My Healthy of Life

Trump Fights Back After Cases Against Comey and James Dismissed: Live

noreply@blogger.com (M Hasan) — Tue, 25 Nov 2025 00:55:26 +0000

Legal Challenges and Political Maneuvers

The Trump administration has faced a significant legal setback after a federal judge dismissed criminal cases against former FBI Director James Comey and New York Attorney General Letitia James. The ruling came as a result of the unlawful appointment of interim U.S. Attorney Lindsey Halligan, who had signed off on the cases. White House Press Secretary Karoline Leavitt expressed confidence in the legitimacy of Halligan's appointment and indicated that the Department of Justice would appeal the decision.

Comey and James are among several high-profile figures targeted by investigations under the Trump administration. These cases have sparked considerable debate over the use of the Justice Department to pursue political enemies.

Pentagon Investigation into Senator Mark Kelly

In another development, the Department of Defense has launched an investigation into Democratic Senator Mark Kelly following his participation in a video encouraging active military service members to ignore orders that violate the Constitution. Kelly, a retired naval officer, is the only one of the five Democrats involved in the video who falls under the jurisdiction of the Department of Defense. This has led to a "thorough review" of potential misconduct, with the department stating it will ensure due process and impartiality.

Kelly responded to the investigation by asserting that he would not be intimidated and that he would continue to hold the administration accountable. He emphasized his long-standing commitment to the country and its constitutional values.

Trump's AI Initiative and International Relations

President Donald Trump has also taken steps to advance technological innovation through an executive order establishing the "Genesis Mission," an initiative aimed at leveraging artificial intelligence to merge scientific data across federal agencies. This effort is expected to significantly accelerate research and development, particularly in the fields of drug discovery and other major breakthroughs.

In addition, Trump announced plans for a visit to Beijing in April and a state visit from Chinese President Xi Jinping later in 2026. This follows a "very good" call between the two leaders, which covered topics such as trade, Taiwan, and the proposed peace deal for the Ukraine-Russia conflict.

Internal Struggles Within the Republican Party

Marjorie Taylor Greene, a prominent Republican figure, has announced her resignation from Congress, citing growing tensions with the president. This move has prompted speculation about whether other GOP lawmakers might follow suit. Reports suggest that morale within the party is low, with some considering early retirements.

Greene's departure has also raised questions about her future political aspirations, although she has denied any plans to run for president in 2028.

Public Sentiment and Economic Concerns

Public sentiment regarding the economy remains mixed, with many Americans expressing concerns over the cost of living. A recent poll revealed that four in ten Republicans believe Trump is sugarcoating the impact of inflation and rising prices. Despite these concerns, the administration continues to tout record-low gas prices ahead of the Thanksgiving travel season, though data suggests prices were actually lower last year.

Other Developments

Other notable developments include the suspension of operations by the Gaza Humanitarian Foundation, a controversial group backed by both the U.S. and Israel. Additionally, the Trump administration is reportedly preparing to announce a new healthcare proposal aimed at making medical care more affordable for Americans.

As the administration continues to navigate a complex landscape of legal challenges, political maneuvering, and public sentiment, the focus remains on how these developments will shape the future of American politics and policy.

Legal and Political Implications

The dismissal of the indictment against James Comey and Letitia James highlights the ongoing legal battles within the Trump administration. The ruling underscores the importance of proper appointments and the potential consequences of procedural errors. The White House's response to this decision reflects the administration's determination to challenge the ruling and continue its efforts to target political opponents.

In contrast, the investigation into Senator Mark Kelly illustrates the broader implications of the administration's actions. The Pentagon's involvement in this matter signals a shift in how the administration is addressing perceived threats to its policies and leadership.

Media and Public Discourse

The media landscape continues to play a critical role in shaping public perception of the administration. From the release of the Genesis Mission to the ongoing discussions about the Ukraine-Russia conflict, the press remains a key player in disseminating information and influencing public opinion.

Additionally, the administration's rhetoric towards Democrats has drawn criticism from within its own party, with some Republicans urging a more measured approach. This internal tension highlights the complexities of maintaining unity while pursuing a specific political agenda.

Conclusion

As the Trump administration faces a series of legal and political challenges, the focus remains on how these issues will impact the broader landscape of American politics. From the dismissal of indictments to the investigation of a senator, each development contributes to the evolving narrative of the administration's tenure. With the upcoming presidential election looming, the stakes have never been higher for both the administration and its critics.

Top Foods to Avoid and Embrace for Hot Flashes and Night Sweats

noreply@blogger.com (M Hasan) — Tue, 25 Nov 2025 00:17:57 +0000

Understanding Vasomotor Symptoms

Picture this: You're going about your day, when all of a sudden you become intensely hot, begin to feel flushed, and start to sweat. If you're approaching menopause, or are already in it, hot flashes and night sweats—also known as vasomotor symptoms (VMS)—can come on quickly, often accompanied by symptoms like heart palpitations, vertigo, anxiety, breathlessness, and more.

Hormonal therapies and lifestyle changes may help tame these menopausal symptoms, but one aspect of treatment that's often overlooked is diet. Here, learn about certain foods that may reduce the intensity and frequency of your hot flashes.

What Causes Vasomotor Symptoms?

Around 74 percent of perimenopausal women in the United States are affected by hot flashes and night sweaks. When you enter the menopausal transition, your estrogen levels begin to fluctuate drastically, interfering with your body's ability to regulate its temperature. A study presented at the 2022 North American Menopause Society Conference showed that while hot flashes and night sweats are both VMS responses to menopause, they are not the same thing. Both can interfere with sleep, but night sweats last longer and are more stressful.

Foods That Help Fight Hot Flashes and Night Sweats

While eating consistent meals throughout the day may help regulate vasomotor symptoms, here are some specific foods to try to reduce your symptoms:

Soy Foods and Natural Soy Products Isoflavone is a type of phytoestrogen—an estrogen-like compound derived from plants—and it's plentiful in soy. A small study published in 2023 found that postmenopausal women who followed a diet rich in soy, along with a low-fat vegan diet, saw their total hot flashes decrease by 79 percent and their moderate-to-severe hot flashes decrease by 84 percent. Those in the group who made no dietary changes experienced decreases of only 49 percent and 42 percent, respectively. Additionally, 59 percent of those in the soy group reported that they no longer experienced moderate or severe hot flashes at all.

I will recommend soy, and phytoestrogens in general, as a medicinal food almost. I don't know of any other foods that have that kind of effect. Try to include these in your daily diet, says Jenn Salib Huber, RD, ND, who was not involved with the study. Rule of thumb: The less processed the soy is, the more beneficial.

Overly processed soy products, such as protein powders, mock meats, energy bars, or sweetened soy milks and yogurts, often contain higher levels of salt, sugar, saturated fats, additives, and fillers. Minimally processed soy foods, such as the following, contain more healthful vitamins and minerals: * Tofu, miso, and tempeh * Soybeans and edamame * Soy milk * Soy nuts

Avocado, Almonds, and Other Vitamin E-Rich Foods Several studies suggest that vitamin E supplementation reduces hot flashes. One concluded that vitamin E reduced the incidence of hot flashes by nearly one-third of the base amount. Granted, this study was done using supplements, but it couldn't hurt to incorporate more vitamin E into your diet naturally.

Vitamin E may benefit your heart and immune system too. Consider the following foods: * Asparagus * Avocado * Almonds * Beet greens, collard greens, spinach * Mango * Peanuts and peanut butter * Red bell pepper * Sunflower seeds and sunflower oil * Wheat germ, safflower, and soybean oils

Plant-Based Foods Research shows that when it comes to hot flashes and night sweats, the more fruits, vegetables, nuts, and legumes you eat, the better.

Findings from the same study of postmenopausal women mentioned above suggest that a vegan diet improves VMS symptoms. It concluded that a dietary intervention consisting of a plant-based diet, minimizing oils, and daily soybeans significantly reduced the frequency and severity of postmenopausal hot flashes and associated symptoms.

If you want to try veganism, consult with a registered dietitian who can help you create a balanced, nutritious diet plan. If you can't manage veganism or vegetarianism, try to eat more low-fat and unprocessed foods. Recent reports have found that the intensity of VMS symptoms is associated with high-processed foods, saturated fats, and sugars in postmenopausal women.

Cold-Water Fatty Fish and Omega-3s Research has found that omega-3 supplementation has a positive effect on hot flashes, night sweats, and sleep quality in menopausal women. Another study reported that omega-3 supplements combined with vitamin E reduced hot flashes.

Unfortunately, there is a lack of research on foods (rather than supplements) and vasomotor symptoms, but nutritious food sources of omega-3 acids, such as the following, might be helpful: * Cold-water fatty fish, such as salmon, mackerel, tuna, herring, and sardines * Fortified foods, such as certain brands of eggs, yogurt, cereals, juices, milk, or soy drinks. * Check labels for added omega-3s; they may be listed as EPA or DPA, which are different forms of omega-3s.

Foods to Avoid During Menopause

Discover foods to avoid during menopause and some healthy alternatives for a smoother transition.

5 Foods to Avoid

If you want to lessen the intensity and frequency of VMS, try to avoid or limit these foods: 1. Processed Sugars, Such as Candy, Cakes, and Sweetened Drinks Too much sugar, or foods that break down into sugar, can cause a quick spike and drop in blood sugar. When your blood sugar drops, it can bring on a hot flash, particularly if you have diabetes.

Carbohydrates are the most likely to create that spike and drop. The rule of thumb is the more processed a grain, the more quickly it turns to sugar in your system. Fast influx of sugar means a quick rise in blood sugar followed by a steep decline, says Elaine Stern, a licensed acupuncturist and naturopathic practitioner in New York City.

Caffeinated Beverages, Such as Soda or Coffee While older studies have found that caffeine consumption is associated with a higher risk of hot flashes, especially during perimenopause (the transition phase right before menopause), newer research has yet to be published regarding this connection.

If you find that drinking beverages like coffee, soda, or energy drinks triggers hot flashes for you, it's best to limit or avoid these drinks to see if it improves your symptoms. Try other ways to increase your energy levels, such as taking quick walks or eating foods like whole grains, fibrous veggies, and nuts to avoid sugar crashes, says Stern.

Hot Beverages Another problem with your coffee habit is that the beverage is usually served at scalding temperatures. Hot chocolate or tea (or anything that causes your body temperature to rise) may trigger your system to overreact and bring on a hot flash. Instead, to avoid overheating, try iced herbal tea, seltzer, or cold water. If you do need to drink decaffeinated coffee, let it sit for a few minutes so that it's not piping hot, says Huber. Or opt for iced coffee instead.
Alcohol, Such as Red Wine Alcohol, red wine in particular, seems to trigger hot flashes, especially if it's consumed close to bedtime, says Huber. While studies on alcohol's connection to hot flashes have had mixed results, many women say that reducing their intake brought relief.

If you are dealing with VMS, it can't hurt to try eliminating alcohol from your diet to see if it works for you.

Chilis, Wasabi, Chorizo, and Other Spicy Foods Those salsa and jalapeño poppers may do more than set your taste buds on fire: Spicy hot foods can trigger menopausal hot flashes. That doesn't mean you have to eat blandly. Many restaurants can adjust the heat to your preference and tolerance. Or you can up your flavors with milder spices and seasonings such as basil, bay leaf, cardamom, Chinese five-spice blend, cinnamon, coriander, lemon balm, mint, oregano, rosemary, sage, thyme, and parsley.

The Takeaway

Hormonal therapy and lifestyle changes can help relieve menopausal hot flashes and night sweats, but your diet is important for relieving symptoms too.

Adding foods like soy, fatty fish, fruits, vegetables, nuts, and seeds may help tamp down your vasomotor symptoms during menopause.

Limiting or avoiding hot beverages, caffeine, alcohol, and spicy foods may also help prevent the onset of hot flashes and night sweats.

If you're unsure about what to eat to relieve menopause symptoms, reach out to a doctor or registered dietitian who specializes in hormonal changes to come up with a personalized meal plan.

Republicans Oppose Trump's Healthcare Plan Before Release

noreply@blogger.com (M Hasan) — Tue, 25 Nov 2025 00:15:00 +0000

The White House Health Care Plan Faces Immediate Backlash

President Donald Trump has not officially announced his new health care plan, but the proposal has already sparked significant controversy within his own party. The White House delayed its plan to prevent a surge in premiums under the Affordable Care Act (ACA) after facing strong opposition from Republican allies and lawmakers.

The proposed rollout caused immediate concern on Capitol Hill, where many Republicans learned about the plan through leaks rather than official channels. The proposal faced criticism from conservatives who were unhappy with the inclusion of an extension for key ACA subsidies that are set to expire at the end of the year.

Michael Cannon, director of health policy studies at the Cato Institute, expressed disappointment, stating, “What this means is the Republicans will be expanding Obamacare.” This backlash raises doubts about the GOP's ability to unify behind a plan addressing health care costs, despite Trump’s promises of a better alternative to the ACA.

The situation highlights the challenges Congress faces in reaching a bipartisan agreement to avoid rising consumer health costs. Senate Republicans agreed to a mid-December vote on the enhanced ACA subsidies as part of a government funding deal. However, the deadline will be just days away when senators return from their Thanksgiving recess.

Over 22 million Americans benefit from the enhanced ACA subsidies, and they could face steep premium increases if these tax credits expire at the end of the year. This issue has become a focal point for both Democrats and Republicans, especially ahead of the midterm elections, which are expected to be influenced by voters' concerns about the cost of living.

A White House adviser noted, “The White House understands they have to do something on this, as bad as Obamacare is.” The tentative package proposed by the administration aimed to extend the ACA subsidies for two years while implementing conservative reforms, such as income caps and minimum monthly premium payments.

The framework also sought to encourage enrollees to choose lower-tier ACA plans by allowing them to redirect federal aid into health savings accounts. This approach aligns with Trump’s goal of giving more money directly to individuals rather than through insurance companies.

Other elements of the proposal included expanding access to non-ACA plans and imposing restrictions on federal funds for gender-affirming care or health care for undocumented immigrants.

Republican Lawmakers React to the Framework

Many Republican lawmakers found out about the framework through social media, leading to confusion and frustration. In the House, where Obamacare remains a sensitive topic, the proposal was met with skepticism, as key details remained unclear. There is little expectation that the plan, which includes a two-year extension of subsidies, would gain support from House Republicans.

Some conservatives viewed the framework as a departure from the principles the White House had previously communicated. A former senior administration official described it as “not very Trumpian.”

A White House official denied that the administration had finalized its health plan, stating that any reporting about the healthcare positions is speculative until President Trump makes an official announcement. The official also mentioned that the White House had not scheduled any formal announcement, though some lawmakers had been briefed on the plans.

White House press secretary Karoline Leavitt declined to provide a new timeline, saying only that Trump is focused on unveiling a health care proposal that will fix the system and lower costs for consumers.

Bipartisan Challenges and Political Divisions

Despite the challenges, the framework received some praise from a few Democrats, including Senators Jeanne Shaheen, Maggie Hassan, and Jacky Rosen. They expressed hope that the proposal could lead to bipartisan support.

However, most congressional Democrats rejected the plan, favoring a straightforward extension of the ACA subsidies. Senator Ron Wyden of Oregon criticized Republicans for retreating into ideological crusades instead of working with Democrats to lower health care costs.

Within Trump’s circle, some allies pointed to the divisions within the Republican Party as evidence of the difficulty in creating a successful health plan. Experts like Michael Cannon argue that overhauling the ACA is no longer viable, as anything proposed by Republicans is often seen as undermining Obamacare.

Despite these challenges, Trump remains determined to achieve a sweeping health care deal. Advisers believe that offering more choices and making health care more affordable could resonate with voters heading into the midterms.

How to Handle a Toddler's Bathtime Rebellion

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 23:59:00 +0000

Understanding the Toddler's Resistance to Bath Time

Bathtime, bathtime is so fun, bathtime is for everyone. That is, until your toddler decides that it isn't — and she's never getting in the tub again. Protesting everyday parts of your regular routine is par for the course for your little one these days as she flexes her independence muscle again (and again, and again). It's also not uncommon for a tot to have bathtime snafus that leave her suds-shy, like slipping and falling or getting water in her nose.

"My little started refusing bathtime last week, putting up a crazy fight," says What to Expect Community parent OhamM22. "Full-on meltdown and tantrums. Doesn’t want bubbles. Her toys. Just does not want to get in. Even tells me to change her diaper (which she hates) so she can be clean but not get in the bath."

Despite her shifty stance though, she still needs to get clean. Here's what you can do to bring her back on board, plus how long your toddler's anti-bath phase will likely last.

Why Do Toddlers Hate Baths?

Many tots relish their nightly splashfests. That said, it's pretty common for your little bather to suddenly decide she's straight-up done with baths (much like she did with her former favorite snack or once beloved blue shoes). The most likely reasons why:

She just wants to call the shots. Your toddler's go-to way to let you know she's in control: refusing to do things she's readily done (and even liked) before.
She had an unpleasant experience. It's common for your sweetie to resist baths if she hit her head on the faucet last week or balk after she got bubbles in her eyes. She might even be bath-wary from another negative water experience in the pool or at the beach.
She's scared. Toddlers get frightened by a loud vacuum, an overenthusiastic dog, or even Santa. So it's definitely possible that your cutie has developed a fear of the tub, like going down the drain with the bathwater.

When Do Toddlers Grow Out of Their Fear of Baths?

Much like that sudsy bubble mountain, your munchkin's tub terror will fizzle out before long. Many of the situations that spook her now will become a nonissue as she grows into a more mature preschooler, who's capable of thinking a little more rationally. That said, you won't have to wait months (or years) before you're able to give your little one another bath. (Pee-eew!) Some gentle reassurance should help desensitize her — and make her more willing to take a regular dip.

What to Do When Your Toddler Refuses to Take a Bath

Good news: You don't actually need to do battle every night when your toddler is in a no-bath phase. It's perfectly fine to limit baths to two to three times per week, as long as she's not visibly dirty, sweaty, or sticky. (And if she's got dry skin, fewer soaks will actually do her good.)

When it is time for the tub, these tips can help get your munchkin more on board with the bath:

Let her move. If you haven't already, ditch the safety seat (but make sure the tub bottom is slip-proof). Being able to splash around more freely may wash away her resistance.
Go for the gear. Tub toys rock, so supply her with nonirritating soap crayons and bubbles, as well as plastic cups, stick-to-the-wall letters and animals, and a couple of rubber ducks (who can resist?). Be sure to rotate the assortment every month or two.
Switch up the timing. The novelty of a bath before dinner instead of after, for example, may seem totally fascinating to a tot. Up your enthusiasm ("Who wants a bath at a special time?!"), and she just might match your excitement with some of her own.
Enlist a bath mate. That could be you — with or without your swimsuit! You might also wrangle your partner or an older sibling for a soak á deux. Just remember, when showering or bathing together, keep the water temperature warm (not hot) for the sake of her sensitive skin.
Try pretend play. Invite your tot to use her imagination to turn the tub into a pirate ship that sails the high seas, or a fishing boat trawling for her next catch. If she needs some encouragement, try reading a water-themed tale tub-side.
Invite someone else to do the job. If you have a frequent sitter or caregiver who comes over, try saving the bath for them to tackle (at least temporarily). Even though your toddler may push the sudsy limits with you, she might be perfectly happy to go with the flow for someone else.
Keep it short and sweet. Your sweetie can go a couple days without a bath. But if her refusal isn't easing up, at some point, you'll still have to bathe her. So get the job done as fast as you can and move on to another activity to divert your toddler's attention. And even though it might be tough, try to keep your cool. Losing it won't make things easier.

What to Do When Your Toddler Won't Sit in the Bath

Got a stander on your hands? A tot who's content to set foot in the tub but won't keep her bum firmly planted is a serious slip-and-fall hazard. A few helpful strategies for getting her clean while keeping her safe:

Add a nonslip mat. A rubber mat will give your active bather a little more traction when she decides to pop up, reducing her risk of slipping.
Turn it into a game. How long can your cutie stay on her butt for? When you turn sitting down into a challenge, she might be more prone to stay put.
Consider a shower. If she wants to stay standing, the shower's the place to do it. Hop in with her or stay stationed by the shower door — your choice.
Offer a warning, then take her out. If a shower's not an option, lay out the no-standing rule for your toddler and give her one or two warnings. Let her know that if she breezes past them, tub time is automatically over — and follow through with the consequence.

What to Do When Your Toddler Has a Sudden Fear of the Bath

Your toddler's tub phobia might seem completely irrational. But it's real to her, so recognize that and help her feel supported. Chances are a little TLC is just what she needs to get on board with the bath again. Some tips:

Talk it out. If a boo-boo in the bath or another specific incident sparked the scaries, discuss what happened. Let your toddler know you understand how she feels ("I'd be scared too if I hurt myself, Honey"), and offer reassurances ("We'll make sure your eyes are closed when we wash your hair").
Take baby steps. Slowly desensitize your toddler to bathtime. If she balks at getting into a tub full of water, start by having her sit in an empty bath with her clothes on. Then fill it with just a few inches and sponge her clean. Once she's okay with that, you can try adding a little more water at the next bath, and so on.
Praise her efforts. Give your cutie a confidence boost by acknowledging her progress. Tell her how proud you are that she sat in the tub (even if it was barely filled), cheer her on, or even offer her a small reward like a sticker or stamp.
Don't ignore it or force your toddler to get in the bath. You'll only end up making the situation worse — and maybe even spawn a bigger fear (like a fear of water in general).

It can be frustrating when your toddler decides that baths just aren't her thing anymore. But chances are she'll bounce back to Team Tub soon enough. In the meantime, try to be patient, and maybe plan a relaxing bath for yourself after she's off to bed.

Why Toddlers Refuse Food — and How to Respond

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 23:21:00 +0000

Your toddler won’t eat? You’re certainly not alone. Many a parent scratches their head when their former champion eater suddenly decides to turn her nose up at the dinner (and lunch!) menus. Truth: You could be dealing with a food strike, which occurs when your little one used to have a steady appetite, but now refuses to eat much of anything, including her favorite foods.

“My little one is 18 months and the last week he has been on a food strike,” says What to Expect Community user lovebeingamomma888. “Won’t eat anything. Sometimes only eats one meal a day and it’s usually not much. He won’t even eat his favorite foods.”

Frustration is normal when you’re faced with a food strike, but know that most of the time when toddlers won’t eat, it’s pretty normal. Here’s more about why toddlers refuse to eat, what to do when it happens at your house and, if something seems amiss, when to call the doctor.

Why is my toddler refusing to eat?

There are several reasons why your toddler may be on strike when it comes to meals and snacks, including her budding independence and a need for fewer calories too. Here’s the scoop:

She’s super busy
Toddlers love to run, play, and explore — and with so many other exciting things to do, she’s probably not keen to take time out to eat. The bottom line: Her eating may be erratic now.
… and willful
Her budding assertiveness means you can serve her, but she’ll decide whether to eat.
Toddlers are famous for pickiness
Selective eating, food strikes and more are just a few of the phases you can look forward to your child going through. (Let's see, there's the "only beige food" phase, the "no foods that touch each other" phase, the "one food only" phase, just to name a few.) "My son use to be a good eater but lately just eats a few bites," says What to Expect Community user jaslyneh. "He does love to eat a lot of fruit, cheese, and Cheerios."
A little is all it takes
Don’t forget the "one meal a day" phase, which is normal too. In fact, toddlers actually need less to eat than you think (those tiny tummies fill up fast), and they probably eat more than you know. (A handful of Cheerios here and a few cubes of cantaloupe there add up!) The bottom line: If your child is thriving, she's probably getting what she needs each day.
It could be the liquids
Too many calories from milk or juice can definitely keep a toddler's tender appetite satisfied, leaving less room for the chicken stew you spent so much time preparing.
Or the snacks
If your toddler has lots of opportunities to graze between meals, that can have its effect come dinnertime.
She may be teething
Finally, find out if she's teething. Molars, which usually make a painful entrance between 13 and 19 months, can also stand in the way of a toddler and her interest in food.

What to do if your child refuses to eat

Keep a cool head if your toddler won’t eat and then try a few of these smart strategies:

Go with the flow
Toddlers usually need to give food a full examination (touching, mashing, sniffing) before tasting. Just be matter-of-fact about this picky process and mealtime won’t become mayhem.
Start small
Sometimes size matters. A mountain of food can overwhelm a little eater — causing her to give up before she's started. Keeping portions small will make it easier for her to navigate the plate.
Come back with combos
Some toddlers reject new foods because they're not bland enough. In that case, try adding a little bit of the new, more flavorful food to a blander one (for instance, add a touch of peas to her brown rice). And just so you know: Almost all kids outgrow ultra-sensitive palates.
Make some dip
Toddlers love to dunk their foods into gooey dips so consider serving guacamole with her red pepper strips, hummus, and bits of pita bread or a white bean dip for pieces of chicken.
Offer choices
Serve up two healthy options on the dinner plate and let her choose her destiny.
Keep up your routine
Stick to your regular meal- and snack-times, rather than offering food around the clock with the hope that you’ll entice your tot to open her mouth.
Switch gears
Sometimes even favorite foods suddenly get the ick treatment. If it happens, try serving it differently, or preparing it hot instead of cold, dry instead of with milk, as a finger food instead of spoon-fed, or with cheese instead of plain. These tweaks may prompt her to gobble it up!
Fork it over
Boost your toddler's budding independence and fine motor skills by giving her kid-size utensils. You might find that the novelty of feeding herself outweighs her impulse to reject her meal.
Try family style
Eating as a family may encourage your toddler to join in. Pass around a bowl of pasta with veggies and pesto or teriyaki salmon and brown rice, and your tot just might reach for a taste.
Shop and cook together
Hit the grocery store or farmer’s market and let your little one choose the fruit or veggies for lunch. And if she’s old enough, have her tear lettuce or stir muffin batter.
Give it a break
Simply take the rejected food away, and don't serve it for a while (unless it's asked for). In the meantime, offer nutritionally similar foods — if it's frozen waffles that have gotten the cold shoulder, serve pancakes. If it's yogurt, try cottage cheese. If it's apples, try bananas.
Do bring it back with a twist
When you return the rejected food to the menu, serve it with a different spin. Cereal for lunch instead of for breakfast. A peanut butter and jelly sandwich rolled up and cut into pinwheels instead of standard squares. Grilled cheese made with mozzarella instead of American.
Don’t write off rejected foods
What's off the menu today may be back on tomorrow, so don't give up. In fact, if a food strike is triggered by teething discomfort or a soon-to-appear cold, it may be back in favor once your little one is feeling like her usual self.
Don’t rely on junk food
It’s tempting to make only your kid’s favs or ply her with ice cream with the goal of getting her to eat something — anything — but this isn’t wise. Signing up to be a short order cook will allow the picky eating to continue and giving junk food regularly isn’t healthy. While you can't — and shouldn't — force your child to eat, you can make sure her plate is nutritious and nourishing.
Try not to worry
Your toddler's refusal to eat is usually temporary. As long as your child continues to gain weight and inches and remains healthy (aside from the usual colds) — and as long as her weekly total intake seems sufficient (don't look at each day in a vacuum) — there's little reason for concern.
Don’t take it personally
Just because your child rejects the food in front of her doesn't mean she's rejecting you. It's also not a reflection of your parenting (or cooking!) skills.
Nix bargaining or bribing
Promising extra cookies every time your tot deigns to swallow broccoli could serve to increase her craving for sweets even more.
Change her seating — and keep it pleasant
Has your toddler outgrown the high chair? She may be more willing to sit down for a meal if she doesn't feel confined, so consider a booster seat instead. And keep the scene low-key, quiet and free of distractions (like the TV or siblings playing nearby).

Is it normal if my child refuses to eat?

Yes, it’s normal for a child’s appetite to slump after age 1. In fact, a decreased appetite is to be expected at this stage of development. Your child is experiencing a normal slowdown in growth from her first baby year — and with it a need for fewer calories and food.

And keep in mind that it’s the rare toddler who loves everything at first bite. It often takes five, 10, even 15 attempts before your budding gourmand accepts (and swallows) a new food. If you’re concerned there’s just not enough getting inside her little mouth, you might keep a food log. Jot down everything she eats over the course of a week and then discuss it with the pediatrician.

When to call the doctor

If a closer examination of your toddler’s eating habits reveals an increasingly narrow diet, or one that’s missing a food group, talk with your child’s doctor to see whether giving her a daily vitamin-mineral supplement made for toddlers is a good idea. But you should definitely consult with the pediatrician right away if you notice any of the following symptoms:

Unusual weakness, lethargy or fatigue
Fever
Prolonged irritability
Weight loss

Your toddler’s eating habits can feel like you’re riding a roller coaster some days! But as long as your tot is eating well enough over the course of a week and you’re offering healthy choices, she should be fine. And as with many stages of childhood, know that this too shall pass.

He Told ChatGPT He Was Suicidal. It Helped, Family Claims.

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 22:57:21 +0000

A Tragic Story of a Young Man and the AI That Failed Him

Joshua Enneking, 26, was a resilient individual who kept his emotions private. As a child, he never let anyone see him cry. During his teenage years, he played baseball and lacrosse and even rebuilt a Mazda RX7 transmission by himself. He earned a scholarship to study civil engineering at Old Dominion University in Virginia but left school after the onset of the COVID-19 pandemic. He moved in with his older sister, Megan Enneking, and her two children in Florida, where he formed a strong bond with his 7-year-old nephew. Known as the family jokester, Joshua had a cheerful presence that brought joy to those around him.

Megan recalls that Joshua started using ChatGPT in 2023 for simple tasks like writing emails or asking about new Pokémon Go characters. He even used the chatbot to write code for a video game in Python and shared it with her. However, things took a dark turn in October 2024 when Joshua began confiding in ChatGPT about his struggles with depression and suicidal ideation. His sister remained unaware, while his mother, Karen Enneking, suspected he might be unhappy and sent him vitamin D supplements and encouraged him to get out in the sun more. Joshua assured her he wasn’t depressed.

But what happened next shocked his family. According to a lawsuit filed against OpenAI, the creator of ChatGPT, the AI turned from a confidant into an enabler. The family accuses ChatGPT of providing Joshua with endless information on suicide methods and validating his dark thoughts. On August 4, 2025, Joshua shot and killed himself. He left a message for his family: “I’m sorry this had to happen. If you want to know why, look at my ChatGPT.”

ChatGPT helped Joshua write the suicide note, and he continued conversing with the chatbot until his death. His mother, Karen, filed one of seven lawsuits against OpenAI, claiming that families say their loved ones died by suicide after being emotionally manipulated and “coached” into planning their suicides by ChatGPT. These are the first cases involving adults; previously, chatbot-related cases focused on harms to children.

"This is an incredibly heartbreaking situation, and we're reviewing the filings to understand the details," a spokesperson for OpenAI said in a statement to USA TODAY. "We also continue to strengthen ChatGPT’s responses in sensitive moments, working closely with mental health clinicians."

An OpenAI report in October revealed that about 0.15% of users active in a given week have conversations that include explicit indicators of suicidal planning or intent. With OpenAI CEO Sam Altman announcing in early October that ChatGPT reached 800 million weekly active users, that percentage amounts to roughly 1.2 million people a week.

The October OpenAI report stated that the GPT-5 model was updated to better recognize distress, de-escalate conversations, and guide people toward professional care when appropriate. On a model evaluation consisting of more than 1,000 self-harm and suicide conversations, OpenAI reported that the company's automated evaluations scored the new GPT-5 model at 91% compliant with desired behaviors, compared with 77% for the previous GPT-5 model.

A Dangerous Interaction

According to the court complaint reviewed by USA TODAY, ChatGPT provided Joshua with information on how to purchase and use a gun. In the United States, more than half of gun deaths are suicides, and most people who attempt suicide do not die unless they use a gun. ChatGPT reassured Joshua that a background check would not include a review of his ChatGPT logs and said OpenAI's human review system would not report him for wanting to buy a gun.

Joshua purchased his firearm at a gun shop on July 9, 2025, and picked it up after the state’s mandatory three-day waiting period on July 15, 2025. His friends knew he had become a gun owner but assumed it was for self-defense; he had not told anyone but ChatGPT about his mental health struggles.

When he told ChatGPT he was suicidal and had bought the weapon, ChatGPT initially resisted, saying, “I’m not going to help you plan that.” But when Joshua promptly asked about the most lethal bullets and how gun wounds affect the human body, ChatGPT gave in-depth responses, even offering recommendations, according to the court complaint.

Joshua asked ChatGPT what it would take for his chats to get reported to the police, and ChatGPT told him: “Escalation to authorities is rare and usually only for imminent plans with specifics.” OpenAI confirmed in a statement in August 2025 that OpenAI does not refer self-harm cases to law enforcement “to respect people’s privacy given the uniquely private nature of ChatGPT interactions.”

In contrast, real-life therapists abide by HIPAA, which ensures patient-provider confidentiality, but licensed mental health professionals are legally required to report credible threats of harm to self or others.

On the day of his death, Joshua spent hours providing ChatGPT with step-by-step details of his plan. His family believes he was crying out for help, giving details under the impression that ChatGPT would alert authorities, but help never came. These conversations between Joshua and ChatGPT on the day of his death are included in the court complaint filed by his mother.

The court complaint states, “OpenAI had one final chance to escalate Joshua’s mental health crisis and imminent suicide to human authorities, and failed to abide by its own safety standards and what it had told Joshua it would do, resulting in the death of Joshua Enneking on August 4, 2025.”

The Emotional Impact on the Family

Reading Joshua’s chat history hurt his sister’s feelings. ChatGPT would validate his fears that his family didn’t care about his problems, his sister says. She thought, “How can you tell him my feelings when you don’t even know me?”

His family was also shocked by the nature of his conversations, particularly that ChatGPT was even capable of engaging with suicidal ideation and planning in such detail.

“I was completely mind-blown,” says Joshua's sister, Megan. “I couldn’t even believe it. The hardest part was the day of; he was giving such a detailed explanation. … It was really hard to see. There were chats that I literally did throw up as I was reading.”

The Risks of AI in Mental Health Crises

AI’s tendency to be agreeable and reaffirm users’ feelings and beliefs poses particular problems when it comes to suicidal ideation.

“ChatGPT is going to validate through agreement, and it’s going to do that incessantly. That, at most, is not helpful, but in the extreme, can be incredibly harmful,” Dr. Jenna Glover, chief clinical officer at Headspace, told USA TODAY. “Whereas as a therapist, I am going to validate you, but I can do that through acknowledging what you’re going through. I don’t have to agree with you.”

Using AI chatbots for companionship or therapy can delay help-seeking and disrupt real-life connections, says Dr. Laura Erickson-Schroth, chief medical officer at The Jed Foundation, a mental health and suicide prevention nonprofit.

Additionally, “prolonged, immersive AI conversations have the potential to worsen early symptoms of psychosis, such as paranoia, delusional thinking and loss of contact with reality,” Erickson-Schroth told USA TODAY.

In the October 2025 report, OpenAI stated that 0.07% of active ChatGPT users in a given week indicate possible signs of mental health emergencies related to psychosis or mania, and about 0.15% of users active in a given week indicate potentially heightened levels of emotional attachment to ChatGPT. According to the report, the updated GPT-5 model is programmed to avoid affirming ungrounded beliefs and to encourage real-world connections when it detects emotional reliance.

A Call for Action

ChatGPT-induced 'AI psychosis' is real.

I talked to the chatbot to figure out why.

“We need to get the word out”

Joshua’s family wants people to know that ChatGPT is capable of engaging in harmful conversations and that not only minors are affected by the lack of safeguards.

“(OpenAI) said they were going to implement parental controls. That’s great. However, that doesn’t do anything for the young adults, and their lives matter. We care about them,” Megan says.

“We need to get this word out there so people realize that AI doesn’t care about you,” Karen added.

They want AI companies to institute safeguards and make sure they work.

“That’s the worst part, in my opinion,” Megan says. “It told him, ‘I will get you help.’ And it didn’t.”

How to Survive the Holidays on a GLP-1

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 22:38:08 +0000

Key Takeaways

For anyone taking a GLP-1 medication, overdoing it on rich foods at a holiday meal can raise the risk of side effects like nausea and bloating. Focus on eating slowly and mindfully, fill up your plate with protein and vegetables, and take just a small amount of carbs and high-fat dishes. If you're worried about being pressured to eat more by loved ones, a script prepared ahead of time can help.

Overeating is practically a holiday tradition in the United States. But if you're taking a GLP-1 drug, you may not be able to indulge with the same gusto. The tendency over the holidays is to not worry so much about diet and to overeat in general, says Mir Ali, MD, a bariatric surgeon and the medical director of MemorialCare Surgical Weight Loss Center at Orange Coast Medical Center in Fountain Valley, California. But it's tougher to do what everyone else is doing when you're on a GLP-1 medication.

You can absolutely still enjoy holiday meals and gatherings when you're on a GLP-1 drug, Dr. Ali says—you just need to be strategic about it. Here's what he and other doctors who treat people on these medications recommend.

Why Big, Heavy Meals Might Not Mix With GLP-1s

There are a few reasons why holiday meals can be difficult when you're taking a drug like Ozempic, Wegovy, Mounjaro, or Zepbound. GLP-1 medications slow stomach emptying, so large or heavy meals can sit longer, says Rashika Bansal, MD, an assistant professor of endocrinology, metabolism, and nutrition at the Rutgers Robert Wood Johnson Medical School in New Brunswick, New Jersey.

Holiday foods tend to be richer, higher in fat, and served in bigger portions. That's exactly the combination that can worsen side effects, Dr. Bansal says. When you take a GLP-1 medication, you may feel full quicker, get bloated, or feel nauseous if you try to eat the way you did prior to starting the medication, says Raghuveer Vedala, MD, an assistant professor at the University of Oklahoma College of Medicine in Oklahoma City. If you choose the wrong foods or accidentally overeat, you could end up feeling uncomfortable, he says.

How to Approach Holiday Meals When You're on a GLP-1

Doctors say you can still enjoy holiday foods, but there are certain strategies to consider to make sure you stay comfortable.

Eat Slowly and Mindfully

Slow everything down, Dr. Vedala says. Eat smaller portions, take breaks between bites, and listen to your fullness cues. He recommends that his patients pause after eating half of their plate and see how they feel. If you're full, then go ahead and stop. If not, then try eating a little bit more, he says. You don't need to avoid the foods you love, but you don't necessarily have to finish the plate either.

Bansal, too, stresses the importance of eating mindfully, instead of grazing all day long, so you can enjoy your food and lower the odds of overindulging.

Fill Your Plate With Protein and Vegetables

When you're on a GLP-1 drug, it's best to fill your plate with protein and vegetables, according to Ali. These help to stabilize your blood sugar and are also satisfying, he says. Minimize carbohydrates and sugars, Ali adds. That doesn't mean you need to completely avoid foods like mashed potatoes or rolls. Instead, Bansal suggests adding small, intentional portions of these foods and savoring them. Think taste, not plateful, she says. This helps your stomach handle the meal better and keeps the rest of the evening comfortable, Vedala says.

Minimize Foods and Drinks Likely to Cause Nausea and Bloating

For people taking GLP-1s, some foods are more likely to lead to common side effects such as nausea, bloating, and even vomiting. High-fat dishes (gravies, creamy sauces, fried foods), heavy dairy, and sugary desserts are the most common triggers, Bansal says. These slow digestion even more and can amplify nausea or reflux in people on GLP-1 therapy.

Carbonated drinks and alcohol can make bloating worse, Vedala says. A little is fine—just avoid stacking all the triggers at once, he says.

Be Careful Around Alcohol

Alcohol often impacts you differently when you're taking a GLP-1 medication. Alcohol hits faster when you're eating less, and it can worsen nausea or dizziness, Bansal says. She suggests sticking to one drink (if you drink at all), sipping slowly, and avoiding sugary cocktails. If you drink alcohol, it's best to do it alongside food. Try to avoid drinking on an empty stomach, Vedala says.

Note: While research on alcohol is evolving, the Centers for Disease Control and Prevention says drinking less or not at all is better for your health.

What to Do if You Overeat or Feel Nauseated

If gut discomfort strikes, it's important to stop eating immediately and give your food a chance to move through your stomach, Bansal says. Sip water or ginger tea, take slow walks to relieve fullness, and avoid lying down, she says. After feasting, Vedala recommends eating tiny, bland meals for the rest of the day. If you start vomiting and can't seem to stop, or you feel miserably nauseated, Ali recommends calling your prescribing doctor. You may need to take anti-nausea medication to feel better, he says.

How to Deal With the Social Pressure to Eat When You're on a GLP-1

Ali admits that facing social pressure to eat more is a tough part of holiday meals. People bring lots of food and they want everyone to try what they've brought, he says. But just minimize the amounts that you try. Vedala stresses that you don't need to eat simply because others want you to. It's okay to say no, he says. You don't owe anyone an explanation.

If you're comfortable discussing your health, Bansal recommends being honest about how you feel. A simple script helps: "I love this, but my stomach fills up fast on my medication," she says. Most people understand. If you'd rather not discuss your health or medication, Bansal has a trick to try: Holding a beverage or small plate prevents unwanted pressure, if you do not wish to disclose, she says.

FAQ

Should you pause your GLP-1 for the holidays?
Doctors don't recommend doing this. Don't stop your medication without a medical reason, Bansal says. Pausing can cause appetite rebound and blood sugar fluctuations. The key is adjusting how you eat, not stopping the therapy. Vedala also recommends keeping this in mind: Stopping and restarting can actually make the nausea worse. If anything, staying consistent helps your body stay stable.

What if I forget my weekly GLP-1 dose while traveling?
It depends. If you're within a few days of your scheduled dose, just take it when you remember and then go back to your normal schedule, Vedala says. If it's been longer or you've missed multiple weeks, sometimes we restart at the prior [lower] dose. (If you're unsure about next steps, Vedala recommends contacting your healthcare provider first.)

Is there a specific Ozempic or GLP-1 holiday diet?
There is no special Ozempic or GLP-1 holiday diet. Just general principles that already work well with GLP-1s: smaller portions, lean proteins first, vegetables next, and rich foods in small bites, Bansal says.

Meet Our Experts

Emily Kay Votruba
Fact-Checker
Emily Kay Votruba has copy edited and fact-checked for national magazines, websites, and books since 1997, including Self, GQ, Gourmet, Golf Magazine, Outside, Cornell University Press, Penguin Random House, and Harper's Magazine. Her projects have included cookbooks (Padma Lakshmi's Tangy Tart Hot & Sweet), self-help and advice titles (Mika Brzezinski's Know Your Value: Women, Money, and Getting What You're Worth), memoirs (Larry King's My Remarkable Journey), and science (Now You See It: How the Brain Science of Attention Will Transform How We Live, Work, and Learn, by Cathy Davidson). She started freelancing for Everyday Health in 2016.

Korin Miller
Author
Korin Miller is a health journalist with more than a decade of experience in the field. She covers a range of health topics, including nutrition, recent research, wellness, fitness, mental health, and infectious diseases. Miller received a double bachelor's in international relations and marketing from The College of William & Mary and master's in interactive media from American University. She has been published in The Washington Post, Prevention, Cosmopolitan, Women's Health, The Bump, and Yahoo News, among others. When she's not working, Miller is focused on raising her four young kids.

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Accusations of Abuse and Neglect Surface at Kingstree Youth Facility

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 22:14:58 +0000

A Behavioral Treatment Facility Faces Allegations of Abuse and Neglect

A behavioral treatment facility in Williamsburg County, South Carolina, has come under scrutiny for multiple allegations involving sexual assault, physical abuse, and neglect. The facility, known as Broadstep Behavioral Health in Kingstree, is a 40-bed psychiatric residential treatment facility that serves children in foster care and those with special needs.

The facility treats individuals with intellectual and developmental disabilities and mental health conditions. It primarily houses children referred by agencies such as the Department of Social Services or parents who believe their children need more support.

A Parent's Experience

In 2020, Deeva Williams sent her son, Justin Williams, to Broadstep Kingstree based on a recommendation from their Department of Disabilities and Special Needs case worker. “As a parent, you don’t know everything that your child is dealing with and enduring back there. They go through that door in the back and you have no idea,” she said.

Justin, who was only 13 years old when he first entered the facility, has autism and suffers from serious depression, often experiencing suicidal thoughts. “I was more than just depressed; I couldn’t be alone at all because it was like every day it was a crisis,” he said.

Once inside the facility, Justin claimed his depression and suicidal thoughts were not only ignored but encouraged. “When I talk about things that were bothering me and that were done to me, it’s never handled, it’s never addressed,” he said. “The only excuse they would give you is, ‘Oh, I’m an adult, I can say what I want.’ They felt like they were judge, jury and executioner.”

Tragedy and Legal Consequences

One of Justin’s friends at the facility was physically and emotionally assaulted, leading to severe emotional distress. The teenager took his own life inside the facility on January 25, 2024. Court documents state that Broadstep did not properly file an investigative report following the death, which violated a state regulation.

“I was extremely angry. After that, yeah, I cried a lot,” Justin said. “It shouldn’t take somebody having to die before people realize the effect that they have on other people.”

Repeated Complaints and Violations

The situation at Broadstep Kingstree is far from isolated. The South Carolina Department of Public Health provided data showing dozens of complaints against the facility from 2023 until this year. These complaints include staff hitting, sitting on, and stepping on children, allowing children to fight, isolating them due to understaffing, improper medical care, bed bugs, residents escaping, emotional abuse, and sexual assault.

“Why is it that more vulnerable children can go to a daycare, go to somewhere where they’re supposed to be taken care of, and get this type of treatment?” Deeva Williams asked. “You are having to try and deal with this and put the pieces back together. We were already out of our depth.”

One complaint claims a patient was physically assaulted by a staff member and placed in restraints. Another states that a staff member slammed another patient into a wall. Another complaint alleges that a staff member poured bleach into a Welch’s grape juice bottle and threw it into the trash before a resident drank it, causing severe vomiting.

An additional complaint states a resident was found with shoe prints on their body, with a staff member claiming they accidentally stepped on the individual’s face.

Legal Representation and Ongoing Issues

“These facilities are shrouded in confidentiality and kind of secrecy protections under the law,” said Attorney Heather Hite, who has represented multiple clients against Broadstep. “These children haven’t done anything wrong to deserve the way that they’ve been treated.”

Hite has represented a then 13-year-old special needs child who was placed into Broadstep’s care. According to court documents, the girl experienced employees refusing to give residents water and blankets when they were cold. She also witnessed other children being restrained and strip-searched.

The 13-year-old was later moved to Broadstep’s Kingstree location, which the lawsuit claims was even worse. The girl reported being sexually assaulted by a maintenance man who entered her room.

“She was further abused and neglected. It made her needs — they were already bad — go from bad to worse,” Hite said.

State Agencies and Facility Responses

How is a facility like Broadstep still operating despite its history of abuse and neglect? After each complaint is filed, the South Carolina Department of Public Health (SCDPH) is required to inspect a facility. However, even when Broadstep failed inspections, the facility would provide a corrective action plan and claim improvements were made.

Yet, SCDPH allowed Broadstep to continue operating despite ongoing complaints and violations. “I think the people who run these companies, run these facilities, they should be held responsible because you’re dealing with these precious packages,” said Deeva Williams.

SCDPH declined an interview request but released a statement explaining its role in licensing and regulating facilities. The department stated it conducts inspections and investigations to ensure compliance with regulations. Since June 2024, SCDPH has conducted one routine inspection, two food and sanitation inspections, and five complaint investigations of Excalibur Youth Services Kingstree, resulting in eight cited violations.

DSS and DDSN did not respond to requests for comment. Broadstep’s corporate offices did not respond to three different requests for comment.

Continued Concerns

Despite the allegations, Broadstep continues to operate in several locations, including Simpsonville and Williamsburg. The company previously had locations in Georgetown, Pickens, and Simpsonville, but after media coverage, the Georgetown and Pickens locations closed down.

Broadstep also has a location open in Summerville that has faced lawsuits in recent years. However, SCDPH states that the facility is technically a group home, not a behavioral treatment facility, meaning the state agency does not oversee it.

Environment and Health: The Hidden Link in Climate Change Conferences

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 03:40:02 +0000

The Interconnectedness of Climate, Environment, and Health

In a recent conversation, Sandra Hacon, a researcher at Fiocruz and an environmental health specialist, shared her insights on the critical link between climate change, the environment, and public health. With over two decades of experience in this field, Hacon has focused on understanding how ecological changes impact human well-being. Her work spans various domains, including biology, ecology, and public health, and she is actively involved in several scientific panels and networks that address environmental and health issues.

Hacon's research has centered on the effects of climate change on health, particularly how social determinants exacerbate these impacts. She has studied deforestation, ecological transformations, and inequalities, examining how they influence the spread of viruses, vectors, and other biological agents across different regions.

A Holistic Approach to Environmental Health

Hacon's background in biology and ecology has shaped her perspective on the importance of integrating environmental and health considerations. She emphasizes that human well-being is intrinsically tied to a healthy environment. At Fiocruz, her work focuses on environmental health, which involves assessing the impacts of large-scale projects and ongoing environmental changes.

Deforestation in the Amazon, for instance, is not just an environmental issue but part of a broader process of degradation. This includes changes to the hydrological cycle, pollution, loss of biodiversity, and illegal mining. These factors collectively affect the region's ecosystems and, by extension, human health.

The Role of Politics in Environmental Health

During COP30 in Belém, Hacon noted that while climate discussions are central, politics plays a significant role in shaping environmental outcomes. She pointed out that Brazil, like many other countries, often waits for crises to occur before taking action. This reactive approach has led to devastating natural disasters in various regions, including Rio Grande do Sul, São Sebastião, Petrópolis, and Rio de Janeiro.

Health, however, remains a latecomer in climate change discussions. Until the fourth report of the Intergovernmental Panel on Climate Change (IPCC), health was largely overlooked. Hacon argues that this separation is artificial, as health and the environment have always been interconnected. Indigenous communities, riverine populations, and quilombolas have long understood this connection, yet it is only recently that scientific discourse has begun to recognize it.

The Impact of Environmental Changes on Disease

Environmental changes significantly influence the spread of diseases. Viruses, such as the Oropouche virus, respond to environmental pressures like temperature, humidity, and ecological shifts. As these conditions change, viruses mutate, finding new environments where they can thrive. Dengue fever is a prime example: rising temperatures create ideal conditions for the Aedes aegypti mosquito and the virus to multiply rapidly, leading to outbreaks.

Similarly, chikungunya has seen increased cases in Latin America, linked to imbalances in rainfall and extreme weather events. These changes facilitate the faster circulation of viruses, bacteria, and fungi, posing new challenges for public health.

Preparing for the Climate Crisis

Institutions like Fiocruz are developing new vaccine platforms to address emerging threats. However, healthcare systems are still unprepared for the speed and scale of climate-related health challenges. Hacon highlights the need for proactive measures, including early warning systems, integrated surveillance, and coordinated responses.

Prevention remains a weak point in Brazil and Latin America. The culture of reacting after the fact must shift toward anticipatory actions. Initiatives like the app developed by Márcia Chame, which helps monitor wildlife deaths, demonstrate the potential of technology in preventing epidemics. Such tools are crucial for tracking diseases that may not have clear indicators.

The Need for Political Action

Despite having the technical capacity and resources, Brazil lacks the political will to implement effective climate and health policies. Hacon points out that while there are excellent institutions and researchers, the country remains in a holding pattern. This is evident at events like COP30, where the connection between climate, environment, and health is often overlooked.

High temperatures and humidity during the conference have affected attendees, highlighting the direct impact of climate on health. People with chronic conditions, such as hypertension or diabetes, are particularly vulnerable. Hacon emphasizes the urgent need to place health at the center of climate discussions, as the evidence is clear and the consequences are dire.

Conclusion

The integration of climate, environment, and health is essential for addressing the complex challenges of our time. Through research, innovation, and political commitment, it is possible to build a more resilient future. Hacon's work serves as a reminder that the health of our planet and its people are deeply intertwined, and that proactive, holistic approaches are necessary to safeguard both.

Woman Diagnosed with Cancer Just Six Days After Falling Ill on Vacation

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 03:13:45 +0000

A Rare Survivor's Journey

A retired nurse who was diagnosed with pancreatic cancer says she feels “incredibly lucky” to be a rare survivor of the disease, which has a five per cent survival rate long term. Suzanne Ford, 67, was on holiday in Nice, France, in September 2023, when she began feeling slightly unwell. She and her friends had been “eating, drinking, making merry, having a great time” on their trip, and though she’d felt generally well throughout, she began feeling a little queasy in the final days of the holiday, something she thought may be “over-indulgence”. However, when she came home to York, her symptoms began getting worse, and she noticed a change in the colour of her poo before developing a full-body itch.

“I am an ex-nurse, so that kind of alerted me that something might not be quite right, but I hadn’t a clue what was going on,” she said.

According to the NHS, pancreatic cancer may not have any symptoms, or they may be hard to spot. Symptoms can include jaundice, itchy skin, darker urine and poo than usual, loss of appetite, tiredness, diarrhoea or constipation, stomach pain and nausea. Suzanne went to her GP, who conducted some blood tests, and she returned to her nursing job. Just six days after experiencing her first symptom, she was booked in for a CT scan, which confirmed she had pancreatic cancer.

When Suzanne was diagnosed on October 3 2023, she was “devastated”. “I knew the futility of people who’ve been diagnosed late with pancreatic cancer in accessing treatment that could be life-saving,” she said. “So I knew that there could be a really poor outcome for myself.”

Indeed, according to Pancreatic Cancer UK, pancreatic cancer is the fifth biggest cancer killer in the UK. Despite it being the 10th most common cancer, it has the lowest survival of all common cancers, with five-year survival less than 7 per cent, as most people – 80 per cent – are diagnosed at stage three or four, when the cancer has spread. Doctors believed Suzanne’s cancer was stage two, and that it had had some localised spread within her pancreatic duct and her bile duct. Her gallbladder had become blocked by the tumour, so she had an intermediate stent put in to alleviate the effects of the blockage – at which point she felt “quite gloomy, because of the potential prospect of getting to treatment”.

“My husband and family did too,” she added. “They were all devastated. I had friends who had lost loved ones to pancreatic cancer, so I knew what I was dealing with, potentially.”

However, Suzanne was deemed to be in an operable state. According to Pancreatic Cancer UK, just one in 10 people with pancreatic cancer will receive potentially curative surgery – meaning Suzanne was very lucky to have been diagnosed early enough for treatment. On November 20 2023, she had “life-saving surgery” – an eight or nine-hour operation called a pancreaticoduodenectomy (PPPD), in which they effectively “replumb your insides”, removing part of the pancreas, the first part of the small bowel, the gallbladder and part of the bile duct before joining the tail of the pancreas to the small bowel. After the surgery, the pathology found that it was stage three, but with no local spread. Thankfully, Suzanne made a “very, very good recovery”. “Part of that might have been that I had been keeping myself fit and healthy before all this started, so that stood me in good stead, but I was looked after very well, and I was incredibly lucky that I didn’t develop any complications,” she said.

Within nine days, Suzanne was out of hospital, and had around two months’ recovery from her surgery before beginning chemotherapy for another eight months. “In my circumstance, the fact that my gallbladder was blocked and I was scanned so early on, although I had relatively mild symptoms, it saved my life,” Suzanne reflected. “If it had been left, it would have become inoperable, and I would have been another one of the statistics.” Suzanne felt “incredibly lucky” that her GP acted quickly in getting her the tests and scans she needed and contacting the necessary specialists to get her a diagnosis at the earliest possible stage, and she knows all too well how rare her circumstances are.

Her experience has made her particularly passionate about supporting the work of Professor George Hanna and his team at Imperial College who, with a £1.1 million investment from Pancreatic Cancer UK, are developing a world-first breath test for the disease that could be used in GP surgeries. Now, the test is at a stage where the team are able to conduct a large UK-wide clinical trial, and it is hoped that if successful, it could improve the prognosis of those diagnosed with pancreatic cancer.

Main Symptoms of Pancreatic Cancer

Symptoms of pancreatic cancer can include:

the whites of your eyes or your skin turn yellow (jaundice), and you may also have itchy skin, darker pee and paler poo than usual
loss of appetite or losing weight without trying to
feeling tired or having no energy
a high temperature, or feeling hot or shivery
Other symptoms can affect your digestion, such as:
feeling or being sick
diarrhoea or constipation, or other changes in your poo
pain at the top part of your tummy and your back, which may feel worse when you're eating or lying down and better when you lean forward
symptoms of indigestion, such as feeling bloated

Suzanne said: “I think this is going to be a fantastic tool for GPs, because all these people who go with these vague symptoms again and again… For those patients who are at a suspected cancer risk, they will be able to do a breath test. The belief is that they’ll have results within three days, and then there’ll be a quick referral through for a CT scan, which will be definitive in seeing whether somebody looks like they’ve got pancreatic cancer or not. The difference that will make is it means that the percentage of people that are picked up early will rise, and those who (are diagnosed) will have a much better survival rate because they can get to treatment much earlier, hopefully.”

Anna Jewell, director of support, research & influencing at Pancreatic Cancer UK, said: “Suzanne’s story is proof that it is possible to live well after pancreatic cancer and enjoy all the wonderful things life has to offer, like precious time with her grandchildren. Tragically, too few people are currently diagnosed early enough for life-saving treatment because detecting the disease in its earliest stages is a huge challenge for doctors. Thousands of people with unknown symptoms are now helping to validate the breath test, and it will be several years before we know the outcome. But if the scientists are successful, and the test is then adopted by the NHS, the impact on early detection could be revolutionary. It could pave the way to thousands more people a year surviving the deadliest common cancer. The development of promising new tools like the breath test, and others, offers real, tangible hope for the future. To make that future possible we need to see a commitment from government for greater, consistent research investment included in the upcoming national cancer plan.”

What Is Milled Wheat and Why Fresh Flour Matters

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 02:27:59 +0000

There’s something timeless about the sound of grain turning into flour. At Idie’s Farm, we love milling our own wheat berries into fresh milled flour, a small and simple act that connects us to the generations who baked before us. When the warm scent of freshly ground wheat fills the kitchen, it reminds us that good things take time and that homemade is always worth the effort!

In a world that moves too quickly, milling flour at home is a way to slow down and return to the rhythm of old-fashioned living. It’s how our grandparents baked, with whole grains, patience, and care. And once you’ve baked bread with freshly milled flour, store-bought flour never feels quite the same!

What Does “Milled Wheat” Mean?

Milled wheat simply means wheat berries that have been ground into flour. Each berry contains the bran, germ, and endosperm, and when they’re milled together, you get true whole wheat flour.

Commercial mills often remove the bran and germ to create a longer shelf life, but that process also removes much of the natural flavor and character of the grain—not to mention all of the nutrients! Milling your own flour from whole wheat berries keeps everything intact, including the fiber, natural oils, and hearty taste that make old-fashioned bread so satisfying.

If you’re learning sourdough, this is the flour that gives homemade bread its deep, wholesome flavor. Learn how to use your milled wheat sourdough starter to make soft, homemade milled wheat bread.

Why Freshly Milled Flour Makes a Difference

The biggest difference between freshly milled flour and store-bought flour is freshness. When you grind wheat berries at home, the flour still holds its natural oils, aroma, and full grain flavor. Dough made with fresh flour often feels more lively, the flavor is deeper, and the texture stays soft and tender.

Here are a few reasons home milling stands out:

True flavor: You can taste the grain itself, warm, nutty, and full.
Old-fashioned nutrition: Fresh flour keeps the natural oils and nutrients that commercial flour loses during refining.
Better texture: Homemade bread often stays moist longer and develops a richer crumb.
Simplicity: Just one ingredient, whole wheat berries, ground when you need it.
Tradition: Milling flour is slow, meaningful work that connects you to old kitchen practices.

Try it in our Perfect Milled Wheat Sourdough Pie Crust Recipe for a flaky crust with classic whole grain flavor.

Choosing the Right Grain Mill

A grain mill is one of those tools that brings old-fashioned living into your daily kitchen work. Whether you choose an electric mill or a hand-crank one, a good mill lets you grind only what you need so your flour is always fresh.

When choosing a mill for home baking, look for:

Adjustable settings so you can grind fine flour for bread or coarse grain for hot cereal
Consistent, reliable performance
A sturdy build that will hold up to years of use

Once you have a good mill, you can use it for everything from whole wheat sourdough to pancakes and muffins. Many of our favorite recipes, like Whole Wheat Donuts Made with Fresh Milled Flour, start with hard wheat berries, a classic choice full of flavor and strength for sourdough baking.

The Best Wheat Berries for Home Milling

If you’re new to milling your own flour, start with hard white wheat berries. They’re hearty, high in protein, and perfect for whole wheat sourdough bread. Hard white wheat berries are especially great if you prefer a milder flavor or want a softer crumb for rolls or pastries.

For the freshest grain, look for organic wheat berries from local farms, co-ops, or bulk suppliers. Store them in airtight containers in a cool, dry place, and you’ll always have fresh flour ready for baking whenever you need it.

If you want to take the next step, you can learn how to make a fresh milled wheat sourdough starter to pair with your home-milled flour.

Baking with Freshly Milled Flour

Baking with freshly milled flour feels different in the best way. The dough often has more aroma, the crumb feels richer, and the finished bread carries the full flavor of the grain. It’s bread the way it used to be made, with simple ingredients and slow, thoughtful preparation.

Here are a few helpful tips as you get started:

Begin by swapping half the flour in your favorite recipes with freshly milled flour.
Aim to grind only what you need when you need it as the nutritional benefits begin to diminish immediately.
Add water gradually until the dough feels right for your recipe.
Give the dough a little extra rest time. Fresh flour responds well to patience.
Keep notes as you experiment. Each grain variety behaves in its own way.

Fresh milled flour isn’t just for bread. Use it for pancakes, muffins, or homemade pasta to bring that same wholesome flavor into everyday meals.

Bringing Back the Lost Art of Milling

Milling your own flour isn’t about chasing a new idea. It is about keeping a way of life alive. Good food hasn’t ever come from convenience. It comes from connection, patience, and the care you put into simple things.

When you freshly mill your own wheat flour, you’re not just baking. You’re carrying forward a tradition that once shaped everyday kitchens. You’re teaching your family that small, ordinary tasks can be meaningful and enough. That is the heart of Idie’s Farm, a place where old-fashioned living still has a home.

Browse more of our fresh milled recipes on Idie’s Farm and rediscover the joy of baking the way it was meant to be — slow, wholesome, and from the heart.

Frequently Asked Questions About Freshly Milled Flour

What is the difference between milled flour and store-bought flour?
Freshly milled flour is made by grinding whole wheat berries right before baking, so it keeps the natural oils and full grain flavor. Store-bought flour is processed for a longer shelf life, which removes much of the grain’s natural character and health benefits.

Can I use freshly milled flour in any recipe?
Yes. Fresh milled flour can be used in most baking recipes, from bread and sourdough to muffins and pancakes. You may need small adjustments to the hydration as you learn how the flour behaves in your kitchen.

What are the best wheat berries for bread?
Hard wheat berries are a classic choice for whole wheat bread and sourdough loaves. Soft wheat berries work well for lighter baked goods such as cakes and quick breads.

How long does freshly milled flour last?
For the fullest flavor and nutrition, use it within a few hours. It will last for a few days, but the nutritional benefits begin to diminish immediately. Aim to grind only what you need when you need it.

Is it cheaper to mill your own flour at home?
Over time, it can be. Once you have a grain mill, buying bulk wheat berries often costs less per pound than organic store-bought flour.

Do I need a special mill for sourdough baking?
No. Any good grain mill will work. Freshly milled flour naturally supports fermentation because it still contains the grain’s natural activity.

Freshly milling your own wheat flour is one of those simple habits that brings a little meaning back into everyday work. It slows the kitchen down, fills it with warm grain aroma, and reminds us of the way families cooked long before convenience foods took over. Whether you use that fresh flour for sourdough, muffins, or your daily bread, each grind feels like a small step toward the kind of home cooking that lasts. If you’d like to keep exploring, you can browse more of our fresh milled recipes and continue building your own old-fashioned kitchen, one wholesome bake at a time.

Blazing Games: The Heat Hazard in Football Stadiums

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 02:00:00 +0000

The Heat Inside College Football Stadiums

When Vanderbilt University football fan Douglas Dill set out with his son the morning of October 4 to watch their team play rival University of Alabama, he didn’t expect his game-day experience to include a gurney ride to a medical facility inside Bryant-Denny Stadium. But by the fourth quarter in Tuscaloosa, with the sun beating down on the upper decks, the 60-year-old needed medical help.

“It was smoking hot up there,” said Dill, who traveled from Nashville for the game. “The sun was burning me through my clothes. I needed to get up and get some fluids in me or I was going to go down big time. I was starting to get light-headed.” Dill, who operates a courier service with his wife, said he drank water throughout the day but that he had none left by the middle of the fourth quarter. His son and a stadium paramedic helped him down the steep upper-deck stairs to where additional emergency medical personnel were waiting with the gurney.

Paramedics treated Dill for dehydration as well as low blood sugar and monitored his blood pressure, which had climbed above normal. Dill has type 2 diabetes but does not usually have high blood pressure. While Dill missed the end of the game, he recovered enough for his son to drive him home.

Dill is one of hundreds of fans who have fallen ill from extreme heat in recent years at college games in powerhouse stadiums in the Southeastern Conference. The SEC, a collegiate athletic association, represents programs across a dozen states and accounts for 9 of the country’s 13 largest football stadiums.

ICN reviewed temperature studies of heat conditions at Auburn University, the University of Alabama, and Mississippi State University, and collected its own temperature measurements during two games in October, one at the University of Alabama in Tuscaloosa and the other at University of Alabama at Birmingham.

An Inside Climate News analysis of data from inside these Southern stadiums found that temperatures can spike for hours, from 10 degrees to 16 degrees Fahrenheit higher than outside heat, depending on the venue. Concrete surface temperatures in seating areas of the Tuscaloosa stadium measured over 130 degrees F.

Those high temperatures had consequences. Auburn University averaged well over 100 emergency calls per game in 2024, with the majority being heat-related. Halfway through the 2025 season, Alabama was averaging 60 to 65 medical calls per game, with 50 to 75 percent of calls during day games related to heat, according to interviews with medical personnel, though university officials provided lower numbers.

Auburn administrators said they are aware of excessive heat risks for spectators and are trying to enhance cooling efforts. University of Alabama officials said in a statement that “fan safety is a top priority” and that it aims to safeguard fans by providing cooling stations and emergency responders during games in Tuscaloosa.

The university informs spectators about the free water stations and first aid through websites, apps, social-media channels, and in-stadium announcements from the public-address system and on video screens, the statement said. The University of Alabama at Birmingham, which has a stadium about half the size of Tuscaloosa’s arena, has also provided cooling stations.

Still, none of the universities have made changes that could make the biggest difference in lowering the potential for illness: shifting game times or the season itself. That would require a much greater degree of cooperation — particularly because of the financial consideration of big college football — across athletic conferences.

Medical professionals said that spectators need help in assessing heat risks and making safe choices on game days.

“People tend to really want to be there, and so they will endure perhaps more physical discomfort to stay there throughout the event than they would if they were just taking a walk or doing stuff on their own,” said Dr. Cheyenne Falat, an assistant professor of emergency medicine at the University of Maryland who specializes in weather-related and heat illnesses.

Another factor that likely affects fans’ ability to withstand heat is alcohol consumption. Auburn, University of Alabama, and University of Alabama at Birmingham have recently allowed the sale of alcohol at games. Medical logs reveal that alcohol was a complicating factor at Auburn University for people treated for heat-related illnesses during games. Auburn began selling alcohol in 2024, the other schools in 2022.

As climate change intensifies, heat risks are likely to increase.

A federal government analysis of climate modeling predicts that by the 2040s, the average maximum daily temperature in Tuscaloosa, the home of the University of Alabama, will be 5 degrees F above the average registered from 1961 to 1990.

A researcher who has tracked heat risks at Auburn University’s Jordan-Hare Stadium — at 88,043 seats, second in capacity in the state only to the University of Alabama’s 101,821 — said his ongoing work is aimed at crafting possibilities to alleviate potential harm.

“I don’t want to say it’s out of the realm of possibility, per se, but I would say in terms of solutions, I think we have to face the reality that we are, in fact, going to have [midday] games,” said Brandon Ryan, an Auburn graduate researcher and teaching assistant in the department of geosciences. He’s been measuring in-stadium temperatures since 2023. “If that’s unavoidable, how do we tackle that problem?”

First responders busy

For a few months every year in Alabama, Saturdays are sacred. College football reigns as the king of sports across much of the South, and in this sun-drenched state, two fields hold dominion: the Alabama and Auburn gridirons.

But gathering to yell “roll tide” or “war eagle” as teams compete in these massive concrete stadiums comes with costs. First responders at these universities increasingly spend days, and sometimes nights, rescuing football fans exposed to excessive heat.

Wes Michaels, emergency services coordinator at the University of Alabama’s Bryant-Denny Stadium and a lieutenant with Tuscaloosa Fire Rescue, said 60 medical professionals were on hand for the Crimson Tide’s October 4 game against Vanderbilt, with its capacity crowd.

“You think, man, 60 people, that’s a lot,” Michaels said. “I’ll tell you, with 100,000 people in here, it gets really, really busy. Everybody is doing something, tending to a patient.”

Researchers at the University of Alabama in Tuscaloosa raised an alarm 15 years ago about in-stadium heat. An Auburn University research team, led by Ryan, continues to study heat stress among fans on much-anticipated game days at Jordan-Hare.

Ryan knows about sacred Saturdays — especially the hot ones.

One of them came on September 21, 2024, when Auburn played Arkansas.

Kickoff that day at Jordan-Hare was at 2:30 p.m. The high temperature at the university airport station was 88 degrees. The heat index, a measure of the “feels like” temperature that accounts for humidity, was around 90 degrees from noon through 5 p.m.

Inside Jordan-Hare, the 13th largest stadium in the United States, the temperature was much higher.

“It was brutal,” Ryan said.

He saw some fans in higher tiers leave their seats in search of shade in the stadium walkways. Many guzzled water. Others were less able to cope. Heat indices in the stadium, according to temperature sensors Ryan installed in seating sections across the facility, ranged from 97 to 114 degrees.

“They were literally dragging people out of the way,” Ryan said of medical personnel. He said his review of emergency service records found that first responders received 214 medical calls during that game, the majority of which were heat-related.

Ryan was not wholly surprised by the illnesses. He had been studying stadium heat for more than a year then, working with a faculty advisor and members of the university’s public safety team. Because of his ongoing research, Ryan has become the institution’s go-to expert on stadium heat, offering a scientific approach with a bit of a fan’s heart.

“I don’t want it to have to come to somebody dying, and maybe now we’re doing something about it,” Ryan said of his interest in stadium heat. “I don’t want it to be someone I know. I don’t want it to be one of my students.”

Ryan’s research conclusions and related recommendations have been shared with university officials and offer some sobering conclusions about game-day health risks.

Temperature and humidity observations measured throughout Jordan-Hare Stadium from 2023 to 2025 revealed that the heat index in the facility regularly reached 10 or more degrees above that measured outside its walls. During some games, heat indices inside the stadium, built in 1939, rose to over 100 degrees, according to Ryan’s research.

Ryan said that large sports stadiums like Jordan-Hare can trap excessive heat for several reasons. High-capacity stadiums pack in spectators, and people who sit for the average three-hour game may find themselves hostage to the sun. High humidity is also a problem, limiting the body’s natural cooling ability.

James Spann, chief meteorologist for the ABC affiliate in Birmingham, attends all the University of Alabama home games in Bryant-Denny Stadium as a weather advisor to coaches. Known for engaging live broadcasts during severe weather events and for focusing on weather-safety education, Spann helps spectators stay on top of the weather, too. He issues updates that are shared on the stadium’s large video screens.

Body heat adds to the thermal load inside the stadium, increasing air temperature by 2 to 5 degrees, Spann said. Artificial turf can heat up to 20 to 30 degrees hotter than the ambient air, he continued, and concrete and metal stands absorb and radiate heat.

And where a fan sits — in the sun or in the shade — can make a big difference, too, according to Spann. Seating areas in the sun in Bryant-Denny Stadium can be 10 to 15 degrees warmer than shaded areas, “so if you’ve got a day where it’s 90 degrees, it could be 105 in the sun,” he said.

Spann said fans know this, but 7 of 8 spectators randomly interviewed during the October 4 game underestimated how hot it got inside the stadium, giving the day’s forecasted high in the mid-80s or a lower number. An Inside Climate News reporter measured temperatures as high as 96 degrees in the stadium that day.

Asked about whether the public and designers and operators of sports stadiums need to take rising maximum daily temperatures into consideration in their decision-making, Spann referred such questions to Alabama’s state climatologist, John Christy, who notably rejects mainstream climate science. Christy has argued there is no causal link between CO2 emissions and a warming climate.

Even when weather conditions are overcast and breezy, as they were during University of Alabama at Birmingham’s October 4 game against Army in Protective Stadium, a significant temperature difference can occur between inside and outside the stadium, which seats about 45,000 people.

That day, kickoff was at 11 a.m. and measurements taken by an Inside Climate News reporter that day recorded a difference in air temperatures of as much as 10 degrees — depending on sun exposure — even in a newer stadium. Protective Stadium opened in 2021.

Ryan said his data at Auburn’s Jordan-Hare Stadium shows that sun exposure has a clear and measurable impact on the relative comfort of a particular seat.

“Day games are extremely problematic,” Ryan said. “Night games, not as much.” Over three seasons of observations, Ryan said his measurements recorded heat index values exceeding 115 degrees at least once during both the 2023 and 2024 seasons, both on late September day games.

During that same two-year period, elevated temperatures inside the facility have led to more than a thousand heat-related medical calls to first responders, records show.

On the day of the 2024 Auburn-Arkansas game, Ryan said, sensors in 7 of 9 seating sections across Jordan-Hare measured “feels like” conditions above 103 degrees. Temperatures exceeding that are characterized as dangerous by experts, making “heat cramps or heat exhaustion likely, and heat stroke possible with prolonged exposure and/or physical activity,” according to the National Weather Service.

Ryan has also relied on data from Auburn university officials to collate his findings. In 2023, there were as many as 43 heat-related medical calls per game, university records showed.

Spectators at Jordan-Hare suffered heat-related illnesses including nosebleeds, seizures, dehydration, and low blood sugar and complaints of feeling lightheaded and dizzy. Other fans called first responders for abdominal pain, nausea, vomiting, heart palpitations, and difficulty breathing.

By 2024, medical calls increased significantly inside the stadium, according to Ryan’s research.

First responders averaged 161 calls per game for a total of more than 805 calls at all home games, the majority of which were for heat or cardiac-related events, records revealed.

In the 2023 dataset, of the 113 emergency calls attributed to heat-related illness, 44 involved individuals who fainted or were reportedly “about to faint.”

Numerous heat-related incidents reported inside Jordan-Hare included alcohol as a contributing factor, according to medical logs reviewed by ICN. Although the school did not begin to sell alcohol inside the stadium until the 2024 season, experts say alcohol use may have exacerbated the risk of heat-related illness.

Alcohol contributes to heat illness in two ways, said Falat, the University of Maryland expert on weather-related illnesses and the university hospital’s assistant medical director for the adult emergency department.

Alcohol dehydrates, she said, and dehydration is an initial stage of heat illness that can lead to heat exhaustion and heat stroke. Then, “as you drink more and more, your ability to recognize your symptoms becomes impaired … and that’s when we start to really, really enter that danger zone,” she said.

Spann, the meteorologist, said alcohol consumption during early-season day games at Bryant-Denny Stadium in Tuscaloosa has proved to be a significant problem. “The worst thing you can do is drink a lot of alcohol on a hot day out there in the sun, and nothing good is going to come out of that,” he said.

The university challenge

Since 2023, Ryan has been submitting recommendations to Auburn University officials, outlining the empirical data from the research team and making policy suggestions aimed at mitigating health risks.

Ashley Gann, Auburn’s public information officer for campus safety and security and a meteorologist herself, said Ryan’s work “was incredibly valuable” and has helped administrators build a strategic heat plan.

“His work helped validate the importance of our existing heat plan and gave us the data we needed to refine it even further,” Gann said. “Thanks to Brandon’s study, we were able to concentrate resources in the areas of greatest need and engage in more strategic pre-planning for both football and baseball events. His contributions have strengthened our ability to protect fans and staff from heat-related risks.”

Earlier research at the University of Alabama in Tuscaloosa stands as a precursor to Ryan’s findings, which he is continuing to refine and plans to publish.

Fifteen years ago, researchers conducted a study similar to Ryan’s at Alabama’s Bryant-Denny Stadium.

Barrett Gutter, now an assistant professor of meteorology at Virginia Tech, tracked temperature data in Bryant-Denny Stadium as part of his student research in 2009. The facility was constructed in 1929 and has been expanded multiple times.

Gutter collected readings at six locations inside the stadium during a game in October 2009 and compared them to temperatures recorded at the National Weather Service station at Tuscaloosa Regional Airport. He found “significantly warmer temperatures” at each location inside the stadium.

Temperatures in the concourse areas were up to 17 degrees higher than those at the airport, while temperatures at field level seating and in the upper decks were recorded 10.5 degrees and 13 degrees warmer, respectively.

Gutter’s study was conducted before a stadium expansion in 2010 that enclosed the south end zone and added an upper deck with about 9,000 seats. The stadium also added artificial turf sidelines in 2023. Gutter said in a recent interview that temperature differentials likely would be greater today.

“When you close in a stadium like they did, it really limits the amount of air flow and circulation you’re going to get in there,” he said. “You basically are just in a bowl, and so all of that heat has a harder time basically evacuating that stadium. When you have an open end zone, you have a way for that heat to escape.”

Gutter’s research provided some telling geographical detail about seating risks then. Field-level temperatures between 3:15 p.m. and 5 p.m. were about 6 degrees higher on the east side versus the west side of Bryant-Denny Stadium. The western section of the upper deck casts a shadow that gradually covers seating on the western side of the stadium during that time period, Gutter observed. The shadow cooled the temperature sensor in that location.

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Gutter later pursued research on stadium heat at Mississippi State University, where he was a professor. Last year, he and three other researchers published a study in the journal Atmosphere that analyzed the impact of heat exposure on spectator health at Mississippi State’s Davis Wade Stadium.

The researchers deployed 50 sensors around the arena and measured temperature and humidity from August through November 2016. They compared that data with readings at a weather station near Mississippi State as well as first-aid and emergency medical data from the university’s office of emergency management.

“What I got out of that study, more so than anything, was, on a spatial and temporal scale, how much fluctuation you see even through a game, which is the influence of shade,” Gutter said.

Gutter said the Mississippi study solidified findings from the Bryant-Denny research. Heat-related illness comprised up to two-thirds of cases requiring first-aid at Mississippi State. The majority of heat-related incidents occurred in the most thermally oppressive parts of the stadium, according to the study.

The study concluded there was a need for greater monitoring of heat exposure inside stadiums, better education for spectators regarding heat-mitigation strategies, and stadium design modifications to improve circulation, increase shade and reduce crowding.

The search for water

On the day in October that Douglas Dill fell ill at the University of Alabama, a reporter for Inside Climate News recorded temperatures inside and outside Bryant-Denny Stadium. The readings were recorded from 12:08 p.m. to 4:55 p.m. and approximately every 30 minutes during the game. Air temperatures were measured using a probe thermometer, and an infrared thermometer was held above concrete and metal in seating areas to measure surface temperatures.

Temperatures were recorded on the eastern side of the stadium, where spectators were in direct sunlight for the entire game.

At 2:30 kickoff time, an air temperature reading in the upper deck of the stadium was 11 degrees warmer than the temperature recorded at the airport. Temperatures measured inside the stadium ranged from 85 degrees to 96 degrees.

Emergency calls

Emergency medical staff who operate a 10-bed first-aid facility at Bryant-Denny Stadium said on October 4 they had received an average of 60 to 65 medical calls per game at that point in the 2025 season. Not all calls are heat-related. The percentage of heat calls depends on game time, temperature and time of year, according to Michaels.

“Heat is one of our biggest challenges we face,” Michaels said.

During the October 4 game, 50 percent to 60 percent of calls were heat-related, with most people suffering from heat exhaustion or fainting, said Michaels, who has worked as a first responder at the stadium since 2009. Problems slowed in the second half as shade spread over the western half of Bryant-Denny Stadium, he said.

On September 13, during the Wisconsin-Alabama game that kicked off at 11 a.m., every bed and chair in the first-aid facility was occupied, Michaels said. The high temperature outside the stadium that day was 92 degrees.

There were more than 70 EMS calls during that game, and approximately 75 percent were heat-related, Michaels said. “The Wisconsin game was very challenging as far as managing the heat-related stuff,” he said. “Crews did a really good job of getting people to where they needed to go, whether it be a cool zone, whether it be one of the first-aid rooms or whether it be the hospital.”

There have been games with as few as about 10 calls, he continued, and those are typically at night or late in the season.

Michaels said people planning to attend a game should know what the physical demands are and consider their health conditions. They should be aware, for instance, that they might have to walk a mile and half in the heat just to get to the stadium, then walk up spiral ramps and stairs to get to their seats, he said.

“That can be a lot,” he said. “Folks have to know their limitations.”

Other medical professionals said much the same, adding that people should wear ventilated clothing and shaded hats, use cooling rags and stand near fans when possible on hot days. Elderly people, young children and those with certain medical conditions or who are taking particular medications are especially vulnerable to heat risks.

Heat already kills more Americans than any other weather-related hazard, according to the National Weather Service, and climate change is leading to more frequent, intense and longer-lasting heat waves, Falat said.

“It’s absolutely expected that deaths and other complications from heat-related illnesses will rise as those events rise, but it is also an opportunity for us as a society to really increase our public health awareness of these events, because the statistics don’t have to follow suit,” she said.

Dr. William Barton, assistant medical director of the emergency department at DCH Regional Medical Center, located 2 miles from Bryant-Denny Stadium, said the football season also affects his emergency department. Between 50 and 100 people are treated at the stadium’s first-aid facility during some games, he said. Paramedics send an average of 10 to 20 people per game over to the medical center’s emergency room, Barton said, and the majority are experiencing heat-related illness.

The university provided far lower numbers of illness to Inside Climate News.

“So far this season, EMS has responded to 18 heat-related calls during three home football games,” according to the university statement dated October 10. “Last season, EMS responded to 26 heat-related calls during seven home games. During the past two seasons, two fans were transported to the hospital for heat-related illness.”

“Hydration is the big thing,” Barton said. “That’s where most people run into trouble. Your skin does what’s called evaporative cooling, and in the process of that, you lose a lot of fluids from your body. You are going to find yourself in a position where you’re becoming dehydrated, and you really didn’t know that you were.”

Minor changes, major stakes

Universities are making some headway in addressing heat risks in their football stadiums.

The University of Alabama added cooling stations a decade ago, and that has made a difference, Michaels said. “Before those cooling stations were installed, it was nothing to have 100 calls in a ball game,” he said about Bryant-Denny Stadium. “And when the university invested the resources to permit those cooling stations, it drastically affected the call volume.”

Both Gutter and Ryan said that there are other small steps that universities can take such as improving air circulation, creating more shaded areas in the stadiums, increasing access to cooling stations and improving education about heat-related illness.

Decisions that could limit the most risk, experts said — banning midday games during warmer months, enclosing stadiums or building climate-controlled facilities, and even shifting the football season to later in the year — do not seem likely.

Global sports have begun to adapt to the realities of a warming climate, Ryan said, and some leagues may be setting an example for U.S. athletics.

“FIFA had to change the way they did the World Cup,” Ryan said. “We even saw it with the Paris Olympics. If the Olympics are having to think about this sort of stuff, we’re probably gonna have to think about these things too.”

Heat-related deaths, Ryan said, are ultimately avoidable.

“I care about this university a lot. I care about my students a lot. I want them to come to the game to watch the game, and I don’t want them to worry about their grandma passing out,” he said.

Douglas Dill doesn’t regret his day at Alabama’s Bryant-Denny Stadium. His team lost, 30-14. But he said Vanderbilt played a good game and his heat-illness episode won’t deter him from witnessing future ones.

“I love football, and nothing will keep me away from it,” Dill said.

Celtics Lose Starter, Hold Off Magic in Thrilling Comeback Win

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 01:36:42 +0000

Celtics Overcome Injury to Queta with Strong Team Effort

A long-term injury to Neemias Queta could have been a significant setback for the Boston Celtics. However, in this particular game, the team found a way to thrive without their starting center.

The Celtics defeated the Orlando Magic 138-129 at TD Garden, despite losing Queta to an ankle sprain early in the first quarter. The victory was a much-needed bounce-back for the 9-8 Celtics, who had struggled against the Nets just days earlier. Jaylen Brown had criticized the team's lack of effort and enthusiasm after that loss, but the performance against the Magic was a stark contrast.

Boston showcased strong energy throughout the game. They shot an impressive 60.2% from the field and made 45.5% of their three-pointers. The Celtics scored 48 points in the second quarter and led by 21 entering the fourth. Although the Magic staged a late-game rally, the Celtics managed to pull away and secure the win.

Key Performances and Strategic Adjustments

Six Celtics players scored in double figures, with Jaylen Brown leading the charge with 35 points on 14-of-26 shooting. Anfernee Simons, Sam Hauser, and Josh Minott combined for 53 points off the bench, hitting 10 of their 17 three-point attempts. Payton Pritchard contributed 19 points and eight assists, while Derrick White added 16 points, seven rebounds, five assists, three blocks, and two steals.

The Celtics committed just five turnovers, tying their season low. This efficiency was crucial in maintaining their lead throughout the game.

Facing a smaller Orlando team, Celtics head coach Joe Mazzulla made strategic adjustments. After Queta’s injury, he opted for a more athletic lineup, inserting Chris Boucher and Josh Minott into the rotation. This decision allowed the team to play faster and create more offensive opportunities. Mazzulla acknowledged the trade-offs, noting that while there were disadvantages to playing smaller, the speed and pace of the offense were significant advantages.

Bench Contributions and Efficient Play

The Celtics' bench played a pivotal role in the win. The first three possessions after Queta's injury resulted in three-pointers by Hauser and Simons. Brown then took over, scoring with midrange jumpers, drawing fouls, and driving for layups. Simons closed the quarter with another three and a floater.

Simons had another strong performance, contributing 23 points on 10-of-16 shooting. His ability to score in various ways was a key factor in the team's success. Hauser also returned to form, making four of his seven three-point attempts after a recent slump.

In the second quarter, Boston's efficiency was remarkable. They attempted 22 field goals and made 18 of them. Josh Minott hit two threes and two dunks, while Payton Pritchard controlled the final minutes of the half with steals and quick points. Pritchard's contributions helped the Celtics reach 80 points in the first half, a rare feat in franchise history.

Late-Game Resilience

Although the Celtics maintained a comfortable lead through the third quarter, the Magic made a strong push in the fourth. Orlando reserves Jett Howard and Jase Richardson led the comeback, with Howard scoring 30 points and Richardson adding 18. However, Boston held steady, thanks to 13 fourth-quarter points from Brown, a last-minute layup from Pritchard, and late free throws from White.

Anfernee Simons praised the Magic's resilience, noting that their fresh legs and hunger to prove themselves gave them an edge. Despite the challenges, the Celtics managed to secure the win, showcasing their depth and adaptability.

The Celtics will face the Eastern Conference-leading Pistons on Wednesday, continuing their quest for consistency and success. With Queta's injury, the team has shown they can thrive even without their starting center, thanks to strong performances from their bench and strategic adjustments.

MS Medicaid patients struggle to access weight loss drugs

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 01:17:26 +0000

The Rise of GLP-1s and Their Impact on Medicaid Coverage

April Hines, a 46-year-old from Mississippi, has spent much of her life battling obesity. However, in recent years, she has made significant progress, shedding over 200 pounds and improving her overall health. Her journey is largely attributed to Trulicity, a drug belonging to a new class of weight loss medications known as GLP-1s. These drugs have become a focal point for many individuals struggling with obesity, especially those covered by Medicaid.

Mississippi's Medicaid program took a bold step in 2023 by including GLP-1s in its coverage for individuals aged 12 and older. This decision was notable because only 13 states cover these drugs for Medicaid recipients, and Mississippi’s Medicaid program typically offers limited benefits. Despite this, the uptake of these medications has been slower than expected, with just 2% of eligible adults receiving a prescription by December 2024.

Challenges in Accessing GLP-1s

The slow adoption of GLP-1s in Mississippi has been influenced by several factors. National drug shortages, a complex prior authorization process, and a lack of marketing have all contributed to the low usage rate. William Rosenblatt, a family doctor in Columbus who treats Hines, expressed disappointment that so few people are benefiting from these drugs. He emphasized that GLP-1s address the root causes of many health issues, making them a valuable tool in managing chronic conditions.

However, the future of GLP-1s in Medicaid coverage is uncertain. Federal funding cuts, stemming from a recent tax-and-spending bill signed by President Donald Trump, could lead to reduced coverage. The Congressional Budget Office estimates that the law will cut Medicaid spending by $911 billion over a decade. This financial pressure may force states to reconsider expanding benefits, particularly for costly medications like GLP-1s, which can cost around $1,000 per month.

The Cost-Benefit Dilemma

Despite their high cost, GLP-1s have shown promise in treating obesity and related health conditions. These drugs, originally developed for Type 2 diabetes, have gained attention for their effectiveness in weight loss and reducing obesity-related complications. However, states remain hesitant to expand coverage due to the long-term nature of the health benefits. For example, the reduction in heart attacks or strokes may not be evident for years, and the financial benefits might accrue to other insurers rather than Medicaid itself.

North Carolina recently dropped its coverage of GLP-1s, citing their high cost. This decision highlights the challenges states face in balancing the immediate costs of these drugs with potential long-term savings. The Trump administration has also faced criticism for its stance on GLP-1s, with Health and Human Services Secretary Robert F. Kennedy Jr. downplaying their necessity and emphasizing diet and exercise instead.

Federal Policy Shifts

In contrast, the Biden administration proposed covering weight loss drugs under Medicare and Medicaid to combat obesity as a public health crisis. However, the Trump administration revoked this proposal, stating that the programs would not cover GLP-1 drugs for weight loss. Despite this, there have been rumors of a potential five-year pilot program for Medicare and Medicaid to cover these drugs, although no details have been released.

The Trump administration has also included GLP-1 drugs such as Ozempic, Wegovy, and Rybelsus on its list of medicines subject to price negotiations under Medicare Part D. The results of these negotiations are expected this fall, potentially impacting the affordability of these drugs for patients.

Limited Coverage and Patient Experiences

Most private insurers do not cover GLP-1s for weight loss, making them unaffordable for many patients. In Mississippi, the first 15 months of coverage saw only about 2,900 Medicaid enrollees starting treatment. Nearly 90% of these patients were female, and many had comorbidities such as high blood pressure and high cholesterol.

The analysis also revealed that most users lived in the southern, central, or northern parts of Mississippi, rather than the Mississippi Delta, where obesity rates are highest. About 40% of adults in Mississippi are obese, placing the state just one percentage point behind West Virginia.

Medicaid's Perspective

Mississippi Medicaid spokesman Matt Westerfield noted that the state spent $12 million in the first 15 months, providing the drugs to 2,200 adult members. While utilization has been below projections, Westerfield emphasized that treatment decisions are up to patients and their doctors. The state has been working to raise awareness among healthcare providers, but further efforts are needed.

Rosenblatt, who works for Baptist Medical Group, highlighted the importance of these drugs in his practice. He has seen patients lose significant weight and reduce their need for other medications. However, he pointed out that the state does not pay doctors to counsel patients on necessary dietary changes when prescribing GLP-1s, which may discourage some physicians from using them.

Future Outlook

Despite the challenges, the potential benefits of GLP-1s remain clear. A study published in the New England Journal of Medicine found that participants receiving GLP-1 drugs experienced more significant and sustained weight loss compared to those on a placebo. Other studies have shown that these drugs can help lower high blood pressure and reduce the risk of heart attacks or strokes.

As the debate over Medicaid coverage continues, the impact of GLP-1s on public health remains a critical issue. With ongoing policy shifts and financial constraints, the future of these medications in Medicaid coverage remains uncertain, but their potential to improve lives cannot be overlooked.

Boy's Rare Condition Stuns Doctors After Groundbreaking Gene Therapy

noreply@blogger.com (M Hasan) — Mon, 24 Nov 2025 00:24:45 +0000

A three-year-old boy has astounded doctors with his progress after becoming the first person in the world with his devastating disease to receive a ground-breaking gene therapy. Oliver Chu has a rare, inherited condition called Hunter syndrome - or MPSII - which causes progressive damage to the body and brain. In the most severe cases, patients with the disease usually die before the age of 20. The effects are sometimes described as a type of childhood dementia.

Due to a faulty gene, before the treatment Oliver was unable to produce an enzyme crucial for keeping cells healthy. In a world first, medical staff in Manchester have tried to halt the disease by altering Oliver's cells using gene therapy. Prof Simon Jones, who is co-leading the trial tells the My healthy of life: "I've been waiting 20 years to see a boy like Ollie doing as well as he is, and it's just so exciting."

At the centre of this remarkable story is Oliver - the first of five boys around the world to receive the treatment - and the Chu family, from California, who have put their faith in the medical team at Royal Manchester Children's Hospital. A year after starting the treatment, Oliver now appears to be developing normally. "Every time we talk about it I want to cry because it's just so amazing," says his mother Jingru.

The My healthy of life has followed Oliver's story for more than a year - including how scientists in the UK first developed the pioneering gene therapy and how the medical trial they are conducting almost didn't get off the ground due to lack of funds.

Stem cell removal - December 2024

We first meet Oliver and his dad Ricky in December 2024 at the clinical research facility at Royal Manchester Children's Hospital. It's a big day. Since being diagnosed with Hunter syndrome in April, Oliver's life - like that of his elder brother, Skyler, who also has the condition - has been dominated by hospital visits. Skyler had shown some late development in speech and coordination, but this had initially been put down to being born during Covid.

Ricky tells me his sons' diagnosis came as a complete shock. "When you find out about Hunter syndrome, the first thing the doctor tells you is 'Don't go on the internet and look it up because you'll find the worst cases and you'll be very, very disheartened'. But, like anybody, you look it up and you're like, 'Oh my goodness, is this what's going to happen to both my sons?'"

Children are born apparently healthy, but around the age of two they start to show symptoms of the disease. These vary and can include changes to physical features, stiffness of the limbs and short stature. It can cause damage throughout the body, including to the heart, liver, bones and joints and in the most serious cases can lead to severe mental impairment and progressive neurological decline. Hunter syndrome almost always occurs in boys. It's extremely rare, affecting one in 100,000 male births in the world.

Until now, the only medicine available for Hunter syndrome was Elaprase, which costs around £300,000 per patient, per year and can slow the physical effects of the disease. The drug is unable to cross the blood-brain barrier and so does not help with cognitive symptoms. But today, Oliver is being hooked up to a machine and having some of his cells removed - the first crucial step in trying to halt his genetic disorder in this one-off treatment.

"His blood is being passed through a fancy machine that is collecting a specific type of cell called stem cells which will be sent to a lab to be modified and then given back to him," Dr Claire Horgan, consultant paediatric haematologist explains.

Oliver's cells are tweaked

Oliver's cells are carefully packaged and sent to a laboratory at Great Ormond Street Hospital (GOSH) in London. In Hunter syndrome, a genetic error means that cells are missing the instructions for making an enzyme, iduronate-2-sulfatase (IDS), essential for breaking down large sugar molecules which over time accumulate in tissues and organs.

Scientists insert the missing IDS gene into a virus, which has its genetic material removed so that it can't cause disease. A similar method has been used in other gene therapies, such as the treatment for another rare inherited condition, MLD. Dr Karen Buckland, from the Cell and Gene Therapy Service at GOSH, explains: "We use the machinery from the virus to insert a working copy of the faulty gene into each of the stem cells. When those go back to Oliver, they should repopulate his bone marrow and start to produce new white blood cells and each of these will hopefully start to produce the missing protein [enzyme] in his body."

There still remains the issue of how to get enough of the missing enzyme into the brain. To overcome this, the inserted gene is modified so that the enzyme it produces crosses the blood-brain barrier more efficiently.

Infusion day - February 2025

We next meet Oliver back at the clinical research facility at Royal Manchester Children's Hospital. This time he's with his mum Jingru, while Ricky has stayed in California to look after Skyler. There is a sense of anticipation as a member of the research team opens a large a metal cryopreservation tank where Oliver's gene edited stem cells are frozen, having been transported back from GOSH.

A small, clear infusion bag is removed and slowly brought to body temperature in a tray of liquid. After multiple checks, a nurse draws the clear fluid containing around 125 million gene-modified stem cells, into a syringe. Oliver is used to hospitals, but is fretful, and wriggles as the research nurse slowly injects the treatment, about a cup full, into a catheter in his chest. Jingru holds Oliver steady in her arms. After 10 minutes, the infusion is done. An hour later, a second, identical infusion is made. Oliver continues to watch cartoons on a portable screen, oblivious to the potential importance of what's just happened.

And that's it. The gene therapy is complete. It seems to be all over rather quickly, yet the ambition here is huge: to stop Oliver's progressive disease in its tracks, in a one-off treatment. After a couple of days, Oliver and Jingru fly back to California. Now the family, and the medical team must wait to see if the gene therapy has worked.

Early signs of progress - May 2025

In May, Oliver is back in Manchester for crucial tests to see if the gene therapy is working. This time the whole family is here. We meet in a park in central Manchester and it's immediately clear that things are looking good. Oliver is more mobile and inquisitive than I've seen him. Admittedly, he now has the freedom to play and is out of hospital, but he appears brighter and healthier.

Ricky is thrilled: "He's doing really well. We have seen him progressing in his speech, and mobility. In just three months he has matured." The really big news is that Oliver has been able to come off the weekly infusion of the missing enzyme. "I want to pinch myself every time I tell people that Oliver is making his own enzymes," says Jingru. "Every time we talk about it I want to cry because it's just so amazing." She tells me he is "so different" from before the treatment, is talking "a ton" and is engaging more with other children.

It is lovely to finally meet five-year-old Skyler who is very protective and caring towards his younger brother. "My wish upon the star is for Skyler, to be able to get the same treatment," says Ricky. "It feels like Oliver has got a reset in his life, and I want the same thing for Skyler, even though he's a bit older." Initially it was thought that Oliver was too old for the trial, as the treatment cannot reverse existing damage, but tests showed he was still largely unaffected. Skyler seems to take delight in the world around him, and is keen to hold my hand and chat as we walk to the park.

Ricky explains that Skyler has delayed development in speech and motor skills, but is undergoing infusion therapy, which gets the treatment to his body, but not his brain.

'Eternally grateful'

Oliver returns to Manchester every three months for a few days of follow-up tests. In late August, further checks confirm the gene therapy is working. Oliver is clearly thriving, and to date is now nine months post treatment. Prof Jones, whom Oliver calls Santa because of his white beard, is beaming: "Before the transplant Ollie didn't make any enzyme at all and now he's making hundreds of times the normal amount. But more importantly, we can see he's improving, he's learning, he's got new words and new skills and he's moving around much more easily."

However, Prof Jones exercises a degree of caution: "We need to be careful and not get carried away in the excitement of all this, but things are as good as they could be at this point in time." On the rooftop garden at the hospital, Oliver plays with his dad. "He's like a completely different child. He's running around everywhere, he won't stop talking," says Ricky. "The future for Ollie seems very bright and hopefully this means more kids will get the treatment."

In all, five boys have been signed up for the trial, from the US, Europe and Australia. None are from the UK as patients here were diagnosed too late to qualify. All the boys will be monitored for at least two years. If the trial is deemed a success, the hospital and university hope to partner with another biotech firm in order to get the treatment licensed. Prof Jones says the same gene therapy approach is being applied to other gene disorders.

There are similar treatments on trial in Manchester for MPS type 1 or Hurler syndrome and MPS type 3 or Sanfilippo syndrome. Ricky and Jingru say they are "eternally grateful" to the Manchester team for allowing Oliver to join the trial. They say they are astonished by his progress in recent months. Oliver's now producing the missing enzyme and his body and brain are healthy.

"I don't want to jinx it, but I feel like it's gone very, very well," says Ricky. "His life is no longer dominated by needles and hospital visits. His speech, agility and cognitive development have all got dramatically better. It's not just a slow, gradual curve as he gets older, it has shot up exponentially since the transplant."

The trial that almost never was

Researchers at the University of Manchester led by Prof Brian Bigger had spent more than 15 years working on creating the gene therapy for Hunter syndrome. In 2020 the university announced a partnership with a small US biotech company Avrobio, to conduct a clinical trial. But three years later the company handed back the licence to the university, following poor results from another gene therapy study and a lack of funds. The first-in-human trial, which would soon help Oliver, was in jeopardy before it had even begun.

Prof Jones: "We had to move very quickly to try to save the whole idea and find another sponsor and another source of funding." It was then that British charity, LifeArc, stepped in, providing £2.5m of funding. CEO Dr Sam Barrell said: "A huge challenge for the more than 3.5 million people in the UK living with rare conditions, is getting access to effective treatments – currently 95% of conditions have none. "The Chu family are relieved the trial didn't come to a halt and now hope Skyler may one day benefit from the same gene therapy as his brother. "I would walk to the end of the earth, backwards, forwards, upside down, barefoot, to make sure my kids have a better future," says Ricky.

22 Winter Dinners for a Healthy Gut and Weight Loss

noreply@blogger.com (M Hasan) — Sun, 23 Nov 2025 23:56:34 +0000

Winter is the perfect time to cozy up with hearty, nourishing meals that support your overall well-being. These recipes are designed to bring warmth and comfort while also promoting gut health and digestion. They feature ingredients like garlic, mushrooms, and beans, which are known for their beneficial effects on the digestive system. Each dish contains at least 6 grams of fiber and/or 15 grams of protein, and is under 575 calories per serving. This makes them ideal choices for those looking to maintain a healthy weight or simply enjoy satisfying, light meals during the colder months.

Creamy Spaghetti with Brussels Sprouts

This one-pan dish starts with pasta that simmers in broth, creating a rich, starchy base. It’s then coated in a creamy Asiago sauce with a hint of red pepper for a subtle kick. The addition of caramelized Brussels sprouts and shallots brings a sweet, earthy depth, while fresh basil adds a bright finish. It’s a simple yet flavorful meal that’s perfect for a busy weeknight when you’re craving something comforting.

White Bean Skillet

A savory blend of sweet onions, tomatoes, and garlic forms the foundation of this dish. Creamy white beans are added for a hearty texture, and a handful of spinach brings freshness and color. A sprinkle of Parmesan cheese ties everything together with a salty richness. Served with toasted whole-wheat baguette slices for dipping, it’s a quick and satisfying dinner that’s great for both weeknights and weekend suppers.

Lemon-Turmeric Cabbage & White Bean Soup

This soup combines tender cabbage and creamy cannellini beans with aromatic spices like turmeric and lemon. The tangy brightness of lemon juice lifts every spoonful, making it a light but deeply satisfying dish. It’s an easy recipe that’s perfect for a cozy weeknight meal.

Chickpea Casserole with Spinach & Feta

This casserole blends tender spinach, chickpeas, and brown rice with a touch of cream cheese and tangy feta. Fresh dill, nutmeg, and lemon juice add layers of flavor, while a hint of red pepper introduces gentle heat. Baked until bubbly and topped with lemon zest, it’s a comforting and vibrant dish that’s sure to please.

Marry Me White Bean Soup

Inspired by the flavors of Marry Me Chicken, this vegetarian soup features sun-dried tomatoes, garlic, cream, and Parmesan. It’s finished with fresh basil and extra cheese, creating a rich, soul-warming dish that’s crowd-pleasing and perfect for gatherings.

Broccoli-Cheddar Butter Beans

This dish offers the creamy, cheesy goodness of broccoli-Cheddar soup in a convenient skillet form. Tender butter beans provide a creamy texture and plant-based protein, while broccoli florets add color. Sharp Cheddar cheese melts in for that classic flavor, making it a filling main course.

Butternut Squash & Black Bean Enchilada Skillet

Tender cubes of butternut squash and hearty black beans simmer in green enchilada sauce, with tortilla strips stirred in for added texture. A layer of melted cheese ties everything together, creating a satisfying, vegetarian-friendly dish that’s easy to prepare.

Creamy Chickpea Soup

This quick and easy soup comes together in just 20 minutes. Cream cheese adds a velvety texture, while cilantro and crunchy tortilla strips provide a refreshing contrast. It’s a one-pot meal that’s perfect for busy weeknights and can be enjoyed by the whole family.

Spanakopita-Inspired Skillet Beans

These skillet beans draw inspiration from spanakopita, the Greek spinach pie. Cannellini beans add protein and fiber, while fresh dill, parsley, and a squeeze of lemon provide a bright, herbaceous finish. It’s a creamy, comforting dish that’s great for any season.

High-Fiber Vegetable Stew

This vegetable stew is a cozy dish for two, made with late-summer and early-fall produce. Simmered with warm spices and a savory broth, it’s delicious served with warm naan on the side for dipping. It’s a perfect way to celebrate seasonal flavors.

High-Protein Chicken & Sweet Potato Enchilada Skillet

This one-pan meal is ideal for busy weeknights. Tender chunks of sweet potato and shredded chicken combine with store-bought enchilada sauce for a flavorful shortcut. It’s a hearty, satisfying dish that’s easy to make and packed with nutrients.

High-Protein Spaghetti Squash Caprese

This fun twist on the classic Italian salad combines traditional caprese ingredients with roasted spaghetti squash. The squash is tossed with juicy plum tomatoes, creamy mozzarella, fragrant fresh basil, and great northern beans for a boost of plant-based protein. A drizzle of balsamic glaze ties the dish together with a sweet-tangy finish.

Chicken Guacamole Bowls

Juicy chicken thighs and colorful veggies are served over a fresh and creamy guacamole with a sprinkle of tangy cotija cheese. A squeeze of lime at the end brightens up the dish and ties all the bold, fresh flavors together.

Marry Me White Bean Salad

This salad is a bright, flavor-packed dish that’s hard not to fall for. Inspired by Marry Me Chicken, the tender white beans are tossed with sun-dried tomatoes, fresh basil, and a creamy dressing that soaks into every bite. It’s quick to throw together and perfect for meal prep, picnics, or pairing with grilled meats.

Sheet-Pan Salmon and Shaved Brussels Sprouts with Lemon-Garlic Drizzle

Heart-healthy salmon is nestled among shaved Brussels sprouts, both of which soak up amazing flavor from the double drizzle of lemon-garlic sauce. It’s a simple yet elegant dish that’s perfect for a weeknight dinner.

5-Ingredient Taco Stuffed Peppers

These five-ingredient stuffed peppers are a simple, satisfying twist on taco night with all the flavors you love. Sweet bell peppers act as the perfect vessel for a filling of lean ground beef, black beans, salsa, and melty cheese. Serve them with a dollop of sour cream, sliced avocado, and/or fresh cilantro for a little extra flair.

Spaghetti with Mushrooms, Spinach & Ricotta

Earthy mushrooms, spinach, and garlic flavor the pasta alongside whole-milk ricotta that creates a creamy sauce. You can elevate the flavor even more by using wild mushrooms for a deeper savory flavor and finishing with a squeeze of lemon to brighten everything up.

Roasted Veggies with Halloumi & Chickpeas

This sheet-pan recipe is perfect for a weeknight dinner with easy cleanup. Chickpeas and halloumi provide protein to make this dish filling and satisfying. Roasting everything on the same sheet pan creates crispy, caramelized bites that meld beautifully with the creamy yogurt spread underneath.

Sheet-Pan Chicken Thighs with Red Cabbage & Sweet Potatoes

The beauty of this dish lies in its simplicity—everything cooks together on one sheet pan, making cleanup a breeze. As the ingredients roast together, the chicken juices meld with the vegetables, creating a savory dinner.

Spinach & Artichoke–Stuffed Butternut Squash

Tender roasted butternut squash halves are filled with a cheesy spinach-and-artichoke mixture. A sprinkle of crushed red pepper adds heat, and a drizzle of balsamic glaze adds a tangy-sweet flavor contrast that ties it all together.

Saag Aloo Matar

This cozy one-skillet dinner draws inspiration from two Indian dishes: saag aloo and aloo matar. It’s packed with plenty of vegetables, including leafy greens, potatoes, and peas, all simmered in an aromatic tomato-based sauce.

Fajita-Stuffed Mushrooms

This flavorful vegetarian dish fills roasted portobello mushroom caps with fajita-style veggies and black beans, giving them a boost of fiber and protein. Top it off with melted cheese and strained (Greek-style) yogurt for a satisfying dinner.

Skinny Nutella Mocha Recipe

noreply@blogger.com (M Hasan) — Sun, 23 Nov 2025 20:54:10 +0000

The Skinny Nutella Mocha: A Sweet and Healthy Twist on a Classic

Nothing beats a good mocha, but what about a Nutella Mocha? This drink is the perfect treat for those with a sweet tooth. However, if you're looking for a healthier alternative without the added sugar, the skinny Nutella Mocha is just what you need. It’s packed with flavor, caffeine, and 30 grams of protein, making it an ideal choice for anyone following a healthy lifestyle.

This recipe uses a variety of ingredients that are not only delicious but also fit well into a weight loss or fitness plan. For example, I often use sugar-free syrups to add flavor to my coffee without the added sugar. These syrups are a great way to enjoy your favorite drinks while keeping your point count low.

What is Weight Watchers?

If you're new to Weight Watchers, it's a popular weight loss program that helps individuals track their food intake using a points system. When you sign up, you take an assessment that assigns you a daily point value and a weekly allowance. You can carry over 4 points from one day to the next, which is helpful when you need more flexibility.

I have been on Weight Watchers since 2011 and have seen several changes in the program, including the introduction of the new Weight Watchers Simplified plan. This plan is similar to previous versions like WW Smartpoints, with some color-based plans. No matter which version you choose, the goal remains the same: to help you develop healthy eating habits.

Weight Watchers Nutella Mocha Recipe

Here’s how to make a delicious and healthy Nutella Mocha:

Jordan Skinny Syrup Mocha: Use any brand of sugar-free syrup that is mocha, but verify it is zero points.
Hazlenut Sugar-Free Syrup: Adds a rich, nutty flavor to your drink.
Cold Brew: I prefer using Wandering Bear cold brew coffee because it's convenient and doesn’t require brewing. You can also use espresso shots or decaf coffee if you prefer.
Chocolate Protein Shake: I use a ready-to-drink protein shake, but you can also use protein powder if you prefer.
Fat-Free Whipped Topping: Be sure to check the nutritional information as this can affect your point count.
Chocolate Sprinkles: Optional, but adds a fun and festive touch to your drink.

For the full recipe and ingredients, visit Cook Eat Go.

What is a Proffee?

A proffee is a coffee drink that replaces creamer with a protein shake. You can use already flavored protein shakes like Salted Caramel, Chocolate, Peanut Butter Chocolate, or Mocha. Adding sugar-free syrups is a great way to customize the flavor of your coffee.

I love using the Pure Protein Ready to Drink shakes because they are only 1 Weight Watchers point and are also keto-friendly. Premier Protein Ready to Drink shakes are 3 WW Points, making them another excellent option.

How to Make a Nutella Proffee

Follow these steps to create your own Nutella Proffee:

Brew your coffee if needed.
Use a large cup, such as a Venti Starbucks cup.
Fill the cup with ice and pour in your protein shake.
Add your cold brew coffee, leaving room for whipped topping.
Pour or pump your Skinny Mocha Syrup and hazelnut syrup into your cup.
Mix with a straw.
Add optional whipped topping and sprinkles.

Weight Watchers Points for Nutella Mocha

The only thing with points in this recipe is the protein shake. Here are some of my go-to brands:

Fairlife Chocolate Protein Shake – 3 Weight Watchers points per bottle
Premier Protein Protein Shake – 3 Weight Watchers points per carton
Pure Protein Protein Shake – 1 Weight Watchers point per carton

Protein Shake Recipes

I love using ready-to-drink protein shakes to make various drinks at home. They are easy to use and taste amazing. Some of my favorite recipes include:

Root Beer Protein Shake
Skinny Peppermint Mocha Shake
Orange Creamsicle Protein Shake
Skinny Pumpkin Spice Latte
Skinny Mocha Latte

Ready-to-Drink Protein Shakes

If you don’t have a Costco, Amazon offers some of the best prices for these shakes. They come in 11 Fl Oz sizes and contain 30 grams of protein with only 1g of sugar. They have a creamy texture and are great for quick and easy meals.

Some of my favorite flavors include:

Cinnamon Roll
Root Beer Float
Cafe Latte
Chocolate Peanut Butter
Pumpkin Pie
Premier Protein Cake Batter Delight

If you're looking for other ways to get more protein, consider trying Premier Protein protein bars and cereals.

Weight Watchers Collections to Check Out

Are you looking for Zero Point food ideas? Check out this list of all the Zero Weight Watchers points foods. These are easy recipes made in my kitchen and most are kid-approved.

Recipes:

Weight Watchers Instant Pot Recipes
Delicious Low Point Soups
WW Dinners For The Family
Weight Watchers Air Fryer Recipes
WW Dessert Recipes
WW Pumpkin Recipes
WW Brownie Recipes
WW Casserole Recipes
Weight Watcher Muffins
WW Breakfast Recipes
Weight Watchers Pizzas
Weight Watchers Grilling
WW Chicken Dinners

Shopping Guides:

Best Weight Watchers Cereals
Best Weight Watchers Tortillas
Best Store-Bought Weight Watchers Salad Dressings
Coffee Creamers
Pure Protein and Weight Watchers
Best Bread For Weight Watchers
Best Protein Bars for Weight Watchers

Be sure to follow Cook Eat Go on MSN, Facebook, Instagram, and Pinterest for all of our recipe posts. You can also grab her free e-book and get her emails.

How Tiny Plastics Can Destroy Ocean Life

noreply@blogger.com (M Hasan) — Sun, 23 Nov 2025 19:20:00 +0000

Scientists Are Finally Putting a Number on “Too Much Plastic”

For years, I’ve seen photos of seabirds and turtles tangled in trash, but I rarely saw a clear answer to the basic question: how much plastic actually kills an animal? A new wave of research is changing that by treating plastic like any other pollutant, defining dose, response and lethal limits instead of relying only on dramatic anecdotes. Scientists have combed through necropsies, lab experiments and field observations to estimate how many ingested pieces push different species from stressed to dying, turning a sprawling environmental crisis into something that can be measured in grams and fragments rather than just emotions.

In one synthesis of earlier work, researchers examined documented deaths of seabirds, turtles and marine mammals and found that ingesting a surprisingly small number of items could be fatal, especially for smaller animals with limited gut space. That analysis, described in coverage of how little plastic can be lethal, shows that once plastic reaches a certain share of an animal’s stomach contents, the odds of death rise sharply. Follow-up reporting on new research that measures lethal plastic loads and a similar account of dose-based plastic risk for marine life underscores the same point: scientists are no longer just counting pieces in the water, they are quantifying how many pieces it takes to kill.

Even a Few Pieces Can Be Deadly for Turtles, Seabirds and Fish

What stands out to me in this research is how low the lethal threshold can be for some animals. Sea turtles, for example, can die after swallowing only a small number of plastic fragments if those pieces lodge in the gut or block the intestines. Because turtles mistake floating bags and films for jellyfish, they can fill their digestive tract with material that has no nutritional value, leaving them unable to process real food. The risk isn’t just about massive tangles of trash; it’s about a few deceptively soft pieces that happen to get stuck in exactly the wrong place.

Seabirds face a similar danger when they scoop up floating pellets and bottle caps, mistaking them for fish eggs or crustaceans. Studies summarized in reporting on how little plastic can kill marine animals and a companion piece on plastic-linked deaths in the ocean describe birds whose stomachs were packed with dozens of fragments, leaving no room for real food. Fish and invertebrates, which often ingest microplastics smaller than a grain of rice, may be harmed by even fewer particles because their bodies are so small. In all of these cases, the lethal dose is not measured in kilograms of trash but in a handful of pieces that disrupt digestion, puncture tissue or deliver a concentrated hit of toxic chemicals.

Plastic Kills in More Ways Than One

When I look at the full picture, it’s clear that ingestion is only one part of the story. Plastic harms marine animals through a mix of physical and chemical pathways that often interact. Entanglement in discarded fishing gear can cause drowning, deep cuts and infections, while floating bags and straps can cinch around necks or flippers as animals grow. At the same time, microplastics and fibers can lodge in gills and guts, triggering inflammation and internal injuries that may not be obvious until an animal is already weakened or dead.

On top of the physical damage, plastic acts like a sponge for pollutants, concentrating substances such as persistent organic pollutants and heavy metals that then move up the food chain. An overview of how plastic in the ocean hurts animals details how ingestion can lead to starvation, reduced fertility and organ damage, while entanglement can cause slow, painful deaths. Another account of plastic killing marine mammals highlights cases where whales and dolphins have been found with stomachs full of debris or wrapped in nets, showing that a single rope or a cluster of bags can be just as deadly as a cloud of microplastics. The lethal dose, in other words, is not just about how many pieces are swallowed; it’s about how those pieces interact with bodies and ecosystems.

Scale Matters: Millions of Animals, Each Vulnerable to a “Small” Dose

It’s tempting to think that if only a few pieces can kill, then the problem is mostly about tragic one-off encounters. The numbers tell a different story. When I zoom out from individual animals to entire populations, the scale of plastic exposure becomes staggering. Billions of plastic items are floating in the world’s oceans, and coastal currents concentrate them in hotspots where wildlife feeds and migrates. In those zones, the odds that any given turtle, bird or fish will hit its lethal threshold over a lifetime rise dramatically.

Data compiled on how many marine animals ocean plastic kills point to hundreds of thousands of marine mammals and turtles and well over a million seabirds dying each year from plastic-related causes. Those figures include animals that starve with stomachs full of debris, drown in nets or suffer infections from entanglement wounds. When I connect those mortality estimates with the new dose-based research, the picture sharpens: each of those deaths likely began with what looked like a small, manageable amount of plastic—one bag, a few fragments, a single loop of fishing line—that turned out to be more than the animal’s body could handle.

From Research to Responsibility: What a “Lethal Dose” Means for People

Knowing that a few pieces of plastic can be deadly changes how I think about everyday choices. If a single shopping bag or bottle cap can push a turtle or seabird over its lethal threshold, then the margin for error in our waste systems is vanishingly small. It’s not enough to keep “most” plastic out of the ocean; the science suggests that every stray item carries a non-trivial risk for the animals that encounter it. That reality raises hard questions about how much plastic packaging, fishing gear and single-use products we can justify when the cost is measured in lives, not just litter.

Researchers and advocates are using these lethal-dose estimates to argue for stricter controls on plastic production, better waste management and stronger protections for key habitats. Visual campaigns, including a widely shared social media post showing plastic-choked wildlife, translate the science into images that are hard to ignore. At the same time, coverage of plastic pollution’s toll on marine life is pushing the issue into mainstream political debates, where policymakers are weighing bans on certain products, extended producer responsibility rules and international agreements to curb plastic at the source. For me, the takeaway is simple but uncomfortable: when the lethal dose is this low, the only truly safe amount of plastic in the ocean is as close to zero as we can get.

"What I Wish I'd Known About Anaphylaxis" – A Patient's Story with Doctor's Insights

noreply@blogger.com (M Hasan) — Sun, 23 Nov 2025 17:32:59 +0000

About the Expert

Lara Gross, MD, is an allergist-immunologist at Dallas Allergy & Asthma Center, where she specializes in food allergies. She has board certifications in both internal medicine and allergy & immunology.

Key Highlights

Anaphylaxis is a life-threatening allergic reaction, but warning signs can vary widely. If you have a food allergy, experiencing a mild reaction doesn’t mean the next one won’t be serious, as one patient shares. A food allergy expert clears up epinephrine treatment misconceptions—and sheds light on a new nasal spray alternative.

Many of us quickly glance at food labels for nutritional details such as calories or fat content, but scanning for certain ingredients is a necessary task for the estimated 33 million Americans living with at least one food allergy, according to the American Pharmacists Association. “That being said, you can do all the right things and be super vigilant, and there may still be cross-contamination and things can happen,” says Lara Gross, MD, an allergist-immunologist at Dallas Allergy & Asthma Center.

The Risk of Food Labels

This risk gets even more confusing when trust in food labels gets thrown into question—such as when a recall reveals unlisted ingredients or a product has a sudden packaging change. “It’s tough and scary when one of those happens, because you think, well, what else?” Dr. Gross says. “The recalls are an issue, but so is the kind of vague labeling that is out there.”

Figuring out potential food allergens at home is one thing, but traveling can make things even trickier. Beyond potential language barriers or misunderstandings, 2024 research from the World Allergy Organization Journal, the World Health Organization (WHO) highlights how precautionary allergen labeling (“may contain”) is inconsistent around the world, calling for more regulation.

What is Anaphylaxis?

Anaphylaxis is a severe, potentially fatal allergic reaction. “And it can show up in a lot of different ways,” Dr. Gross says. You might picture someone’s throat closing up, but warning signs can range from itchy hives all over a person’s body, eye swelling, lip swelling, trouble breathing, dizziness, stomach issues, or just feeling “off.”

Continues Dr. Gross: “With milder allergies, like things out in the environment, we think of itchy eyes or sneezing. But with these anaphylactic reactions, it affects the whole body and more organs, and can have really detrimental effects.”

Additionally, anaphylaxis doesn’t look the same every time. “That’s a myth that we really try to educate about,” Dr. Gross says. A mild reaction once doesn’t guarantee the next one won’t be serious. “We don’t want people to think: ‘Oh, it’s not a big deal, it was just a little uncomfortable,'” she says. “Because the next time it could be something else—it could affect your blood pressure, it could be something more serious.”

For Chris, a 21-year-old college student, these stakes became reality while on a trip in Switzerland. Ahead, he shares how unpredictable food allergies can be—even when you think you do everything right—and how he was able to quickly treat his life-threatening anaphylaxis.

What I Learned About Anaphylaxis: You Can’t Tough It Out

As told by Chris, a college student from Ohio, to Leslie Finlay, MPA

Chris has a tree nut allergy—which can include nuts like walnuts, almonds, pecans, cashews, and more—and says he’s “always had to avoid everything related to nuts.” And it’s a risk he doesn’t take lightly. “My friends typically avoid everything related to nuts, my partner currently avoids everything related to nuts, it’s just something I’ve always dealt with.”

In spite of his best efforts, Chris says he’s previously “had small allergic reactions—it’s been something like my throat’s been itchy—but that’s been the extent.”

As Dr. Gross explains, it’s not unusual for people with severe food allergies to have these mild reactions though “we don’t really know why.” But it can make it confusing for people to understand when a reaction is serious and when to use epinephrine, the front-line treatment for severe allergic reactions.

Not Another Itchy Throat: “This Was Something Completely Different”

Chris was traveling in Switzerland and wanted to try a bar of Swiss chocolate. He first checked the label’s text using Google Translate before having a French-speaking friend take a second look. (Switzerland has four national languages, one of which is French.) “I’m always very cautious, granted those two checks were just quick,” he says. “Immediately after I took a bite, I was like, ‘This does not feel right,’ so I threw it away.” He later learned that the bar contained traces of hazelnuts.

Within seconds, Chris’s throat started tingling—a symptom he’s experienced before from nut exposure. “But this was something completely different. I just started feeling more and more nauseous; I felt like I could collapse at any moment.”

He was going into anaphylactic shock, which Johns Hopkins Medicine says is another term for anaphylaxis. “I really tried to tough it out, because normally in the past, I’d take Benadryl and I’m fine,” Chris says.

Clearing Up Common Misconceptions

Chris says he has always carried epinephrine with him in case of a severe allergic reaction, and as his symptoms worsened, he used it for the first time. “I felt pretty much immediate relief,” and Dr. Gross says it potentially saved his life.

Epinephrine, also known as adrenaline, is both a medication and a hormone, according to the Allergy & Asthma Network. Your adrenal glands produce the hormone, which helps the body regulate organ functions—and, if you’ve ever experienced the feeling of “fight or flight,” that’s from the hormone. But as a medication—such as a pre-filled auto-injector—it “reduces or reverses severe [anaphylaxis] symptoms very quickly” by opening airways, maintaining blood pressure, and more, according to the organization.

“Unfortunately, when we see mortalities from food allergies, typically it’s when there’s a delay in epinephrine,” Dr. Gross says. She says that this often stems from:

Not knowing if a reaction is “bad enough” to use ephinephrine.
Concern about having to go to the hospital after.
Hesitancy to inject themselves (or others) with a needle.

These are common misunderstandings, according to Dr. Gross. For starters, she encourages using it if you think there’s a need. “We run into trouble when people don’t get it when they should,” she says.

A trip to the emergency room is no longer required, either. “Ephinephrine is not harmful to give, we want people to give it,” she says. “So if someone is on the fence, going to the hospital shouldn’t be a deterrent.”

She also says there’s a new way to treat anaphylaxis that experts hope will reduce dangerous delays in care.

An Easier Way to Treat Anaphylaxis

Fear of self-injection substantially affects the use of life-saving epinephrine, according to 2025 research published in The Journal of Allergy and Clinical Immunology: In Practice. Dr. Gross explains that until recently, the only treatment available was with a needle-based auto-injector (such as an EpiPen). “Understandably, a lot of people are hesitant to give themselves or their child a shot, especially in a very stressful situation,” she says.

In 2024, the U.S. Food and Drug Administration (FDA) approved Neffy, a nasal spray version of epinephrine. Dr. Gross explains it as “the same epinephrine that’s in the auto-injectors, except instead of an injection in the thigh, it’s just a single-use spray in the nose.”

“It works quickly and it’s effective, and I’m thrilled to have a non-needle option available,” she says. “Chris is not a unique case—no fault of his—but I’m not sure that he would have done an injection.”

Chris says she’s probably right, and he’s glad he had a Neffy device with him in Switzerland. “I do have a fear of needles. Getting to that point where I’d have to stick a needle in myself—that would have taken me a long time,” he admits. “But with the Neffy, the instructions are very, very clear. I remember thinking immediately after, ‘Did I do it correctly?’ It felt too easy, but it genuinely made an immediate difference.”

Lessons Learned After Anaphylaxis

After his anaphylaxis experience, Chris admits he “was pretty annoyed with himself,” saying, “I give myself leeway, but my main takeaway is to be cautious and careful.” He highlights it’s important not to assume that food labeling regulations are the same everywhere.

For example, manufacturers in the U.S. are not legally required to disclose potential cross-contamination. Statements on product labels such as “may contain traces of” or “made in a facility that also produces” are voluntary, according to 2025 research published in Allergy, Asthma & Immunology Research. Meanwhile, other countries around the world have varying requirements in food product labeling.

Chris also urges others to be open about their allergy and medication. “I communicate with everyone I’m traveling with, whether or not I really know them or not,” he says. “As I was having my allergic reaction, the person who was with me helped a lot and did what he could. And it was literally the first day we’d met.”

Diane Keaton's 13 Secret Healthy Habits for a Long, Vibrant Life

noreply@blogger.com (M Hasan) — Sun, 23 Nov 2025 17:32:58 +0000

This weekend, Hollywood lost one of its most whimsical women. Diane Keaton, the Oscar-winning actress who made an art form of sweater weather, menswear, and fun that radiated warmth, died October 11, 2025, at age 79. The cause of Keaton’s death was not announced, but a source shared that the actress had kept her sense of humor and closeness to her friends “right up until the end.”

Born Diane Hall on January 5, 1946, in Los Angeles, Keaton started life in a corrugated metal Quonset hut. (She said her childhood home gave her a “lifelong appreciation for arches.”) From that unique beginning she became one of the most beloved actresses in movie history. Her career stretched more than 50 years and included an Oscar, a BAFTA, two Golden Globes, and the AFI Life Achievement Award. Her prominence was known across generations, from Annie Hall to Kay Corleone in The Godfather trilogy, and Nina Banks in Father of the Bride where she fell pregnant in her late 40s—then proved, in Something’s Gotta Give, that romance doesn’t end at 50.

A longtime friend of figures like Goldie Hawn, Jane Fonda, Al Pacino, Jack Nicholson and Steve Martin, in her fifties she adopted daughter Dexter and son Duke. “Motherhood was not an urge I couldn’t resist,” sources have quoted her as having told Ladies Home Journal. “It was more like a thought I’d been thinking for a very long time. So I plunged in.” That’s not to mention her work as a photographer, a memoirist, and someone who renovated so many houses it’s no wonder Nancy Meyers sets made her look right at home.

How did Diane Keaton make 79 years look so good? Read on to discover the 13 habits that kept her lively.

She woke up every day at 6 a.m.

Before getting up before dawn was a social media trend, Keaton was already up and at it. “I get up early, around 6 a.m., in the remarkable, wonderful mess of life,” she said in a 2022 interview with WSJ Magazine. While the rest of us hit snooze, she was already enjoying the peaceful morning hours—with “plain old black coffee.”

Early birds really may be healthier. A University of Toronto study published in the journal Emotion found that morning people reported greater levels of happiness and positive emotion than night owls, regardless of age. Recent research also found many people regard morning as the most positive window of the day, before the rush of the world kicks in.

She walked her dog every morning

Each day started with a walk with Keaton’s golden retriever, Reggie. “I take the dog, who sleeps with me on top of my bed … on a walk in the darkness,” she told the Wall Street Journal. “We walk around the neighborhood; we really enjoy that.” (Reggie was with Keaton to the end and is featured in her very last Instagram post.)

Dog owners who regularly walk their dogs have lower rates of obesity, fewer chronic health conditions, and fewer doctor visits, according to a study published in the Journal of Physical Activity and Health. Also, don’t discount the feel-good power of a good pet snuggle.

For 30 years, she ate a vegetarian diet

Keaton went vegetarian around 1995 and never looked back. “I’m a vegetarian now. I don’t eat meat or fish. I eat eggs and cheese,” she told the Chicago Sun-Times. “And I do watch what I eat.”

You don’t have to go full vegetarian to be healthy, as just adding a few servings of veggies a day can give you a health boost. Harvard Health reports that vegetarians typically have lower cholesterol, lower blood pressure, and a lower body mass index—all associated with longevity and reduced risk of chronic diseases. Some research has shown that vegetarians are 25% less likely to die of heart disease.

She adored nuts

Keaton had strong opinions about snacks. In the Wall Street Journal interview, she revealed she kept “a variety of jars of nuts on hand.” In an Instagram video she added, “Almonds are my favorite nut in the world. It’s salty and there’s nothing like it.”

When healthy eating becomes automatic, you know you’re doing something right. Almonds and walnuts are a great choice—packed with vitamin E and omega-3 fatty acids, which support heart and brain health. Harvard research notes nuts help regulate blood sugar and contain antioxidants, fiber, and minerals that can protect against heart disease.

She exercised every day (but it never involved running)

She knew the power of a good endorphin rush so even when she was working on a film set, she made time to exercise every day. No excuses, no “I’ll do it tomorrow.” She was also honest about what worked for her. “I walk. I get on the treadmill,” she told the Chicago Sun-Times. “And I’ll walk really fast to break a sweat. One thing is for sure—I don’t run. It’s too hard. But the fast walking does give me a lot of energy to face the day.”

Experts agree: Walking fast provides great cardio…while generally being gentler on knees than a run. Consistency matters more than intensity—daily exercise has so many benefits we can’t even list them all here, but to name a few: it reduces the risk of heart disease, stroke, type 2 diabetes, and certain cancers. Brisk walking provides cardiovascular benefits similar to running but with much less stress on joints and lower injury risk.

She mixed up her workouts with spin classes

Even into her late sixties, Keaton was taking spin classes. “I do take spin classes with my daughter Dexter,” she said in the Chicago Sun-Times interview. “It’s rough. But at least I’m there. I’m sweating. I think the key here is that you don’t have to be like everybody else. Just do it. Do it the best you can do it.” She added, “I know in spin class that for 45 minutes, I’m using my body to its fullest. And that’s big.”

Big, it is. High-intensity interval training, like spinning, can build cardiovascular endurance, strengthen muscles, and burn serious calories. Plus, exercising with family members creates accountability and strengthens relationships. (Nothing says “bonding” like exchanging a look on the hill climb.)

She also stretched and strength-trained

Keaton understood that strength training and mobility become even more important as you get older. She added yoga and Pilates, working on strength, flexibility and range of motion. These practices improve balance (reducing fall risk), maintain mobility, and help prevent the chronic back pain that plagues so many people as they get older.

She had a surprising relationship with music

In the candid Wall Street Journal interview, Keaton revealed an unusual habit: she rarely listened to music—she explained: “I don’t play it very often. I don’t want it around … it reminds me of things that make me sad or [that I] miss.” Namely, she shared, her mother. “It takes you back to moments in time and people that meant more than anything,” she said, adding that she’d only use it strategically when acting to help herself cry for a scene.

This wasn’t about avoiding emotions—it was about managing them. Keaton understood her own triggers and set boundaries to protect her mental health. Knowing your emotional triggers and setting healthy boundaries is a form of self-care. While music can be therapeutic for many, recognizing what works (or doesn’t work) for your own mental health and acting accordingly shows emotional intelligence and self-awareness—both key components of psychological well-being.

She loved being outdoors

According to Keaton’s Instagram, she embraced the California hills and hiked regularly, proving that exercise doesn’t have to happen in a gym.

Getting outdoors provides the added benefit of exposure to nature, which has incredible health benefits. In fact, it’s so powerful that the Japanese swear by “shinrin-yoku” or “forest bathing” as a type of medicine. A 2022 study published in Environmental Health and Preventative Medicine, found that being outdoors reduces cortisol (the stress hormone), lowers blood pressure, boosts immune function, promotes better sleep, improves cognitive function, and lifts mood.

She always wore sunscreen

That said, after two skin cancer scares—one at 21 and one later in life—Keaton became religious about sun protection. “Thanks to those basal- and squamous-cell skin cancers, I never skip sunscreen; a broad-spectrum SPF 30 is in my pocket every day,” she said in a 2024 interview with AARP.

This was wise. Skin cancer is the most common cancer in the U.S., according to the U.S. Centers of Disease Control and Prevention (CDC)...but it’s also one of the most preventable. Daily sunscreen use significantly reduces your risk of both melanoma and non-melanoma skin cancers. And SPF 30, like she used, blocks about 97% of UVB rays, according to Northwestern Medicine.

She treated herself

Keaton didn’t deprive herself. In a 2022 Instagram video tour of her pantry, she showed off her snack collection, saying, “I enjoy a raisin. Raisins are good for you and they smell great.” She also revealed her favorite candy: Chimes Toasted Coconut Hard Toffee.

She also liked to relax with a glass of wine. In the same Instagram video, she points out a bottle of wine, saying, “There’s a little bit of wine that I’m familiar with.” She also launched her own wine brand, The Keaton, in 2015—and in an X post said, “Don’t forget the ice. Cheers.”

Research, such as noted by Inc., shows that people who allow themselves small, planned indulgences are more likely to stick with healthy eating long-term. The key word is “small”—a few toffees, not the whole bag.

She focused outward, not inward

This might be the most important healthy habit Keaton practiced. In the AARP interview she said, “The overall trick is to stay curious, energized and engaged, and to let go of your concerns as much as possible. You want to look outward more, instead of inward so much. Oh, and never look back!” She also advised: “Distract yourself. Have a busy, full life and stop looking in the mirror all the time!”

Translation: Stop obsessing over yourself. Get interested in the world. Do stuff. Make things. Talk to people. Live.

It’s not just about positive vibes, the Harvard Longevity Study—a nearly 100-year research project—found that having a positive outlook, strong social connections and engagement with the world live longer and have better mental health. These are a bigger predictor of how long you will live than social class, IQ, or even genetics. Self-obsession and rumination, on the other hand, are linked to anxiety and depression. Looking outward can help you feel healthier and happier.

She embraced aging like a boss

When asked about getting older, Keaton previously shared: “Bottom line: I think healthy aging is something you take on with a modicum of grace.” She got real about what matters: “I’m at an age where the real goal is to be the best person you can be. That’s something that starts in your brain. It’s the real challenge of life.” Instead of the Photoshop and drastic procedures we so often see in Hollywood, she handled aging with grace, acceptance, and showing up as her best self.

This can help you, too. Research published in the Journal of Personality and Social Psychology found that people with positive attitudes about aging live an average of 7.5 years longer than those with negative views. Accepting aging as a natural process—rather than something to fight—reduces stress and improves both mental and physical health outcomes.

BeautyHealth Upgrades 2025 EBITDA Guidance to $37M–$39M Amid Strong Margin Management

noreply@blogger.com (M Hasan) — Fri, 07 Nov 2025 04:56:51 +0000

Strategic Shifts and Operational Improvements

Pedro Malha, CEO & President of The Beauty Health Company, opened the earnings call by expressing gratitude for the previous leadership and team efforts in stabilizing the business. He emphasized the company's potential to leverage its Hydrafacial device platform and expand it into a category-leading ecosystem of skin health technology solutions. Malha highlighted the unique recurring razor and blade business model and the company’s position to benefit from a market shift toward less invasive, personalized, and science-backed treatments.

Malha outlined four strategic priorities: protecting and growing the Hydrafacial installed base of over 35,000 devices, driving consumable utilization, innovating across device and consumable platforms, and strengthening operational discipline in areas such as cost control, margin expansion, supply chain, and quality.

For Q3, Malha reported total net sales of $70.7 million, noting a 10.3% year-over-year decline but stated this was "slightly ahead of the high end of our forecast for the quarter." Device segment revenue was $20.8 million, down 24.6% year-over-year, while consumables revenue was $49.8 million, down 2.6% year-over-year, mainly due to the China business model transition. He emphasized that excluding China, consumables sales would have increased modestly, with the consumable mix rising to 71% of net sales.

Malha noted operational achievements, including inventory levels below $60 million—"the lowest in 3 years"—and cited Q3 adjusted gross margins at 68%, down approximately 150 basis points year-over-year. Adjusted EBITDA reached $8.9 million, up 11% from Q3 last year, reflecting "tight control of cost and a solid operational execution." He announced a raise in adjusted EBITDA guidance and the midpoint of full-year revenue guidance.

CFO Michael Monahan stated, "I'm pleased to share another quarter of steady execution and disciplined financial performance in which we once again exceeded our initial expectations." He highlighted the impact of operational discipline, reporting net sales at $70.7 million, with device sales declining 24.6% and consumables down 2.6%. Monahan also pointed to regional revenue declines and outlined the company’s strategy for managing inventory and cost controls.

Outlook and Financial Results

The company raised the low end of its full year 2025 revenue guidance to between $293 million and $300 million and increased adjusted EBITDA guidance to between $37 million and $39 million. For Q4, expected net sales are between $74.5 million and $81.5 million, with adjusted EBITDA between $6.9 million and $8.9 million. Management stated the guidance reflects "reduced year-over-year revenue declines and continued cost management discipline."

Financial results showed Q3 net sales were $70.7 million compared to $78.8 million in the prior year, with device revenue at $20.8 million and consumables at $49.8 million. The Americas declined 7% to $48.3 million, APAC dropped 41.5% to $6.3 million, and EMEA remained flat at $16.1 million. GAAP gross profit was $45.6 million, with a GAAP gross margin of 64.6%. Adjusted gross margin was 68%, driven by a higher mix of consumables. Operating expenses fell 16.5% to $51.9 million, led by reduced sales and marketing spending (down 24.2%) and G&A expense (down 12.5%). Operating loss improved to $6.2 million from a loss of $21.5 million in the prior year.

Adjusted EBITDA was $8.9 million, up from $8.1 million, with margin improving to 12.6%. The company ended the quarter with $219.4 million in cash, reflecting refinancing activities and improved cash flow from operations.

Q&A Highlights

Oliver Chen, TD Cowen, asked about regional performance and cautious trends in the Americas. Malha responded that "Americas was down 7%...devices was down 16.3%," citing macro pressures but noted stabilization in device declines. For EMEA, "overall, we were flat...devices were down in EMEA about 21%." Consumables in EMEA grew double digits, driven by Germany and the medical channel.

Chen inquired about near-term vs. long-term strategic focus. Malha outlined that immediate priorities include driving utilization and device placement, with innovation and commercial execution as ongoing efforts, and highlighted targeted strategies for both devices and consumables.

John-Paul Wollam, ROTH Capital Partners, queried international strategy and channel mix. Malha stated there is continued reliance on distributor networks internationally, with plans for targeted commercial programs and investment in education and training.

Wollam also asked about the recent consumable price increase. Malha confirmed, "the team has been very pleased how the market...took that price increase," and noted average selling price is up.

Susan Anderson, Canaccord, asked about stabilizing device sales. Malha emphasized improving pipeline and commercial execution, predicting "the performance of our ability to sell devices into the market to get better and better as the quarters progress."

Anderson followed up on consumables focus. Malha disclosed a pause on the skin care initiative: "we have decided to actually pause the skin care initiative...our competitive advantage lies rather on the clinical differentiation, on recurring consumables, on stronger provider partnerships."

Lillian Moffett, Raymond James, asked about channel trends and consumer behavior. Malha described stability in medical and non-medical segments but noted pressure among plastic surgeons as consumers shift toward less invasive care. Monahan added, "booster attachment rates were very high...the end consumer...has been under a bit of pressure."

K. Gong, JPMorgan, asked about balancing growth vs. profitability for 2026. Malha stressed focus on top line growth and recurring revenue, indicating momentum heading into next year is contingent on improved macro conditions.

Joseph Federico, Stifel, queried guidance raise and margin dynamics. Monahan explained Q3 outperformance and Q4 margin expectations, noting, "gross margins tend to be a little bit lower quarter-over-quarter because we run the consumables promotion in the fourth quarter."

Federico asked about churn. Malha acknowledged churn is elevated at 1.8%, attributing it to "financial pressure being the primary factor" among low-volume providers, with proactive reengagement initiatives underway.

Sentiment Analysis and Risks

Analysts maintained a neutral tone, probing regional trends, strategic focus, pricing, and stabilization efforts, with particular attention on macro headwinds and device sales challenges. Management projected cautious confidence, with Malha stating, "we are encouraged by the momentum we are building as we enter 2026." Monahan’s tone reflected operational focus and discipline, noting "continued cost control even in the face of lower top line volume."

Compared to the previous quarter, management’s prepared remarks showcased increased optimism on stabilization and improvement in guidance, while analyst tone remained neutral but focused on risk factors and execution.

Quarter-over-Quarter Comparison

The current quarter featured a new CEO, Pedro Malha, succeeding Marla Beck, and a strategic pause on the skin care initiative. Guidance for full-year revenue and adjusted EBITDA was raised from the prior quarter’s range of $285 million–$300 million and $27 million–$35 million, respectively, to $293 million–$300 million and $37 million–$39 million.

Device revenue pressure persisted, but consumables mix improved. Operational discipline and cost controls remained central, while innovation shifted focus from skin care to clinically backed boosters and core consumables.

Analysts in both quarters concentrated on device sales, churn, and regional performance, but this quarter’s Q&A included increased scrutiny of churn and pricing power.

Management’s tone moved from cautious progress in Q2 to greater emphasis on momentum and margin resilience in Q3.

Risks and Concerns

Management cited ongoing macroeconomic headwinds, persistent inflation, challenging access to financing for capital equipment, and uneven consumer confidence as key external risks. Device sales remain under pressure, especially in the Americas and APAC, with churn elevated at 1.8%. The China market transition continues to impact results, though mitigation includes inventory planning and a shift to distributor models.

Proactive measures include greater support and training for low-volume providers, a focus on innovation in consumables, and a pause on non-core initiatives to preserve capital.

Final Takeaway

The Beauty Health Company delivered resilient Q3 2025 results amid challenging macro conditions, highlighted by improved profitability, disciplined cost control, and strategic clarity under new leadership. The company raised guidance for both revenue and adjusted EBITDA for the year, underscoring confidence in its recurring consumables model, operational improvements, and targeted innovation. Management remains focused on stabilizing device sales, reactivating providers, and leveraging its core strengths to drive growth into 2026.

Ben and Candy Carson's Struggle for Families

noreply@blogger.com (M Hasan) — Fri, 07 Nov 2025 04:00:01 +0000

A Lasting Partnership

Dr. Ben Carson, a renowned neurosurgeon, former Republican presidential candidate, and former U.S. Housing and Urban Development secretary, is known for his strong public presence. However, those who follow his social media accounts will notice that he is not alone in sharing the spotlight. His wife, Candy Carson, plays an equally significant role in their public life. She is credited on the cover of many of his books and has been a constant presence in his career. The Carsons have built a partnership that extends beyond personal life into professional endeavors, making it difficult to find a public-facing platform where they are apart.

This close collaboration is by design. The Carsons, who will be honored by the Sutherland Institute at its 30th anniversary awards dinner, are recognized as prominent advocates for the American family. Their work, particularly in the 2024 book "The Perilous Fight," highlights their commitment to defending the family as a core institution. The Sutherland Institute’s decision to present the Family Values Award to both Dr. and Candy Carson together reflects the deep connection between their lives and work.

Rick Larsen, president and CEO of the Sutherland Institute, explained that while the award was initially considered for Dr. Carson alone, the team realized how integral Candy Carson is to their message. “When you read their book and Candy’s book, ‘A Doctor in the House,’ you realize they’re inseparable,” Larsen said. “They’re in this together.”

A Half-Century of Partnership

Dr. Carson and Candy have been married for 50 years, and their relationship has evolved over time. In the early days of his medical career, Dr. Carson was incredibly busy as a pediatric neurosurgeon. When he became director of pediatric neurosurgery at Johns Hopkins, the division was not well-known. He spent years working to elevate its reputation, which eventually led to it being named the No. 1 pediatric neurosurgery division by U.S. News and World Report in 2008.

During this time, Candy focused on raising their children. Despite having an advanced degree from Yale and an MBA, she put her career on hold to care for their family. At the same time, she was also starting the Carsons Scholars Program, which provides college scholarships to students who excel academically and serve their communities.

Defending Family and Faith

In today’s political climate, discussing families and communities of faith can be controversial. The Sutherland Institute has long defended these institutions based on data and historical evidence. “Data shows that intact families in communities of faith tend to thrive,” Larsen said. “We’re completely aligned with Dr. Carson and Candy Carson’s new book where they make these points.”

The Carsons argue that the American family is under attack from various forces, including modern-day Marxists, socialists, and globalists. They reference W. Cleon Skousen’s 1958 book “The Naked Communist,” which outlines strategies aimed at undermining traditional values. These include discrediting the family and encouraging promiscuity and easy divorce.

The Perilous Fight

The title of the Carsons’ book, "The Perilous Fight," is inspired by a line from "The Star-Spangled Banner." They use this metaphor to describe the ongoing challenges facing the American family. Like Fort McHenry during the War of 1812, the family is under sustained attack, with enemies chipping away at its foundation for decades.

For Dr. Carson, the importance of a strong, two-parent family stems from his own childhood. His father left when he was young, and his mother worked multiple jobs to support her sons. Despite having only a grade-school education, she instilled a love of learning in her children. One of the most poignant stories involves her requiring her sons to write book reports every week, even though she could not read them herself.

Education as a Solution

Dr. Carson believes that education is key to addressing many of the challenges facing society. He argues that ignorance is a major issue, citing examples of people who lack basic knowledge. “We have to fight that,” he said. “We have to educate people so they understand the values that have made this nation prosperous.”

Through the American Cornerstone Institute, the Carsons are working to promote conservative principles and policy solutions. Their Young Patriots program aims to teach children to value faith, liberty, community, and life. “We have a wonderful story to tell with this nation,” Dr. Carson said. “It has a moral base, and as we allow all of that to recede, we’re suffering the consequences.”

Melatonin May Harm Your Heart, Experts Warn — 5 Ways to Sleep Fast Without It

noreply@blogger.com (M Hasan) — Fri, 07 Nov 2025 04:00:00 +0000

Key Findings of the Study

A recent preliminary study has uncovered a potential link between long-term use of melatonin supplements and an increased risk of heart failure, as well as other serious health outcomes. The research, set to be presented at the American Heart Association’s Scientific Sessions 2025, analyzed five years of health data for 130,828 adults with insomnia. Half of these individuals had used melatonin supplements for at least a year, while the other half had not been prescribed it.

The results showed that those using melatonin long-term had a 4.6% chance of developing heart failure over five years, compared to 2.7% in the non-melatonin group. This means that melatonin users had a 90% higher risk of heart failure than those who did not take the supplement. Additionally, they were three and a half times more likely to be hospitalized for heart failure and twice as likely to die from any cause during the same period.

However, the researchers emphasized that their findings show an association, not causation. They noted that people with insomnia may already have underlying health issues that could contribute to both the need for melatonin and the risk of heart problems.

Should You Be Concerned?

Dr. Fady Hannah-Shmouni, MD FRCPC, Medical Director at Eli Health, advised caution but not panic. He explained that the study does not prove that melatonin directly causes these health issues. Instead, he pointed out that insomnia itself can lead to hormonal changes, such as increased cortisol levels, which may affect cardiac health. He also noted that the study's limitations include the lack of information on the severity of insomnia and the possibility that some participants in the non-melatonin group may have taken over-the-counter melatonin.

Despite these uncertainties, Dr. Shmouni stressed the importance of consulting a healthcare provider before starting any new supplement, including melatonin.

Tips for Falling Asleep Without Melatonin

If you're looking for alternatives to melatonin, experts suggest several strategies to improve sleep quality:

Keep Your Sleep Schedule Consistent
Maintaining a regular sleep and wake time helps regulate your circadian rhythm. This consistency ensures that your body releases the right hormones at the right times, promoting better sleep and alertness during the day.
Practice a Nighttime Routine
A calming bedtime routine signals to your body that it's time to wind down. Activities like taking a bath with Epsom salts, drinking chamomile tea, or reading can help reduce stress and prepare you for sleep. Avoid screens before bed, or use night mode settings to minimize blue light exposure.
Try Relaxation Exercises
Techniques such as deep breathing, yoga, progressive muscle relaxation, or meditation can lower cortisol levels and promote mental balance. Guided meditations or visualization exercises can also help ease you into a relaxed state.
Stay Physically Active
Regular exercise can improve sleep quality by reducing stress and regulating cortisol levels. However, it's best to avoid strenuous workouts close to bedtime, as they may interfere with sleep onset and quality.
Create the Ideal Sleep Environment
A cool, dark, and quiet bedroom supports better rest. Aim for a temperature between 65 to 70°F (18 to 21°C) and use tools like earplugs, white noise machines, or eye masks to block out disturbances.

Foods Needed During SNAP Freeze — Safe Donation Guide

noreply@blogger.com (M Hasan) — Fri, 07 Nov 2025 00:51:25 +0000

The Crisis of Food Insecurity Amid Government Shutdown

Amid the uncertainty surrounding a government shutdown and the ongoing debate over whether Supplemental Nutrition Assistance Program (SNAP) benefits will be released to nearly 42 million Americans, food banks and giving networks across the country are working tirelessly to meet the growing demand in their communities. This situation has placed many food banks in what is being called "crisis mode," as families who rely on SNAP benefits face an uncertain future.

Jason Jakubowski, President and CEO of Connecticut Foodshare, explained that the uncertainty around SNAP benefits combined with the approaching holiday season has created a "nightmare scenario" for families. He noted that people who depend on SNAP don’t know when or if their full benefits will arrive, which has led to a surge in demand at food pantries and mobile food distribution sites. “For every one meal we can provide at the food bank, SNAP can provide nine,” he said.

With increased demand, there is also a growing number of individuals looking to help. Operation Food Search in St. Louis reported that a recent food drive with City Foundry saw 20,000 pounds of food donated—enough to feed 5,000 people in a day. However, in triage situations, it can be difficult for those new to food rescue and donation to understand how they can make the most effective impact.

Experts in food donation and safety provided guidance on how to ensure donations are as helpful as possible. Before making any donations, reaching out to the specific organization you're interested in supporting is a key step. This helps avoid well-intentioned but potentially unnecessary donations that may not align with the needs of the community.

“Before making a donation, the most helpful thing donors can do is check the guidelines of the organization they’re donating to,” said Kyle Waide, president and CEO of Atlanta Community Food Bank. “Food banks, pantries, and community fridges often have different storage capacities, safety requirements, and community needs.”

Jakubowski echoed this advice, noting that “a quick phone call can make your gift more impactful” and prevent donations from going to waste. He emphasized that each pantry serves a different community with unique needs and storage capacities, so checking in first ensures that donations go where they are needed most.

In addition to food donations, monetary contributions and volunteering are also valuable ways to support these networks. “We need donations to help us purchase food and transport it to our pantries and mobile sites. We need volunteers to help sort through donated food before it goes out on our mobile trucks,” Jakubowski said.

What to Donate: Tips from Experts

When choosing what to donate, experts recommend considering what you would feed your own family. Melissa Weissler of Operation Food Search advised, “Think about what you and your family enjoy eating, and let that be your guide.” She noted that food banks and pantries serve a wide variety of personal and cultural preferences, and it's important to be sensitive to these differences.

Kyle Waide added that donors should choose items that are nutritious, shelf-stable, and easy to prepare. He also stressed the importance of ensuring that items are unopened, in good condition, and within their expiration period.

Some of the most commonly requested items include:

Peanut butter
Canned meats (tuna, chicken, etc.)
Canned vegetables and fruits
Rice, beans, and pasta
Cereal
Shelf-stable instant meals
Shelf-stable milk
Granola bars
Fruit cups and applesauce
Crackers
Soups, stews, and broths

Jakubowski noted that protein-rich foods and dairy products are among the most sought-after items. However, he also mentioned that under-donated items like meat proteins can vary depending on the community’s needs. Calling ahead to check on under-donated items is a great way to build a relationship with your local food pantry.

Common Mistakes to Avoid

There are several common mistakes that donors can avoid by reaching out before donating. Wagner highlighted that many people tend to bring items high in carbohydrates that don't promote a balanced diet. These types of items are already abundant at food banks, so balancing them with more needed items is ideal.

Specialty items that require specific storage conditions can also be problematic if the pantry isn’t equipped to handle them. Additionally, holiday-specific items may sit unused for too long, leading to waste. Glass containers, condiments, specialty sauces, homemade foods, and baby food are also less effective, as they may not be versatile enough for the diverse needs of the community.

Weissler also pointed out that some staples, like rice and beans, while nutritious, can be time-consuming to prepare. People on SNAP benefits are often working and may not have the time or resources to prepare dried beans properly.

By following these guidelines, donors can make the most impactful contribution to their local food banks and help address the growing need in their communities.

The One Thing 95% of Healthcare Execs Agree On, Says HFMA CEO

noreply@blogger.com (M Hasan) — Fri, 07 Nov 2025 00:39:15 +0000

This is a preview of the November 6 edition of Access Health—Tap here to get this newsletter delivered straight to your inbox. Good morning. Yesterday was the submission deadline for Rural Health Transformation applications, and some states have started releasing overviews of their plans. Here’s what we know so far (a special thanks to my colleague Lauren Giella for her reporting on this topic).

At the time of writing on Wednesday, three state governors had publicly unveiled their blueprints: North Dakota Governor Kelly Armstrong, Missouri Governor Mike Kehoe and Mississippi Governor Tate Reeves. Unsurprisingly, telehealth expansion and stronger workforce pipelines were core to their proposals.

But I did find another common thread throughout the states’ plans: They all called for some level of interoperability between health care stakeholders. Missouri aims to create a “unified, regional network” that will connect providers, public health agencies, at-home resources and digital health tools to expand access, according to Kehoe’s news release. Mississippi wants to build a “connected, data-driven network of emergency, clinical and community-based services,” Reeves said. And Armstrong outlined four strategic initiatives for his state, including “connecting technology, data and providers for a stronger North Dakota.”

A few weeks ago, on the heels of the Summit on the Future of Rural Health Care, I wrote about the skepticism that many health care executives expressed when asked about the $50 billion transformation fund. (If you missed it, you can check out that newsletter here.) I’ve come across a few recurring concerns: (1) that the plans will be too broad to effect real change, (2) that they’ll set up costly programs that won’t be sustainable once the cash infusions end and (3) that $50 billion is not nearly enough to offset the $1 trillion in Medicaid and CHIP cuts that hospitals are expecting in the next decade.

We don’t have every state’s plan yet, and the information we do have isn’t very detailed. But so far, those concerns I outlined above appear to be valid—especially when it comes to the sections on “connected networks.”

Health care IT executives know that data exchanges aren’t easy to build. Leaders spoke about this in depth at My healthy of life’s Digital Health Care Forum, chronicling privacy concerns, internal data silos and complex relationships among competitors. And those are concerns from well-funded health systems, which have more solid IT infrastructures than their rural, independent counterparts.

Plus, maintaining a connected network will undoubtedly take resources, and the fund only lasts five years. It is unclear how these projects will sustain themselves over the next few decades.

Fortunately, states won’t be working toward these goals on their own. This week, a coalition of health tech companies launched the Collaborative for Healthy Rural America, specifically designed to advance the Rural Health Transformation projects. The group intends to address access challenges through “shared infrastructure, unified data and modern technology,” and will work up an “AI-enabled interoperable operating platform” to help states carry out their visions, according to the Collaborative’s website and news release.

Founding members include Lumeris (primary care), Teladoc Health (virtual care), Nuna (an app with an AI “coach” for chronic disease patients), Deloitte (for data systems interoperability expertise), and Unite Us (a company that builds networks to coordinate care and improve communications between health care and human services organizations).

Plus, the Collaborative aims to improve access nationwide, not just in awarded states. Perhaps these companies, which are well-resourced and nationally scaled, could give some of the state-wide plans a helpful boost—and keep this entire endeavor from being a bust. We’ll know more when the winners are announced December 31, and as the funds are distributed in early 2026.

What stood out to you from the early Rural Health Transformation Fund proposals? Send me an email at a.kayser@newseek.com and let me know.

In Other News Major health care headlines from the week

My healthy of life will host a live webinar, “Traveler to Teammate: Becoming a Hospital Where Nurses Choose to Stay,” on Wednesday, November 19, at 2 p.m. Eastern.

My colleague Aman Kidwai will host the discussion with Dr. Regina Foley (Chief Nursing Executive and Chief Clinical Transformation and Integration Officer, Hackensack Meridian Health), David Rutherford (Senior Advisor, HR Transformation, OhioHealth) and Dr. Vikas Sinai (President of the Lown Institute). Learn more and register for free here. I hope to see you there!

Athenahealth announced an ambient scribing tool and a clinical copilot named Sage at its annual customer event on Tuesday. The new capabilities will begin user testing in the first half of 2026, at no additional charge to customers.

I spoke with the EHR vendor’s CEO, Bob Segert, about his decision to build these tools internally—and what it might mean for external solutions that currently live atop the platform. Get the scoop here.

Hospitals and health systems across the nation are rebranding. At least six organizations shared new names this week, with many of them symbolizing new visions.

BJC Health System in St. Louis is dropping the “system” from its name and adopting a new tagline (“Because every moment deserves exceptional care”). Franciscan Missionaries of Our Lady Health System in Louisiana will now be known as FMOL Health. CHI Memorial hospitals across Tennessee and Georgia will adopt the name of their parent company, Chicago-based CommonSpirit Health. The national senior living provider CareSouth Health System is rebranding across all its divisions and lines of business, launching an updated website and logo.

Some of the updates apply to recently acquired facilities. For example, Washington Regional Medical Center in Fayetteville, Arkansas, is renaming Physicians’ Specialty Hospital once it assumes operations of the facility on December 1. The new name will include “Washington Regional” ahead of the existing title. And HCA Healthcare has rebranded more than 35 care sites across Charleston, unifying them under the for-profit system’s name, according to The Summerville Journal Scene.

These announcements come as many health systems seek to create a more seamless health care experience for patients—and some look to form competitive brands that can go head-to-head with household names like Amazon and marketing wizards like Hims & Hers.

The government has been closed for more than a month, and anxieties are festering amid lingering policy questions—especially the fate of the Affordable Care Act (ACA) enhanced premium tax credits (APTCs).

On Monday, a pair of House Democrats and a pair of House Republicans released a bipartisan statement of principles, proposing a temporary two-year extension of the APTCs, among other reforms to prevent fraud and “ghost beneficiaries.” It’s not a guarantee, but it is a welcome signal of compromise.

Pulse Check Executive perspectives on key industry issues

Financial sustainability is a top concern for health system CEOs and CFOs. That’s why I sat down with Ann Jordan, president and CEO of the HFMA, for this week’s Pulse Check.

The HFMA (or the Healthcare Financial Management Association) is in a unique position. It’s a non-lobbying organization and expands beyond the traditional definition of a professional association because it speaks to a number of players rather than to a single trade, like nursing or cardiology. In other words, it occupies a “horizontal lane of an industry that is becoming increasingly dynamic and destabilized,” as Jordan put it.

Currently, the HFMA is focused on equipping members with insights to advance their organizations’ financial management and applying that acumen to guide strategy in the broader health care industry, Jordan said. To advance that goal, the HFMA recently launched the business initiative Vitalic Health, which focuses on convening stakeholders to discuss industrywide solutions. In mid-August, they launched a “Vitals Tracker” to rapidly assess the health of the health care system—and declared that it is in “serious condition.”

Here’s what Jordan told me about the new tool and the work to stabilize health systems’ finances.

Editor’s Note: Responses have been edited for length and clarity.

What are the main barriers to financial sustainability for hospitals and health systems right now, and how are you working to address them?

Point number one is understanding what we should look at in terms of financial sustainability and from what perspective. When your practice [is] horizontal [like the HFMA’s], should it be from the perspective of sustaining a business, a stakeholder group or the overall “greater system,” if you want to call it that, to advance health care generally to our communities?

When you talk about sustainability, one, naturally, is making sure that there is financial sustainability so that service can be delivered right, at the end of the day. If health systems and hospitals cannot stay open, health care is not going to be delivered. So that’s primal, that’s basic.

But this longer-term play in terms of financial sustainability and outcomes, there really has not been a meaningful and objective conversation on what that means, and that’s a little scary, given the fact we have a $5 trillion industry pushing upward to 20 percent [of the nation’s] GDP. So, part of this initiative underlying Vitalic Health and the tracker was, for the first time, to start identifying those measures and sub-measures, how they have interconnectivity and [whether they are] getting better or worse. It’s strange that that has not been done before at the macro level.

For me, in terms of what are we thinking about [when it comes to] how we become financially sustainable, we’re trying to educate and understand [that] ourselves, and we want the whole industry to help us.

Tell me a little bit more about the Vitals Tracker. As you were building this out, what did you find that is pertinent to call out?

When we began this initiative of Vitalic Health, we didn’t want to tell people what we were doing and why, because then they would bring bias to the table. So there was a whole working task force for about a year behind the scenes that looked into the components and elements of financial sustainability from the top lines in health care. That was done generatively, and that was purposeful. [We] gathered up a big vat of knowledge to begin with, starting with the question, do you believe the system is financially sustainable? Over 95 percent of that big group said “no.” And you can’t get experts to agree with that percentage on anything, right?

Then [we started] breaking down all the components: First of all, what matters from a macro-economic standpoint? Our intuition is to go mezzo, to go [are] organizations surviving? That’s not what this [tracker focuses on]. This is really looking at that dynamic part of the industry, year over year. Are we getting better or worse?

Of all these different factors that we’re hearing, there are two main buckets. One is the cost, the financial element, so we wrestled it as expenditures and affordability. The other is the outcome, which we’re calling functional longevity, and that takes into account not only the wellbeing of the population, but the social determinants of health that are interconnected with those outcomes. Think of it as your hardcore financial components and what’s going into it, and then the outcome side of them, breaking down all the measures and sub-measures that are seen as the most critical indicators, year over year.

The beauty of this tracker is we didn’t have to invent sub-measures on our own and collect data. There are enough first-class institutions that have been collecting this for a very, very, very long time. But how do we create a storytelling and a measurement device that can not only look backwards to allow us to learn, but proactively be turned forward to see how potential policy could impact us in the future?

You mentioned that 95 percent of experts said the health care system is not financially sustainable. But how many believe that it can become sustainable? Is there optimism there?

This is where you begin to have different views. If you go back to innovative disruption models—incumbents versus disruptors, builders versus fixers—we’re at that epicenter right now, and I think it’s going to be a combination.

So, do we think we can get there? We don’t have a choice. There’s too much on the line when you’re talking about health care. To serve our communities, we have to figure out a way to do it, and there are a lot of brilliant people out there looking at this.

But what needs to happen is a concerted effort so [that], at the end of the day, it’s not a few that survive; there is that interconnectivity across all stakeholders to go forward together. Right now, you see a lot of trends going around the country where different groups are incubating together, right? They’re forming these different initiatives, where stakeholders, maybe 10 or so, are coming together to look at how our model can be successful. Well, that’s going to just lead to bigger silos across the country.

How do we make sure there is that ongoing concern, so that overall, we’re delivering health care in a way that is available to all Americans? I believe there is optimism that it can become sustainable. I believe there are very divergent theories right now in terms of the incumbents versus the disruptors, on what that looks like.

From your perspective, what does a path to financial sustainability require? How do we get the entire health system on the same page?

We’re calling it solve-based convening. There needs to be a purposeful effort to bring together stakeholders that are aligned in purpose, [that] put down [their] own self-interest and bias. Look at the opportunity or the problem before you, and come together and solve it, because there’s so much of that collaboration that can occur, starting with payers and providers.

I think everyone can admit there’s a lot of administrative waste that’s driving up cost in health care. There are ways to solve that. An army of the willing, if you want to call it that, can do this in a safe, unbiased place.

Now, going back to HFMA, we’re non-money, we are apolitical, and we play in that horizontal plane, and that’s why we do feel it’s upon us to step forward at this time, to be one of those few organizations that can set a table and bring everyone to it. I truly believe, too, when your mission is leading the financial management of health care and the data is showing that your system is financially unsustainable…what obligation do we have to step up right now? That is the soul-searching that we had to do, and it’s critical for all the players in health care to do right now.

The other comment that I’ll say is, if we are the leaders of health care financial management [and] we don’t [take action], if not us, who? Eventually someone is going to have to lead this. We can either be active leaders and participants, or we can let someone else come that might have bias or different interests than our own.

What’s one thing that you would recommend all hospital and health system CFOs do to improve their organizations’ financial sustainability?

I want to thank them for their perseverance and resilience. They have been going through [a lot, from] the pandemic to this current environment of drastic change. Whether it be from AI and technology or the [Trump] administration, the role of the CFO in the United States health care realm has changed so much. And, man, are they stepping up to the task.

Number one, I want to recognize that [at a] higher level, they have become the ultimate risk managers, and to understand the consequences to the community of not making this work. That’s a lot of pressure. I want to give credit to those financial professionals leading us through all this change.

But in terms of what we need to be mindful of for sustainability, when you’re in a financial realm, it comes down to your payment model. All these different changes that are going on, we’re going to assess that a lot of it comes down to their payer mix, and a lot of it comes down to understanding risk pools.

So, as we’re going through all of this, be mindful [that] despite the fact we have all these things going on from supply chain, or going on from accelerating labor costs, the core comes down to that payment model—and that’s going to have to change, too.

The complexity of the CFO…think about it. They’re getting hit from all these macro-factors, [including rising] litigation costs. But to serve the patient, you gotta have that payment model intact.

It’s a very hard role right now. I definitely don’t have all the answers, but I think through the convening that we’re seeing, particularly of CFOs across the country, we’re trying very hard to figure it out.

C-Suite Shuffles Where health care leaders are coming and going

Dr. David Kirk has joined Regard as chief medical officer. He comes to the technology company—which specializes in proactive documentation solutions that review EHR data to recommend diagnoses—from WakeMed Health & Hospitals in Raleigh, North Carolina. He most recently served as the system’s chief clinical integration officer and executive medical director of critical care medicine and eICU.

AdventHealth named Todd Goodman its new CFO, just months after David Banks took the reins as president and CEO. Goodman has worked at the Altamonte Springs, Florida-based health system since 1991. He was promoted to CFO after serving as its executive vice president of finance. Read more at My healthy of life.

In Montgomery, Alabama, Jackson Hospital is assembling a power team to guide it through ongoing Chapter 11 bankruptcy proceedings— including a few former executives from the for-profit health system giant, HCA Healthcare. The 344-bed hospital appointed John Quinlivan as CEO. He spent nearly two decades at HCA Healthcare, overseeing hospitals in Florida and Georgia, and is charged with leading a restructuring to “avoid hospital closure,” according to a press release from Jackson Hospital.

The hospital also selected a new three-person board of trustees to help carry out the restructuring plan. That team includes Charles Evans (former president of HCA Healthcare’s Eastern Group), Jeff Crudele (former CFO of Allegheny Health Network) and Gary Murphey (a former CEO, CFO and chief restructuring officer at financially distressed companies in various industries, and the current managing director of Resurgence Financial Services). Click here for the full scoop from My healthy of life Senior Reporter Lauren Giella.

Executive Edge How health care execs are managing their own health

We’re heading into that end-of-year push, and many leaders are feeling the pressure to finish out 2025 strong and set expectations for 2026. But 10 tumultuous months behind us, it’s not uncommon to feel a little bit burnt out—and to feel like that holiday break can’t come soon enough.

This week, I asked Ellen Sexton, executive vice president and chief growth officer at Blue Shield of California, how she prioritizes herself while juggling the demands of health care leadership—especially as part of a team that serves 6 million members in the nation’s most populous state. Here’s what she told me.

Editor’s Note: Responses have been edited for length and clarity.

“Working in the health care industry means that every day, we are working for our members. Over the years, I’ve learned I have to take care of my own health and stay grounded to keep showing up fully for my team, my family and the members, partners and communities we serve. For me, that grounding comes from doing what I love, what brings me joy and by giving back to the community.

“In addition to making sure I schedule regular checkups (including dental and vision appointments) and follow preventive care recommendations, I find that how I spend my free time also impacts my overall health. After all, what we find joy in doing impacts our mood, our overall outlook on life and how we feel each day. I spend my free time listening to podcasts, reading (I highly recommend Poor Charlie’s Almanack, a collection of speeches and lessons encouraging lifelong learning), attending music festivals, walking my dog, Sugar, and doing anything that gives me an opportunity to get away from my desk and have fun.

“I also find that laughing with my family (I’m a proud hockey mom to a teenage son), friends and colleagues plays a big role in how I feel. I also strongly believe in giving back, and for me, that is expressed through service. It’s how I reconnect to the reason I chose this field in the first place: to support the whole person, including body, mind and spirit. That same belief guides my professional work, seeing our members as individuals with stories, families, and dreams.

“Giving back doesn’t always have to mean large-scale volunteerism. Sometimes it’s mentoring a colleague, checking in on a team member, or offering encouragement to a peer after a tough meeting. These seemingly small gestures create a ripple effect—lifting others while restoring my own sense of balance and purpose.

“Whether I’m volunteering with the Salvation Army, preparing for a Milwaukee Public Library Foundation Board of Directors meeting, or contributing to the Wisconsin School of Business External Advisory Board, these experiences remind me of the ‘why’ behind my work and the broader impact we can make when we lead with empathy.

“Through the years, I’ve learned that service is sustaining. It recharges my energy, deepens my empathy and reminds me that leading with heart is the best strategy for longevity, and thus, professional wellbeing.”

CEO Circle Insights from health care thought leaders around the world

Before you go, check out this profile of Dr. Bhana Chandrakamol, the director overseeing eight hospitals for the BPK Hospital Group in Thailand, and a member of My healthy of life’s CEO Circle. His interview traces his path from the “aha” moment that sparked his career in medicine, to the top of an innovative health system.

This is a preview of the November 6 edition of Access Health—Tap here to get this newsletter delivered straight to your inbox.

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