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28Apr

14 Breakthrough Devices and Apps for Better Living

Posted by: admin Categories: SPORTS & ATHLETICS
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Sometimes, the most valuable thing you need on your journey to a healthy lifestyle is some guidance and motivation. Luckily, some user-friendly apps and gadgets can help you achieve your fitness goals in 2024.

The following devices are some of the newer products health enthusiasts are raving about this year. They are designed to track your progress, help you recover, keep you up to date on trends, and inform you about proper healthy habits. How many of these tools are you going to check out or add to your gym bag?

1. Lumen Metabolism Tracker

Lumen Metabolism TrackerLumen Metabolism Tracker
Image Credit: Metaflow LTD.

The Lumen metabolism tracker allows users to blow into a sensor, which tracks the carbon dioxide concentration in their breath. This indicates whether their body is burning fat or carbohydrates. From there, it breaks down a daily nutritional plan to give you the optimal time to eat or fast. It can tell you if you are fasting too long and no longer burning fat or if you are comfortably shedding weight. If you have a goal of slimming down this year, this ground-breaking technology could be your answer.

2. Apollo Neuro Stress Relief Band

Apollo Neuro Stress Relief BandApollo Neuro Stress Relief Band
Image Credit: Apollo Neuroscience, Inc.

The Apollo Neuro bracelet wraps around your wrist. It uses scientifically proven touch therapy to send tiny vibrations through your body. The goal is to calm your nervous system and improve your body’s reaction to stress triggers. Users have reported better quality of sleep, heightened focus, and lower levels of anxiety.

The device only needs to be worn when your body needs it. When you need to relax and unwind, this device is ideal for naturally training your body to deal with stress.

3. Fitbit Aria Air Scale

Image Credit: Google LLC.

This smart scale syncs with your smartphone and tracks body weight and BMI while analyzing the data. It works with any Fitbit smartwatch and helps users gather more comprehensive data and trends about their health, workout routines, lifestyle, and body weight.

The scale can connect to multiple users to create a support system for people taking charge of their health. For as little as $40, this gadget is a must-have for fitness enthusiasts.

4. Molekule Air Purifier

Molekule Air PurifierMolekule Air Purifier
Image Credit: Molekule.

Whether you suffer from allergies or want to breathe the freshest air possible, this home air purifier is a life changer. The Molecule Air Purifier can easily and automatically clean the air in a room as big as 600 square feet.

The device comes with two separate filters. The first filter traps bigger particles like dust and pet hair, while the second breaks down pollutants at a molecular level. Bacteria, mold, viruses, allergens, and other contaminants don’t stand a chance of breaking through the proprietary light-activated catalyst technology this purifier boasts.

The device can be controlled by an app, sits quietly in the corner, and provides endless amounts of healthy air for you and your family.

5. MUSE S: The Brain Sensing Headband

Image Credit: Muse.

Studies have proven that regular meditation can reduce stress, improve sleep quality, fight addiction, and lower blood pressure. The MUSE S is determined to make your meditation sessions that much better by tracking and analyzing your body’s measurements.

Worn across the user’s forehead, the MUSE S measures heart rate, breathing, subtle body movements, and brain waves. The MUSE app provides biofeedback in real-time. Users can also use the device to track sleep habits, assist in guided meditation, and perform breathing exercises.

6. Noom Weight Loss App

Noom Weight Loss AppNoom Weight Loss App
Image Credit: Noom, Inc.

I’m sure some of you have seen the commercials for the weight loss app Noom. The brand’s approach to weight loss includes science and personalized programs to lose weight permanently. They believe in teaching their clients how to cope with their relationship with food, be conscious of their habits, and instill healthy lifestyle knowledge.

Daily lessons promote the company’s core beliefs. They want you to lose weight and understand why you are losing it. Food trackers and exercise logs are included to keep you consistent and on track to a healthier body.

A four-month subscription costs only $149, making it a fantastic resource for users looking to shed some pounds before summer.

7. Oral-B iO Series 9 Toothbrush

Oral-B iO Series 9 ToothbrushOral-B iO Series 9 Toothbrush
Image Credit: Procter & Gamble.

It seems like every gadget we use daily is getting upgraded to a smarter version. This smart technology automatic toothbrush is designed to keep our teeth clean, kill bad breath, and brighten our smiles. The toothbrush pairs with the mobile app and assures the user that it hits 100% of their mouth with the proper pressure and length of time. The device will also inform you when to replace the brush head for optimal oral care.

8. Dr. Relief Acupressure Mat

Dr. Relief Acupressure MatDr. Relief Acupressure Mat
Image Credit: Dr. Relief.

I have personally never tried acupuncture, but many fitness experts swear by the results of this ancient Chinese medicine. Studies have shown that the practice of acupuncture can improve sleep, erase migraines, improve mental health, and temper chronic pain. Still, for some, the thought of needles in our bodies is beyond scary.

That is where this Dr. Relief mat comes in. It is thought to mimic the results without using those terrifying needles. The mat has a comfortable headrest that allows you to lie down for a full-body, acupuncture-like experience.

9. TheraGun Percussion Massager

Image Credit: Therabody, Inc.

If you ask any personal trainer or fitness expert, they will tell you that recovery is just as important as the actual workout. Tired muscles need time to recover and grow before training again, and failure to do so can risk serious injury. Massages can be the ideal recovery tool for a sore body but can be expensive. The TheraGun percussion massager lets you get quality massages at home quickly and easily.

The machine provides various speeds and pressures and effectively works out knots and target spots. Its compact design makes it portable, so you can use it at home, in the office, or on vacation.

10. Oura Ring

Oura RingOura Ring
Image Credit: Ōura Health Oy.

The fashionable Oura Ring has built-in sensors to track and collect data 24 hours a day. It is quickly becoming one of the more advanced fitness trackers on the market. The third-generation Oura can successfully track sleep patterns, heart rate, body temperature, blood oxygen level, steps, distance traveled, calories burned, and downtime. The ring can also alert you if you are getting sick, experiencing high levels of stress, or need more sleep.

You might think a resource like this would cost a fortune. Nope. The ring has a price tag of $299, making it a great option for fitness fanatics or people looking to better understand their bodies.

11. QardioArm Wireless Smart Blood Pressure Monitor

QardioArm Wireless Smart Blood Pressure MonitorQardioArm Wireless Smart Blood Pressure Monitor
Image Credit: Qardio, Inc.

This QardioArm monitor takes the difficulty out of monitoring your blood pressure. The device wraps around your upper arm and instantly connects with your smartphone, making it super simple to send analyzed data to your medical provider.

The QardioArm is designed to measure systolic and diastolic blood pressure levels and irregular heartbeat. You can set reminders, geo-tracking, and a relaxation mode. It is compact and portable with a rechargeable battery, making it one of the most convenient blood pressure monitors on the market.

12. Fitbit Sense 2 Fitness & Health Tracker

Image Credit: Google LLC.

Fitbit has continued to make high-quality fitness trackers, and the newest Sense 2 is no different. Not only is the futuristic case stylish and cool, but the technology has grown to help us store our fitness habits even better.

The watch is capable of tracking many bodily functions. It monitors heart rate, calories burned, steps, distance, elevation gain, and health trends. You can set the watch to different workout modes, rate your quality of sleep, and alert you to irregular heartbeats that could be a cause of an underlying health factor. All in all, this gadget is an amazing tool to have if you want to be informed of your body’s actions at all times.

14. Apple Fitness +

Apple Fitness +Apple Fitness +
Image Credit: Apple, Inc.

Since the pandemic hit, people have preferred at-home workouts over gym memberships. Naturally, more options for home workouts have become available. One of the most popular apps for a quality home workout is Apple Fitness +.

For only $10 a month, Apple Fitness + will help you achieve your goals. You can choose from various workouts, up to 45 minutes long, taught by actual fitness professionals. Your results are tracked in the app, making it easy to stay consistent and track your actions.

No more crowded gym floors or influencers hogging the equipment. Bring the gym to you or wherever you travel with the Apple Fitness + app.

15. Tonal Mirror

Image Credit: Tonal.

It is hard to replicate lifting heavy weights and bars as you would in a gym, but the Tonal Mirror resistance technology is as close as you can get. The all-in-one workout machine comes with a wall-mounted screen that provides personalized coaching and fitness tracking. The equipment can hit all muscle groups and provide lifts like bench presses, squats, curls, and deadlifts.

The device can be a little pricey. At $3,000, it is a commitment, but over the course of a few years, the money saved on gym fees will pay for itself.


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27Mar

‘365 breathing’ increases parasympathetic activity, reduces IOP in patients with glaucoma

Posted by: admin Categories: ANXIETY MANAGEMENT
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March 27, 2024

2 min read


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Key takeaways:

  • IOP and serum cortisol were significantly lower at 6 weeks in patients who added the “365 breathing” technique to their glaucoma treatment.
  • Parasympathetic activity also increased in the treatment group.

The “365 breathing” technique significantly increased parasympathetic activity and reduced IOP and serum cortisol levels after 6 weeks in patients with glaucoma, according to a study published in the Journal of Glaucoma.

“Many studies have shown a positive correlation between physiological stress and glaucoma, and that stress-related biochemical and somatic changes can have a significant contribution in the progression of glaucomatous damage,” Tanuj Dada, MD, and colleagues at All India Institute of Medical Sciences, wrote. “Patients with glaucoma have poor physiological functioning and a higher risk of anxiety and depression due to anticipated vision loss, resulting in a self-amplifying vicious cycle and reduced quality of life.”



woman breathing deeply

The “365 breathing” technique lowered cortisol and IOP in patients with glaucoma and may be helpful as adjunctive therapy. Image: Adobe Stock

Dada and colleagues sought to evaluate the stress-reducing efficacy of the “365 breathing” technique, in which patients with glaucoma attempt to synchronize their breathing with their heart rate over three 5-minute sessions per day.

In a randomized, controlled, interventional trial of 80 patients with early to moderate primary open-angle glaucoma at a tertiary hospital in North India, 40 patients followed the “365 breathing” technique along with pharmacological glaucoma treatment and 40 controls continued only glaucoma treatment. The researchers recorded IOP, serum cortisol, heart rate variability and heart rate response to deep breathing test at baseline and 6 weeks after intervention.

According to results, mean IOP (16.09 vs. 18.38; P = .03) and serum cortisol (13.2 vs. 14.95; P = .038) were significantly lower in the intervention group compared with the control group at the 6-week follow-up.

The intervention group also experienced a significant 11% reduction in IOP from baseline to 6 weeks (P = .0012) compared with the control group (P = .325), as well as significant reductions in resting heart rate and systolic and diastolic blood pressure.

In addition, researchers reported a significant difference between groups in the root mean square of the successive difference between RR intervals, indicating higher parasympathetic activation at 6 weeks in the intervention group.

Although there was no significant difference between groups in low frequency (LF) and high frequency (HF) domains of heart rate variability at 6 weeks, the LF:HF ratio was lower in the intervention group, representing a shift in sympathovagal balance and improvement in parasympathetic activity.

There also were significant differences in delta heart rate and expiratory/inspiratory ratio between groups at 6 weeks, further indication of higher parasympathetic reactivity in the intervention group, as well as differences in serum cortisol levels.

“Lifestyle interventions to promote positive health are an unmet need in patients with glaucoma,” Dada and colleagues wrote. “Although many patients with glaucoma suffer from anxiety/stress and have autonomic dysfunction with high sympathetic reactivity, there is no pharmacological intervention that can address this anomaly. In this regard, proper breathing can bring better health.”

Perspective

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Mark Eltis, OD, FAAO)

Mark Eltis, OD, FAAO

Markers of stress such as cortisol have been found to be dysregulated in glaucoma. Stress can cause an increase in sympathetic activity and reduce parasympathetic activity. This can worsen the preexisting autonomic dysfunction in glaucoma patients. Heart rate variability, a form of autonomic dysfunction seen in patients with glaucoma, is associated with the rapid progression of disease.

Breathing techniques appear to be effective in reducing stress by influencing psychological factors, such as decreasing negative thoughts, and stimulating the parasympathetic nervous system. Increased parasympathetic activity can decrease aqueous production and increase aqueous outflow leading to decreased IOP.

Mindfulness-based stress reduction (MBSR) has been shown to reduce IOP, as well as normalize stress biomarkers and improve optic nerve perfusion, in patients with glaucoma.

A previous study by the same authors reported IOP reduction after 3 to 6 weeks of meditation/MBSR in patients with glaucoma or ocular hypertension. However, MBSR requires an hour per day, which is impractical. Conversely, “365 breathing” is a technique that requires only 15 minutes a day, performed as three 5-minute exercises.

Future studies could determine whether increasing the duration of “365 breathing” may have an even greater effect. While these lifestyle changes won’t replace medication or surgical intervention, they can be a “force multiplier.” Giving the patient some control can not only decrease stress in itself, but augment the breathing techniques’ IOP reduction potential.

Reference:

Mark Eltis, OD, FAAO

Lecturer, University of Waterloo

Private practice, Toronto

Member, Optometric Glaucoma Society


Disclosures: Eltis reports no relevant financial disclosures.


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27Mar

Are long COVID sufferers falling through the cracks?

Posted by: admin Categories: PULMONARY DISEASES
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Researchers who study long COVID say its debilitating symptoms are often misdiagnosed by clinicians and dismissed by employers or loved ones because so little is known about the new syndrome. The results can be devastating for individuals and their families -- and for the economy.

It reminds Stanford Medicine's Hector Bonilla, MD, of another little-understood condition that the medical world still struggles to treat correctly.

"I've been working on chronic fatigue syndrome for almost eight years; when long COVID came along it was like déjà vu," said Bonilla, a clinical associate professor and an infectious disease physician who is a co-director of the Stanford Post-Acute COVID-19 Syndrome Clinic. "This is nothing new. We've been ignoring these problem for decades -- so it's time to pay attention."

Hector Bonilla

Nearly 1.2 million people have died from COVID-19, accounting for 2.2% of all deaths since the pandemic began, according to the Centers for Disease Control and Prevention. The CDC believes at least 5,000 people have died from long COVID, but it is trying to get a better account by issuing new autopsy guidelines for reporting long COVID as the cause of death.

Today, an estimated 16 million working-age people have long COVID, 4 million of whom can't work due to the debilitating symptoms. One of the worst things a long COVID patient can hear from their primary care physician, said Bonilla, is that they just need more sleep and to improve their diet and exercise. This attitude, he said, recalls the early days of CFS, when more physical activity was a common recommendation.

Long COVID and chronic fatigue syndrome symptoms are similar: severe exhaustion, brain fog, chest pain, coughing and difficulty breathing. Some patients experience cardiac and gastrointestinal issues, as well as loss of taste and smell and elevated levels of depression and anxiety.

Bonilla was joined recently by Gopi Shah Goda, PhD, a health economist who is a senior fellow at the Stanford Institute for Economic Policy Research. While she is researching the economic impact of the syndrome, Bonilla is focused on helping patients and letting them know they are not alone.

"You have to validate them," Bonilla said. "You have to say, 'Yes, I hear you and you are not alone; there are millions of people with the same problems you're having.'"

He said he's seen patients who have lost their homes and are living out of their cars, couples who are divorcing because one spouse doesn't believe the other is truly sick.

The economic impact

Goda calculates that on top of the quarter-million people of working age who died from COVID-19, at least twice that number have disappeared from the workforce. In a study published by the Journal of Public Economics, Goda estimates the average individual earnings loss due to long COVID-19 is $9,000 and the total lost labor supply has amounted to $62 billion annually.

Gopi Shah Goda

That's nearly half of the estimated productivity losses from cancer or diabetes. Yet, the Stanford experts say, those diseases receive billions of research dollars annually while long COVID research remains woefully underfunded.

"If you think about the budgets for some of the parts of the NIH [National Institutes of Health] that are funding research on cancer and diabetes, it's in the billions, and the amount that has been invested in long COVID is more in the millions," Goda said.

Stanford's long COVID clinic, which opened in May of 2021, received a grant last year of $1 million annually for five years from the U.S. Department of Health and Human Services to expand access to care for people with long COVID -- particularly those from underserved, rural, vulnerable and minority populations that were disproportionately impacted by the pandemic.

Goda believes many long COVID sufferers are falling through the cracks because clinicians aren't certain how to categorize their illnesses, so workers could be losing out on disability insurance through their employers or Social Security Disability Insurance.

The COVID-19 public health emergency expired in May 2023, and the CDC earlier this month lifted the five-day isolation guidance for those who test positive for COVID-19. Both Bonilla and Goda said they hoped this would not lead to relaxations that make workers more vulnerable, particularly those who have no access to paid leave.

No approved treatment but hope on horizon

Experts say 37% of COVID survivors report having at least one long COVID symptom in the 90 to 180 days after their initial infection.

But like chronic fatigue syndrome, there are no tests or approved treatments for long COVID, though Bonilla said he's seeing some positive results in his clinic by treating patients with off-label, low-dose naltrexone -- a pain reliever and anti-inflammatory -- and low doses of the antipsychotic drug Abilify.

There are also efforts to raise awareness about the need for more research that could lead to a cure. March 15 marked the second annual Long COVID Awareness Day, and the NIH is eager to get people with long COVID to join its CureID  research program.

In addition, the U.S. Senate Committee on Health, Education, Labor and Pensions held a hearing in January on long COVID, with committee chair Sen. Bernie Sanders (I-Vermont) acknowledging that Congress needs to do more.

"There's a sense that something is going on in America which is serious that we're not addressing," Sanders said. "So I just want to say to our panelists and all those who are dealing with long COVID: We hear you what you're experiencing, and we take it seriously. We think we Congress has not done anywhere near enough, and we hope to turn that around."

Goda submitted a statement to the committee for that hearing, emphasizing the need for more mitigation policies and programs to help workers remain in the workforce.

More news on long COVID

"Despite COVID's harmful impact on the U.S. workforce overall, there are some signs of good news," she said in her statement. "So far, employment and labor force participation rates increased faster among those who report having a disability, likely because of new opportunities to work from home and the tight labor markets."

She noted there are also lower rates of COVID-19 related work absences. Between January and October of 2023, likely COVID-19 related absences from work were 16% higher than pre-pandemic levels. This was a sharp drop from 61% during March 2020 through December 2022.

Still, Bonilla said, while long-COVID may be getting more national recognition, many patients don't have access to health care or live far from clinics, such as native Americans, those in rural communities, and undocumented workers.

"There are people who have no voice, and nobody is talking about them," he said.

Beth Duff-Brown is the communications manager for Stanford Health Policy

Image: Donkeyworx

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27Mar

Unseen Scars: The Hidden Impact of Concussions on Israeli Soldiers

Posted by: admin Categories: PHYSICAL REHABILITATION
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Watan-The Hebrew media continued to monitor the extent of the losses suffered by the Israeli army in the war it is waging on the Gaza Strip, amidst ground battles punctuated by strikes launched by the Palestinian resistance against the occupation forces.

In this context, the Israeli Sheba Medical Center conducted a new study revealing that 60% of the Israeli soldiers injured during the Gaza war, who reached rehabilitation centers, suffered from concussion, in addition to some being misdiagnosed with mental issues.

One of these soldiers, named Ofek Yanun, 21, was injured in November, and during his treatment, the severity of the injury was not immediately apparent, according to “Yedioth Ahronoth” newspaper.

Yanun said, “I was under the influence of anesthesia and artificial respiration for a month. When I woke up, I was a different person. I was hitting and cursing, even though I’m not that kind of person. Because I had tubes connected to my body, I kept tearing them off all the time.”

When he woke up from anesthesia, changes in his behavior indicated that he had suffered a concussion.

Like him, it turned out that too many Israeli soldiers injured in the war suffered from concussions, a problem that affects their quality of life but is often not diagnosed correctly.

Occupation army lossesOccupation army losses
Occupation army estimates confirm the accuracy of Abu Ubaida’s statements and expose Netanyahu’s lies.

Warnings of significant effects

Neurologists in Israel warned of the spread of dealing with the effects of concussions among the injured.

However, unlike other injuries, the majority of cases do not come to the hospital and suffer for months from symptoms such as anxiety, depression, cognitive problems, memory loss, confusion, and sudden behavioral changes, in addition to other symptoms.

Based on a study conducted by Dr. Rachel Gardner, Director of Clinical Research at the Sajol Neuroscience Center at the Sheba Medical Center, a particularly alarming picture emerged for the medical community in the occupied territories.

The study stated, “Approximately 60% of war-injured patients in rehabilitation centers suffered from concussions of varying degrees of severity. What is most worrisome is that some of them were not diagnosed with concussion on routine CT scans, or had not undergone any tests prior to that.”

Official statistics reveal the size of the direct losses caused by the aggression on GazaOfficial statistics reveal the size of the direct losses caused by the aggression on Gaza
60% of the occupation soldiers suffered from concussion after being injured during the war on Gaza.

The injured soldier, Ofek Yanun, mentioned that he is still dealing with the consequences of his injury. He explained, “I was in the areas adjacent to the Shefa Hospital, and we passed by a house that was seized. I was hit from above, and all the bricks fell on me. I suffered a head injury and part of the building collapsed on me. When that happened, I lost consciousness. When I was in the respiratory rehabilitation stage.”

He added, “Memory began to return again. I was told that I had suffered a concussion. I had strange behaviors that I don’t usually exhibit.”

He continued, “Now, as far as my thinking and brain are concerned, there is no problem, so to speak, because I am receiving treatment. But I definitely know that I have a problem with my memory. I have lost my memory, and even now when things happen to me, I have trouble remembering them.”

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26Mar

What Can I Drink When I Have Diarrhoea And Other Questions Answered

Posted by: admin Categories: ANXIETY MANAGEMENT
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Even now, in 2024, it’s a taboo subject, even though diarrhoea is common — with most of us having experienced it at some point in our lives. In fact, for those who have irritable bowel syndrome, diarrhoea can actually be a chronic symptom.

IMODIUM®, GB’s leading anti-diarrhoea brand, and Guts UK, the only UK charity funding research into the digestive system from top to tail — the gut, liver and pancreas — have joined forces to support your gut health, with 100 combined years of expertise. Now, HuffPost UK is delighted to be working with them to dispel some of the most common myths about diarrhoea and gut health.

With that being said, there is still so much that we don’t understand about diarrhoea, and our discomfort when discussing it isn’t helping. This is even more concerning when you consider that a huge 43% of adults in the UK suffer from digestive discomfort.

Myths about diarrhoea, debunked

MYTH: Diarrhoea is only a physical health issue

As it is something that happens to our body and not our mind, it’s easy to understand why diarrhoea is thought to be a physical health issue when, in fact, it can be caused by mental factors.

Stress, anxiety and nervousness can contribute to diarrhoea, as our guts are incredibly sensitive — yes, even to our moods.

According to the NHS, “stress speeds [digestion] up, causing diarrhoea and frequent trips to the loo. Some people lose their appetite completely. Stress can also worsen digestive conditions like stomach ulcers and irritable bowel syndrome.”

If you’re dealing with the symptoms of stress, the NHS recommends calming breathing exercises, planning ahead for stressful days or events, peer support groups and avoiding unhealthy habits, among others.

MYTH: You just have to ‘ride it out’

Some believe that you need to just ride it out and deal with symptoms while they happen. However, in great news for your bowel and bum, you don’t always have to let diarrhoea run its course.

IMODIUM® (loperamide) is an over-the-counter medicine that can be used to treat acute diarrhoea and help you recover up to 3x faster than not treating. It works to gently slow the digestive system down to its natural rhythm and in turn absorb water and essential nutrients, leading to a normal stool consistency. IMODIUM® Dual Action is uniquely formulated with a second active ingredient, simeticone, which also provides relief from bloating, cramps and wind. If you do experience severe, consistent or persistent diarrhoea, we recommend you speak with your doctor.

Getty

Hector Roqueta Rivero via Getty Images

Getty

MYTH: Drinking fluids makes diarrhoea worse

When you’re in the pits of it, having a drink or something to eat seems like the last thing you’d want, and if anything, won’t more liquids just encourage it?!

While you should steer away from too much alcohol, fizzy drinks and caffeine, keeping yourself hydrated is essential. Instead, IMODIUM® recommends drinking plenty of water in small sips throughout the day.

MYTH: You shouldn’t eat when you have diarrhoea

Nothing kills the appetite like a bout of diarrhoea, but the last thing you should do when you’re suffering from it is avoid eating.

IMODIUM® and Guts UK warn, “Avoiding eating all together isn’t sustainable, as the gut is a muscle and requires sufficient nutrients to work well.” Instead, Guts UK recommends speaking to your doctor and potentially getting a dietician referral to learn what is triggering diarrhoea, if it’s chronic. If it isn’t chronic, the NHS Foundation Trust recommends sticking to “soft, easily digested foods, e.g. white fish, mashed potatoes, sorbets, jelly, yoghurt, milk puddings, ice creams.”

One thing that definitely won’t help with diarrhoea is depriving yourself of nutrients!

Basically, you don’t need to suffer in silence

Whether we like talking about it or not, everybody poos, and while conversations about poo are uncomfortable, they’re absolutely worth having if it means you can look after your digestive health more effectively. To learn more about gut health and what you can do to manage symptoms of diarrhoea, visit the IMODIUM® and Guts UK partnership page.

  1. For claims verification please call 0808 238 9999. Source© NielsenIQ data, Value, Units, anti-diarrhoea category (client defined) 52 w/e 17.02.2024 (GB Total Coverage).

IMODIUM® Instants contain loperamide hydrochloride. For acute diarrhoea (aged 12+) and for medically diagnosed IBS diarrhoea (aged 18+). IMODIUM® Dual Action Relief Tablets. For acute diarrhoea and its gas-related symptoms (aged 12+). Always read the label.

IMODIUM® and Guts UK combined have 100 years of expertise. Johnson & Johnson Limited will donate £20,000 to Guts UK Charity (reg. charity no. 1137029) in relation to this 2024 charitable campaign and are working collaboratively with the charity to raise awareness, including creation of a media campaign and patient education materials.



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26Mar

I’m processing a recent asthma diagnosis for my daughter with cystic fibrosis

Posted by: admin Categories: PULMONARY DISEASES
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My husband and I sit in the same waiting room we did years ago when our daughter, Claire, was a newborn. A similar sense of anxiety washes over me as I watch for her pulmonologist to emerge from the operating room.

Claire was undergoing a bronchoscopy, a procedure to take a closer look at her lungs and collect samples to identify any bacteria that might be present. The procedure was scheduled after her doctors couldn’t identify the cause of a persistent cough she’s had for four months.

Her pulmonologist finally appeared and shared some surprising news: He believed he’d found the source of our daughter’s chronic cough. He told us that when she was administered anesthesia, her oxygen levels had dropped. Upon hearing this, I instantly panicked. He further explained that she began having bronchial spasms, and her lungs tightened. Because of this, they administered a breathing treatment and her spasms stopped. According to the doctor, this was a chief indicator that she had asthma.

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A set of lungs are shown struggling to breathe.

I was shocked. How could she have cystic fibrosis (CF) and asthma? The possibility had never been discussed the entire time we had been searching for answers.

Isn’t cystic fibrosis enough?

CF-asthma overlap syndrome

A secondary diagnosis for people with cystic fibrosis is not uncommon. The disease affects many systems in the body, leading to a multitude of secondary issues. Cystic fibrosis-related diabetes (CFRD) affects about 19% of people with the disease. A heightened risk of bone and liver disease is also correlated.

Having cystic fibrosis and asthma is even more common than CFRD. The CF Foundation Patient Registry documented the prevalence of asthma in CF patients to be 30.8%. Clinicians in the CF community have identified the presence of both conditions as CF-asthma overlap syndrome. However, very little information is available about the dual diagnosis.

Asthma and cystic fibrosis appear similar in symptomatology, making it hard to differentiate between the two. We spent months doing numerous trials of different medications and a bronchoscopy to finally isolate the issue. I am grateful we now feel like we have answers to the mystery of her long-term cough.

Still, it scares me for her future knowing that she has more than cystic fibrosis to deal with. I now must question whether a flare-up or cough is related to CF or asthma. I still don’t know how to tell the difference, and I’m learning as I go.

Claire’s team of doctors have explained that this may mean she has a harder time kicking respiratory illnesses, even with the addition of highly effective CF modulators. That part of the diagnosis was hard to come to terms with.

Sometimes I question why she has such a hard path with her disease, and now a secondary diagnosis, at just 5 years old. For now, I’m trying to stay calm and remain positive as we manage both conditions. We’ve added a steroid inhalant with her breathing treatments. And after six months of having a consistent cough, she finally stopped right after the holidays.

Our path to Claire’s asthma diagnosis wasn’t linear, but it led us to a place where we can finally address the issues.

Note: Cystic Fibrosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Cystic Fibrosis News Today or its parent company, BioNews, and are intended to spark discussion about issues pertaining to cystic fibrosis.

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26Mar

John Early Is Brilliant in a COVID Comedy That Sees Millennials for Who They Really Are

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The summer of 2020 shouldn’t project beautiful memories onto the brain maps of those who endured it, but Theda Hammel’s anxiety-addled screwball feature debut “Stress Positions,” set around that COVID Fourth of July in New York, asks you to relive the scary days of sheltering in place, banging pots and pans in solidarity with health care workers, and social distancing whenever it was convenient or made you look like you stood for something.

“Stress Positions” mines the gap between the dark bookend of events that shaped millennial lives — September 11 and the pandemic — and that between liberal-posturing millennials and a Gen Z with a less fussy, more hopeful worldview. Hammel’s muses and emissaries on either side of the dichotomy in a comedy swirling with ideas are comedian John Early as a gay soon-to-be-divorcee and Qaher Harhash as his nephew, a 19-year-old Moroccan model with identity-shifting questions of his own. Here is a movie that sees a hapless set of self-obsessed millennials who came of age out of liberal arts colleges and the internet for who they really are.

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This caustic Brooklyn-set ensemble comedy awash in discourses around gender, social justice, and American ignorance of the Middle East is an energetic interrogation of what that kind of film — in other words, stuff that’s often very much the province of a Sundance indie — looks like in 2023. Early’s Terry Goon is a once-idealist turned politically indifferent basket case splitting up with his husband Leo (John Roberts), who’s left his shambling Brooklyn brownstone in Terry’s care while Leo runs off to Berlin in search of ketamine and other trade. (A great line later sees one character describe Fire Island, where Terry and Leo got married, as “a beach retreat for the children of Sodom.”) Trans filmmaker/writer Hammel casts herself as Carla, an ambitionless bodyworker in a foundering relationship with a lesbian named Vanessa Ravel (Amy Zimmer), whom Carla has accused of stealing her life story of transition as fodder for Vanessa’s debut novel. But it’s Carla who now enjoys the spoils of that book’s success, living rent-free in Vanessa’s apartment.

The 19-year-old and very beautiful Bahlul (Harhash) is Terry’s nephew, now convalescing with a broken leg in a brownstone whose own layout becomes as stress-inducing to navigate for the characters as it does the audience. Bahlul is the only son of Terry’s sister Abigail, shown only onscreen in fragmented home videos who, after fleeing the U.S. decades ago, converted to Islam, and returned to the U.S. with hate in her heart toward the Western world. The film’s slippery, though at times frustratingly overexpository, narration slides from Carla’s own to Bahlul’s as he explains his complicated family history.

“Stress Positions” packs a crazy gaggle of characters into a tight 90 minutes, expanding the film’s entropic little universe in providing three dimensions to nearly all introduced, everyone bouncing like speedy atoms off each other, including Grubhub courier Ronald (Faheem Ali, who shares a story credit with Hammel), who Carla seduces. The film’s commentary on immigrants forced to submit themselves to the gig economy is only skin-deep, but “Stress Positions” mostly succeeds in chewing off so much that any and all digressions from its core characters could risk shaking the focus too much.

Everyone but Bahlul — far more unflappable than his minders, and he doesn’t judge when everyone continues to make the mistake of misidentifying Morocco as a Middle Eastern country — is on the precipice of falling utterly apart. Carla, as so many of us did in the deep dog days of the pandemic, has taken to day-drinking to numb her boredom when not meddling with others’ lives or participating vaguely in protest (“we’re occupying,” she tells Terry when entreating him to join her at city hall, but for what the film never says though we can assume it’s related to the murder of George Floyd given the particulars of this COVID period piece).

When Bahlul asks her why she transitioned, Carla, in a hilarious and increasingly slurry grappa-soaked monologue, says, “I wanted to kill myself, and this helped,” a painfully funny line that rings with the real misery of uncertain identity in a wishy-washy world. Editor Erin DeWitt and cinematographer Arlene Muller create an atmosphere that never stops to breathe between panic attacks, especially as “Stress Positions” starts to feel like one big long one in desperate need of a Xanax or at least a session of four-quadrant breathing.

“Stress Positions” leaves unturned no hollow stone of millennial ideologies that now border on self-parody when stacked up against the category-eschewing sensibilities of the younger Generation Z, who here make a fool out of their forbearers. Vanessa is aggressively vegan, which is seemingly all she stands for, while Carla and Terry have a lot of thoughts about the “Arab world” but can’t name who actually orchestrated 9/11 and where Kabul is situated on a map. Bahlul does not make his politics the definition of his identity, a gesture seemingly the province of his millennial elders, and look how that turned out? They’re too caught up in their own neuroses and narcissistic bullshit to be politically committed to anything genuinely. Eventually, Bahlul becomes the heart of “Stress Positions,” as he forms a sweet connection with a chain-smoking upstairs neighbor (Rebecca F. Wright) with a voyeuristic agenda of her own.

Hammel and Early make for a wickedly funny pair, playing off each other’s misanthropy and deftly personifying what a long-term friendship that started a decade before in college now looks like in the 30s: “Not everyone is trans!” Terry screams at Carla, in a moment that feels designed to rile up corners of the audience (certainly not the target viewership here, and unlikely to see this film anyway) who will roll their eyes at the fact that literally every character in “Stress Positions” is queer in some way, something Hammel’s sharp script both celebrates and critiques.

John Early, first through his TV work as a quippy pop culturally literate New York gay in “Search Party” and his self-effacing standup, now again proves that he may truly be the voice of his generation (at least the cis white gay ones in the room). Here, he makes his body as much an instrument as his wit, literally flailing as his life crumbles around him, frantically applying Purell, Lysoling his groceries, wearing a garish respirator in the company of all around him. Terry is running in place — quite literally so on an exercise bike, sweatily, in the basement each night — but Early makes his existential inertia always feel like it’s compellingly headed some place, and that is a doomy kind of catharsis.

You wouldn’t be wrong to feel like at turns “Stress Positions” lays it on thick with social commentary and even overwhelms the audience with talky mouthpieces who all represent the far-flung quadrants of the issues at hand, whether immigration, globalization, sexuality, race, or lazy liberalism. But in its wryly amusing self-awareness at all turns, the film actively and relentlessly lampoons the very language and gesturing we all affect in trying to broach the political maelstrom of identity politics.

But all along, the film is carefully layering its cracked cast and meandering anecdotes toward a profoundly satisfying conclusion, even if “Stress Positions” feels like it leaves us and its characters hanging in the middle of its own unfinished sentence. There’s a Chekhov’s massage gun throughout the film — how applied in vain it is by the characters onto themselves as their only balm for relief from their own physically realizing anxieties — that brings the events cascading toward a chaotic climax where everyone’s positions are brought out into the light for what they are: phoneys, but real phoneys, and always headed for self-made disaster anyway.

Grade: B+

“Stress Positions” premiered at the 2024 Sundance Film Festival. Neon will distribute the film in the U.S. later this year.

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26Mar

Can VNS Boost Your Mood?

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Here’s where it gets tricky. Although there is some limited research on transcutaneous or noninvasive VNS, most of the clinical research on VNS looks at implantable devices to very specifically address treatment-resistant depression, not necessarily whether at-home methods for stimulating your vagus nerve may have similar effects on mood (for people with mental health diagnoses or not).

Still, it’s fair to look at that research on VNS therapy, and say that vagus nerve stimulation at home may affect your mood in positive ways, too, says Dr. Nahas.

“I don’t think that it’s a major leap,” he says. “If you think about something like yoga, the benefit is that it slows you down and helps you be present in the moment — not in your fight-or-flight system. These things have been shown to help improve quality of life.”

Some more of the research on how non-invasive VNS (such as handheld devices that you can purchase without a prescription and hold against the skin of your neck or ear) has shown it may effectively activate the vagus nerve and improve vagal tone to decrease stress.

Those researchers say that VNS devices show promise for potentially being used in prevention of psychiatric disorders that are linked to stress, such as depression or post-traumatic stress disorder, in the future.

Yet the available research has not shown if these types of over the counter devices are effective on mood and who they may work for. “There are a lot of claims made about these devices. People are starting to market these, but we need to be very careful about the scientific claims behind them,” Nahas says.

For example, one consumer non-invasive VNS device notes on a disclaimer label that it is a general wellness product that has not been evaluated by the U.S. Food and Drug Administration (FDA) and includes the commonly seen wording as a result that it is "not intended to diagnose, treat, cure, or prevent any disease or condition.

And remember, diagnosed anxiety and depression are rarely cured with one simple fix. Will breathing slowly through your nose to switch your body into a parasympathetic state alleviate depression or anxiety on its own? Probably not. But it can be one strategy that you incorporate into your care.

And, for non-invasive TNS, although the research is lacking, they are generally considered safe and may be used as a complementary approach after discussing with your health provider team.

“I don’t see vagus nerve stimulation as a standalone treatment, and it’s not a replacement for [mainstream] medical therapy,” Schwartz says. “For example, you might have therapy to challenge unhelpful beliefs and narratives about yourself while also working on taking care of your nervous system.”

These DIY practices, when combined with a treatment like an oral antidepressant, for example, “can enhance [mainstream] treatment. For patients looking for improved therapeutic outcomes, this strategy might be a promising path,” adds Dr. Ithman.

And if you’re looking for another tool to help cope with day-to-day stress and anxiety, go ahead and try one of the many DIY vagus nerve stimulation activities — deep breathing, gargling and humming, cold exposure (such as splashing cold water on your face or a cold plunge), meditation, yoga, or ear massage, says Schwartz.

Schwartz points out that some have been profoundly impactful for people she teaches them to. See what resonates for you, she says: “Your body will give you feedback.”

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25Mar

Helping patients manage pain

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Doctors cure sometimes, treat often, but comfort always — and guided by that saying, Dr Lim Zhen Wei made the decision early in his career to practise anaesthesiology — and later to specialise in pain medicine.

Dr Lim performs a staged procedure to dull pain in the spine. The nurses and radiographer wear protective vests as a fluoroscope, essentially an x-ray, is used to help pinpoint the exact area of pain.

THE discipline fascinated him as he viewed anesthesiologists as being able to exercise exact control over the human body, and to practise medicine with what he describes as instant benefits for his patients.

“Anaesthesiologists play a very important role in making patients comfortable and lessening anxiety during and after surgery by precisely managing human physiology like blood pressure, breathing volume, and body temperature,” said Dr Lim, who is Consultant, Department of Pain Medicine, Pain Management Centre (PMC), Singapore General Hospital (SGH).

“Pain medicine is a natural extension of practising anaesthesiology where I lessen patients’ pain, frequently after surgeries or secondary to another disease.”

Dr Lim feels a great sense of achievement when he can help his patients overcome their pain.

“I once treated a 60-year-old who was limping into the procedure suite in the morning but was hopping out of PMC by lunchtime,” he said.

His patients are a diverse group, ranging from teenagers to nonagenarians, with complaints such as painful joints in their limbs and even the spine.

Their pain might have resulted from sports activities, accidents, or just age-related wear-and-tear.

Most, however, seek help to manage their pain because they are not keen on more invasive treatments like surgery.

Dr Lim recalled a female patient in her late 60s with osteoarthritis in both knees.

“She was petrified at the idea of undergoing surgery. I did a right knee genicular nerve ablation treatment and her knee pain was reduced substantially,” he said.

Dr Lim used the same treatment on a younger man in his early 40s who also had knee pain.

In his case, jogging, golf and other activities had worn out his knees, causing pain.

The man did not want surgery as he felt his symptoms were relatively mild.

After positioning a needle next to the nerve causing pain and numbing it with state-ofthe- art cooled radio frequency ablation, the patient was able to return to what he was doing before.

“Numbing the nerve — a pure sensory nerve that does not supply any motor function — reduces the pain,” said Dr Lim.

Dr Lim has a keen interest in horology, the art of making clocks and watches.

For many patients, having the pain reduced to a level that enables them to get on with life is sufficient.

Making the patient more comfortable, even without correcting the underlying disease, is vital.

The natural reaction of someone with a painful left knee is to use their right knee more to avoid putting pressure on the painful knee.

But over time, the patient could start feeling pain in the right knee.

“It is important that we treat the pain early so that the patients can continue to maintain a balanced posture. It slows down the progression of the disease. For many patients, that is enough,” said Dr Lim.

Dr Lim sees the practice of medicine as both an art and science.

So perhaps it is not surprising that he should have an interest in horology, the art of making clocks and watches.

“Other than good clinical acumen and skills, a good doctor must also be able to build rapport and make patients feel at ease.

With advances in AI (artificial intelligence) and technology replacing many things in our lives, a good horological creation will remain relevant, just like a good doctor-patient therapeutic relationship, which cannot be replaced by AI,” he said.

Dr Lim, who shares young children — a girl and boy, aged five and two respectively — with his teacher wife, also enjoys travelling as a family.

“Travelling helps us understand the world around us and gain perspective on our own lives by seeing what others are going through. It truly is another form of education. Most importantly, it makes memories that last a lifetime.”








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25Mar

How YOU can overcome your phobias by breathing out of one nostril and journaling, according to top trauma expert… So can he rid our fear-stricken science writer NIKKI MAIN of her irrational phobia?

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Nikki Main, DailyMail.com's Science Reporter

Nikki Main, DailyMail.com's Science Reporter

By Nikki Main 

I've always had a fear of skiing, since before I'd ever laid eyes on a slope. 

I was afraid of going off the edge, being hit by a fellow skier, and crashing to my death - but it wasn't hard for me to identify where my fear began.

My mom was like most moms - she commiserated with me when I was sad or stressed and cheered me on when I participated in the school play, something I was driven to do because I wanted to be like her.

But when I met with Jones to discuss my fear of skiing, we realized that's where it all started - I wanted to be like my mom.

She has been afraid of skiing for the last 30 years, ever since she nearly died when another skier cut her off as she flew down a slope and crashed, breaking her jaw and falling into a day-long coma.

It's a story I've heard many times and made me petrified of skiing, but as I got older I decided it was time to make the jump and strap on a pair of skis, but I could not have been more scared.

I told Jones that I hyperventilated as I took the lift up to the top of the slope and I cried when I saw how steep the mountain was, but I kept trying before finally cutting my losses and decided skiing wasn't for me.

Jones said that some people experience anticipatory anxiety – or fear of fear and build up the worst-case scenarios before facing it.

You may have a voice inside your head telling you that you're scared, or you're going to cry, or think 'Everyone's going to laugh at me,' if you have a fear of public speaking; but if you flip the script to imagine that voice as the most boring person you've heard, it will completely change the meaning you give it, he told me.

This is called scrambling – when you locate the root cause of the fear and change it to make it funny or to change the way you look at it.

Jones told me to rank my fear on a scale of one to 10 - I ranked it as a nine - and visualize the first time I rode up the mountain in that ski lift and tell him what I remember thinking in that moment.

I told him I kept thinking 'Oh my gosh, what if I fall?'

He had me picture that voice in my favorite animated character, but when I couldn't think of one, he suggested Goofy. 

I felt silly as I heard Goofy's voice in my head saying: 'Oh my gawrsh,' on repeat, and when Jones asked me to rank my fear, I said it was still high - a seven.

He tried several other tactics including thinking about my happiest memory and relating it to that moment of skiing, giving myself a hug and massaging my temples, cheeks and arms, but at the end, that ranking had only gone down to a five.

We repeatedly tried the methods and before long, I started to feel better about skiing - I wanted to jump on a slope right then and there and see if I could do it - I was miraculously cured.

But by the time I sat back down at my desk an hour later, I wasn't so sure.

Those feelings were back - the fear was back - and no matter what I did, I couldn't stop the anxiety from resurfacing every time I thought about booking a ski trip or sitting down on that ski lift. 

I finally came to the realization that I hadn't been cured at all, it almost felt like I was brainwashed into thinking I had overcome my fear.

Jones said most of his patients overcome their fears at the end of a 90-minute session, but I remain unconvinced.

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24Mar

Danielle Lloyd in Workout Gear Shows Off “Huge Results”

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Danielle Lloyd is hitting the gym and getting strong. In a new social media post the English model pumps iron during a rigorous sweat session. "8 weeks of real consistency and dedication from @missdlloyd is really starting to pay off and we are seeing some huge results ✂️Smashing it," her trainer, Craig Steele, captioned the Instagram video. How does the 40-year-old approach diet and fitness? Here is everything you need to know about her lifestyle habits. 

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As can be evidenced in her post, Danielle trains hard at the gym. "I lift heavy weights, so I look more toned," she told Closer. According to the Mayo Clinic, strength and weight training help reduce body fat, preserve and increase lean muscle mass, and burn calories more efficiently. Strength training may also help you:

  • Develop strong bones
  • Manage your weight
  • Enhance your quality of life
  • Manage chronic conditions
  • Sharpen your thinking skills

Danielle maintains a balanced diet"I also saw a nutritionist and now eat a certain amount of carbs, protein and veg. I even weigh the amount of oil I use – it really does work," she told Closer. For breakfast, "before the gym I'll have a protein shake and afterwards a couple of Warbutons thins with a scraping of butter," she says, A snack might be Proper Popcorn and a Fibre One bar. For lunch, she enjoys grilled chicken with broccoli, and dinner, a piece of salmon with jacket potato and green veg. "Before bed I'll have an apple and six squares of dark chocolate," she adds. 

Danielle is a golfer. "Showing the boys how it's done," she captioned a photo from Top Golf Dubai. A comprehensive review published in the British Journal of Sports Medicine found that golf's health benefits are extensive, including mind, body, and even lifespan. Benefits include improved longevity, decreased risk of developing heart disease or suffering a stroke, good mental health, and improved strength and balance.

Danielle also enjoys jet skiing when she is on vacation. Health Fitness Revolution claims that the average 150-pound rider will burn a surprising 238 calories during a half-hour ride. The sport is also great for cardiovascular endurance.

Danielle prioritizes her mental health. "People say, 'You're on the telly, how can you have anxiety?' – they haven't got a clue. We all have the same worries. It's hard to know what the trigger is, but I'm a shy person and life can be hectic. Earlier, I had so much anxiety, my heart was beating out of my chest at what felt like a million times an hour. I was breathing heavily and felt sick. I've learned it's better to leave the house, see people and talk about it, as that's therapy in itself. I've also started doing breathing exercises at home, too," she told Closer. 



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24Mar

Women’s health: Menopause significant risk factor for sleep apnea, warns expert | Health Conditions News

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While previously seen as predominantly affecting men, there has been a change with more women now being diagnosed with sleep apnea. Factors that increase the risk of OSA include women who have reached menopause and lack of exercise.

Women’s health: Menopause significant risk factor for sleep apnea, warns expert

Sleep apnea among women (Photo credit: Pexels)

New Delhi: Sleep apnea is a serious respiratory issue where individuals face interruptions in breathing or shallow breaths while a sleep due to blockages in the upper airway, often resulting in snoring. When we sleep, our bodies relax, causing the muscles in the mouth, tongue, and soft palate to also relax and collapse, leading to an obstruction in the air passage. This leads to periods of paused breathing known as apneas, which can last from a few seconds to several minutes and occur multiple times during sleep.

Dr Preeti Dhingra, ENT Surgeon, Lilavati Hospital, said, “Sleep apnea is a serious respiratory issue where an individual faces breathing interruptions or shallow breaths while asleep due to a blockage in the upper airway, often leading to snoring. When sleeping, the body relaxes, causing the muscles in the mouth, tongue, and soft palate to also relax and collapse, resulting in an obstruction of the airway. This obstruction causes breathing pauses called apneas that can last from a few seconds to several minutes and occur multiple times throughout sleep.”

Sleep apnea among women

While previously seen as predominantly affecting men, there has been a change with more women now being diagnosed with sleep apnea. It is not exclusive to women who snore or are overweight. Any woman experiencing symptoms such as insomnia, disturbed sleep patterns, anxiety, depression, or morning headaches may be suffering from obstructive sleep apnea (OSA). OSA is frequently misdiagnosed and requires immediate attention for proper treatment.

“Factors that increase the risk of OSA include women who have reached menopause, consumption of alcohol, smoking, and a lack of physical activity. It is important to be conscious of these risk factors and prioritize one’s health. Patients with OSA are at risk for complications such as heart disease, high blood pressure, diabetes, stroke, and irregular heartbeats.”

Treatment

Early detection and treatment can enhance one’s well-being. A diagnostic sleep study will be conducted, to confirm the presence of this condition. “During the study, monitors equipped with sensors will be affixed to your body to track various aspects of your sleep patterns: duration, quality, interruptions, oxygen levels, heart rate, blood pressure, and breathing rhythm,” she added.

These findings will help classify the severity of your condition into mild, moderate, or severe categories. A thorough examination of the nasal passages will be performed to identify and address any issues such as nasal septum deviations, polyps, or sinus complications. In cases where collapsing airways contribute to snoring and apneas, a specialised procedure called sleep endoscopy may be carried out through the nose in a hospital setting to pinpoint the problematic area.

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23Mar

Be creative, be well – Trinidad and Tobago Newsday

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Commentary


Dara Healy



Dara E Healy -
Dara E Healy -

“HOW ARE you doing today?”

It seems that since the pandemic, this simple question has morphed into an interrogation into mental health and quality of life.

Common wisdom says that a healthy sense of well-being develops when we help others, focus on self-care and find our purpose.

But what if we do not even know how to achieve a more mindful approach to living? In light of an increase in the challenges we face, I thought I would share some creative ways to discover more peace.

This week was another busy and stressful one. We felt helpless as details emerged about the horrifying life of the children in Valsayn. We celebrated Aché Abrahams, Miss World Caribbean, even as we debated again the relevance of the Secondary Entrance Assessment (SEA) exam. The UN commemoration of World Down Syndrome Day reminded us to be inclusive. And, as European countries retained their top ranking for happiness, the data told the story that in the Caribbean, the older we get, the less happy we are.

As we age, self-care and a peaceful mental state become more important. TT and the Caribbean are no different to the rest of the world where the elderly feel increasingly isolated and that their usefulness to society has diminished. These feelings grow in intensity as their peers or significant others become ill or transition.

For the generations born in the 1940s and 50s, while they may be comfortable with mobile phones and other devices, they do not socialise with technology in the way that other generations do. For them, personal contact remains paramount.

This year, the World Happiness Report focused on feelings of happiness across different age groups. It was found that while both men and women experience negative thoughts, women “have more frequent negative emotions at all ages.”

I have seen how creative activities help reduce the impact of illnesses such as anxiety and depression. I must admit I was surprised to read that there is a growing body of research indicating that creative activities can positively affect Alzheimer’s. I think that for me this was an illness that was too big, too impossible. Alzheimer’s is the most common form of dementia – the inability to think, remember or reason to the extent that daily life is affected. Dementia is caused by changes or damage to the brain, but, importantly, this is not considered to be a natural factor of ageing. While it is not always possible to stop intellectual decline, there are certain conditions which can be treated, ultimately slowing any deterioration in the brain. These include depression, vitamin deficiency or excessive use of alcohol.

So it makes sense that creativity and an enhanced sense of well-being are connected. In fact, this year the report on global happiness noted that “increasing well-being may be a promising non-pharmacological (non-drug) approach to dementia prevention.”

However, I think even before you begin to explore your creative side, you should work on mindful thinking. This is essentially training yourself to be less judgmental in your thoughts, being present as much as possible in your experiences – so not thinking about what happened or what you have to do – and remembering to breathe deeply.

When we are stressed, our breathing tends to become shallow; we sometimes even hold our breath. This restricts oxygen to the brain and may cause some of the damage mentioned earlier. Yoga and other forms of exercise are excellent for helping us to breathe better, lower blood pressure and calm our minds.

Other forms of creativity that you can do on your own include using recycled and other types of materials to make fashion items or practical pieces for your home. You can dance, listen to music or learn to play an instrument. Music therapists maintain that music “can calm neural activity in the brain.” Creative activities may therefore help to reduce anxiety levels as well.

If you have always wanted to be involved in the arts, volunteer with a creative organisation. Most cultural groups are underfunded and would welcome support for their community outreach.

In Finland and other countries that rank high on quality-of-life scales, there are systems and facilities to support work-life balance, family life and career fulfilment. We are some distance away from this reality, but it does not mean you should not take control of your own happiness.

For a better life, be creative. And always, be well.

Dara E Healy is a performance artist and founder of the Indigenous Creative Arts Network – ICAN



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22Mar

Four years after COVID’s arrival, Austin’s ‘long haulers’ still search for answers

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Before March 2020, Dr. Laura Waltrip was forming plans for her next phase in life. After years working as an emergency medicine physician and administrator at a clinic serving low-income residents in the Austin area, she was considering a shift to working part-time to focus more on her art. Maybe, she thought, she would even get a master's degree in fine arts and teach for a while.

But with the arrival of COVID-19, she had to put those dreams on the back burner. Her focus had to be on patients and on helping her clinic form a response to an unprecedented pandemic threat.

“I kept thinking, well, this will just be for a little while, and it wasn't, and then two years went by,” Waltrip said. “Then, I got COVID.”

Waltrip first noticed symptoms on Oct. 29, 2022. Nearly a year and a half later, she still has them. Since contracting COVID, she said she has struggled with shortness of breath, digestive issues, powerful headaches and irregularities with her heart rate and blood pressure. She also experiences memory and cognition issues known as brain fog.

Last spring, Waltrip also learned that her immune system wasn’t functioning properly, putting her at high risk from any future infections. After that revelation, she stopped treating patients face-to-face and began exclusively treating patients via telehealth appointments.

“If a good percentage of my patients have infections, and if an infection can cause my death or hospitalization or severe illness, then I can't do it,” Waltrip said. “I like my patients, and I feel like I’m in prison.”

The Centers for Disease Control and Prevention estimates there are nearly 18 million American adults like Waltrip — people who have or have had symptoms that persist for at least three months after a COVID-19 infection. A lack of definitive treatments for the condition called long COVID has frustrated patients over the past four years, but researchers believe they are getting closer to finding answers.

Hallmarks of long COVID

The Post-COVID-19 Program at UT Health Austin is one of a handful of programs that have emerged in Texas since 2020 dedicated to studying and helping patients who suffer from prolonged symptoms following a COVID-19 infection, often called "long haulers." Led by internal medicine physician Dr. Michael Brode, UT’s program has seen around 800 patients since its opening in June 2021.

“It was very early on in the pandemic in 2020, where we realized there is a group of people who are not getting better and having these strange, unexplained symptoms after a COVID-19 infection,” Brode said.

Securing a Long COVID diagnosis can be difficult. There’s no test for the condition. Instead, doctors have to test for other plausible conditions and rule them out, Brode said.

More than 200 symptoms may be associated with long COVID and the severity of the condition can vary broadly. But Brode said most patients who walk through his door have a few key complaints: brain fog, fatigue and post-exertional malaise, meaning they grow exhausted after completing even simple tasks.

“They do an activity that would normally not be tiring — it can be a pretty small mental or physical activity, [like] folding laundry, reading an email — and it just knocks them out and makes all their symptoms worse,” Brode said.

A headshot of a male doctor with short brown hair, glasses and a white lab coat.

Courtesy Dell Medical School

/

Courtesy Dell Medical School

Dr. Michael Brode leads the Post-COVID-19 Program at UT Health Austin.

Recent studies have shown that this effect is particularly pronounced when long COVID patients attempt to exercise, which can result in a crash of fatigue, brain fog and muscle pain that lasts for days or longer.

Waltrip, who is a patient at the Post-COVID-19 Program, says she has experienced this kind of post-exertional malaise, often finding herself out of breath and exhausted after walking 10 feet in the early days of her illness.

They do an activity that would normally not be tiring — it can be a pretty small mental or physical activity, [like] folding laundry, reading an email — and it just knocks them out and makes all their symptoms worse.

Dr. Michael Brode

Another patient in the program, Les Greenwood, is a former high school economics teacher and swim coach. Between coaching and teaching, Greenwood said it was common for him to work 16-hour days throughout his two-decade career. That came to a halt after he contracted COVID in late 2022; now, he spends most of his time sitting down.

“I went back to work and the fatigue hit almost immediately, and then the brain fog kicked in,” Greenwood said. “It became clear that I wasn't going to be able to do the job anymore.”

When patients arrive for treatment at UT’s Post-COVID-19 Program, Brode says the first step is usually to help them learn to manage their energy so that they can avoid crashes, often followed by physical therapy to help with pain-related symptoms and mental health therapy to assist patients dealing with anxiety and depression, which commonly occur with Long COVID.

“All those things drain the battery,” Brode said. “If we can give people the skills to both build on their strengths and accommodate their weaknesses, they start to feel a lot better.”

Barriers to care

The next step is prescribing medication to treat other individual long COVID symptoms or referring patients to other specialists, like rheumatologists and immunologists. Brode said this commonly includes treatment issues involving the nervous system, including autonomic nervous system functions like heart rate regulation and healthy movement of food through the intestines.

After these methods have been exhausted, Brode sometimes discusses experimental options with patients. Greenwood, for instance, spends three hours each day in a hyperbaric oxygen chamber, breathing in pure oxygen in a hyper-pressurized metal tube like those used by deep-sea divers. Some initial research indicates that this treatment may help with fatigue and pain symptoms from long COVID. Greenwood also hopes it will help with his tinnitus, a persistent ringing in his ears.

But experimental treatments — and even some that are not experimental — often aren’t accessible to everyone. Waltrip and Greenwood both said that getting insurance to cover many of their recommended treatments has been a struggle. Waltrip said she had to jump through a lot of hoops to prove to insurance that she needed an immunotherapy that she credits as a primary source of improvement.

“Just because it makes people better isn’t necessarily enough,” Waltrip said. “They need to have studies to prove that there is a medical indication for this particular medication.”

Greenwood said he has paid for much of his treatment out-of-pocket. He is using the savings he netted from selling his house in California in 2018 when the real estate market was near its peak. This “lucky strike,” he said, has helped keep his family afloat while he is unable to work and pursues expensive care.

I think a lot of people have heard, ‘Well, everything's normal. You either don't have this or it's all in your head.’ And that is absolutely not true.

Dr. Michael Brode

Before even approaching the problem of cost, many long COVID patients have another obstacle: finding a doctor who will take their symptoms seriously. Brode admits that many primary care doctors still struggle to make sense of long COVID and are dismissive of patients’ experiences.

“Sometimes the first part of our visit is kind of unpacking that trauma from being what they feel is dismissed or not taken seriously,” Brode said. “I think a lot of people have heard, ‘Well, everything's normal. You either don't have this or it's all in your head.’ And that is absolutely not true.”

That initial dismissiveness can be a barrier to receiving care at clinics like Brode’s that require a referral from a primary care provider. Even after a referral is secured, a wait is common. Both Waltrip and Greenwood said they had to wait several months before they had their initial appointments at the clinic.

Some patients have had luck finding doctors who are knowledgeable about long COVID outside of an official Post-COVID-19 program like UT’s. Shannan Riemer, an Austin resident with severe long COVID, said her primary care provider has been responsive and willing to “trial-and-error” various treatments, including alternative medicine techniques like acupuncture.

Riemer said she recommends connecting with social media groups for long COVID patients to get advice about sympathetic care providers and treatments that have been helpful for others.

“Unfortunately, you have to be your own advocate,” Riemer said. “But it's really important to be open-minded to different out-of-the-box treatments because otherwise you're just going to be waiting.”

Prospects for recovery

Brode said he has felt encouraged to see that many patients with long COVID improve over time, with many feeling significantly better around the 18-month to two-year mark. Sometimes their improvement plateaus, and sometimes their condition resolves entirely.

“I think there's a significant portion of people that are completely getting better,” Brode said. “But that is also leaving us with a large group of people who are not, and I can't deny that. I think they are probably going to need some medical intervention to have them fully recover.”

What he means by medical intervention is the development of a treatment specifically for long COVID, rather than a patchwork of treatments that target individual symptoms. Brode said he is encouraged by a flurry of promising research that has been published over the past six months that he says is getting closer to pinpointing the “biological mechanism” of the disease.

“More and more [it’s] looking like their immune system gets triggered and does not turn off, leading to problems of signaling in the neurotransmitters in the body," he said. "Also, [it appears] that the smallest blood vessels throughout the body and the body’s ability to get blood flow to the right place at the right time is not working appropriately."

I think there's a significant portion of people that are completely getting better, but that is also leaving us with a large group of people who are not, and I can't deny that.

Dr. Michael Brode

As Waltrip approaches the 18-month mark for her illness, she is hopeful that she will see more improvement.

“I’m an ER doctor, so I have the patience of a gnat, and I would like to be well immediately,” she said.

So far, she has seen some gradual progress; whereas early in her illness she could hardly walk 10 feet without becoming exhausted, she can now walk for almost 20 minutes. She also credits her immunotherapy regimen with decreasing her brain fog, improving her energy levels and improving her blood pressure.

But she’s a long way from where she dreamed of being before COVID reared its head. Stuck in her house, she sometimes works on her sculptures and paintings at her home studio. But she gets tired quickly.

“Having the energy to be creative is just really not there with this,” she said. “I miss it a lot.”



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22Mar

how singing a tune can help your health

Posted by: admin Categories: PREVENTION & WELLBEING
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Bursting into song can make you feel good even if you are not blessed with the best singing voice. I am all but tone deaf yet have recently joined a ‘tuneless choir’, the premise of which is to sing as though no one is listening. 

The joy that comes with belting out the lyrics of your favourite song is unrivalled.

Community choirs are booming across Ireland with a 2022 study by the music therapy department at the University of Limerick showing that, for many, singing is a feel-good hobby.

The UL research team identified 185 groups singing for health and wellbeing, attracting people who would not normally believe their voice is tuneful enough for public performance, where no one is excluded from the swell of enthusiasm for song.

The study reported that social and communal singing can improve social connections and respiratory health, boost cognitive function, enhance mental health, reduce stress, and bring greater happiness.

Singing is a great stress-buster

Belting out a song can have a remarkable effect on stress levels, according to a study published in the journal Frontiers in Psychology. 

Provided you are singing in an environment that doesn’t make you feel anxious, singing was shown to reduce levels of the stress hormone cortisol.

Neuroscientists at Western Michigan University also showed that singing boosts levels of the feelgood hormone oxytocin.

Dr Julie Christensen, a neuroscientist in the Department of Psychology at the City University of London, says, “Music and singing are an enormous stimulation for our brains. Countless studies have shown that it impacts our hormonal balance and decreases stress more effectively than any medication.”

Singing helps to slow age-related cognitive decline

Joining a choir could lead to better brain health in older age, according to a study published in the International Journal of Geriatric Psychiatry earlier this year. 

The researchers found music and regular singing were linked to better brain health through improving memory and the ability to solve complex tasks. Also, continuing to sing later in life brings even greater benefits.

“Overall, we think that being musical could be a way of harnessing the brain’s agility and resilience, known as cognitive reserve,” said lead author Anne Corbett, professor of dementia research at Exeter University.

“Our findings indicate that promoting musical education would be a valuable part of public health initiatives to promote a protective lifestyle for brain health, as would encouraging older adults to return to music in later life.”

Singing can stop you snoring and help you sleep

Singing helps to strengthen the throat muscles which, in turn, can reduce snoring even in people diagnosed with obstructive sleep apnoea (OSA). 

Weak muscles in the soft palate of the mouth and the upper throat are a common underlying cause of chronic snoring and OSA. 

But specialists reporting in the International Journal of Otolaryngology and Head & Neck Surgery showed that 20 minutes of singing exercises performed daily for three months helped to strengthen these muscles, reducing the frequency and severity of snoring, and improving quality of sleep compared to those who didn’t sing.

Singing relieves anxiety and depression

Social singing, as part of a choir or a community singing group, helps to alleviate low mood, partly by promoting a feeling of belonging, security and wellbeing, according to researchers reporting in the BMJ. 

The team interviewed participants to find out if joining a singing group for six months had an effect on the mental health of participants, some of whom had been diagnosed with anxiety or depression. 

Their findings revealed that the social singing experience was “a lifesaver” for some. 

The researchers concluded that most people considered it “a key component” — and for some, the only component — in their recovery and ongoing psychological stability.

Singing is the new yoga

If you sing in a choir, your heartbeat will be synchronised with that of other members, rising and falling in time with the tempo of the music. 

And, as your exhale occurs during song phrases and inhale between them, singing is also a form of controlled breathing which researchers reporting in the journal Frontiers in Neuroscience suggest has the same benefits as breathing exercises in yoga. 

These effects were shown to “impose” a calm and regular breathing pattern that positively impacts heart rate and general health.

Singing could boost immunity

If you want to boost your immune system and help ward off illness, try singing along to favourite tunes rather than just listening to them.

German researchers from the Johann Wolfgang Goethe University asked participants to sing or listen to music. 

Listening to music lowered stress hormones such as cortisol, but when they sang the benefits were even greater, with raised levels of immunoglobulin A, an antibody that fights off infection.

In another study of cancer patients, researchers found that singing in a choir for just one hour a week led to increases in levels of cytokines. These immune system proteins help the body to fight serious illness.

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21Mar

Still Wearing a Mask

Posted by: admin Categories: PULMONARY DISEASES
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My last rheumatology appointment was at the end of January. There I sat with my N95 mask on, and my rheumatologist had nothing on his face — not even a surgical mask. I observed multiple patients in the waiting area wearing N95 masks, yet none of the staff were wearing any type of mask on their faces.

In the last couple of months, I had to take a Lyft to my local pharmacy to get my medication. My pharmacy is one of the busiest I have ever had — prior to COVID, it was a 24-hour operation. In that amount of time, I have seen one person wearing a mask, and I am confident it was for personal safety, not out of consideration or care for the patients they serve.

For the past eight months, after my hip injections went sideways and I pulled muscles in my right leg, I’ve had to rely on a cane. It feels like I have a bullseye on me whenever I go; I am hard to miss and yet no one misses me. I have been questioned by nurses, given the side-eye by doctors, looked up and down by strangers, stared at when out in public.

I do not have a choice. Here are the reasons that I cannot just decide to stop wearing a mask:

  • I had COVID-19 in September 2023 and almost landed in the hospital.
  • COVID-19 exacerbated my rare neurological disease; I am still sorting out the extra nerve damage/symptoms.
  • COVID-19 caused my asthma to be worse.
  • I get bi-weekly IVIG infusions that lower my immune system further.
  • The combination of my IVIG infusions, biologic, DMARDs, pain meds, and steroids have wiped out my immune system so that it is basically equivalent to a cancer patient.

But I am okay with wearing a mask. I know what I need to do to look out for myself. For the past 12 years, I have had to make difficult choices for myself that no one around me has had to make. I have had to sacrifice jobs, the ability to socialize, and exercise. I have had to modify the relationships I have and even walk away from the ones I cannot handle. My chronic illnesses have required a complete lifestyle change from top to bottom. I accepted that a long time ago.

What I struggle with is the denial from those around me. As I scroll on social media and look around me, I feel like I am living in an alternate universe.

This began during lockdown in 2020, when I saw people refuse to see or accept what was around them, despite the devastating impact of COVID on entire families, cities, or communities. Logic did not win out. Care and kindness did not rule. My loved ones in other cities began to wear down inside and out. Even folks who took precautions became sick again and again because those around them ignored safety measures, mocking and defying the rules, and calling us ridiculous.

I understand the cruelty of humanity. The darkness of people. I know the conditional love and conditional kindness of people. I have felt it again and again. I grew up in a household with abuse, selfishness, and a very narcissistic anorexic mentally unstable mother. My parents divorced when I was very young, and my father bounced from job to job, so he did not have to pay child support. Any interaction with him had to do with fulfilling his selfish needs. He was (and is) an unbelievable, manipulative narcissistic drug addict who did not know the color of my eyes until I was 12 years old.

I am also autistic, which I only learned a couple of years ago, and I’ve struggled deeply with social interactions and faced a lot of rejection, not understanding what I did wrong or why I would suddenly not have friends. The few friends I did have were always trying to “fix” me or get something out of me. Anxiety, depression, and loneliness have been constant companions. Feeling suicidal came onboard around the age of 12.

Still, I was not prepared for how ugly, cruel, and selfish some people became surrounding wearing a mask. There are entire countries who wore masks on a regular basis before COVID-19 for safer breathing. Yet many nurses and health care providers fail to see masks as part of their uniform, and the public does not view masks as a piece of their clothing.

Masking for Me

Masking is absolutely a matter of life or death for me. Back in September when I had COVID, the only reason I did not end up in the hospital and on ECMO (extracorporeal membrane oxygenation) — on my deathbed — was because I was able to get Paxlovid. But it is not just COVID-19 that is a risk for me. A cold, sinus infection, the flu, monkey pox, HRV, chicken pox, and even strep throat are huge threats.

Most of us on biologics have had chicken pox as children. But that does not matter. Taking a biologic, based on any of the inserts I have read for every single medicine I have been on for 12 years, lowers my immune system enough that chicken pox is a huge risk. Some literature says I can even catch it through contact with contaminated items, such as diapers or clothing.

So, yes, others look at me like I have a bullseye on me when I go out in public with a mask. But I am not ashamed, and I will not be afraid to take care of myself. No one makes me feel bad or makes me change my mind. Instead, I walk around with a mask like it is a necessity. It is a piece of clothing. It is a part of me. I have to wear it because I do. Period.

Even though I wear a mask, it only protects me so much. I still cannot be in crowded places. I am still reliant on other people.

At this point, I have just accepted that I will be one of the few people wearing a mask. I do notice who wears a mask and who does not. I see who is willing to make a sacrifice and who looks out for their fellow person. I scan the people around me to see which people are willing to take me into consideration before they walk out that door.

And most of the time, I can get through it. But sometimes, just sometimes, depression hits. The sadness and overwhelming anxiety smother me. And the loneliness begins to darken the room. I feel so damn alone, more so than I have ever been. And I see no end in sight.

Put on a damn mask — please.

Get Free Coronavirus Support for Chronic Illness Patients

Join the Global Healthy Living Foundation’s free COVID-19 Support Program for chronic illness patients and their families. We will be providing updated information, community support, and other resources tailored specifically to your health and safety. Join now.



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21Mar

Navigating long COVID: Insight into breathing pattern disorder and the journey to recovery

Posted by: admin Categories: PREVENTION & WELLBEING
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Co-authored by Dr. Andrew Potter, Whaddon Medical Centre

Breathing pattern disorder (BPD) is a common sequela of long COVID and has significant functional effects even in the absence of evidence of damage to the lungs or breathing apparatus [1]. Long COVID care facilities have witnessed a surge in patients grappling with breathlessness and fatigue, with BPD emerging as a primary contributory and perpetuating factor. The repercussions of BPD can manifest in various forms, ranging from shortness of breath and chest pains to profound distress and anxiety, impacting an individual's capacity to resume their regular leisure, caregiving, and occupational activities.

At the forefront of our experience within the long COVID clinic, we've encountered a recurring narrative: the oversight of BPD by both primary and secondary healthcare practitioners. Patients often present with persistent and incapacitating breathlessness, yet discussions surrounding the impact of their breathing patterns on these symptoms are frequently absent. Recognizing this gap, our long COVID service has taken proactive steps to integrate a respiratory physiotherapist into a specialized role focused on optimizing breathing function and alleviating these distressing symptoms.

​The outcomes of this approach have been nothing short of remarkable. Many individuals have experienced significant improvements in breathlessness, even in the absence of underlying lung pathology, thanks to intensive physiotherapy interventions and ongoing support. By addressing BPD directly and tailoring interventions to an individual's needs, we've witnessed a profound impact on patient outcomes and overall well-being.

Addressing Breathing Pattern Disorder in Long COVID Recovery

In essence, recognizing and proactively addressing BPD is essential within the comprehensive care continuum for long COVID survivors. By acknowledging the importance of BPD management and prioritizing targeted interventions, we not only enhance patient outcomes but also pave the way towards a brighter and healthier future for those navigating the challenges of long COVID recovery.

To achieve comprehensive recovery, it's vital to expand our range of tools and services, strengthening support for respiratory physiotherapists and enhancing services specifically tailored to address BPD. Additionally by enriching our arsenal of resources and adopting a multifaceted approach, we can effectively guide individuals towards restoring healthy breathing patterns and fostering overall well-being.

​This proactive strategy not only serves to optimize respiratory function but also significantly improves the quality of life for those navigating the complexities of long COVID recovery. By harnessing the specialized expertise of respiratory physiotherapists and offering comprehensive support services, we empower individuals to overcome the challenges posed by BPD and regain control over their respiratory health.

Ultimately, through the prioritization of these interventions and the cultivation of a collaborative approach to care, we can pave a pathway towards a more robust and sustainable journey to recovery for long COVID survivors. Together, by uniting resources, expertise, and support, we can empower individuals to navigate the recovery process with resilience and optimism, facilitating their return to a healthier and fulfilling life.

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21Mar

Prenatal & Postnatal Prenatal Yoga, Training

Posted by: admin Categories: SPORTS & ATHLETICS
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Fit 4 Two was a pioneering organization dedicated to supporting and empowering women during their pre and postnatal journey through specialized fitness and wellness programs. Recognizing the unique needs and challenges faced by women during pregnancy and after childbirth, Fit 4 Two® developed a comprehensive range of classes, including prenatal yoga, workshops, and training opportunities designed to promote safe, effective, and nurturing practices for both mothers and their babies.

The importance of specialized fitness programs during and after pregnancy cannot be overstated. Women’s bodies undergo significant changes during this transformative period, requiring tailored approaches to maintain health, prevent complications, and foster overall well-being. Fit 4 Two® understood these needs and built a strong foundation of expertise and support to guide women through their pre and postnatal fitness journey.

Fit 4 Two® Postnatal Fitness

About Fit 4 Two®

Founded by Melanie Osmack, Fit 4 Two was born out of a desire to create a balance between family and career while making a positive impact on the community. Osmack recognized the challenges faced by many women in finding quality time with their families, pursuing professional growth, and maintaining financial stability. With these goals in mind, she established Fit 4 Two® as a platform to empower women to achieve their personal and professional aspirations while prioritizing their health and the well-being of their families.

Programs and Courses

Prenatal Fitness Classes

Fit 4 Two offered a diverse range of prenatal exercise classes tailored to meet the specific needs of pregnant women at various stages of their pregnancy. These classes included:

  • Prenatal Aquafit: Low-impact aquatic exercises designed to improve circulation, reduce swelling, and alleviate pregnancy discomforts.
  • Prenatal Yoga: Gentle yoga poses, breathing techniques, and relaxation exercises to improve flexibility, balance, and mental well-being during pregnancy.
  • Prenatal Pilates: Targeted Pilates exercises to strengthen the core, pelvic floor, and back muscles, promoting better posture and preparing the body for labour.
  • Prenatal Barre: A fusion of ballet-inspired movements, prenatal Pilates, and yoga to enhance strength, grace, and overall fitness.
  • Prenatal Fitness Outdoors: Outdoor classes that combined cardiovascular exercises, strength training, and flexibility work, allowing expectant mothers to enjoy the benefits of fresh air and nature.

Prenatal Workshops

Fit 4 Two provided a series of educational workshops to complement the prenatal classes. These workshops included:

  • Prenatal Nutrition Workshop: Guidance on healthy eating habits, nutrient requirements, and meal planning strategies to support optimal fetal development and maternal health.
  • Prenatal Pelvic Floor Workshop: Education on the importance of pelvic floor health, exercises to strengthen and protect the pelvic floor muscles, and techniques to prevent or manage incontinence.
  • Prenatal Posture and Alignment Workshop: Instruction on maintaining proper posture and alignment throughout pregnancy to alleviate discomfort, prevent injury, and promote easier labour and delivery.
  • Prenatal Relaxation and Stress Management Workshop: Techniques for managing stress, anxiety, and emotional well-being during pregnancy, including relaxation exercises, breathing techniques, and self-care strategies.

Postnatal Fitness Classes

Fit 4 Two offered a range of postnatal classes designed to support new mothers in their recovery and return to fitness. These classes included:

  • Mom and Baby Yoga: Gentle yoga poses and stretches that help restore strength and flexibility while promoting bonding between mother and baby.
  • Mom and Baby Pilates: Pilates exercises that focus on rebuilding core strength, improving posture, and addressing common postpartum concerns such as diastasis recti and pelvic floor weakness.
  • Mom and Baby Fitness: Cardiovascular and strength training exercises that can be performed with baby in tow, using resistance bands, body weight, and baby as a natural weight.
  • Stroller Fitness: Outdoor classes that combine walking or jogging with strength training exercises, allowing new mothers to exercise while the baby rides along in the stroller.

Postnatal Workshops

Fit 4 Two provided workshops to address specific postpartum concerns and provide education on postpartum recovery. These workshops included:

  • Postnatal Recovery Workshop: Information on the physical and emotional changes during the postpartum period, self-care strategies, and safe return to exercise guidelines.
  • Diastasis Recti Workshop: Education on identifying and managing diastasis recti, a common postpartum condition where the abdominal muscles separate, including exercises to help close the gap and restore core strength. The workshop covered the causes and symptoms of diastasis recti, safe exercise modifications, and techniques to promote healing and prevent further abdominal separation. Participants learned how to properly engage their core muscles and incorporate targeted exercises into their postpartum fitness routine to support the recovery process.
  • Pelvic Floor Health Workshop: Instruction on pelvic floor anatomy, common postpartum pelvic floor issues, and exercises to strengthen and rehabilitate the pelvic floor muscles.
  • Postpartum Nutrition Workshop: Guidance on nourishing the body during the postpartum period, including nutrient-dense foods, hydration, and strategies for managing energy levels and supporting breastfeeding.

Postnatal Nutrition Classes

Fit 4 Two offered nutrition classes specifically designed for postpartum women. These classes included:

  • Postpartum Nutrition Fundamentals: An introduction to the key nutrients needed for postpartum recovery, healing, and breastfeeding, along with practical tips for meal planning and preparation.
  • Breastfeeding Nutrition: Guidance on the nutritional requirements for breastfeeding mothers, including important vitamins and minerals, fluid intake, and strategies for maintaining milk supply.
  • Nutrition for Postpartum Weight Management: Healthy and sustainable approaches to managing weight during the postpartum period, focusing on nourishing the body rather than restrictive dieting.

Postnatal Nutrition Workshops

Fit 4 Two provided in-depth workshops on specific postpartum nutrition topics. These workshops included:

  • Meal Planning and Prep Workshop: Practical strategies for planning and preparing healthy meals while juggling the demands of motherhood, including batch cooking, freezer meals, and quick, nutrient-dense recipes.
  • Nutrition for Postpartum Mood Disorders: Exploration of the role of nutrition in supporting mental health during the postpartum period, including key nutrients, lifestyle factors, and self-care practices.
  • Introducing Solids to Baby Workshop: Guidance on when and how to introduce solid foods to infants, including signs of readiness, first foods, and strategies for fostering healthy eating habits.

Personal Training

Prenatal Personal Training

Fit 4 Two offered one-on-one prenatal personal training sessions tailored to each woman’s individual needs, fitness level, and stage of pregnancy. These sessions included:

  • Prenatal Strength Training: Personalized strength training programs designed to build endurance, improve posture, and prepare the body for the physical demands of labour and motherhood.
  • Prenatal Cardiovascular Conditioning: Safe and effective cardiovascular exercises to maintain heart health, manage weight gain, and improve overall stamina during pregnancy.
  • Prenatal Flexibility and Relaxation: Stretching and relaxation techniques to alleviate pregnancy discomforts, improve range of motion, and promote stress reduction.

Postnatal Personal Training

Fit 4 Two provided personalized postnatal exercise courses and training sessions to help new mothers safely regain strength, improve core stability, and address individual postpartum concerns. These sessions included:

  • Postnatal Core and Pelvic Floor Rehabilitation: Targeted exercises to restore core strength, close diastasis recti, and improve pelvic floor function, tailored to each woman’s unique postpartum recovery needs.
  • Postnatal Strength and Conditioning: Progressive strength training programs to help new mothers rebuild muscle tone, improve bone density, and enhance overall physical resilience.
  • Postnatal Functional Training: Exercises that mimic daily activities and movements, such as lifting, carrying, and bending, to improve functional strength and prevent injury.

Infant Massage

Infant Massage Classes

Fit 4 Two offered infant massage classes that provided parents with the skills and knowledge to safely and effectively massage their babies. These classes included:

  • Infant Massage Techniques: Demonstration and practice of specific massage strokes and techniques for different body parts, such as the legs, arms, chest, back, and face.
  • Benefits of Infant Massage: Education on the physical, emotional, and developmental benefits of regular infant massage, such as improved circulation, reduced colic symptoms, and enhanced parent-child bonding.
  • Infant Massage and Relaxation: Guidance on creating a calm and nurturing environment for infant massage, including the use of gentle music, soft lighting, and soothing voice tones.

Infant Massage Workshops

Fit 4 Two provided specialized workshops that delved deeper into the practice of infant massage and its applications. These workshops included:

  • Infant Massage for Colic and Gas Relief: Specific massage techniques and positions to help alleviate discomfort associated with colic and gas in infants.
  • Infant Massage for Sleep Improvement: Strategies for incorporating infant massage into bedtime routines to promote relaxation and improve sleep quality.
  • Infant Massage for Premature Babies: Adaptations and considerations for providing massage to premature infants, including gentler touch, shorter sessions, and monitoring of stress cues.
  • Infant Massage for Special Needs: Modifications and benefits of infant massage for babies with special needs, such as those with sensory processing disorders, physical disabilities, or developmental delays.
Fit 4 Two safe and effective fitness

Professional Training and Certification

In addition to classes and workshops for pre and postnatal women, Fit 4 Two® was committed to advancing the knowledge and skills of fitness professionals in this specialized field. The organization offered a comprehensive Pre and Postnatal Fitness Specialist (PPFS) Certification program, equipping fitness professionals with the expertise needed to safely and effectively work with pregnant and postpartum clients.

Fit 4 Two also provided ongoing PPFS Workshops, allowing certified professionals to continually enhance their skills, stay updated with the latest research and best practices, and network with other experts in the field. These workshops covered a wide range of topics, from exercise modifications during pregnancy to postpartum core rehabilitation techniques.

For those passionate about the benefits of infant massage, Fit 4 Two® offered an Infant Massage Instructor Training program. This training equipped participants with the knowledge and skills to teach and promote the practice of infant massage, empowering them to make a positive impact on the lives of families in their communities.

Conferences

Fit 4 Two hosted annual conferences that brought together pre and postnatal fitness professionals, experts, and enthusiasts from around the world. These conferences provided a platform for learning, networking, and professional development, featuring keynote speakers, workshops, and panel discussions on the latest trends, research, and best practices in the field.

Attendees had the opportunity to connect with like-minded individuals, share their experiences, and gain valuable insights to enhance their work with pre and postnatal clients. The Fit 4 Two® conferences were a testament to the organization’s commitment to fostering a strong and supportive community of professionals dedicated to empowering women throughout their motherhood journey.

Locations

Fit 4 Two offered its comprehensive range of pre and postnatal fitness programs, workshops, and services across various locations in British Columbia and Manitoba, Canada. These locations included:

British Columbia:

  • Abbotsford
  • Coquitlam and Port Coquitlam
  • Ladner and Tsawwassen
  • Langley and Aldergrove
  • North Shore
  • Richmond
  • Surrey, South Surrey, and White Rock
  • Vancouver – Downtown and False Creek
  • Vancouver – East
  • Vancouver – Westside

Each location had its own dedicated team of certified pre and postnatal fitness specialists who were passionate about supporting women throughout their pregnancy and postpartum journey. The classes and workshops were held at carefully selected community centers, fitness studios, and outdoor spaces to ensure accessibility, comfort, and safety for all participants.

Manitoba:

  • Winnipeg – East
  • Winnipeg – West

In Manitoba, Fit 4 Two® had a strong presence in Winnipeg, with two main locations serving the eastern and western parts of the city. These locations offered a wide range of pre and postnatal fitness classes, workshops, and personal training services, catering to the unique needs of expectant and new mothers in the Winnipeg area.

The teams at both Winnipeg-East and Winnipeg-West were committed to providing a supportive, inclusive, and empowering environment for women to prioritize their health and well-being during pregnancy and the postpartum period.

Across all locations in British Columbia and Manitoba, Fit 4 Two® maintained a consistent level of excellence in its programming, ensuring that every woman who participated in their classes and workshops received the highest quality of care, guidance, and support. The organization’s commitment to empowering women through pre and postnatal fitness remained unwavering as it continued to expand its reach and impact across these two Canadian provinces.

Intake Forms Info

Fit 4 Two placed great emphasis on ensuring the safety and well-being of all participants in their pre and postnatal fitness programs. As part of this commitment, the organization required clients to complete specific forms before attending their first class or personal training session.

For pregnant women, Fit 4 Two recommended submitting a completed and signed PARmed-X for Pregnancy form. This form, which needed to be signed by both the client and her healthcare provider, served as a medical clearance for participation in prenatal exercise. Clients were asked to bring a copy of this form to their first class to ensure that the instructors were aware of any specific needs or limitations.

In addition to the PARmed-X form, all clients were required to complete an online intake form before attending their first Fit 4 Two class. These intake forms were specific to the client’s location and stage of pregnancy or postpartum recovery. The forms included:

  • Vancouver prenatal intake form
  • Vancouver postnatal intake form
  • North Shore prenatal intake form
  • North Shore postnatal intake form
  • Richmond prenatal intake form
  • Richmond postnatal intake form
  • Surrey prenatal intake form
  • Surrey postnatal intake form
  • Langley prenatal intake form
  • Langley postnatal intake form
  • Abbotsford postnatal intake form
  • Coquitlam prenatal intake form
  • Coquitlam postnatal intake form
  • Winnipeg prenatal intake form
  • Winnipeg postnatal intake form

The online intake forms were designed to gather essential information about the client’s health history, pregnancy or postpartum status, fitness background, and any specific concerns or goals they had. This information helped the Fit 4 Two team tailor their classes and workshops to meet the individual needs of each participant and ensure a safe, effective, and enjoyable experience.

For clients interested in personal training services, Fit 4 Two provided separate intake forms specifically designed for one-on-one sessions. These personal training intake forms allowed the trainers to gather more detailed information about the client’s fitness level, lifestyle habits, and specific pre or postnatal concerns, enabling them to create personalized training programs that aligned with the client’s goals and abilities.

Franchise Opportunities

Recognizing the growing demand for specialized pre and postnatal fitness services, Fit 4 Two offered franchise opportunities for entrepreneurs passionate about making a difference in the lives of women and families. The Fit 4 Two franchise model provided comprehensive training, support, and resources to help franchisees establish and grow successful businesses in their communities.

Franchisees benefited from Fit 4 Two’s proven business model, extensive curriculum, and ongoing support from experienced mentors. They received training in all aspects of running a pre and postnatal fitness business, from program development and marketing to client management and financial planning.

Testimonials from former Fit 4 Two franchisees highlighted the fulfillment and impact of being part of this mission-driven organization. Franchisees expressed the joy of witnessing the transformative power of pre and postnatal fitness in the lives of their clients, as well as the personal and professional growth they experienced as business owners and community leaders.

postnatal fitness classes

Fit 4 Two’s Impact on Pre and Postnatal Wellness

Fit 4 Two stood as a beacon of empowerment and support for women navigating the transformative journey of pregnancy and motherhood. Through its comprehensive range of prenatal yoga classes, workshops, and training opportunities, Fit 4 Two was committed to promoting safe, effective, and nurturing practices that prioritized the health and well-being of both mothers and their babies.

By equipping fitness professionals with specialized knowledge and skills, Fit 4 Two fostered a global community of experts dedicated to advancing the field of pre and postnatal wellness. Through its franchise opportunities, the organization expanded its reach, allowing passionate entrepreneurs to make a meaningful impact in the lives of women and families in their communities.

As Fit 4 Two evolved over the years, its unwavering commitment to empowering women, supporting families, and promoting optimal health and well-being remained at the heart of its mission. With its holistic approach, evidence-based practices, and dedication to excellence, Fit 4 Two® transformed the landscape of pre and postnatal fitness classes, one woman and one family at a time.

Update

After 20 amazing years, Fit 4 Two made the difficult decision to scale back its operations due to the challenges posed by the pandemic. The organization now offers a limited number of prenatal yoga classes and other activities at the Roundhouse Community Centre only. The constant changes brought about by the pandemic took a toll on Fit 4 Two® physically, mentally, and financially, making it difficult to sustain its previous level of operations.

Fit 4 Two expressed its gratitude to the dedicated instructors who stayed as long as they could and the participants who continuously pivoted alongside the organization during these challenging times. The instructor training program was also closed, with heartfelt thanks extended to all the instructors who trained with Fit 4 Two over the years.

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21Mar

Joint hypermobility linked to longer COVID-19 recovery time

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In a recent study published in BMJ Public Health, researchers investigated whether generalized joint hypermobility (GJH), which indicates varying connective tissue, was associated with self-reported severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection recovery failure.

Study:  Is joint hypermobility linked to self-reported non-recovery from COVID-19? Case-control evidence from the British COVID Symptom Study Biobank. Image Credit: BigBlueStudio / Shutterstock.com

Background

Long coronavirus disease 2019 (COVID-19) presents a severe therapeutic issue and public health burden, with symptoms ranging from fatigue and trouble focusing to muscular pains and shortness of breath. To date, over 200 symptoms have been associated with delayed recovery after acute SARS-CoV-2 infection. The potentially deleterious effects associated with long COVID-19, combined with the prevalence of SARS-CoV-2 infection history among the general population, emphasize the importance of identifying factors predisposing an individual to long COVID.

Demographic variables such as age and female sex, as well as pre-existing activity-limiting health disorders or impairments like fibromyalgia, irritable bowel syndrome, migraines, allergies, anxiety, depression, and back pain, increase the likelihood of prolonged COVID-19.

Recent research has identified that joint hypermobility contributes to incomplete recovery after SARS-CoV-2 infection. However, further research is needed to elucidate the etiology of long COVID and identify cost-effective and timely therapeutics for patients.

About the study

In the present prospective-type observational study, researchers investigate whether widespread joint hypermobility is related to an increased risk of not fully recovering from SARS-CoV-2 infection.

To this end, the researchers examined the United Kingdom COVID-19 Symptom Study Biobank (CSSB) data, linked with demographic information, COVID-19 reports, and symptom ratings from ZOE Global's COVID-19 Symptom Study digital application. Researchers from Massachusetts Hospital, Uppsala and Lund Universities, and King's College London created the mobile application.

During August 2022, 81% of respondents experienced a minimum of one COVID-19-related illness and self-reported their recovery status. All study participants completed a five-component Hakim and Grahame questionnaire (5PQ) to determine widespread joint hypermobility.

The primary research outcome was a lack of self-documented recovery from SARS-CoV-2 infection. Secondary outcomes included 5PQ scores and self-documented fatigue levels.

Binary logistic regression analysis was performed to determine whether widespread joint hypermobility predicted non-recovery after SARS-CoV-2 infection. Age, gender, ethnicity, socioeconomic situation, educational attainment, and received COVID-19 vaccinations were considered as potential variables in the sequential models.

Linear regression was used to investigate the relationship between generalized joint hypermobility and fatigue. Furthermore, mediation studies using Hayes' technique allowed the researchers to explore potential mediation of the association between widespread joint hypermobility and COVID-19 non-recovery by fatigue levels.

Study findings

Among 3,064 individuals who reported a minimum of one SARS-CoV-2-related infection, data on self-documented COVID-19 recovery were accessible for 2,854 participants, 82% of whom were female and 97% identified as white, with an average age of 58 years.

Among 32% of the study cohort who reported incomplete recovery from acute COVID-19, 269 individuals exhibited widespread joint hypermobility, 29% of whom were female. Among recovered individuals, 439 of 1,940 patients experienced widespread joint hypermobility.

Generalized joint hypermobility was not significantly associated with the reported SARS-CoV-2 infection risk. Nevertheless, joint hypermobility was strongly associated with incomplete recovery from acute COVID-19, with an odds ratio (OR) of 1.4. This association persisted in sequential modeling studies controlling for age, gender, ethnicity, educational attainment, multiple deprivation index, and COVID-19 vaccination doses received with an OR of 1.3.

Hypermobility also strongly predicted greater fatigue levels in models that controlled for all factors. Fatigue levels influenced the relationship between widespread joint hypermobility and COVID-19 non-recovery.

Conclusions

The study findings indicate that individuals with widespread joint hypermobility are 30% more likely to not recover from acute COVID-19. These observations provide critical information needed to identify long COVID phenotypes for screening, appropriate patient classification, and personalized treatment implementation.

Taken together, the current study emphasizes the importance of stratified individualized healthcare for individuals, which influences policy and interdisciplinary services for individuals with long-term COVID and related illnesses. These findings also have implications for clinical practice, future research, and population healthcare, including precision techniques.

There remains an urgent need to investigate predisposing variables and comorbidities associated with joint hypermobility. Future research is also needed to explore the role of pre-existing illnesses as possible risk factors, particularly those linked with numerous physical symptoms, including larger sample sizes, more diverse populations, and a stringent long COVID definition to improve the generalizability and validity of the study findings.

Journal reference:

  • Eccles, J. A., Cadar, D., Quadt, L., et al. (2024). Is joint hypermobility linked to self-reported non-recovery from COVID-19? Case-control evidence from the British COVID Symptom Study Biobank. BMJ Public Health 2. doi:10.1136/bmjph-2023-000478

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20Mar

Hot tubs are as full of nasty germs as you fear

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A friend of mine recently lost her security deposit at the holiday home she and her fellow hens were renting for a weekend. Why? Well, she dropped a microwaveable lasagne into the hot tub.

Could happen to anyone.

Despite trying their hardest to sieve out all the bits of minced beef and curdled white sauce that bubbled up to the surface, it was all in vain. The damage was done.

A stray lasagne might be the least of your holiday hot tub worries, though.

There may be a host of other nasties lurking invisibly in the water. Despite the potential wellbeing benefits of heat and hydrotherapy, enjoying a relaxing dip in the hotel hot tub could do more harm than good.

Hot tub lung

For example, it’s possible to contract a respiratory condition, colloquially referred to as hot-tub lung.

It’s triggered by microbes called mycobacteria, from the same family as those which cause the infection tuberculosis (TB).

Like in TB, hot-tub lung bacteria generate patches of inflammation in the lung tissue. This results in symptoms such as shortness of breath, cough and fever. The lung changes can be seen on an X-ray or CT scan of the chest, and may appear quite profound.

The hot tub acts as a perfect environment for the growth of these bacteria because the warmth of the system creates an optimum temperature for their proliferation. The bubbling of the water also acts as an aerosol – allowing the bacteria to be released into the air, where they can be inhaled.

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Unlike TB, which requires long-term antibiotics and is becoming increasingly difficult to treat, hot tub lung may be considered more of an inflammatory condition.

Hot-tub lung was classified fairly recently, in comparison to other lung diseases, and was first described in 1997. It is more likely to be associated with frequent hot tubs users, or those with compromised immunity.

Waterborne bugs

There are many other organisms that can flourish in hot-tub machinery.

These include legionella, the bacteria which cause the potentially severe infective disorder, Legionnaire’s disease.

Legionella’s breeding grounds are not just limited to hot tubs either. It is naturally found in fresh water and grows particularly well in water which is heated to warm temperatures. So, showers, swimming pools and air conditioning units may also pose risks.

The symptoms of Legionnaire’s disease are much like those of other respiratory infections, including shortness of breath and a dry or phlegmy cough. But it’s common to get other complaints such as muscle aches and headaches too. Hospital treatment may be required, and antibiotics should be prescribed.

It’s not just the lungs that can be affected by water-borne bacteria. Bacteria in hot tubs can trigger infections of the skin, such as hot tub folliculitis, which may occur in outbreak clusters.

Hot tubs can also trigger infections in the eye, particularly if wearing contact lenses. So it’s advisable to remove them before getting in.

Reaping the benefits

If you avoid the bacteria, hot tubs may have some positive effects on health and wellbeing.

It’s possible, for example, that heat therapy could generate the production of so-called “heat-shock” proteins, which have the ability to impact metabolism. Human trials have found that these proteins could influence the body’s sensitivity to insulin and the laying down of fatty tissue, therefore acting as natural treatments for diabetes and obesity.

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The potentially restorative properties of simple immersion in water, both heated or cooled, are well documented. Water acts as a medium to deliver either heat, but also cold temperatures, sometimes to the extreme.

Cold water immersion (CWI) has garnered a lot of attention, and purpose built cold tubs are making more appearances. Alongside potential benefits – including rapid healing and recovery, mood enhancement and improved immunity – are grave risks. These can include drowning and fatal cardiac arrhythmias, triggered by the extreme cold. There’s no medical consensus, however, on whether CWI’s benefits outweigh its risks.

Exercising in water, the branch of alternative medicine known as hydrotherapy, has been proposed as a holistic technique to treat a myriad of conditions. These range from high blood pressure to cancer. While the jury is still out on the overall effectiveness of this method, some patients have reported improved energy levels and mood, as well as reduced anxiety and pain.

So, the next time you’re thinking of retiring to the hot tub with a glass of champagne, consider what you might be stepping into.

Make sure, at least, that the tub has been properly maintained and cleaned. But be aware that chlorine doesn’t kill all the nasty stuff like legionella.

Whatever you do, make sure you pop out your contact lenses – and never, ever take a lasagne into a hot tub.

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