While the benefits of swimming and aquatic exercise far outweigh the risks, injuries can occur, especially with competitive swimmers who often train upward of 20 hours a week.
“Kicking and lower extremity injuries are pretty rare. Most of the issues we see are overuse injuries, especially shoulder injuries in teenagers and young adults,”.Crowe said. “These injuries usually come as a result of improper form, overtraining and from not using the core muscles correctly.
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It’s been an uphill battle ever since, but I tell people if they find a way to grow through it, not just go through it, they might find what they’re looking for on the other side.”","_id":"CKM3HK3VGZCLTOKAKZMR2RXWTA","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666013,"type":"text","content":"His focus is on talking up mental health supports and preventing suicide among veterans.","_id":"LSFSATZ5YBAJPIUHUEI26VDKNI","additional_properties":"comments":[],"_id":"QN74HF2C65CRLG6VWUJYUPUCBM","type":"interstitial_link","content":"Veteran suicide rate ticks up in Georgia","url":"https://www.ajc.com/news/veteran-suicide-rate-ticks-up-in-georgia/TW7NSIFZ2ZBDFLN4PUCENS3LNU/","_id":"KRGVCHBBERF6HPTUH4N6JX3INM","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666014,"type":"text","content":"He supports pending legislation, called the Veteran Urgent Access to Mental Healthcare Act, that would allow Veterans Affairs to provide former service members with mental health services even if they received other-than-honorable-discharge.","_id":"ZUFRP3ZJJVGWZBPMWXTF2ZKPXA","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666015,"type":"text","content":"He highlights his own background — captain of the Army football team, infantry officer — to reach folks who might not be accustomed to talking about their mental health.","_id":"XLMVZVDMB5DDJMZX4UYHE5ZYYQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666016,"type":"text","content":"But he’s also eager to reach any and everyone who’s living with depression or isolation or anxiety.","_id":"OS25KWCDZRHVBPWG65NOLSQYWI","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666017,"type":"text","content":"“In the military they teach you to handle things at the lowest level,” he said. “I talk about having a plan: Who are those three good friends, those battle buddies, who you can call and they will listen to you? Do you know the number of your primary care provider so you can make an appointment and do some preventative maintenance? Do you have the number to the suicide hotline?”","_id":"4HX6X53ABZGSTOSFXNXO6YNLQQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666018,"type":"text","content":"The National Suicide Prevention Lifeline is 1-800-273-8255.","_id":"CORLNXWQY5HUHKCDC4WBSI7A3U","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666019,"type":"text","content":"Washington started his walk in Mound Bayou because his dad’s side of the family is there, but also because its history inspires him.","_id":"KRRPVRDIMFH7ZKKPSRSUJBECOQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666020,"type":"text","content":"The town was founded in 1887 by former slaves who purchased the 800-plus acres of swamp and transformed it into a thriving community.","_id":"GMXMONUBBZFQNL7E2PXMZHJCDY","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666021,"type":"text","content":"“Mound Bayou is a reminder that our story is more than just pain and suffering,” Washington said. “It’s strength and grit and resilience.”","_id":"UQO5GN5MDJARFC2ZN3NUNLDHA4","additional_properties":"comments":[],"_id":"ZPFZ3WVLDZC47NFNUGDJCREY7I","type":"interstitial_link","content":"Fourth police officer who defended U.S. Capitol during riot dies by suicide","url":"https://www.ajc.com/news/4th-police-officer-who-defended-us-capitol-during-riot-dies-by-suicide/NEDT4BST2NE4VNYMJ7C7NWGOKM/","_id":"27PO7CR3SVGATPHT2Y2VUCSBI4","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666022,"type":"text","content":"Washington plans to end his 1,800-mile walk at West Point on Sept. 11. He had just arrived in Baltimore the day we talked.","_id":"7SE5MUPO7BDZLHHG3EN32UFDEI","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666023,"type":"text","content":"He was physically tired, but energized by the people he was meeting along the way — people who find and join him after following his journey on social media or his website (gregcwashington.com/a-walk-to-honor/); people who feel less alone after hearing his story; people who help Washington feel less alone after hearing theirs.","_id":"662VMVJWKJEHRLJGL667JXIIU4","additional_properties":"inline_comments":[],"comments":[],"_id":1628791666024,"type":"text","content":"“You don’t know what people are going through,” he said, “until you actually sit down and have a conversation with them and really show them that you care.”","_id":"JSPOKWP2ENCVLCYDPZFKWQKQ2A","additional_properties":"inline_comments":[],"comments":[],"_id":1628794558278,"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"A7KXXOMMFJDY5LE7UCJM5SE76A","additional_properties":"inline_comments":[],"comments":[],"_id":1628794558279,"type":"text","content":" "],"display_date":"2021-08-12T19:05:00.588Z","headlines":"basic":"Army vet is on an 1,800-mile walk to raise mental health awareness","first_publish_date":"2021-08-12T19:05:00.588Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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But most are still experimenting with these tools. While some doctors appreciate seeing records of home-monitored blood pressure, exercise and the like between visits, for others the data is more of a burden than an asset.","_id":"Q3C7TN7ZAVHDNAS6VYBHLXIEBQ","additional_properties":"comments":[],"_id":"MRF254BAGNDLNJCRZQHW2CIXZ4","type":"interstitial_link","content":"Roswell doctor puts the app in sleep apnea","url":"https://www.ajc.com/life/roswell-doctor-puts-the-app-in-sleep-apnea/2A5Q25L2FJFUDFJOSPB6DQHYFE/","_id":"WHXX3GLFQVHEDEHXRG5GLMN3V4","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719637,"type":"text","content":"More than 100 types of data are available in Apple’s health app through iPhone, Apple Watch and third-party apps. In June, Apple said patients whose doctors work with one of the six electronic medical record companies participating in the new feature will be able to send them tracked data like heart rate, sleep hours, exercise minutes, steps, falls or menstrual cycle history.","_id":"E6AA5VKAI5G35FBTDOLCR4ZPGE","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719638,"type":"text","content":"Some see great promise in building “pipes” between a patient’s phone and the health records viewed by their clinicians. Apple is “democratizing the flow of health data” between doctors and patients, said Anil Sethi, a former Apple health director and current CEO of Ciitizen, a startup that manages health data for cancer patients.","_id":"CVZ373AA3JEWHEUNKW24JGWXTE","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719639,"type":"text","content":"But Apple’s announcement was shrouded in ambiguity and short on particulars. The company would not provide a complete list of the data patients can share with doctors and declined to comment for this article. Previous Apple moves to get more data into the hands of doctors have been announced with great fanfare, but questions remain as to how many health care providers are using the data and to what effect, and whether success stories are the norm or outliers. To date, rigorous studies showing clear health benefits from monitoring these types of data remain limited.","_id":"EYDWYR7NFBA5BLDM2VRU352NOI","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719640,"type":"text","content":"Although Apple has built pipes enabling patients to share growing amounts of data with medical professionals, it’s unclear how much data flows through them.","_id":"FIUIEYOJNRER7F3PNXRZCIXXNE","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719641,"type":"text","content":"In 2014, Apple released HealthKit, a tool enabling health systems to pull in patients’ health data, with their permission, from their iPhones. At the time, then-Mayo Clinic CEO John Noseworthy said this would “revolutionize how the health industry interacts with people.” But a Mayo spokesperson told KHN the system’s use of HealthKit is now limited.","_id":"J55WA23QSZAD5LK5FGXILS6YPU","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719642,"type":"text","content":"Cedars-Sinai Medical Center said in 2015 that, through HealthKit, more than 87,000 patients had been able to share their data, an arrangement Cook touted on a quarterly earnings call. A Cedars-Sinai spokesperson declined to comment on what became of this project.","_id":"R4K6YL4ISFF2ZLBF5HMO2XNWUI","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719643,"type":"text","content":"Even Apple’s attempts to use its own employees’ app data to improve their medical care have yet to pan out. The Wall Street Journal reported that an Apple initiative testing a new primary care service for doctors to monitor Apple employees’ health through their devices had stalled. The company said many of the story’s assertions were inaccurate.","_id":"FIRDWQPU3JGZ3OVHKKVNTKUZUU","additional_properties":"comments":[],"_id":"UMLTKO7EP5AP7ET3UCQ25RQZBU","type":"interstitial_link","content":"Travel tech industry developing health passport apps","url":"https://www.ajc.com/news/business/travel-tech-industry-developing-health-passport-apps/HXGJUFHXA5EHHGVWXOAWQVG3EM/","_id":"LCG2E56RR5DIFCELKMNYPX2FC4","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719645,"type":"text","content":"There have been a few reports of success. Ochsner Health in Louisiana reported that patients in a hypertension management program that provided health coaching while monitoring blood pressure data from mobile phones were more likely than a control group to get their blood pressure under control, follow their medication regimen and feel satisfied with their care. The health system now also has remote monitoring programs for diabetes, chronic obstructive pulmonary disease and expectant mothers, an Ochsner spokesperson said.","_id":"YR753UFI65B3FMKDBUAR3FXEC4","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719646,"type":"text","content":"And Epic, the nation’s largest health records company, said that over 100 of its large health system clients are using Apple HealthKit to capture data from home monitoring devices like blood pressure cuffs.","_id":"CY4YTR2YFFCFJBJL2U3IBTDXIA","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719647,"type":"text","content":"But patient-generated data has not been widely adopted in health care, said Dr. Benjamin Rosner, an associate professor of medicine at the University of California-San Francisco. He and others point out major hurdles.","_id":"L7XYAW5RPFDYRLW6AFJ3B4Q624","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719648,"type":"text","content":"One, Rosner said, is that evidence is mixed that monitoring such data improves health.","_id":"IXKSYB5YI5BCBBCLGHCNSH4VOQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719649,"type":"text","content":"Another is that doctors generally aren’t reimbursed by health insurers for reviewing data that patients collect at home.","_id":"YBFTAM2NSBEUDIFU7BRBPCPRXQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719650,"type":"text","content":"“In America, we generally pay doctors and health systems to see patients in front of them and do things to them when they show up,” said Matthew Holt, a health technology startup adviser.","_id":"6RFBIRGEKNGA5HDZI5UDJYS2GM","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719651,"type":"text","content":"In instances in which doctors can be reimbursed for remotely monitoring patients, like those with certain chronic conditions, the payment is usually low, Rosner said.","_id":"GUVCN5RLE5C3DGVVX5CTYR2WKQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719652,"type":"text","content":"And many doctors already feel inundated with patient health information and electronic health record tasks.","_id":"22RNZQPLLZBIZH7R5ORQ7Q64E4","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719653,"type":"text","content":"“Primary care doctors are overwhelmed by their inboxes,” said Dr. Rebekah Gardner, an associate professor of medicine at Brown University. “Before people start buying Apple Watches and sending all their sleep hours, let’s show that this improves health.”","_id":"VM4LJPRV2BGJXGLNSCTMYFDYCI","additional_properties":"comments":[],"_id":"PMTAOHFAKBASBLMZADQ75UDCJY","type":"interstitial_link","content":"4 health technologies every nurse should know in 2021","url":"https://www.ajc.com/sponsor/a-better-you/4-health-technologies-every-nurse-should-know-in-2021/GLH6DJIBRNFEXAWV5H7ZA3AASE/","_id":"QWZPH4HJEBFKDPYUWR372KC4EQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719655,"type":"text","content":"She said she wants to see more rigorous, independently funded studies showing that monitoring data from wearable devices makes people healthier or improves their care.","_id":"5DE3CNEUVVEUFOBE4K4G4TMVXA","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719656,"type":"text","content":"Liability concerns weigh on some doctors’ minds. Dr. Oguchi Nkwocha, a community health center physician-executive in Salinas, California, worries he could be held liable if he missed something in “a diary of data,” but said he might be more open to data that was analyzed and presented with predictive insights.","_id":"WAIBBG3QEFCNXPHB6DFVOAQ2JA","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719657,"type":"text","content":"Apple isn’t the only tech company that has struggled to make health app data-sharing mainstream. Both Google and Microsoft enabled patients to share their data in their personal health record products over a decade ago but shut down these businesses because of limited user adoption, Holt noted.","_id":"KALLSG5IDBCDHNQZLYPTAOHN3Y","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719658,"type":"text","content":"Optimists believe that, eventually, research will show that more forms of data monitoring lead to better health and that technology could help make the data more digestible for doctors. Then, Apple might succeed in making its apps part of medicine — assuming the payment system changes in a way that gives providers more incentives to identify problems early and intervene before people get critically ill, Holt said.","_id":"NMALO4VPKJDWZH5ZE6XGRCBYVE","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719659,"type":"text","content":"“This is exciting for the future of chronic care management,” Dr. David Cho, a UCLA Health cardiologist, said of the new feature. With data at his fingertips on risk factors like exercise, diet and blood pressure, he believes he could help his patients manage chronic conditions more easily. That data, combined with virtual visits, could mean fewer office visits.","_id":"WAVPXTSWYRFPPLRQNCARDDYOKE","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719660,"type":"text","content":"Apple’s announcement that it can integrate patient-generated data into the electronic medical record could be critical for doctors who want to see their patients’ self-collected information but don’t have time to hunt for it, said Dr. Seth Berkowitz, who leads a remote monitoring app pilot program at Beth Israel Deaconess Medical Center in Boston.","_id":"22C5VTNXHFGJDDQRFQZKEM3XYM","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719661,"type":"text","content":"Some patients welcome a feature that would make it easy to share data with their doctors. Jen Horonjeff, a New York City-based autoimmune disorder patient and health care startup CEO, recently discovered by using an Apple Watch tracker that her heart rate, which doctors had described as irregular, registered as normal.","_id":"7UIAKVOQXFHWRC4SR4LDBJDH24","additional_properties":"comments":[],"_id":"WV7RATYFEVBGPBWULFUZOIOYM4","type":"interstitial_link","content":"Clinics switch to virtual patient visits to limit coronavirus exposure","url":"https://www.ajc.com/news/state--regional/clinics-switch-virtual-patient-visits-limit-coronavirus-exposure/KZci1H76jBjRtX1Z38RHRO/","_id":"26VT6GTDKFCAPCNAAT7YQJXKJI","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719663,"type":"text","content":"“I would absolutely send this to my physicians,” Horonjeff said, noting that her data would give doctors an accurate baseline of her heart rate if she were hospitalized.","_id":"UN7SLGMO5JEY3OUBJUSJOIQNMM","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719664,"type":"text","content":"But Gary Wolf of Berkeley, California, co-founder of the Quantified Self, a movement of people who track their health and other personal data, said that finding a doctor trained to make decisions with “fine-resolution data” is impossible.","_id":"AJYOGW3FE5ES3BQFX2YQKW7PUA","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719665,"type":"text","content":"Without more evidence that getting health app data to doctors is clinically beneficial, it will be hard to assess whether Apple is succeeding, said Neil Sehgal, assistant professor of health policy at the University of Maryland.","_id":"S2EPK3TU2JAQTEUTOAG3BLYWIQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719666,"type":"text","content":"“Right now, we don’t know if there are consequences if you don’t put your Apple Watch data into your electronic medical record,” he said.","_id":"NIY5FQAFM5DTJNAQF6FHCURF54","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719667,"type":"text","content":"If evidence ultimately shows a benefit to sharing this information with doctors, he said, “that benefit will be concentrated among people who can buy the $1,000 phone and $400 watch.”","_id":"KQ2SY57XRJCUHIIHYMCDSREGD4","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719668,"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"STW5NAXSERBPVHE6NCETQLS7JM","additional_properties":"comments":[],"_id":"3TRDKPQ26FEPLD5N45IMUSHXFI","type":"divider","_id":"55EQYVWM3ZFX5PF6K72YFVFIC4","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719670,"type":"text","content":"Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at Kaiser Family Foundation. KFF is an endowed nonprofit organization providing information on health issues to the nation. This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.","_id":"W6Y4JVJETJC7XBVC4TZ5GQUZSU","additional_properties":"inline_comments":[],"comments":[],"_id":1628774719671,"type":"text","content":" "],"display_date":"2021-08-12T13:36:35.854Z","headlines":"basic":"Apple aims to push more patient data to doctors ","first_publish_date":"2021-08-12T13:36:35.854Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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When both people are double masking, potentially infectious aerosols decrease by 95%.","_id":"IRMBEJHVJVGNTMR6R5QWZAAQEI","additional_properties":"inline_comments":[],"comments":[],"_id":1628618889250,"type":"text","content":"There are exceptions, however. Wearing two disposable masks is not effective, because such masks are not designed to fit snugly on the face. And wearing two KN95 or N95 masks isn’t necessary, because just one can filter 95% of particles and fit snugly to your face, so there is no need to wear two.","_id":"5FCVCHWMPJA4RLA66HL7WDHBMI","additional_properties":"inline_comments":[],"comments":[],"_id":1628701784811,"type":"text","content":"After experimenting with varying techniques for mask effectiveness, the agency concluded that wearing a cloth mask over a surgical mask — along with using a mask filter or wearing a nylon covering over a mask — are effective options to improve a mask’s fit and decrease exposure to aerosols that could cause infection, The Atlanta Journal-Constitution’s Kiersten Willis wrote.","_id":"PHIIAVSAXJEFBNGFXTKBQGMQ6E","additional_properties":"inline_comments":[],"comments":[],"_id":1628701784812,"type":"text","content":"The newer coronavirus variants are far more transmissible and lead to higher severity of symptoms, said AMA member Megan Srinivas, MD, MPH, an infectious diseases specialist and translational health policy research fellow at the University of North Carolina at Chapel Hill. The increased transmissibility, not knowing how effective the vaccines are against the variants and “the fact that more variants might pop up as this goes on makes it more important than ever that we continue to mask up.”","_id":"H7LDBQRCFBDSNCJSB4YOCYY3SM","additional_properties":"comments":[],"_id":"4BJGVHQ2GJGT3H22WDP5DJVCKI","type":"interstitial_link","content":"5 do’s and don’ts to improve your face mask’s protection","url":"https://www.ajc.com/life/5-dos-and-donts-to-improve-your-face-masks-protection/5GJFU7RJIVEE3BYD5OC5YHAEVM/","_id":"CMDPTWCUVFHDDPLYXD63MFXE4M","additional_properties":"inline_comments":[],"comments":[],"_id":1628701784814,"type":"text","content":"“The only way we’re really going to be able to rely on herd immunity is if we can bring the community transmission rates down low enough where the importance of prevention is more important than control,” she said. “With our positivity rates in the United States, we’re still in that aspect of — in order to control, we really need masking to be in place.”","_id":"IOEXM7TC5FBZRKRPBCXPLM2ZWQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628701784815,"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"MYTAASGFCBEVFAASKQZP2XH2JA","additional_properties":"comments":[],"_id":"MUUKQYQYVVC5VKTQYRRIFNR4NI","type":"interstitial_link","content":"An illustrated guide to properly wearing a face mask","url":"https://www.ajc.com/lifestyles/the-great-cover/3bphsTWR2gvzinKaNzLkSO/","_id":"FOERH73U3RCCVNYOLYGUL2DDNI","additional_properties":"inline_comments":[],"comments":[],"_id":1628701784817,"type":"text","content":" ","_id":"LLWRSTDBU5A6BLNCOZGC7BZAVQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628618889251,"type":"text","content":" ","_id":"LMPJMOHBWBGRXKRJ4KSQYLYD4E","additional_properties":"inline_comments":[],"comments":[],"_id":1628618889252,"type":"text","content":" "],"display_date":"2021-08-11T17:12:28.334Z","headlines":"basic":"Why you might want to go back to double masking","first_publish_date":"2021-08-11T17:12:28.334Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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What types of COVID-19 tests are used?","_id":"6WX44DOD3VHM5LQTLRRWQYDI2E","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471622,"type":"text","content":"A. Two main types of tests are used. We have tests that are good at detecting active infection when someone may have symptoms or was recently exposed to someone who was infected. Those tests are the polymerase chain reaction and antigen tests. Then we have the other type of test, which is very good at detecting evidence of past infection. We call these tests serology tests, and they detect antibodies.","_id":"NXFAXJ5YTJCMNNSZADDRD4L46Q","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471623,"type":"text","content":"The polymerase chain reaction and antigen tests are both done on a nasal swab specimen. The polymerase chain reaction test detects the virus’ genetic code ― its molecular material ― which in the case of this virus is RNA. It’s detecting the virus’ genetic code that it uses to replicate itself and make more virus. The antigen test detects proteins from the virus rather than molecular information. It’s looking at the proteins that make up the virus.","_id":"YGKZGLO2F5FJPJPXZ2RJKWE4LE","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471624,"type":"text","content":"The other type of tests ― the serology test or antibody test that use a blood draw ― you get a blood specimen, and that specimen is tested for evidence of past inspect infection. The antibody test detects your own hosts’ immune response, your own body’s response to fighting off the virus by detecting something called antibodies. That’s the part of your immune response that helps attack foreign invaders like viruses.","_id":"HUOMP5Y57VBLHAMW3SFNDW2XDE","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471625,"type":"text","content":"Q. What does it mean if someone has a high viral load when tested?","_id":"IEPDYOY4EZGVNDC5TFUK7CGHWM","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471626,"type":"text","content":"A. The viral load refers to the amount of virus that we have in our bodies. But when people say high viral load, it typically refers to the amount of virus that’s detected in that nasal swab through testing, usually by polymerase chain reaction. Now polymerase chain reaction can give us a general indication for how much virus is present in that sample. Although usually it doesn’t measure the specific amount, we can get a general idea if the patient has a high viral load, or a low or moderate viral load. Now why is this important? If someone has a high viral load, they are potentially shedding that virus into the environment. And they could be infectious to others. They could transmit that virus to other people around them.","_id":"VGRB2N7MNFC4HCYRSQGJM2ALZ4","additional_properties":"comments":[],"_id":"LS3VCQR53VBBJLGHW3NFAK7UIA","type":"interstitial_link","content":"What does it mean to have a ‘breakthrough’ case of COVID-19?","url":"https://www.ajc.com/pulse/what-does-it-mean-to-have-a-breakthrough-case-of-covid-19/KJ3EJCZA7RCBDC27OU2YFWGHTU/","_id":"XQHXMLEBWNBJFHE6GSJPXPYNJQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471628,"type":"text","content":"Q. Can a polymerase chain reaction test mistake the influenza virus for COVID-19?","_id":"HHHBU3ASRBFOBN5YYG6CKGLNPE","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471629,"type":"text","content":"A. The COVID-19 tests on the market that have been reviewed by the Food and Drug Administration are very specific for COVID-19. They don’t give you a false positive if you had influenza, for example. They’re specific only for SARS-CoV-2, which is the virus that causes COVID-19.","_id":"3KTFZXG3TJF3DCQDYOGW6KBL24","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471630,"type":"text","content":"Q. Does COVID-19 testing determine whether your infection is caused by the delta variant, and does infection by the delta variant affect treatment?","_id":"SM6LVSW2XFG3BNYV4L2R3LPS4U","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471631,"type":"text","content":"A. The test that most people receive will not tell them what variant they have. It will just be a yes or no answer. They either have the virus or they don’t in the specimen that was tested. There’s another test that we can perform to see what variant people have. But it’s not usually performed for patient care, meaning that it’s not usually important for how the patient’s going to do clinically. It’s something more that our public health officials want to know so that they can monitor the spread of the virus and the different variants throughout our community.","_id":"E5APBUADMNAYDOCN3RPRPWIMAE","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471632,"type":"text","content":"Q. When should a person be tested for COVID-19?","_id":"3ZAZKQGMSJECZBMHUSKDX6YUDE","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471633,"type":"text","content":"A. If someone has symptoms that are consistent with COVID-19, they should be tested. If they’ve also been exposed to someone who has proven COVID-19, the recommendation is now for them also to be tested, even if they’ve been vaccinated.","_id":"TWOMOBK6XBGEXES7QVDMC6VFFI","additional_properties":"comments":[],"_id":"3FXK7JNVZJBTPCNQF2MV5GOR4A","type":"interstitial_link","content":"Coronavirus in Georgia: A daily update of COVID-19 in our state","url":"https://www.ajc.com/news/coronavirus-georgia-covid-dashboard/jvoLBozRtBSVSNQDDAuZxH/","_id":"PDFQPOWZSBD4FH2OEZGWLKBQIU","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471635,"type":"text","content":"Q. How effective are COVID-19 vaccines against the delta variant?","_id":"2ZVZ2TRZ3FASZKSCCHDVS3UR7Q","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471636,"type":"text","content":"A. Speaking just about the vaccines we have in the U.S., studies have thankfully shown that they are still very good at protecting us against the delta variant. It looks like it is greater than 85% effective in protecting us against symptomatic infection. Even with the delta variant, the efficacy is a little less to become infected without symptoms, but the chance of you getting ill is low. And the risk of needing hospital care is even lower of you getting a very serious infection where you have to go to the hospital. The bottom line is still this: Vaccination is very effective against the delta variant.","_id":"Z2DT6PBHEZE77FTPNC55BL3UJE","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471637,"type":"text","content":"____________________________________","_id":"MZ3AOBXY2VEVXOYJR2LRTA7NQA","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471638,"type":"text","content":"Information in this post was accurate at the time of its posting. Due to the fluid nature of the COVID-19 pandemic, scientific understanding, along with guidelines and recommendations, may have changed since the original publication date.","_id":"QWK53J7EGRCZZDFMBONN5D7HG4","additional_properties":"inline_comments":[],"comments":[],"_id":1628687471639,"type":"text","content":" "],"display_date":"2021-08-11T13:16:52.548Z","headlines":"basic":"What you need to know about COVID-19 tests","first_publish_date":"2021-08-11T13:16:52.548Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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","_id":"2JI4Q4C56RGNJJYP2GSSZYE754","additional_properties":"comments":[],"_id":"3AXPJX2JVVEPHLPD53BKUURI3Y","type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/","_id":"GFVPJQPT6VECTHFWXBXBHYZYDQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205442,"type":"text","content":"1. “There’s something wrong with me if I’m not happy all the time.”","_id":"OJZ6MZNPTRC4ZERNWTKA5JQQSM","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205443,"type":"text","content":"No, there is nothing wrong with you if you aren’t happy all the time. No one can be happy all the time. In fact, a temporary feeling of giddiness or being high on life is often mistaken for happiness. True happiness is more of an inner peace thing.","_id":"3TJB3L7H3ZCG7OMYSJ3TZHEPYU","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205444,"type":"text","content":"2. “If I have lots of money, I will be happy.”","_id":"TV2LV2ZN55AQXE5R4A2G44Z5II","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205445,"type":"text","content":"Money can buy a lot of things, but after your basic needs are taken care of, the upgrades that come with an increase in income really don’t make that much of a difference. A famous Princeton study in 2010 found that emotional well-being did not increase for people making more than $75K. Earlier this year a study published in the Proceedings of the National Academy of Sciences found that this number had ticked upward to $85K.","_id":"GHAGY66ZIJDVNFCXVXDDN774NY","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205446,"type":"text","content":"But the point is the same: Earning anything over that amount apparently has very little effect on your happiness quotient.","_id":"X26Y7KTJJBDF3FYLJCRDBXFLEQ","additional_properties":"comments":[],"_id":"3C6IKSSLTNGFHHFEFPOHMEFOEI","type":"interstitial_link","content":"5 ways to stay positive in a sometimes negative world","url":"https://www.ajc.com/life/5-ways-to-stay-positive-in-a-sometimes-negative-world/EVQ4HNKUCFEIRLS5EWRDZ5R7NU/","_id":"OK54ESNNUNDCRPAYA7FHTKCJYY","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205447,"type":"text","content":"3. “I have to be better than just OK to be happy.”","_id":"NZMBQL2FTNAUXHKEUWHWYZQHZI","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205448,"type":"text","content":"When you start making demands and deals with yourself to allow happiness into your life, you are signing your life away. These are “when” contracts: “When I get what I want, then I can be happy.” The problem is that the finish line is a moving target, as life is ever-changing and so are your desires.","_id":"6XA7OPKL6BBEBLABJQSZ6Z3ZJ4","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205449,"type":"text","content":"4. “When I find true love, then I will be happy.”","_id":"ZIJAODER4ZFBLLZX4EWRAIT2O4","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205450,"type":"text","content":"This is perhaps the most common myth we tell ourselves about happiness. Please trust that nothing could be further from the truth. Love is the best thing on the planet, and it is also the most painful, so brace yourself. Remember to be careful about what you ask for.","_id":"5H4VGEJW7VCMBB66DGSYU6SIBI","additional_properties":"comments":[],"_id":"V4VWBLN5YZHGJAPWPSIKXSW7L4","type":"interstitial_link","content":"7 tips for nurses trying to stay optimistic","url":"https://www.ajc.com/lifestyles/health/tips-for-nurses-who-want-stay-optimistic/DnvCPdkfXdixPfXS2427aI/","_id":"6T647C4HTNAZFJ56KDCIN2UB2E","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205451,"type":"text","content":"5. “If I have a fulfilled life, then I will never be unhappy.”","_id":"R4AISHH5W5BH7KMY6X7WSUVIJY","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205452,"type":"text","content":"Everything has a life cycle, and feelings of fulfillment are no different. You will need to seek different kinds of fulfillment as your life changes and your body ages. And unhappiness, like happiness, is only temporary.","_id":"LSMX6LLQL5HLTFP72NP3EIGGDU","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205453,"type":"text","content":"6. “If I don’t constantly seek happiness, I will be sad.”","_id":"C5RIZWATH5HMDECURJDCVVDYOU","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205454,"type":"text","content":"No, but perhaps you will be content. When our lives are actually out of control, we feel stress. When they are not out of control, we may create our own stress by pushing ourselves to be happy, and it is quite taxing on the soul. Instead of seeking happiness, feel the contentment in your life. It’s easier to find, and it lasts much longer.","_id":"YUDEXHIQ6NCKTLYP6R6KSGWW5Y","additional_properties":"comments":[],"_id":"B4TJHRN2XNE4NEERS5SOKD4FNA","type":"interstitial_link","content":" 5 ways to beat the summertime blues","url":"https://www.ajc.com/life/5-ways-to-beat-the-summertime-blues/5YKMFHZQEZHY7KDM44MQ73XDVU/","_id":"SXMZN3NNUJEQ3OPWGBKPZE45MI","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205455,"type":"text","content":"7. “When life is normal again, then I can be happy again.”","_id":"SGPRICGCV5AYXLAYI32XGADTS4","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205456,"type":"text","content":"I thought I should address this particular “when” contract directly, because it seems to be a driving force in our lives these days. Things can never be like they were. We have been through too much, the entire world is traumatized, and we don’t yet know what normal is going to look like. This time is not about trying to be happy. It’s about learning to love and enjoy what we have.","_id":"3WB3UZODBVGNNEVPAF5BNIRXTQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205457,"type":"text","content":"True happiness in never a constant in anyone’s universe. If we get to touch it for a little while, we are fortunate. Being sad because you are not happy is not going to make you feel any better, but being kind and making the lives of others better will. Happiness isn’t always available, but goodness is always right where you put it.","_id":"7R3GU6I6PRFFBHOBYI4P5QER7Q","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"YTDUVZIZQNBEPBEBQW3O7I7HHM","additional_properties":"comments":[],"_id":"734BIGCBOZCVNJJVS73CL4NNGM","type":"divider","_id":"2SJJQBNQWZET5G7RBYT5PIXNLU","additional_properties":"inline_comments":[],"comments":[],"_id":1628102205459,"type":"text","content":"Barton Goldsmith, a psychotherapist in Westlake Village, Calif., is the author of “The Happy Couple: How to Make Happiness a Habit One Little Loving Thing at a Time.” Email him at [email protected]."],"display_date":"2021-08-09T16:21:15.944Z","headlines":"basic":"7 myths that might keep you from finding happiness","first_publish_date":"2021-08-09T16:21:15.944Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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Unfortunately, with my schedule, I have not been able to work out regularly, outside of running downstairs for a quick snack between meetings. What can I do at home for exercise?","_id":"YHPO3FFPXBEFLAQ3H2BZQLX3YY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414867,"type":"text","content":"ANSWER: You don’t need fancy gym equipment to get a good workout. You certainly do not even need to leave your home. Squeeze some quick exercise into your day by simply stepping onto your stairs.","_id":"6QPWJFN3ZFHVZOZ33VJQSQYSJQ","additional_properties":"comments":[],"_id":"2AF3DILH6FEOTKOL3W75RFHUHQ","type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/","_id":"DMASHF3FMJAOTKQQJHXBYUDXR4","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414868,"type":"text","content":"Research shows that stair climbing helps strengthen and tone your leg muscles. It keeps your leg arteries flexible, allowing blood to move more easily. Better blood flow in your legs equals a healthier heart and body.","_id":"L3VYNP2ZRNECZPTKDOGK227OC4","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414869,"type":"text","content":"Taking a three-minute stroll up and down the stairs after a meal also may help you control your blood sugar. Skimp on sleep last night? If you’re a young woman, stair climbing may wake you up better than a small cup of coffee.","_id":"E7NN2W35EFAXRPEGMMNP2Q6V6E","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414870,"type":"text","content":"A simple stroll up and down the stairs gives you an aerobic workout. But you can get an even greater health boost by adding in a few resistance and balance-related moves.","_id":"6JH2JHVWBRDQ7H43PXVNWVEESM","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414871,"type":"text","content":"Step up your daily exercise routine with these five simple stair exercises recommended by Dr. Thomas Rizzo Jr., Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, Florida:","_id":"XUTB3GBRXBAX5K3YH2YWG56XZE","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414872,"type":"text","content":"1. Stair pushup","_id":"ML5D7YMFSRDPVJRFOGY3PSE4K4","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414873,"type":"text","content":"Firmly place your hands on a step. Your hands should be directly under your shoulders.","_id":"S6FY3AW3VFCFXPUZTH27MX6G3M","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414874,"type":"text","content":"Push your toes into the floor and extend your legs into a plank position. You should feel your core, or stomach, muscles working.","_id":"AO5LYWEJCJDU5NVMNVQLJB3WU4","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414875,"type":"text","content":"Inhale and bend your elbows. Lower your body until your chest is just above the stairs.","_id":"AE6LQ2RH7ZFMTOKHPQPF3BDYJY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414876,"type":"text","content":"Exhale while straightening your arms and raising your body back to the starting position.","_id":"65QX5HZI2ZCVBCZZQO7KAGWTNA","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414877,"type":"text","content":"Keep your neck and back in a neutral position during this exercise. Don’t let your hips drop.","_id":"V5CJDKFBSZDDTFC5ACQEESZCCM","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414878,"type":"text","content":"If you can’t lower your body to the stairs, use the next higher step.","_id":"JGCEWUWZUBCKZNUAGYUOBQMWKQ","additional_properties":"comments":[],"_id":"RPSRJ7HHLZGXPCESPJG5F5DSO4","type":"interstitial_link","content":"3 ways to test your heart health at home","url":"https://www.ajc.com/life/3-ways-to-test-your-heart-health-at-home/P7HA7FCRRVDUFNBGJPLOEUZYLU/","_id":"HM5LYROSKNGL5B3Q2BG3TVF4KU","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414879,"type":"text","content":"2. Stair crawl","_id":"SOQ2PZHQEBDONN2K5BJL3R2RBA","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414880,"type":"text","content":"Begin at the bottom of the stairs, on your arms and legs.","_id":"GXDYN2SQSNBM3EQYMDOSYZOR2M","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414881,"type":"text","content":"Your arms should be under your shoulders, knees below your hips, and feet resting on the ground.","_id":"KXR5DQCN3FAZVHJ2SDLGBMBDYQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414882,"type":"text","content":"Slowly raise up to your toes, lifting both knees off the floor.","_id":"HAZCA4VPQJB7HPTTWYKJOC2UEE","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414883,"type":"text","content":"Keep your back in a neutral position.","_id":"4YABCJ3I4RDWVPREPVNLIBPWCE","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414884,"type":"text","content":"Begin crawling up the steps by moving your opposite arm and leg forward at the same time to the next step.","_id":"VA3AY4KLFBFLTDRDHQRAPUOZHY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414885,"type":"text","content":"Alternate this cross-body pattern for the desired number of stairs you wish to climb.","_id":"DGOLCFY2MBA7FDQAZ7HZJPFJQY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414886,"type":"text","content":"3. Stair lunge","_id":"3XSEFZ457FHJ5OOZF3OWWK4ATE","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414887,"type":"text","content":"Facing away from the stairs, stand tall with your feet shoulder-distance apart.","_id":"NTPENFFXCVHSFJNXTHIQHNU3VQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414888,"type":"text","content":"Move your left leg backward to rest on a step.","_id":"VNB2CSAJYZCQBAHDDDFJRFTVIE","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414889,"type":"text","content":"Inhale, bend your right knee, and lower your body.","_id":"MJ6NDG5RFVCYZDOCFV54WQ4CHQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414890,"type":"text","content":"Exhale and extend your legs, then return to a standing position.","_id":"IXFCMETOH5ALJB6EPR23LHVKYQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414891,"type":"text","content":"Your front knee should be over the center of your front foot. Don’t let the knee bend beyond your toes.","_id":"7TRCYEOSNZBILCPMLCNKDX6P3Y","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414892,"type":"text","content":"Repeat for the desired number of repetitions before switching to put the right foot on a step.","_id":"7KUJ3CKGMZDRFOPVGP7GLHNFQY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414893,"type":"text","content":"4. Step up","_id":"P265M4NYQNEMRMAVB5L6ZSVPR4","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414894,"type":"text","content":"Stand tall with feet shoulder-distance apart in front of a step.","_id":"SDXZQ4GGZ5DFBEE746SAFMUR5Q","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414895,"type":"text","content":"Tighten your core and place your left foot flat on the step while keeping your spine straight.","_id":"U4U3MRSACNHM5ALOBTI3XIPSQI","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414896,"type":"text","content":"Shift your weight onto the left foot.","_id":"N734OIVXJJFBBOCYGJR4HNX4IU","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414897,"type":"text","content":"Breathe out, press through the left heel and move your body up onto the step.","_id":"2L2GGLVUV5H3XI4UWKVMKCLAPU","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414898,"type":"text","content":"Place the right foot entirely on the step. 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Hold a dumbbell or weighted object in the opposite hand of the stepping leg.","_id":"DMX3TOOW4JA47JF7QETBGCUPEA","additional_properties":"comments":[],"_id":"2FSIGUQQIZDYTJWN3U2AAWH3TA","type":"interstitial_link","content":"Physical activity at any intensity will help you live longer, study finds","url":"https://www.ajc.com/lifestyles/health/physical-activity-any-intensity-will-help-you-live-longer-study-finds/avOdqbC8RxokGuiA0hnTqO/","_id":"I4QDZDPPSNHOTMNAH5EW3DSRXQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414902,"type":"text","content":"5. Side step","_id":"MWIJKLUU6JDD3LXU7CFKPOVU7Y","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414903,"type":"text","content":"Stand with your feet parallel, or sideways, to the stairs. The right side of your body should be closest to the stairs.","_id":"OOK4RHIW6JHDJLCMNCRPDFCSMU","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414904,"type":"text","content":"Using your stomach muscles, bend your knees and hips slightly.","_id":"MRQ34OTJOFEFRC2CL6PD267IBQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414905,"type":"text","content":"Step the right foot onto the first step, followed by the left.","_id":"T6FOO3KXZFET7NZVGCJQWTFTHY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414906,"type":"text","content":"Continue this stepping motion until you’ve reached the top of the stairs.","_id":"V4ZPBQXIBJH3ROX64HIIGRMTHU","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414907,"type":"text","content":"Always lead with the high foot. Don’t let your feet cross while climbing up the stairs.","_id":"J3HEK276CJHYBMTHGMGGHLDXHY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414908,"type":"text","content":"Walk back down the stairs and repeat the sequence with the left leg leading.","_id":"GMKANSRU7FBCZIDQARF2FEC6XU","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414909,"type":"text","content":"Alternatively, you can stay on one step going up with the right leg and then down to the starting position.","level":3,"_id":"6VYRSR6NKBHJPCAQ426HFQSKGI","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414910,"type":"header","content":"Stair safety","_id":"AGZ7S77GC5B6XH2IGYQWLKFN6M","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414911,"type":"text","content":"Good balance is a must for any stair activity. Before starting any type of stair exercise, make sure you are steady on your feet. If you cannot stand on one leg for 45 seconds without holding onto something, you may not be able to safely perform some of these exercises. If you aren’t sure if you should give them a try, ask your health care provider if stair exercises are safe for you.","_id":"2TE4Z24WPVDJ7DYFF3PJPNBAVY","additional_properties":"inline_comments":[],"comments":[],"_id":1628513414912,"type":"text","content":"And, last, put your phone down. 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In that case, a woman would deliver in the emergency room, said Dr. Jim Luecke, who has practiced 30-plus years in the area.","_id":"MG2ETKTHDBEJ7PSFVQ6N5LDKBE","additional_properties":"comments":[],"_id":"VMCEA3CJIRCSNPRM7GJM6Y3ZTM","type":"interstitial_link","content":"ICN warns pay ‘unrest,’ education disruption will worsen nursing shortage","url":"https://www.ajc.com/life/icn-warns-pay-unrest-education-disruption-will-worsen-nursing-shortage/PF4TPGREPNG7FHMEUKLV3QAWVY/","_id":"M7QUCAMBDNE4NEJZPVKK6KYD4U","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789298,"type":"text","content":"But that can be a tough call, he added. Luecke described his concerns for two patients, both nearing their due date, who had previously given birth, boosting the chance of a faster delivery. “They can go from 4 centimeters dilated to completely dilated within a few minutes,” said the family physician, who estimates he’s delivered 3,000 babies.","_id":"SALA2LERIBD4HMTW74YCNGMCNA","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789299,"type":"text","content":"Some pregnant women already travel an hour and a half or longer to reach the 25-bed Big Bend Regional in Alpine, said Dr. Adrian Billings, another family physician who delivers babies there. “Now to divert these ambulances at least another 60 miles away, it’s asking for more deliveries to happen en route to the hospital, and potentially poor maternal or neonatal outcomes.”","_id":"TP6DXGODLRFUPOLFSN5IHAHR6I","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789300,"type":"text","content":"Luecke can’t recall a time when the obstetrics unit at Big Bend Regional has closed.","_id":"YRFZ2VPPWVGDPKYWOG37RPSJGE","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789301,"type":"text","content":"But it’s happening in other parts of the state: Ten rural hospitals have stopped delivering babies in the past five years or so, leaving 65 out of 157 that still do, according to the Texas Organization of Rural & Community Hospitals.","_id":"GTN7DPVYBVCGNFKPZMY5JG4FZA","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789302,"type":"text","content":"Hiring and retaining rural nurses has become even more challenging amid the pandemic as nurses have been recruited to work in urban COVID-19 hot spots and sometimes don’t return to their communities, said John Henderson, chief executive officer at TORCH. More recently, some Texas hospitals have offered signing bonuses of $10,000 or more as they jockey for nurses, he said. “Covid has caused a resetting of market rates and a reshuffling of nurse staffing.”","_id":"7OBDXRTVP5DJJCSLQGCB5FXMME","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789303,"type":"text","content":"The circumstances at Big Bend Regional, which serves a 12,000-square-mile area (about the size of Maryland), illustrates the ripple effects of potentially losing obstetric services across a broader region. The hospital, owned by Quorum Health Corp., serves a swath that extends southwest to the Mexican border and includes Big Bend National Park as well as the communities of Presidio and Candelaria. The nearest hospital, the 25-bed Pecos County Memorial in Fort Stockton, is 68 miles northeast of Alpine.","_id":"NF7A2JV4DBH4PDQ7NEAUB74QHE","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789304,"type":"text","content":"As of late July, Big Bend Regional’s obstetrics services remained in flux, with the unit closed for four- and five-day stretches, Billings said. Physicians have been told the unit would typically remain open only Monday morning through Thursday morning of each week until more nurses arrive, he said.","_id":"WV7IVCVBEJGBBPMZ2UCRMWNEZM","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789305,"type":"text","content":"The staffing crisis highlights the need for more state and national efforts to train rural nurses and other clinicians, Billings added. “The big concern that I have is that, if we don’t fix this, this could be the beginning of a rural maternity care desert out here in the Big Bend.”","_id":"RDLTKESQSVGHVIY6CE7N2ESQJQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789306,"type":"text","content":"The hospital, which delivered 136 babies last year, said it is “working feverishly to ensure adequate staffing levels in the coming weeks,” recruiting to fill 10 nursing positions in the labor and delivery unit, according to a statement to KHN. “When our hospital is on diversion for elective OB patients, we communicate in advance with nearby emergency transport services and acute care providers to ensure continuity of care,” the statement said.","_id":"XCTGXDFPMBCYZIMJJJED3CQVFI","additional_properties":"comments":[],"_id":"LVSOYGPGJRD77A44AQUOLJP7S4","type":"interstitial_link","content":"Georgia ranks low on WalletHub analysis of best states for nurses","url":"https://www.ajc.com/life/georgia-ranks-low-on-wallethub-analysis-of-best-states-for-nurses/AIERMBOI55EKPDAR3YXGY3UGZA/","_id":"3YXQCQLU4FFYHMNPSDEWA7MLLI","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789307,"type":"text","content":"Kelly Jones of Alpine, who worried she was having contractions, couldn’t get anyone to pick up the phone for a few hours at Big Bend’s unit in mid-July. She decided to drop off her son at a friend’s house and head to the hospital.","_id":"4JAUC3X2JRAKHCRNLPJ4SBUU5Y","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789308,"type":"text","content":"Jones, who is nearly full term, knew the unit had been closed a few days earlier that month but didn’t realize that closures were still occurring. “I went in and said, ‘I think I’m in labor.’ They were like, ‘Well, you can’t go into labor and delivery because they’re closed. So we’re going to take you to the ER.’” In the end, medical personnel determined she wasn’t going to deliver that day and she went home.","_id":"PBCBNO6D2ZB3VHMMKTSWY7RZA4","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789309,"type":"text","content":"Since the hospital first alerted doctors last month, the unit has been on diversion July 5-9, July 14-18 and then again July 22 until Sunday, July 25, according to Billings. Efforts were being made to recruit nurses from Odessa, 150 miles away, to fill in, but the outcome was uncertain, Billings said.","_id":"HPOSDT5RURAVZPGHXRJCR2VYSA","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789310,"type":"text","content":"Luecke scheduled an induction for one patient for July 26, when her pregnancy would be at 39 weeks — a week short of full term — and the unit was scheduled to be open. “We are trying to induce them [women] on the days that they [the hospital’s unit] are open,” he said.","_id":"EP6BHYSGTNH33NGZCLBMS4XBSM","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789311,"type":"text","content":"Jones, who is being cared for by another physician, is scheduled for induction Aug. 2, at 39 weeks. “For a while, I was not sleeping. I was really stressed. I was panicking about every scenario,” said the 30-year-old, whose pregnancy was initially considered high risk because her son had been born prematurely.","_id":"4RB6QE2TEBGGFBEGCVQRE5UB3I","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789312,"type":"text","content":"But Jones felt better once her induction date was set. And what if the baby arrives sooner and the unit is closed? She’s been told to go to the ER, to be taken from there by ambulance to the local airport and flown to Fort Stockton.","_id":"QPV65OC5TRHW3FGWRPPNQNAIDY","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789313,"type":"text","content":"Malynda Richardson, director of emergency medical services for the town of Presidio, which sits along the Mexican border about 90 miles from Alpine, said its first responders transport more than two dozen women with pregnancy-related issues each year, most of them in labor, including an average of two who deliver en route. First responders, including paramedics, are not typically trained to assess a woman’s cervix for dilation, making it more difficult to gauge imminent delivery, she said.","_id":"WRVY2MH7FBEFHKCZFRYXEFFLPY","additional_properties":"comments":[],"_id":"6JNGFI4USVE6FE7XA4GBU4W4O4","type":"interstitial_link","content":"After the pandemic: What’s next for nurses?","url":"https://www.ajc.com/pulse/after-the-pandemic-whats-next-for-nurses/OIEUGARCMZAORHDHLDBDRSWYBE/","_id":"BZ46DWOWY5FTLJHNJETICXCZSM","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789314,"type":"text","content":"Also, when responders drive an additional two to three hours round trip to reach Fort Stockton, that affects the Presidio community, which can reliably staff only one ambulance, Richardson said. “What happens when we do have that transport [of a woman in labor] and have to go to Fort Stockton and then we have somebody else down here having a heart attack and we don’t have an ambulance available?”","_id":"7EXCXPVVUBAB5ORJ33MEQ35FAM","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789315,"type":"text","content":"Rural obstetrics units require far more nurses than doctors to remain open, so diverting women elsewhere in the short term makes sense, said Dr. Tony Ogburn, who chairs the department of obstetrics and gynecology at the University of Texas Rio Grande Valley School of Medicine. “If you don’t have trained nurses there, it doesn’t matter if you have a physician that can do a C-section or do a delivery; you can’t take care of those patients safely,” he said.","_id":"4CH7FJX4EFAVHIOMFCAOYHGXTQ","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789316,"type":"text","content":"Registered nurses who work in labor and delivery have completed specialized training, such as how to read a fetal heart monitor, so a nurse from the ER or another hospital unit can’t easily step in, Billings said. “It’s kind of like having a small football team or a small soccer team and not being able to pull from the bench,” he said.","_id":"OVSFTFXPNZCQRB7MZLS3GNDFUM","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789317,"type":"text","content":"Billings said he’s reached out to Dr. Michael Galloway, who chairs the department of obstetrics and gynecology at Texas Tech University Health Sciences Center in Odessa and has been helping coordinate efforts to recruit nurses from that city. But even if Odessa nurses agree to pick up some shifts at Big Bend Regional, they are likely a stopgap solution, said Billings, who questions how long they’d be willing to work so far away from home.","_id":"PYOVYJZUG5H5FCZJAFQ3M4LF6E","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789318,"type":"text","content":"Luecke believes Big Bend Regional administrators are doing everything they can to improve nurse staffing. But, like Billings, he’s worried that these July temporary closures could become longer-term.","_id":"AJJIHUT4NJFKDPBRVWDTSHMDDM","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789319,"type":"text","content":"“We are hoping August will be a different situation,” Luecke said. “But it’s pretty iffy right now.”","_id":"MQTTN7CBZBCARAYBM7XW5GSLWA","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"6UGNXYZ3ZZBLNLCS7VTXXDV6P4","additional_properties":"comments":[],"_id":"OX65YUZN4FCMXEP5BVOYEOC3ZE","type":"divider","_id":"PRPCMUT4BZH7PNYDV2FUFBURS4","additional_properties":"inline_comments":[],"comments":[],"_id":1628019789321,"type":"text","content":"Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at Kaiser Family Foundation. KFF is an endowed nonprofit organization providing information on health issues to the nation."],"display_date":"2021-08-03T20:03:25.382Z","headlines":"basic":"12,000 square miles without obstetrics? It’s a possibility","first_publish_date":"2021-08-03T20:03:25.382Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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And whether you have any underlying medical conditions that may become an issue if you start a vigorous exercise program,” Asplund said.","_id":"HXZHKWZBY5AUVA5VPEVHLT5UPI","additional_properties":"inline_comments":[],"comments":[],"_id":1627997678323,"type":"text","content":"Once you have the all-clear, don’t overdo it right out of the gate. Instead, begin with a walk-to-run program.","_id":"RIMPGUC5MJFKPJ2YWCXLMTNWAU","additional_properties":"inline_comments":[],"comments":[],"_id":1627997678324,"type":"text","content":"“Where you start with a mix of walk/run, then gradually build up to a smaller amount of running. 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Big picture issues, like the national nursing shortage and the ongoing coronavirus pandemic, can sap positive energy. So can personal and specific situations, like losing a patient or an overcritical supervisor. Yet optimism in health care is not just desirable, it can improve life for nurses and patients alike.","_id":"K2HAAB5KKRAFPBHUVHTEOXCQWA","additional_properties":"comments":[],"_id":"CDYBLUWLBRE7LI5SKV4NZ5NV5U","type":"interstitial_link","content":"Doctor, nurse groups call for COVID-19 vaccine mandates for health workers","url":"https://www.ajc.com/pulse/doctor-nurse-groups-call-for-covid-19-vaccine-mandates-for-health-workers/JSC5MZ6V3VECVLV3U5IKKCRN44/","_id":"HV7UV7A4SNAYNAY4XY6LYWVT6Q","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704410,"type":"text","content":""More than five decades of research have found that optimism is a potent health tonic. Optimistic people remain healthier and live longer," psychologist Utpal Dholakia noted in Psychology Today. "They have better cardiovascular health — even after risk factors are controlled for — stronger immune function, and lower levels of stress and pain. And healthy people who are optimistic report feeling better than equally healthy people who are pessimistic."","_id":"UTVFYR5E75DKFLLMDWO7Y6ACNQ","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704412,"type":"text","content":"Being optimistic can even make you live longer. According to a 2017 study published in the American Journal of Epidemiology, the most optimistic people reduced their risk of mortality by 31%. And the study was even conducted on nurses, so the findings are definitely applicable here.","_id":"GE2I2NDSOJCCREEPOYNGLDKOLA","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704413,"type":"text","content":"Of course, trying to shift to an optimistic outlook can look like a monumental task, especially if you've always been more of a Debbie Downer than a Pollyanna (or Ned Flanders, Kimmy Schmidt, Cleveland Brown fan, you get the idea).","_id":"PF6KTW77WRHYRD3XQBHMRADABM","additional_properties":"comments":[],"_id":"IEGJEEEJBBGOBJVPTZWAAHNV3A","type":"interstitial_link","content":"5 ways to stay positive in a sometimes negative world","url":"https://www.ajc.com/life/5-ways-to-stay-positive-in-a-sometimes-negative-world/EVQ4HNKUCFEIRLS5EWRDZ5R7NU/","_id":"HS7XVJNGMJCLLCDYGS4EZIPVL4","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704414,"type":"text","content":"But you can develop an ability to be more optimistic, and here are tips from upbeat nurses and psychology experts to help you jump-start the process:","_id":"QXNBMLTKGJAKPBYIOUL2CWDFZM","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704415,"type":"text","content":"Don't fret about genetics. According to the Mayo Clinic, optimism is only 25-30 percent reliant on genetics. That gives you plenty of leeway in finding a way to be more optimistic even if it's contrary to your personality.","_id":"M4ACMECUL5CH7HCEIBEDKOY7DQ","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704417,"type":"text","content":"Prepare to pay it forward. If you are in a bad mood and inflict it on the next person, it can have a ripple effect, according to Cherry. "If you see 20 or 30 people a day, you are having a pretty big impact, negative or positive." To make sure she's using her influence over all those people for good, Cherry pauses and lets the last situation ebb away if it was negative. "Take a breath, center yourself before you go into the next patient or to talk to a co-worker," she said.","_id":"BBRAAC6UCJCVXJYT6WKRC4R52Y","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704418,"type":"text","content":"Don't expect the best from patients. Cardiac nurse Anetra Wilhoite reminds herself constantly that it's her job to stay positive. "Remember that we often see patients at their worst," said Wilhoite, a 12-year nursing veteran in Knoxville, Tennessee. "They are exhausted and don't feel good. They're scared, depressed, physically hurt, malnourished, and feel hopeless. So it is up to the medical staff to try to help or even change some or all of these feelings and circumstances."","_id":"FBVS46PJOFFYTL7GTLDKCXIBLI","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704419,"type":"text","content":"Remember who you're dealing with. When Wilhoite is having a tough time staying positive, she tries to put herself in the patient's shoes. "How would I want to be treated if I were the patient? Or how would I want my mom to be treated?" she said. "Also I try to remember that nursing is not 'just a job.' I help people. I can make a big impact on people's lives. And ultimately, I remember I am working for the Lord and caring for his children."","_id":"OBMYB7KRZBEM5INDXK2W3VBOE4","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704421,"type":"text","content":"Do something nice for yourself before you begin. According to the Elite Learning Resource Center nursing blog, it's a good idea to start the day with a positive attitude. But don't expect that to happen effortlessly. Instead, start the morning (or preshift) with something that brings you peace, comfort or cheer. "Maybe you could eat breakfast with the family, sit down and enjoy a cup of coffee or read a chapter of a favorite novel," the blog advises.","_id":"HHKW2PLJE5CGZMDAA3REKUMYHU","additional_properties":"comments":[],"_id":"LV3K2ULATRDQDANKMVGCRKE72Y","type":"interstitial_link","content":"How to maintain a healthy work-life balance as a nurse","url":"https://www.ajc.com/business/employment/how-maintain-healthy-work-life-balance-nurse/BkkCavsEgaS6pkNUrPpz1N/","_id":"CSEKK3USG5DQZCV6B3BO6OZC7E","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704422,"type":"text","content":"Don't work all the time. Cherry likes her current job because she no longer works up to 100 hours in one week as she did in her last position. She recommended that any nurse try to find a work-life balance to improve optimism. "Now that I have some personal time, hours when I don't have to think about work, it makes me a better nurse and a more pleasant person," she says. "It's hard to be optimistic when you work somewhere like my old job, where co-workers were afraid to call in sick because they were so understaffed someone else would have had to pick up their work burden."","_id":"HZXFP53NXZA2LFQREF5S7YHOOA","additional_properties":"inline_comments":[],"comments":[],"_id":1627991704423,"type":"text","content":"Journal out the pessimistic thinking. Elite Learning also recommends the time-honored tradition of journaling to improve your outlook. "It can help you keep track of negative thoughts and discover the reason behind these feelings," EL notes. "For example, you might notice that you're upset at certain times of the day or only in certain places. Take a closer look at these factors and figure out what you can change and what you can't. For elements you have little to no control over, such as your heavy workload, you may want to talk to your boss or make a list of actions you can take."","_id":"DZAXZD4YQBAYBEKCACVLXMBHAY","additional_properties":"inline_comments":[],"comments":[],"_id":1627994772554,"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"KGWQ5USR7VFQJBNGLB7FNZOL6Q","additional_properties":"comments":[],"_id":1627991704424,"id":"U36768028400FpB","type":"raw_html","content":"
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Her daughter Yolanda Williams, however, noticed her mother couldn’t put her shoes on due to swelling. After closer inspection, she also found a sore on her foot. Yolanda rushed her mom to the hospital.","_id":"CHY7DVKZLVCDLLW6ROXRMOZQXY","additional_properties":"comments":[],"_id":"MQATFYQ56VH23PLWZPLTZCD2L4","type":"interstitial_link","content":"Distrust of health care system adds to toll in rural Black communities gutted by COVID","url":"https://www.ajc.com/news/coronavirus/distrust-of-healthcare-system-adds-to-toll-in-rural-black-communities-gutted-by-covid/SOO6UWMIBZHPTN7DMK3ZHCNQMI/","_id":"WGJ6S7DVTNDSTCW5MBBZD4KOJQ","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274394,"type":"text","content":"“Do you know what the nurses said? They said her blood sugar level was over 600. They don’t even know how she was living. I started crying right there. The nurses said, ‘You saved your mother’s life.’ I have never seen my mother cry. My mom started crying,” she said.","_id":"XNPCOQ2P3BG6XFNPK4F54W7QFM","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274395,"type":"text","content":"It’s been two weeks since Biz Markie (aka Marcel Theo Hall), the rapper behind the 1989 hit, “Just A Friend” died of complications from diabetes. He was 57 and struggled with health issues related to his decadelong battle with Type 2 diabetes.","_id":"PDQYTQ4FXZG7XOX35PF5V7TW74","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274396,"type":"text","content":"The chronic health condition affects how your body turns food into energy. With it, either your body doesn’t make enough insulin or can’t use the insulin it makes as well as it should. When there isn’t enough insulin or cells stop responding to insulin, too much blood sugar stays in your bloodstream. Over time, diabetes can cause heart and/or kidney disease and vision loss, according to the Centers for Disease Control and Prevention.","_id":"NMSVRRDG7BDKTIHWLHF57RMMSE","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274397,"type":"text","content":"“I felt like life dealt me a hand I didn’t need,” Betty Williams said. “But as time went on, I thanked God I didn’t lose my foot. My only regret is if I could have gone in sooner ... maybe I wouldn’t have wound up like this.”","_id":"SNFUGOIBR5FYXFZFPNJSEIXHUY","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274398,"type":"text","content":"Betty is a patient of Dr. Sreekumar Madassery, a radiologist and director of peripheral vascular intervention at Rush University Medical Center. In his work, Madassery opens up damaged arteries in the lower portion of the body to prevent amputations. He advocates for more education about diabetes, a vascular disease, and how deadly it is in the long term.","_id":"B7W6N57MOFD4DDHFS5W5WKGUM4","additional_properties":"comments":[],"_id":"BWKLW7FQJVAQXONW3ETFYZJAG4","type":"interstitial_link","content":"Racism derails Black men’s health, even as education levels rise","url":"https://www.ajc.com/life/racism-derails-black-mens-health-even-as-education-levels-rise/4DZMT4HJVNBDRE77NDWOQLGDII/","_id":"ELTUJVD4AJBELIXMLB3CYGVUGE","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274399,"type":"text","content":"“What happens with diabetes is it kills the nerves and hardens the arteries,” he said. “A person will stub their toe, cut their toenail wrong, and because diabetes has messed with their arteries, these tiny wounds become black and green, and they lose their whole leg. Patients, when they get a major amputation, they have almost a 50% mortality rate within four years. Diabetes is a multiheaded monster where the symptoms of each effect need to be tracked earlier; but also diabetes itself needs earlier detection and management.”","_id":"M3FOODVEMJE3XG5J3WOV3CREBA","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274400,"type":"text","content":"University of Chicago Medicine endocrinologist Dr. Celeste Thomas agrees, citing Biz Markie’s death as a call to action, since diabetes complications can be prevented.","_id":"CMSOYGINWJFQDEY4GBWPSIMERI","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274401,"type":"text","content":"“Successfully managing diabetes takes effort and intentional work,” she said. “The (American Diabetes Association) has a great risk calculator for people who if they don’t know if they have diabetes, that they can look and say, ‘Am I at risk?’ And if you are at risk, go in and have that conversation with your doctor.”","_id":"RYUVX2I56JBVJKTM3K6BFCABCI","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274402,"type":"text","content":"Thomas said when the medical community recognizes somebody with prediabetes (where blood sugar levels that are higher than normal but not yet high enough to be diagnosed as diabetes), intervention is necessary then and not after a diabetes diagnosis. Waking up at night to empty your bladder more than you used to (increased thirst paired with increased urination)? Blurry vision (fluid shifts in the eye, associated with high blood sugar)? Increased appetite (due to insufficient insulin)? Unexplained fatigue? Thomas recommends people who have a family history of high blood pressure and diabetes, those who carry excess weight, and workers of certain jobs that affect sleep and circadian rhythms (i.e. shift work), get screened for diabetes.","_id":"MAL7DIR6YJEEFNZJU3GY2HVMV4","additional_properties":"comments":[],"_id":"MREOY6XMJ5AJJMJZPW4CZDDZIY","type":"interstitial_link","content":"Study: Black women dying of COVID-19 at rates higher than most men","url":"https://www.ajc.com/life/study-black-women-dying-of-covid-19-at-rates-higher-than-most-men/XZ6TSLCQPRGZNIG2WUQL2EBMFA/","_id":"EOMUAC6XRVCC5ISI4GAEYBCNAI","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274403,"type":"text","content":"“When we have that family history of diabetes — the same for high blood pressure or coronary artery disease — we can intervene early and delay the onset of the disease,” she said. “Too many of our patients are being diagnosed in the hospital when they should have been screened in the clinics. When we see people in the emergency department, when we gather that history, symptoms have been going on an average of weeks and they are not recognizing it.”","_id":"3TYM5NOOTVB3TA6R2WX5EB75W4","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274404,"type":"text","content":"Diabetes affects the immune system, and can lead to increased risk for infections and stroke. According to Madassery, he’s seeing earlier onset diabetes in kids and teenagers more and more. And the Black community is enduring more amputations due to diabetes than other populations. Madassery says that is why he uses the phrase: “arterial cancer” frequently to convey the seriousness and raise awareness of the condition.","_id":"XZJ2PQHJHZAPHC6Z4ROVCGLLTU","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274405,"type":"text","content":"“A lot of patients, especially in cities, they don’t get even the basic medical education in screening. So the question is how do we get the health care system and insurances to incentivize or promote early preventive care and maintenance?” he said. “Just like we talk about breast cancer mammography and colonoscopies for colon cancer, patients who are in their 30s and 40s should be seeing doctors annually and getting regular blood work for diabetes.”","_id":"TVA2IV6PPNC4LINJRTLKEBSJZ4","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274406,"type":"text","content":"While there isn’t a cure for diabetes, losing weight, a healthy diet and being active can help when battling the disease. Taking medicine as needed, and getting diabetes self-management education and support can also reduce the impact of diabetes on your lifestyle. Betty Williams’ advice: Go to the doctor for regular checkups. If you’re not satisfied with the doctors you have, get a second opinion.","_id":"QZOO7YBSXNB67F7WK6NOONBGLE","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274407,"type":"text","content":"“If you want to live, go get yourself checked out,” she said.","_id":"CMNV4T7MEVDUZGGFFCMM2J2QQQ","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"OKK6WVWY5NAKHNSCFQNIOAPXJE","additional_properties":"comments":[],"_id":"XE4EVPBBQRFTHD2W2I2A66YYBM","type":"interstitial_link","content":"What doctors aren’t always taught: How to spot racism in health care","url":"https://www.ajc.com/life/what-doctors-arent-always-taught-how-to-spot-racism-in-health-care/WSPQK6KZ2FCPBP2IR4TO5GBTX4/","_id":"PV7YXAI36FG57G75YXYYJ6HFWU","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274408,"type":"text","content":" "],"display_date":"2021-08-02T19:22:02.602Z","headlines":"basic":"Diabetics in Black, brown communities face amputations at a higher rate than others","first_publish_date":"2021-08-02T19:22:02.602Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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After her early exit from Tokyo Games, she said lighting the Olympic cauldron was a bit too much to handle.","_id":"ATEAMVKAVRFENMCTRQKHUAMX6U","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905293,"type":"text","content":"Former Olympian Michael Phelps, winner of a record 23 gold medals and now retired, has long been open about his own mental health struggles. Phelps said he contemplated suicide after the 2012 Olympics while wracked with depression. Now an analyst for NBC’s swimming coverage, he said watching Biles struggle “broke my heart.”","_id":"HCOXY4B36VAV7ITZQZ4NAAJW5I","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905294,"type":"text","content":"A new study by University of Toronto researchers suggests that elite athletes experience mental health challenges such as depression, anxiety and eating disorders far more frequently than most people realize.","_id":"YMLYFVOLHRCPFO6V24NBNL5XSU","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905295,"type":"text","content":"“Athletes face a huge amount of stress and pressure, and have to manage lots of different expectations — especially at the Olympics,” said Zoe Poucher, a graduate student in the faculty of Kinesiology & Physical Education. “This can have a very negative impact on their well-being.”","_id":"QOGSSKAM4NBTFBNT4LTUKIOSPE","additional_properties":"comments":[],"_id":"WE6BUWKK5VCMXCARLC7IR6VKRQ","type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/","_id":"53DJWA27KJD37HVT4G37VKVDMI","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905296,"type":"text","content":"Poucher recently published a paper in the journal Psychology of Sport and Exercise that explores the prevalence of symptoms of common mental disorders among elite Canadian athletes.","_id":"SDOBFCX6UVBXJOCI2IVMUJ45OI","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905297,"type":"text","content":"She found that as many as 41.4% of Canadian national team athletes — those training for Tokyo 2020 — met the cut-off criteria as proposed by the Diagnostic and Statistical Manual of Mental Disorders for depression, anxiety and/or an eating disorder. That’s compared to an estimated 10% of Canadians in general who report a mental disorder in a given 12 month period, according to the study.","_id":"C2M6C2KHJ5H6XBK75I5GCQMU3A","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905298,"type":"text","content":"Specifically, 31.7% of athletes reported symptoms of depression, 18.8% reported symptoms of moderate (12.9%) to severe (5.9%) general anxiety and 8.6% reported scores indicating a high risk of an eating disorder.","_id":"JCBOBGRWNRCU5GYWHFUS7KYEJ4","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905299,"type":"text","content":"“We found a significant positive correlation between stress and the three different mental disorders we measured, so I think that is one important piece of the puzzle,” Poucher said in a press release.","_id":"75LEW4737BCPDJLMV3CD5NBPNE","additional_properties":"comments":[],"_id":"O7LPQBQSGBEPBNJNACT4LOET3A","type":"interstitial_link","content":"How nurses can manage COVID-related burnout","url":"https://www.ajc.com/pulse/how-nurses-can-manage-covid-related-burnout/6PGBOD4D6NGYNHMM2Y6Q6TIPTQ/","_id":"ZGXMF74TDRBBTKBR7KWQTBXFYQ","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905300,"type":"text","content":"Another unexpected finding, according to Poucher, was that athletes who made the Olympic team had more symptoms of depression prior to the Games.","_id":"7UKWLIX24BBQHAKRBRTQW3HYW4","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905301,"type":"text","content":"“We hear a lot about post-Olympic depression, but I have not seen any research on mental health prior to the Olympics,” she said. “I think the assumption is that people are happy they made the team.”","_id":"I3WYDCDIXBCWRBS246WRJGQ3WI","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905302,"type":"text","content":"Stress, social support, coping skills and self-esteem were all found to have an effect on the athletes’ mental health.","_id":"A23R6Y4HUZG5XPTV6D3HO4M4AI","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905303,"type":"text","content":"“Mental health is obviously impacting a large portion of elite athletes, but it is still not getting the attention it deserves and athletes are made to feel bad about it,” Poucher said. “If we can demonstrate that this is a large problem, I am hopeful that it will help to shift the conversation around mental health, increase awareness of the issue and help inform policy-level change.","_id":"5YKLSGZ4LFCNLI4EU6DUK62XEM","additional_properties":"inline_comments":[],"comments":[],"_id":1627918905304,"type":"text","content":"“Having world renowned athletes like Simone Biles and Naomi Osaka speak openly about their mental health is helping change the stigma many athletes still face.”","_id":"WV6IBIAAJBA55I5FJCWWEHZ6RY","additional_properties":"inline_comments":[],"comments":[],"_id":1627922408653,"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."],"display_date":"2021-08-02T16:46:14.047Z","headlines":"basic":"Elite athletes more likely to experience mental health disorders","first_publish_date":"2021-08-02T16:46:14.047Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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How do virtual nursing opportunities compare to other types of onsite, in-person, or in-home bedside nursing careers?","_id":"ATGTAFNZ5FD77GP4ELVOUI4PWA","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551406,"type":"text","content":"“Virtual nursing in an innovative approach to treating patients remotely,” said Tamarica Moultrie, RN, BSN, Nurse Navigator at Pager, a virtual care platform. “Virtual nursing is being utilized in health care to provide safe, cost-effective nursing care, advice and triage via phone, chat or video.”","_id":"GRWOUQ55MBCCVM3MWERD73UMBY","additional_properties":"comments":[],"_id":"4DGVTYMZ3JB5NMDNJ2XJPTRRSA","type":"interstitial_link","content":"5 things to know about being a home care nurse","url":"https://www.ajc.com/lifestyles/health-med-fit/things-know-about-being-home-care-nurse/M7o5xTZJ8fDsuqmNAPULXO/","_id":"SUDEJYARWJFBPBKRBSDIQ2ADIA","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551407,"type":"text","content":"Especially during the pandemic and lockdowns, virtual nursing has been integral in providing health care to patients reluctant to venture out of their homes.","_id":"TG6WAOV72BCWTHA4OU5D5BPWEM","additional_properties":"inline_comments":[],"comments":[],"_id":1627914330419,"type":"text","content":"“Every day, people miss out on routine medical care due to a variety of reasons, from lack of time, or fear of costs, to worries about Covid-19 exposure,” Moultrie explained. “Virtual nursing allows nurses to touch more lives and reach more people, although it does sometimes present challenges without the face-to-face interaction nurses are accustomed to.”","_id":"ZGXFRJST4ZFY3J6GI5KT4LKUHA","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551408,"type":"text","content":"“Like telemedicine, telenursing is a branch of telehealth. As nurses, we can provide home care recommendations and act as bridges between the patient and the telemedicine provider,” Moultrie explained. “Because telehealth is now much easier to access than ever before, virtual nursing can fulfill an important role in triaging and preparing the patient and the doctor for the visit.”","_id":"RR33RGT2KZCJNGY3NRL4XX6VUM","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551409,"type":"text","content":"Gail Trauco, RN, BSN-OCN, agrees that the virtual nursing boom is a positive and promising trend for all aspects of the health care industry and the patients it serves, as well as for health care professionals. She said believes the uses for virtual nursing are essentially limitless.","_id":"C4WIQ4ANPFETBKNCQTTTDVWR2E","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551410,"type":"text","content":"“Virtual nursing and remote nursing providers have rapidly evolved as (a result) of the pandemic. Nurses were forced to work from home to minimize office staff, and patients were encouraged to use telemedicine,” stated Trauco, CEO of the PharmaKon LLC.","_id":"ISXULIYMHNDWLDOUHTQNH3K24I","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551411,"type":"text","content":"“Benefits of virtual and remote nursing (include) increased patient engagement, compliance and retention ... ,” she explained, adding that the clinical research industry has embraced virtual nursing. “Patients do not need to leave their home or miss simple study visits such as lab draws or IV infusions. Medications are prepared and delivered via courier to a patient’s home. A remote nurse oversees medication administration. Patient data is collected in real time and entered in Electronic Data Capture systems.”","_id":"R5EY47H53FERZJGYN2GTQOCU6U","additional_properties":"comments":[],"_id":"MPVDS4ENPNA6ZNPRVYUVTA2FRQ","type":"interstitial_link","content":"Could a Ph.D. open up your dream career path?","url":"https://www.ajc.com/lifestyles/health/could-phd-open-your-dream-career-path/biZ9L94C86ipGwKNesnIUJ/","_id":"JB6JFZOROZCYVKECIVVPYNNTRU","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551412,"type":"text","content":"She added that virtual nursing is helping to revolutionize the conduct of clinical trials via decentralized clinical trials, which are studies that are “executed though telemedicine and mobile/local health care providers, using processes and technologies” different from those used in a traditional clinical trial model.","_id":"KK7ZBKY725DQ7CHQMD7ACEW3C4","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551413,"type":"text","content":"“We focus on virtual primary care, mental health care and physical therapy” as some of the foremost uses for virtual nursing, said Amanda Carlile, nurse practitioner at Eden Health. “Nurse practitioners like myself administer primary care visits virtually, as well as answer messages from patients in our app.”","_id":"3E6NLSOGHRBPZF6C4BMGEJWT6Q","additional_properties":"inline_comments":[],"comments":[],"_id":1627914330427,"type":"text","content":"Some of the types of virtual visits she completes include:","list_type":"unordered","_id":"3FUFASVKRNDJBH7X5OTBB7MCY4","additional_properties":"inline_comments":[],"comments":[],"type":"list","items":["_id":"26WKJX752NGNFF2MHJKA7ONQV4","additional_properties":"inline_comments":[],"comments":[],"block_properties":,"type":"text","content":"Urgent care visits such as UTIs, sinusitis, cold symptoms, rashes, eye infections, back pain, dizziness and headaches","_id":"ERZ4N23RDRGP7LBYMK4FYHE6DQ","additional_properties":"inline_comments":[],"comments":[],"block_properties":,"type":"text","content":"Behavioral health issues, including anxiety, depression and sleep issues","_id":"JHYU5MR2IJG4BLSCM5HWF7WVEI","additional_properties":"inline_comments":[],"comments":[],"block_properties":,"type":"text","content":"Primary care visits, such as annual wellness visits that address cholesterol and blood sugar levels or blood pressure","_id":"GDKBON2U55AQPMRFI6M7OGF354","additional_properties":"inline_comments":[],"comments":[],"block_properties":,"type":"text","content":"Medication refills, STI testing, birth control initiation","_id":"LVKWZGU6RNBSZCLONL3QROV7AQ","additional_properties":"inline_comments":[],"comments":[],"block_properties":,"type":"text","content":"Providing referrals for a specialist for innumerable issues and conditions"],"_id":"H27EKB4AW5DEXH44LUTRPYSPLU","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551415,"type":"text","content":"Carlile said that although the pandemic increased their rate of virtual visits, her company was practicing virtual care for several years prior to Covid-19. “Virtual visits quickly became the initial touchpoint for many primary and mental health care consultations,” and Eden Health’s consumer adoption rate of virtual care grew to 46%, up from 11% prior to the pandemic.","level":3,"_id":"OAB6C4JLMBG5RPXPMDBBTTSXKM","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551416,"type":"header","content":"Virtual nursing as a career","_id":"BL7DZT2HJFEWXGBRKUZAF3VQNE","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551417,"type":"text","content":"Some roles in virtual nursing are remote or virtual full time, while others are “hybrid” roles involving a mix of virtual and bedside care.","_id":"G6WSX54OZNDLHL5HF3ARH63MNM","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551418,"type":"text","content":"Carlile’s nursing role is 100% virtual, and she provided the following insight for those interested in pursuing a career in virtual nursing.","_id":"AQEOYLOGBNFNNG42RPSEGO6U2A","additional_properties":"comments":[],"_id":"EOY4YZDQN5H6NDHZYND4I45D5Y","type":"interstitial_link","content":"How to pay for your nursing degrees","url":"https://www.ajc.com/life/how-to-pay-for-or-pay-off-your-degree/3MFG7GDFZFBLVK3J3AEKZ4DBOM/","_id":"5VO2AUBXKJA6DLJ3NKBMAXHBDI","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551419,"type":"text","content":"What if someone wants to become a virtual nurse or practice virtual nursing?","_id":"P46PV54RQZG7ZJK6TJZ7KJUSGM","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551420,"type":"text","content":"Carlile: “Virtual nursing provides yet another way to practice patient care. However, I stronglyadvise that any nurse providing care virtually have years of hands-on training and in-person experience first. In a virtual setting, you only can rely upon the patient’s (description of) their ailment, as opposed to putting a stethoscope to their chest and listening to their lung and heart sounds. A physical learning environment is critical for gaining the knowledge and experience necessary for being able to explain to a patient how to palpate their stomach, for example.","_id":"2NWMSGVVE5GVJBIO2W27DAGPMU","additional_properties":"inline_comments":[],"comments":[],"_id":1627914330436,"type":"text","content":"“For someone who is looking to practice virtual nursing, there are many compelling reasons to interact with patients this way. It provides me the ability to connect with more patients and helps promote more individuals to seek care more often. It may seem counterintuitive, but virtual nursing has also helped deepen my patient relationships since telehealth enables more one-on-one time that is uninterrupted by time or location. That ability to connect more with patients has made me a better clinician.”","_id":"YRS6RSZ76ZERJGLAS6ZJ3T3DEU","additional_properties":"comments":[],"_id":"FLJO5KMSIRG4DOSAW2FSIBDILM","type":"interstitial_link","content":"After the pandemic: What’s next for nurses?","url":"https://www.ajc.com/pulse/after-the-pandemic-whats-next-for-nurses/OIEUGARCMZAORHDHLDBDRSWYBE/","_id":"6CEA3NIUPNH7JHRSMGAYIVLVHM","additional_properties":"inline_comments":[],"comments":[],"_id":1627914330438,"type":"text","content":"Are there any special certifications, skills or training needed?","_id":"7IURNAS5RNE6BJBMQB2DP6UJSY","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551425,"type":"text","content":"Carlile: “With the pandemic, most state nursing boards or local nurse practitioner chapters offer CME credits on telemedicine to help introduce the topic, as this service is very new to many clinicians. There are no requirements that I am aware of at this time. I would recommend checking with your national certification board for resources, CME courses, and webinars to gain more knowledge regarding virtual nursing.”","_id":"XZDOSJ6BCVERTG7BV3Y2AWXHVE","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551426,"type":"text","content":"Trauco added that, when practicing virtual care, nurses need to be especially intuitive and attentive to potential patient safety issues in the home environment, and be particularly alert to visual and verbal cues about their patients’ well-being.","_id":"K5QGG7WZURFQHKDKP3YT3KGHKM","additional_properties":"inline_comments":[],"comments":[],"_id":1627906551427,"type":"text","content":"“Virtual and remote nursing is a new and open career field,” which allows for unlimited potential and possibilities for growth, Trauco said. “Rural and marginalized communities are prime areas of development” for virtual nursing, and now is a great time to explore opportunities in telenursing. The increased use of virtual nursing throughout the health care industry “will create a tsunami of change… and an abundance of new opportunities for virtual and remote nurses.”","_id":"GUSUFE6W3JDM7PAEF77QDODVP4","additional_properties":"inline_comments":[],"comments":[],"_id":1627914330442,"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"B2T2LZK73VEE7KMGQKJ5D3IBMU","additional_properties":"comments":[],"_id":"ZUQR6BNXBFFYLKRVFFITA2B5DU","type":"raw_html","content":"
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He was not expected to compete in Tokyo, but he worked to regain his strength and helped the Russian Olympic Committee win the gold in the team finals.","_id":"OV65CUAVOVER3H722NT7X3KG2M","additional_properties":"comments":[],"_id":"7KGVEMCKBRHMNCXTVIRIADZCDQ","type":"interstitial_link","content":"EXPLAINER: How the Russians caught the U.S. in gymnastics","url":"https://www.ajc.com/news/nation-world/explainer-how-the-russians-caught-the-us-in-gymnastics/KMZIC6ES5BD4TP2CCENDEDHYQQ/","_id":"4A7MR3NNTRE2NPT2JD4EEBTIHI","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344140,"type":"text","content":"Major events like the Olympics can inspire people of all ages to try out a new sport or activity. Dr. Kelechi Okoroha, a Mayo Clinic orthopedic surgeon, wants people to get involved in new activities while recognizing some of the common sports injuries that can occur.","_id":"AMIQBHP3XZAPNBCE353ZCUNUGU","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344141,"type":"text","content":"“Whenever you’re starting a new sport, you always want to work your way into it,” Okoroha said.","_id":"HABNG22CKFBZRCQ44UGTOPTPTA","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344142,"type":"text","content":"Besides getting a good warmup and stretching, one of the most important things athletes can do to avoid injury when starting a new sport is to master the movements.","_id":"G5ZJOKOSIZBIXG2K6FTTEC34N4","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344143,"type":"text","content":"“It’s important to emphasize proper mechanics when doing these sporting activities,” he said.","_id":"G6E56ZUOEVDQTDPAA3S2GVTSJE","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344144,"type":"text","content":"For jumping athletes, such as football or basketball players, common injuries can come from not landing properly.","_id":"U3X3LDJEFRBVBBBSPIGONMN6PU","additional_properties":"comments":[],"_id":"N273SFNCBFE5RCRFHLI74KSUPU","type":"interstitial_link","content":"Eyewitness to History: On the floor for Strug’s landing","url":"https://www.ajc.com/sports/eyewitness-to-history-on-the-floor-for-strugs-landing/2NTBZ3Z2KNC6TAXN6WNTAJYYPE/","_id":"6YJBWR2FL5GLPM5QSN7ZZNK774","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344145,"type":"text","content":"“A lot of times when athletes land, they have either weakness in their hips or their knees, and they land in a valgus, or knock-kneed position,” he explains.","_id":"XBSTZNNS2NHNZKNFI4VKLILKW4","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344146,"type":"text","content":"Landing in this way can lead to an increased risk of ACL and meniscus injuries.","_id":"VYIX3QFSGBG6RODBTVJCXSTPWU","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344147,"type":"text","content":"“To prevent that, you want to pair with a physical therapist to do jump training to make sure you’re landing straight and not in valgus,” Okoroha said.","_id":"RLEDJ76BXVGZ5FWCQDBLQXI27U","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344148,"type":"text","content":"Once you have the proper mechanics down, it’s important to strengthen those muscle movements through practice.","_id":"GB7VLSDBR5GZVFB7UHILLHC2BY","additional_properties":"inline_comments":[],"comments":[],"_id":1627664344149,"type":"text","content":"Okoroha also noted that fatigue can increase valgus knee landing. 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With the accountability required for computer work, calls made for sales, and meetings they must attend, we know for a fact these employees are putting in 102 hours per week.”","_id":"KI66UUC2SVFOZKHVAHK6UMOH3Q","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"We all know where these employees will land if they rock the boat. So, what do they do? They keep pushing and hoping for a miracle.","_id":"T2VYYW36T5FTZLDOU3V72OCCLM","additional_properties":"comments":[],"_id":"WR5ZIWLPH5APJJLIQNBWWRKUUU","type":"interstitial_link","content":"Workplace bullying, violence can increase your heart attack risk, study says","url":"https://www.ajc.com/news/world/workplace-bullying-violence-can-increase-your-heart-attack-risk-study-says/unuSlP2EcOZr9MQNj3MonO/","_id":"TALLRUAQIJF6ZGRNUZPCG2TFOY","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"If you need to share difficult facts with someone, these tips can help:","_id":"5RZV5EX5E5GE3J7ERQ62WAUHNQ","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"Find a mentor or person of authority to help. For example, instead of discussing co-parenting issues with your ex, ask him: “Would you mind if we sat down with a counselor?” A neutral third party can help diffuse tension.","_id":"BFJ45TBE25DTRG6BDFNX5LNW5Y","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"Find a government agency to help. For instance, if your company is abusing employees, research agencies that might intervene while you remain anonymous. An attorney might steer you in the right direction.","_id":"PXMGFGHKUZBVPLFDNSJLC4XT6U","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"Treat actual abuse as a crime. Face the injustice squarely. Hire a lawyer or seek help from legal aid to voice your pain and ask for monetary restitution. Deliberate bullying of someone or mistreatment of a group of people requires pressure from someone for it to stop. All of us know a courtroom confrontation is often the only answer.","_id":"7KPZABIIVZFKVNAQCOMJ4X3FQ4","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"“Almost everyone in the business world has witnessed some form of a crime,” said a business owner we’ll call Ted. “For example, one of my employees was recently driving drunk with visiting executives in his car. It’s a miracle they didn’t sue me. On the flip side, another woman who works for me was receiving death threats from her ex-husband almost daily. She nearly wrecked her department because she was so stressed out.”","_id":"DOJBONLNIZDBHFI2A6RM5N33LA","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"Ted said any giant issue must be managed carefully, of course, but it must be managed. “Otherwise, the problem will spiral out of control.”","_id":"DUYN5YRD7BCOPGGUIPFL4PXDGU","additional_properties":"comments":[],"_id":"ZX7T24MS2NGBVAUGPBV7K4MHNM","type":"interstitial_link","content":"5 signs of excessive stress, according to ANA’s Well-Being Initiative","url":"https://www.ajc.com/life/5-signs-of-excessive-stress-according-to-anas-well-being-initiative/ATDAQYYCPJBLRCXNAO24ZT2EMI/","_id":"JHTXJNRLDFFSFEHXQ62FM4HZIU","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"A condo owner we’ll call Alisha said homeowners in her complex wrestled several odd problems at once. “Ultimately, a homeowner’s niece and her boyfriend turned her unit into a drug selling center,” Alisha said. “Another homeowner developed Alzheimer’s and started verbally attacking people in the parking lot. I won’t go into other crazy things going on simultaneously.”","_id":"HITBQ3W4INF4FGEUIU3FZQXLGY","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"Alisha said the condo HOA board formed a neighborhood watch program, hired two security guards and an attorney. “Abuse stops when rational people link arms.”","_id":"CCUBX33NMBCLJOAP7Y26QRRHKM","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"“I’ve had good luck reporting abusive business practices to their respective licensing boards at the state level,” Alisha said. “Believe me, there is always a strong shoulder to lean on, if you look deeply enough. There are morally upstanding people who will help to protect you.”","_id":"BE7U4EDCLVDGXMX5N37DABSOII","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"XB76YXB2YFBSZGAMCEK7ZIIRGU","additional_properties":"comments":[],"_id":"HRDUOIHUPNHJJEXJ6JOCABIUTQ","type":"raw_html","content":"
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Bailey, M.D., immediate past president of the American Medical Association. “With more than 300 million doses administered in the United States and nearly 4 billion doses administered worldwide, we know the vaccines are safe and highly effective at preventing severe illness and death from COVID-19. Increased vaccinations among health care personnel will not only reduce the spread of COVID-19 but also reduce the harmful toll this virus is taking within the health care workforce and those we are striving to serve.”","_id":"MNASEZFUOBAKZPJJ66MHHEJ3KA","additional_properties":"comments":[],"_id":"FNL33SHEENCDXA5X5IIFGC632A","type":"interstitial_link","content":"Pulse: a digital magazine for nurses in the Southeast","url":"https://www.ajc.com/pulse/","_id":"NYPPUCUCIVGKJHQYADJYWJ6CDU","additional_properties":"inline_comments":[],"comments":[],"_id":1627329183042,"type":"text","content":"The joint statement noted the delta variant and number of unvaccinated people as reasons hospitalizations and deaths from COVID-19 are rising.","_id":"A6642LZMYZAEZL2VPHBW7UDB5Q","additional_properties":"inline_comments":[],"comments":[],"_id":1627329183043,"type":"text","content":"“Vaccination is the primary way to put the pandemic behind us and avoid the return of stringent public health measures. Unfortunately, many health care and long-term care personnel remain unvaccinated. As we move towards full FDA approval of the currently available vaccines, all health care workers should get vaccinated for their own health, and to protect their colleagues, families, residents of long-term care facilities and patients,” the statement reads.","_id":"O3PHXIGDQNA47GOCEZTIKXWT5E","additional_properties":"inline_comments":[],"comments":[],"_id":1627329183044,"type":"text","content":"A February report by the health nonprofit Surgo Ventures found 15% of the approximately 1,300 health care workers offered the vaccine said they had turned it down, Business Insider reported. A ProPublica investigation found 40% of workers in nursing homes have not been vaccinated.","_id":"YR2MCZJH2FHBPDNPE4XTBMZQRE","additional_properties":"comments":[],"_id":"E4CQ3JTZZRAQLHUZNBYRABXNHU","type":"interstitial_link","content":"Watchdog: Nursing home deaths up 32% in 2020 amid pandemic","url":"https://www.ajc.com/news/nation-world/watchdog-nursing-home-deaths-up-32-in-2020-amid-pandemic/DWBFYLPWEBA2VABV6QDVLPBNYE/","_id":"7TVLAIAN4ZA4JJT6GWVRRNSXEU","additional_properties":"inline_comments":[],"comments":[],"_id":1627329183046,"type":"text","content":"“As the largest group of health care professionals, nurses are critical to all facets of COVID-19 response efforts and must strive to remain physically and psychologically safe to function optimally to care for themselves, their patients and their communities,” American Nursing Association president Ernest J. Grant said in a statement. “Nurses must get vaccinated.” ANA is among the statement’s signatories.","_id":"R4G3UFWYUNE6VOQTPFZ562GDSA","additional_properties":"inline_comments":[],"comments":[],"_id":1627329183047,"type":"text","content":"The statement continues: “We stand with the growing number of experts and institutions that support the requirement for universal vaccination of health workers. While we recognize some workers cannot be vaccinated because of identified medical reasons and should be exempted from a mandate, they constitute a small minority of all workers. Employers should consider any applicable state laws on a case-by-case basis.","_id":"INP5RSR5DFBQ7NLIPDGWH6UHRA","additional_properties":"inline_comments":[],"comments":[],"_id":1627329183048,"type":"text","content":"“Existing COVID-19 vaccine mandates have proven effective. Simultaneously, we recognize the historical mistrust of health care institutions, including among many in our own health care workforce. We must continue to address workers’ concerns, engage with marginalized populations, and work with trusted messengers to improve vaccine acceptance.","_id":"WMYHGHVZIRARZKIDJIYG2YR6JQ","additional_properties":"inline_comments":[],"comments":[],"_id":1627329183049,"type":"text","content":"“As the health care community leads the way in requiring vaccines for our employees, we hope all other employers across the country will follow our lead and implement effective policies to encourage vaccination. 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After receiving chemotherapy treatments at the Aflac Cancer and Blood Disorders Center at Children’s Healthcare, she was given three choices — insertion of a metal rod, plain amputation or rotationplasty amputation — she chose the latter.","_id":"UMH77YKRMNCGRAWXJ4ZHI7GLFE","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962453,"type":"text","content":"“I ended up choosing the rotationplasty amputation because it would have given me the best opportunity to go back to playing basketball again,” Moody said.","_id":"PAWOIVJZIZEFDOO5UQNAPGCIS4","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962454,"type":"text","content":"With rotationplasty, a surgeon removes the middle part of the leg, including the tumor. The lower leg is reattached at the thigh, but rotated 180 degrees, so the ankle joint functions as a new knee joint. 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Ian plays baseball, with plans to try out for the team at North Gwinnett, where he’ll be a freshman when school starts. The outfielder played in middle school and recently was selected for a Gwinnett Stripers-affiliated community team.","_id":"RBYNIRPLTNGS7FUFIJB4VOK7OE","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962460,"type":"text","content":"Although he hasn’t made history on the field yet, Ian made medical history last year when he took the first dose of an FDA-approved peanut allergy treatment.","_id":"AXT7X4E6RJAALDVFXWD3YYB4EU","additional_properties":"inline_comments":[],"comments":[],"_id":1627043334452,"type":"text","content":"It wasn’t just that Ian couldn’t eat peanuts, he couldn’t be around them. When his baseball team would go out to eat after a game, Ian had to know if peanuts were in any of the dishes.","_id":"DI2TPJBNRZEOPND6CFHQZLXHZE","additional_properties":"inline_comments":[],"comments":[],"_id":1627043334453,"type":"text","content":"“We were at a hockey game one time, and I was sitting behind someone who was eating peanuts,” Ian said, “and they dusted their hands off. 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So that was cool.”","_id":"FLSESRFRJFADTIIFEDVY2HEGEY","additional_properties":"inline_comments":[],"comments":[],"_id":1627043334456,"type":"text","content":"Ian passed the torch to Dr. Brian Vickery, who administered that first dose of palforzia to him. Vickery is a pediatric allergist-immunologist whose clinical and research efforts focus on understanding food allergies and anaphylaxis, and developing new therapies to treat them.","_id":"ZHEO3ZQOXBAEHON62QRAUKDNZM","additional_properties":"comments":[],"_id":"3JOACIZU7VHBRMQRH5HBBUTJYY","type":"interstitial_link","content":"A special Father’s Day for dad who lived in hospital with newborn twins","url":"https://www.ajc.com/pulse/a-special-fathers-day-for-dad-who-lived-in-hospital-with-newborn-twins/OQHADKXACVFVZBHHRFSCZQIRYI/","_id":"WJT4PED7FVA4DP4V5U4YQRI4V4","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962468,"type":"text","content":"Vickery also considered being a torchbearer “a huge honor. I mean ... reminding the public about the heroism and efforts of these kids, as if they were Olympians, it was, frankly, fun. And it was a big honor.”","_id":"AHZP72W4WNE6XK2WKZV5BBZMBU","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962469,"type":"text","content":"Vickery was recruited by Children’s in 2018 to up its allergy game, and is director of the center’s food allergy program. He led the phase three trial of palforzia, which is the first treatment of food allergies ever to be approved by the U.S. Food and Drug Administration or any other regulatory body worldwide.","_id":"22ZAXNNZ4VCKFB6HFBSOWDN46I","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962470,"type":"text","content":"“So that’s a huge milestone in the field,” he said. “Up until that approval, all we had to offer patients was an epinephrine autoinjector that they would use to save their own lives.","_id":"B6G4PIRAMVB2XG3WWIYV34DRWY","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962471,"type":"text","content":"“With palforzia, we have the ability now to treat a food allergy for the first time to protect patients from those accidents and keep them out of the ER and out of the hospital, and keep them doing the things they want to do.”","_id":"GFNDEAC2SJDL3MDSXO7PEGKWO4","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962472,"type":"text","content":"In addition to Moody, Ian, Vickery and Blooper, Children’s torchbearers are:","_id":"GSM7PIQ62JC6DAZZQSNLCV6UQA","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962473,"type":"text","content":"Freddie Falcon: Freddie loves cheering for the Falcons, shaking his tailfeathers and bringing smiles to the patients at Children’s. 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The Atlanta United superfan dreams of becoming a professional soccer player when he grows up.","owner":"sponsored":false,"id":"ajc","copyright":"Copyright: Robin Henson","address":,"syndication":,"caption":"Dr. Krishna Eechampati has treated patients at Children’s for more than 20 years.","source":"system":"photo center","name":"AJC","edit_url":"","source_type":"staff","additional_properties":"editor":"photo center","taxonomy":"associated_tasks":[],"type":"image","distributor":"mode":"reference","reference_id":"8aec2b8c-455c-4816-903d-79fc8fdf8019","version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/OXX35546OJBURNDAS3OYIBQNPA.jpg","licensable":false,"credits":"affiliation":[],"by":["name":"Photo courtesy of Children's Healthcare of Atlanta","type":"author","byline":"Photo courtesy of Children's Healthcare of Atlanta"],"subtitle":"torchbearers","width":3433,"_id":"OXX35546OJBURNDAS3OYIBQNPA","additional_properties":"fullSizeResizeUrl":"/resizer/wEWG6FP4ApU4oqm7L2Kf2ERsFHM=/arc-anglerfish-arc2-prod-ajc/public/OXX35546OJBURNDAS3OYIBQNPA.jpg","owner":"[email protected]","comments":[],"keywords":[""],"proxyUrl":"/resizer/wEWG6FP4ApU4oqm7L2Kf2ERsFHM=/arc-anglerfish-arc2-prod-ajc/public/OXX35546OJBURNDAS3OYIBQNPA.jpg","takenOn":"2014-10-23T07:29:11Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/OXX35546OJBURNDAS3OYIBQNPA.jpg","published":true,"resizeUrl":"/resizer/wEWG6FP4ApU4oqm7L2Kf2ERsFHM=/arc-anglerfish-arc2-prod-ajc/public/OXX35546OJBURNDAS3OYIBQNPA.jpg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/5W8a9LP1HVI_e_ZOOI1EJA91bAk=/300x0/arc-anglerfish-arc2-prod-ajc/public/OXX35546OJBURNDAS3OYIBQNPA.jpg","version":0,"originalName":"choa Krishna_Eechampati1.jpg","mime_type":"image/jpeg","restricted":false,"template_id":594,"galleries":[],"_id":"SIXAEAAM45E3PPJLRG3JGKXQTE","created_date":"2021-07-23T19:32:51Z","last_updated_date":"2021-07-23T19:32:51Z","alignment":"right","height":5150,"image_type":"photograph","_id":"JCEDUWDIP5FCDDUBTP46T4JUY4","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962477,"type":"text","content":"Dr. Krishna Eechampati: Eechampati is full-time clinician who treats patients in addition to ensuring Children’s urgent care is properly staffed and can provide the best care. He is also an avid hiker who has summited Mount Kilimanjaro twice, Everest base camp and several peaks across the U.S.","_id":"CCKBAVYJINHEFKKUMLEAZJANQY","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962478,"type":"text","content":"Wisdom Leaks: Wisdom was born with VACTERL association resulting in a variety of medical conditions including cardiac defects and limb differences. She’s undergone five surgeries in her two years of life including two open heart surgeries at Children’s Heart Center, spine surgery and recent surgery on her right limb at Orthopaedics and Sports Medicine Center of Children’s.","_id":"U5IRVROMTFHIPIOZN75TPAT5PQ","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962479,"type":"text","content":"Nigel Odom: Nigel was only 1 when he was diagnosed with autism spectrum disorder. He was one of the first enrollees in the preschool program at Marcus Autism Center, where children with and without autism learn together in an inclusive environment. This past May, the “Mayor of Preschool” celebrated his graduation and is prepared to put his well-honed social skills to work as he starts kindergarten this fall.","_id":"ZDYA2R3HQBDOFBILESTZAR7MKI","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962480,"type":"text","content":"Tai Ann Wright: Tai Ann has a rare bone condition that effects every muscle in her body, causing stiffness and contractions, resulting in pain in her joints on a daily basis. She has undergone at least 28 procedures at Children’s since she was 4 months old to help improve her quality of life, including a recent bilateral hip replacement at Children’s Orthopaedics and Sports Medicine Center. She works hard during her Robotic Rehabilitation sessions to improve her walking gait and strengthen her muscles.","_id":"3TQMVO5QPFALZFSZZA7TDRY6EU","additional_properties":"comments":[],"_id":"6BZG46PZIZBP3LQF7VX4ZNKBRY","type":"interstitial_link","content":"Canines For Kids program ‘a powerful thing’ for kids battling illness","url":"https://www.ajc.com/life/canines-for-kids-program-a-powerful-thing-for-kids-battling-illness/IBG7Z7C26NCXDNDWNSJMH2SHUQ/","_id":"YQYXIKG2IZFDVDOPAKFPD6HVTY","additional_properties":"inline_comments":[],"comments":[],"_id":1627069962482,"type":"text","content":"For more content like this, sign up for the Pulse newsletter here."],"display_date":"2021-07-23T20:09:53.047Z","headlines":"basic":"Children’s Healthcare torchbearers include Paralympian, allergy pioneers","first_publish_date":"2021-07-23T20:09:53.047Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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The 29-year-old is in her third year of a planetary sciences doctoral program at Johns Hopkins University, where she researches minerals found on Mars. She’s a former NASA space grant scholar and hopes to become an astronaut one day.","_id":"KKXXQBBDA5BQDKXNDZJXNNOSNA","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475508,"type":"text","content":"But last year, Aaron was barely keeping it together — missing classes, late on assignments and struggling to explain that she understood the required material to pass her qualifying exams. Her academic adviser warned that if she didn’t get professional help she would flunk.","_id":"YKAZ4YTLA5APBBLIRPBLK7U5EE","additional_properties":"comments":[],"_id":"ZMEAI6UBL5AMZGP3WHAVUCYSQI","type":"interstitial_link","content":"Young Black women at greater risk of heart disease, Emory study shows","url":"https://www.ajc.com/education/young-black-women-at-greater-risk-of-heart-disease-emory-study-shows/PKDQBDEW3NGNJEIPVSONJJLYLM/","_id":"WOGHQDFABRFRTNBCU34FT64TT4","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475510,"type":"text","content":"“I simply thought I was a lazy student and I needed to try harder,” Aaron said, wiping the tears behind her thick, black-framed glasses.","_id":"UUCOAVXPFVAWNCAFLL2UUBXHVI","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475511,"type":"text","content":"Then she was diagnosed with attention deficit hyperactivity disorder and it all made sense.","_id":"OYK7QN6BAJFHFFNPZMDUV42SJ4","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475512,"type":"text","content":"For many Black women like Aaron, finally having that answer comes with both relief and grief after years of suffering and being misunderstood. Already subject to unique discrimination at the intersection of gender and race, Black girls with ADHD often remain undiagnosed because their symptoms are mischaracterized. Signs of inattentiveness or impulsivity, two main features of the disorder, could be mistaken for laziness or defiance. And the longer these girls aren’t diagnosed and treated, the more their problems are likely to worsen as they grow into adults.","_id":"KIWOWSIKVRD3TNI2NZJDYQMQI4","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475513,"type":"text","content":"While the 2016 National Survey of Children’s Health showed that 6.1 million children ages 2 to 17 in the United States have received a diagnosis for ADHD at some point, millions more adults are estimated to have it, too — either having grown up with a diagnosis or being diagnosed later in life, if at all.","_id":"T4ICUUD25FDSFFN76G47MW67J4","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475514,"type":"text","content":"ADHD doesn’t discriminate by gender or race, but white boys are still more likely to be diagnosed and treated for the condition than anyone else. Experts and advocates say this leads to an inequity in care that hurts girls of any background and children of color of any gender.","_id":"3OQ7QSBMFFENPDXDZCCFEQA7WE","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475515,"type":"text","content":"Over the past few decades, mental health experts and researchers have started to understand how ADHD manifests differently depending on gender, as girls with the condition tend to seem more inattentive and forgetful while boys tend to seem more hyperactive and disruptive. The reasons Black children and ethnic minorities are overlooked range from racial bias in schools and lack of access to care, to stigma and distrust of educators and health providers based on past discrimination.","_id":"5ZT7UZJ4RFGFTNMGGDZYL4MC3E","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475516,"type":"text","content":"Paul Morgan, director of the Center for Educational Disparities Research at Penn State, is the lead author of multiple studies showing that the disparities in school start early. By kindergarten, Black children in the U.S. are 70% less likely to receive an ADHD diagnosis than otherwise similar white children.","_id":"WZP4OYTA6RF4ZMRFGGSFQGAFNM","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475517,"type":"text","content":"A 2016 study found that by 10th grade white children are nearly twice as likely to receive a diagnosis for ADHD as Black children. Lead author Dr. Tumaini Rucker Coker, head of general pediatrics at Seattle Children’s Hospital and a top researcher at its Center for Child Health, Behavior and Development, said that, while her study didn’t look at underdiagnosis of Black girls, federal Education Department data shows telling signs of racial and gender discrimination in diagnosing ADHD: Black girls are six times as likely to be suspended from school as white girls.","_id":"BHOPP2CMSJE73M77EA7KR6FK44","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475518,"type":"text","content":"Behavior as common as talking back in class could have wildly different consequences, depending on how it’s interpreted, Coker explained. For Black girls, it’s often viewed as “intimidation” of a teacher.","_id":"YBXQOVQ2ZRDTPABEFVYNO457LY","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475519,"type":"text","content":"“When there’s ‘bad behavior’ and you’re a white girl, you get all the benefit of the doubt,” Coker said. “On the opposite spectrum, you get zero benefit of the doubt as a Black girl.”","_id":"JKF6DGQ5BJGFFPDYIJGQYNF25Y","additional_properties":"comments":[],"_id":"MG62IPUJYVGWJHHS37HTZ2V7QI","type":"interstitial_link","content":"Trying to avoid racist health care, Black women seek out Black obstetricians","url":"https://www.ajc.com/pulse/trying-to-avoid-racist-health-care-black-women-seek-out-black-obstetricians/F35BBJFY2FELZPFHOM4SLBE4MI/","_id":"NV6W2W3J2JCOBF24JRQQLRVWAA","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475521,"type":"text","content":"Over time, studies have shown that ADHD, especially in girls, can lead to increased rates of anxiety and depression, risky behavior, drug use, self-harm and suicide attempts. Researchers and therapists said they are especially worried about those undiagnosed or undertreated.","_id":"6P3TTTLNEJES5EUUTYZN4PJ23Q","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475522,"type":"text","content":"Being diagnosed and treated, on the other hand, has many upsides. Medication and therapy, and even behavioral training for parents of patients, have proven to be highly effective in managing ADHD. However, access to such resources depends not only on a diagnosis, but also trust and buy-in from families.","_id":"NSN5RZQEZ5BRLEG5K22ZJIM2WM","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475523,"type":"text","content":"René Brooks, who lives outside Gettysburg, Pennsylvania, was diagnosed three times — twice as a child, when her school tested her without parental permission. Her mother rejected the idea of her daughter, who is Black, being labeled, distrusting a system she feared wanted to “drug up minority children.”","_id":"HWLRF6C75FF2TKUTHJONZRFEGI","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475524,"type":"text","content":"The third time Brooks was diagnosed, she was 25 and on the brink of losing her job at one of the biggest insurers in the state because she couldn’t keep up with the workload. After starting medication, 18 years after her first diagnosis, she said her brain felt like it “switched on” and she was able to be more productive than she ever imagined possible.","_id":"75TYQCWOMNAK7B4L36OKANOAE4","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475525,"type":"text","content":"Still, as a Black woman with ADHD, Brooks felt alone. “It’s very isolating to sit at that intersection because no one’s there, or so we thought,” she said.","_id":"6GMKYIVON5B2LAOW6HSX5EHORE","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475526,"type":"text","content":"She started a blog called “Black Girl, Lost Keys,” which educates and empowers Black women with ADHD, and created Unicorn Squad, Black People of Marginalized Genders With ADHD, a private support group on Facebook with more than 2,200 members who share the feelings that come with the diagnosis.","_id":"JF4MMW7H5JGDNA7LFYHVUCHOXY","additional_properties":"comments":[],"_id":"HVEPKMKRDZBV5NPTLNAJ76GCVE","type":"interstitial_link","content":"Distrust of health care system adds to toll in rural Black communities gutted by COVID","url":"https://www.ajc.com/news/coronavirus/distrust-of-healthcare-system-adds-to-toll-in-rural-black-communities-gutted-by-covid/SOO6UWMIBZHPTN7DMK3ZHCNQMI/","owner":"id":"ajc","copyright":"the johns hopkins university","address":,"caption":"With hopes of being of being an astronaut someday, Miche Aaron is studying planetary sciences at Johns Hopkins University. 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(Will Kirk/Johns Hopkins University/Kaiser Health News/TNS)","source":"system":"McClatchy Tribune","name":"McClatchy Tribune","edit_url":"","source_type":"wires","source_id":"s3://ajc-arc-photo-integration/MCT/US-NEWS-HEALTH-BLACKWOMEN-ADHD-2-MCT.jpg","additional_properties":"editor":"photo center","taxonomy":"associated_tasks":[],"tags":["description":"McClatchy Tribune","text":"McClatchy Tribune","slug":"McClatchy-Tribune"],"type":"image","distributor":"mode":"custom","name":"McClatchy Tribune","category":"wires","version":"0.10.3","url":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/EMUBUPIPAKZJY6ERGUH7KITVF4.jpg","licensable":false,"credits":"affiliation":["name":"TNS","type":"author"],"by":["name":"Will Kirk","type":"author"],"subtype":"Wires","subtitle":"US-NEWS-HEALTH-BLACKWOMEN-ADHD-2-MCT","width":2000,"_id":"EMUBUPIPAKZJY6ERGUH7KITVF4","additional_properties":"fullSizeResizeUrl":"/resizer/UELmnZvtpN_iLKk3MkIXVt7uj60=/arc-anglerfish-arc2-prod-ajc/public/EMUBUPIPAKZJY6ERGUH7KITVF4.jpg","comments":[],"iptc_job_identifier":"22255284W","keywords":["McClatchy Tribune"],"proxyUrl":"/resizer/UELmnZvtpN_iLKk3MkIXVt7uj60=/arc-anglerfish-arc2-prod-ajc/public/EMUBUPIPAKZJY6ERGUH7KITVF4.jpg","takenOn":"2021-07-22T08:00:00Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/ajc/EMUBUPIPAKZJY6ERGUH7KITVF4.jpg","published":true,"resizeUrl":"/resizer/UELmnZvtpN_iLKk3MkIXVt7uj60=/arc-anglerfish-arc2-prod-ajc/public/EMUBUPIPAKZJY6ERGUH7KITVF4.jpg","thumbnailResizeUrl":"/resizer/6K-ohwmWTEwXQs3levKV1NwPg0o=/300x0/arc-anglerfish-arc2-prod-ajc/public/EMUBUPIPAKZJY6ERGUH7KITVF4.jpg","version":1,"usage_instructions":"FBMD01000a2f0e0000cca70000e5490100a26c0100638c0100c6ed01008ec8020007e902005a0f03003334030030ce0400","originalName":"s3://ajc-arc-photo-integration/MCT/US-NEWS-HEALTH-BLACKWOMEN-ADHD-2-MCT.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"WJV3FV2HENGQ3GYFCJMCDDCNCE","created_date":"2021-07-22T08:07:33Z","last_updated_date":"2021-07-22T08:07:33Z","slug":"US-NEWS-HEALTH-BLACKWOMEN-ADHD-2-MCT","height":1333,"_id":"H7WUPYVFHRGKRPTBRZZ7ZGLRZA","additional_properties":"inline_comments":[],"comments":[],"_id":1626975739028,"type":"text","content":"Aaron said finding the Facebook group and talking with other Black women with ADHD during the weekly virtual meetings made it easier to accept her diagnosis. They also commiserate about the all-too-common racialized slights known as microaggressions that she and others face — whether it’s being dismissed for showing emotion as an “angry Black woman” or having to fight for accommodations at school or being doubted at pharmacies when trying to fill prescriptions for stimulants that treat ADHD under the assumption they’re addicts trying to misuse the controlled substances, sold under brand names such as Adderall, Concerta and Ritalin.","_id":"5NQOSUMGCFDQ5LWMGEY3U4H3DY","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475529,"type":"text","content":"Dr. Loucresie Rupert, a child-adolescent psychiatrist, adult ADHD coach and mental health advocate in Winona, Minnesota, also blogs about her personal experience with ADHD. She recognized her symptoms during medical school — problems studying, missing appointments, forgetting to pay bills — and was officially diagnosed during her medical residency, after failing a two-day-long licensing exam. The latter was a wake-up call. “I’ve never failed at anything in my life,” said Rupert.","_id":"ABMVLPJ3JZAHLOZI2VIW4DTTS4","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475530,"type":"text","content":"As a Black woman, Rupert understands why her Black female patients are so grateful to find her. It’s hard enough to find a local psychiatrist who is covered by one’s insurance and specializes in ADHD, let alone a Black female psychiatrist who has ADHD herself.","_id":"VTXN6G6W7NFSDDDJT6OPD3JCPU","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475531,"type":"text","content":"Rupert said she, too, sees a Black female psychiatrist, who shares some of the same experiences and sensitivities, which makes a big difference. “It’s taken my healing and my ability to function to the next level, because you don’t have to explain as many things.” For example, when discussing police brutality, she said, “I don’t have to spell out how exhausted or tired or traumatized I am.”","_id":"GJG4ZIQGINHLBH4YJUMHOKSRVY","additional_properties":"comments":[],"_id":"VHQUAPIJAFDJJGLC4UG2CLANZU","type":"interstitial_link","content":"Does my child have ADHD? Things to know about the condition","url":"https://www.ajc.com/lifestyles/parenting/what-adhd/aA92t12wi9HWk7oJpCrlKP/","_id":"SQUBSTXW25ACXERAFD7EBTPR6I","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475533,"type":"text","content":"Coker and Morgan agreed that culturally and linguistically sensitive screenings are key to getting more people diagnosed. Also critical: culturally relevant groups like the Unicorn Squad.","_id":"7JFPYQWRMJGT7LLSZIORSM3IYQ","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475534,"type":"text","content":"A year and a half after being diagnosed with ADHD, Aaron said the treatment she’s received, including medication, therapy and strategies for learning and organization, has changed her life. She has since found out she also has dyslexia and a language processing disorder, two learning disabilities that commonly occur with ADHD.","_id":"NQAY4CHRKJCWVHBTCT6EF7BXK4","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475535,"type":"text","content":"Far from flunking out, she’s now thriving academically and publishing her research on Martian minerals. She wants to help other Black women going through similar struggles, just as Brooks’ Unicorn Squad helped her.","_id":"LG2PV2NK4NFN5AN577GHA2D66I","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475536,"type":"text","content":"“When you start receiving treatment, the biggest impact is to your self-esteem, because you’re no longer concerned that you’re just lazy, or that you’re just unmotivated,” said Brooks. “You know this is a problem, and problems have solutions, whereas character flaws do not.”","_id":"JHWDWSDV35HDPG5NVAPES73NIQ","additional_properties":"comments":[],"_id":"HNP4FBKR3BERFBIAWCFZCOEAQQ","type":"divider","_id":"HLICIHS47BGD5FG5YGZ2D2G6ZM","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475538,"type":"text","content":"Kaiser Health News is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at Kaiser Family Foundation. KFF is an endowed nonprofit organization providing information on health issues to the nation.","_id":"UZKUTA65WZHIJHYP427F4V7ODQ","additional_properties":"inline_comments":[],"comments":[],"_id":1626974475539,"type":"text","content":" "],"display_date":"2021-07-22T17:41:11.727Z","headlines":"basic":"With a diagnosis at last, Black women with ADHD start healing","first_publish_date":"2021-07-22T17:41:11.727Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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Dear family,nnI hope you don’t find me too presumptuous calling you family. But, that’s who you are to me. So, let’s...
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These so-called earworms — gross — are annoying but useful, as new research published in the Journal of Experimental Psychology in June helps illuminate the exact function these loops play.","_id":"HMO2KCNODVBSLOL2XRBHEAWKPY","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221536,"type":"text","content":"“We can hear just a fragment of a piece of music and it can take us back. How does that happen?” said Petr Janata, a researcher at the University of California, Davis.","_id":"AOM7YTHVRZGRJGDTE5QDFHLIXA","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221537,"type":"text","content":"Music therapists and shrewd marketers have long taken advantage of music’s ability to trigger memory. 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As it plays over and over in your head, you may come to associate memories or sensations different from those you experienced on first listening.","_id":"OV34ZVIRM5CATAXJNZ2GZ25ZHE","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221540,"type":"text","content":"These musical fragments became a kind of sorting mechanism that triggers clearer recall at a later date, especially when the tune plays once more, according to the study “Spontaneous Mental Replay of Music Improves Memory for Incidentally Associated Event Knowledge.”","_id":"ZE4ZEEMXJVFKJGWFQREOVSWJVM","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221541,"type":"text","content":"Janata and co-author Benjamin M. Kubit aren’t the first to study earworms, also known by the more technical designation “Involuntary Musical Imagery,” or INMI. Previous research has probed the characteristics of songs that are likely to become earworms, whether certain personality types are more likely to suffer the phenomenon and whether listening to unfamiliar catchy music interferes with concentration. (Spoiler: Of course it does.)","_id":"QEM37L2BLVEMDJUSUMDE2JMJRE","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221542,"type":"text","content":"In general, musicians and scientists alike have concluded that faster music with simple, repetitive melodies and harmonies are more likely to loop in the brain.","_id":"BVFV4TKAOJGWBEIZLXIMJXARHY","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221543,"type":"text","content":"“Short melodic phrases combined with a perfect harmonic progression are perfect for this,” said Pittsburgh composer Nancy Galbraith, whose music is regularly premiered and performed by ensembles around the city and country.","_id":"NNER3REA25FIDM4G2LTLU75YG4","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221544,"type":"text","content":"Galbraith differentiates between musical “hooks,” a fragment designed to catch the ear, and earworms. Many earworms come from song hooks, but not all hooks become earworms. She pointed to the hit musical “Hamilton” as a recent example of a work filled with effective hooks, many of which evolved into earworms. “My Shot” (don’t throw it away...) still pops into Galbraith’s head from time to time, she said, along with the theme song from the Netflix streaming show “House of Cards,” and the decades-old jingle from Century 3 Chevrolet (“Minutes from the mall!”).","_id":"WYWZTYSIAZERBO3I6RKRCEX2W4","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221545,"type":"text","content":"“Tchaikovsky was a really great hook writer, but we don’t really call them that in classical music,” she said. “Personally I don’t associate them with anything specific. 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Rishi Bahl, musician, founder of Pittsburgh’s pop/punk/alternative Four Chord Music Festival and a professor of marketing at La Roche University, said there’s been an upsurge in nostalgia for bygone musical eras in recent years, and music presenters are actively molding new talent to comply.","_id":"U3CZJIZEJZD73KBXG3M4IGX77Y","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221548,"type":"text","content":"This can often involve pushing songwriters to create hooks or earworms reminiscent of past styles.","_id":"DN5HVDOXING6VAWHS7EKDO2GVU","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221549,"type":"text","content":"“It’s becoming more and more pervasive,” he said. “In the end, record labels are marketers at heart. It’s not about distribution today thanks to streaming. It’s about marketing.”","_id":"E7S7R7LKNRAXNKXN4NBDTN7NUU","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221550,"type":"text","content":"Hooks and Billboard-charting hits tend to have similarly pop-like elements, and leaning too far into the science behind those elements can create a homogeneity in sound and style that can seem artistically bereft. (“Man, it’s depressing,” Bahl said.)","_id":"7BDWXGP6F5F35APHSBTMWMKTEQ","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221551,"type":"text","content":"Popular music has always had this issue to an extent. Different genres still rely on largely the same simple chord progressions and melodic shapes. The uniqueness comes from the subtle changes in vibe and vibrato and instrumentation.","_id":"CTMXHROZZJBI3BZA3DT6LXEUKM","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221552,"type":"text","content":"Music therapists already use music’s ability to trigger a range of emotional states with their patients. According to Brittany Meyer, a neurologic music therapist at UPMC Children’s Hospital of Pittsburgh, music’s ability to activate multiple parts of the brain simultaneously makes it a useful tool for rebuilding and strengthening pathways in the brain.","_id":"OFVJZJ44QBCALEHAGQIMDNXKNU","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221553,"type":"text","content":"“Repetition is really great for creating earworms,” Meyer said. “And we know that music is great for both encoding and retrieving memories.”","_id":"XSES6MXHSZAOFNEAKD2Y6MDZ6A","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221554,"type":"text","content":"She explained that music can trigger reaction in both the hippocampus, which plays a role in learning and memory, and the amygdala, which is involved in experiencing emotions. So listening to the same music at a later date can trigger the same emotions as when the listener last experienced the music.","_id":"EB72MT4K2NH6ZPA4RJJ3FRVIGM","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221555,"type":"text","content":"Ms. Meyer also said that a patient’s prior associations with a tune are more important than the inherent characteristics of the tune itself. For example, she cited an experience working with a child on the autism spectrum who didn’t want to brush his teeth. Ms. Meyer made up a song about brushing teeth to the tune of a song he liked. Then his mother could sing with him every night, which helped him remember to brush his teeth.","_id":"5JN36WCIB5CWXJNNAAZYQKWWI4","additional_properties":"comments":[],"_id":"6GSBQKAZ2BH3DMW5ZLT76RUOPI","type":"interstitial_link","content":"How music helps nurses heal from trauma and stress","url":"https://www.ajc.com/lifestyles/health/upbeat-how-music-helps-nurses-heal-from-trauma-and-stress/ynL8aEfINE75Aruws5F4aO/","level":3,"_id":"65257CIH45H27G533ASUHLBT6I","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221556,"type":"header","content":"Aural encoding","_id":"FL2FTJUYKFAMXB6QT3GT4J5OQU","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221557,"type":"text","content":"Janata wonders how long it will be before this research is used in a more targeted way. Many Americans above a certain age can recall a few jingles from their childhoods and the products they advertised, and some educators use songs or tunes to help memorize information.","_id":"JRHAJNTQJBCKNHNIVUHTYTS5UI","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221558,"type":"text","content":"But the possibilities don’t stop there. Janata’s recent study found that music can function as a targeted memory aid. That means learning names or new faces or places could one day be paired with an individual tune, almost like a personalized musical tag.","_id":"5PGICQD4JNGATLUQXZSHMANAQA","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221559,"type":"text","content":"Janata is exploring that idea in his research and attempting to observe how the brain responds to musical stimuli and earworms using neural imaging technology.","_id":"LWD7NHT6TRH4BDI6DMQ7T7EZRA","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221560,"type":"text","content":"“It raises the question: Can this be deployed in a targeted way, taking novel pieces of music [and] pairing earworms with must-be-remembered information? Could this serve as a memory aid?","_id":"DYI5UHV46VGNLG57RMDY2MYPFU","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221561,"type":"text","content":"“That’s what our current experiments are trying to show and see whether that’s possible.”","_id":"JLM7ZEDTVVDKLINRWYWLOMZQUY","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"For more content like this, sign up for the Pulse newsletter here.","_id":"FZNRWMS5PVA6VNE3NHQN4BJUAQ","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":" ","_id":"7EOGPR36RZAZFIKAVYUDQ7722Q","additional_properties":"inline_comments":[],"comments":[],"_id":1626967221562,"type":"text","content":" "],"display_date":"2021-07-22T15:34:22.615Z","headlines":"basic":"Although annoying, earworms may help you process memories","first_publish_date":"2021-07-22T15:34:22.615Z","taxonomy":{"sections":["path":"/pulse","parent":"default":"https://www.ajc.com/","_website":"ajc","parent_id":"https://www.ajc.com/","name":"Pulse","description":"The Atlanta Journal-Constitution's Pulse Magazine is a one-stop-shop for nurses in the Southeast. 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Her daughter Yolanda Williams, however, noticed her mother couldn’t put her shoes on due to swelling. After closer inspection, she also found a sore on her foot. Yolanda rushed her mom to the hospital.","_id":"CHY7DVKZLVCDLLW6ROXRMOZQXY","additional_properties":"comments":[],"_id":"MQATFYQ56VH23PLWZPLTZCD2L4","type":"interstitial_link","content":"Distrust of health care system adds to toll in rural Black communities gutted by COVID","url":"https://www.ajc.com/news/coronavirus/distrust-of-healthcare-system-adds-to-toll-in-rural-black-communities-gutted-by-covid/SOO6UWMIBZHPTN7DMK3ZHCNQMI/","_id":"WGJ6S7DVTNDSTCW5MBBZD4KOJQ","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274394,"type":"text","content":"“Do you know what the nurses said? They said her blood sugar level was over 600. They don’t even know how she was living. I started crying right there. The nurses said, ‘You saved your mother’s life.’ I have never seen my mother cry. My mom started crying,” she said.","_id":"XNPCOQ2P3BG6XFNPK4F54W7QFM","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274395,"type":"text","content":"It’s been two weeks since Biz Markie (aka Marcel Theo Hall), the rapper behind the 1989 hit, “Just A Friend” died of complications from diabetes. He was 57 and struggled with health issues related to his decadelong battle with Type 2 diabetes.","_id":"PDQYTQ4FXZG7XOX35PF5V7TW74","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274396,"type":"text","content":"The chronic health condition affects how your body turns food into energy. With it, either your body doesn’t make enough insulin or can’t use the insulin it makes as well as it should. When there isn’t enough insulin or cells stop responding to insulin, too much blood sugar stays in your bloodstream. Over time, diabetes can cause heart and/or kidney disease and vision loss, according to the Centers for Disease Control and Prevention.","_id":"NMSVRRDG7BDKTIHWLHF57RMMSE","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274397,"type":"text","content":"“I felt like life dealt me a hand I didn’t need,” Betty Williams said. “But as time went on, I thanked God I didn’t lose my foot. My only regret is if I could have gone in sooner ... maybe I wouldn’t have wound up like this.”","_id":"SNFUGOIBR5FYXFZFPNJSEIXHUY","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274398,"type":"text","content":"Betty is a patient of Dr. Sreekumar Madassery, a radiologist and director of peripheral vascular intervention at Rush University Medical Center. In his work, Madassery opens up damaged arteries in the lower portion of the body to prevent amputations. He advocates for more education about diabetes, a vascular disease, and how deadly it is in the long term.","_id":"B7W6N57MOFD4DDHFS5W5WKGUM4","additional_properties":"comments":[],"_id":"BWKLW7FQJVAQXONW3ETFYZJAG4","type":"interstitial_link","content":"Racism derails Black men’s health, even as education levels rise","url":"https://www.ajc.com/life/racism-derails-black-mens-health-even-as-education-levels-rise/4DZMT4HJVNBDRE77NDWOQLGDII/","_id":"ELTUJVD4AJBELIXMLB3CYGVUGE","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274399,"type":"text","content":"“What happens with diabetes is it kills the nerves and hardens the arteries,” he said. “A person will stub their toe, cut their toenail wrong, and because diabetes has messed with their arteries, these tiny wounds become black and green, and they lose their whole leg. Patients, when they get a major amputation, they have almost a 50% mortality rate within four years. Diabetes is a multiheaded monster where the symptoms of each effect need to be tracked earlier; but also diabetes itself needs earlier detection and management.”","_id":"M3FOODVEMJE3XG5J3WOV3CREBA","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274400,"type":"text","content":"University of Chicago Medicine endocrinologist Dr. Celeste Thomas agrees, citing Biz Markie’s death as a call to action, since diabetes complications can be prevented.","_id":"CMSOYGINWJFQDEY4GBWPSIMERI","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274401,"type":"text","content":"“Successfully managing diabetes takes effort and intentional work,” she said. “The (American Diabetes Association) has a great risk calculator for people who if they don’t know if they have diabetes, that they can look and say, ‘Am I at risk?’ And if you are at risk, go in and have that conversation with your doctor.”","_id":"RYUVX2I56JBVJKTM3K6BFCABCI","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274402,"type":"text","content":"Thomas said when the medical community recognizes somebody with prediabetes (where blood sugar levels that are higher than normal but not yet high enough to be diagnosed as diabetes), intervention is necessary then and not after a diabetes diagnosis. Waking up at night to empty your bladder more than you used to (increased thirst paired with increased urination)? Blurry vision (fluid shifts in the eye, associated with high blood sugar)? Increased appetite (due to insufficient insulin)? Unexplained fatigue? Thomas recommends people who have a family history of high blood pressure and diabetes, those who carry excess weight, and workers of certain jobs that affect sleep and circadian rhythms (i.e. shift work), get screened for diabetes.","_id":"MAL7DIR6YJEEFNZJU3GY2HVMV4","additional_properties":"comments":[],"_id":"MREOY6XMJ5AJJMJZPW4CZDDZIY","type":"interstitial_link","content":"Study: Black women dying of COVID-19 at rates higher than most men","url":"https://www.ajc.com/life/study-black-women-dying-of-covid-19-at-rates-higher-than-most-men/XZ6TSLCQPRGZNIG2WUQL2EBMFA/","_id":"EOMUAC6XRVCC5ISI4GAEYBCNAI","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274403,"type":"text","content":"“When we have that family history of diabetes — the same for high blood pressure or coronary artery disease — we can intervene early and delay the onset of the disease,” she said. “Too many of our patients are being diagnosed in the hospital when they should have been screened in the clinics. When we see people in the emergency department, when we gather that history, symptoms have been going on an average of weeks and they are not recognizing it.”","_id":"3TYM5NOOTVB3TA6R2WX5EB75W4","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274404,"type":"text","content":"Diabetes affects the immune system, and can lead to increased risk for infections and stroke. According to Madassery, he’s seeing earlier onset diabetes in kids and teenagers more and more. And the Black community is enduring more amputations due to diabetes than other populations. Madassery says that is why he uses the phrase: “arterial cancer” frequently to convey the seriousness and raise awareness of the condition.","_id":"XZJ2PQHJHZAPHC6Z4ROVCGLLTU","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274405,"type":"text","content":"“A lot of patients, especially in cities, they don’t get even the basic medical education in screening. So the question is how do we get the health care system and insurances to incentivize or promote early preventive care and maintenance?” he said. “Just like we talk about breast cancer mammography and colonoscopies for colon cancer, patients who are in their 30s and 40s should be seeing doctors annually and getting regular blood work for diabetes.”","_id":"TVA2IV6PPNC4LINJRTLKEBSJZ4","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274406,"type":"text","content":"While there isn’t a cure for diabetes, losing weight, a healthy diet and being active can help when battling the disease. Taking medicine as needed, and getting diabetes self-management education and support can also reduce the impact of diabetes on your lifestyle. Betty Williams’ advice: Go to the doctor for regular checkups. If you’re not satisfied with the doctors you have, get a second opinion.","_id":"QZOO7YBSXNB67F7WK6NOONBGLE","additional_properties":"inline_comments":[],"comments":[],"_id":1627929274407,"type":"text","content":"“If you want to live, go get yourself checked out,” she said.","_id":"CMNV4T7MEVDUZGGFFCMM2J2QQQ","additional_properties":"inline_comments":[],"comments":[],"type":"text","content":"For more content like this,
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