Tumgik
#top cardiologist philadelphia
heartcarepa · 1 year
Text
How to tell if you are having a Heart Attack
How to tell if you are having a Heart Attack
Sometimes your body can behave strangely. As you age, your body can act strangely. You might ignore aches and pains or even bouts of fatigue because you think that 'it is just part of getting older'. Some aches and discomforts are not to be ignored. Tightness in the chest or shortness breath could be signs of more. You could be having a heartattack if you feel these symptoms. How do you know when you are having a heartattack? Find out more information & get a heart specialist philadelphia.
Heart attack symptoms
You may assume that a pain in your chest comes from acid reflux or gas. If your pain is persistent, new or constant, or keeps keeping you awake at night, dial 911. Heart attack symptoms include:
You may feel tightness or pressure in your chest or arms, especially your left arm. This can sometimes spread to the back, jaw or neck.
Shortness of Breath
Sudden sweating or clammy
Fatigue or feeling tired easily
Long-lasting cough
You may experience abdominal pain, heartburn or indigestion.
Lightheaded
Snoring
Swollen ankles and feet
The pain that you feel during a heartattack will not go away even with rest. It can get worse with stress or physical activity. Sometimes, women who are having a cardiac arrest have milder symptoms. Some people have no symptoms, while others feel "off", or a sense of impending doom.
Who is at high risk of a heartattack?
If you:
You have an autoimmune disorder
Over age 55 or 45 for men
Heart disease in the family
High cholesterol
Regularly use or are exposed tobacco
Are diabetic
High blood pressure
Stressed out?
Use illicit drugs
Obesity is a serious problem
Metabolic syndrome
Are inactive
Have a past history of pregnancy complications, e.g. Preeclampsia (high blood pressure during pregnancy), gestational diabetics, and gestational hypertension are all possible.
Early menopause is when you experience the menopause before 40 years of age
Heart attacks are an individual experience
Each person has a different experience with a heartattack. You may have been experiencing warning symptoms for several weeks or have had a sudden heart attack. The way in which the pain is felt can also vary. You may experience no pain at all, or mild, moderate, or severe pain. Contrary to popular opinion, many people experience symptoms of a nearly complete blood flow loss days or weeks before they have a heart attacks. You are more likely to suffer a heartattack if you experience more symptoms. You may experience different symptoms or a different sequence of events than another person.
Act immediately
It's important to get help right away if you think you may be having a cardiac arrest. Do not wait. This could mean the difference between death and life. What to do if your heart feels like it's about to stop?
A heart attack can be a frightening experience. Knowing what to look out for can make it less frightening.
0 notes
corrieluscardiology · 2 years
Link
Tumblr media
People often face serious risk factors for heart disease. The chances of experiencing cardiac problems can lead to many problems. Are you looking for the top comprehensive cardiology consultation in Philadelphia?
With the trusted & comprehensive care of Corrielus Cardiology, you can take charge of your heart health today and consult one of the best Cardiologists in Philadelphia. Book an appointment now.
0 notes
datascraping001 · 1 year
Text
Doctors Data Scraping Services
The Fastest Way To Get The Medical Information You Need!
What is Doctors Data Scraping Service
Data scraping services are used to extract data from doctor's websites, including names, specialties, contact information, etc. This data can be used to create a database of doctors, which can be used for marketing or research. You can use Doctors Data Scraping Services to get the necessary information for enhanced performance in your medical practice. These days, there is a huge amount of data about doctors and other medical practitioners, making scraping services all the more important. Going through the process manually can be quite draining on your staff's resources. Consequently, it’s beneficial to find a service that saves you time and energy. You will receive comprehensive and precise details from a variety of sources. Some people may require their doctor’s data scraping which will supply them with name, address, email, phone contacts and also additional service specifics so that they can better equip themselves before visiting a certain doctor.
Tumblr media
Database scraping is highly requested for the following specializations:
Surgeon
Physician
Dentist
Cardiologist
Radiologist
Gynecological
Neurologist
Data Scraping Services offers services such as data scraping, data extraction, and data mining. We can scrape doctor’s data for you and collect the following data fields using Doctors Data Scraping Services and Doctors Contact List Scraper.
Doctors Name
Specialization
Address
Street
City
State
Country
Zip Code
Email ID
Website URL
Practice Hours
Reviews
Ratings
Work Experience
Phone Number
Fax Number
Doctors Contact List Scraper
Using our doctor contact list scraper tools, you can scrape chiropractors’, psychologists’, surgeons’, dentists’, physicians’, nurses’, and veterinarians’ contact lists. By scanning and discovering all targeted websites, our Doctor's contact list scraper can crawl and scrape doctor information using input parameters such as category, country, practice, and name to return a list of doctor’s names with contact information.
Many ways exist to take the first step of data scraping services with us. Decide what form of information is needed, whether a list of all doctors in the United States or certain details about a certain type of doctor and let DataScrapingServices take care of it. Upon receiving that data, utilize it as desired- to make lists, acquire leads or develop marketing strategies.
The cost of Doctors Data Scraping Services may vary depending on the scope and size of the project. Fortunately, DataScrapingServices offers competitive rates and is happy to work within your budget. Get in touch with us today for a free consultation and quote! Our team will get an understanding of your requirements and budget, so we can tailor a solution that’s right for you.
Popular Doctors, Chiropractors & Dentists Directories
Here is a list of the Doctors, Chiropractors & Dentists Directories which we can scrape:
1800dentist.com
Webmd.com
Uschirodirectory.com
Top-Doctors.us
Rxlist.com
Pagechiro.com
Mayoclinic.org
Healthline.com
Familydoctor.org
Drugs.com
Doctordatabases.com
Chiropractic-uk.co.uk
Chirodirectory.com
Castleconnolly.com
Ada.gov
Acatoday.org
Why choose us?
A Doctor Data Scraper/Doctors Contact List Scraper is also useful for medical job seekers. These people will be provided with information tailored to their specific needs. We can help with your data scraping, data extraction, data capture, and data mining needs.
Best Doctors Data Scraping Services in USA: New York, Los Angeles, California, Chicago, Illinois, Houston, Texas, Phoenix, Arizona, Philadelphia, Pennsylvania, San Diego, Dallas, San Jose, Austin, Jacksonville, Ohio, Indianapolis, Indiana, Charlotte, North Carolina, San Francisco, Seattle, Washington, Denver, Colorado, DC, Oklahoma, El Paso, Boston, Massachusetts, Detroit, Michigan, Memphis, Louisville-Jefferson County, Kentucky, Baltimore, Maryland, Milwaukee, Wisconsin, Albuquerque, Tucson, Fresno, Sacramento, Kansas City, Missouri, Mesa, Atlanta, Georgia, Omaha, Nebraska, Colorado Springs, Colored, Raleigh, Long Beach, Virginia Beach, Miami, Oakland, Minneapolis, Tulsa, Bakersfield, Wichita, Arlington, Texas, Nashville-Davidson, Tennessee, Oklahoma City, Fort Worth, Columbus, Portland, Oregon, Las Vegas, Nevada.
If you wish us to scrape Doctors' Data or Doctors' Contact List then email us at [email protected].
Website: datascrapingservices.com
Skype: nprojectshub
0 notes
Text
Fallen Idols: Part Two
Pairing: Dean x Reader
Word Count: 2,129
Warnings: typical supernatural violence, language, angst, blood, you know the usual
Author’s Note: I do not own anything from Supernatural. All credit goes to their respective owners. Any and all comments on these are appreciated. I really want to hear what you guys think about this one!
Feedback is the glue that holds my writing together.
Tags at the bottom
Tumblr media
“Did you just give him all that research to do so he wouldn’t be out in the world?” you asked Dean as you finished your glass of beer from the bar you two were at.
“He needs it.”
“Dean, do you fully trust him? If not, you have to tell him. I may not have been serious about braiding Sam’s hair and mud masks, but I was serious about talking about our feelings. It doesn’t have to be a girl sesh, but it is healing to do so.”
“That’s more your thing than mine,” he shrugged.
“You know, I’m kind of scared about Amara and what Zachariah showed us,” you sighed.
“Me too,” he whispered, but you heard him.
“I just don’t want to end up that way. I saw the look in my own eyes, and I didn’t recognize me. It was all her, and that scares the shit out of me.”
“Why didn’t you tell me you were having dreams about her?”
“I guess I didn’t want you to worry. She talks to me wherever she is, and she says that I need to trust her because she needs me and I am going to need her. She tells me that she isn’t bad, but what I saw… that wasn’t good. It’s the complete opposite of everything she’s telling me that she is.”
“We’ll deal with her when it comes down to it. Who knows, that could be years in the future.” Before you had a chance to come up with a reply, Dean’s phone rang. He answered it with a curt, “Hello” before putting whoever it was on speakerphone.
“Took me a while, but I traced all the car's previous owners,” Sam said on the other line.
“Any of 'em die bloody?” you wondered.
“Nope. In fact—” someone nearby breaks a triangle of pool balls which was loud enough for Sam to hear it. “Are you two in a bar?”
“No, I—I'm—we’re in a restaurant,” Dean stuttered, and you put your hand over your mouth to silence your giggle.
“Here’s your beer,” the bartender said when she brought out Dean’s refill.
“That happens to have a bar,” the older brother said to the younger one.
“I've been working my ass off here.”
“Hey, world's smallest violin, pal, I spent the afternoon up Christine's skirt. I needed a drink,” Dean sighed.
“Actually, you didn't.”
“What does that mean?” you asked.
“The car's first owner was a cardiologist in Philadelphia; drove it 'til he died in nineteen-seventy-two. That Porsche is not, nor has it ever been, James Dean's car. It's a fake Little Bastard.”
“Then what killed the guy?”
“Good question,” Sam sighed.
Tumblr media
“I want you to use a, a fine-tooth comb. The evidence is here, we just gotta find it,” Rick instructed one of the crime scent unit gentlemen who just nodded and left to do his job. 
There had been another murder taken place at someone’s home. GSW to the head, but no bullet, gunpowder, or gun so it was definitely up your alley.
“Heard you got another weird one,” you commented to the Sheriff as he pushed past you to exit the room.
“Uh, well, it's a little strange on the surface, I admit, but, uh... you know, once you—you look at the facts…”
“William Hill died from a gunshot wound to the head. No gun, no gunpowder, no bullet,” you pointed it out to the nervous man.
“Nope. Nothing strange about that,” Dean shrugged.
“Well there's gotta be a reasonable explanation. There always is.”
“Well what's your reasonable explanation?”
“Professional killer,” the Sheriff whispered cautiously. “CIA, NSA, one of them trained assassins, like in Michael Clayton. You're welcome to look around, but—but these guys don't leave fingerprints.”
“Mind if we talk with the witness?” you asked.
“Be my guest. She's not making any sense! And she's not making any sense in Spanish either.”
“Right,” Dean nodded slowly before you took the lead and led the brothers outside where a police officer was talking to the housekeeper for William. 
Pulling out your badge, you flashed it to the officer who just nodded and left the woman alone.
“Consuela Alvarez?” you asked.
“Yes?”
“FBI. Now, uh, you said you saw something in the professor's house. Right? Something in the window?” you asked as you took the officer’s place on the bench next to the woman.
“Estaba sacando la basura. Imiré por la ventana y vi al hombre que mató al Señor Hill!” she exclaimed. 
Looking at Sam, you knew he used to take Freshman Spanish, so he was the only one who could talk to her right now since you and Dean didn’t know a lick of English. Getting up, you let Sam take your spot so he could talk to her.
“Uh, Señora Alvarez. Cálmese, por favor. Uh—Uh, díganos lo que vio?” Sam asked as he tried to remember what he learned. 
He asked her to tell him what she saw and to calm down since she was a fucking mess.
“Era alto. Muy alto. Y llevaba el abrigo negro largo y tenía bigotes,” she sighed.
“Okay, uh, a tall man, very tall. With a long black coat and a beard,” Sam translated.
“Y un sombrero,” Consuela added.
“Dude was wearing a sombrero?” Dean asked.
“Uh, a hat, not a—a—”
“No, no, no, un sombrero alto,” the woman corrected.
“A tall hat?”
“Oh, like a top hat!”
“Un sombrero alto. Muy alto!” she gasped as she demonstrated just how tall this hat was.
“What, you mean like a stovepipe hat?” you asked. “Like Abraham Lincoln.”
“Sí,” the woman sobbed. “El Presidente Lincoln. Abraham Lincoln kill Mister Hill!”
“Excuse me?” you asked, not believing your ears.
“S-so I go home now?” she asked.
“Uh, sí. Gracias,” Sam smiled as the woman left.
“Abraham Lincoln? The 16th president? The dead president?” you gawked.
“Looks like it,” Sam sighed.
Tumblr media
Back at the motel room, research needed to be done because clearly, something was going on here that was worse than you originally thought. Sam did some research on the newest victim, William, while you and Dean went over the video that Jim recorded of Cal’s death to see if there was something that happened to be missed. Dean played the video frame by frame until you spotted something red in the reflection of the car.
“Wait, go back,” you instructed.
“You find something?” Sam asked. 
Dean went back a few frames until the figure in red was locked onto the screen. Dean picked up the laptop before turning it around and showing his brother what was discovered.
“It's a freeze-frame from Jim Grossman's video. Are we crazy, or does that look like James Dean?”
“That looks like James Dean,” Sam confirmed. 
Dean placed the laptop back in front of him with a sigh.
“So, we got Abraham Lincoln, and James Dean?” you asked. “Famous ghosts?”
“Maybe.”
“Well that's just silly.”
“No, actually, there is a ton of lore on famous ghosts. More than the, you know, not-famous kinds. I'm actually surprised we haven't run into one before.”
“Yeah, but now we got two of 'em? Two extremely pissed-off ghosts?”
“Who are apparently ganking their fans,” Sam said as he looked at his laptop screen.
“What do you mean?” you asked.
“Professor Hill was a Civil War nut. He dug Lincoln.”
“And Cal must've been a James Dean freak. He spent seventeen years of his life tracking down the guy's car,” Dean added.
“So, you're saying we've got two super-famous, super-pissed-off ghosts killing their... super-fans?” you asked in disbelief.
“That's what it looks like.”
“Okay, but what the hell are they doing here?” you wondered. “Ghosts usually haunt the places they live. I mean, I get Abraham Lincoln at the White House and James Dean at a race track, but... what the hell are they doing in Canton?”
“That’s what we need to find out.”
“You. That’s what you need to find out,” Dean said as he got up. 
Closing the laptop, you got up before heading to the bathroom. Sam just rolled his eyes before getting to work. He worked hard to try and find the right kind of information while you went to the bathroom and Dean watched from the sink with a soda in hand.
“You gotta be kidding me,” Sam groaned.
“What?” Dean asked as he walked over to Sam to see what was going on. “You gotta be kidding me.”
“What is it?” you asked as you exited the bathroom. Walking over to the brothers, you saw a website for a wax museum not that far from here. “You got to kidding me.”
Tumblr media
Walking into the wax museum, you looked at the very many and very life-like figures which were everywhere. Abraham Lincoln was staring at you as you passed him which gave you a chilly shudder of uncertainty. John F. Kennedy and Richard Nixon were also on display as well as some other famous individuals.
“Dude, he's short,” Dean commented. Looking over to where he was, you just chuckled at his comment made towards Gandhi.
“Hey. Gandhi was a great man,” Sam defended him.
“Yeah, for a Smurf,” Dean scoffed just as the director of the museum came rushing down the stairs.
“Sorry to keep you waiting, this is our busiest time of the year,” he chuckled. Looking around the place, there wasn’t a soul left in sight.
“This is busy?” you asked.
“Well, not right now, but it's early.”
“It's four-thirty,” you coughed.
“So, what can I do for you?”
“Uh, well, we are writing a piece for Travel Magazine,” Sam took over.
“Yeah, on how, uh, totally non-sucky wax museums are.”
“That's fantastic. A little press, just what we need.”
“Great. Well we're interested in a few of your exhibits, specifically Abraham Lincoln and, uh, James Dean.”
“Two of our most popular displays.”
“They bring in a lot of visitors?” you wondered.
“Yeah, we have our regulars.”
“I don't suppose that, uh, William Hill and Cal Hawkins were regulars, were they?” Dean asked.
“As a matter of fact, they were. Yeah, I heard what happened to them. It's tragic, just tragic. Oh—you—that's not gonna be in the article, is it?” the owner panicked a little inside.
“No, of course not. You know, I gotta tell you, that Lincoln is so lifelike, I mean, you can just imagine him moving around. You ever see anything like that?” Dean chuckled.
“Uh, no,” the owner frowned.
“Well, um, is there anything you could think of that would make your museum... unusual? You know, for the article?” you inquired.
“Well, I'll say. There isn't another place like us, not anywhere. For one, that's Honest Abe's real hat,” he said as he pointed to the wax figure.
“Almost like his remains,” Dean said to his brother which the owner caught.
“Uh, I guess.”
“You wouldn't happen to have any of James Dean's personal effects, would you?” you asked.
“Ooh, yeah. Got his keychain. We got a bunch of stuff, uh, Gandhi's bifocals, FDR's iron lung. This,” he indicated to his leather jacket with a huge smile.
“Who did that belong to?”
“The Fonz. Seasons two through four!” the owner grinned with a double thumbs-up. “But this is nothing. I've been working on a new collection of figures. Stuff that'll really wow the kids. Computer games, cell phones, sexting; They're just fads. I'm gonna make wax museums hip again.”
“Well, thank you for your time,” you said politely before leaving the awkward man and the creepy-as-hell museum. You’d come back tonight when the coast was clear to get rid of the keychain and the hat.
Tumblr media
“Yeah, Abraham Lincoln and James Dean, can you believe that?... Why so kill-crazy? Ah, maybe the apocalypse has got 'em all hot and bothered. Yeah, well, we all know whose fault that is… Well I'm sorry, but it's true,” Dean spoke to your dad over the phone. Looking up from your phone, you saw Sam by the door, and you cleared your throat loudly which caused Dean to spin around quickly. “I'll call you later. Bye.”
“What's going on?” Sam asked.
“Did you get the trunk packed up?”
“Yeah, trunk's packed. Who was on the phone?”
“My dad.”
“And?”
“Nothing,” Dean shook his head.
“So, we're just gonna pretend I didn't hear what I just heard?”
“Pretend or don't pretend. Whatever floats your boat.”
“This was supposed to be a fresh start, Dean,” Sam sighed.
“Well, this is about as fresh as it gets,” Dean said as he picked up his jacket. “Now are we going or not?”
“Sorry, Sam,” you whispered before following Dean out the door. Sam watched with a frown, sighed, but then followed nonetheless.
Tumblr media
Wanna get tagged? Add yourself to this document! If your tag doesn’t work, find out why!
@sing4mejensen @essie1876 @gh0stgurl @redsalv20 @superrandomnatural @scarletmeii @babypink224221 @gaveherhearttotheliontattoo @akshi8278 @a--1--1--3​ @kendlemariee​ @miraclesoflove​ @earthtokace​ @teamfreewillsstuff​ @fandom-princess-forevermore​ @kiwihoee​ @jennazeise​ @phantomalchemist​ @posiemax​ @22sarah08​ @tricksterdean​ @andi-mendes-barnes​
27 notes · View notes
chalkegg9-blog · 5 years
Text
Amish Broccoli Cauliflower Salad Recipe with Bacon
This post may contain affiliate links which won’t change your price but will share some commission. Full Disclosure
Invited to a pitch-in or pot-luck party but don’t want to spend a lot of time preparing a healthy dish? Then try this quick and easy Amish broccoli cauliflower salad recipe. 
My mother is from Philadelphia, which is only about an hour or so away from Lancaster County, Pennsylvania.
Lancaster is home to one of the largest populations of Amish. In fact, Lancaster’s approximately 30,000 Amish residents is second only to Holmes County, Ohio.
While visiting my grandmother in Coopersburg, PA (which is close to Allentown, PA),  who moved closer to Amish country, the family would go to a lot of Amish restaurants.
We used to do buffet restaurants and this Amish broccoli cauliflower salad recipe is similar to a dish we would often order.
The Amish grow all their vegetables. Maybe the tender care in which they cultivate their crops is the reason this often bland veggie tastes so good.
And perhaps it’s how Amish cooks come up with creative ways to serve it in cold tasty salads.
After you try my version, I hope you’ll find my creation worthy of preparing for the next dinner party you’re invited to.
Amish broccoli cauliflower salad recipe
This recipe will yield enough salad for about a dozen people. If you’re preparing it for a pot-luck and there’s going to be more people, simply increase the ingredient sizes accordingly.
Normally, I only eat cold salads in the warm summer months. In the winter, I prefer warming foods.
But even though this salad is usually served cold, it can also be popped in the microwave for about 30 seconds. So keep that in mind if you want the salad warm.
The first thing you’ll need to do is steam the broccoli and cauliflower. (photos 1 & 2) You can steam them together.
And all it takes for the two veggies to achieve the desired consistency (crisp yet tender) is a couple minutes of steaming.
When the veggies seem like they’re perfectly crunchy with a slight softness, drain and cool them.
You can place the veggies in a glass salad bowl and let them continue to cool. (photo 3)
Making The Dressing
Next, in a separate mixing bowl, you’re going to create the dressing for the broccoli cauliflower salad.
To make the dressing, first place the 1/2 cup of avocado mayo into a small bowl. (photo 4)
If you’re not familiar with avocado mayo, it’s not mayonnaise mixed with avocado. Rather, it’s a Paleo-safe, egg-free topping containing vinegar and beets, that’s whipped into a rich, mayo-like consistency.
Then, you’ll want to add the 1/2 cup of sour cream. (photo 4) If you want to make it super healthy, see if you can buy some raw sour cream.
Raw sour cream contains lots of probiotics. But depending on which state you live, you may or may not be able to buy it in stores. If not, try to get organic sour cream.
Also add a few tablespoons of apple cider vinegar. (photo 5) For the healthiest apple cider vinegar, I suggest unfiltered apple cider vinegar with “the mother.”
To sweeten the dressing, I use stevia powder. Start off with a small amount (just an 1/8th of a teaspoon). (photo 6) That’s because stevia is 500 times sweeter than table sugar (even though it has virtually no carbs).
You don’t want to overdo the stevia and have the sweetness overpower the tanginess of the dressing. If you feel like the dressing can be a tad bit more sweet, you can always add more.
What’s a Salad Without Bacon?
This recipe is similar to my sweet broccoli salad supreme. But one thing it doesn’t contain that this recipe does is bacon.
Why bacon in a salad? Well, why not?
Contrary to what most people think and what you’re cardiologist would likely tell you, eating bacon is not an artery-clogging death sentence. (For most people anyways; some people have the genetic predisposition to not be able to break down fats like bacon.)
But bacon is only healthy if it’s organic. Organic bacon is free of nitrites, the chemical that’s used to keep deli meats from spoiling. There’s an association between these kinds of nitrite-rich meats and cancer.
So if it’s organic bacon, as a treat once in a while, no worries. And the crunch and fat of it just goes perfectly in the Amish broccoli cauliflower salad recipe.
I use about a dozen well-cooked strips of bacon and chop them in small pieces. You can start cooking the bacon before making the dressing to maximize time.
Once the bacon and dressing are ready, in a large bowl, combine all the ingredients. (photos 10 & 11) Mix well and then place it in the fridge so it gets chilled.
Your guests (or the host’s guests) will think that you slaved away in the kitchen. Let them think that; it’ll be your secret that you spent only a handful of minutes on this (besides waiting for the bacon to cook).
I like to serve the broccoli cauliflower salad on special summer days like 4th of July. If you have any guests that are dairy-free, they will be very surprised that this dish doesn’t contain any dairy.
Maybe you will introduce avocado mayo to them and they will be very grateful to learn about it. I hope you enjoy the Amish broccoli cauliflower salad recipe.
Amish Broccoli Cauliflower Salad Printable Recipe
Amish Broccoli Cauliflower Salad
Need a healthy dish to bring to a pitch-in or pot-luck party but don't want to spend a lot of time making it? Then try this easy salad recipe.
Ingredients
10 ounces broccoli chopped
1 small head cauliflower chopped
1/2 cup avocado mayonnaise
1/2 cup sour cream
3 tablespoons apple cider vinegar
1/8 teaspoon stevia powder or more to taste
12 slices bacon cooked crisp and chopped
Instructions
Steam broccoli and cauliflower for a couple minutes to crisp tender. Drain and cool slightly.
In small bowl, combine mayonnaise, sour cream, apple cider vinegar, and stevia to form a dressing.
In large bowl, blend broccoli, cauliflower, bacon and dressing until well combined. Chill and serve.
Recipe Notes
The vegetables can be added raw, but we find it best to steam them slightly before adding to the salad.
For dairy-free, try adding in a non-dairy yogurt in place of the sour cream.
Nutrition Facts
Amish Broccoli Cauliflower Salad
Amount Per Serving (1 cup)
Calories 188 Calories from Fat 153
% Daily Value*
Total Fat 17g 26%
Saturated Fat 5g 25%
Cholesterol 23mg 8%
Sodium 227mg 9%
Potassium 197mg 6%
Total Carbohydrates 3g 1%
Dietary Fiber 1g 4%
Sugars 1g
Protein 4g 8%
Vitamin A 4.4%
Vitamin C 38.5%
Calcium 2.8%
Iron 2.2%
* Percent Daily Values are based on a 2000 calorie diet.
Related Posts
<![CDATA[ #rpbt-related-gallery-1 margin: auto; #rpbt-related-gallery-1 .gallery-item float: left; margin-top: 10px; text-align: center; width: 33%; #rpbt-related-gallery-1 img border: 2px solid #cfcfcf; #rpbt-related-gallery-1 .gallery-caption margin-left: 0; /* see gallery_shortcode() in wp-includes/media.php */ ]]>
Source: https://lowcarbyum.com/amish-broccoli-cauliflower-salad-recipe/
1 note · View note
mediqhealthcare · 4 years
Text
Get Access to the Best Heart Hospital in Dubai with Medi Q Healthcare
Tumblr media
With Medi Q Healthcare, get the treatment for various heart-related problems in the best heart hospital in Dubai. We work with an aim to provide top-quality services for clients who are looking for affordable treatment in the finest hospitals all over the world. Regardless of your geographical location, you can get your treatment done anywhere in the world through our medical tourism services where we help our clients in travelling abroad for getting the right treatment from the highly experienced and qualified doctors and that too in the budget. If you are the one, who is troubled with any kind of heart-related disease and not able to figure out as to how to go about it, you simply can consult Medi Q Healthcare and we will come up with the tailored solution based on your requirements and needs.  
Tumblr media
We have branches in Dubai, UAE; Ulan Bator, Mongolia; Baku, Azerbaijan; Gurgaon, India; Addis Abada, Ethiopia; Kanoh, Nigeria; Nairobi, Kenya; Philadelphia, USA; and London-UK. We have our alliance with all the leading and the most popular hospitals and their best doctors in all of these aforementioned countries. But when it comes to heart-related ailments, then the countries like Dubai is considered to be at the top as they are well-versed with the latest technologies which are being used for the major surgeries. They have the world-class cardiologists who perform surgeries with the utmost precision and care and make the optimal use of technology to ensure everything is done properly. The cost of the surgery varies according to the fees of the surgeon, technology in use, medications and post-operative care. On the basis of your requirement, we provide you with the most suitable financial assistance.
Through our services, we ensure that you get your treatment done by highly competent, qualified and internationally renowned cardiologists who hold several years of experience in dealing with complicated and critical cases. Therefore, they are best in their field and are highly reliable and have been successfully working in Cardiac surgery hospitals in Dubai.
Out of many heart-related diseases, one of the most common and complicated diseases is Arrhythmia in which the blood gets collected in the heart’s cell and creates tension in the heart and this problem is treated through the process of ablation. You can get treatment for various other heart-related ailments including coronary artery disease, heart failure, cardiovascular disease, hypertension, pericarditis, to name a few.  
Hence, to get your treatment done in the
Best heart hospital in Dubai
contact Medi Q Healthcare. We will provide you with a complete solution for your medical treatment abroad.
Website:- www.mediqhealth.com
Phone : +971 504 992 518
0 notes
mastcomm · 4 years
Text
Doctors on TikTok Try to Go Viral
For decades, sex education in the classroom could be pretty cringey. For some adolescents, it meant a pitch for abstinence; others watched their teachers put condoms on bananas and attempt sketches of fallopian tubes that looked more like modern art.
On TikTok, sex ed is being flipped on its head. Teenagers who load the app might find guidance set to the pulsing beat of “Sex Talk” by Megan Thee Stallion.
A doctor, sporting scrubs and grinning into her camera, instructs them on how to respond if a condom breaks during sex: The pill Plan B can be 95 percent effective, the video explains.
The video is the work of Dr. Danielle Jones, a gynecologist in College Station, Tex., and so far has racked up over 11 million views. Comments range from effusive (“this slaps”) to eye-rolling (“thanks for the advice mom” and “ma’am, I’m 14 years old”).
“My TikTok presence is like if you had a friend who just happens to be an OB/GYN,” Dr. Jones said. “It’s a good way to give information to people who need it and meet them where they are.”
Dr. Jones is one of many medical professionals working their way through the rapidly expanding territory of TikTok, the Chinese-owned short-form video app, to counter medical misinformation to a surging audience. The app has been downloaded 1.5 billion times as of November, according to SensorTower, with an audience that skews young; 40 percent of its users are ages 16 to 24.
Although medical professionals have long taken to social media to share healthy messages or promote their work, TikTok poses a new set of challenges, even for the internet adept. Popular posts on the app tend to be short, musical and humorous, complicating the task of physicians hoping to share nuanced lessons on health issues like vaping, coronavirus, nutrition and things you shouldn’t dip in soy sauce. And some physicians who are using the platform to spread credible information have found themselves the targets of harassment.
Dr. Rose Marie Leslie, a family medicine resident physician at the University of Minnesota Medical School, said TikTok provided an enormous platform for medical public service announcements.
“It has this incredible viewership potential that goes beyond just your own following,” she said.
[Like the Science Times page on Facebook. | Sign up for the Science Times newsletter.]
Dr. Leslie’s TikToks on vaping-associated lung diseases drew over 3 million views, and posts on the flu and HPV vaccines also reached broad audiences beyond her hospital.
Striking a chord on TikTok, Dr. Leslie said, means tailoring medical messaging to the app’s often goofy form. In one post, she advised viewers to burn calories by practicing a viral TikTok dance. She takes her cues from teen users, who often use the app to offer irreverent, even slapstick commentary on public health conversations. She noted one trend in which young TikTokers brainstormed creative ways to destroy your e-cigarette, like running it over with a car.
TikTok’s executives have welcomed the platform’s uses for medical professionals. “It’s been inspiring to see doctors and nurses take to TikTok in their scrubs to demystify the medical profession,” said Gregory Justice, TikTok’s head of content programming.
Dr. Jones, the gynecologist, said she was hopeful the platform could help young people develop trust in medical practitioners and view them as more accessible. “Back in the old days, there was a town doctor and everyone knew where he lived, and you traded milk and eggs for health care,” Dr. Jones said. “You had trust in your doctor because you trusted them as a person first.” TikTok, she said, can help to humanize doctors — she’s seen that some of her own patients feel more comfortable with her because they have seen her playful social media posts.
But some doctors are also encountering responses to their videos that they did not expect.
Earlier this month, Dr. Nicole Baldwin, a pediatrician in Cincinnati, posted a TikTok listing the diseases that are preventable with vaccines and countering the notion that vaccines cause autism.
Her accounts on TikTok, Twitter, Facebook and Yelp were flooded with threatening comments, including one that labeled her “Public Enemy #1” and another that read, “Dead doctors don’t lie.”
A team of volunteers that is helping Dr. Baldwin monitor her social media has banned more than 5,200 users from her Facebook in recent weeks.
Dr. Baldwin said she started out feeling enthusiastic about the opportunity TikTok provides to educate adolescents, but her experience with harassment gave her some pause.
“There’s a fine line physicians are walking between trying to get a message out that will appeal to this younger generation without being inappropriate or unprofessional,” Dr. Baldwin said. “Because of the short content and musical aspect of TikTok, what adolescents are latching onto is not the professional persona we typically put out there.”
A spate of recent TikToks have further stirred questions about the potential for the app’s abuse. One recent TikTok post featured a medical professional speculating — as she lip synced to the Rex Orange County lyric “How Could I Ignore You?” — that her patient’s chest pain could have been caused by cocaine. Another showed an emergency room doctor mocking patients who sought treatment in the E.R. rather than from a primary care physician.
Sarah Mojarad, a lecturer who teaches a course on social media for scientists at the University of Southern California, said she has seen physicians either “bashing their patients” on the app or “whitecoat marketing,” a term that refers to the use of medical prestige to market inappropriate products like unauthorized supplements.
The youth of TikTok’s audience also raises the stakes when medical professionals misuse the platform.
“With a young audience, it’s really important to make sure that the content getting out is professional and accurate,” Ms. Mojarad said. “People may think some of it is medical humor, but it impacts care.”
TikTok’s community guidelines state that the platform does not permit “misinformation that may cause harm to an individual’s health, such as misleading information about medical treatments.” The company expanded its rules of conduct earlier this month, as its user base has grown.
Some physicians worry that TikTok’s brief, playful clips can blur the line between general education and patient-specific medical advice.
Dr. Austin Chiang, a gastroenterologist and chief medical social media officer at Jefferson Health in Philadelphia, said he has been asked about specific symptoms on TikTok and has to refer users to established medical sources, or directly to their doctors.
Dr. Christian Assad, a cardiologist in McAllen, Tex., said he sometimes scripts his TikToks, given the potential for confusion when he compresses a 60-minute talk on low-carbohydrate dieting into a 60-second musical clip.
Ignoring the platform isn’t an option, especially given the prevalence of disinformation on the app, Dr. Chiang said. Two of his more popular posts have countered the use of essential oils to cure diseases and exposed the failings of the celery juice fad diet.
“If we’re not there to be a voice for evidence-based medicine, who’s going to do that for us?” Dr. Chiang said. “Anti-vaxxers are already using social media to their advantage. By putting doctors on social media, we’re able to be a source of more accurate information.”
Still, for doctors turned influencers, the TikTok learning curve can be steep. Dr. Matthew Schulman, a plastic surgeon in New York, said the slightly older users of Instagram and Snapchat have been vital to his private practice, helping to drive roughly 80 percent of consultations. He often streams live from the operating room. “Buttock augmentation is really popular on social media,” he said.
But TikTok has presented him with cause for additional concern. The virality upside is massive: A post he made earlier this month discussing celebrity clients drew over 6.8 million views. But as he has watched his 10-year-old daughter use the app, he realized that he must exercise more caution in producing content.
“The demographic of TikTok is very young, and as a plastic surgeon I don’t feel comfortable marketing my services to children,” Dr. Schulman said. Simultaneously, he knows the app is growing fast. “I don’t want to be caught playing catch-up. In two or three years the platform could change, and if I already have an established account I’m ahead of the game.”
In the meantime, he said, he relies on top-notch TikTok editors — his kids.
from WordPress https://mastcomm.com/doctors-on-tiktok-try-to-go-viral/
0 notes
Text
Maryland State Quotes
Official Website: Maryland State Quotes
(adsbygoogle = window.adsbygoogle || []).push();
• At the University of Maryland, my first year I started off planning to major in art because I was interested in theatre design, stage design or television design. – Jim Henson
• Beaten biscuits: This is the most laborious of cakes, and also the most unwholesome, even when made in the best manner. We do not recommend it; but there is no accounting for tastes. Children would not eat these biscuits-nor grown persons either, if they can get any other sort of bread. When living in a town where there are bakers, there is no excuse for making Maryland biscuit. Believe nobody that says they are not unwholesome. . . . Better to live on Indian cakes. – Eliza Leslie • During the War of the Rebellion, a new and influential club was established in the city of Baltimore in the State of Maryland – Jules Verne • Every Maryland family wants financial security, schools that work, quality healthcare, safer neighborhoods, and ever-expanding economic opportunity. These are the building blocks of a superior quality of life. – Bob Ehrlich
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'Maryland', orderby: 'rand', order: 'DESC', template: '1', limit: '68', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_maryland').html(obj); jQuery('#thelovesof_maryland img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); ); • Every year, once a year, in Maryland, I go for a week and overnight camp with about 50 to 60 kids with muscular dystrophy, all ages, seven to 21. And it is really fun. I have some great friends there and wonderful counselors. – Mattie Stepanek • From 1997 to 2003, there was a decline of 50 percent in the proportion of children nine to twelve who spent time in such outside activities as hiking, walking, fishing, beach play, and gardening, according to a study by Sandra Hofferth at the University of Maryland. – Richard Louv • I also point out that the Democrat senator from Maryland, called the Tea Party, teabaggers. – Eric Bolling • I come from a small town in Maryland. I came to California in 1972 to begin Maude. – Bea Arthur • I divide my time between Columbia, Maryland, and Lagos, Nigeria. – Chimamanda Ngozi Adichie • I grew up in Baltimore, Maryland, and my relationship with the piano has been going on for about 38 years. – Cyrus Chestnut • I moved to Seattle when I was two or three years old. Had my early education there, and would spend summers on the farm in Maryland. Then I went to boarding school in New Hampshire, to St. Paul’s School. From there, I moved to London. – Alexis Denisof • I think George Mitchell was good for Maryland in the sense that he helped me get elected. It doesn’t get any better than that from here on. – Barbara Mikulski • I was born in Boston, but then I went down to Virginia. We spent a little time in Maryland, and then were in Virginia by the time I was seven. What struck me the most was that my mother thought that she had gone to the middle of nowhere, and we would still drive four hours for her to get her hair cut in Washington, D.C. – Connie Britton • I was living in Maryland and my first week was dreadful. My first week I actually got into a fight at school – Christina Milian • I was raised in an Italian catholic family in Baltimore, Maryland. Our faith is very important to us, our patriotism, love of faith, love of family, love of country. I took pride in our Italian American heritage and to be the first woman speaker of the House and the first Italian American speaker of the House, it’s quite thrilling for me. – Nancy Pelosi • I went from a naive, regular girl in high school to trying to realize my dream. When my family moved from the East Coast to California, I thought in my little brain, “Wow, I’m going to Hollywood. I could actually make this happen.” It was easier for me to think it’s possible living in a place like Los Angeles than trying to do it in suburban Maryland. – Joan Jett • I went to Goucher College in Maryland for the best possible reasons – to learn – but then I dropped out at 19 for the best possible reasons – to become a writer. – Anne Lamott • I’m about to challenge for the Maryland Cup in the next couple of years, as an owner, a trainer, and a rider. – Davy Jones • I’m so proud of Maryland’s firefighters, risking their lives to protect others, but we need to protect our protectors with the best equipment training and resources – Barbara Mikulski • In 1966 the ACS formulated a State Model Cancer Act which was instrumental in the enactment of anti-quackery laws now enforced in 9 states…In California (it is a) felony…The use of unproven methods is also a criminal offense in Colorado, Illinois, Kentucky, Maryland, Nevada, North Dakota, Ohio, and Pennsylvania. – Jane Brody • In my state [ Maryland] we’ve lost jobs to NAFTA, we did not gain jobs from NAFTA. But I think it’s very difficult when your state is right up against the northern border, you do see things differently. – Barbara Mikulski • In the sense of media saying this about themselves, I drive to my kids’ school in upstate New York through rural Virginia, Maryland, Pennsylvania, New York; [Donald] Trump signs everywhere. – Mary Matalin • In times of adversity – for the country we love – Maryland always chooses to move forward. Progress is a choice. Job creation is a choice. Whether we move forward or back: this too is a choice. – Martin O’Malley • Industrial agriculture now accounts for over half of America’s water pollution. Two years ago, Pfiesteria outbreaks connected with wastes from industrial chicken factories forced the closure of two major tributaries of the Chesapeake and threatened Maryland’s vital shellfish industry. Tyson Foods has polluted half of all streams in northwestern Arkansas with so much fecal bacteria that swimming is prohibited. Drugs and hormones needed to keep confined animals alive and growing are mainly excreted with the wastes and saturate local waterways. – Robert F. Kennedy, Jr. • It is hard to imagine, but in a Maryland school, a 13- year old girl was arrested for refusing to say the pledge of allegiance. There is more at work than stupidity and a flight from responsibility on the part of educators, parents and politicians who maintain these laws, there is also the growing sentiment that young people constitute a threat to adults and that the only way to deal with them is to subject them to mind-crushing punishment. – Henry Giroux • Living in Maryland, I saw that the opportunities were far greater in California than back home. – Christina Milian • Many Saturday mornings, I take 495 from Fairfax to Maryland in the morning, and I’m astonished by the speed of many of the drivers. Even when I drive 70 mph, I’m being passed by people driving 80-90+ at times. – Robert James Thomson • My capital budget maintains my commitment to the education of children, health of the Chesapeake Bay, and safety of all Maryland citizens. We will continue to focus on the five pillars of my Administration as we build today and look forward to the projects of the future. – Bob Ehrlich • My father was a preacher in Maryland and we had crab feasts – with corn on the cob, but no beer, being Methodist – outside on the church lawn. – Tori Amos • My problem with Obama is that he’s not a new paradigm; he’s an old paradigm. A new paradigm would be somebody like Harold Ford [former Democratic Congressman from Tennessee] or Michael Steele [former Republican Lieutenant Governor of Maryland], no relation, both of whom present themselves as individuals, and don’t seem to wear a mask. They don’t ‘bargain;’ they don’t ‘challenge.’ So, I see them as fresh, and as evidence of what I hope will be a new trend. – Shelby Steele • Now, a recent study from cardiologists at the University of Maryland, has shown that laughter may have a beneficial effect on the heart. – Allen Klein • Once I took a bus from my home in Maryland to Philadelphia to live on the streets with some musicians for a few weeks, and then my parents sent me to boarding school at Andover to shape me up. – Olivia Wilde • The constitutions of Maryland and New York are founded in higher wisdom. – Ezra Stiles • The four most dangerous words in finance are ‘this time is different.’ Thanks to this masterpiece by Carmen Reinhart at the University of Maryland and Kenneth Rogoff of Harvard, no one can doubt this again. . . . The authors have put an immense amount of work into collecting the data financial institutions needed if they were to have any chance of making quantitative risk management work. – Martin Wolf • There were just moments of the punk scene and I realized that I had to capture it. There was also this photographer in our preschool – I went to a Montessori school in Baltimore, Maryland – and they had this photographer come and take all these incredible photographs. They looked like they were from Life magazine. – Jeff Vespa • This grant gave me more than memories; it gave me a crucial experience that is formative to all writers: the ability to perceive that we become writers in exile, where what we write is the only link across distance and time…I became a Maryland writer because the community of Juneau took me in. – Paula Vogel • Virginia and Maryland attorneys argued this is a national problem and needs a national solution. I’m hoping that with a federal court agreeing this is inequitable, Congress will now act and do the right thing for the District. – Walter Smith • We moved to Baltimore, Maryland, in 1979, when I was five. The funny thing is that, even though Baltimore had one of the top murder rates in the country in those days, I grew up hearing about how dangerous New York was. – Philipp Meyer • Well I am from Annapolis Maryland. I went to High school in Baltimore, but I grew up in Annapolis. It was a cute town. We lived on a waterfront community. It was good, even though I don’t really fit the preppy boater kind of style. – Christian Siriano • While I am in favor of the Government promptly enforcing the laws for the present, defending the forts and collecting the revenue,I am not in favor of a war policy with a view to the conquest of any of the slave States; except such as are needed to give us a good boundary. If Maryland attempts to go off, suppress her in order to save the Potomac and the District of Columbia. Cut a piece off of western Virginia and keep Missouri and all the Territories. – Rutherford B. Hayes • Yeah, I did some small parts in high school and the first year of college and then fairly soon thereafter I settled into the backstage scenery, and then at the University of Maryland I was doing posters for their productions. – Jim Henson [clickbank-storefront-bestselling]
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'a', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_a').html(obj); jQuery('#thelovesof_a img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'e', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_e').html(obj); jQuery('#thelovesof_e img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'i', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_i').html(obj); jQuery('#thelovesof_i img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'o', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_o').html(obj); jQuery('#thelovesof_o img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'u', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_u').html(obj); jQuery('#thelovesof_u img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
0 notes
heartcarepa · 1 year
Text
Heart attacks affect more than your health
Heart attacks affect more than your health
The Public Health Agency of Canada reports that a third of heart attacks and strokes occur in Canadians who are mid-career. The Canadian Medical Association Journal published a study that tallied the economic impact. A heart attack or stroke has a high financial cost. Get top cardiologist philadelphia at Heart Care Consultants. Heart Care Consultants is the best cardiology center philadelphia.
Researchers from the Universities of Manitoba and Toronto, Michigan and the Massachusetts Institute of Technology, as well as Statistics Canada, examined a database which linked hospitalization records and income tax records for the years 2005-2013.
Tumblr media
Researchers studied more than 24 000 people aged 40-61 who suffered a stroke, heart attack or cardiac arrest. Participants had to be employed in the past two years to be eligible for the study. The participants were compared with healthy people of similar age.
The annual income loss for those who suffered a cardiac arrest was $3,834 (Canadian dollars, 2012). The financial impact on those who survive a cardiac arrest witnessed by others was $11,143. People who suffered a stroke experienced the biggest financial loss. The financial loss for them was $13,278.
These figures represent a range of losses between 8 and 31%.
Researchers identified a number of factors that contributed to income loss. Unsurprisingly, loss of employment was the biggest factor. After three years, the employment rate of those who suffered a heartattack dropped by five percent. The fall-off in employment rates was almost 13 percent for those who survived a cardiac arrest and just under 20 percent for those who suffered a stroke.
After the onset, heart disease caused a five to twenty percent drop in earnings for those who continue to work.
Other factors were involved. Patients with lower incomes initially suffered the greatest loss in income. The longer a patient stays in the hospital, the more income and employment are lost. Other illnesses, such as chronic kidney diseases and chronic obstructive lung disease, also increase the amount of earnings lost.
The authors claim that other studies have produced similar results but this is the largest study of its type.
There were a few surprises, though the findings were not completely unexpected. The biggest surprise for me was the fact that factors which had no effect on income after a stroke or heart attack turned out not to be the case. I thought that women would suffer more than men in terms of income loss, but both men and women suffered the same. I thought that being married would protect me from income loss. However, married patients also suffered the same losses as those who were divorced, widowed, or single.
I also thought that patients who are employed would have less income than those who are self-employed, because I assumed employment was more likely associated with short-term disability coverage. Also, I was wrong.
Declare bankruptcy
Researchers found that the massive loss of income has major consequences. Families who borrow money in order to stay afloat can end up declaring bankrupt. Stress from a precarious income may lead to depression and anxiety, which can negatively affect blood pressure and heart disease.
It's not only the patient that is affected. The family is also affected. Loss of income makes healthy family members pick up the slack. Losing income can affect career plans for the patient's kids. Let's also not forget that those aged 40-61 are at their highest earning years. It is during this time that people tend to pay off their mortgages and save money for retirement. An illness that is serious can derail your retirement plans.
According to the authors, more research is required to better understand the economic impact of heart disease and stroke. It's easy to see how to help patients. The biggest income drop is experienced by those who have suffered a stroke. This is due to the disability strokes cause. As we learned this season in White Coat Black Art stroke rehabilitation is slow and insufficient in many rural and distant parts of Canada. This needs to be addressed.
I also believe that the federal government could use other methods to address income disparities caused by catastrophic illnesses. Tax credits are one option. It can provide income supplements to those who are unemployed, or underemployed after a stroke or heart attack.
Some may say this is rewarding patients who have a lifestyle that increases the risk of developing heart disease. I believe that addressing the income loss up front will reduce the need to access government pensions early. This will save provinces and territorial governments the costs of dealing with health problems that are exacerbated by income loss.
0 notes
equitiesstocks · 4 years
Text
Maryland State Quotes
Official Website: Maryland State Quotes
(adsbygoogle = window.adsbygoogle || []).push();
• At the University of Maryland, my first year I started off planning to major in art because I was interested in theatre design, stage design or television design. – Jim Henson
• Beaten biscuits: This is the most laborious of cakes, and also the most unwholesome, even when made in the best manner. We do not recommend it; but there is no accounting for tastes. Children would not eat these biscuits-nor grown persons either, if they can get any other sort of bread. When living in a town where there are bakers, there is no excuse for making Maryland biscuit. Believe nobody that says they are not unwholesome. . . . Better to live on Indian cakes. – Eliza Leslie • During the War of the Rebellion, a new and influential club was established in the city of Baltimore in the State of Maryland – Jules Verne • Every Maryland family wants financial security, schools that work, quality healthcare, safer neighborhoods, and ever-expanding economic opportunity. These are the building blocks of a superior quality of life. – Bob Ehrlich
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'Maryland', orderby: 'rand', order: 'DESC', template: '1', limit: '68', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_maryland').html(obj); jQuery('#thelovesof_maryland img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); ); • Every year, once a year, in Maryland, I go for a week and overnight camp with about 50 to 60 kids with muscular dystrophy, all ages, seven to 21. And it is really fun. I have some great friends there and wonderful counselors. – Mattie Stepanek • From 1997 to 2003, there was a decline of 50 percent in the proportion of children nine to twelve who spent time in such outside activities as hiking, walking, fishing, beach play, and gardening, according to a study by Sandra Hofferth at the University of Maryland. – Richard Louv • I also point out that the Democrat senator from Maryland, called the Tea Party, teabaggers. – Eric Bolling • I come from a small town in Maryland. I came to California in 1972 to begin Maude. – Bea Arthur • I divide my time between Columbia, Maryland, and Lagos, Nigeria. – Chimamanda Ngozi Adichie • I grew up in Baltimore, Maryland, and my relationship with the piano has been going on for about 38 years. – Cyrus Chestnut • I moved to Seattle when I was two or three years old. Had my early education there, and would spend summers on the farm in Maryland. Then I went to boarding school in New Hampshire, to St. Paul’s School. From there, I moved to London. – Alexis Denisof • I think George Mitchell was good for Maryland in the sense that he helped me get elected. It doesn’t get any better than that from here on. – Barbara Mikulski • I was born in Boston, but then I went down to Virginia. We spent a little time in Maryland, and then were in Virginia by the time I was seven. What struck me the most was that my mother thought that she had gone to the middle of nowhere, and we would still drive four hours for her to get her hair cut in Washington, D.C. – Connie Britton • I was living in Maryland and my first week was dreadful. My first week I actually got into a fight at school – Christina Milian • I was raised in an Italian catholic family in Baltimore, Maryland. Our faith is very important to us, our patriotism, love of faith, love of family, love of country. I took pride in our Italian American heritage and to be the first woman speaker of the House and the first Italian American speaker of the House, it’s quite thrilling for me. – Nancy Pelosi • I went from a naive, regular girl in high school to trying to realize my dream. When my family moved from the East Coast to California, I thought in my little brain, “Wow, I’m going to Hollywood. I could actually make this happen.” It was easier for me to think it’s possible living in a place like Los Angeles than trying to do it in suburban Maryland. – Joan Jett • I went to Goucher College in Maryland for the best possible reasons – to learn – but then I dropped out at 19 for the best possible reasons – to become a writer. – Anne Lamott • I’m about to challenge for the Maryland Cup in the next couple of years, as an owner, a trainer, and a rider. – Davy Jones • I’m so proud of Maryland’s firefighters, risking their lives to protect others, but we need to protect our protectors with the best equipment training and resources – Barbara Mikulski • In 1966 the ACS formulated a State Model Cancer Act which was instrumental in the enactment of anti-quackery laws now enforced in 9 states…In California (it is a) felony…The use of unproven methods is also a criminal offense in Colorado, Illinois, Kentucky, Maryland, Nevada, North Dakota, Ohio, and Pennsylvania. – Jane Brody • In my state [ Maryland] we’ve lost jobs to NAFTA, we did not gain jobs from NAFTA. But I think it’s very difficult when your state is right up against the northern border, you do see things differently. – Barbara Mikulski • In the sense of media saying this about themselves, I drive to my kids’ school in upstate New York through rural Virginia, Maryland, Pennsylvania, New York; [Donald] Trump signs everywhere. – Mary Matalin • In times of adversity – for the country we love – Maryland always chooses to move forward. Progress is a choice. Job creation is a choice. Whether we move forward or back: this too is a choice. – Martin O’Malley • Industrial agriculture now accounts for over half of America’s water pollution. Two years ago, Pfiesteria outbreaks connected with wastes from industrial chicken factories forced the closure of two major tributaries of the Chesapeake and threatened Maryland’s vital shellfish industry. Tyson Foods has polluted half of all streams in northwestern Arkansas with so much fecal bacteria that swimming is prohibited. Drugs and hormones needed to keep confined animals alive and growing are mainly excreted with the wastes and saturate local waterways. – Robert F. Kennedy, Jr. • It is hard to imagine, but in a Maryland school, a 13- year old girl was arrested for refusing to say the pledge of allegiance. There is more at work than stupidity and a flight from responsibility on the part of educators, parents and politicians who maintain these laws, there is also the growing sentiment that young people constitute a threat to adults and that the only way to deal with them is to subject them to mind-crushing punishment. – Henry Giroux • Living in Maryland, I saw that the opportunities were far greater in California than back home. – Christina Milian • Many Saturday mornings, I take 495 from Fairfax to Maryland in the morning, and I’m astonished by the speed of many of the drivers. Even when I drive 70 mph, I’m being passed by people driving 80-90+ at times. – Robert James Thomson • My capital budget maintains my commitment to the education of children, health of the Chesapeake Bay, and safety of all Maryland citizens. We will continue to focus on the five pillars of my Administration as we build today and look forward to the projects of the future. – Bob Ehrlich • My father was a preacher in Maryland and we had crab feasts – with corn on the cob, but no beer, being Methodist – outside on the church lawn. – Tori Amos • My problem with Obama is that he’s not a new paradigm; he’s an old paradigm. A new paradigm would be somebody like Harold Ford [former Democratic Congressman from Tennessee] or Michael Steele [former Republican Lieutenant Governor of Maryland], no relation, both of whom present themselves as individuals, and don’t seem to wear a mask. They don’t ‘bargain;’ they don’t ‘challenge.’ So, I see them as fresh, and as evidence of what I hope will be a new trend. – Shelby Steele • Now, a recent study from cardiologists at the University of Maryland, has shown that laughter may have a beneficial effect on the heart. – Allen Klein • Once I took a bus from my home in Maryland to Philadelphia to live on the streets with some musicians for a few weeks, and then my parents sent me to boarding school at Andover to shape me up. – Olivia Wilde • The constitutions of Maryland and New York are founded in higher wisdom. – Ezra Stiles • The four most dangerous words in finance are ‘this time is different.’ Thanks to this masterpiece by Carmen Reinhart at the University of Maryland and Kenneth Rogoff of Harvard, no one can doubt this again. . . . The authors have put an immense amount of work into collecting the data financial institutions needed if they were to have any chance of making quantitative risk management work. – Martin Wolf • There were just moments of the punk scene and I realized that I had to capture it. There was also this photographer in our preschool – I went to a Montessori school in Baltimore, Maryland – and they had this photographer come and take all these incredible photographs. They looked like they were from Life magazine. – Jeff Vespa • This grant gave me more than memories; it gave me a crucial experience that is formative to all writers: the ability to perceive that we become writers in exile, where what we write is the only link across distance and time…I became a Maryland writer because the community of Juneau took me in. – Paula Vogel • Virginia and Maryland attorneys argued this is a national problem and needs a national solution. I’m hoping that with a federal court agreeing this is inequitable, Congress will now act and do the right thing for the District. – Walter Smith • We moved to Baltimore, Maryland, in 1979, when I was five. The funny thing is that, even though Baltimore had one of the top murder rates in the country in those days, I grew up hearing about how dangerous New York was. – Philipp Meyer • Well I am from Annapolis Maryland. I went to High school in Baltimore, but I grew up in Annapolis. It was a cute town. We lived on a waterfront community. It was good, even though I don’t really fit the preppy boater kind of style. – Christian Siriano • While I am in favor of the Government promptly enforcing the laws for the present, defending the forts and collecting the revenue,I am not in favor of a war policy with a view to the conquest of any of the slave States; except such as are needed to give us a good boundary. If Maryland attempts to go off, suppress her in order to save the Potomac and the District of Columbia. Cut a piece off of western Virginia and keep Missouri and all the Territories. – Rutherford B. Hayes • Yeah, I did some small parts in high school and the first year of college and then fairly soon thereafter I settled into the backstage scenery, and then at the University of Maryland I was doing posters for their productions. – Jim Henson [clickbank-storefront-bestselling]
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'a', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_a').html(obj); jQuery('#thelovesof_a img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'e', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_e').html(obj); jQuery('#thelovesof_e img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'i', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_i').html(obj); jQuery('#thelovesof_i img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'o', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_o').html(obj); jQuery('#thelovesof_o img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
jQuery(document).ready(function($) var data = action: 'polyxgo_products_search', type: 'Product', keywords: 'u', orderby: 'rand', order: 'DESC', template: '1', limit: '4', columns: '4', viewall:'Shop All', ; jQuery.post(spyr_params.ajaxurl,data, function(response) var obj = jQuery.parseJSON(response); jQuery('#thelovesof_u').html(obj); jQuery('#thelovesof_u img.swiper-lazy:not(.swiper-lazy-loaded)' ).each(function () var img = jQuery(this); img.attr("src",img.data('src')); img.addClass( 'swiper-lazy-loaded' ); img.removeAttr('data-src'); ); ); );
0 notes
Text
How to Find a Cardiologist near Philadelphia
We have the most skilled team of cardiologists at  Philadelphia who are the masters in their own specific field. They have their expertise to diagnose and treat a wide range of cardiac problems and heart-related troubles. We have the solutions for major of the complex and critical situations. Weather if the patient’s problem is serious or normal, our strategical treatment procedures are efficient. The days are gone when heart patients felt a sense of confusion with leading a normal life after having cardiovascular disease. We use the most advanced treatment procedurals and dynamic way to eradicate all search fears. It is absolutely easy to locate us and getting an appointment. In order to eradicate the worst of heart diseases always feel assured to consult us.
Tumblr media
If you or any other member of your family has been a patient of heart related or cardiovascular disease, even if you have witnessed any of the symptoms related to it never hesitate to consult us. Many of the cardiologists are here to offer the best heart-related treatment and to oversee your cardiovascular health. You can also consider that in the normal situations we initially consider a General Doctor. Same is applicable to the severe heart diseases that during the first few steps you have to consult the primary cardiologist. We understand this fact clearly and hence provide the most skilled and brilliant theme of the primary cardiologist for the execution with the patient's health diseases.
 Reason for the validation of our cardiovascular treatment
 There are a number of reasons why we challenge most of the treatments. We have withstood a number of situations where we succeeded with the severe cases. The cardiologists and heart specialist at our form are absolutely skilled and having a major experience in their fields. One of them is among America's top cardiologist. When it comes to Vein treatment or any of the other cardiovascular disease, there is nothing that we can't execute with assurance. There are a number of possible services hosted by us. Major among them are-
 ●       In case of emergency, you can instantly reach us.
●       We quickly made available the new appointments for the patients.
●       Our treatment procedurals are quite easy.
●       As cardiologist Philadelphia, we are not to away from your reach.
●       We have the most dynamic cardiologist team.
●       We provide a complete diagnosis and evaluation of the patient's health traits.
0 notes
Text
    It‘s beginning to feel like a big prank. I am looking around for someone, or maybe something like a hidden camera because I love a good joke. But it could be karma or some kind of payback, or maybe it‘s just you God, testing me again? For what, I‘d sure like to know. Seriously, who is this puppet master behind this life debacle and what exactly is it that I did to be thrown all these crappy things over the last few years? I‘ll admit I was a mean girl in high school when I kissed Suzi‘s boyfriend Bill. But I only kissed the guy once, I didn’t screw him. They even got married!!! Meanwhile look at who got cheated on and divorced. And how about that surprise open heart surgery tossed my way in 2016? That was no walk in the park. Seriously, I just finished paying my medical bills and along comes another one of life‘s surprises. Enough with testing my strength. It’s weakening my savings account by paying lawyers and medical bills. Money that needs to instead be going towards two weddings and a facelift. Who or what decided it was time to pull an Alan Funt with a “Surprise… You have breast Cancer.”  (for those of you under the age of 50 insert Ashton Kutcher for Alan Funt)  Regardless of the 5 Ws, I am shocked because I know I am not being punk’d but once again being tested. Someone is really trying to break me. However, I am a competitor and I love a challenge. Let me remind you, I hate to lose and my track record reflects that fact. So cancer, you probably should have checked with Karma, God, Suzi and even my ex-husband because they all would have told you, you picked the wrong bitch. I fight hard and I fight dirty. I am a Philly girl. #fucancer #bringit
                                 A LUMP OF FAT ( and it goes a little something like that)
While on vacation in Iceland, I felt a slight pain on my left side of my chest. I see several heart doctors who routinely ask “Are you experiencing any chest pain?” My answer is always no, and I always find this a rather strange question. The doctors have all told me that my heart is strong and healthy and that I just had a bad valve. So I‘ve never looked for nor worried about chest pain. However, being out of the US, I began to worry. This slight pang came and went so I remained calm knowing in less than 24 hours I would be hearing the pilot say “Welcome to Philadelphia.”  Once back in the City of Brotherly Love, my plan was to call my cardiologist first thing in the morning. However, that quickly changed to my gynecologist when I discovered that evening that this dull pain was not coming from my heart but rather an oddly shaped lump in my left breast.  Oh boy was I relieved. 
To say I know my body is huge understatement. My unknown congenital heart defect began to show signs when I was in my mid-forties and the complaints I voiced to my doctors were dismissed constantly for 6 years with them all telling me I’m fine, it’s stress and of course the reason all women are crazy…MENOPAUSE. Turned out it was a bicuspid aortic valve that formed an aortic aneurysm. This thankfully a new doctor caught it in time before it had ruptured. From May of 2017 up to my diagnosis of breast cancer on February 2018 I had this eerie deja vu feeling. Instead of hearing the words “You‘re fine“, I heard “There’s nothing there.” First, after having a breast exam by my Gynecologist I was sent for a diagnostic mammogram and an ultra sound of my left breast. All of these tests came back normal showing no mass. So, I was told to wait 4 months until my next visit because it was “probably a lump of fat or a lymph node” and “would likely go away on its own.” When I was still feeling the lump 4 months later in September I was sent to see a breast surgeon. I was excited that this appointment would give me peace of mind and a definitive answer as to what this lump could be. I was, after all, seeing “Philly’s Top Doc” of breast surgeons so she should know, right? Ushered quickly into an examining room I am informed that the doctor has a meeting so she needs to see me right now. My vitals will be taken “after” the doctor examines me. “Everything off from the waist down. Ties open in front.” I am handed the gown in a plastic bag in which I change into and I sit hopeful, my legs dangling off the end of the table and my boobs dangling in my gown. Without even looking at my face, the doctor entered the room, introduced herself as she went to the sink and washed her hands. She asked me a couple of questions.  “Does breast cancer run in your family?” “No,” I said. I was instructed to lay back. Normal for a breast exam. When did you first feel the lump? “The end of March, but I need to stand up to find the lump for you.” She told me to sit up, and I watched as she quickly made some notes on the computer and then stood up and walked to the door. The “Top Doc,” said she really doesn’t feel anything and that it’s probably a lump of fat or a lymph-node and that I should come back in a few months if I’m still feeling anything. Before I could get a question out she was gone. She did have a meeting. “But Doctor… can I get an MRI?” I have questions, “umm is she coming back in? What about my vitals?” These questions weren’t really asked. No one came back for me to ask them too.  I tossed my lovely gown in the bin, got dressed and left. Vitals? Not taken. My blood pressure was HIGH! I did however go get that second opinion you should always get. Surgeon number two and her tech could not find a mass on the ultrasound, so once again I was told it’s probably a fatty deposit or a lymph-node. This time I asked the doctor for an MRI but am told to come back in 6 months if I still feel something. As I leave, I am frustrated but know regardless I will not be back to this hospital, they don’t even have a Starbucks.
  PAGING DR. GOOGLE & MS. KNOW-IT-ALL
To speak beyond ones sphere of knowledge is called a ultracrepidarian. Dates back to the story of Apelles, a famous greek painter who heard a cobbler criticizing how he had rendered a foot in a painting. The painter remarked back to the cobbler that he should stay in his own station and not go “beyond the sole“, hence the latin phrase ultra crepidam.  Often, when I am running my mouth about something I just made up, half read, googled, might have overheard, my really good friends will laugh in my face knowing I am talking “out my ass“, hence the verb “bullshitter”.
My daily research on breast lumps, bumps and lymph nodes was giving me a feeling deep in my gut that I needed to be persistent, so I kept an appointment I made way over 3 months ago and went and saw surgeon number three. I was prepared to be an ultracrepidarian. Sitting in the exam room, I knew I wanted an MRI, and therefore wasn’t leaving without being sent for one. Petite Dr. Julia Tpchou entered the room and I don’t just jump on her, I attack. Full on crazy patient with tears. Here‘s where the movie director will add the violins: For 6 years I saw zillions of doctors complaining about not feeling well, only to find out I had a BAV and an aneurysm. I know my body! There’s a lump in my breast that should not be there. It’s not fat! I know my body! I know that mammograms are 87% correct in identifying breast cancer (I just threw that stat in my blog) and all of my ultrasounds shown nothing but I can feel the lump. I know my body! Dr. Tpchou told me that when she was in medical school a professor taught her that when a patient says they know their body, they usually do. Thanks Mr. Professor. She examined me thoroughly and she felt the lump, and she sent me for an MRI. That Friday afternoon following my MRI, I received a phone call from an office assistant with the results of my test. Great news. My MRI report was normal.
  “Art is not what you see, but what you make others see.” Edgar Degas
THE RENDERING WAS WRONG. THE COBBLER WAS RIGHT!
That Monday morning following my Friday afternoon call, I received a call that Dr. Tchou wanted to see me at the hospital immediately, so I knew something was up. I finished training a client and drove straight to The University of Pennsylvania Hospital. Over the weekend, Dr. Tchou explained that when she saw that my MRI report had come back normal, without even a “suspicious mass“ noted, she decided to look herself at the MRI images. She pulls up my MRI on the computer. With my eyes focused on the screen she fired away at the enlarge key, and I watched as this tiny white dot appeared and grew bigger.  “There’s your lump.”  Finally a doctor who listened. I was scheduled for an ultra sound guided needle biopsy. University of Pennsylvania being a teaching hospital, usually has a fellow who checks on you before the attending physician. “The lump gets lost when I lie down.” This fell on deaf ears. The fellow, although determined to locate the lump on the ultrasound, did not succeed. Moments later the Radiologist entered. Petite woman, with a rather large presence, and she says to me “find the lump.” I need to stand to find it, so she firmly says, “Stand up. Find it. Put your thumb on it.” She took the cold, gelled probe, placed it firmly right where my thumb was and instantly started measuring the white looking image, aka: lump that appeared on the sonogram screen. In what was her last year of residency, the young doctor commented to me how she learned something new today. Was it that you can do a breast ultra sound to a standing patient,  or that you should listen to what a patient has to say? Days later I found out that all six samples from my ultra sound guided needle biopsy had all come back inconclusive. I would next be scheduled for a lumpectomy. You know to remove a lump of fat.
BIG GIRLS DO CRY
I am told that I wear a tough exterior, but these past few years I know I have become softer inside. I cry a lot easier, which according to the real Dr. Google is hormonal. But the kind of crying that takes your breath away, leaves you unable to speak, feels like a panic attack… well, that has only happened twice to me. The first being when I put my dog Rocki down, and the second was when Dr. Tpchou phoned and told me that I had breast cancer. When I finally caught my breath, I replied “I really did not expect “it” to come back positive. I know what you’re thinking. Really Hope? Yes really! No one in my family has ever had cancer. Sitting on a Bosu ball in the private place where I went to take this call, an empty aerobic room, I looked at myself in the mirror and thought this can’t be happening.  I call my very quiet, kindhearted boyfriend who not only listened to my crazy lump stuff for the last 6 months, but also spent his birthday sitting in a hospital while I had my lumpectomy. In-between sobs I very angrily tell him that I’m not a hypochondriac and “it” wasn’t a fucking “lump of fat.” I HAVE FUCKING BREAST CANCER and yes, I was right. I‘m always right! It wasn’t nothing and go ahead dump me. He should dump me. I would dump my sick ass. We’re not married so here‘s your chance to get out now. RUN! I  won’t be mad at you. When I was done with my well justified rant, he assured me he wasn’t going anywhere because he said “That would be really bad juju.” “Ok then, sniff sniff You know I am so fucking mad.” He knew. With my adrenaline up I stuck my headphones back in walked out of the aerobic room and finished lifting. #chestday I did not tell my family, friends or announce it on Facebook. I knew nothing so there was nothing to tell. But what I did confirm is I have a few special people in my life whom I cannot thank enough for their help from my appointments to answering my questions to just being there.  In February, 9 months after I first discovered that darn lump I had a lumpectomy, followed a few weeks later with a lymphadenectomy. The latter is done to see if the cancer had spread into my lymph nodes. Thankfully it had not. While I personally experienced more pain and difficulty in healing from my lymphadenectomy, I did not have a mastectomy, and would not dare to compare my procedures to the surgery of a mastectomy.
THERE IS NO “I” IN TEAM
Lumpectomy, Lymphadectomy & Proton Radiation (skin reaction 2 weeks after Proton partially due to  sweaty jog bras)
Now
A slice of my tumor was mailed off to a lab for an Oncotype DX breast cancer test. The information gathered from this test would determine my cancer treatment. I needed this test to come back with a number that would allow me to skip chemo and jump right to radiation. While most patients discuss the side effects of their treatment with their doctors, I just needed to know if I would complete my treatment in time to go on a safari in Africa. For this amazing trip, tops on my bucket list, I was lucky to be asked to be part of prior to my diagnosis. The results of this tests held that answer. I sat weeks waiting for my oncotype score (because of a mix up) but finally got the results. I would not need chemo and that meant a shorter treatment plan. This was a giving me hope for Africa. It was now time to  meet my “C” team. To my list of doctors I now add an Oncologist, Radiation Oncologist, and a Cardiology Oncologist. The last doctor, who will approve my treatments, Dr. Joseph Carver, wears giant red Beat-like cordless stethoscope headphones. His specialty is cardiac problems and cancer. He is my bonus doc because of my heart valve replacement and other leaky valves. 
                                                               LET THE GAMES BEGIN
As if I was just here yesterday, I ran around the busy Perlman Center alone at Pennsylvania Hospital. Dressed in my work clothes (gym clothes), there I am squeezing in and out of crowded elevators, grasping my files, holding my Starbucks, running up and down the escalator, dropping papers, meeting doctors, googling words, spilling my coffee on myself, scheduling test appointments, checking my Facebook, and ducking familiar faces all while thinking, “is this for real?” The only things that have changed were the locations of the waiting rooms and the doctors. First, I see the quarterback of my team, my Oncologist. She sketched everything out for me. Explained and confirmed that there was nothing I did that gave me cancer. Not even drinking from the hose while playing outside as a kid. Having lost my period at 43 years old this caused me to enter menopause at a rather early age, and therefore produce higher levels of estrogen, which most likely fed the tumor causing it to grow. I found this tumor that wanted to hide and a lot had to do with having low body fat, and the pain I felt causing me to explore that area. But it was also found with persistence. Had I been older, heavier, would I have found it? Would I have listened to the doctors and have been satisfied with what they were saying along with the normal test results? My doctor assures me that my cancer cell being fed earlier gave it a chance to be found earlier and that was actually a good thing. I caught it at at stage one. 
When cancer came calling I was ready. Since I live with the belief that exercise is a gift and something you should not take for granted, I am always in training for life. Knowing I have an upcoming open heart surgery within the next 8 to 10 years, possibly sooner, I will be prepared.  As with most health issues, it’s always quite fascinating how several people can have almost the same exact diagnosis, and yet have totally different methods of treatment and recovery. Your overall health plays a major role in this.  For my game plan, I sat with Dr. Gary Freedman and he sketched out for me several radiation options. All of the standard treatment plans would span 8 to 10 weeks. However, in a circle on the right side of the paper was the word “PROTONS.” Explaining the difference between photons and protons, Dr. Freedman informed me that I was an excellent candidate for Proton therapy. This treatment would in fact be a better option for keeping the radiation away from my heart.  He offered me twice a day treatments, early morning and again later in the day that I could bang out in one week. I could hear the elephants from the savannah at that moment. Timing was perfect. I’d finish with enough time to grab my safari hat and my anti-malaria meds. But before I began any treatment I needed to tell my home team, my “A” team, my daughters. Tell them why an awful lot of their calls have gone to voicemail this past year, and why I’ve seemed so short lately.  I have one living in NYC and one away at PSU, and I am their only parent. So I must do what I do best at times like this…..lie. I just found this little lump in my breast and the doctor took it out. (Insert joke and laugh) it was a little cancer, blah blah blah, it’s gone, went bye bye. Mom’s all good now.  Just going to get a couple quick zaps of radiation before I go away….. And like deja vu from a few years ago when I gave my “I’m having a little heart procedure” speech,  it worked perfectly for one of my two favorite daughters.  Cue: violins, beating drums and  cello …..Tears, anger, and fear.
  THE WORLD AIN’T ALL SUNSHINE AND RAINBOWS
Wanted: women of Russian/European decent for extras in Creed II, being filmed in Philadelphia. According to my mom mom, and backed up by my Ancestry.com results this describes me. I love the movie Rocky, named my female boxer Rocki, and have seen all of the Rocky movies. This is my chance to use that college theatre degree and hopefully see Sylvester Stallone and Dolph.   So what are my odds of receiving an email saying I was selected to be an extra for Creed II and it’s in the middle of my proton therapy? I‘ll tell you, according to real data much smaller than this Askenazi Jew of Russian decent getting breast cancer. FU cancer! #iwillbreaku
  I thought I was strong and could do this myself, but apparently I was wrong. The 6am driving into the city was easy. I would come home and train one or two clients, workout, shower and then drive back for round two. While I was told, fatigue would kick in by mid week; it never did. Nor did it really kick in the following week. The metallic taste came quickly by day two. But seeing all of the children with cancer, nothing could prepare me for that, and the sadness that still resonates inside of me.
There are five treatment rooms that contain four gantries or cyclone machines and two waiting areas. That week I sat in the same waiting area with the pediatric cancer patients from The Children’s Hospital of Philadelphia dressed in my hospital gown and them in their own little gowns. Children of all different ages. A college kid popped in every day in-between his classes. I listened one day as he sat talking to a parent giving her hopes that her daughter would get the same positive outcome he was having. I’ll never forget my second treatment on my first day. When I came out of the dressing room in my gown, an entire family filled the patient waiting area. This little boy, about six, was giving a tour of his super cool looking proton cyclone to his huge family. They had all come to celebrate his last treatment. “They look like spinning space tunnels”, I said to his parents. I learned that he and most kids didn’t know the cyclone spins because they wear a molded mask to keep them immobilized and often use headphones to listen to music.
Making My Mold
These masks, some painted by the patient to look like a fake super hero, hung along side my body mold and too many other real super hero’s masks all week. When the little hero rang the bell, which is a distance away in the main lobby area, I was laying in my proton bed awaiting the beam, but I heard the bell, the applause and the cheering. It was a beautiful ring. I knew I was a lucky mom and a lucky woman. That week, twice a day I sat in the waiting room like the kids in a routine matter and when one of the Proton techs said  “Hey Hope… Let’s do this.” I too would pop up and go into the space tunnel. Cause I too thought it was really cool.
  Hey Nike, this is what a fitness addict looks like. My athletic apparel took me from the gym floor to the cyclone, and back to the gym.  I even taught a spin class.
JUSTDOIT
DOING
IT
    On my last day I thanked the wonderful technicians who pulled, pushed and aligned my body up so precisely for the proton beam. With my left arm stabilized over my head and my bare boobs marked up, tattooed up and stickered up, I would wait for the beam to be directed to my cyclone.  Every treatment seemed surreal. On my final day I bent down to say  goodbye to a little boy about age 7, who was playing a video game on the floor. He had a brain tumor that had grown back for the third time and now he was trying Proton therapy at Penn.  “Hey buddy I never ever want to see you here again. Ok?”  Ok, strange lady, is what I’m sure he was thinking as he looked at me oddly and then went back to his video game. His mom told me that everyone says that to him, but he doesn’t get it. I think to myself, that’s a good thing.
Friday night around 6 pm at the time when most people are rushing home from work or to happy hour to hang with friends I concluded my proton therapy. Check out from this weeks stay included one last visit with Dr. Gary Freedman, who is the brilliant doctor that prescribed my beam’s precise pathway, it’s dose calculations, and everything needed to stop the protons in the bad area and keep the healthy organs and tissues healthy. While knowing that I do still have follow up appointments with my other doctors regarding future treatment, I ask Dr. Freedman the magic question, “Do I still have cancer?”  He tells me I am a survivor. So like a little kid, on my last day I showed off my super cool cyclone spaceship to my daughter and my boyfriend who came to celebrate my final treatment with me. We then headed straight to the usually very crowded lobby so I could go ring that big silver bell. I pushed open the door and proclaim a big WTF? It’s 6:30pm on a Friday night the lobby is bare. The pranks just keep on coming. I rang the fuck out of that bell. ( Actually God it would have been even more funnier and pathetic if Madison and Kevin had not been there and I had to go ask someone to take my picture)
THE BIG “C”
Cancer, yet another eye opener in my life. I got even more clarity on where I stand in peoples lives. Your actions, not your intent, not what you post on social media, or who you claim to be, speaks louder to me now. Busy people make time for people that are important in their lives. Selfish people are always too busy, and only make time for themselves. Having a stressful day or a bad week is not an excuse for rude behavior. It’s called being a selfish asshole. Have a blessed day, you’re not sitting having cancer treatment. 
I discovered I had this lack of knowledge about cancer and the medical “scientific facts”, and was woken up to people’s ignorance they are willing to spew from non-scientific sources. I do not have cancer from food, medicine, surgery, traveling, or too much exercise.  Using organic soap and essential oils would not have prevented me from getting cancer. #womenlovewastingmoney Yes, people asked me some of these questions. Yes, I am a trainer. Yes, I am well aware I‘m not as strong or cut as I use to be I don’t need you to point this out. I‘ve been kinda busy. Yes, I eat a healthy diet. No, I am not giving up meat. There is no scientific evidence that changing your diet to just eating “alkaline”  rich foods such as fruit, green vegetables, and other plant-based products discourages the growth of cancer cells by raising blood pH levels. This is not going to change the pH levels of your blood, because they are tightly regulated by the kidneys and lungs regardless of foods consumed. While a good diet is always important, it can’t cure cancer. (Please stop saying that a certain food “cures” cancer) There are cancerous cells in the body of every person that at any given moment and through lifestyle choices can become a full-blown disease. Some these cells will divide and become abnormal and cause cancer for no reason other than bad luck. Breast cancer does not run in my family. I am the first one to have been dealt this unlucky card. That does not mean my daughters will get breast cancer. So before you ask, I did get genetic tested. In fact I got the entire breast cancer panel test done which included the following genes: ATM, BRCA1, BRCA2, CDH1, CHEK2, PALB2, PTEN, STK11, TP53 (a total of 9 genes). All were negative. Regardless, this does not mean I will not get any of these cancers; it just means I am not carrying the gene. Just as if any had come back positive, it does not positively mean I will get that cancer. It just means I carry a gene and depending on other factors my odds would increase. Having a genetic counselor through Penn’s Cancer Risk Program conduct these tests, and a full evaluation of me and my families medical history pertaining to cancer and discuss how this all works was very comforting and informative. Probably fewer mastectomies would occur if all women had access to these tests and also had genetic counseling.   #healthcareforall
ON WEDNESDAY’S I WEAR BLACK (Actually everyday I wear black)
Around the same time I received my diagnosis of Stage 1 breast cancer a friend was diagnosed with a much more invasive cancer. It sucks that my friend’s battle is tougher,  and all I can do is drop off food, a FUCK CANCER tee and drag her out to dinner and a cabaret. #thecountessandfriends  There’s no ribbon for her rare cancer. Plenty of pink ones for mine. I find nothing pretty in pink about cancer and am not one to be a member of this pink ladies gang.  It is, however, the color associated with the most successful marketing for a cause in history, raising a lot of money in the name of breast cancer awareness, but not for prevention and finding a cure. Despite all the pink products being sold, each year 40,000 women die from breast cancer.
While breast cancer is one of the top 4 cancers, it is lung cancer that kills more men and women than breast cancer and the other three top cancers combined. Just saying the word “cancer”, one feels they must whisper. She has cancer.But no one whispers she has heart disease. Heart disease is the number one killer of all women, more than all cancers combined. I‘m all for saving the tata‘s, but if the heart ain’t beating do I really care about my breast? Being that there are over 100 types of cancer can we just agree they all suck, wear a black ribbon for all of them, and have 100% of the money raised go to finding a cure for this awful disease? Please? Oh, that’s already taken by skin cancer. 
Another storm survived. More contacts to the list, more tests pre-scheduled and now these awful meds I am being told I should take to prevent breast cancer from coming back. But who knows what storms lie ahead or in my body, and if there is anything to stop that storm from coming.    
9/18 Post MRI Coast Looks Clear
If I learned anything this past year,  it would be that no matter how physically prepared I am, I might not be mentally prepared to have the words when fate is questioned. I don’t need to always have the right words or the right answer but I will always speak from my soul and of course beyond my sole. #ultracrepidarian
      I don’t know Only god knows where the story is For me, but I know where the story begins It’s up to us to choose Whatever we win or loose And I choose to win
So God, Please NO MORE DRAMA in my life! 
Tumblr media
CANCER, KARMA AND YES YOU TOO GOD ……I WIN! 
My intent for writing this blog was not just to share my experience, but that hopefully someone who is ignoring a lump reads this and goes and gets it checked. I also found it frustrating that as a fitness professional over the age of 50, and someone who entered into menopause at and early age, 43 there were no blogs or info that I found giving me insight into treatment, recovery and especially the medicines and their effects on post-menopausal women who still lift weights..heavy. There are plenty of blogs and articles from ladies in their forties and below in the fitness profession who are pre-menopausal.  Maybe eventually I’ll get to writing something for the fitness gals in their 50’s and 60’s who are still hitting the heavy weights, doing pushups galore etc. and discuss more of my personal issues. In the meantime feel free to message me if you have a question. As for the treatment plan I chose moving forward after my Proton therapy and the medications that were offered to me to avoid breast cancer I’ll leave it at this.
Everyone has their own journey and sometimes you have to go with your gut. 
    AFRICA- Check
KENYA May 2018
AFRICA – KENYA 2018 Checked it off the bucket list! (Thank you, Jill Schuler) 
  Please help CRUNCH out Pediatric Cancer. Like these amazing folks did this past September by spinning with me at Crunch Fitness for this great cause. Please donate to The Children’s Hospital of Philadelphia Cancer Center.
  I also was so fortunate that during this past year, the weekend following my Lumpectomy to be part of an event that was so close to my heart nothing could have stopped me called the PHILLY SPIN-IN. A giant cycling event raising funds for pediatric heart disease. This event was truly amazing. A giant event for little hearts.  I will post info on how you can donate and or be part of my team at the 2019 event. Please message me for information.  Corporate donors wanted! [email protected]
PHILLY SPIN-IN
  MOTIVATEHOPESTRENGTH.COM
Personal Training
610-608-6087
Contact Hope Nagy
                  Are You there God? It’s Me Hope,WTF? It's beginning to feel like a big prank. I am looking around for someone, or maybe something like a hidden camera because I love a good joke.
0 notes
realselfblog · 6 years
Text
Slow Food, Slow Medicine: What Italy Can Teach America About Health
Obesity, diabesity, food deserts and food swamps co-exist across America, factors that cost the U.S. economy over $327 billion a year just in the costs of diagnosed diabetes. In addition, America’s overweight and obesity epidemic results in lost worker productivity, mental health and sleep challenges, and lower quality of life for millions of Americans.
Food — healthy, accessible, fairly-priced — is a key social determinant of individual health, wellness, and a public’s ability to pursue happiness.
There’s a lot the U.S. can learn from the food culture, policy and economy of Italy when it comes to health.
This week, I have the honor of being a part of a contingent of Italian friends in Philadelphia welcoming two esteemed members of Italy’s medical community to my hometown: Dr. Walter Ricciardi, who leads the Istituto Superiore di Sanità (Italy’s National Institute of Health); and, Dr. Cesar Faldini, president of the Istituto Ortopedico Rizzoli in Bologna, a top hospital, academic and research center for orthopedics and trauma.
Anticipating this meeting, I wrote this appreciation about what I believe American healthcare can learn from Italy in terms of how Italians make health via a key social determinant that bolsters public and individual wellness and resilience: good food, and especially Slow Food.
First, some health-economic context: note Italy’s health system performance compared with other OECD countries, pictured in the first image. Italy scores above-the-OECD-average for life expectancy, fewer deaths from heart disease, healthy weight (measured by obesity rate), and universal health insurance coverage via  a national health service. [Health insurance coverage is also an important social determinant of health, but for this post, I’ll forgo that discussion — albeit a key pillar of a healthy community].
Now look out image #2: the proportion of GDP spent on healthcare by OECD nation. In 2016, the U.S. ranked as the biggest spender, allocating 17.8% of national spending on healthcare. Italy spent 8.9% of its GDP on healthcare.
The simple math is that Italy devoted 50% less as a proportion of its national economy on healthcare as America did.
Yet Italians lived longer, healthier lives than Americans. In fact, life expectancy in Italy was the second highest among all the EU countries right after Spain, the OECD noted in this report on the state of health in the European Union.
Of the many social determinants of health that make a healthy citizenry, food systems play a primary role in Italians’ health and quality of life…and especially, Slow Food.
The third image depicts an illustration drawn during the Florentine Renaissance for De medicina, a text of Cornelius Celsus who lived between 14 BC and AD 37 and as a broad-thinking Renaissance Man, researched agriculture, medicine, and philosophy among his many intellectual interests. Celsus composed De medicina largely based on the teachings of Hippocrates.
Book I of the eight volumes Celsus wrote covered diet, hygiene, and the benefits of exercise.
Fast-forward two thousand years, and we’re still preaching the benefits of nutrition and physical activity. The Slow Food movement grew out of this understanding, beginning in Italy in 1986 in response to a McDonald’s franchise opening in Rome.
Carlo Petrini, a journalist, organized a group of people to greet passersby near the Spanish Steps where the fast-food restaurant was planning to open, passing out bowls of penne pasta.
“We don’t want fast food,” they said. “We want slow food.”
Thus the Slow Food organization was born, inspiring branches around the world, from towns from “A” to “Z” — from Adelaide, Australia, to Zagreb, Croatia. In fact, there are over 1,500 Slow Food “convivia,” or chapters, around the world.
Back to Italy, the birthplace of Slow Food, then inspired another “slow” phenomenon that can profoundly impact good health: Slow Medicine.
The first mention of Slow Medicine was in an Italian medical journal on cardiology, published sixteen years after the birth of Slow Food.
Dr. Alberto Dolara, an Italian cardiologist, wrote in the Italian Heart Journal (translated into English), “In clinical practice, hyperactivity is often unnecessary. Adopting a strategy of ‘slow medicine’ may be more rewarding in many situations. Such an approach would allow health professionals and in particular doctors and nurses, to have sufficient time to evaluate the personal, familial and social problems of the patient extensively, to reduce anxiety whilst waiting for non-urgent diagnostic and therapeutic procedures, to evaluate new methods and technologies carefully, to prevent premature dismissals from hospital and finally to offer an adequate emotional support to the terminal patient and their families.”
Note the three Italian words below the snails in the Slow Medicine image: “Sobria, Rispettosa, Giusta.” In English, these are,
– Measured
– Respectful, and
– Equitable.
Imagine if…in the U.S. doctor-patient relationship, we adopted “measured” medicine, in not over-treating or wasting resources, but using the right therapy and technology in the right patient at the right time? What if we baked respect into our system, between physicians and patients, between professionals at-work, where individuals’ values and desires were given voice? What if the U.S. health system embraced equity, first being honest about our health disparities and implementing policies and practices to eliminate those disparities, realizing quality, affordable care for all?
Health Populi’s Hot Points:  In full transparency, while I hold a U.S. passport as an American citizen, I am also a citizen of Italy. As such, I am a citizen of the EU. In the EU, people who live in the community are also known as “health citizens.”
We are not really health citizens in America. We don’t have what Dr. Ricciardi recently spoke about in this video — “la salute e uguale per tutti” — health and equality for all.
Dr. Ricciardi’s remarks were part of this campaign, shown here. Translated into English, the two sentences say:
Health is the same for everyone, and a right to be spread through Italy.
Do it with a kiss, like a virus that is good for our country and an appeal that cannot be stopped.
Would that we in America could embrace such a public health message for all.
 The post Slow Food, Slow Medicine: What Italy Can Teach America About Health appeared first on HealthPopuli.com.
Slow Food, Slow Medicine: What Italy Can Teach America About Health posted first on http://dentistfortworth.blogspot.com
0 notes
maxihealth · 6 years
Text
Slow Food, Slow Medicine: What Italy Can Teach America About Health
Obesity, diabesity, food deserts and food swamps co-exist across America, factors that cost the U.S. economy over $327 billion a year just in the costs of diagnosed diabetes. In addition, America’s overweight and obesity epidemic results in lost worker productivity, mental health and sleep challenges, and lower quality of life for millions of Americans.
Food — healthy, accessible, fairly-priced — is a key social determinant of individual health, wellness, and a public’s ability to pursue happiness.
There’s a lot the U.S. can learn from the food culture, policy and economy of Italy when it comes to health.
This week, I have the honor of being a part of a contingent of Italian friends in Philadelphia welcoming two esteemed members of Italy’s medical community to my hometown: Dr. Walter Ricciardi, who leads the Istituto Superiore di Sanità (Italy’s National Institute of Health); and, Dr. Cesar Faldini, president of the Istituto Ortopedico Rizzoli in Bologna, a top hospital, academic and research center for orthopedics and trauma.
Anticipating this meeting, I wrote this appreciation about what I believe American healthcare can learn from Italy in terms of how Italians make health via a key social determinant that bolsters public and individual wellness and resilience: good food, and especially Slow Food.
First, some health-economic context: note Italy’s health system performance compared with other OECD countries, pictured in the first image. Italy scores above-the-OECD-average for life expectancy, fewer deaths from heart disease, healthy weight (measured by obesity rate), and universal health insurance coverage via  a national health service. [Health insurance coverage is also an important social determinant of health, but for this post, I’ll forgo that discussion — albeit a key pillar of a healthy community].
Now look out image #2: the proportion of GDP spent on healthcare by OECD nation. In 2016, the U.S. ranked as the biggest spender, allocating 17.8% of national spending on healthcare. Italy spent 8.9% of its GDP on healthcare.
The simple math is that Italy devoted 50% less as a proportion of its national economy on healthcare as America did.
Yet Italians lived longer, healthier lives than Americans. In fact, life expectancy in Italy was the second highest among all the EU countries right after Spain, the OECD noted in this report on the state of health in the European Union.
Of the many social determinants of health that make a healthy citizenry, food systems play a primary role in Italians’ health and quality of life…and especially, Slow Food.
The third image depicts an illustration drawn during the Florentine Renaissance for De medicina, a text of Cornelius Celsus who lived between 14 BC and AD 37 and as a broad-thinking Renaissance Man, researched agriculture, medicine, and philosophy among his many intellectual interests. Celsus composed De medicina largely based on the teachings of Hippocrates.
Book I of the eight volumes Celsus wrote covered diet, hygiene, and the benefits of exercise.
Fast-forward two thousand years, and we’re still preaching the benefits of nutrition and physical activity. The Slow Food movement grew out of this understanding, beginning in Italy in 1986 in response to a McDonald’s franchise opening in Rome.
Carlo Petrini, a journalist, organized a group of people to greet passersby near the Spanish Steps where the fast-food restaurant was planning to open, passing out bowls of penne pasta.
“We don’t want fast food,” they said. “We want slow food.”
Thus the Slow Food organization was born, inspiring branches around the world, from towns from “A” to “Z” — from Adelaide, Australia, to Zagreb, Croatia. In fact, there are over 1,500 Slow Food “convivia,” or chapters, around the world.
Back to Italy, the birthplace of Slow Food, then inspired another “slow” phenomenon that can profoundly impact good health: Slow Medicine.
The first mention of Slow Medicine was in an Italian medical journal on cardiology, published sixteen years after the birth of Slow Food.
Dr. Alberto Dolara, an Italian cardiologist, wrote in the Italian Heart Journal (translated into English), “In clinical practice, hyperactivity is often unnecessary. Adopting a strategy of ‘slow medicine’ may be more rewarding in many situations. Such an approach would allow health professionals and in particular doctors and nurses, to have sufficient time to evaluate the personal, familial and social problems of the patient extensively, to reduce anxiety whilst waiting for non-urgent diagnostic and therapeutic procedures, to evaluate new methods and technologies carefully, to prevent premature dismissals from hospital and finally to offer an adequate emotional support to the terminal patient and their families.”
Note the three Italian words below the snails in the Slow Medicine image: “Sobria, Rispettosa, Giusta.” In English, these are,
– Measured
– Respectful, and
– Equitable.
Imagine if…in the U.S. doctor-patient relationship, we adopted “measured” medicine, in not over-treating or wasting resources, but using the right therapy and technology in the right patient at the right time? What if we baked respect into our system, between physicians and patients, between professionals at-work, where individuals’ values and desires were given voice? What if the U.S. health system embraced equity, first being honest about our health disparities and implementing policies and practices to eliminate those disparities, realizing quality, affordable care for all?
Health Populi’s Hot Points:  In full transparency, while I hold a U.S. passport as an American citizen, I am also a citizen of Italy. As such, I am a citizen of the EU. In the EU, people who live in the community are also known as “health citizens.”
We are not really health citizens in America. We don’t have what Dr. Ricciardi recently spoke about in this video — “la salute e uguale per tutti” — health and equality for all.
Dr. Ricciardi’s remarks were part of this campaign, shown here. Translated into English, the two sentences say:
Health is the same for everyone, and a right to be spread through Italy.
Do it with a kiss, like a virus that is good for our country and an appeal that cannot be stopped.
Would that we in America could embrace such a public health message for all.
 The post Slow Food, Slow Medicine: What Italy Can Teach America About Health appeared first on HealthPopuli.com.
Slow Food, Slow Medicine: What Italy Can Teach America About Health posted first on https://carilloncitydental.blogspot.com
0 notes
titheguerrero · 6 years
Text
Slow Food, Slow Medicine: What Italy Can Teach America About Health
Obesity, diabesity, food deserts and food swamps co-exist across America, factors that cost the U.S. economy over $327 billion a year just in the costs of diagnosed diabetes. In addition, America’s overweight and obesity epidemic results in lost worker productivity, mental health and sleep challenges, and lower quality of life for millions of Americans.
Food — healthy, accessible, fairly-priced — is a key social determinant of individual health, wellness, and a public’s ability to pursue happiness.
There’s a lot the U.S. can learn from the food culture, policy and economy of Italy when it comes to health.
This week, I have the honor of being a part of a contingent of Italian friends in Philadelphia welcoming two esteemed members of Italy’s medical community to my hometown: Dr. Walter Ricciardi, who leads the Istituto Superiore di Sanità (Italy’s National Institute of Health); and, Dr. Cesar Faldini, president of the Istituto Ortopedico Rizzoli in Bologna, a top hospital, academic and research center for orthopedics and trauma.
Anticipating this meeting, I wrote this appreciation about what I believe American healthcare can learn from Italy in terms of how Italians make health via a key social determinant that bolsters public and individual wellness and resilience: good food, and especially Slow Food.
First, some health-economic context: note Italy’s health system performance compared with other OECD countries, pictured in the first image. Italy scores above-the-OECD-average for life expectancy, fewer deaths from heart disease, healthy weight (measured by obesity rate), and universal health insurance coverage via  a national health service. [Health insurance coverage is also an important social determinant of health, but for this post, I’ll forgo that discussion — albeit a key pillar of a healthy community].
Now look out image #2: the proportion of GDP spent on healthcare by OECD nation. In 2016, the U.S. ranked as the biggest spender, allocating 17.8% of national spending on healthcare. Italy spent 8.9% of its GDP on healthcare.
The simple math is that Italy devoted 50% less as a proportion of its national economy on healthcare as America did.
Yet Italians lived longer, healthier lives than Americans. In fact, life expectancy in Italy was the second highest among all the EU countries right after Spain, the OECD noted in this report on the state of health in the European Union.
Of the many social determinants of health that make a healthy citizenry, food systems play a primary role in Italians’ health and quality of life…and especially, Slow Food.
The third image depicts an illustration drawn during the Florentine Renaissance for De medicina, a text of Cornelius Celsus who lived between 14 BC and AD 37 and as a broad-thinking Renaissance Man, researched agriculture, medicine, and philosophy among his many intellectual interests. Celsus composed De medicina largely based on the teachings of Hippocrates.
Book I of the eight volumes Celsus wrote covered diet, hygiene, and the benefits of exercise.
Fast-forward two thousand years, and we’re still preaching the benefits of nutrition and physical activity. The Slow Food movement grew out of this understanding, beginning in Italy in 1986 in response to a McDonald’s franchise opening in Rome.
Carlo Petrini, a journalist, organized a group of people to greet passersby near the Spanish Steps where the fast-food restaurant was planning to open, passing out bowls of penne pasta.
“We don’t want fast food,” they said. “We want slow food.”
Thus the Slow Food organization was born, inspiring branches around the world, from towns from “A” to “Z” — from Adelaide, Australia, to Zagreb, Croatia. In fact, there are over 1,500 Slow Food “convivia,” or chapters, around the world.
Back to Italy, the birthplace of Slow Food, then inspired another “slow” phenomenon that can profoundly impact good health: Slow Medicine.
The first mention of Slow Medicine was in an Italian medical journal on cardiology, published sixteen years after the birth of Slow Food.
Dr. Alberto Dolara, an Italian cardiologist, wrote in the Italian Heart Journal (translated into English), “In clinical practice, hyperactivity is often unnecessary. Adopting a strategy of ‘slow medicine’ may be more rewarding in many situations. Such an approach would allow health professionals and in particular doctors and nurses, to have sufficient time to evaluate the personal, familial and social problems of the patient extensively, to reduce anxiety whilst waiting for non-urgent diagnostic and therapeutic procedures, to evaluate new methods and technologies carefully, to prevent premature dismissals from hospital and finally to offer an adequate emotional support to the terminal patient and their families.”
Note the three Italian words below the snails in the Slow Medicine image: “Sobria, Rispettosa, Giusta.” In English, these are,
– Measured
– Respectful, and
– Equitable.
Imagine if…in the U.S. doctor-patient relationship, we adopted “measured” medicine, in not over-treating or wasting resources, but using the right therapy and technology in the right patient at the right time? What if we baked respect into our system, between physicians and patients, between professionals at-work, where individuals’ values and desires were given voice? What if the U.S. health system embraced equity, first being honest about our health disparities and implementing policies and practices to eliminate those disparities, realizing quality, affordable care for all?
Health Populi’s Hot Points:  In full transparency, while I hold a U.S. passport as an American citizen, I am also a citizen of Italy. As such, I am a citizen of the EU. In the EU, people who live in the community are also known as “health citizens.”
We are not really health citizens in America. We don’t have what Dr. Ricciardi recently spoke about in this video — “la salute e uguale per tutti” — health and equality for all.
Dr. Ricciardi’s remarks were part of this campaign, shown here. Translated into English, the two sentences say:
Health is the same for everyone, and a right to be spread through Italy.
Do it with a kiss, like a virus that is good for our country and an appeal that cannot be stopped.
Would that we in America could embrace such a public health message for all.
  The post Slow Food, Slow Medicine: What Italy Can Teach America About Health appeared first on HealthPopuli.com.
Article source:Health Populi
0 notes
drezradeutsch-blog · 6 years
Text
Top Interventional Cardiologist, Ezra Deutsch, MD, FACP, FACC, FCCP, FAHA, FSCAI, welcomes Patients at Suffolk Heart Group in Bay Shore, New York
Ezra Deutsch, MD, FACP, FACC, FCCP, FAHA, FSCAI, is one of only five NY State Interventionalists with below average risk adjusted mortality as published by the NY State Health Department. He practices at The Suffolk Heart Group in Bay Shore, New York, a private practice which has been providing comprehensive cardiovascular care to the residents of Long Island for the past 40 years. The Suffolk Heart Group, a New York-based, adult cardiology practice has offices on Long Island in Bay Shore and in Smithtown. Their state-of-the-art diagnostic centers are staffed with seven board-certified cardiologists including two interventional cardiologists and a cardiac electrophysiologist with affiliations at a multitude of area-based hospitals. The practice offers a full range of services, including consultation and evaluation, exercise stress testing, diagnostic cardiac catheterization, cardiac interventional procedures, electrophysiology testing and ablation procedures. He additionally holds hospital privileges at Southside Hospital – Bay Shore, NY, North Shore University Hospital – Manhasset, NY, Good Samaritan Hospital – West Islip, NY, St. Catherine of Siena Medical Center – Smithtown, NY, St. Francis Hospital – Roslyn, NY, and Winthrop University Hospital – Mineola, NY. Dr. Deutsch was instrumental in Southside becoming the first hospital in New York State to initiate a coronary angioplasty program without on-site surgery.  Following the completion of his fellowship, Dr. Deutsch became Director of the Cardiac Catheterization Laboratory at Temple University Hospital, where he remained from 1991 to 1997. “During that time, he attained Associate Professor of Medicine. His work as researcher has earned him four prestigious awards. After moving to New York in 1997, he accepted a position as Director of Interventional Cardiology Research at Cornell University, where he also served as an Associate Professor”, states the official website of Suffolk Heart Group. To learn more about Ezra Deutsch, MD, FACP, FACC, FCCP, FAHA, FSCAI, please visit http://www.suffolkheartgroup.com/deutsch.shtml.
Ezra Deutsch, MD, FACP, FACC, FCCP, FAHA, FSCAI, completed his medical degree in 1982 at the prestigious Harvard Medical School. His postgraduate training journey commenced at Mount Sinai Medical Center in New York City, New York, where he did both his internship and residency. He subsequently pursued his three-year cardiovascular disease fellowship at The Hospital of the University of Pennsylvania in Philadelphia, Pennsylvania, which he completed in 1988. Prior to entering medical school, Dr. Deutsch earned his bachelor’s degree of arts at Yale University in 1978.  Dr. Deutsch is a Certified Diplomate of the American Board of Internal Medicine since 1985 with subspecialty certifications in cardiovascular diseases (1987) and interventional cardiology (1999). He continues to add to the number of articles, book chapters, and abstracts that he has already published over the past two decades. Dr. Deutsch is licensed to practice in New York State since 1983 and in the States of Pennsylvania since 1985. Moreover, he is a Fellow of the American College of Cardiology (FACC), Fellow of the American College of Physicians (FACP), Fellow of the American College of Chest Physicians (FCCP), Fellow of the American Heart Association Council on Clinical Cardiology (FAHA), and Fellow of the Society for Cardiac Angiography and Interventions (FSCAI). He remains active in the cardiology arena through his memberships with the Suffolk County Medical Society and the American Medical Association. He is also certified in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS). As a result of his compassionate attitude and patient centric philosophy, Ezra Deutsch, MD, FACP, FACC, FCCP, FAHA, FSCAI, has been honored with a 2016 Top Doctor Award. Top Doctor Awards is dedicated to selecting and honoring those healthcare practitioners who have demonstrated clinical excellence while delivering the highest standards of patient care. To learn more about Ezra Deutsch, MD, FACP, FACC, FCCP, FAHA, FSCAI, please visit https://www.findatopdoc.com/doctor/2025544-Ezra-Deutsch-Smithtown-NY-11787.
0 notes