Which HCPs Are Most Likely to Get COVID Vaccine?

What your doctor is reading on Medscape.com:

By Marcia Frellick

July 31, 2020 — Physicians are the most likely group of healthcare professionals to get a COVID-19 vaccine when one is available, according to a new Medscape poll.

More than 7000 healthcare professionals, including clinicians, medical students, and administrators, responded to the poll.

US physicians who responded were as likely as physicians outside the United States to say they would get a vaccine when it’s ready. Nurses and advanced practice registered nurses (APRNs) were much less likely than physicians overall to say yes.

Table. Do You Plan to Get a COVID-19 Vaccine When it Becomes Available?*

Answer % US Physicians % Physicians Outside US % Nurses/APRNs**
Yes 71 75 53
No 13 8 24
Unsure 17 16 23

*Percentages may not equal 100% due to rounding
**Advanced Practice Registered Nurses

Which Specialists Are Most Likely to Get Vaccinated?

Willingness to get a COVID-19 vaccine varied substantially by specialty. Eighty-two percent of ophthalmologists said they would get a vaccine, followed by radiologists (79%); obstetricians/gynecologists (77%);   psychiatrists/mental health providers (76%); pathologists (72%);  anesthesiologists (70%); family physicians (69%); emergency physicians (63%); and internists (62%). (Responses listed are based on specialties that provided an adequate amount of poll data.)

Physicians’ willingness to recommend that their patients get the vaccine as soon as one is available ranged from 65% among ophthalmologists to 46% among emergency physicians. Between 48% and 53% of the other specialists said they would advise immediate uptake.

Willingness to get vaccinated for COVID-19 also appeared to increase by age. Among physicians, 56% of those younger than 35 said they would take the vaccine while 79% of those 65 and older said they would. Fewer than half of younger nurses (46%) said they would take it compared with 66% of those at least 65 years old. While 58% of younger pharmacists said they would get the vaccine, the number grew to 83% for those at least 65 years old.

Patients More Reluctant Than Providers

These results contrast with those from a similar WebMD poll of patients, which found much more reluctance to get vaccinated. Slightly more than 40% of patients said they plan to get a vaccine, while 28% said they do not. Another 30% were unsure.

Continued

Of those responding to the Medscape poll who said they had concerns about a vaccine, potential safety risks and lack of effectiveness were the two top reasons.

Physicians were the least concerned (58%) about effectiveness while 71% of medical students were most concerned. Among other clinicians, 63% of pharmacists were concerned about effectiveness, followed by physician assistants (62%); other healthcare providers (61%); and nurses/APRNs (60%).

Among specialists, confidence in a vaccine varied considerably, but overall the expectations were low, with less than half of respondents across almost all specialties confident that the first vaccine would be effective or very effective.

About 50% of ophthalmologists and anesthesiologists were confident a vaccine would be effective, but only 28% of family physicians answered that way.

Medscape previously reported that nearly half of respondents (48%) to an Ipsos/Reuters poll in May said they were cautious about any COVID-19 vaccine that was quickly approved in a process that usually takes at least a decade. One third of respondents said they did not trust the people making vaccines.

John Whyte, MD, chief medical officer of WebMD, said the high level of concern among patients should serve as a wake-up call.

“If immunization rates are low, then we’re not going to achieve the level of herd immunity needed to protect us from this virus.”

Physicians Have Fewest Concerns About Adverse Effects

Physicians were the least likely health professional (47%) to say they were worried about potential adverse effects of a vaccine that would outweigh the risks of COVID-19. Next among providers with that thinking were pharmacists (48%); nurses/APRNs (58%); other healthcare providers (60%); and PAs (61%). Nearly 60% of medical students said they were concerned about potential adverse effects that could outweigh COVID-19 risks.

US physicians were more likely than those outside the United States to say they were concerned about lack of effectiveness in a COVID-19 vaccine (58% vs 48%).

Patients responding to the WebMD poll also said they were concerned about the safety of a new vaccine; 78% cited concerns about adverse effects. Another 15% weren’t convinced it would be effective.

Continued

Few Predict a Vaccine in 2020

Asked when they thought a vaccine would be readily available, few healthcare professionals predicted that would happen by the end of this year. Only 22% of physicians, 17% of pharmacists, and 14% of nurses/APRNs expected that.

But confidence is high that a vaccine will be widely available sometime in 2021.  

Table 2. When Do You Think an Effective COVID-19 Vaccine Will Be Widely Available?

Answer % Physicians % Nurses/APRNs % Pharmacists % Health Business/Administration
By end of 2020 22 14 17 15
In 2021 65 64 67 63
In 2022 8 11 10 11
Later than 2022 2 6 3 5
Never 3 5 3 6

When a COVID-19 vaccine is available, healthcare facilities will have to make policy decisions about who must get it.

One commenter on the poll said, “I’ll be interested to see how various institutions handle vaccination policies. For example, the hospital where I work has a mandatory flu vaccination policy. Many of our employees resent this mandatory vaccination but still go along with it because the flu vaccines have been around for so long that they have some reassurance of safety.”

Marcia Frellick is a freelance journalist based in Chicago. She has previously written for the Chicago Tribune, Science News and Nurse.com and was an editor at the Chicago Sun-Times, the Cincinnati Enquirer, and the St. Cloud (Minnesota) Times. Follow her on Twitter at  @mfrellick

Medscape Medical News

© 2020 WebMD, LLC. All rights reserved.

Body Hair: Your own fleece

Body hair, termed androgenic hair, develops on the body during the years of puberty. We need this hair to regulate our body temperature. When it’s cold, the hairs stand up because the tiny muscles surrounding the hair follicles are trying to trap more heat. This is when we see goosebumps on our skin. Hair is all over our bodies. We have eyebrows, facial, arm, leg, chest, and pubic hair. Fine hairs found all over the body are called vellus which comes from the Latin word “fleece”. Larger more coarse hairs found on the eyebrows, eyelashes, armpit, facial, and pubic areas, are called terminal hairs. The cells of the hair follicles are constantly regenerating. We aren’t wooly mammals with constant hair growth. Hair growth actually goes through active and resting periods. The duration of growth varies on certain parts of our bodies, which is seen between the difference of our head hair and leg hair (for example).

The amount of hair on your body is determined by a number of factors. The amount of hair you have can be based upon your ethnicity. Different ethnicities have different amounts of terminal hairs. Hispanic and Middle Eastern people have the most hair while Asians have the least. Hair growth can be influenced by hormonal imbalances. For example, an increase in testosterone can cause an increase in hair. This testosterone growing hair is an unwanted condition called hirsutism. Women with irregular periods and polycystic ovarian syndrome are also more prone to an increase in hair growth. Autoimmune conditions can result in hair loss which is the case with types of alopecia. Being iron deficient or having an underactive thyroid can also cause hair loss.

There are certain home remedies that can help stimulate hair growth. Eating a high protein diet can help due to the amino acid called keratin. Cysteine is another type of amino acid that can help grow hair faster. Sources of vitamins are a popular method because they contain biotin, folic acid, and iron. Less hair washing can help preserve the natural oils of the hair needed for hair health and growth. Less stress is also important which will help reduce disruption to the hair-growth cycle. It is also important to regularly trim the ends of your hair and brush it when it is wet to help prevent damage that can affect hair health. Apple cider vinegar can also stimulate hair growth by helping to balance pH levels effecting the hair follicles. Aloe-vera and onion juice can also remove sebum from the hair which slows hair growth.

Hair is everywhere and we tend to value it in certain places on our body than others. Hair is our skin’s protector. We shave it and remove it, but always expect it will come back. Don’t take for granted your hair follicle health and a natural layer of our body that we need.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3250022/

https://journals.lww.com/jdnaonline/Fulltext/2011/07000/Anatomy_and_Physiology_of_the_Skin.3.aspx

https://www.mayoclinic.org/diseases-conditions/hirsutism/symptoms-causes/syc-20354935

https://www.mayoclinic.org/healthy-lifestyle/stress-management/expert-answers/stress-and-hair-loss/faq-20057820

everybodysfit

Megan Johnson McCullough owns a fitness studio in Oceanside CA called Every BODY’s Fit. She has an M.A. in Physical Education & Health Science, is a current candidate for her Doctorate in Health & Human Performance, and she’s an NASM Master Trainer & Instructor. She’s also a professional natural bodybuilder, fitness model, Wellness Coach, and AFAA Group Exercise Instructor.

Many U.S. Homes Too Cramped to Stop COVID’s Spread

By Amy Norton
HealthDay Reporter

FRIDAY, July 24, 2020 (HealthDay News) — People with COVID-19 are told to keep their distance from family members to protect them from infection. But a new study finds that one-fifth of U.S. homes are too small for that to happen.

Researchers found that more than 20% of households nationwide lacked enough bedrooms and bathrooms to allow a person with COVID-19 to isolate. That covers roughly one-quarter of the population.

And as with the pandemic in general, minority and low-income Americans are most affected. Among Hispanic adults, close to 40% live in a home with too few bedrooms or bathrooms.

Experts said housing conditions are likely one reason that Black and Hispanic Americans have been especially hard-hit during the COVID-19 pandemic.

“This is not affecting everyone in the same way,” said Dr. Talia Swartz, an infectious disease specialist at Mount Sinai Hospital in New York City.

It’s hard for any family to keep coronavirus from spreading in the household, said Swartz, who is also a spokeswoman for the Infectious Diseases Society of America.

“It’s that much harder if you’re living in crowded conditions,” she added.

Health experts’ advice to isolate sick family members makes sense, Swartz noted. But it can be frustrating for people without the space to do so.

“The guidance is catered to people who are able to do those things,” she said. “I think we need to be more thoughtful in our recommendations.”

Dr. Ashwini Sehgal, a professor of medicine at Case Western Reserve University in Cleveland, led the study.

“The issue of quarantining at home hasn’t gotten the same attention as mask wearing and social distancing,” he said. “And I think we need to do more.”

One option, Sehgal said, could be to offer hotel rooms to people who need to quarantine — under medical supervision, and with free meal delivery. The tactic has been used in several Asian countries, he noted.

New York City, which was the epicenter of the U.S. pandemic in the spring, did launch a hotel program, as did some other big cities. But Sehgal said he’s not aware of any coordinated effort to make that option widely available.

Continued

And cramped housing is not limited to big cities, said Paulette Cha, a research associate with the Public Policy Institute of California in San Francisco.

In California, where high housing costs are a longstanding issue, overcrowding is widespread, she said.

Compounding the problem, many people in cramped housing are also essential workers who don’t have the option of staying at home. Looking at California’s numbers, Cha’s team found that 29% of food service workers lived in crowded conditions, for example. The same was true for 31% of farm workers.

“If you’re out in the world and at risk of being exposed to the virus, and then unable to manage your risk [of transmission] at home, everything is amplified,” Cha said.

Swartz agreed that all those factors coming together puts families in a tough spot. And that includes the anxiety essential workers can feel about potentially bringing the virus home, she noted.

When a family member has COVID-19 and cannot isolate within the home, Swartz said other measures — though challenging — can still be taken. They include maintaining 6-feet of physical distance, hand-washing and regularly cleaning household surfaces.

There’s also the bigger picture, Cha said. The pandemic has thrown a light on inequities that have existed in the United States for many years — and housing is among them.

“These issues are all tied together,” she said. “And during the pandemic, all the chickens have been coming home to roost. The question is: Are we going to acknowledge this and invest in these communities?”

The findings, recently published online in the Annals of Internal Medicine, are based on responses to a 2017 federal housing survey. Of white respondents, 16% lived in housing without enough bedrooms or bathrooms to quarantine. That rose to 24% among both Black and Asian respondents; 34% among Native Americans; and 38.5% of Hispanic respondents.

WebMD News from HealthDay

Sources

SOURCES: Ashwini Sehgal, MD, professor, medicine, and director, Center for Reducing Health Disparities, Case Western Reserve University School of Medicine, Cleveland; Talia Swartz, MD, PhD, assistant professor, medicine, Icahn School of Medicine at Mount Sinai, New York City, and spokeswoman, Infectious Diseases Society of America; Paulette Cha, PhD, research fellow, Public Policy Institute of California, San Francisco;Annals of Internal Medicine, July 21, 2020, online

Copyright © 2013-2020 HealthDay. All rights reserved.

Corona Virus-Research the “experts” know but won’t tell you that could save your life

The fear is palpable. The Corona virus has divided and paralyzed the entire world. This has been such a sad and troubling realization to me. Despite the confusion and inconsistencies of the so-called “experts”—people continue to follow their every word. People have no faith in the innate, God given intelligent design of the human body that knows perfectly and exactly how to fight off disease.  And yes—this includes corona. Corona viruses are not new—just our perception of them.

Who will give you permission to feel safe again? Your governor? The President? The CDC? Dr. Fauci? People who are most susceptible to this virus are the ones with comorbidities. This isn’t new. Viruses have been around longer than humans. On any given day—you harbor 380 trillion viruses; far more than your 6 trillion human cells.

Sadly, everything new is well forgotten old.

Fear is what motivated me to become a naturopath. I saw the absolute terror that the diagnosis of cancer can do to a person.  It did this to my husband. In 2001, he was told the treatment for his salivary gland cancer required surgery to remove his cheek, sew on a patch of skin from his back, sew his eye partially shut, and possibly go through radiation. I didn’t like that option. I had left that world behind long before. This journey is detailed in my book.

It’s a big leap of faith to trust anything outside the “norm” of western medicine. They have purposely indoctrinated us to believe that we are helpless victims of disease. This disempowers us. The fact is–we are overweight, and over medicated but hey it isn’t our fault–we just have bad genes. Thanks to our unhealthy lifestyles and reliance on the medical system to “fix” us, the US is ranked dead last in the world in terms of health outcomes. These are the people you trust to tell you when you’ll be safe? They can’t even save themselves.

Meanwhile McDonald’s is giving away free junk food to the first 100 people to get tested for Covid. Such irony. Get junk food and get tested!  While we remain isolated, sedentary and afraid, the junk food industry and the pharmaceutical companies make billions for their investors. 

Hook up the oxygen tank, grab the hover round, and let’s go snag a free Big Mac and get micro chipped!  Don’t forget to wear your mask!  We must be socially responsible!

It wasn’t until many years after my husband’s cancer that I learned that chemotherapy originated from a secret stash of mustard gas from a blown up WWII ship. In a “rush” to come up with a cure for cancer—Western medicine promoted an agent as a cancer treatment that destroyed human DNA and was designed to “kill our enemies.” Early chemotherapy treatment killed more people than it saved.   Never take my word in place of your own research. This information is right there on the American Cancer Society Website.

But I saw this first hand while working on an oncology floor in a hospital in the late1970’s. First hand knowledge from experience can’t be sanitized or erased.

The same “rush” to develop a treatment occurred with the AIDS epidemic. I was working as an RN at a VA Hospital. We were trained by “expert” MD’s on how the “acquired immune deficiency syndrome” affected the body and how to protect ourselves from AIDS. We were told at the time that the virus originated from a gay airline steward having sex with a monkey. We were told it was a “blood to blood” transmission disease that mostly affected gay men and IV drug users who shared needles. We even got these cool pamphlets with “Mr. Condom” on the front. Condoms were made available in public restrooms and sterile needles were given away at free clinics.

We later learned that there was no such single causative viral agent as AIDS.  It couldn’t/still can’t be cultured and does not meet the six laws of virology or Koch’s Postulates. Instead, the causes of HIV were overuse of toxic legally prescribed drugs like the failed cancer drug AZT –as well as illicit nitrite inhalant drugs (poppers) that enhance sexual performance. These drugs, combined with having multiple sexual partners, sharing needles, and contracting repeated venereal diseases–caused immune deficiency. The people who died from AIDS were the people whose lifestyle toxified their blood and destroyed their immune system. We’ve been hearing a lot about “comorbidity factors” these days.

In his book, “Inventing the AIDS virus, Dr. Peter Duesberg presents a massive amount of documentation showing that the CDC needed an epidemic to justify its continued existence, and by playing on the public fear surrounding HIV–ensured increased funding and power to come up with a vaccine. Those government safety organizations with three letters (CDC, NIH, etc.) had tried to push cancer as a virus so they could develop a vaccine for it. Vaccines get billions of dollars in funding.  Cancer isn’t a virus. Dr. Duesberg believed that the pharmaceutical companies cashed in on the epidemic by bringing back the highly toxic cancer drug AZT, as well as DDI and DDC—which destroyed the immune system and, as is often the case—actually caused the AIDS like symptoms.   Despite the fact that Dr. Fauci secured massive funding for these drugs to fight HIV —no vaccine is available.  In fact Fauci has held his job through six Presidential administrations–every epidemic since Reagan; and still there are no vaccines for AIDS, Ebola, SARS, or Zika.  The AIDS budget?  Seven billion dollars $$$.  

What do we currently know about Covid-19? What are the comorbidity or contributing factors to be aware of? Could your lifestyle choices put you more at risk than my choice not to wear a mask? Here are a couple clues. Do you have COPD? Do you take Statin drugs? Do you take ACE inhibitor drugs for blood pressure?  Did you get a flu shot last year? Based solely on those four cofactors alone—millions of Americans are sitting ducks.

We know that this virus, as well as the common cold and the more severe versions of it (SARS, MERS) bind to a receptor in the lung called ACE 2. Once the virus enters the body, it begins a rapid response process of replication, which causes massive endothelial cell membrane deterioration. Endothelial cells line your blood vessels. The blood can’t get into the pulmonary vein and into the tiny pulmonary capillaries to dump carbon dioxide and pick up oxygen and return back to the blood. The blood is coagulating and sticking together forming clots. When ACE 2 reduction or loss occurs, general inflammation in the body increases and vascular walls become more permeable—resulting in edema, leaking blood vessels and diminished lung function. This results in the symptoms of dry cough, fever, and inflammatory conditions due to oxygen depravation.

Ventilators are needed when oxygen saturation is low. But in order for a vent to work –blood vessels and lung alveoli must be intact. In the case of Covid—the integrity of the blood vessels is compromised and the inflammation causes excess fluid in the alveoli. You can’t push gas past fluid or the pressure will blow apart the fragile tissue of the alveoli.  Ventilators are not a good choice when the integrity of the lungs is compromised. You destroy the lungs and the person will most likely die. Ask any nurse anesthetist.  It’s the law of physics.

Imagine the terror of dying alone of oxygen depravation (hypoxia) and carbon dioxide build up. It’s very similar to High Altitude Sickness.

If you look at comorbidities that people are dying from, and their relationship to the ACE 2 receptor—it all makes sense at the cellular level. COPD is the only lung condition that puts you at increased risk of dying from COVID. COPD has very high ACE 2 expression, which means lots of channels in. All the other factors are vascular in nature, but only if you add two drugs: Statins and ACE 2 inhibitors.

Statin drugs block a very important enzyme called CoQ10. CoQ10 is a fatty molecule found in all cell membranes. It is responsible for ATP (energy) production and also functions as an antioxidant in cell membranes. When statins block CoQ10, all the cell membranes increase ACE 2 receptors. When you add an ACE 2 inhibitor like Lisinopril or Losartan—it also up-regulates ACE 2 receptors which give the virus more cellular doorways to gain entry.  The leading number one drug recommendation from western medicine if you have heart disease, diabetes, or chronic kidney disease is an ACE inhibitor.

So when these two drugs (statins and ACE inhibitors) increase ACE 2 receptors in the lungs—you change the balance of their reactivity to their environment. Many people develop a side effect of ACE inhibitors, which is a dry cough. So if they develop a dry cough–they are put on an ARB (Angiotensin receptor blocker) which –wait for it—increases ACE 2 receptors. Ace 2 inhibitors, statin drugs and ARB’s are now seen as a major risk factor in death from COVID. If you KNOW that this is the case, why not take your patient off statins and switch to a different blood pressure medication. Calcium channel blocker perhaps? How many people in the US take statin drugs?  40 million. How many take ACE inhibitors? Lisinopril alone in 2017: 104,779,319

So, if you truly had a medical system that cared—and they knew that this many people were prescribed meds that are putting them at risk of dying from COVID —why wouldn’t they change your meds? Teach you about healthy lifestyle choices?  If they would have done that alone—from the beginning (because they knew this years ago) imagine the potential deaths they could have prevented.

And they did know; “they” being the CDC and NIH—they’ve known for a long time that these drugs bind to and increase ACE 2 receptors because this knowledge is based upon research of the common cold, SARS and MERS. They also know that if you get a flu shot—your risk of getting corona and six other common respiratory viruses goes up the following year. The “experts” knew right from the beginning that this virus was not going to be a massively fatal event unless we mismanaged it. And they DID mismanage this. The mindset of physicians was that this is respiratory failure and we need to ventilate patients. This mindset was killing people. If you are in pathological coagulation, the ventilator will cause you to succumb to the disease because the problem is not the lung—it is the toxic blood. Hydroxycloroqine works because it raises the pH of the blood, which then provides more nascent oxygen, which in turn, breaks up the coagulation.  

We’ll have one more season of Corona in the environment. It takes two years for these viruses to exit—so next summer it will be gone. Will you take the time to get your lifestyle in order now or will you chose to get your Big Mac, untested vaccine, and microchip later?

My purpose is always, always to empower you to seek health beyond danger. Please do your research. The choice is yours.

Resources: *You may need to copy and paste these links

380 Viruses in my body?

https://www.genome.gov/human-genome-project/What

HIV, Dr. Fauci, and the drugs used to treat it.

https://americanhistory.si.edu/blog/2010/09/a-brief-history-of-azt.html

https://www.naturalnews.com/2020-06-29-covid-19-and-the-hiv-connection-revealed.html

Happy “Hypoxia”

https://www.today.com/health/happy-hypoxia-meaning-experts-discuss-coronavirus-symptom-signs-t181080

Chemotherapy and mustard gas

https://www.cancer.org/cancer/cancer-basics/history-of-cancer/cancer-treatment-chemo.html

Flu Shot and Corona Virus

https://www.sciencedirect.com/science/article/pii/S0264410X19313647

ACE 2 and corona virus connection

https://pubmed.ncbi.nlm.nih.gov/32660650/

https://www.infectioncontroltoday.com/view/evidence-continues-link-ace-inhibitors-severe-covid-19-symptoms

https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30116-8/fulltext

Thomasina Copenhaver on InstagramThomasina Copenhaver on Twitter
Thomasina Copenhaver

Thomasina Copenhaver is a naturopathic doctor and registered nurse with over 30 years experience in the healthcare profession. Her passion is writing, researching, and empowering all humans with knowledge of healing at the cellular level; to enable them to make educated and informed choices regarding their health. For more information visit her website: notesfromanaturopath.com or to buy her book, “Notes from a Naturopath” visit Amazon or Barnes and Noble.

Body Mass Index: How do you measure up?

Body mass index is a measure of body fat that is based upon an individual’s weight and height. Mathematically speaking it is the measure of a person’s weight in kilograms divided by the square of height in meters. Since BMI measures body fatness, it can indicate health problems associated with weight. This is not a direct measure of body fatness but has been shown to have similar results to those indicated by skinfold measurements, bioelectrical impedance, and underwater weighing.

Since the 1970s, the prevalence of obesity has risen, which for adults is having a BMI greater than or equal to 30 k/m2. Since the only information needed for this measurement are height and weight, BMI is an inexpensive and easily accessible tool for clinicians to use as a screening tool. However, the categorization may be too broad.

Below is a table showing the standard weight categories associated with BMI ranges for adults over age 20.

BMI WEIGHT STATUS
Below 18.5 Underweight
18.5-24.9 Normal or healthy weight
25.0-29.9 Overweight
30.0 and above Obese

Here would be an example of a 5’9” person:

Height Weight Range BMI Weight Status
5’9” 124 lbs or less Below 18.5 Underweight
  125 to 168 lbs 18.5 to 24.9 Normal or healthy weight
  169 to 202 lbs 25.0 to 29.9 Overweight
  203 lbs or more 30 or higher Obese

When it comes to children and teens, gender comes into play. This is because the amount of body fat changes with age and differs by sex. BMI for these ages are then categorized by percentile. Obesity for ages 2-19 year is defined as having a BMI at or above the 95% percentile of children of the same sex and age. For adults, women tend to have higher BMI than men. When it comes to ethnicity, African Americans tend to have less body fat than Caucasians and Asians have more body fat than Caucasians. Older people tend to have higher BMI, and athletes have lower BMI. The trouble is that athletes may have a high BMI due to higher muscularity rather than actual body fatness.

People who have higher BMI are at risk for stroke, high blood pressure, type 2 diabetes, sleep apnea, some cancers, low quality of life, and high cholesterol. Opponents of this measurement say it does not take into account bone and muscle. Regardless, it is used by many physicians to screen for body fatness and a precaution to performing medical procedures based on one’s health safety. Living an active lifestyle and eating a healthy diet are the keys to your well-being. Although a measurement is only a tool that can indicate an outcome, YOU have to decide to take the actions to be on the healthy BMI range and give your body the opportunity to look and feel its best.

https://academic.oup.com/aje/article/143/3/228/77940

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4890841/

https://academic.oup.com/aje/article/180/3/288/2739097

https://bmcobes.biomedcentral.com/articles/10.1186/2052-9538-1-9

everybodysfit

Megan Johnson McCullough owns a fitness studio in Oceanside CA called Every BODY’s Fit. She has an M.A. in Physical Education & Health Science, is a current candidate for her Doctorate in Health & Human Performance, and she’s an NASM Master Trainer & Instructor. She’s also a professional natural bodybuilder, fitness model, Wellness Coach, and AFAA Group Exercise Instructor.

Altitude: Oxygen deprivation

When a person travels to a high altitude, the air pressure is a lot lower (barometric pressure).  This means that there is less oxygen present. High altitude is considered 8,000 feet and above. There is about 25% fewer oxygen molecules in the air at this level. The body has to find ways to compensate for this lack of air. Some people are particularly sensitive to higher elevation and may experience “altitude sickness”. For those who live at a higher altitude, their bodies have adjusted. For others who travel to a place with higher altitude, the body will need to figure out how to adjust.

Symptoms include headache, dizziness, shortness of breath, loss of appetite, fatigue, and trouble sleeping. These usually occur within 12 to 24 hours of being at the higher elevation.

There are 3 types of altitude sickness:

  1. Acute mountain sickness (AMS): A person might feel like they have a hangover, are dizzy, feel nauseous, or have a headache.
  2. High altitude pulmonary edema (HAPE): The lungs can start to build up with fluid. A person might have trouble walking, their chest could feel tight, and they could have a severe headache.
  3. Edema (HACE): Fluid can start to fill up in the brain. This can be life threatening. A person might feel very confused, not be able to walk, could go into a coma, and have shortness of breath even at rest.

Anyone is at risk for altitude sickness, even an Olympic athlete. Exercising at higher elevation puts a person at increased risk. There are many variables to consider such as how high the elevation is, how quickly the person entered this environment, or even where you sleep. Younger people are more at risk for getting sick.

If any of these symptoms arise, the best immediate solution is to go down to a lower elevation. The best way to prevent altitude sickness is by acclimatization. The body can slowly get used to higher elevations. Many athletes do this if they know they will be competing at a higher elevation. The lungs can build up and learn to take deeper breaths to allow for more red blood cells to supply oxygen. Consuming extra carbohydrates and drinking plenty of water is highly recommended. The body is resilient, but it needs to learn as well. Gradually approach higher elevations and the body will come prepared for you.

https://www.healthline.com/health/altitude-sickness

https://www.physiology.org/doi/full/10.1152/jappl.1997.83.1.102

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907615/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1332514/

https://www.healthline.com/health/acute-mountain-sickness

everybodysfit

Megan Johnson McCullough owns a fitness studio in Oceanside CA called Every BODY’s Fit. She has an M.A. in Physical Education & Health Science, is a current candidate for her Doctorate in Health & Human Performance, and she’s an NASM Master Trainer & Instructor. She’s also a professional natural bodybuilder, fitness model, Wellness Coach, and AFAA Group Exercise Instructor.

What Patients Value Most

WEGO Health VP of Business Development, Laurel Netolicky, was recently asked by PM360 to weigh in on what patients value most, especially in the era of COVID-19. Touching on themes such as having a seat at the table to help shape DTC plans, trial design, and being a part of all phases of the product lifecycle, Laurel’s expertise lends some great insights to pharma marketers as we enter brand planning season. Check out this preview below, or click the link below to read the full article on PM360.com with insights from Laurel and other industry leaders.

“Patients want to see authentic, trustworthy content from pharma companies. For ad campaigns to be successful, they should be built in partnership with real patients. Pharma companies already face an uphill battle being under strict regulatory constraints limiting their creative ability. We hear time and again from the members of our network of patient leaders that a pharma message must be transparent, useful for patients, and emotional to make an impact. The messaging must also be in a language that patients can understand.

In a recent survey, WEGO Health asked more than 300 patients from dozens of health conditions, “What are the top three types of information or support resources from a pharmaceutical company that are most valuable to chronic care patients?” The findings revealed that 98.5% want to learn more about help paying for medications followed by medication management at 82.5%. Yet, when asked how aware patients are of the financial support services provided by pharmaceutical companies, 61% shared that they are either “not at all aware” or “only somewhat aware” of these services.”

Read the full article.

Wait Times Increase for COVID-19 Test Results

Cara Christ, MD, director, Arizona Department of Health Services.

Carole Jean Smith, retired pharmacist, Davie, FL.

Kelly Smith Aceituno, spokesperson, LabCorp.

Kimberly Gorode, spokesperson, Quest Diagnostics.

Healthvana website: FAQs.

Amesh A. Adalja, MD, senior scholar, Johns Hopkins Center for Health Security, Baltimore.

News release, Sonora Quest Laboratories: ”Sonora Quest Collaborates with State and Healthcare Leaders to Significantly Expand COVID-19 Testing Capacity in Arizona.”

News release, FDA: “Coronavirus (COVID-19) Update: FDA Authorized First Antigen Test to Help in the Rapid Detection of the Virus Causes COVID-19 in Patients.”

News release, FDA: “Coronavirus (COVID-19 Update: FDA Issued Emergency Use Authorization for Point of Care Antigen Test.”

WABE, podcast, “Did You Wash Your Hands?” July 9, 2020.

ASPARAGUS: Spear me

By everybodysfit

Posted Friday, July 10, 2020 at 09:27am EDT

Keywords: asparagus, bloating, digestion, fiber, Folate, Inflammation, vegetables, Vitamin E, vitamin K, Weightloss

This green, white, or purple vegetable come in spears, is packed with nutrition, and is low in calories. There are plenty of reasons to consume this veggie. With only 90 calories in one cup, it’s pretty incredible that this amount also contains 57% of the recommended daily intake (RDI) for Vitamin K and 34% of the RDI for folate. Vitamin K is great for bone healthy and prevents blood clots. Folate is beneficial for cell growth and is also called Vitamin B9. This is very beneficial for a healthy pregnancy during the development stage of the baby. Lots of antioxidants can also be found in these spears, especially vitamins E and C.

The benefits continue with the assistance it provides for digestion. One cup has about 7% of the daily fiber that we need which helps with regular bowel movements. It has also been said to aid with weight loss because of its low caloric make up and the fact that asparagus is 94% water. Between the water and fiber content, the body is basically reaping only benefits from this vegetable. Maybe the only downfall is that it can make your pee smell funny. This is because asparagus contains high levels of amino acid asparagine which is a natural diuretic. Extra fluids and salt get flushed out, again which could help with weight loss. Bloating can also be reduced. It has also been known to help reduce the appearance of acne scars because of the niacin it contains. It has also been said to help with inflammation from arthritis.

Asparagus is also a very versatile vegetable because it can be eaten raw, boiled, grilled, steamed, or even roasted. It goes great in salads and dishes like stir-frys.  The name asparagus comes from the Greek word “sprout”. This vegetable grows very quickly when in the ideal conditions. Not as popular as traditional vegetables, but asparagus deserves some recognition. Great for a snack or in a dish, it can become part of a healthy balanced diet that the body can reap plenty of benefits from.

https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/asparagus-officinalis

https://www.healthline.com/nutrition/asparagus-benefits

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4027291/

https://www.livescience.com/45295-asparagus-health.html

everybodysfit

Megan Johnson McCullough owns a fitness studio in Oceanside CA called Every BODY’s Fit. She has an M.A. in Physical Education & Health Science, is a current candidate for her Doctorate in Health & Human Performance, and she’s an NASM Master Trainer & Instructor. She’s also a professional natural bodybuilder, fitness model, Wellness Coach, and AFAA Group Exercise Instructor.

Staying Hydrated

How To Drink More Water

With the arrival of summer, temperatures are increasing quickly, which means we need to be diligent in drinking enough water. However, it can be difficult and repetitive to drink more, but with these tips, it will not only be easy but also enjoyable!

  • Add fruit and/or herbs to your glass. Steeping grapefruit, strawberries, lemon, veggie slices, or herbs such basil, mint, or lavender will turn your water into a delicious treat.
  • Drink water before every meal and snack. Sometimes little rules can help form a habit, and before you know it, you will automatically be doing this every day.
  • Use an app. There are several free apps, such as Daily Water, that allow you to track your water intake glass by glass. You can even set reminders and alarms to help you achieve your goals.
  • Use a water bottle. I find that by filling my 32 oz. water bottle each morning encourages me to drink more water than using glasses. By making it a goal to refill your water bottle 2-3 times a day, you will be sure to increase your intake!
  • Eat more fruits and vegetables! Did you know that fruits and veggies have a ton of water in them? Cucumber, for example, is 96% water, and watermelon is 92% water. If this seems daunting, add one serving a day and work up from there.
  • Drink sparkling water. If you often drink soda, consider switching to seltzer instead. If you want a little sweetness, add a splash of fruit juice or some chopped fruit.

Drinking more water is a simple goal that everyone can work on. Next time you are thirsty, try one of these tips and feel the benefits!