada’s dental hygienists are women, along with 95 percent of its dental assistants. Both these roles feature in the top five female-dominated professions in Canada.

Women are also taking a growing role in leading dental practices. For example, 28 percent of 123Dentist clinic owners are women. Anecdotal evidence also suggests more women are specializing in dentistry.

While general dentistry remains popular, many female dentists say they see more of their peers pursuing roles in specialties like oral surgery and endodontics. Women like these continue to make strides in dental specialties and assert themselves in exciting new dental fields.

Dentistry Is Growing to Reflect What Women Want

Women in dentistry typically demand different things than their male colleagues. They often want time off to raise children and usually retire earlier. In his article “The 5 Most Dangerous Trends Facing Dentists and Their Families Today,” Evan Carmichael noted that male dentists typically work for 35 years, while female dentists usually work for 20 years in the profession. This statistic is bound to change since the ratio of women to men in the industry is continually changing, and will be interesting to observe over the coming decades.

Dentistry Is Growing to Reflect What Female Dentists WantAs more women take roles in dentistry, we are seeing dental practices create more flexible working environments that reflect the needs of women. The current crop of dentists encourages those of the future to continue striving for the working conditions and work-life balance they need to achieve success.

We surveyed a number of female dentists and below are some of their comments and advice for women considering becoming dentists.

“My advice for future women dentists would be to know yourself and how to manage the stress of being a perfectionist, which can be in the nature of those personalities that go into dentistry,” one respondent said. “It can be overwhelming to own a practice, and be a ‘perfect’ clinical dentist, ‘perfect’ employer, ‘perfect’ colleague, lifelong learner and ‘perfect’ mother and still juggle everything with the impossible standards we set for ourselves. We wear many hats.”

“Having a dental career while being a mom is tough,” another respondent said. “One should strive to balance her career and family life, but the drive is the influence one can give to each and every patient and it’s priceless.”

While juggling the demands of dentistry with home life can be challenging, our dentists are showing they can do it all with ease, all while bringing new elements and approaches to an established industry. Although this was once a male-dominated field, women and their successes have now become integral to dentistry in Canada and beyond.

So with all of that said, we’d like to wish you all a happy International Women’s Day!

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This content was originally published here.

Philippines declares state of public health emergency due to coronavirus | ABS-CBN News

Commuters mostly wearing face masks cross at a busy street in Mandaluyong on February 5, 2020. George Calvelo, ABS-CBN News

MANILA (UPDATE) – President Rodrigo Duterte has placed the Philippines under a state of public health emergency to arrest the spread of novel coronavirus infections after authorities confirmed local transmissions of the disease.

Over the weekend, health authorities confirmed 7 cases of COVID-19, bringing the total to 10. Duterte’s order came nearly 3 weeks after the Department of Health suggested declaring a public health emergency when the first cases emerged.

“The outbreak of COVID-19 constitutes an emergency that threatens national security which requires a whole-of-government response…” Duterte said in Proclamation No. 922 signed on Sunday.

“The declaration of a State of Public Health Emergency would capacitate government agencies and LGUs to immediately act to prevent loss of life, utilize appropriate resources to implement urgent and critical measures to contain or prevent the spread of COVID-19, mitigate its effects and impact to the community, and prevent serious disruption of the functioning of the government and the community,” he said.

READ: President Duterte issues Proclamation No. 922 declaring a state of public health emergency in the Philippines @ABSCBNNews pic.twitter.com/DPD5E5sME9

— Arianne Merez (@arianne_merez)

The declaration shall remain in effect until the President lifts or withdraws it.

With Duterte’s proclamation, all government agencies and local government units are urged to mobilize the necessary resources to “eliminate the COVID-19 threat.”

The health chief is also given authority to call upon the Philippine National Police and other law enforcement agencies for assistance in addressing the threat of the virus.

Health Secretary Francisco Duque III on Monday said the President’s proclamation paves the way for easier procurement of medical supplies needed to contain the virus as well as access to sufficient funding for agencies, including local government units, for proper response to the disease outbreak.

Duque added that the proclamation gives the government powers for mandatory quarantine of patients and requires health authorities to provide updates on issues concerning the disease outbreak.

Presidential Spokesman Salvador Panelo on Sunday said Duterte’s move came “after considering all critical factors with the aim of safeguarding the health of the Filipino public.” 

Over the weekend, the health department raised the country’s alert system to Code Red, Sub-level 1 because of the virus, which was meant to serve as a “preemptive call” for authorities and health workers to “prepare for possible increase in suspected and confirmed cases.” 

COVID-19 has killed 3,792 people while infecting more than 109,000 in 95 countries worldwide.

-with a report from Agence-France Presse

This content was originally published here.

Psychiatrist Prescribes Disney Trips As Mental Health Treatment

Mental Health has become more serious and frequently discussed in recent years. People are taking it more seriously to work out things going on inside their minds and find peace within situations that occur in our lives. While our society is more aware of the benefits of positive mental health, they are seeking help. There is no shame in that! Taking care of your personal health is important. So if you are thinking about seeing a Doctor and getting help, do it. Get the help you need. You may even get a Disney trip prescribed! In fact, one Psychiatric is even prescribing trips to Disney World or Disneyland! That is a treatment plan I fully support.

These new treatment plans have been used by Dr. Sanders at Psychiatry Today, who has been prescribing patients week-long getaways to Disney Resorts as part of his treatment plans. His approach is based on “humans exposed to environments encompassing the patient with positivity and experiences that are enriching have changed the outlook for the patients.” I can see why he believes the positive atmosphere manufactured by Disney would help people gain joy and be uplifting while dealing with a hard time. They are the World’s Happiest and most Magical place for a reason. While this is just part of his treatment plan We will leave the treatment plans and real work to the professionals.

We have discussed why it’s important for Adult Only Disney trips and we even listed the stress-free, positive environment. See, we were on to something! So if you need a trip to unwind, have some pixie dust sprinkled in your life, it looks like Disney is the way to go. Doctors orders. Even if it is just Doctor Who.

Is Disney your happy place? My name is Jamie Porter and Disney World has been my happy place for many years! My family and I have been AP for 8 years, and lucky enough to live here in Central Florida. I helped many friends and family plan their travel I became a Travel Agent with Amazing Magical Adventures. I have been a TA for 6 years and love it. If you have any questions or would like a FREE quote, feel free to follow me on Facebook @JamiePorterSellsTravel or email JamiePorter@AmazingMagicalAdventures.com

The post Psychiatrist Prescribes Disney Trips As Mental Health Treatment appeared first on Disney Addicts.

This content was originally published here.

Behind the Scenes at Our Invisalign® Treatment Consultation – Happy Mothering

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This post was sponsored by the Invisalign® brand and all opinions expressed in my post are my own.

A couple of months ago, we were presented with the opportunity to partner with the Invisalign® brand for complimentary treatment for our daughters. Our girls are 9 and 11, so they’re right at the age where we are exploring different options for orthodontic treatment. We knew Zoë definitely needed to have her overbite corrected and Kaylee has expressed interest in having her teeth straightened, so they were both pretty excited to go see the orthodontist.

We were worried about braces since snowboarding is such a huge part of the girls’ lives. I can’t imagine how painful it would be to smack your face with braces. So the idea of Invisalign treatment over traditional braces was definitely appealing to all of us.

To find out if they qualified for treatment, we scheduled an initial consultation for both girls! Brian even created a really great video of our entire visit so you can actually experience the initial consultation first hand. After watching the video, you can read more details about our experience under the video.

What is Invisalign Treatment?

If you’re not familiar with Invisalign treatment, it’s an alternative to traditional braces. It’s actually considered the most advanced aligner system in the world! Unlike braces, Invisalign treatment is a convenient system for straightening teeth that allows you to remove the nearly clear aligners to enjoy the foods you love and maintain good oral hygiene.

How it works is that you get a series of clear aligners made that will slowly straighten your teeth by shifting them just a little bit at a time. The material the aligners are made from has been shown to straighten teeth more predictably than any other clear aligners*, so that’s something to keep in mind when you’re considering your options. I was surprised to learn that Invisalign clear aligners are able to move teeth horizontally, vertically, and can even rotate them if necessary. I always assumed, incorrectly, that they were only for minor corrections.

* Compared to off-the-shelf, single layer .030in material

Since they’ve been on the market for over 20 years now, they’ve had a lot of experience helping people with everything from simple to complex orthodontic cases. So far, more than 6 million people have gone through Invisalign treatment**.

** Data on file at Align Technology as of October 29, 2018

Since our daughters snowboard and are very active, we were much more interested in Invisalign clear aligners than traditional braces.

In case you’re curious, the cost of Invisalign treatment is often comparable to braces and many dental insurance plans cover Invisalign aligners just as they would any other orthodontic treatment, so check with your provider.

Our Initial Consultation

Our initial consultation was with Hoff Orthodontics, which is a local Invisalign-trained orthodontic practice.

When we first walked in, we were greeted and checked in. Then we were given a tour of the office.

After the tour, it was straight over to imaging for both girls. They took pictures of their face, all of their teeth and their bite.

Then did a 3D scan of their heads so we could see everything that is going on.

We then headed back over to the Dr. Hoff’s office where he could examine the girls’ mouths and talk about the imaging with us. We discussed Kaylee first since she’s younger.

Kaylee Still Has a Lot of Baby Teeth

Right now, Kaylee isn’t quite ready for Invisalign clear aligners because she still has too many baby teeth, as you can see in the 3D image of her head. We did learn, however, that she needed to have a special retainer made to hold space in her mouth for her adult teeth to come in properly.

We’ll reevaluate whether she’s a good candidate for Invisalign treatment again when she has lost her baby teeth.

Zoë is Ready for Invisalign Treatment

After we finished up talking about Kaylee, it was time to talk about Zoë. She just turned 11, but she only has one baby tooth left. We knew she had an overbite, but we didn’t realize she had other things in her mouth that needed to be corrected like a cross-bite.

Dr. Hoff explained, in detail, the issues with Zoë’s teeth, then concluded that she would be a good candidate for Invisalign treatment. He expects her treatment to take up to two years to complete.

He explained the advantages of Invisalign treatment over traditional braces to us (you can watch his full talk in the video above). Some of the points he made were that eating food is easier since braces aren’t in the way and maintaining good oral hygiene is easier since you’re not trying to brush around brackets. You simply remove your aligners in order to eat, brush, and floss as you normally would.

We live in the mountains and have to drive over an hour each way to the orthodontist. That’s no big deal, we’re used to it, but with traditional braces, there are emergencies that need to be addressed. A bracket comes loose, a wire breaks or the wire is poking into your child’s gums and it’s straight to the orthodontist to get it fixed.

You don’t have those same issues with Invisalign clear aligners. There are no wires to worry about and no emergency appointments to fix them if they break. That is a huge reassurance for us since we do live so far from the orthodontist.

No More Pink Goo: On to Digital Impressions

After we decided that Zoë was ready for treatment, it was straight to get the scans to have her Invisalign clear aligners made. It was such a fascinating process! You have to watch the video further up in this post to see how it works.

When I had braces, I had to bite into that messy pink goo to get my impressions done. It tasted awful and it made me gag. If you had braces, then you probably have vivid memories of that experience too. While you can still use the goo for impressions if your practice doesn’t have a digital scanner, you can now also receive impressions digitally with Invisalign treatment, on their iTero® digital scanner. My sweet daughter didn’t have to experience my childhood memory of the pink goo.

The iTero® scanner takes thousands (6,000 to be exact***) of images every second to recreate a 3D digital image of the inside of your child’s mouth on the computer. This allows the orthodontist to create a treatment plan and the Invisalign brand to create your child’s clear aligners.

*** Data on file at Align Technology as of November 7, 2018

When they’re done scanning, you even get to see a rendering of what your child’s new smile could look like. It’s really neat!

Follow Zoë’s Invisalign Treatment Journey

We’ll be talking about Zoë’s Invisalign treatment journey on the blog and social media over the next year. In the next post, you’ll get to see Zoë in her Invisalign clear aligners, so stay tuned!

Find an Invisalign Treatment Provider

If you’re curious whether Invisalign treatment is right for your child, you can use the Doctor Locator feature on the Invisalign® brand website to find an Invisalign-trained orthodontist in your area.

Have you or your child had Invisalign treatment? I’d love to hear your experience in the comments.

Pin this post to your Parenting or Health board!

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When you notice your mental health declining

5 Powerful Ways to Help You Deal With Depression

Depression is a very serious medical and psychological disorder that puts your outlook on life in negative and dangerous perspective.

By its definition, depression drains your hope, energy and your motivation, making it extremely difficult to feel better.

It is a quite common disorder and one in third people have experienced depression during their lifetimes, in one way or another.

One person out of ten, experiences moderate to severe symptoms of depression.

To overcome depression, the key is to start with small steps.

Healing and getting better takes time and it is important that you don’t expect overnight results.

Try to make positive choices for each and every day.

When dealing with depression, it is crucial to make an effort and take action, no matter how hard it may seem when you are overwhelmed with negativity.

One of the simple methods is to come up with so-called ‘happy thoughts’.

Those are things that you enjoy and that make you feel good even when thinking about doing them.

Exercising, going out, spending time with family, friends and engaging in a pleasurable hobby are all highly beneficial and recommended steps.

The things that are most difficult to tackle are those that will help you most in the long run.

However, it is important to start small, by doing something that will make you feel good right now.

Every small step that you make is one step closer to becoming a healthier and better version of you.

1. Stay connected and get support

It is crucial that you reach out to other people when dealing with depression.

By knowing that you have help and support will help you keep healthy perspective towards the future you are planning to build.

When you are depressed, it is oftentimes difficult to connect to friends and family, but staying active and involved in social situations with other people can keep a positive effect on your mood and outlook.

You will simply feel less depressed when you are around other people.

Try to talk to a friend or family member who is a good listener.

They don’t need to be able to offer any helpful solutions. Just the mere act of talking and sharing how you feel can help you relieve depression.

One of the ‘tricks’ is partaking in social activities that help others – like volunteering.

Researches have come to the conclusion that providing support to others in need, be it to people or animals will boost your mood.

It doesn’t have to be anything big.

You can start small by simply offering a listening ear to a friend in need.

You will see that these small steps will help you go a long way.

2. Engage in activities that make you feel good

Even if you don’t feel like it at the moment, if you force yourself to engage in activity that you know will make you feel better, you will give yourself opportunity to break the depression cycle you’re in at the moment and open up to positive outcomes.

Typical for this situation is that you will feel glad that you forced yourself to partake in the said activity, as it will make you feel so much better about yourself and life.

Doing fun and pleasurable activities won’t cure your depression, but they will help you feel more energetic and increase production of ‘happy hormones’ in your brain.

These activities are known to help people relieve effects of depression:

  • Spending time in nature and in the sun
  • Making a list of things that you like about yourself
  • Fill a bathtub with warm water and have a long and relaxing bath
  • Read a book that you enjoy
  • Play with your pet
  • Listen to the music that is on your ‘favorites’ playlist
  • Watch funny video compilations
  • Make a list of small and easily achievable tasks and complete them one by one
  • Go out with your friend or a group of friends
  • Find a hobby that you enjoy doing
  • Find the way to express yourself – through art, exercise, dancing, learning or a hobby
  • Make small trips to places you always wanted to visit.

3. Build healthy habits

Having enough sleep is one of the most important things when dealing with depression.

If you sleep less than optimal eight hours, oftentimes both your mood and energy for that day will suffer.

If you have troubles with sleep, think about the stressful situations that you are exposed to, and try to grasp what it is that stresses you.

Finding the way to take control over a situation that causes you stress will help you relieve the pressure and feel better.

One of the useful practices that you should adopt are relaxation exercises such as yoga, deep breathing, muscle relaxation, meditation and many others.

4. Pay attention to the food you eat

Learn about what foods are beneficial and what to avoid.

Intake of certain types of food directly affect your brain and mood. Typical examples are caffeine, alcohol and trans-fats.

Avoid those whenever possible and try not to skip meals as it will make you additionally irritable.

Avoid sugary snacks and refined carbs.

Although they can lift your mood for a short time, they are known as energy crashers.

5. Get help from a professional

Making these small steps can significantly help you when dealing with depression, but they are not a substitute for getting a professional help.

Depression is a serious condition that can negatively affect your life in more ways than just one, but it is treatable and easily manageable if you seek professional help.


Rest assured that all these small steps together will bring you speedy and complete recovery.

Start small and start today, with any single thing from this list.

The post When you notice your mental health declining appeared first on The Powerful Mind.

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‘So shocking:’ MU Dentistry student makes history as 1st African-American class president

MILWAUKEE — Dental tools in hand and teeth to work on is Chante Parker’s comfort zone. But being the first African-American class president for Marquette University’s School of Dentistry is still sinking in.

Chante Parker

“I’m the one that’s imprinting on history and it’s like, I never thought that,” said Parker.

Park has been class president since July of 2019 and serves as an ambassador for her class to create new initiatives for the dental school. She had no idea she’d be the first African-American to step into those shoes in the school’s 125 years of existence.

“I realize the magnitude of this opportunity, but it’s just so shocking to believe that it’s me,” Parker said.

Parker grew up in Atlanta and completed her undergraduate degree at The University of Miami, so she said moving to Milwaukee was a culture shock.

“It’s very segregated in where people live and where people thrive, and how the city runs itself,” said Parker. “I’m not used to that.”

Being hands-on helps Parker learn how to create beautiful smiles while she hopes to bring smiles to the community by setting an example.

“To help shift that dynamic and change the perspective and show that black people can do well, you can do anything that you want to do,” Parker said.

As Parker preps a crown, some might say she wears one herself as a catalyst for an inclusive community.

Marquette University School of Dentistry

“It made me feel like I had purpose in being here,” said Parker.

Parker will graduate in 2022. She hopes to open her own practice and offer free services to underprivileged communities.

This content was originally published here.

With only three official cases, Africa’s low coronavirus rate puzzles health experts

To date, only three cases of infection have been officially recorded in Africa, one in Egypt, one in Algeria and one in Nigeria, with no deaths.

This is a remarkably small number for a continent with nearly 1.3 billion inhabitants, and barely a drop in the ocean of more than 86,000 cases and nearly 3,000 deaths recorded in some 60 countries worldwide.

Shortly after the virus appeared, specialists warned of the risks of its spreading in Africa, because of the continent’s close commercial links with Beijing and the fragility of its medical services.

“Our biggest concern continues to be the potential for Covid-19 to spread in countries with weaker health systems,” Tedros Adhanom Ghebreyesus, the head of the World Health Organization, told African Union health ministers gathered in the Ethiopian capital of Addis Ababa on February 22.

In a study published in The Lancet medical journal on the preparedness and vulnerability of African countries against the importation of Covid-19, an international team of scientists identified Algeria, Egypt and South Africa as the most likely to import new coronavirus cases into Africa, though they also have the best prepared health systems in the continent and are the least vulnerable.

‘Nobody knows’

As to why the epidemic is not more widespread in the continent, “nobody knows”, said Professor Thumbi Ndung’u, from the African Institute for Health Research in Durban, South Africa. “Perhaps there is simply not that much travel between Africa and China.”

But Ethiopian Airlines, the largest African airline, never suspended its flights to China since the epidemic began, and China Southern on Wednesday resumed its flights to Kenya. And, of course, people carrying coronavirus could enter the country from any of the other 60-odd countries with known cases.

Favourable climate factors have also been raised as a possibility.

“Perhaps the virus doesn’t spread in the African ecosystem, we don’t know,” said Professor Yazdan Yazdanpanah, head of the infectious diseases department at Bichat hospital in Paris.

This hypothesis was rejected by Professor Rodney Adam, who heads the infection control task force at the Aga Khan University Hospital in Nairobi, Kenya. “There is no current evidence to indicate that climate affects transmission,” he said. “While it is true that for certain infections there may be genetic differences in susceptibility…there is no current evidence to that effect for Covid-19.”

Nigeria well-equipped

The study in The Lancet found that Nigeria, a country at moderate risk of contamination, is also one of the best-equipped in the continent to handle such an epidemic.

But the scientists had not anticipated that the first case recorded in sub-Saharan Africa would be an Italian working in the country.

Little more than a week ago, “our model was based on an epidemic concentrated in China, but since then the situation has completely changed, and the virus can now come from anywhere,” Mathias Altmann, an epidemiologist at the University of Bordeaux and one of the co-authors of the report, told FRANCE 24 on Friday. The short shelf-life of studies testify to the speed of the epidemic’s spread.

The Italian who tested positive for the coronavirus in Lagos had arrived from Milan on February 24 but had no symptoms when his plane landed. He was quarantined four days later at the Infectious Disease Hospital in Yaba. Several people from the company where he works have been contacted and officials are trying to trace other people with whom he might have had contact.

For Altmann, an expert in infectious diseases in developing countries, the fact that coronavirus appears to have entered sub-Saharan Africa through Nigeria is “actually good news”, because the country appears to be relatively well prepared for confronting the situation.

In a continent that “has had its share of epidemics and whose countries, therefore, have a huge knowledge of the field and real competence to react to this kind of situation”, Nigeria is in a very good position to confront the arrival of Covid-19, Altmann said.

“The CDC [Center for Disease Control] responsible for the entire region of West and Central Africa is located in Abuja, the capital of Nigeria, which means that their organisational standard in health matters is very high,” he added.

The country was already renowned for “succeeding to pretty quickly contain the Ebola epidemic in 2014,” Altmann points out. It took the Nigerian authorities only three months to eradicate Ebola in the country. The World Health Organization and the European Centre for Disease Prevention and Control at the time congratulated Nigeria for its reactivity and “world-class epidemiological detective work”.

But despite Nigeria’s strengths, the coronavirus pathogen represents a particular challenge, in that it is hard to detect. The virus may be present in an individual who has few or no symptoms, allowing it to spread quietly in a country where, like everywhere in Africa, there is “a shortage of equipment compared to Western countries, especially in diagnostic tools”, Altmann said.

Neighbouring countries like Chad or Niger have “less functional capacity to handle an epidemic,” Altmann said. But they also have an advantage: these are agricultural regions where people are outdoors more, “and viruses like this one prefer closed spaces and are less likely to spread in a rural setting,” he added.

(FRANCE 24 with AFP)

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10 Things You Should Make Yourself Instead of Buying (Your Wallet and Health Will Thank You!)

Being part of the do-it-yourself movement is a fantastically empowering thing. Not only do you save a lot of money by making your own stuff, but also you protect yourself from toxins big industry likes to stuff into the things we buy. And, my personal favorite is the new sense of ability — the I-can-do-this factor — of making your own anything. It’s completely contagious.

Don’t for a second think it’s too time-consuming or difficult! Most of the following DIY projects involve less than five ingredients, many of which are commonplace. They take little time and effort but rather just a change of habit. They often work better, have less negative environmental impact and are healthier alternatives to the status quo.

Here’s the even better part, while this article promises a mere ten things, by following the provided links below, you actually get access to twenty-plus things you can (and should) easily make yourself instead of buy.

Cleaning Products

From window washing to drain unclogging, it is easy to make your own green cleaning products. You can still disinfect. You can still smell the lemon-y fragrance you’re accustomed to. But, you’ll be saving lots of cash and providing a healthier environment for yourself and those around you. Learn How to Tackle 10 Home Cleaning Tasks With Just 5 Green Ingredients.

Hygiene Products

None of us like to have smelly pits, rotten teeth or oily hair, but that doesn’t mean we have to use evil industry products that test on animals, use secretly dangerous chemicals (fluoride!) or commercial monopolies. Make your own hygiene products with only a few ingredients. Make your own After-Shave Cream or Whipped Body Butter.

Spaghetti Sauce

Forget buying those pricey jars of spaghetti sauce. In the end, they take just as long to heat up, are full of additives and lack the kick of fresh veggies and herbs. Do it raw. Throw fresh tomatoes, onions, garlic, herbs, peppers and a little olive oil in the blender. Simple and healthy! Try this Fresh Marinara Sauce and this Vegan Vodka Cream Sauce.

Who doesn’t like the convenience of one shaker cooking? That’s why we buy those seasoning and spice mixes. Unfortunately, they often have ingredients that are neither seasonings nor spices. So, make your own. Once you get a good pantry, it’s just measuring and combining. Try making your own seasoning mixes instead and try some DIY fajita seasoning.

For sure, all gardeners should compost all organic materials. It is a big deal because it provides you with the good soil for free and it decreases the amount of waste you send to the landfill. As for mulching, just use what’s in the yard: grass clippings, leaves and twigs. There’s no need to buy something wrapped in a plastic bag and labeled mulch.

Insect Repellant

Mosquitoes are a rough one. It’s tough to handle to the bites and annoying to live with itching. Not to mention thus buggers are far too insistent on buzzing in and around the ear area. But, DEET can’t be the answer. Try a little natural mixture and avoid the poisons. 

Fresh salsa taste way better than the jarred versions. Plus, they don’t have all that sodium, don’t have all the chemicals and are ridiculously easy to make. It’s tomatoes, spicy peppers and onions in a blender. Get fancy and add some roasted garlic or cilantro or whatever. But, why not make on the spot? You could even make your own black bean and corn chips to dip.

For more Life, Animal, Vegan Food, Health, and Recipe content published daily, don’t forget to subscribe to the One Green Planet Newsletter!

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14 Things You Should Know Before You Get Invisalign | Chief Health

Invisalign braces sound fantastic – don’t they? They actually are too! However, here are 14 things you should know before you get Invisalign…

Every time a celebrity smiles for the camera, we can’t help but notice the perfect set of teeth they have. Some people feel envious of the perfectly straight set of pearly whites, while others can only hope that they get new ones just like Dustin Matarazzo (Stranger Things).

Sometimes, even after wearing braces for a decade, teeth don’t become flawless. People, who have gone through the pain of wearing traditional braces know the discomfort of the entire process.

Even after taking them off, there might be significant space between the teeth, which can cause difficulty in chewing.

Apart from the functional challenges, uneven teeth can cause a significant lack of confidence. We have seen teenagers, and young adults shy away from photos and selfies because they are conscious of their crooked teeth.

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Some impressionable children spend hours in front of the mirror practicing closed-mouth smiles or daydreaming about the day they will have straight teeth.

Teeth can be stubborn, and it can take multiple rounds of braces and jaw surgeries to correct the dental alignment. It is not only a costly procedure but also a painful one. Most adults do not have a health insurance plan that covers dental surgeries.

Moreover, these surgeries can take multiple sittings over two to four weeks, depending upon the complications. One modern and almost pain-less alternative is the Invisalign method.

According to an expert Orthodontist, Invisalign is similar to braces, but instead of metal wires and brackets, Invisalign uses invisible, custom-made aligners or retainers of plastic. These are significantly less noticeable than regular braces.

If you are an adult, who has always shied away from wearing braces as a kid, or someone who remembers how odd it felt wearing colorful “straightjacket” on your teeth, the Invisalign braces are worth a try.

Since these are relatively new and not a lot of orthodontists in the city work with them, you might find it challenging to find consolidated information on Invisalign and their benefits. We are happy to share the insight from Invisalign users from the last few years –

1. You Will Need To Wear Them 22 Hours Per Day

We have seen actors wear their retainers before sleeping and take them off before leaving for work. Like many Hollywood fantasies, their retainer wear time is one as well.

You might want to rethink your plans of taking them off for going on date night or heading to bed. You should keep them on unless it is time for breakfast, lunch, or dinner. Moreover, you might want to invest in a couple of travel-sized toothbrushes for emergencies.

2. Breakfast, Lunch, & Dinner Are Your Friend

Taking Invisalign braces off and putting them back on can be a difficult task when you’re first starting out. With this in mind, you will want pack on the calories for breakfast, lunch, and dinner to avoid excess snacking and taking your braces off more than you need to.

3. You Might Receive More Attachments Than You Expect

Invisalign braces sometimes include attachments. These attachments hold the Invisalign aligners in place and stick to your teeth just like braces brackets. They are often enamel-colored so the bumps are virtually invisible.

It is quite similar to wearing braces, except the Invisalign attachments are inconspicuous and less uncomfortable. Be warned – you may be told that you only need a few and end up with 20 (or more).

4. You May Lose Weight

Since the recommended wear time is 22 hours, that leaves two hours to eat per day. It’s an ambitious goal, but you should do your best to follow the guidelines. It really sucks to pull off your aligners more times than necessary because of how tight the Invisalign braces are and how sore your teeth may become. Even if you attempt to pack on the calories at mealtime, you may still be hungry many hours throughout the day – resulting in weight loss.

5. Say Goodbye To Your Favorite Lipstick

Colored lip gloss and lipsticks won’t be your friend when you begin using Invisalign braces. Lipstick and colored lip gloss easily sticks to the aligners and the attachments. Clear lip balm and gloss will be okay, but even they can leave a waxy residue on the aligners. Dramatic eye makeup can draw some of the attention away from your teeth.

6. No More Manicures

Popping the aligners in and out is almost impossible without nails, so unless you’re hapy with chipped nails, you should only buff them and stay away from painting them. If you still want to have gorgeous nails and avoid chipping them, you will want to buy an aligner removal tool.

7. Kissing Gets Awkward

Who would’ve guessed it? Yes, it is really weird trying to kiss with a giant plastic device all in and around your mouth. However, Invisalign shouldn’t kill your love life unless kissing is all you’re good at… (Don’t worry – we are only teasing!)

8. Whitening Isn’t An Option Until After You’re Finished

As long as the attachments are on your teeth, whitening won’t be an option until the treatment is complete. However, brushing your teeth often and avoiding stain-causing beverages will help your enamel quite a bit.

9. You Will Have To Be More Careful About Oral Hygiene

Brushing your teeth will become an addiction once you get the Invisalign braces. It is quite easy to get food and bits of snacks in the attachments.

Unless you brush more than three times per day, at least once every meal, you will suffer from bad breath and cavities. Not brushing is the leading cause of plaque buildup and tartar formation.

Always carry a toothbrush and toothpaste set with you, along with a small bottle of any mouthwash your orthodontist recommends.

10. The Invisalign Attachments Capture Stains

When you drink tea and coffee, without a complementary brushing habit, you are at full risk of developing stains on your attachments. Although Invisalign is almost invisible, these stains can take away that advantage. You might end up with blotchy looking attachments with bits of sugary stacks stuck all over your teeth.

11. No Hot Food

You can only drink cold water, or drinks at room temperature because hot water and other hot beverages will easily stain the aligners. Plus, they might even warp the attachments.

You might want to avoid sugar and alcoholic drinks. Alcohol with high congener content can increase the plaque buildup and stain the aligners. Reports from regular Invisalign users state that drinking red wine can stain the retainers almost immediately.

12. You Will Receive A Refinement Aligner

Once you complete your basic set of Invisalign retainers, you will receive another set of custom designed refinement aligners that can fix any stubborn crooked teeth. These can take care of the slightly misaligned teeth and the unsightly spaces between them. You should speak with your orthodontist before you begin your Invisalign treatment.

13. Consult With Your Orthodontist When Planning Vacations

Find out from your orthodontist about the next set of appointment dates before you head off to the tropics for summer. Although the Invisalign attachments require next to no maintenance, as long as you are regular with your brushing and honest with your oral hygiene, you might want to consult your dental expert before you make big plans in the next few months.

14. It’s A Small Sacrifice For A Giant Gain

Wearing Invisalign retainers is a breeze compared to wearing the metal braces we received as children. The duration of wearing this retainer will vary from one person to another depending on the condition of their teeth. You should consult your orthodontist regarding the different stages of Invisalign and refinement retainer attachments.

There aren’t too many cons of wearing Invisalign instead of going for metal braces or corrective surgery. The cost is negligible considering the long-term positive effect of the retainers on teeth alignment and self-confidence. Invisalign will help you make the right choice in life, and it will give you the perfect teeth you have always desired.

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Hudson La Petite Dentistry surrenders license after investigation

HUDSON, Wis. — A former Hudson pediatric dentist was being investigated on accusations of unnecessarily pulling children’s teeth, billing fraud and overuse of laughing gas when he surrendered his license to practice last month.

Documents obtained through a public records request show Dr. Andy Mancini was being investigated in seven different cases by Wisconsin’s Department of Safety and Professional Services.

Andy Mancini
Andy Mancini

The alleged violations included engaging in practices that constitute a substantial danger to patients, according to records.

Cases investigated by the state agency resulted in criminal charges and a civil suit brought by the state for falsified Medicaid claims.

An attorney for Mancini, who lives in Woodbury, Minn., previously said he would not comment on legal matters involving his client. Mancini denied all allegations in a Wisconsin Dentistry Examining Board document outlining the permanent surrender of his license in Wisconsin.

Dozens of allegations

A 2016 memo from the state alleged 37 separate complaints, including multiple reports of unnecessary tooth extractions, billing problems, children being held down, “aggressive procedures” and a threat to a child.

Among the allegations outlined:

  • Patients were billed for treatments that weren’t performed.
  • A child was held down while “kicking, pinching and clawing to get out of the seat during an extraction procedure,” during an unnecessary extraction procedure that a parent was not allowed to sit in on.

A dentist from the Department of Human Services Office of the Inspector General conducted an audit — generated by patient complaints — that revealed:

  • Mancini used the sedative nitrous oxide, or laughing gas, at levels sometimes reaching a 70 percent concentration of nitrous oxide-to-oxygen, about double the recommended concentrations of 30-40 percent nitrous oxide for children.
  • Patient files included “grossly mislabeled” X-ray files. The audit noted that Mancini would take the same six X-rays each time he’d see a patient. Medicaid, the report notes, reimburses for up to six X-rays on any date of service.

In a November 2016 interview with investigators, Mancini denied performing unnecessary work, but admitted to the possibility of billing errors “due to the incompetence of previous staff.”

Mancini told investigators he allowed parents in the room while he’s performing exams, but discourages family from being present during procedures “because it can be distracting” and can lead to anxiety for patients.

Kirsten Reader, assistant deputy secretary of the Department of Safety and Professional Services, said Mancini voluntarily surrendered his license April 10. She said that happened during the investigations — the outcomes of which could have led to revocation of his license.

Parent complaints

The latest allegations didn’t surprise former La Petite client Rebecca Viebrock of Hudson

She said that after being initially impressed with La Petite’s kid-friendly atmosphere, she found herself having to return over and over.

“I practically lived at that place,” she said.

She grew skeptical, but she said her questions about X-rays and cavities were met with defensiveness from Mancini.

Viebrock said La Petite was one of the only dentists in the area that took state insurance. Without La Petite — where she also received dental care — Viebrock said she and her children are left without options in the area.

Stillwater resident Ashley Foley said she’s also in search of answers after learning about allegations of questionable care at La Petite. She said she took her children there for two years beginning in 2012 and never questioned the multiple tooth-pullings Mancini recommended.

Two of those involved her daughter’s front baby teeth, which have sat empty since the child was about 2. Foley said the girl is now 5 years old and must wait at least two more years before her adult teeth come in. Meanwhile, Foley said her daughter is in speech therapy and covers her mouth in shame when she smiles.

“What if this didn’t need to happen?” she said.

This content was originally published here.

Florida Baker Act: 6-year-old girl sent to mental health facility after school incident – CBS News

A 6-year-old girl in Florida is “traumatized” after being sent to a mental health facility following an incident at her Jacksonville elementary school, her mother said. Nadia Falk was allegedly “out of control,” but her mom says she has special needs and is questioning the state law that allowed her to be committed to the facility.

According to a sheriff’s report, a social worker who responded to Nadia’s tantrum at Love Grove Elementary School stated the girl was a “threat to herself and others,” “destroying school property” and “attacking staff.”

She was removed from school and committed to a behavioral health center for a psychiatric evaluation under the Baker Act, which allows authorities to force such an evaluation on anyone considered to be a danger to themselves or others.

Nadia’s mother, Martina Falk, said her daughter has attention deficit hyperactivity disorder and a mood disorder.

“I specifically placed my daughter at this school back in August 2019 because I was told they had specifically trained staff to handle special needs children,” she said.

Surrounded by her legal team, Martina said the nearly two-day mandatory stay at the mental health center, away from her mother, did more harm than good.

“She’s traumatized. She is not herself anymore. I don’t know what the long-term effects are,” she told CBS News correspondent Manuel Bojorquez.

Duval County Public Schools told CBS News the decision to admit a student under the Baker Act is made by a third-party licensed mental health care professional and said, “We’ve reviewed the school’s handling of this situation and find it to be compliant both with law and the best interest of this student and all other students at the school.”

But critics ask if the Baker Act being overused, especially when it comes to school kids.

In 2018 in Cocoa, Florida, a 12-year-old boy with autism was taken to a facility in a police cruiser. It was the boy’s first day in middle school and during a meltdown, he scratched himself and then made a suicidal reference.

The boy’s mom, Staci Plonsky, said the school should have called her before enforcing the Baker Act.

“The behavior plan outlined what to do if he makes verbal threats,” she said. “They only had to follow the plan.”

The number of children involuntarily transported to a mental health center in Florida has more than doubled in the last 15 years, to about 36,000, according to a 2019 report by the Baker Act Reporting Center.

“I absolutely think that the Baker Act is being overused,” said state lawmaker Jennifer Webb.

Webb’s bill to reform the nearly 50-year-old law is being debated at the state House. It would require better training for school officials and resource officers and establish more consistent rules on exactly when a parent should be notified that their child might be committed.
 
“It should only be used as a last resort, and Baker Acting 6-year-olds just seems excessive to me,” she said.

Webb believes funds allotted for schools after the mass shooting at a high school in Parkland in 2018 can be used for better training.

Martina is now looking for a different school for Nadia.

This content was originally published here.

Medicare for All Helps Unions by Taking Health Care Off the Bargaining Table

On February 11, the Nevada Culinary Workers Union publicly criticized Democratic front-runner Bernie Sanders’s Medicare for All plan ahead of the state’s Democratic presidential caucus. On February 12, Sanders responded, “Many, many unions throughout this country — including some in Unite Here, and the Culinary Union is part of Unite Here — absolutely understand that we’ve got to move to Medicare for All.”

Sanders continued, “When everybody in America has comprehensive health care, and when we join the rest of the industrialized world by guaranteeing health care to all people, unions can then negotiate for higher wages, better working conditions, better pensions. So, I think the future for unions is through Medicare for All.”

After Sanders’s statement, the Culinary Union’s Secretary-Treasurer Geoconda Argüello-Kline denounced Sanders and his supporters, stating, “It’s disappointing Senator Sanders’ supporters have viciously attacked the Culinary Union & working families in NV simply because we provided facts on proposals that might takeaway what we have built over 8 decades.” The Culinary Union was joined in denouncing the Sanders camp by fellow Democratic presidential candidates Elizabeth Warren and Amy Klobuchar. On February 13, Pete Buttigieg joined with Klobuchar, Warren and the Culinary Union in promoting condemnations of the Democratic front-runner and Medicare for All.

Ironically Warren’s campaign staff repeatedly crossed the Culinary Union’s picket line in March 2019.

Flashback to September 17, 2019: General Motors confirmed to the press that it had ceased payment for the health care coverage of striking United Auto Workers (UAW). On the same day, presidential candidate Joe Biden addressed members of the AFL-CIO on his health plan, stating, “I have a significant health care plan. But guess what? Under mine, you can keep your health insurance you’ve bargained for if you like it.” For the striking UAW members, the choice of keeping private health insurance that was bargained for wasn’t an option.

Talking points touting “choice” have frustrated advocates of Medicare for All and sympathetic union members this election cycle. Biden, Warren and Klobuchar aren’t the only candidates this primary season to promote the “choice” argument: Former Democratic presidential candidates Kamala Harris, Tim Ryan and John Delaney have parroted similar statements in promotion of their proposed health plans.

Earlier on February 12, Buttigieg joined Biden and company in echoing familiar “choice”-focused talking points, tweeting, “There are 14 million union workers in America who have fought hard for strong, employer-provided health benefits. Medicare for All Who Want It protects their plans and union members’ freedom to choose the coverage that’s best for them.”

Sara Nelson, president of the Association of Flight Attendants (AFA), fired back, “This is offensive and dangerous. Stop perpetuating this gross myth. Not every union member has union healthcare plans that protect them. Those that do have it, have to fight like hell to keep it. If you believe in Labor then you’d understand an injury to one is an injury to all.”

Nelson later joined the Culinary Union leadership in denouncing “attacks” from Sanders supporters, rather criticisms of union management not directed at the rank and file. But Nelson has been a consistent advocate of Medicare for All and the AFA has stood with Sanders since 2016.

To paraphrase Nelson and her advocacy, Medicare for All is popular among organized workers. The 150,000 members of National Nurses United (NNU), the U.S.’s largest union of registered nurses, have organized the charge on behalf of patients and fellow workers. NNU and AFA aren’t alone: Over 600 locals, 22 national unions, 44 State AFL-CIOs and 158 Central Labor Councils and Area Labor Federations have endorsed the single-payer legislation. Even with strong support from many rank and file members, some union leaders have shied away from Medicare for All in order to adjust their sails to the political winds at a moment’s notice.

Talking points and political triangulation aside, Biden, Buttigieg and others aren’t wrong for stating that unions have fought tooth-and-nail for health benefits. They have certainly done so, and at great expense to wage increases and membership organizing. But Biden and Buttigieg missed a point in their “choice”-centered pitch — the public option plan that they, along with Warren and Klobuchar, are running on will leave health care on the negotiating table for organized workers.

Through a single-payer system and Medicare for All legislation, health care can finally be lifted from the bargaining table. Single-payer will allow more freedom for unions and replaces a system that keeps workers and patients at the mercy of executives and private insurers with one that recognizes the urgency to treat health care as a right, not a bargaining tool for bosses to hold over workers’ heads.

Removing Health Care From Bargaining

The benefits of organized labor backing Medicare for All over the public option are immense. Unions won’t have to waste negotiating capital fighting to merely preserve health benefits. Under a single-payer model, unions can use resources otherwise spent on retention of health benefits to instead organize new workplaces, fight for higher wages, fight for protections and safer working conditions. A single-payer system frees up organized labor to leverage their resources and membership in favor of gaining even more for their members.

If single-payer is realized, then union members will no longer be bound to tedious network-based health plans like Health Maintenance Organizations or Preferred Provider Organizations. Private insurance and the network “innovations” the market has created have significantly complicated the system and also limits choices for patients. With Medicare for All, patients, whether they be unionized or non-union, will be able to choose their provider and no longer be confined to networks, which a public option framework would maintain.

Under the public option, union members are tied to the benefits of their plan, which sometimes doesn’t cover necessary services. In other words, some union plans have coverage gaps where services like mental health care or long-term care aren’t covered. Medicare for All expands these services to everyone and eliminates the coverage gaps imposed by private insurance. Union members will receive more comprehensive benefits under Medicare for All than under their current private health insurance plans.

Single-payer systems also famously have improved outcomes compared to the American model of private employer-sponsored mixed insurance with an underfunded public insurer. Metrics in terms of quality, cost and access in the American health system have historically lagged behind nations with single-payer models. Under Medicare for All, union members can expect to receive health services that exceed or are at the same quality as the plans they fought for with more health services covered.

Unions also will no longer have to worry if an employer wants to change insurers. Under single-payer, union representatives at the bargaining table can be at ease knowing that their members will have guaranteed, comprehensive health coverage through Medicare for All. The single-payer model throws in the added benefit of eliminating the laborious process of switching health insurance carriers for union workers.

For public sector unions, single-payer will eliminate cost sharing, which is how the business-minded Republican and Democrat governments have passed the cost along to public employees. Cost sharing has forced public union workers to increasingly take a larger personal share of the expense for health coverage. With Medicare for All, unionized public employees can be assured that their hard-earned paychecks stay in their pockets and are not increasingly spent on health costs.

Medicare for All is also more than just getting health care off the bargaining table for unions, it’s about harnessing the energy of movement politics to create a new labor movement. Wages have stagnated since the ‘80s, workers are toiling for longer hours, wealth that has been created by workers is becoming increasingly concentrated in the hands of a few individuals. Labor has been under attack by business-friendly lawmakers and judges on all levels of government for decades. In an era of popular political movements, unions finally have the political climate to fight back.

Medicare for All can revitalize and invigorate a labor movement that has largely been on the defensive. In nations where health care is guaranteed as a human right through single-payer, unions are leading the way in combating pension “reforms” and uniting with non-organized labor against undignified working conditions. Countries with single-payer models have proven that when health care is removed from bargaining, unions thrive and are leaders against the features of an economic system designed to benefit the few.

The transition to a single-payer system is an opportunity for unions to join together to secure health care as a right for all workers, benefits that are the same quality or better, and expand choices and services for their members. All while leveraging the energy that could build working-class power and usher in a new dawn for the labor movement.

Union members have built an enormous amount of wealth for all. The people who got all of us the weekend and the eight-hour work day deserve better than a health system that holds their health care second to employers’ bargaining tactics and the profits of private insurers.

The “choice” arguments pushed by the defenders of private insurance are misleading on Medicare for All. Single-payer will save workers money, expand their freedoms and end the absurdity of toying with workers’ health care by executives to pad balance sheets. It’s crucial for labor to keep in mind management’s callous bargaining tactics like the striking auto workers faced: when employers stop paying for workers’ health benefits, there is no “choice.”

Medicare for All is the path forward for unions. The public option model doesn’t deliver in providing organized workers much needed relief in getting health care off the negotiation table. Getting health care away from the grips of employers and adding Medicare for All to the list of political must-dos is a top priority for organized labor.

This content was originally published here.

The Real Truth About Dentistry – TeethRemoval.com

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

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

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

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

— Patrick Husting (@patrickhusting)

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

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

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

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

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

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

4. There is Little Scientific Evidence to Back Dental Treatments

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

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

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

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

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

This content was originally published here.

SBA Finalist Spotlight: Northern Virginia Orthodontics

Thank you to Northern Virginia Orthodontics for answering a few of our questions.
Congratulations on being named a finalist for Health & Wellness Business of the Year!

1.Tell us your story of how your company got to where it is today? 

After finishing my orthodontic residency at the Medical College of Virginia in Richmond in 2006, my wife and I knew we wanted to move to Loudoun County. We both grew up nearby, and were aware of the planned residential growth, excellent schools, and the fact that Loudoun would be a great place to raise our kids and open an orthodontic practice. We settled on Brambleton Town Center, centrally located in Loudoun, to both live and work. With my vision to make an impact on patients, my team, and my community, I opened Northern Virginia Orthodontics in February of 2008. We saw just two patients that day, and despite the economy crashing in 2008 and 2009, NVO continued to grow thanks to our dedication to treating patients like our own family, over-delivering on top-notch service, and changing lives both inside and outside our office.

Since opening our doors in 2008, we’ve expanded twice in our Brambleton office, added the East Coast’s first, adult-only Invisalign Center, earned the title of Washingtonian Magazine’s Top 50 Places to Work, treated the most Invisalign patients in the state of Virginia, and in 2017 became the #2 Invisalign provider in the entire country.

Despite all these incredible accomplishments, what I’m most proud of is NVO’s impact on the local community. To date, NVO has donated over $1 million to local schools and organizations, as well as to pediatric cancer research and awareness. With our brand new 501(c)(3), The NVO Foundation, we can continue to do even more to help those in need right here in Loudoun County. It’s been an incredible ride going from just two patients that very first day to now seeing over 100 patients on a daily basis, but NVO is just as committed as ever to changing smiles and impacting lives.

2. What would it mean to you and your company to win a Small Business Award?  

Winning an award of this magnitude would serve as affirmation that Northern Virginia Orthodontics is impacting and improving the Loudoun County community, and would serve as fantastic recognition for our entire team.

3. If you weren’t running your own business/working at this business, what would you be doing?

I’ve always had a passion for medicine and helping others, hence becoming an orthodontist. I couldn’t imagine not working at NVO, but if I had to do anything else, I’d probably be a pilot.  I love flying and aeronautics.

4. What book are you reading right now? / What is your favorite book?

“Tools of Titans” by Tim Ferriss. It’s a study of successful people’s habits, and focuses on three critical elements – health, wealth and wise. Great read for anyone, especially business owners.

5. If you have 24-hours off, and your family was out of town, what would you do?

I’d work out, eat a healthy breakfast, then look for a D.C. sporting event to attend, like a Nationals or Capitals
game. Then a good glass of wine with dinner and call it a day – but I’d rather be with my family!

6. What is the smallest thing that has made the largest impact on your business?

Having no fear of change. It’s absolutely essential to assume risk, and to be open to change as your business grows.

7. What did you want to be when you grew up as a child? / What was a childhood dream that you had?

A professional baseball player. Baseball was my passion growing up, and remains a giant part of my family. My oldest son is currently plays baseball at the University of Arizona, and my wife and daughters love the sport as well.

8. Who is the one person that has influenced you the most in your career?

There are so many people that have influenced me along the way, but my older brother has definitely influenced me the most. He has a solution for every problem. He is an attorney by trade, but is always there when I need an opinion on anything business-wise and has been a huge part of NVO’s success.

9. What is your favorite thing about running a business in Loudoun County?

The growth and success of the county, and the pro-business mindset of its leaders.

10. If you’re not in the office where can we find you?

At my son’s baseball game, my daughters’ soccer games, a local winery, a D.C. sporting event, teaching the orthodontic residents at MCV (Medical College of Virginia), or out helping others.

11. What is your favorite weekend activity in Loudoun County?

Visiting one of Loudoun County’s many incredible wineries with family and friends.

The post SBA Finalist Spotlight: Northern Virginia Orthodontics appeared first on Loudoun Chamber.

This content was originally published here.

Buttigieg wants to give illegal immigrants health insurance – and he wants you to pay for it

Pete Buttigieg…reparations for slavery, decriminalize all drugs, and now this?If a Democrat is elected to the presidency in November, it is going to cost you a lot of money. Tons.

On Sunday, Buttigieg told an illegal immigrant that if he was elected president, they would have taxpayer-funded health care.

Ooh boy!

“As you know the Affordable Care Act, one of the many missing pieces that it has is that the exchanges are not available to the undocumented,” he said. “I would change that and that would be a change that would come with the ‘Medicare-for-All-Who-Want-It’ plan that I am proposing.”

Buttigieg was speaking at a political exchange with Planned Parenthood in Nevada.

While speaking to an illegal immigrant, Buttigieg told her that he viewed her as an American despite her illegal status. What a tool.

A DACA recipient asks Buttigieg how he’d fix access to health care for the undocumented like her- he tells her “first of all, this should go w/o saying but it’s important to say out loud, that I regard you and all DACA recipients as American as I am or anybody else in this room.” pic.twitter.com/iV2BI9uFJX

— DJ Judd (@DJJudd) February 16, 2020

“So, first of all, this should go without saying but it’s important to say out loud that I regard you and all DACA recipients as American as I am or anybody else is in this room,” he said.

Absolutely sickening. As the child of immigrants who came here LEGALLY, the dumbing down of the term “American” is repulsive.

Last December, Buttigieg also said that he wanted to open up taxpayer-funded healthcare to illegals during a conversation with a voter in Spanish. 

“So the most important thing for me is that we offer the opportunity for health care to all in our country, and this includes the opportunity to buy this plan of Medicare-for-All-who-want-it,” he said based on a translation of his remarks.

“This is our solution. And this opportunity to buy this plan is for everyone regardless of their immigration status,” he continued.

At the time, Republican National Chairwoman Ronna McDaniel responded to Buttigieg’s comments.

“I’ve said it before, and I’ll say it again. Just because Pete Buttigieg is from Indiana does not make him a moderate.”

Buttigieg had said as far back as last June that he thought people in the country illegally should be allowed to obtain government healthcare.

“That needs to be available to everyone, there needs to be a way for people of any immigration status to participate,” he said. Buttigieg was speaking at the “We Decide” forum hosted by Planned Parenthood’s political arm.

Govt. healthcare for illegal aliens?

PETE BUTTIGIEG: “That needs to be available to everyone, (government healthcare) there needs to be a way for people of any immigration status to participate,”

We Decide” forum hosted by Planned Parenthood’s political arm – 06-22-19

— Nicholas Jones (@voyager4truth) August 9, 2019

They are still receiving taxpayer funding why???

According to the Cato Institute, Buttigieg’s rhetoric that he wants to turn Medicare into a “public option” where all Americans would have the choice of participating in the program without being forced to do so rings hollow.

Buttigieg makes the claim that, “I trust the American people to make the right choice for them. Not my way or the highway.”

He basically ides the fact that his plan would essentially create a single-payer health program, and would reduce Americans’ healthcare choices.

The Cato Foundation says that while Buttigieg implies his program would be “optional”, that is not the case. They state:

  • He would automatically enroll uninsured Americans in Medicare and it would cost them up to $7,000—whether they want it or not.
  • He would force Americans to pony up an additional $1.7 trillion in taxes==more than all the on-budget tax increases in Obamacare combined—whether they want to pay those taxes or not.

A public option is not about expanding choice, but rather eliminating any choice. According to Prof. Jacob Hacker, the purpose of the “public option” is to eliminate private insurance and create a government run single payer health system.

Buttigieg can call his plan whatever he wants, however it is not “Medicare for All Who Want It.” It is single payer, “Medicare for All.” Period.

And Buttigieg wants US to pay for illegal aliens to ostensibly get “free” health insurance. What a deal.

As we reported last week, when Pete Buttigieg isn’t spouting ideals of decriminalizing drug possession charges on the campaign trail, he’s effectively plagiarizing immigration stances and rebranding them as his own.

During a townhall in Merrimack, New Hampshire, Buttigieg suggested that small-town America should welcome increased waves of legal immigrants to drive up… population growth.

Apparently, the idea is that there’s potential economic benefits to inundating rural communities with more people – which is possible. Yet, like a coin toss, there’s also the possibility of economic downfalls when a traditionally smaller city has a sudden population boom.

During the townhall, Buttigieg stated:

“I’m proposing what we call “Community Renewal Visas” that when a community that is very much in need of growing its population, recognizes that, and makes a choice to welcome more than its share of new Americans that we create a fast-track, if they apply for an allotment of visas, that goes to those who are willing to be in those areas that maybe are hurting for population but have great potential.”

SOME of What “MODERATE” Buttigieg actually ADMITS to
♦️All drugs including Meth & Cocaine decriminalized
♦️Late term Infanticide
♦️Felons voting
♦️Scrap electoral college
♦️Implement New Green deal
♦️Name & Shame “white” Hate
♦️Nationwide gun control
♦️Fast track immigration

— 𝐋𝐞𝐚𝐡 🇺🇸🎸🌴 (@LeahR77) February 10, 2020

His idea sounds nearly identical to one that was published back in April 2019, which called this type of initiative “Heartland Visas”.  

The “Heartland Visas” study tactfully found ways to explain things like when more people move into rural areas, more houses get built and get more expensive – which higher priced houses are good for the economy.

Yeah, higher-priced homes are lucrative for developers and Wall Street personas, not people trying to buy homes.

If President, @PeteButtigieg will decide if a community is “very much in need of growing its population” and he will make sure to send many more immigrants there on “fast-track” visas. https://t.co/ckpfnTQrSR

— NumbersUSA (@NumbersUSA) February 12, 2020

Then again, the leadership behind the Economic Innovation Group, who published the study, happens to host quite a bit of the investor types.

You’ve got Sean Parker, the co-founder of Facebook and Napster – who has a net worth somewhere around $7 billion.

You’ve got Chris Slevin, former legislative director for Senator Cory Booker. Their leadership section even proudly says that they’re composed of “policy experts, start-up founders, investors, and academics”.

You should always be critical of economics papers that are backed by these types of personas – and question where the loyalties lie. Mass immigration is usually lobbied by big business, and what’s not to love as the owner of behemoth companies?

You get the benefit of flooded labor markets, driving labor costs down. You also get an instant consumer boost, depending on what your company peddles. And of course, there’s big government right around the corner to get a few extra bucks in taxes.

Everyone wins – well, except the middle class and those lower on the economic totem pole.

Not surprisingly, most Americans don’t want to see an increase in immigration year over year.

Currently, the United States population is around 327 million, but if immigration policies weren’t changed throughout the years we’d likely have a population of about 251 million people. Since 1965, the United States has accepted over 75 million people to date via immigration.

Throughout the years, we’ve gone from accepting 250,000 immigrants annually, to then 500,000 a year, and by 1990 Congress decided a million or more annually is a good number.

If we keep that trend going just as is, we’ll have a population nationally to the tune of 404 million people by 2060.

Is there anything genuinely wrong about legal immigration – no, far from. But there has to be a point where someone looks at the numbers and says “We’ve got to take care of our own first”.

Buttigieg has flirted with the idea of increasing H-1B visas going out as well, which takes skilled jobs off the market for legal citizens. Bringing in too many medium-to-high skilled immigrants drives down those labor costs, much like how overflowing with low-skilled immigrants hurts low-skilled labor costs.

Good work by @CBedfordDC refuting the myth that Pete Buttigieg is some kind of moderate. “From health care and abortion to guns and immigration, and from the Supreme Court to the Electoral College, the man is decidedly a radical.” https://t.co/4phL3pNNJj

— Giancarlo Sopo (@GiancarloSopo) February 4, 2020

Overall, the idea of just creating an influx of immigrant populations in rural communities to improve economic conditions just doesn’t make sense at all. And it seems that only a select few stand to benefit greatly from it.  

LET has a private home for those who support emergency responders and vets called LET Unity.  We reinvest the proceeds into sharing untold stories of those patriotic Americans. Click to check it out.

As alluded to earlier, Presidential hopeful Mayor Pete Buttigieg intends to take prison out of the equation for people convicted of possession of drugs like heroin, meth, and cocaine.

In an interview that was held on Fox News Sunday, he believes that treatment is the only route that should be taken with those hemmed up on possession charges.

Buttigieg jumped into his rationale with a portion of his version of criminal justice reform with Chris Wallace recently, and the topic of prosecuting possession of drugs came up.

The South Bend, Indiana mayor indicated that if he were to become president, possession charges would no longer land someone in prison. While claiming that the “war on drugs” has failed, Buttigieg said the only remedy at this point is delivering treatment to those who are in possession of all sorts of narcotics.

Wallace asked the mayor the following:

“You not only want to decriminalize marijuana, you want to decriminalize all drug possession. You say that the better answer … is rather treatment, not incarceration.

But isn’t the fact that it’s illegal to have, possess meth and heroin, doesn’t that in some way — the fact that it’s illegal — act as a deterrent to actually trying it in the first place?”

Buttigeig responded with:

“Well, I think the main thing that we should focus on is distribution and the harm that’s done there. Yes, of course it’s important that it remain illegal.”

The back and forth continued briefly, as the host was confused at Buttigieg claiming that drug possession should remain illegal.

Wallace addressed the confusion by telling Buttigieg that his own website claims that he would “decriminalize” drug possession completely. When the bluff was called on the mayor, he responded with citing how everything else just hasn’t worked up to this point.

When he acknowledged that his campaign website did mention decriminalizing possession charges, he stated:

The point is, not the legal niceties, the point is we have learned through 40 years of a failed war on drugs that criminalizing addiction doesn’t work. Not only that, the incarceration does more harm than the offense it’s intended to deal with.”

There’s so many issues and questions that could be levied at Buttigieg’s idea on addressing drug crime. What about criminal cases where someone is initially charged with higher crimes, and then signs a plea bargain that only lists “possession”?

Furthermore, what data suggests that delivered treatment programs are more successful than incarceration of drug possession offenders?

According to his own plan online, he aims to enact the following if elected:

“On the federal level, eliminate incarceration for drug possession, reduce sentences for other drug offenses and apply these reductions retroactively, and expunge past convictions.

Research shows that incarceration for drug offenses has no effect on drug misuse, drug arrests, or overdose deaths. In fact, some studies show that incarceration actually increases the rate of overdose deaths. We cannot incarcerate ourselves out of this public health problem.”

So, there’s truth to the mayor’s notion that there’s some studies that show jail or prison hasn’t been stellar in dealing with drug crime and offenses.

Yet, according to the American Addiction Centers, no one has been able to quantify if any rehab programs genuinely works in the long run either.

In fact, the AAC says that any touted success rates of rehab programs can’t be trusted at all:

“Since many treatment centers do not follow up with their patients, the “100 percent” success rate some cite only applies to those who complete the length of their stay.

Even those who boast a more modest “30 percent success rate” only draw that figure from the immediate sobriety rates after treatment, not from six months or three years down the road.”

Considering that many rehab facilities claim that they’re a success by only having someone complete their program – what exactly is the average program length for any given addiction?

According to Advanced Recovery Systems, you could be a success story anywhere from 4 days to a little over 4 months of treatment.

ARS showed that detox programs are on average only 4 days, whereas residential style treatment is around 16 days. Some of the longer programs like expanded residential treatment averages out at 90 days and outpatient treatment is typically 130 days.

Despite rehab programs originating in 1864, when they were called “sober houses”, we still can’t say if that works either or would be even better than jail or prison-time for drug offenders.

Not to mention, where there’s drug possession – there’s usually other crime too. The DOJ has been quite hip to that fact since the well-crafted study published in 1994 showed that where there’s drugs, there’s all sorts of other crimes being committed.

Case in point, while finding the magic cure for addiction would be great – keeping people off the street who use drugs like heroin, meth, and cocaine keeps drug fueled crimes from affecting the population. Clearly, Buttigieg hasn’t thought this one out very well.

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The post Buttigieg wants to give illegal immigrants health insurance – and he wants you to pay for it appeared first on Law Enforcement Today.

This content was originally published here.

Body camera video: Florida girl forced to go to mental health facility asked officer if she was going to jail – CBS News

A police officer who was transporting the 6-year-old Florida girl who was forced to go to a mental health facility after an incident at school is heard calling her “pleasant” on body camera footage. She also openly questions why the girl is being taken away.

Nadia King was removed from school under the Baker Act, a law allowing authorities to force a psychiatric evaluation on anyone considered to be a danger to themselves or others. According to a sheriff’s report, a social worker who responded to the incident at Love Grove Elementary School in Jacksonville said Nadia was “destroying school property” and “attacking staff.”

But, the police body camera video shows a Duval County sheriff’s deputy leading a seemingly calm Nadia out of school on February 4. Nadia is heard asking the officer, “Am I going to jail?”

“No, you’re not going to jail,” the officer says.

Inside the police car, Nadia asks the officer if she has snacks. “No, I don’t have any snacks. I wish I did. I’m sorry,” the officer says.

The deputy is also heard talking to another officer about Nadia’s behavior while she is in custody.

“She’s been actually very pleasant. Right? Very pleasant,” the officer says.

“I think it’s more of them just not knowing how to deal with it,” the other officer says.

At one point, it appears Nadia, who has ADHD and a mood disorder, did not understand where she was going. 

“It’s a field trip?” she asks.

“Well I call it a field trip, anything away from school is a field trip, right?” an officer replies. 

Nadia was held in a mental health facility, away from her mother, for 48 hours. Her mother, Martina Falk, broke down while watching the body camera video.

“I can’t comment,” she said.

Falk’s attorney, Reganel Reeves, said, “She’s mortified. She’s horrified. Angry.”

They argue Nadia should have never been taken to the mental health center.

“If you can’t deal with a 50-pound child, 6-year-old, then you shouldn’t be in education,” Reeves said.  

Officials with Duval County Public Schools said student privacy laws prevent them from discussing details of the case. They did not respond to the body camera video, but said in an earlier statement that an initial review showed the school’s handing was “compliant both with law and the best interest of this student and all other students at the school.”

The family now plans to file a lawsuit.

“She’s going on a field trip to hell. That’s where she was going, and her life has forever changed,” Reeves said.

This content was originally published here.

Trump’s new budget slashes food stamps, student loans, and health care

The proposal would also fail to eliminate the deficit over 10 years.

Donald Trump is offering a $4.8 trillion election-year budget plan that recycles previously rejected cuts to domestic programs to promise a balanced budget in 15 years — all while boosting the military and leaving Social Security and Medicare benefits untouched.

Trump’s fiscal 2021 plan, to be released Monday, promises the government’s deficit will crest above $1 trillion only for the current budget year before steadily decreasing to more manageable levels.

The plan has virtually no chance, even before Trump’s impeachment scorched Washington. Its cuts to food stamps, farm subsidies, Medicaid, and student loans couldn’t pass when Republicans controlled Congress, much less now with liberal House Speaker Nancy Pelosi setting the agenda.

Pelosi (D-CA) said Sunday night that “once again the president is showing just how little he values the good health, financial security and well-being of hard-working American families.”

“Year after year, President Trump’s budgets have sought to inflict devastating cuts to critical lifelines that millions of Americans rely on,” she said in a statement. “Americans’ quality, affordable health care will never be safe with President Trump.”

Trump’s budget would also shred last year’s hard-won budget deal between the White House and Pelosi by imposing an immediate 5% cut to non-defense agency budgets passed by Congress. Slashing cuts to the Environmental Protection Agency and taking $700 billion out of Medicaid over a decade are also nonstarters on Capitol Hill, but both the White House and Democrats are hopeful of progress this spring on prescription drug prices.

The Trump budget is a blueprint written as if he could enact it without congressional approval. It relies on rosy economic projections of 2.8% economic growth this year and 3% over the long term — in addition to fanciful claims of future cuts to domestic programs — to show that it is possible to bend the deficit curve in the right direction.

That sleight of hand enables Trump to promise to whittle down a $1.08 trillion budget deficit for the ongoing budget year and a $966 billion deficit gap in the 2021 fiscal year starting Oct. 1 to $261 billion in 2030, according to summary tables obtained by The Associated Press. Balance would come in 15 years.

The reality is that no one — Trump, the Democratic-controlled House or the GOP-held Senate — has any interest in tackling a chronic budget gap that forces the government to borrow 22 cents of every dollar it spends. The White House plan proposes $4.4 trillion in spending cuts over the coming decade

Trump’s reelection campaign, meanwhile, is focused on the economy and the historically low jobless rate while ignoring the government’s budget.

On Capitol Hill, Democrats controlling the House have seen their number of deficit-conscious “Blue Dogs” shrink while the roster of lawmakers favoring costly “Medicare for All” and “Green New Deal” proposals has swelled. Tea party Republicans have largely abandoned the cause that defined, at least in part, their successful takeover of the House a decade ago.

Trump has also signed two broader budget deals worked out by Democrats and Republicans to get rid of spending cuts left over from a failed 2011 budget accord. The result has been eye-popping spending levels for defense — to about $750 billion this year — and significant gains for domestic programs favored by Democrats.

The White House hasn’t done much to draw attention to this year’s budget release, though Trump has revealed initiatives of interest to key 2020 battleground states, such as an increase to $250 million to restore Florida’s Everglades and a move to finally abandon a multibillion-dollar, never-used nuclear waste dump that’s political poison in Nevada. The White House also leaked word of a $25 billion proposal for “Revitalizing Rural America” with grants for broadband Internet access and other traditional infrastructure projects such as roads and bridges.

The Trump budget also promises a $3 billion increase — to $25 billion — for NASA in hopes of returning astronauts to the moon and on to Mars. It contains a beefed-up, 10-year, $1 trillion infrastructure proposal, a modest parental leave plan, and a 10-year, $130 billion set-aside for tackling the high cost of prescription drugs this year.

Trump’s U.S.-Mexico border wall would receive a $2 billion appropriation, more than provided by Congress but less than the $8 billion requested last year. Trump has enough wall money on hand to build 1,000 miles of wall, a senior administration official said, most of it obtained by exploiting his budget transfer powers. The official requested anonymity to discuss the budget before it is made public.

Trump has proposed modest adjustments to eligibility for Social Security disability benefits and he’s proposed cuts to Medicare providers such as hospitals, but the real cost driver of Medicare and Social Security is the ongoing retirement surge of the baby boom-generation and health care costs that continue to outpace inflation.

With Medicare and Social Security largely off the table, Trump has instead focused on Medicaid, which provides care to more than 70 million poor people and those with disabilities. President Barack Obama successfully expanded Medicaid when passing the Affordable Care Act a decade ago, but Trump has endorsed GOP plans — they failed spectacularly in the Senate two years ago — to dramatically curb the program.

Trump’s latest Medicaid proposal, the administration official said, would allow states that want more flexibility in Medicaid to accept their federal share as a lump sum; for states staying in traditional Medicaid, a 3% cap on cost growth would apply. Trump would also revive a plan, rejected by lawmakers in the past, to cut food stamp costs by providing much of the benefit as food shipments instead of cash.

The post Trump’s new budget slashes food stamps, student loans, and health care appeared first on The American Independent.

This content was originally published here.

Spanish socialist govt moves to let doctors kill sick patients as health care costs rise

MADRID, February 14, 2020 (LifeSiteNews) — A majority in the lower chamber of Spain’s Congress has voted to consider a bill that would legalize euthanasia and assisted suicide in case of “clearly debilitating diseases without a cure, without a solution and which cause significant suffering.”

Spanish daily El País reported that the 350-member Congress of Deputies passed a measure on Tuesday by a vote of 201 to 140, with two abstentions. Following debate in committee, the bill would go to the Senate for a final vote. In its current form, if passed, the law would allow voluntary euthanasia as well as assisted suicide. This is the third time the bill has emerged in Congress, where its proponents hope it will be approved in June.

Assisted suicide means that a doctor prescribes lethal drugs to a patient, who then self-administers the drugs. Voluntary euthanasia can be defined as when a physician or medical professional kills a patient at the patient’s request. Both forms of killing are legal in Belgium, Canada, Colombia, Luxembourg, the Netherlands, and in the state of Victoria in Australia. Switzerland and some states in the U.S. allow assisted suicide.

Both forms of dealing death would be legalized by the Spanish legislation, which would allow doctors to object on the basis of conscience but require them to refer patients to doctors willing to assist in death. The bill also requires that patients not have to wait more than a month after making a request for either assisted suicide or euthanasia. After two doctors consider an initial request, patients would then make an additional request for approval by a government committee.

The Catholic Church, as well as the Popular Party and Vox Party, has expressed vehement opposition to the bill. From the floor of Congress, Deputy José Ignacio Echániz of the Popular Party accused Spain’s socialist government on Tuesday of seeking to “save money” on care for “people who are expensive at the end of their lives.” He said, “For the Socialist Party, euthanasia is cost-saving measure.”

Euthanasia as cost-saving measure

Echániz said the socialist government is having trouble paying for its welfare policies: “Every time one of these people with these characteristics disappears, there also disappears an economic and financial problem for the government. For each one of these people who is pushed toward death by euthanasia, the government is saving a great deal. Behind this is a leftist philosophy to avoid the social cost of an aging population in our country.”

While offering legislation to improve palliative care, Echániz said it is “curious” that despite Spain’s excellent medical care, socialists are calling for euthanasia rather than “defending life until the last moment.”

Madrid mayor José Luis Martínez-Almeida and city chief executive Isabel Díaz Ayuso, both of whom represent the Popular Party, also denounced the bill. In an interview with Antena 3 radio, Díaz Ayuso reproached the socialists for their reasoning, saying, “Death is not dignity; it is death,” and added, “Life is dignity.” The euthanasia bill, she argued, is a “red herring” being offered by her opponents to distract from their failings.

Speaking for the pro-life Vox Party, Rocio Monasterio said in a news conference on Tuesday that Vox will mount strong opposition the bill. “We believe in the dignity of the person,” she said while calling for more resources for palliative care. Vox, she said, defends the dignity of people from conception to natural death, unlike the leftists, who “want to eliminate all those whose lives, according to the Socialist Party, are no longer useful.”

Vox Deputy Lourdes Méndez took to the floor on Tuesday, warning Congress that they had embarked on legislation that resembled Nazi law of the 1930s with which the German Third Reich could legally murder mentally and physically handicapped people who had been judged “unfit.”

Méndez said, “The weakest and most vulnerable would be pressured by the system and would come to feel that they are a burden.” While she also proposed a bill for palliative care, she said, “In the face of suffering, we propose to offer companionship; we propose a culture of care and propose to relieve pain. You propose in the face of suffering to eliminate the sick; you propose death.” Speaking directly to the socialists, she said, “May God forgive you!”

The Spanish bishops’ conference has condemned euthanasia, issuing a document titled “Sowers of Peace” in December, saying that the Tradition and Magisterium of the Church “have been constant in stressing the dignity and sacredness of every human life” and its opposition to legalized euthanasia and assisted suicide.

The Church, the document reads, offers various ways of accompanying the sick and suffering, “shaping the many charisms that have inspired many institutions and congregations dedicated to their care.” This is based on the words of Jesus Christ, who said, “I was sick, and you visited me” (Matt. 25:36), and in the parable of the Good Samaritan (Lk. 10:25–37).

Critics of the leftist euthanasia bill point out that both euthanasia and assisted suicide are beyond the scope of medicine and also violate the Hippocratic Oath, well enshrined in the medical profession, which states: “I will neither give a deadly drug to anybody who asked for it, nor will I make a suggestion to this effect.”

In a statement, the Catholic bishops said there is a flawed belief that assisted suicide and euthanasia are acts of autonomy, saying: “[I]t is not possible to understand euthanasia and assisted suicide as something that refers exclusively to the autonomy of the individual, since such actions involve the participation of others, in this case, of health personnel.” Instead of promoting death, Spain should instead embrace palliative care that can ease suffering, they said.

Fr. Pedro Trevijano Etcheverria, a Spanish theologian and columnist, reacted to the vote that came on the day Catholics commemorate the apparition of the Virgin Mary at Lourdes to a simple peasant girl, Bernadette, in 1800s France. The shrine at Lourdes, which is known all over the world for its healing waters, has drawn millions of ailing visitors and their companions for more than a century. Tuesday is also known among Catholics also as the International Day of the Sic, Trevijano Etcheverria mused, pointing out that while the irony of advancing a bill to kill sick people on that day might have been lost on Spain’s leftists, it would be easily recognized by Satan.

This content was originally published here.

Bloomberg: We Can No Longer Provide Health Care to the Elderly

Another video of former New York City Mayor Michael Bloomberg has resurfaced. Back in 2011, the billionaire paid his respects to the Segal family for the passing of Rabbi Moshe Segal of Flatbush. During that time, Jewish families undergo Shiva, a 7-day mourning period. Bloomberg stopped by to issue his condolences to the family.

Interestingly enough, the then-mayor used the opportunity to talk about overcrowding in emergency rooms, Obamacare and a range of other issues, The Yeshiva World reported at the time. One of those topics included denying health care to the elderly.

“They’ll fix what they can right away. If you’re bleeding, they’ll stop the bleeding. If you need an x-ray, you’re gonna have to wait,” Bloomberg said. “All of these costs keep going up. Nobody wants to pay any more money and, at the rate we’re going, health care is going to bankrupt us.”

But don’t worry. He believes he has a way of addressing cost concerns.

“Not only do we have a problem but we gotta sit here and say which things we’re gonna do and which things we’re not. No one wants to do that,” he said. “If you show up with prostate cancer, you’re 95-years-olds, we should say, ‘Go and enjoy. Have nice– live a long life.’ There’s no cure and there’s nothing we can do. If you’re a young person, we should do something about it. Society’s not willing to do that, yet. So they’re gonna bankrupt us.”

Who is Michael Bloomberg to decide who should and should not receive health care treatments? He has a ton of money and we know he’d do everything in his power to get the best doctors and treatment available if he or his loved ones became ill. They wouldn’t be told they’re too old or too broke, would they?

And who would be impacted by this decision? At what point is someone too old to treat? 60? 75? 80? What’s the arbitrary number, Mike? Whatever random number you decide on?

What about those who have chronic illnesses, like diabetes or multiple sclerosis? Do they suddenly stop receiving treatment once they hit a certain age, because they’re no longer deemed worthy?

And here I thought Democrats were supposed to want to take care of anybody and everybody. Guess not.

Bloomberg explaining how healthcare will “bankrupt us,” unless we deny care to the elderly.

“If you show up with cancer & you’re 95 years old, we should say…there’s no cure, we can’t do anything.

A young person, we should do something. Society’s not willing to do that, yet.” pic.twitter.com/7E5UFHXLue

— Samuel D. Finkelstein II (@CANCEL_SAM)

This content was originally published here.

American health care system costs four times more than Canada’s single-payer system | Salon.com

The cost of administering health care in the United States costs four times as much as it does in Canada, which has had a single-payer system for nearly 60 years, according to a new study.

The average American pays a whopping $2,497 per year in administrative costs — which fund insurer overhead and salaries of administrative workers as well as executive pay packages and growing profits — compared to $551 per person per year in Canada, according to a study published in the Annals of Internal Medicine last month. The study estimated that cutting administrative costs to Canadian levels could save more than $600 billion per year.

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The data contradicts claims by opponents of single-payer health care systems, who have argued that private programs are more efficient than government-run health care. The debate over the feasibility of a single-payer health care has dominated the Democratic presidential race, where candidates like Sen. Bernie Sanders, I-Vt., and Sen. Elizabeth Warren, D-Mass., advocate for a system similar to Canada’s while moderates like former Vice President Joe Biden and former South Bend, Indiana Mayor Pete Buttigieg have warned against scrapping private health care plans entirely.

Canada had administrative costs similar to those in the United States before it switched to a single-payer system in 1962, according to the study’s authors, who are researchers at Harvard Medical School, the City University of New York at Hunter College, and the University of Ottawa. But by 1999, administrative costs accounted for 31% of American health care expenses, compared to less than 17% in Canada.

The costs have continued to increase since 1999. The study found that American insurers and care providers spent a total of $812 billion on administrative costs in 2017, more than 34% of all health care costs that year. The largest contributor to the massive price tag was insurance overhead costs, which totaled more than $275 billion in 2017.

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“The U.S.-Canada disparity in administration is clearly large and growing,” the study’s authors wrote. “Discussions of health reform in the United States should consider whether $812 billion devoted annually to health administration is money well spent.”

The increase in costs was driven in large part due to private insurers’ growing role in administering publicly-funded Medicare and Medicaid programs. More than 50% of private insurers’ revenue comes from Medicare and Medicaid recipients, according to the study. Roughly 12% of premiums for private Medicare Advantage plans are spent on overhead, compared to just 2% in traditional Medicare programs. Medicaid programs also showed a wide disparity in costs in states that shifted many of their Medicaid recipients into private managed care, where administrative costs are twice as high. There was little increase in states that have full control over their Medicaid programs.

As a result, Americans pay far more for the same care.

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The average American spent $933 in hospital administration costs, compared to $196 in Canada, according to the research. Americans paid an average of $844 on insurance companies’ overhead, compared to $146 in Canada. Americans spent an average of $465 for physicians’ insurance-related costs, compared to $87 in Canada.

“The gap in health administrative spending between the United States and Canada is large and widening, and it apparently reflects the inefficiencies of the U.S. private insurance-based, multipayer system,” the authors wrote. “The prices that U.S. medical providers charge incorporate a hidden surcharge to cover their costly administrative burden.”

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Despite the massive difference in administrative costs, a 2007 study by the Centers for Disease Control and Canada’s health authority found that the overall health of residents in both countries is very similar, though the US actually trails in life expectancy, infant mortality, and fitness.

Many of the additional administrative costs in the US go toward compensation packages for insurance executives, some of whom pocket more than $20 million per year, and billions in profits collected by insurers.

“Americans spend twice as much per person as Canadians on health care. But instead of buying better care, that extra spending buys us sky-high profits and useless paperwork,” said Dr. David Himmelstein, the study’s lead author and a distinguished professor at Hunter College. “Before their single-payer reform, Canadians died younger than Americans, and their infant mortality rate was higher than ours. Now Canadians live three years longer and their infant mortality rate is 22% lower than ours. Under Medicare for All, Americans could cut out the red tape and afford a Rolls Royce version of Canada’s system.”

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Himmelstein later told Time that the difference in administrative costs between the two countries would “not only cover all the uninsured but also eliminate all the copayments and deductibles.”

“And, frankly, have money left over,” he added.

Democrats like Biden and Buttigieg have argued that it would be a mistake to switch to a single-payer system because many people have private insurance plans they like. Both have proposed a public option, which would allow people to buy into a government-run health care program but would not do away with private plans.

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But study senior author Dr. Steffie Woolhandler, at Hunter College and lecturer at Harvard Medical School, argued that a public option would make things worse, not better, because they would leave profit-seeking private insurance in place.

“Medicare for All could save more than $600 billion each year on bureaucracy, and repurpose that money to cover America’s 30 million uninsured and eliminate copayments and deductibles for everyone,” she said. “Reforms like a public option that leave private insurers in place can’t deliver big administrative savings. As a result, public option reform would cost much more and cover much less than Medicare for All.”

This content was originally published here.

Researchers at Texas A&M Say Brisket Has Health Benefits

Is BBQ Healthy

Texas BBQ lovers, we have some incredible news for you. Studies have shown that brisket can actually be considered healthy eating. So if you thought you’d have health risks if you eat anything other than grilled chicken at your favorite BBQ joint, you now have scientific evidence to back up enjoying your brisket.

According to researchers at Texas A&M, beef brisket contains high levels of oleic acid, which produces high levels of HDLs, the “good” kind of cholesterol.

Oleic acid has two major benefits: it produces HDLs, which lower your risk of heart disease, and it lowers LDLs the “bad” type of cholesterol.

Researchers say this also applies to most red meats like ground beef.

“Brisket has higher oleic acid than the flank or plate, which are the trims typically used to produce ground beef,” said Dr. Stephen Smith, Texas A&M AgriLife Research scientist. “The fat in brisket also has a low melting point, that’s why the brisket is so juicy.”

According to Health.com, “Grilling meats at high heat can cause the carcinogens heterocyclic amine (HCA) and polycyclic aromatic hydrocarbons (PAHs) to form.”

One way to avoid having any issues cooking your meat at high temperatures is to use a marinade. Certain spices will aid in eliminating HCAs during the grilling process so consider adding spices like thyme, sage, and garlic when you marinate your meat. 

On your next cookout, you can also find other ways to be healthy outside of just marinating your meat and enjoying your brisket without guilt. Consider some healthy grilling staples like adding veggies to your kebab skewers for a healthy side dish. Maybe eliminate the potato salad and coleslaw since those BBQ foods tend to be higher in unhealthy fats.

This post was originally published in 2016.

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The post Researchers at Texas A&M Say Brisket Has Health Benefits appeared first on Wide Open Country.

This content was originally published here.

Admitting Your Child to a Mental Health Hospital

Last week, we quietly admitted our daughter to a mental health treatment facility. I say “quietly” because we told very few people at the time. There was no Facebook announcement, no sendoff.

My friend Michelle sat beside me at intake where I shakily signed form after form. I was there for 5 hours learning more about the program and answering questions to help them better care for our daughter and then I walked out alone. I felt empty and scared.empty hospital hallway with text that reads "admitting your child to a mental health hospital"

The decision to admit our daughter was not one we had arrived at lightly. In fact, the wait list for this particular program was about a year long, so we had had a lot of time to think and rethink our decision. No matter how conflicted we felt though, the bottom line remained the same: we had to give it a try. We were out of other options. We had tried medication, therapy, and outpatient treatment programs. She was suffering. Our family was hurting. We were all living in fear as she continued to decline. It was time.

Our daughter has 3 mental health diagnoses. I’m choosing not to name them in this story because I don’t want this to just be about her and about us. My hope is that you see other stories in ours, to help you better understand and support families you may know who are facing this decision. Or perhaps you’ll see your own story in ours and feel less alone.

There is still such a stigma surrounding mental health. If our daughter had been diagnosed with Type 1 diabetes and she had to be hospitalized for a prolonged period until they could stabilize the disease and if during that time, we had to attend clinics on nutrition and lifestyle changes and information pertaining to her disease and treatment, no one would bat an eye.

We would have announced it on Facebook and put it in the prayer chain at church. There would have been an outpouring of casseroles and prayers and offers to help with our other kids.

But this isn’t the kind of thing that you announce on Facebook or tell people you run into. There is that protective feeling of wanting to shield her from judgment and scrutiny but a knowing that doing that also creates more shame around her disease.

We wrestled with our own feelings of embarrassment, guilt, and shame. We questioned “what could we have done differently?”.

We worry constantly that while almost all of our attention has been focused on the two of our kids with mental health issues, that a crisis could be building in one of our other kids and we may be missing it.

We feel like we are just doing triage, going from one literal crisis to another. It’s hard to even catch our breath.

This kind of life can be so isolating. There are things that have happened in our home that unless you are also walking this path of mental health disease in your children would shock you. My husband and I have literally said to each other, “who could we ever tell this to?”

Do you have any idea how isolating it is to live through “who could we ever tell this to?”? Who would be able to understand (and not judge) things that we can hardly even believe really happen?

Isolation can lead to feelings of hopelessness.

You need a village.

Just 4 days after our daughter’s admission, I found myself at a woman’s event at our church. In line at the buffet table, I answered “fine” to “how are you?” and “good” to “how are all the kids doing?” even though the truth was far from that.

The lie stung in my throat, making it hard to swallow.

Later that morning after the speaker had gone and the room cleared out, I was once again faced with “how are you?”

This time, there was no one else within earshot. I also knew the woman asking had gone through her own trials in life which made it feel safer to share mine.

As the story tumbled out, her eyes filled first with compassion and then with tears. She hugged me and we cried together. And then a magical thing happened. She pulled out her phone and pulled up her calendar and typed in our family’s name on her Wednesday afternoon and evening.

You see, I had shared that one of the many challenges we are now facing is that this program is super intensive and mandates that both parents attend parent sessions and family therapies and on Wednesdays, the time commitment works out to be 6 hours. Wednesday also just happens to be the hardest day for us to find child care for the other kids.

Here was this woman who was not just saying that she would pray for our family or would be “thinking of us”, but actually meeting a need, saying “my husband and I will be there this Wednesday and we will bring supper so you don’t have to worry about that”. What a gift.

You need a village. (worth repeating)

It’s only been a week, and already, we’ve needed to lean on our village.

That first admission day when my friend Michelle sat beside me? She did so much more than that. When I picked her up that morning, she presented our daughter with a gift and a card and these words: “Congratulations! I hear you got into an awesome school that’s super hard to get into and has a long waiting list. You are so lucky!” (all true)

She held us both up in that moment. Later, she took notes in the meetings. My brain wasn’t firing on all cylinders that morning due to the stress and I was sure I would forget important details. She took notes and remembered to ask things that had slipped my mind.

That same morning, one of our other daughters had woken up throwing up (from the stress) and my mom had come to our house to care for her. She also did laundry and changed our sheets. Do you know what a gift it was to crawl into fresh sheets that night after a long and emotional day?!

The night before the admission, we had a crisis here at home with our daughter. During that crisis, my neighbour offered to keep the other kids, to shield them from the worst of it, and to drive kids to and from piano and tutoring. Knowing that my other kids would be safe was also a gift.

Other friends took us out for supper the night of the intake. Honestly, we didn’t feel like going. We both just wanted to crawl into that bed with the fresh sheets and sleep for years. But we had committed and so we went and we ate good food and we were held up by people who loved us and after awhile, we even found ourselves laughing and almost forgetting. Another gift in the midst of such pain.

Is a mental health hospital the right place for your child?

Mental health hospital admissions are all different. For some, it may be an emergency safety admission that lasts for one or two days until the imminent threat has passed. For others, it may be a 30 or 90 day stay.

Our daughter’s program is 4-5 months where she stays at the hospital Monday to Friday and attends school, art therapy, music therapy, group therapy, animal therapy, and family therapy on site and is home on weekends with specific goals to work on at that time. Her program requires an intense commitment from both parents both in time and energy and an even more intense commitment from her.

And when her program ends, that is really only the beginning of the journey for us. We still have a long ways to go.

Perhaps you have come to a place where you find yourself at what feels like the end of the road in your child’s mental health journey. You don’t know what more can be done at home to keep them safe and healthy. Your family is fraying.

You walk around on eggshells every day, worried about what may set your child off. Or perhaps you hardly sleep at night worried that they may harm themselves or others.

I am not a professional and this advice is not meant to replace medical advice. You should always consult with a qualified mental health professional before making these decisions.

When to consider admitting your child to a mental health hospital:

  • they are unsafe at home
  • they are a risk to themselves or others
  • they are under the care of a psychiatrist and/or therapist but are still not stabilizing
  • the family is not able to manage their symptoms at home
  • even working with professionals, you still cannot find the right medications or dosing
  • you or other family members are living in fear
  • your child expresses thoughts of or plans for suicide or attempts suicide
  • addiction
  • upon recommendation of your child’s doctor, psychiatrist, or therapist

Some of the symptoms/diagnoses that MAY require treatment at a mental health facility:

  • suicidal ideation, suicide attempts
  • self harm
  • violent rages
  • inability to cope with life
  • eating disorders
  • severe mood swings
  • depression
  • debilitating anxiety
  • reactive attachment disorder
  • post traumatic stress disorder or developmental trauma disorder
  • obsessive compulsive disorder
  • bipolar disorder
  • schizophrenia
  • substance abuse or addiction
  • Tourette’s
  • autism
  • oppositional defiance disorder
  • attention deficit hyperactivity disorder
  • conduct disorder

Remember that a stay at a mental health facility is one tool that patients and their families can use. It does not create a cure, but it can be the beginning of more stability in the mood disorder or mental illness.

How to be the village:

  • Act the same way you would if their child had had to go into the hospital for a serious physical illness.
  • Show up. Just sit there. Be present.
  • Affirm that this decision must be so hard but that you know they love their child and that this is what their child needs right now. Parents carry so much guilt. They need to be reminded that they are good parents, willing to do hard things like sending their child to get the right help, even when all their instincts as a parent scream at them to keep their child close.
  • Take their other children for play dates, outings, or activities so that the parents can rest. They will typically crash physically and emotionally for at least a few weeks, possibly even months depending on what led up to the hospital admission. Having time to be alone and rest will help them to heal faster.
  • Do something kind for the other kids. Bring a small gift, especially something like a craft or activity they can do. Spend time listening to them or playing a board game or Lego with them. They have likely been getting less than their share of attention in recent months as their parents have had to put the sick sibling at the top of the time and attention list. Siblings can carry their own worry and feelings of guilt.
  • Bring healthy food. Snacks, meals, or gift cards for restaurants or take-out. And remind them to eat.
  • If they are married, help them protect their marriage in the crisis by watching the other kids for them to have date nights, by encouraging their relationship, and by giving them opportunities to spend time with other couples.
  • Sit and have tea or coffee with them. Let them cry and express all kinds of feelings. Regret, sorrow, relief at the new peace in their home, fear because the peace is temporary, dread about the future.
  • Or just watch TV with them or take them to a movie or invite them to dinner. Sometimes it’s also nice not to talk about it.
  • Offer to attend important appointments to take notes or hold their hand and debrief afterwards.
  • Pray for them.
  • Help them research. It is beyond exhausting to try to find programs and services and funding and these families are having a hard enough time just getting through each day. Help them research or make calls or fill out forms. There are so many forms.
  • Serve them in practical ways. Laundry, housework, errands, house repairs. Dishes still pile up even when it feels like the world is crumbling down.
  • Drop off comfort items. Chocolate or coffee or wine or whatever their comfort thing is.
  • Send gas or grocery gift cards or cash. Having a family member in the hospital often means time off work, parking fees, extra driving, and additional expenses. There can also be a high cost for the treatment program and medications.
  • Remind them that you are thinking of them and that what they are doing to fight for their child’s health does not go unnoticed.

If you are walking this road yourself, I’m thinking of you. It’s sure not an easy one. It’s likely not one you ever imagined when you began your parenthood journey. I know I didn’t! Please know that you are not alone.

Join me for a free 5 part email series, Little Hearts, Big Worries offering resources and hope for parents.

You may also want to read:

The Waves of Grief in Special Needs Parenting

What I Wish You Knew About Parenting a Child with Reactive Attachment Disorder

50 Awesomely Simple Calm Down Strategies for Kids

Parenting Myth: You’re Only as Happy as Your Saddest Child

The post Admitting Your Child to a Mental Health Hospital appeared first on The Chaos and the Clutter.

This content was originally published here.

Everyday Superhero: Dr. Andrew V., Cosmetic Dentistry – My Jaanuu

We asked Dr. Andrew Vo – a dentist, spin instructor and Captain in the United States Army – for his best self care tips, even when life and work throw a lot at you.

Where are you from? Huntington Beach, CA

What is your favorite part about your job?

I love to change negative experiences a patient may have had into positive ones, building a long and lasting relationship with each and every one of my patients and using my profession to truly change lives for the better.

Why did you choose cosmetic dentistry?

I originally chose cosmetic dentistry because I wanted to help people smile, to help build more confidence, and to help patients live the life that is worth living. In addition to cosmetic dentistry, I also love working on pediatric patients. I decided to go back to school this June to specialize in pediatric dentistry. When I first started my journey in dentistry, I first worked with children and I miss working with them so much. I want to learn more about treating children, become an advocate for pediatric health, and create future mission trips with a foundation of knowledge.

What does self care mean to you?

Taking care of yourself both physically and mentally in order to take care of your loved ones.

You’ve got a lot going on, how do you practice self care?

Being in the fitness community (GritCycle and Equinox) and teaching indoor cycling for these companies, I am so blessed to have met such incredible people. Everyone has challenging days, but these two communities are filled with love, positivity and joy, which helps me practice self care.

Have you always known how to practice self care? If not, how did you find your balance?

I love food, and sometimes the foods that I consume aren’t the best choices. At one time in my life, I was overweight, unmotivated and depressed. I found my balance and changed my life when I found fitness and the people that inspired me to live a better and healthier life.

Why is it important for healthcare professionals to take time for self care?

We all get busy with our jobs and often times we make up excuses not to exercise because we don’t have time or to eat healthy because it takes too long. It is never too late to change, just take one step at a time and you will eventually get there.

How long have you been cycling? What made you decide to become an instructor?

I have been cycling for the past 12 years and decided to become an instructor because I wanted to make a difference and share my story. I wasn’t always in shape and healthy. It was when I hit rock bottom and had to make a choice to either keep going down the dirt road or be proactive and commit to living my best life. It wasn’t easy, but I got there. I love teaching indoor cycling to help people realize that they are loved, that they are accepted, and that it is NEVER too late to change for the better.

Hear more from our Everyday Superheroes here and here.

This content was originally published here.

Family of Chinese man with new coronavirus flew to Manila – HK health minister | ABS-CBN News

MANILA (UPDATE) —A Chinese man who tested positive for a deadly new coronavirus strain traveled to Manila with his family on Wednesday, Hong Kong authorities said.

In a press conference, Hong Kong Health Minister Sophia Chan confirmed that the patient and four other family members arrived in the country via Cebu Pacific 5J111, which landed in Manila at 1:20 p.m. Wednesday. 

Charo Logarta Lagamon, director of Cebu Pacific’s corporate communications department, told ABS-CBN News that no one on the flight was quarantined.

Hong Kong quarantined the 39-year-old man after the city’s first preliminary positive result in a test for the new flu-like coronavirus found in an outbreak in central mainland China, authorities said.

The tourist from Wuhan came to Hong Kong on Tuesday via high-speed rail from nearby Shenzhen and was detected having fever at the border. He was in stable condition in an isolation ward at Princess Margaret Hospital, Health Minister Sophia Chan said.

The outbreak has spread to more Chinese cities including the capital Beijing, Shanghai and Macau, and cases have been reported outside the country’s borders, in the United States, South Korea, Thailand and Japan.

Nine people in China have died.

“I urge citizens not to go to Hubei province, Wuhan city if not necessary,” Chan said in a news conference.

She said the isolated patient came to Hong Kong with four family members, who spent the night at a hotel in the busy Tsim Sha Tsui tourist district, before hopping on a flight to Manila earlier on Wednesday.

His family did not have any symptoms. The government was contacting train passengers who sat near him and they would be put under observation in isolation wards. A hotline was also set up for people worried they might have contracted the virus.

Chan could not immediately confirm local media reports of a second person with similar test results.

The Hospital Authority on Tuesday enhanced laboratory surveillance for pneumonia cases to include patients with travel history to all of mainland China, rather than just Wuhan.

Hong Kong had deployed temperature screening equipment at the airport and the high-speed rail station. Air passengers are required to fill in health declaration forms. Some 500 isolation wards at public hospitals were available, with more ordinary wards to be converted if necessary.

Coronaviruses are a family of viruses named because of crown-like spikes on their surfaces. The viruses cause respiratory illnesses ranging from the common cold to the deadly Severe Acute Respiratory Syndrome (SARS).

Manila’s airport quarantine office said Wednesday night that based on thermal scanners, “no passenger was detected with high fever on that flight.” There was also no advisory or alert from Hong Kong health ministry. 
 
Nine people have died in mainland China while 400 have been affected of the SARS-like virus. Chinese cities Beijing, Shanghai, and Macau have confirmed cases of the virus. Patients who contracted the disease have also been confirmed in the United States, Thailand, Japan, South Korea and Taiwan. 

Several airports across the Asia-Pacific have tightened security measures for travelers, especially from China after authorities said the virus — which has infected some 440 people in Asia’s largest economy — could mutate and be transmitted through the respiratory tract. — With a report from Felix Tam, Reuters

This content was originally published here.

District Receives Large Grant to Improve Students’ Mental Health

Edmond Public Schools has received a $350,000 gift from a private donor to fund additional personnel, training, and support to help the district improve student’s social and emotional well-being. The donor (who wishes to remain anonymous) has given two previous gifts to the district totaling $413,000. 

“We are humbled by this donor’s profound generosity and deeply moved by their continued commitment to preventive measures to benefit students for a lifetime,” said Superintendent Bret Towne. “We extend our gratitude to the donor for this most recent gift and look forward to implementing the training and support programs this grant will make possible as we work together to better meet the needs of our students.”

The historic gift, given to the EPS Foundation and passed through to the district, will fund the hiring of two additional elementary school counselors and two school-based therapists who will work with the district’s innovative Fresh Start program-an intensive behavioral remediation program benefiting students who act out due to having suffered trauma. 

Additionally, the gift will fund three two-day Conscious Discipline workshops for teachers, and cover the cost of substitutes while 200 teachers attend Trust-Based Relational Intervention (TBRI) training at the district headquarters, two programs with proven track records of sustainable results. 

“A growing body of research points to the importance that educators play in cultivating inner strength and resilience in children,” said Towne. “The above-mentioned training will equip more of our educators with the skills to integrate social-emotional learning, discipline, and self- regulation in the classroom, helping to enhance students’ personal and interpersonal readiness.”

A spokesperson for the donor says the organization is focused on funding initiatives that promote a culture change in the community and in schools with regards to mental health.

“A lot of research went into approaching the needs of helping our community,” said the spokesperson. “Based on ongoing communication with EPS district personnel we were able to select funding options that when implemented will have the greatest amount of impact over time. In addition to programs, we opted to fund additional school counselor positions. We know additional counselors are needed for our growing district.”

The spokesperson says the donor is happy with the way Edmond Public Schools has used the grant money and believes the funded initiatives have made a difference in the lives of teachers and students. 

“We are very pleased with the commitment EPS has demonstrated to mental health and prevention. We know our donor dollars have been put to work. The feedback from teachers, counselors, administration, and parents has been heartwarming.  We understand that knowledge is power, and ongoing training is necessary to meet the current needs of students and faculty.” 

This content was originally published here.

Our November Practice of the Month — Zammitti & Gidaly Orthodontics

mysocialpractice.com

Congratulations to our November Practice of the Month — Zammitti & Gidaly Orthodontics!

This month we’d like to spotlight an absolute social media powerhouse practice, Zammitti & Gidaly Orthodontics! They’re using social media dental marketing to reach new audiences, strengthen relationships with current patients, and stand out in their community.

They also impressed us with their phenomenal reviews presence, with over 350 positive patient reviews across Facebook and Google.

We reached out to Michelle Camp, patient care and marketing coordinator of the practice, for some insight on how social media is growing their business and what’s been working for them. Take something from what their team has learned to apply in your own social media strategy!

Ready for a quick demo of our reviews service? Fill out the form below.

Q&A With Michelle Camp, Marketing Coordinator

(Responses edited for length and clarity.)

What has been the biggest surprise of social media marketing for you?

The biggest surprise of using social media in our practice is how fun and exciting it is creating the posts. Our staff has really loved getting involved in taking pictures, sharing their fun facts or just listening to our silly post ideas. Taking pictures of the staff and patients is a fun and quick way to break up the day/week and add some excitement to our patient’s visits.

Which of your team’s social media efforts have shown to be most effective?

The social media tool or tactic that has been most successful has been our “Fun Fact Friday”–where each staff member shares a little fact about themselves that our patients may not otherwise know. People love getting to know our staff and doctors through these posts. Our patients look forward to this post in particular because it is fun to see everyone’s unique answers while also thinking about what their answer would be for each week’s fun fact.

What has been the biggest challenge of using social media in your practice?

The biggest challenge of social media marketing has been staying fresh and current. We have a large multi-doctor, multi-location practice and it can be difficult to make sure all employees/doctors/locations are included while being sure we are not posting the same thing each week. My Social Practice has helped us with this challenge by providing interesting new content ideas.

What has been the biggest benefit to your patients since you started using social media?

The number one benefit of our social media for our patients is that it helps patients to develop a more intimate relationship with our practice. With our daily posts our patients get a little glimpse behind the scenes while also getting to know our employees and doctors more. Our patients can see that we are a family that works hard while having fun too.

What has been the biggest benefit to your practice since you started using social media?

The #1 benefit social media has brought to our practice is the ability to always stay on people’s minds. Everyone is scrolling through Facebook and Instagram at some point throughout the day. When they scroll past our posts it helps people to think about us when they otherwise wouldn’t. If they are current patients it may be a reminder to tell a friend about our office. If they are not patients yet it may be that extra reminder to call our office to schedule a consultation. Social Media brings our practice into people’s homes and into their everyday conversations.

What kind of feedback have you gotten from patients about your social media?

Luckily, the feedback we have received from our patients about our social media efforts has been positive. We have had parents of patients and older patients themselves tell us how much they enjoy our posts. I personally have been able to use this feedback to get to know our patients more, asking them what they dressed up as for Halloween or what their least favorite food is.

What do you do in your office to promote your social media presence?

Right now our employees promote our social media presence in a low-key, laid-back manner. It may be as simple as mentioning a recent post or telling a patient to look for an upcoming post. Of course, taking pictures of patients and telling them to look for their photo on our social media is a great way to promote also! We don’t ever want a patient or parent to feel pressured or uncomfortable so something as simple as “check us out on Facebook/Instagram” has done the trick so far.

What advice would you have for a dental practice just starting to build their social media presence?

For a dental practice just starting out on social media I would tell them to stay true to their values and beliefs. Social media is an amazing platform that can reach a lot of people, it is important that what is being displayed on your practice’s social media is a great representation of who you are and what you believe in. Put your best qualities out there and let social media be another marketing platform that keeps you on people’s minds.

Which My Social Practice product or service has been the most help to you?

My Social Practice’s Engagement Boxes have been the biggest help for our practice. Each engagement box has included a great variety of fun and interesting tools/props/ideas to help our posts stay fun and fresh. Each engagement box has been filled with fun props along with well-made signs and ideas for each post. We have always been impressed with the content delivered within each box!

Thank you for sharing, Michelle! Your team really understands how social media grows dental practices, and we’ve loved watching your online presence grow!

Dental social media marketing is about growing practices through increasing your reach, enhancing your local reputation, and building relationships with patients and potential patients. My Social Practice has remained laser-focused on these key objectives for over a decade as we’ve built the perfect dental social media solution.

Even if you have no social media experience and no time to learn, My Social Practice can do all the heavy lifting for you—growing your practice while you focus on serving your patients.

and we’d love to show you step-by-step how we can make your practice shine online!

Ready for a quick demo of our social media service? Fill out the form below.

The post Our November Practice of the Month — Zammitti & Gidaly Orthodontics appeared first on My Social Practice – Social Media Marketing for Dental & Dental Specialty Practices.

This content was originally published here.

Improve sleep quality and boost heart health: 7 Reasons to eat nutrient-rich cherries – NaturalNews.com

(Natural News)
You know how the saying goes: Big things can come in small packages. This is especially the case for an often-overlooked superfood: cherries. Each cherry you pop into your mouth is packed with essential vitamins and nutrients that can provide a multitude of health benefits.

Cherries on top

Cherries come in different varieties, many of which can be found all over the US in local supermarkets or even on cherry trees themselves. Some of the common cherry types you can find include sweet cherries (Prunus avium) and sour cherries (P. cerasus). Regardless of your cherry preferences, eating either of these types can help you enjoy the benefits found below. (Related: Cherries a superfood? Research confirms this well-known fruit tackles cancer, insomnia, high blood pressure and gout.)

Rich in nutrients

Cherries are chock-full of important vitamins, minerals and fiber that all contribute to overall good health. According to data from the US Department of Agriculture, a cup (154 g) of raw pitted sweet cherries provides:

These nutrients provide their own health benefits. Vitamin C, in particular, plays an integral role in maintaining the proper function of the immune system and promotes skin health. The fiber in cherries is great for keeping the digestive system in tip-top shape by providing fuel for the beneficial gut bacteria and promoting bowel regularity. Further, a study published in the journal Advances in Nutrition states that potassium is a needed nutrient for nerve function, blood pressure regulation and muscle contraction.

The power of the elements: Discover Colloidal Silver Mouthwash with quality, natural ingredients like Sangre de Drago sap, black walnut hulls, menthol crystals and more. Zero artificial sweeteners, colors or alcohol. Learn more at the Health Ranger Store and help support this news site.

Promotes heart health

Eating nutrient-dense foods like cherries is a fantastic (and delicious) way to keep your heart healthy. A study published in the journal Nutrients found that fruits have a protective role against cardiovascular disease. Cherries, in particular, were found to have a beneficial role in improving myocardial infarction, or heart attack.

Rich in antioxidants and anti-inflammatory compounds

This high concentration of various plant compounds is largely responsible for the health benefits of cherries. The high antioxidant content can help fight off oxidative stress, which is linked to a variety of chronic diseases like cancer. In fact, a review published in Nutrients found that eating cherries not only reduced markers of oxidative stress, but also reduced systemic inflammation.

In addition, cherries are packed with polyphenols, which are plant chemicals that fight cellular damage, reduce inflammation and improve overall health. Research has shown that diets rich in polyphenols can protect you from a wide variety of chronic diseases, including heart disease, diabetes, mental decline and certain cancers.

Boosts exercise recovery

The anti-inflammatory and antioxidant compounds in cherries can also help relieve exercise-induced muscle pain, muscle damage and inflammation. Tart cherries, in particular, were found to be more effective at this function than their sweet counterparts. Tart cherry juice can accelerate muscle recovery and prevent strength loss in elite athletes like cyclists and marathon runners.

Improves arthritis and gout symptoms

The anti-inflammatory properties of cherries are also beneficial for people with arthritis and gout, which is a type of arthritis caused by a buildup of uric acid that leads to extreme swelling and pain in the joints. A study published in the Journal of Nutrition found that two servings of sweet cherries after an overnight fasting session lowered levels of inflammatory markers and significantly reduced uric acid levels only five hours after consumption.

Improves sleep quality

Cherries contain a substance called melatonin, which helps regulate the sleep-wake cycle. Having high levels of melatonin in the body can improve overall sleep quality. A study published in the European Journal of Nutrition found that those who drank tart cherry juice concentrate for about seven days experienced significant increases in melatonin levels, sleep quality and sleep duration compared to those who drank a placebo.

Easy to add to your diet

Considering the size and taste of this fruit, cherries are surprisingly easy to integrate into your everyday diet. Not only can you enjoy them as a snack on their own, you can also add them as ingredients in recipes for pies, salads, baked goods and salsa. Also, the abundance of related products like dried cherries, cherry juice and even cherry powder only add to the versatility of this superfood.

With a wide array of health benefits, adding cherries to your diet is a great way to boost your overall health.

Sources include:

This content was originally published here.

Local music and art at Magic City Dentistry’s open house party on January 23

Sponsored

Magic City Dentistry
Photography by Ann Sydney Williamson on display at Magic City Dentistry (photo of photo by Nathan Watson)

Magic City Dentistry is launching their first party of 2020 with Botox specials, giveaways, Rock and Roll photography from Ann Sydney Williamson and a live music performance from Taylor Hollingsworth. The fun kicks off on January 23 at 4:30PM–you don’t want to miss it!

Part Dentistry, Part Art Gallery

Magic City Dentistry
Magic City Dentistry is conveniently located in the heart of downtown. Photo via Nathan Watson for Bham Now

I’ve said it before and I’ll say it again–Magic City Dentistry has an atmosphere unlike any dentist office I’ve ever visited. For starters, every patient and employee is so friendly and outgoing. And there’s the fact that every examination room is outfitted with a TV–so you can catch up on your latest Netflix binge.

But my favorite part of visiting Magic City Dentistry is getting to see all of the art. In the past, Magic City Dentistry has displayed art from Lauren Strain, Sonia Summers, Eric Poland and many more. 

Magic City Dentistry’s Newest Exhibit

Magic City Dentistry
Photography by Ann Sydney Williamson on display at Magic City Dentistry. Photo via Nathan Watson for Bham Now

The latest artist to grace the walls is Ann Sydney Williamson, a local photographer.

Ann Sydney has been a photographer for 7 years. It all started when she was touring with bands and decided to start taking photos with her phone. She noticed that she had a knack for capturing captivating moments, so she picked up a fancy camera and began to teach herself photography.

Ann Sydney took this photo of her husband, the drummer of Lee Bains III & The Glory Fires, in 2014. Photo via Ann Sydney Williamson

“I started only shooting bands, and then I starting taking photos of my travels. I really like odd cultural events, so I just starting taking photos of them.”

Ann Sydney Williamson

Since then, Ann Sydney expanded her photography to her travels, life and adventures. But for this art opening, she’s going back to her roots by showing off her best photos of the rock and roll shows she’s attended throughout the years.

  • View her work: Website | Facebook | Instagram

The Fun Starts January 23

Magic City Dentistry
Ann Sydney and her husband figure out the best way to hang her framed photos. Photo via Nathan Watson for Bham Now
  • When: January 23, 4:30PM to 7PM
  • Where: Magic City Dentistry, 2117 1st Ave N, Birmingham, AL 35203
  • What: An art opening for Ann Sydney Williamson

Just like the opening of Sonia Summer’s exhibit in August, Magic City Dentistry is hosting a gala for the art opening. Here are the top 4 things I’m looking forward to!

1. Meet the Artist & Buy Her Work

Ann Sydney Williamson and her husband, Blake (the drummer for Lee Bains III & The Glory Fires) will be at the party to answer any questions you have about her art. Plus, during the gala (or any time you visit Magic City Dentistry), you can purchase any print or framed photo that you like.

  • Prints: $75
  • Framed photographs: $150

PS: If you see a print that you’d like framed, Ann Sydney can arrange to have it framed for you.

2. Eat, Drink and Socialize

This art gala is the perfect opportunity to make new friends in Birmingham. There will be food, wine and beer from Trimtab Brewing.

3. See a Free Show by Taylor Hollingsworth

Based on this photo, you can tell that Taylor’s music has psychedelic roots! Photo via Taylor Hollingsworth

While you enjoy Ann Sydney’s photographs, Birmingham native musician Taylor Hollingsworth will be putting on a free show! Taylor writes, plays, and records his own music, and has released nine solo albums. In addition to his solo work, Taylor has toured with Conor Oberst and the Mystic Valley Band, Dead Fingers, Maria Taylor, Monsieur Jeffrey Evans and his Southern Ace’s and 

“Taylor’s writing gets right to the heart. His music is a mix of psychedelic, punk and blues–but with an old country spin. I have personally seen people cry upon hearing some of his songs and I have too!”

Kristye Dixon, Practice Development Manager

4. Get Entered to Win Big

Ann Sydney took this photo of Henry “Gip” Gipson of Gip’s Place. Photo courtesy of Magic City Dentistry

Each guest gets an entry for several exciting raffle items, such as a free Teeth Whitening from Magic City Dentistry and a free framed photograph from Ann Sydney Williamson.

Plus, Magic City Dentistry is offering their botox units at a discount for one night only. At the gala, you can purchase botox for $10 per unit–regularly $13 per unit!

The best part? This entire event is FREE and open to the public.

  • Address: 2117 1st Ave N, Birmingham, AL 35203
  • Hours: 7AM-5PM Monday and Wednesday | 8AM-6PM Tuesday | 8AM-4PM Thursday | 8AM-1PM Friday
  • Contact: 205.238.6800 | Website | Facebook | Instagram

This art gala for Ann Sydney Williamson is the perfect chance to find out what Magic City Dentistry is all about. From celebrating and supporting local artists, to providing a warm, comfortable environment for their guests, you can get the full experience on January 23.

So come out and enjoy art, music, and good company at Magic City Dentistry.

Tag us on social media @bhamnow with your favorite photograph at Magic City Dentistry!

Sponsored by:

The post Local music and art at Magic City Dentistry’s open house party on January 23 appeared first on Bham Now.

This content was originally published here.

Flight From China Diverted Away From Ontario Airport, Top County Health Official Preaches Calm on Coronavirus – NBC Los Angeles

Los Angeles County’s top public health official said Tuesday residents should not be alarmed about the coronavirus, despite the spread of the disease in China and the growing number of deaths attributed to it.

“At this moment, (there is) absolutely nothing to be afraid of,” Department of Public Health Director Barbara Ferrer told the Board of Supervisors.

Supervisor Kathryn Barger asked for the update to counter misinformation as many Chinese communities prepare for Lunar New Year celebrations.

“There is no need to panic and there is no need for people to cancel their activities” Ferrer said. “There’s nothing that indicates that there’s human-to-human transmission in L.A. County.”

The first case of coronavirus in Los Angeles County was confirmed Sunday. The patient was a traveler returning through Los Angeles International Airport home to Wuhan City, China, which is the epicenter of the deadly disease. The person felt sick, told officials and is now being treated at a local hospital well-equipped for the task, Ferrer said.

The individual came into “close contact with a very small number of other people,” she said.

The only people who should be concerned are those who have been in close contact with someone with a confirmed case of the disease for at least 10 minutes, according to Ferrer.

The CDC’s guidance indicates people who have casual contact with a case — “in the same grocery store or movie theater” — are at “minimal risk of developing infection.”

Ferrer provided reassurances about the trajectory of the disease in the United States to date, given that it has been circulating in China since early December and despite extensive travel between the two countries, only five U.S. cases have been confirmed.

The coronavirus outbreak was first noted in December in the industrial city of Wuhan in the Hubei province of central China. Since then, more than 5,975 cases have been reported in China, with at least 132 deaths.

“In China, the situation is dire,” Ferrer told the board. “What happened in China is not what’s happening in the United States right now.”

On Saturday, the Orange County Health Care Agency confirmed a case of coronavirus after a traveler from Wuhan tested positive. The two Southland cases are the only confirmed cases in California so far, and two of five in the United States. The other U.S. cases were reported in Arizona, Illinois and Washington state, according to the latest available data on the website for the Centers for Disease Control and Prevention.

Health officials in San Diego County are awaiting results of tests on a potential case there involving a person who recently traveled to impacted areas in China.

The CDC has expanded screening to 20 airports and will now be screening all travelers from China, not just Wuhan, as of Tuesday night, Ferrer said.

Hong Kong closed borders with mainland China Tuesday, CNN reported, and concern over the virus rattled global financial markets Monday, with the Dow Jones Average dropping more than 450 points.

The United States and several other countries are making plans to evacuate citizens from Wuhan. San Bernardino County officials were working with the U.S. State Department on a plan to potentially use Ontario International Airport as the repatriation point for up to 240 American citizens, including nine children, but that plane was diverted to March Air Reserve Base in Riverside County.

Those passengers were expected to first land in Alaska, where they would be screened by CDC workers before being cleared to proceed into the continental U.S., according to San Bernardino County officials.

Supervisor Hilda Solis said she was worried about discrimination related to the virus.

“I’m really concerned about how people are going to be mistreated,” Solis said.

Ferrer asked all Angelenos to help in that regard.

“People should not be excluded from activities based on their race, country of origin, or recent travel if they do not have symptoms of respiratory illness,” she said.

There is no vaccine for the virus, only treatment for the symptoms, but residents can take steps to reduce the risk of getting sick from this and other viruses. Health officials recommend staying home when sick, washing hands frequently and getting a flu shot.

“Thirty thousand people will probably die this year from influenza alone,” Ferrer noted.

Even if the virus is not spreading in the United States, rumors are.

USC students were shaken by an erroneous late night claim on social media that a student on campus contracted the coronavirus. The school issued a statement Tuesday morning denying anyone on campus was diagnosed with the virus.

For general information about the coronavirus, go to www.cdc.gov.

This content was originally published here.

Federal Government Misled Public on E-Cigarette Health Risk: CEI Report

A new report from the Competitive Enterprise Institute calls into question government handling of e-cigarette risk to public health, especially last week after the U.S. Centers for Disease Control and Prevention (CDC) tacitly conceded that the spate of lung injuries widely reported in mid-2019 were not caused by commercially produced e-cigarettes like Juul or Njoy.

Rather, the injuries appear to be exclusively linked to marijuana vapes, mostly black market purchases – a fact that the Competitive Enterprise Institute pointed out nearly six months ago. The CDC knew that, too, but for months warned Americans to avoid all e-cigarettes.

“The Centers for Disease Control failed to warn the public which products were causing lung injuries and deaths in 2019,” said Michelle Minton, co-author of the CEI report.

“By stoking unwarranted fears about e-cigarettes, government agencies responsible for protecting the health and well-being of Americans have been scaring adult smokers away from products that could help them quit smoking,” Minton explained.

Now that the CDC has finally began to inform the public accurately, it’s too little too late, the report warns. The admission has done little to slow the onslaught of prohibitionist e-cigarette policies sweeping the nation, and the damage to public perception is already done.

Nearly 90 percent of adult smokers in the U.S. now incorrectly believe that e-cigarettes are no less harmful than combustible cigarettes, according to survey data from April 2019. Yet the best studies to-date estimate e-cigarettes carry only a fraction of the risk of combustible smoking, on par with the risks associated with nicotine replacement therapies like gum and lozenges. Meanwhile, traditional cigarettes contribute to nearly half a million deaths in the U.S. every year.

The CEI report traces the arc of CDC and FDA messaging and actions, starting in late June 2019, about young people hospitalized after vaping. Concurrent news reporting ultimately revealed, though virtually never in the headline, that the victims were vaping cartridges containing tetrahydrocannabinol (THC), the key ingredient in cannabis, with many admitting to purchasing these products from unlicensed street dealers. Yet for months the CDC consistently refused to acknowledge the role of the black market THC in the outbreak, which had a ripple effect on news reporting and on state government handling of the problem.

By September 2019, over half of public opinion poll respondents (58 percent) said they believed the lung illness deaths were caused by e-cigarettes such as Juul, while only a third (34 percent) said the cases involved THC/marijuana.

The CEI report warns that federal agencies should not be allowed to continue misleading the public about lower-risk alternatives to smoking.

View the report: Federal Health Agencies’ Misleading Messaging on E-Cigarettes Threatens Public Health by Michelle Minton and Will Tanner.

This content was originally published here.

Straighten Out Your Orthodontics Billing

Managing billing at your orthodontics practice can take up as much time as you spend with your patients. If your current payment software doesn’t integrate with other platforms like QuickBooks Online, you could be spending hours reconciling payments.

Integrated technology cuts through the red tape for orthodontic payment processing. Integrated payments means that your billing, credit card processing, customer management, and business analytics are all in one place. In this blog, we’ll explore how you can straighten out your orthodontics billing and save money with integrated technology.

Use ACH to Save on Fees

ACH, or “automated clearinghouse,” payments are great for invoicing patients. ACH payments are a secure, low-cost option, especially if you send invoices through a virtual terminal.

ACH costs less than $1 per transaction to providers, unlike credit cards that vary in percentages, usually between 3-4% per transaction. Those savings add up, especially if you’re billing a patient for a high-cost procedure. Once you send a patient an invoice, they can enter their bank account information and complete the payment. Patients can also set up autopay for recurring invoices so you don’t have to worry about late payments. You’ll get paid faster and at a much lower cost.

Use Practice Management Software to Track Your Payer Mix

Your payer mix is crucial to your practice’s cash flow. A payer mix is the total distribution of how your patients pay for their care. They can pay through private insurance, government-funded options, or completely out of their own pocket. Having a good balance between the three creates a steady cash flow for your practice. For instance, if your payer mix leans towards federal insurance programs like Medicaid, changes in regulations can upset your cash flow and revenue.

You can track your payer mix through practice management software like OrthoTrac. You can even check the status of insurance claims and reimbursement so you get paid faster. To stay competitive, you should assess your payer mix and make adjustments as necessary, like accepting more forms of insurance. And to work even more efficiently, choose a payment processor like Fattmerchant that integrates seamlessly with OrthoTrac and other practice management software.

Sync Your Data to End Reconciliation

Integrated technology means you don’t have to stop using the tools you already love, like QuickBooks Online. Integrated technology will work with other tools to create a seamless experience. You can manage patients, their insurance information, payments, and outstanding invoices all without needing to log into separate tools.

Fattmerchant integrates with practice management software like OrthoTrac and DentalXchange, plus 200 other applications and platforms. You can manage the most vital aspects of your orthodontic practice’s billing from one platform. Plus, with our 2-way sync with QuickBooks Online, your data is automatically transferred between the two platforms, making reconciling a thing of the past.

See how integrated payment technology can help your orthodontics practice.

The post Straighten Out Your Orthodontics Billing appeared first on Fattmerchant.

This content was originally published here.