Tuesday, 5 April 2016

Princess Health and  10 common misconceptions about cancer and the environment . Princessiccia

Princess Health and 10 common misconceptions about cancer and the environment . Princessiccia

With the advent of the internet, people are swamped with information about cancer and some of it is not based on "sound scientific evidence" or is "at best, anecdotal," which can "hamper efforts to prevent and treat" it, reports Curt DellaValle, a cancer epidemiologist and senior scientist at Environmental Working Group. He writes about some of the most common misconceptions about cancer:

Misconception #1: Getting cancer is almost completely out of your control: DellaValle recognizes that some cancers are caused by genetics and "bad luck" and notes that the World Health Organization reports that 20 percent of cancers are thought to be caused by environmental factors such as pollution, infections and radiation, but he also says "as many as half of cancers may be preventable," noting that smoking, poor diet and lack of exercise are major contributors.

Misconception #2: �Everything� causes cancer: "Not all chemicals, pollutants or guilty pleasures will lead to cancer," DellaValle writes, while also noting that the amount of exposure to the carcinogen plays a role. "The International Agency for Research on Cancer, a research arm of the WHO, has looked into nearly a thousand suspected causes of cancer. Of those suspicious substances and activities, they have concluded that just about half are known or potentially carcinogenic.

Misconception #3: Exposure to a known carcinogen will give you cancer: "Known carcinogens" are substances that have strong evidence that they can cause cancer, but  it is important to recognize that the risk between them differs. "A person exposed to a known carcinogen is not 100 percent certain to develop cancer, not by a long shot," DellaValle writes. For example, he writes that  there is a difference between asbestos exposure, a potent carcinogen, and eating processed meats, which is also a known carcinogen, but one that only modestly increases your chances of getting cancer.

Misconception #4: Natural products are safe and synthetic products are harmful: DellaValle writes that "arsenic, asbestos, formaldehyde, radiation and tobacco occur naturally and are known carcinogens." His advice is to "arm yourself with information" and "know what you're buying and don't assume everything that says 'natural' is harmless."

Misconception #5: Chemicals that the body absorbs and retains for a long time are more dangerous than those that are quickly excreted or metabolized: "The hazard of a substance is determined not just by the degree of exposure but also how it interacts with the body," he writes. For example, nitrates and nitrites in food and water can change into compounds that cause cancer in the body, while chemicals that are excreted quickly, like pesticides and heavy metals, can also cause cancer.

Misconception #6: The cancer risk you accumulate is irreversible: DellaValle writes that certain harmful exposures, like to radiation, does not allow full recovery, but damage from many environmental exposures can be partly reversed with elimination or significantly reducing the exposure. "The Surgeon General�s report on tobacco concluded that quitting smoking at any age reduces a smoker�s risk of cancer by up to 50 percent in just five to 10 years," he writes.

Misconception  #7: Mammograms cause breast cancer: "The risk with the very small amount of radiation emitted during a mammogram is minuscule for most patients," he writes. However, "women who are pregnant should avoid mammograms and X-rays that their doctors don�t consider necessary. Radiation could harm the developing fetus."

Misconception #8: Cell phones, wi-fi, microwaves, power lines and airport X-ray machines will cause cancer: DellaValle writes that cell phones, wi-fi, microwaves and power lines "emit non-ionizing radiation" and is less invasive than "ionizing radiation" that comes from  X-rays, sunlight and uranium. The WHO considers cell phone radiation a possible carcinogen "based on a suspected association between cell phone use and brain cancer,: DellaValle recommends holing your  phones a few millimeters away from your body to "drastically reduce exposure" or use hands-free devices and texting. He does say that it is a good idea to keep wireless routers a few feet from places where people spend long periods of time, though he notes that there is little or no evidence to support that wi-fi signals cause cancer. He also notes that it would take about 1,000 trips through an airport X-ray scanner to equal the radiation exposure from one medical chest X-ray.

Misconception #9: Artificial turf sports fields cause cancer: The jury is out on this one. DellaValle says, "No data exists at this time to say that artificial turf causes cancer, but scientists are just beginning to explore the question. In the meantime, you should play on artificial turf in well-ventilated areas, avoid hand-to-mouth contact while playing and limit direct contact between turf and skin."

Misconception #10: Residential pesticides are safe: DellaValle writes that many of the pesticides suspected to cause cancer in farm workers are being sold for residential use and notes that some evidence exists that they increase the risk of cancer. While recognizing that  homes would use these products less often and at a lower dose, he did caution to not use them around children or pregnant women. He noted that studies have found that children exposed to pesticides while in the womb and in infancy face an increased risk of childhood cancers like leukemia and brain tumors.

Monday, 4 April 2016

Princess Health and  April 4th, 2016 An Assignment. Princessiccia

Princess Health and April 4th, 2016 An Assignment. Princessiccia

April 4th, 2016 An Assignment

I spent most of the evening working on an assignment associated with a very big announcement I'll be making as soon as possible! I'm super excited. As soon as I get the green light to mention it here and on my other social media platforms, I will.

Today, I maintained the integrity of my maintenance calorie budget. I remained abstinent from refined sugar, I exceeded my water goal and I remained in active support communications. It was a very good day!

Letting the Tweets take it the rest of the way.

My Tweets Today:






























Thank you for reading and your continued support,
Strength,
Sean

Princess Health and Struggling Tenn. hospital takes care of Kentuckians, who get better care than Tennesseans thanks to expanded Medicaid. Princessiccia

Jellico Community Hospital, just across the Kentucky border in Tennessee along Interstate 75, was taken over by Community Hospital Corp. last May, but that's not a guarantee it will survive, especially since Tennessee refuses to expand Medicaid to its poorest citizens, as Kentucky has, Harris Meyer reports for Modern Healthcare.

Meyer notes that one of the contributing factors to the hospital's struggle is the Tennessee Legislature's refusal to expand Medicaid under health reform to those who make up to 138 percent of the federal poverty level. That would decrease the hospital's level of uncompensated care.

About half the hospital's patients come from Kentucky, and its administrators, doctors and nurses all told Meyer that it is easier to get testing and specialty care for Kentucky Medicaid patients than for uninsured Tennessee patients who would qualify for expanded Medicaid.

�We're able to do more for Kentucky patients,� Christy Elliott, the hospital's case management supervisor, told Meyer. �For Tennessee patients, it's a struggle. If you don't have insurance, you don't get services.�

One such patient was Rebecca Jarboe, a mother of three from Kentucky. She told Meyer that she went into a "difficult" labor during a snowstorm on Valentine's Day. Because of the weather and her condition, she said she and her husband decided to travel 14 miles from their home to Jellico to have the baby, instead of making the 70-mile-journey down I-75 to the University of Tennessee Medical Center in Knoxville, 20 miles of which would have been over snow-covered Pine Mountain (known locally as Jellico Mountain).

�The care here is excellent,� a tired-looking Jarboe told Meyer while lying in her hospital bed cradling 2-day-old Silas and surrounded by her family. �Whatever you need, they are right at the door, and everyone is really friendly.�

The 31 states that have expanded Medicaid have been able to "shore up finances" in many of their rural hospitals, Meyer writes, but others have not fared so well. Nationwide, more than 50 rural hospitals have closed in the past six years, and nearly 300 more are in deep financial trouble, according to the National Rural Health Association.

A state report by then-Auditor Adam Edelen last year found that one in three of Kentucky's rural hospitals were in poor financial condition. Since the release of the report, several Kentucky rural hospitals have merged with larger hospital groups to make ends meet and rural hospitals in Nicholas and Fulton counties have closed.

Meyer also notes that Jellico hospital's problems go deeper than just not expanding Medicaid. In its service area good-paying jobs with health benefits have dwindled, only 10 percent of the population has private health insurance, residents have higher-than-average rates of disease, and there is rampant obesity and drug abuse. A similar story could be told about many rural Kentucky communities.

In addition to providing health care, the 54-bed hospital with its staff of 232 is the community's largest employer, as is often the case. The mayor of nearby Williamsburg, where the hospital has a clinic, noted that new businesses will often not consider moving to a community without a hospital.

�A lot depends on economic development in these communities,� Alison Davis, a professor of agricultural economics who studies rural healthcare at the University of Kentucky, told Meyer. �What are they going to do to create jobs? It's the No. 1 issue besides substance abuse they are facing. It's a struggle, and not every community will make it through.�

Adventist Health System, out of Florida, announced in May 2014 that it wanted to get rid of the hospital because it was losing "millions a year." A year later, CHC, a Texas-based not-for-profit with a mission to preserve access to healthcare in rural communities, took over the hospital and its clinic. CHC owns, manages and provides support to 21 community hospitals nationwide, according to a news release.

CHC told Meyer that it is optimistic the hospital will survive because of the medical staff's commitment to keeping quality healthcare in their community. It has also implemented cost-saving measures, like decreasing staff and installing a less costly electronic health record system, and is exploring ways to further save money, while increasing its client base.

But several local business leaders told Meyer they weren't so sure the hospital will survive.

�There have been so many layoffs that they don't have enough people to do lab work or X-rays, and you have to wait and wait,� Elsie Crawford, business manager of the Wilkens Medical Group in Jellico and a member of the City Council, told Meyer. �You can't draw more patients if you don't have enough people to take care of them.�

Dr. Charles Wilkens, who helped establish and maintain the hospital, told Meyer, �People would die for lack of health care if we didn't have a hospital in this community.�

Sunday, 3 April 2016

Princess Health and  April 3rd, 2016 A Good Thing. Princessiccia

Princess Health and April 3rd, 2016 A Good Thing. Princessiccia

April 3rd, 2016 A Good Thing

I enjoyed a very nice, relaxed Sunday--and I must say, it was wonderful. I had a chance to hang out with my grandson, too--and that's always fun! I made extra rest important today. After the last several days, it was certainly needed.

I finished today within my calorie budget. I prepared three great meals, enjoyed some wonderful coffee and remained abstinent from refined sugar. I started the day with my morning 'before coffee' routine of water and push-ups--and starting in the morning, I'm adding another short set of something--I haven't decided exactly what. Probably planks, wall-sits or squats.

I'm looking forward to the new week. It'll be a busy one--but not anywhere near the hectic pace of last week. And that's a good thing.

I'm opting for the Tweets to take me the rest of the way on this post. Goodnight! Or, uh--good morning, or day--or whatever it is for you, right now!

Today's Tweets:




























Thank you for reading and your continued support,
Strength,
Sean
Princess Health and  Legislature's many health bills include some with life-saving potential, better prevention, greater access and help for children. Princessiccia

Princess Health and Legislature's many health bills include some with life-saving potential, better prevention, greater access and help for children. Princessiccia

By Melissa Patrick
Kentucky Health News

One paragraph in this story was incorrect and has been stricken.

FRANKFORT, Ky. -- Kentucky legislators have all but ended their regular session without agreeing on a budget, but were able to pass a wide range of health bills that await Gov. Matt Bevin's signature or veto.

Legislators can still pass more bills, including a budget, when they return for one day, April 12, and reconsider any bills the governor vetoes (except the budget, if one passes that day).

Many of the health bills deal with regulation, such as which agency oversees home medical equipment and licensing rules for physicians. Others, like SB 211, sponsored by Sen. Alice Forgy Kerr, R-Lexington, establish a special day to encourage research for amytrophic lateral sclerosis by officially naming Feb. 21 "ALS Awareness Day."

But several others will impact the daily lives of Kentuckians, directly or indirectly. Some have the potential to save lives.

Senate Bill 33, sponsored by Sen. Max Wise, R-Campbellsville, requires every Kentucky high-school student to receive compression-only CPR training. "Each year nearly 424,000 people have sudden cardiac arrest outside of the hospital and only 10 percent of those victims survive," Wise said at a Jan. 13 Senate Health and Welfare Committee meeting. "Yet when a CPR trained bystander is near, they can double or triple these victims survival rate."

Another bill with life-saving potential would let Kentuckians take time off work to be "living donors" or donate bone marrow without the risk of losing jobs or income. House Bill 19, sponsored by Rep. Ron Crimm, R-Louisville, requires paid leave of absence for such reasons, and offsets this cost to the employer with tax credits.

(An amendment to this bill, illustrating how legislation gets passed in unusual ways during the closing days, would allow Lexington to impose an additional 2.5 percent hotel-room tax to improve its convention center.)

A minor housekeeping bill had an important health amendment attached to it that mandates assisted-living communities to provide residents with educational information about the flu by Sept 1 of each year. SB 22 is sponsored by Sen. Ralph Alvarado, R-Winchester. The CDC estimates that between 80 and 90 percent of seasonal flu-related deaths occur in people over 65.

Colon cancer, which kills more than 850 Kentuckians a year, remained in the spotlight with passage of HB115, sponsored by Rep. Tom Burch, D-Louisville. It would expand eligibility for screenings to age-eligible, under-insured Kentuckians, or uninsured persons deemed at high risk for the disease. This bill is aimed at the 7 percent of Kentuckians who have remained uninsured since the state expanded Medicaid under federal health reform, and those who have insurance but can't afford deductibles or co-payments.

Other bills intended to create better access to care for Kentuckians would expand the duties of advanced practice registered nurses (SB114); decrease the oversight of physician's assistants (SB154); create a pilot program to study telehealth and how it's paid for (HB 95); and better define who can perform administrative duties in pharmacies (HB 527).

Children: "Noah's Law," or SB 193, sponsored by Alvarado, mandates the coverage of amino-acid-based formulas for eosinophilic esophagitis and other digestive disorders. It will have an impact on more than 200 Kentucky families. It is called "Noah's Law" after 9-year-old Noah Greenhill of Pike County who suffers from the disease, which requires him to get this formula through a feeding tube four times a day because of severe food allergies, at a daily cost of more than $40. This bill has already been signed by the governor and took effect immediately.

HB148, sponsored by Rep. Linda Belcher, D-Shepherdsville, allows day-care centers to be able to obtain and store epinephrine auto-injectors for emergency use. This bill was amended to include "participating places of worship" as a location that newborns up to 30 days old can be left without threat of prosecution to the parent or family member who leaves them there.

The latest Centers for Disease Control and Prevention study found that one in 68 of the nation's children have autism, and Kentucky legislators passed two bills this session to address their needs. SB 185, sponsored by Sen. Julie Raque Adams, R-Louisville, creates the Office of Autism and guidelines for an Advisory Council on Autism Spectrum Disorders. This bill has already been signed by the governor. HB 100, sponsored by House Minority Leader Rep. Jeff Hoover, R-Jamestown, requires insurers to maintain a website to provide information for filing claims on autism coverage and make autism-benefit liaisons available to facilitate communications with policyholders.

Big bills: One of the high-profile health bills that passed this session is SB20, sponsored by Alvarado, which creates a third-party appeals process for providers to appeal denied Medicaid claims. Alvarado has said that 20 percent of Medicaid claims are denied, compared to the national average of around 6 percent. He suggest that bringing this bill will help bring these numbers more in line with each other and thus will encourage more providers to participate in Medicaid.

bill that will eventually increase accessibility to drugs made from living tissues that are very expensive, but also very effective, also passed. SB 134, sponsored by Alvarado, would allow pharmacists to substitute a less-expensive "interchangeable biosimilar" drug for its name-brand "biologic" one, even though the U.S. Food and Drug Administration hasn't approved these interchangeables yet. Humira and Remicade for arthritis, and Enbrel for psoriasis, are a few of the most common biologics on the market.

Another bill is aimed to help small-town pharmacies stay competitive with chains. SB 117, sponsored by Wise, allows the state Insurance Department to regulate pharmacy benefit managers, like Express Scripts, much like insurance companies. It would also provide an appeal mechanism to resolve pricing disputes between pharmacies and PBMs. The state has more than 500 independent pharmacists that will be affected by this law.

Bigger issues: Health officials say the single most important thing that Kentucky can do to improve the state's health at no cost is to pass a statewide smoking ban for workplaces. Rep. Susan Westrom, D-Lexington, filed a smoke-free bill late in the session that didn't even get a hearing in committee, despite having passed the House last year. Bevin opposes a statewide ban.

Adams and Alvarado filed a bill to require insurance companies to pay for all evidence-based smoking cessation treatments in hopes of decreasing the state's smoking rate, but it was filed late in the session and only brought up for discussion.

Democratic Rep. David Watkins, a retired physician from Henderson, filed three bills to decrease smoking in the state: one to increase the cigarette tax, one to raise the legal age for buying tobacco products to to 21, and one to require retail outlets to conceal tobacco products until a customer requests them. All were to no avail.

Rep. Darryl Owens, D-Louisville, filed bills to continue the Kynect health-insurance exchange and the state's current expansion of the federal-state Medicaid program. The bills passed mostly among party lines in the House, but the Senate has not voted on them as Senate President Robert Stivers said he would if the House did.

Saturday, 2 April 2016

Princess Health and  April 2nd, 2016 It Goes Something Like This. Princessiccia

Princess Health and April 2nd, 2016 It Goes Something Like This. Princessiccia

April 2nd, 2016 It Goes Something Like This

Wednesday, Thursday and Friday were very challenging days. The Oklahoma Association of Broadcasters Convention is something I really look forward to attending for many reasons. I've invested twenty-seven years of my life to this broadcasting career and it's very cool to interact and exchange ideas with other like minded and experienced individuals.

I survived with the integrity of my plan intact at the end of each day--and this is not because I'm some kind of superman, Lord knows I'm not. I'm just like any of us--at risk; vulnerable to a multitude of pitfalls along the way. Taking each day and assessing the challenges--then strengthening the plan against those challenges, has been key in making it through.

For me, it all starts with a non-negotiable stance on certain things. Maintaining the integrity of my maintenance calorie budget, remaining abstinent from refined sugar, drinking a minimum of 64oz water and staying in contact with support friends each day--are all imperative non-negotiable elements. So there-- that's the foundation I'm starting from each day. Then it goes something like this-

Okay-- here's the crazy schedule-And instead of immediately throwing up my hands and finding one hundred reasons why the plan can't work (I was once REALLY good at doing this--and if given the chance, I'm sure I'd be an ace at doing it again!), I'm left with a perspective grounded in finding solutions. Because if I immediately start identifying ways it can't work--I'll convince myself quickly--and then, I'm in serious trouble.

I have a 164 pound relapse/regain along my path's history--I know about those troubles--and I remember how it started, too. 

Traveling, staying away from home, attending large meals planned by other people, eating in restaurants, adjusting to off-center schedules--it's all enough to overwhelm if the perspective is tilted toward negative thoughts. In my experience, those negative thoughts and subsequent actions/choices actually compound the overwhelming feelings--because now we're wrapping it all in a big layer of disappointment, guilt, shame and other feelings that work to push us down even further.

Taking a proactive approach in planning for success feels great--and with each positive move, it becomes increasingly empowering. 

The craziness started Wednesday evening with a trip to Tulsa in advance of the conference. My day looked like it would allow a nap and an early dinner prior to departing--but then storms rolled in and that extended my workday because of on-air weather coverage. I was left with some choices--Eat a late dinner out, in Tulsa-- or pack what I need and take it with me. 

I packed my "sack lunch" dinner and enjoyed it upon arrival and before returning home for a short Thursday morning and return trip to the conference.

In the craziness of the schedule--I forgot to pick up eggs--so Thursday morning started with a different kind of breakfast--still on plan, but without eggs. You could count on one hand how many mornings I've missed eating eggs in the last two years. Thursday was crazy hectic--and I still didn't accomplish all I needed to accomplish before heading over to the conference an hour and a half later than planned. I did make it--and by the time Thursday evening's dinner rolled around, I was hungry. But--uhg...

The buffet line had very few things that fit my plan. I was confident it would be easy to navigate--but with sugar laden sauce on every entree item, I was out of luck. I asked to speak to the chef, politely asking for a sugar-free alternative and he cheerfully accommodated my request.

After the dinner, I competed in the OAB Play Chip Poker Tournament for bragging rights--and oh my goodness, it couldn't have ended any better...well, unless I had won. Out of 50 or 60 players, the final two was the owner of the broadcasting company I call home--and me. It was a showdown with the man who signs my paycheck. I really wanted to beat him. But the blinds got too big, too fast--and it only took a few hands into head to head play for him to claim the victory. This story really hasn't much to do with maintaining the integrity of my plan--it's simply a fun story.

My calorie count was super low after what turned out to be a lighter dinner--so I decided on a late omelet-and it was perfect--because dinner started wearing off early--and I had the calorie budget remaining.

At Friday's luncheon--I arrived in time to speak directly with the chef about the ingredients used in preparation. It took all of two or three minutes to confirm the meal's refined sugar-free status (minus dessert and rolls, of course) and I could enjoy lunch without inadvertently sacrificing the boundaries I work to maintain each day.

The same scenario played out at Friday night's annual awards banquet. I met with the chef--same one from Thursday night--and he went through each item, confirming sugar-free status (again--minus the obvious-dessert and rolls).

My big takeaway: If I politely ask for what I need, nine times out of ten, I'll get what I need--even if it's simply peace of mind in knowing that a meal qualifies within my plan.

It was never a bother. It was never awkward. It was perfectly fine. My maintenance plan is that important to me, because again--I've lived the alternative, in times when I didn't make it important.

I'm not willing to trade the peace, clarity and stability my maintenance plan provides--and anything less would have been making that transaction. And for what? 

Because for me, trading my food sobriety away would have been much more than simply two or three days off plan--it would have started the ball rolling on a complete unraveling into chaos. That's not a guess. I'm a stress/emotional eater and a first class food addict with addictive behaviors triggered by refined sugar--so it's a fact. And had I allowed it--or if I ever allow it, I may not make it back again. That's the sobering reality.

It is by God's grace I made it back from a one hundred sixty-four pound relapse/regain. I hope and pray I don't ever try my luck and take those chances again.

My support and accountability consisted of mainly spot support interactions via text messages with a few support friends. I reached out for support from some--and some reached out to me for their support. And when we do that, we're effectively/figuratively holding one another's hand and making it through, together.
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There's a professional photographer at the awards banquet every year. This was my "pistols firing" pose Friday night!
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This photo with my award winning colleague, Ryan Diamond, was taken several years ago at the OAB Convention in Oklahoma City. This full body shot was one of my heaviest. I have no idea how much I weighed--but I know for certain, it was in excess of 500 pounds.
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It's hard to believe that this photo was only two short years ago. I picked up an award that night for best radio weather coverage--and I knew, all award recipients were expected to pose with theirs--and I tried my best to avoid it--I did, but I couldn't escape the camera. I didn't like facing what turned out to be the very top of my relapse/regain period--394 pounds, but I'm glad I did.

In the middle of that relapse/regain period--it felt like the worst thing ever. But as I've said many times, I needed humbling--I needed to learn some things about myself that I likely wouldn't have learned any other way. I had to experience it the hard way in order to be where I am today.

And I sincerely appreciate where I am today. And I protect it by giving my plan the reverence it deserves each day--one day at a time. It's never guaranteed. But my best chance at continued success is found in the high importance level I apply in maintaining the integrity of this plan that fits me best.
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Today started with my morning routine after a short night of sleep--and then a 10am-1pm location broadcast for a home-builder. The remainder of the day was dedicated to rest and relaxation. I plan on doing more of the same tomorrow. More details on this day can be discovered in the Live-Tweet stream.

Today's Live-Tweets:
































Thank you for reading and your continued support,
Strength,
Sean

Princess Health and U of L dental school's general-dentistry and oral-medicine chair elected president of American Academy of Oral Medicine. Princessiccia

Wendy S. Hupp
Wendy S. Hupp, associate professor and interim chair of the Department of General Dentistry and Oral Medicine of the University of Louisville School of Dentistry, will be the next president of the American Academy of Oral Medicine.

Hupp joined the U of L dental school in 2007 and is a diplomate of the American Board of Oral Medicine. She lectures nationally on the treatment of medically complex patients, pharmacology, HIV/AIDS, clinical oral pathology, and women�s health. She is widely published.

She is a graduate of the University of Pennsylvania and practiced general dentistry in Wayne, Pa., for nearly six years. She completed residency training in oral diagnosis, oral medicine, and oral and maxillofacial radiology at the Naval Postgraduate Dental School.

Oral medicine specialists are qualified to treat patients for such health conditions as TMJ, burning mouth, sensory disorders and many other oral complications. Hupp said in the news release that she plans to increase awareness of this specialty during her time as president.