Your Cozy Fall Starts With Don Francisco’s Coffee: Sabrina Soto’s Simple Tips for Flavor, Warmth, and Style

2025-11-11T12:31:00

(BPT) – For lifestyle expert, TV host, and designer Sabrina Soto, every cozy fall moment begins with coffee. “I’m Latina, so coffee is literally in my DNA,” she says. “Growing up, coffee was always brewing, always part of the conversation.”

That love of coffee inspires how she approaches fall at home, from layering rich textures to brewing seasonal flavors that fill the house with warmth and comfort. Soto shares how she brings her favorite fall rituals to life with Don Francisco’s Coffee, blending design and flavor into everyday moments.

Explore New Seasonal Coffee Flavors

For Soto, coffee isn’t just a morning ritual. It’s part of her heritage and a daily source of comfort. Pumpkin spice will always have its moment, but this fall Soto is reaching for new cozy favorites from Don Francisco’s Coffee, including Maple Pecan and Caramel Spiced Rum. Both are crafted with 100% Arabica beans and capture the comforting flavors of the season in every sip.

Maple Pecan combines the sweet comfort of maple and toasted pecans with caramel undertones for an indulgent cup, while Caramel Spiced Rum layers dark caramel and butterscotch with just a hint of spiced rum for a decadent twist.

According to the DoorDash Fall Flavor Trends Report, pecan is the fastest-growing fall flavor, with orders up 28% year over year. Meanwhile, caramel remains a top choice in 13 states, indicating that these blends are right on trend for 2025.

“The Maple Pecan is perfect for lazy Sunday mornings and the Caramel Spiced Rum? That’s my after-dinner treat,” said Soto. “They’re delicious on their own, but I also love using them as a base for recipes when I’m having people over.”

Sabrina Soto sipping Don Francisco's Coffee while reading a book.

Create a Cozy Atmosphere

Soto says fall decorating is all about engaging the senses, and for her, coffee is at the heart of it. She recommends thinking in layers (visual, tactile, and aromatic) to create spaces that feel truly inviting.

“I’m obsessed with layering this time of year, not just with throws and pillows, but with scents and flavors too,” said Soto. “Start with what you already have. Grab a favorite blanket, light some candles, or bring in branches and leaves from your yard. Tie them with ribbon or twine in warm tones like burnt orange or deep burgundy, and suddenly your space feels completely different. It doesn’t have to be expensive to feel special.”

She says the same approach applies to your coffee. “Layer it up,” she adds. “Top it with whipped cream, sprinkle cinnamon, drizzle caramel; it’s the easiest way to make your cup feel cozy and indulgent.”

“From a design perspective, I always tell people to think about texture first. Mix smooth ceramics with rough wood, soft linens with woven baskets. Then add warmth through lighting. Swap out bright bulbs for softer, amber-toned ones, or just light a bunch of candles,” she explained. “But honestly? The scent is what pulls it all together. Whether it’s candles, fresh eucalyptus, or coffee brewing in the kitchen, that’s what makes people feel at home.”

Entertain With Flavor

As the season shifts, Soto’s love of coffee goes beyond décor. It’s part of how she entertains, creating moments that feel warm, inviting and effortless.

“When friends come over, I want everything to feel warm and intentional but not fussy,” she said. “This Maple Pecan Buttercream Coffee is one of those things that looks impressive but takes literally five minutes. People always ask for the recipe.”

Don Francisco's Maple Pecan coffee beans next to two cups filled with Don Francisco's Maple Pecan Buttercream Coffee


Don Francisco’s Maple Pecan Buttercream Coffee

Ingredients:

  • 1 cup Don Francisco’s Maple Pecan Coffee, brewed hot
  • 1/4 cup whole milk
  • 1 cup heavy cream
  • 2 tablespoons pure maple syrup
  • 1/2 teaspoon vanilla extract
  • Small pinch sea salt
  • 2 tablespoons crushed toasted pecans

Instructions:

1. Brew 1 cup Don Francisco’s Maple Pecan Coffee and keep hot.
2. In a medium bowl, whisk or mix milk, heavy cream, maple syrup, vanilla and sea salt until smooth and lightly foamy.
3. Divide hot coffee between two mugs.
4. Layer buttercream mixture over each coffee; spoon extra foam on top.
5. Finish with a generous sprinkle of crushed toasted pecans.

Sip Sustainably

For Soto, cozy living also means conscious living. She incorporates sustainable practices into her daily routine in simple, practical ways.

“I toss my used coffee grounds right into the garden. They’re amazing for fertilizer and keeping pests away,” said Soto. “And I recycle the coffee bags through Don Francisco’s free TerraCycle program. Sustainability doesn’t have to be complicated. Little everyday choices really do add up.”

Person holding a plant just before planting it in the garden.

Find Your Fall Flavor

Don Francisco’s Coffee offers a variety of coffees, including seasonal flavor blends that are available for a limited time at DonFranciscos.com and Amazon.com/donfranciscos. Follow @DonFranciscos on Instagram for more cozy-season recipes, giveaways and inspiration.

Single mom finds her calling in healthcare: Jada’s story

2025-11-11T07:01:00

(BPT) – Have you ever thought about what healthcare would be like if the people who keep it running weren’t there? No friendly hello at check-in. No vitals waiting in the chart. No medications prepared on time. A doctor or nurse trying to do it all, while patients wait.

Healthcare doesn’t stand still — it slows down. Wait times grow, providers burn out, and communities feel the gap. Allied health professionals are the ones who keep care moving, who support providers, and who have the closest and most frequent contact with patients.

Allied health professionals are the “heart and hands” of the healthcare industry. Can you imagine care without them?

With an estimated global healthcare staffing shortage of 11 million by 2030, the roles of allied health professionals are more important now than ever to ensure patients receive the care they need and deserve. Keep reading to learn more about one person’s allied health journey.

Jada’s story

When Jada Clanton first visited Clearwater, Florida, in 2023, she had no idea how much the trip would reshape her life. Originally from Pennsylvania, the 25-year-old came to see her daughter’s father — but the visit took an unexpected turn when he left them stranded. Rather than letting the experience define her, Jada found strength in the kindness of strangers and the warmth of the community. Inspired by the people she met and the resilience she discovered, she made a bold decision: In July 2024, she returned to Florida with her daughter to start fresh and build a new life.

During a chance encounter at her apartment complex, Jada met a neighbor who had just enrolled in a patient care technician program at a local college.

Intrigued, Jada asked for details, and her neighbor referred her to classes at Ultimate Medical Academy (UMA), a Florida-based nonprofit allied healthcare educational institution with more than 15,000 students and 100,000 alumni nationwide.

Inspired by their conversation and excited by the opportunity to pursue a meaningful career in healthcare, Jada signed up with UMA to become a medical assistant. The rest, as they say, is history.

Her motivation was deeply personal. Two years earlier, Jada’s father passed away in her arms from a stroke.

“He was having a stroke, and I didn’t know any of the signs,” she said. “Watching my dad pass away was very traumatic for me, and I just don’t ever want to feel that useless again in a moment like that.”

That moment, combined with her role as a mom, ignited her desire to learn how to check vitals and recognize medical emergencies — skills she’s now mastering at UMA.

Tableside to bedside

Before UMA, Jada spent nearly a decade as a restaurant server. She loved connecting with her patrons and making their day just a little brighter, and that care and empathy now fuel her passion for healthcare.

“Serving really taught me how to deal with so many circumstances, so many different people, so many different situations,” she said. “That is definitely a part of what I know will make me a good medical assistant.”

Despite facing challenges like lack of childcare, transportation and financial strain, Jada persevered. UMA supported her with work-study opportunities and mentorship, helping her secure housing and stay on track academically.

“I walked into UMA with nothing — no plan, no babysitters, no daycare — but the staff helped me take the steps I needed to get those resources in place and get into school,” she said. “No matter what, they didn’t let me give up.”

Now serving as a student ambassador, Jada helps classmates stay motivated and contributes to UMA’s social media content. She’s also exploring her creative side — writing music, designing clothes, and creating TikTok skits with her daughter. Her five-year goal is to become an anesthesiologist assistant.

Jada’s time at UMA has opened a world of possibilities for herself and for her daughter. The little family recently moved into their own house, and Jada is expected to graduate with her medical assistant certification in spring 2026.

“UMA has truly transformed both our lives. Not only did I find a career that I enjoy and offers real growth, but it’s one that empowers me to support my daughter and make a difference for others as well,” Jada shared. “This journey has helped me grow into a stronger woman. It pushed me beyond my comfort zone and proved that I’m capable of achieving far more than I ever imagined.”

Reimagining education

Jada’s story is emblematic of a broader shift in how Americans are navigating their careers. Recent reports show that the traditional college-to-career pipeline is under strain. According to a study by Handshake, a career platform geared toward Gen Z workers, entry-level corporate job postings have dropped by 15%, while applications have surged by 30%, pushing the unemployment rate for recent college graduates to nearly 6%. AI and automation are replacing many roles that once served as career steppingstones.

In contrast, certificate programs — like those offered at UMA — are gaining traction among learners from all backgrounds. Allied healthcare careers are somewhat insulated from automation, and provide hands-on training, shorter program durations, and job placement support. In fact, many learners like Jada are choosing certificate programs not just for economic reasons, but because they offer a clearer, more direct route to meaningful work.

“This was literally the best decision I’ve ever made in my life,” she said.

To learn more about the stories of allied health professionals, visit: https://www.ultimatemedical.edu/perspectives/.

How to Keep Financial Stress at Bay This Holiday Season

2025-11-11T07:01:00

(BPT) – If the holiday season seems to be approaching earlier than usual this year — with some stress creeping in alongside it — you’re not alone.

Holiday items hit the shelves before summer was even over, but consumers have mixed feelings toward the early arrival. According to a recent Bank of America survey, 52% of respondents embrace the early cheer, while 33% feel the accelerated pace dampens their festive spirit.

This trend of early engagement extends to shopping, with more than half of consumers starting their holiday purchases before October in hopes of spreading out expenses to avoid seasonal stress, especially since 62% anticipate financial strain from costs this year.

If you’re feeling a bit behind this season, don’t worry — there’s still plenty of time to make the most of the holidays and finish the year strong. Whether you’re focused on thoughtfully planning your gifts or celebrating within a smart budget, you can easily balance your finances with your festive spirit.

Here are four tips from Lora Monfared, Head of Consumer Card Products at Bank of America, to help you offset costs, ease your stress and embrace the holiday cheer:

1. Start planning now.

Although some retailers kicked off seasonal discounts in September and October, it’s not too late to score deals. Black Friday is still the most popular time of the year for holiday shopping — with 41% of Gen Z consumers planning to make the majority of their purchases on this day — so be sure to plan your purchases in advance to make the most out of it.

2. Don’t look past dupes.

Affordable alternatives (also called “dupes”) that look and work just as well as trendy or luxury gifts are gaining popularity. In fact, the survey shows more than half of people would consider gifting a dupe this holiday season.

If you’ve got someone on your list who doesn’t care about brand names, seeking out alternative options such as dupes or gently used items that have the same functionality and aesthetic appeal can be a cost-effective option. Secondhand stores also offer an opportunity to seek out unique, high-quality and original gifts for loved ones. Just be sure to do your research so you can confidently pick out what’s best for the people on your list — and your wallet.

3. Reap your rewards.

This year, nearly half of consumers say they do all or most of their holiday shopping online, according to the survey. If you too are an online shopper, consider using a flexible rewards card that offers cash back on your digital purchases. For example, the Bank of America Customized Cash Rewards credit card allows new cardholders to earn 6% cash back for the first year after an account is opened in a category of their choice (including online shopping) — that’s double the usual 3% cash back.

Man in striped shirt holiday shopping on his laptop while his can sits in his lap.

4. Talk about your gift-giving plan beforehand.

Earning rewards on your spending is great, but a successful holiday shopping plan starts with a thoughtful budget. Take stock of your 2025 holiday budget and talk with your loved ones to agree on a spending limit.

This year, 38% of people plan to only buy gifts for immediate family and their closest friends, and 23% have agreed with family members to scale back on gifts. If you can iron out expectations from the outset, you’re more likely to enjoy the festivities without wallet-woes.

Financial strain is top of mind for many this year, but it doesn’t have to mean a stress-filled season. A bit of planning and strategy can go a long way in getting the most out of your spending. Learn more at BankofAmerica.com.

3 Solutions to Employee Engagement Problems that Impact Retention

2025-11-10T07:01:00

(BPT) – Ever wanted to quit your job? If yes, you’re in the majority because according to Gallup, 51% of the U.S. workforce is open to leaving their current position. What’s worse for employers, it can cost one-half to two times an employee’s annual salary to replace them. This makes the retention of your current workforce extremely important for any company wanting to run smoothly without racking up hiring expenses.

The best way to retain employees is through engagement. Gallup notes that engaged workforces have 78% less absenteeism, 18% higher sales productivity and 23% higher profitability.

The question is how. Studies and surveys of employees have found three common engagement problems, and actionable solutions your company can implement immediately.

Engagement problem No. 1: Engaging in professional development

As of 2025, 9% of employees specifically cite a lack of “advancement, development or career opportunities” as their reason for leaving.

Solution: Offer clear growth opportunities

Long-term career goals like promotions and pay raises with measurable performance requirements give employees milestones to work toward. But promotions aren’t the only path to career progress. Your team wants access to certificate programs and professional networking that can build expertise and soft skills.

Engagement problem No. 2: Engaging in employee appreciation

According to WorkHuman, over half of surveyed employees feel only somewhat valued (46.4%) or not valued at all (10.7%) by their workplace, meaning over half of employees don’t feel acknowledged and appreciated for their work.

Solution: Implement a Rewards & Recognition (R&R) program

Studies show employees are 45% less likely to leave their jobs when they’re recognized and R&R programs can decrease turnover by 40%.

Reward employees every day with these ideas:

  • Well-stocked breakrooms – Offer cafe-quality beverage options in the breakroom with Java House’s ready-brewed Peel & Pour Pods that come in a variety of roasts and styles, including iced coffee, lattes, hot cocoa and tea. With a wider selection of options readily available, employees are less likely to leave the office for a coffee or beverage break in the middle of the day.
  • Branded gear – Outfit team members with quality branded merchandise like the customizable options from Lands’ End to serve as both a token of appreciation and a symbol of pride employees can literally wear on their sleeves.

Recognition ideas:

  • Thank-yous – Saying “thank you” can go a long way in showing appreciation for employees, especially when paired with team-wide recognition in emails, Teams or Slack.
  • Awards – Regularly celebrate employees’ accomplishments together by implementing an “Employee of the Month” program, a quarterly certificate program or an annual awards ceremony.

Engagement problem No. 3: Engaging worker flexibility

Flexibility doesn’t just mean working from home. In fact, 58% of American workers are front-line employees who cannot work remotely.

Solution: Encourage work-life balance

“Work-life balance” refers to the balance between the time spent working and the time spent with family or doing other enjoyable activities. This looks different for everyone, but workers agree it’s important.

Gallup shares that 31% of workers cite their well-being and lack of work-life balance as reasons for leaving their current employer. To counter this, let employees know you care about them in and out of the office with policies like flexible working hours, PTO, and maternity and paternity leave.

Engaged employees are critical to workplace retention. Ensure employees know you appreciate the work they do by investing in their skills, granting them flexibility, and regularly rewarding and recognizing them.

A diagnosis she didn’t see coming

2025-11-10T09:01:02

(BPT) – One woman’s journey from an unexpected diagnosis to learning how to manage a chronic, progressive lung disease.

When Lavonda was told she had bronchiectasis, she didn’t know what the word meant.

“I had never heard of it before,” Lavonda recalls. “At first, I thought it couldn’t be that serious.”

The diagnosis came in 2008, after an incident in a hot yoga class where she suddenly felt lightheaded, struggled to breathe and thought she might faint. Assuming it was pneumonia, she went to her primary care physician who recommended she see a pulmonologist. But a CT scan revealed something far less familiar — a chronic lung condition that would change how she thought about her day-to-day and lifelong health.

She soon learned about the disease from her physician who explained that with bronchiectasis, the airways become permanently widened, making it harder to clear mucus and bacteria. It’s a chronic and progressive inflammatory disease, which means the effects can be long-term and may get worse over time, causing potential lung damage.

Symptoms started slowly

In the first few years after her diagnosis, Lavonda believed she could live almost normally with bronchiectasis. She saw her pulmonologist every six months who prescribed occasional airway clearance and antibiotics when flare-ups occurred, usually once or twice a year.

“Back then, I thought bronchiectasis just meant I’d get sick sometimes and bounce back,” she explains. “It didn’t feel like it would change my life very much.”

Over time, Lavonda began experiencing more frequent flare-ups, when her bronchiectasis symptoms would worsen. These flare ups would sometimes happen four or five times a year. That’s when she realized the disease was more serious than she first believed.

During this period she was also diagnosed with a bacterial infection of the lungs. After consulting with a new pulmonologist to treat this infection, she learned her lung health had deteriorated due to her bronchiectasis, prompting her to begin taking her disease management more seriously.

The importance of early awareness

There are approximately 500,000 people in the U.S. diagnosed with bronchiectasis, and it is estimated that many more are living with this disease globally. Because the symptoms of BE overlap with many other respiratory conditions, it can take time to get diagnosed. Bronchiectasis is progressive, meaning it can get worse over time, and can lead to permanent lung damage.

For those who want to learn more about the disease and how it can be managed, visit ExploreBE.com.

Lavonda cuddling her dog.

A positive, proactive perspective

“I never feel like the disease stops me until I have a flare,” Lavonda says. “That’s when I’m more tired, I don’t get as much done and sometimes I even have to miss out on things like sitting on the beach with my family.” Despite those challenges, she focuses on staying positive and mindful of what might trigger setbacks. “I try to be mindful of what will trigger a flare. I avoid crowds, I try to stay active. I don’t want bronchiectasis to control me.”

Lavonda hopes her story helps others understand the importance of recognizing and managing the condition. “It can sneak up on you,” she says. “At first, I didn’t even know what bronchiectasis was or how to pronounce it. But if I follow my doctor’s advice and stay active, I feel like I’m doing something positive for my health.” Her advice is clear: “Don’t ignore it. Learn about it. Be proactive. You really can take steps that may make a real difference.”

Smiling Lavonda sitting on a park bench with a statue of a frog.
If you have been diagnosed with bronchiectasis or think you might have it, talk to a pulmonologist. Visit ExploreBE.com to learn more.

This article and ExploreBE.com are sponsored by Insmed Incorporated.

Untapped opportunities for employers: Benefits of hiring people with disabilities

2025-11-10T08:01:00

(BPT) – Can you imagine your ideal employee? That person might exhibit determination, adaptability, problem-solving and ingenuity. Those qualities are readily found in people with a wealth of untapped skills who also live with disabilities, making them strong candidates for companies needing to hire.

Qualities employers are looking for

People living with disabilities tackle daily challenges in pursuit of the lives they want. They handle detours on city sidewalks, learn to drive a truck using a joystick or graduate from colleges not designed for wheelchair users. These everyday obstacles reveal their grit and resilience.

According to the Department of Labor, the employment rate for people with disabilities between ages 16-64 was about 37% in 2024. People with disabilities face significantly higher unemployment rates and are nearly twice as likely to work part-time as those without disabilities. Thousands of talented people with disabilities — including paralysis — are ready and eager to enter the workforce.

Employers wanting to explore the many benefits of hiring people with disabilities can find resources and information from the Christopher & Dana Reeve Foundation’s National Paralysis Resource Center (NPRC).

“A huge amount of untapped talent exists in the community of people facing challenges like paralysis,” said Sheila Fitzgibbon, senior director, NPRC. “Employers struggling to find outstanding people for positions will be pleased to discover how much talent is out there, if they know where to look.”

ADA basics

If you’re considering expanding your hiring, you may have concerns about compliance with the Americans with Disabilities Act (ADA). Passed by Congress in 1990, this federal law prohibits discrimination against people with disabilities in everyday activities, including employment. For questions about specific aspects of the law, contact your regional center at ADAta.org.

The ADA prohibits employers from rejecting qualified applicants simply because they have a disability, and bans discriminatory practices in the workplace. That means reasonable accommodations must be made for any job applicants and employees who need them.

Understanding accommodations

The best way to understand accommodations is to think of them as “productivity enhancers.” Accommodations allow already capable people to do their jobs successfully. An accountant with limited dexterity might request speech recognition software to tackle spreadsheets with her voice rather than her hands, or a teacher with paraplegia might request a writing aid for grading homework.

Employees can request accommodations from their supervisor or human resources department when beginning a new job and anytime thereafter; there is no deadline for requests. Needs may evolve as the work environment or job specifics change, or as the employee ages. Applicants with disabilities can also seek accommodations to compete for a job. For example, a wheelchair user might request that a job interview occur on the ground floor of a building lacking an elevator.

Reasonable accommodation requests for people living with paralysis might include:

  • Assistive technology like large-button keyboards or voice recognition software.
  • Improved office accessibility, like installing automatic doors and grab bars in the bathroom.
  • Assigned accessible parking spot near the entrance.

Finding employees

Woman living with a disability wearing a buisness suit and sitting in a wheel chair.

Employers can expand their talent pool by first ensuring their applicant screening processes don’t exclude people.

“Employers are recognizing they may be unnecessarily eliminating applicants,” said Susanne Bruyere, academic director and Employment Assistance and Resource Network on Disability (EARN) principal investigator at the Yang-Tan Institute on Employment and Disability, Cornell University. “AI screening tools might pick up anomalies in resumes, like extended employment gaps, which happen for people with health conditions. That can automatically and inadvertently eliminate viable candidates.”

One alternative is to use job boards and employment programs dedicated to increasing employment among people with disabilities. Here are some places to start:

Financial benefits

Beyond increasing your chances of finding great candidates, your business may benefit from financial incentives. Federal tax credits are available to businesses who hire and/or invest in workplace accessibility for people with disabilities, and a Work Opportunity Tax Credit can be claimed by employers who hire applicants facing significant challenges in finding work — including people with paralysis who receive Supplemental Security Income or have been referred through Vocational Rehabilitation.

The Disabled Access Credit provides a credit for small businesses that invest in accessibility improvements for people with disabilities, and the Barrier Removal Tax Deduction is available to businesses of any size. Examples of qualifying actions include widening doorways, installing ramps or modifying restrooms. Many state-based initiatives also offer tax credits for hiring, accessibility improvements and investments in workplace accommodations for employees with disabilities.

The bottom line

By expanding how you seek and hire talent, your business will benefit in significant ways — most importantly by helping you find the best person for every position.

Learn more about how your organization can benefit from hiring people with disabilities at ChristopherReeve.org/Ask.

Suffering in Silence: Older Adults Need to Speak Up About Their Mental Health

2025-11-10T08:01:00

(BPT) – Connie Thomas, a 77-year-old woman from Altamont, Illinois, has navigated a long journey with her mental health. Decades ago, Thomas was diagnosed with breast cancer. Living with her diagnosis and its results was not only physically challenging but it also brought mental struggles, including depression. She managed her mental health with medication for many years. But after retirement and feeling a loss of purpose, Thomas once again experienced symptoms of depression.

It’s not unusual for older adults like Thomas to struggle with mental health issues. In fact, according to the National Council on Aging, 20% of people aged 55 and older suffer from some kind of mental health concern. After a lifetime of caring for families, raising children and serving their communities, many seniors put their own needs last, including their mental health. This can mean suffering in silence, sometimes for years.

Thomas knew better. She knew from her experience how important it is to talk about mental health, whether it’s with friends, family or your doctor. That conversation can open the door to new options. In Connie’s case, her primary care clinician offered her the GeneSight® test, a genetic test that provides additional insights into how her genes may affect medication outcomes with certain mental health medications. These results gave her clinician more information to consider when developing her treatment plan.

Finding a mental health medication that works: A frustrating process
It’s fairly common for medications that once worked to manage mental health issues like depression to stop working. According to Johns Hopkins Medicine, “symptoms return for up to 33% of people using antidepressants.”

Finding a medication for depression or anxiety that works can be a frustrating game of trial and error. Medications work differently for everyone, and there are many reasons why one may be effective for some but not for others. Your genes may hold a clue, as they can play a role in affecting medication outcomes. A simple cheek swab can help clinicians understand which medications may require dose adjustments, be less likely to work, or have an increased risk of side effects based on your genetics.

Informed Choices
That’s why resources like the GeneSight® test are so important. The GeneSight test is a genetic test that shows health care providers how your genes may affect your outcomes with certain mental health medications, including medications that treat depression and anxiety. This information may help clinicians make more informed decisions about medication selection or dosing.

Thomas’ GeneSight test results helped her doctor decide that a lower dose of her medication may be helpful. With that adjustment, she says she is feeling better than she has in many years.

Feel empowered to take care of your mental health
Thomas shares that in her older adult community, she sees many people struggling with depression and yet unable to talk about their mental health.

“I see how unhappy they are, inwardly and outwardly,” she says. “I try to reach out, to acknowledge that they are suffering and to encourage them to talk to someone.”

She hopes telling her story will encourage others like her to talk about their mental health and then take the next step in reaching out to a health care provider. As Thomas learned, any prescribing clinician treating mental health, like her primary care clinician, can order the GeneSight test.

To learn more about the test, talk with your clinician or visit GeneSight.com.

Anesthesiologist-led research improves care for patients of all ages

2025-11-10T09:01:02

(BPT) – Opioid overdose deaths among people 65 and older have surged by 9,000% in less than a decade. Most children fast longer than needed before surgery. And women who have C-sections may have pain that disrupts sleep for months. These were among the findings — aimed at exploring trends that could improve care for patients of all ages — unveiled at ANESTHESIOLOGY® 2025, the annual meeting of the American Society of Anesthesiologists (ASA).

“These studies highlight how anesthesiologists can make health care safer, more comfortable and more effective at every age,” said ASA President Patrick Giam, M.D., FASA. “From reducing and monitoring opioid use in older people, to ensuring parents safely and appropriately give their children clear liquids before surgery, to easing pain after C-sections so mothers can sleep and recover, anesthesiologist-led research continues to drive innovation and improve outcomes in medicine.”

Here are a few of the important findings anesthesiologists presented at ANESTHESIOLOGY 2025.

Adults 65 Years and Older Not Immune to the Opioid Epidemic

While the opioid epidemic previously affected mostly younger people, seniors are now experiencing surging opioid overdose rates. In fact, overdose deaths in people age 65 and older from fentanyl mixed with stimulants have risen by 9,000% in less than a decade, according to an analysis of more than 400,000 fentanyl-related deaths collected by the Centers for Disease Control and Prevention (CDC).

Nearly half of the deaths involved mixing fentanyl with stimulants, such as cocaine or methamphetamines. Older adults are especially at risk because many have chronic health conditions, take multiple medications and metabolize drugs more slowly, according to Gab Pasia, M.A., lead author of the study and a medical student at the University of Nevada, Reno School of Medicine.

While opioids are effective for pain control, they should be used sparingly, especially in older people, researchers cautioned. They note that anesthesiologists and other pain medicine specialists should choose other pain management methods when possible and carefully monitor older patients when prescribing opioids. That includes educating them and their caregivers on overdose prevention tools such as naloxone.

Children Fast From Clear Liquids Much Longer Before Surgery Than Guidelines Recommend

More than two-thirds of children and nearly 80% of infants forgo clear liquids before surgery for at least twice as long as guidelines recommend, according to a study of more than 71,000 children aged 17 or younger.

Healthy infants and children may safely drink clear liquids until two hours before receiving anesthesia, according to current ASA guidelines. Yet researchers found that on average, children over a year old go without clear fluids for nearly nine hours before surgery — more than four times longer than needed. Infants go without clear fluids on average more than six hours before surgery.

Parents may worry about giving their child anything to drink before surgery due to the risk of liquid entering the lungs, but allowing children to drink clear liquids up to two hours before surgery is generally safe and helps prevent problems such as dehydration and low blood sugar, according to Alexander Nagrebetsky, M.D., M.Sc., senior author of the study and an anesthesiologist and intensivist at Massachusetts General Hospital, Boston and assistant professor at Harvard Medical School, Cambridge, Massachusetts.

Parents should talk with their anesthesiologist before surgery to confirm the latest fasting guidance and ensure their child stays hydrated and safe. For example, most children are encouraged to drink water or sugar-containing clear liquids, such as fruit juices without pulp or those with electrolytes, for up to two hours before the start of the procedure, Dr. Nagrebetsky noted.

Cesarean Delivery Linked to Higher Risk of Pain and Sleep Problems After Childbirth

Women who have a cesarean delivery (C-section) may be more likely to experience ongoing pain and sleep problems after childbirth compared to those who have a vaginal delivery, according to a nationwide analysis of more than 1.5 million mothers.

Individuals who had C-sections are 16% more likely to be diagnosed with a new sleep disorder in the first year after giving birth, compared to those who have vaginal births, according to Moe Takenoshita, M.B.B.Ch., lead author of the study and a postdoctoral scholar in the department of anesthesia at Stanford University Center for Academic Medicine, Palo Alto, California. Additionally, in interviews with 41 mothers who had C-sections, more than two-thirds said the pain disrupted their sleep and activities of daily living.

New mothers, especially those recovering from C-sections, should manage their pain to help them get better sleep and discuss any concerns with their physician. Getting regular exercise as appropriate, sleeping when the baby sleeps and avoiding caffeine late in the day can also help.

To learn more about the importance of physician-led anesthesia care — including how anesthesiologists keep patients safe before, during and after surgery — and explore the latest advances in the specialty, visit: https://www.asahq.org/madeforthismoment/.

Beyond the diagnosis: What people with diabetes wish you knew

2025-11-07T15:42:55

(BPT) – Diabetes is one of the most common chronic health conditions worldwide.1 Daily management is tough, but one of the biggest challenges for those living with diabetes is confronting stigma, judgment and misconceptions from people who don’t share the experience.2

Hear from three people who live with diabetes as they seek to change the narrative of stigma associated with the chronic condition.

Shaming hurts

Tomeka Porter, 50, has managed her diabetes for over 40 years, and feels empowered to make her own decisions thanks to effective diabetes management technology.

However, when dining out, her well-meaning friends and family sometimes question her decision to order dessert.

What they haven’t seen is that she’s already calculated the carbs, adjusted her insulin dose and checked her glucose levels.

“For me, having excellent control over my diabetes means using the tools that can give me real-time information to make real-time decisions,” said Porter. “The best tool I have is my continuous glucose monitor. It keeps me on track, in control and completely accountable, so the people I’m with don’t have to do it for me.”

Sean Hughes, 64, also lives with diabetes and finds that people fixate on what caused his condition, assuming that it stems from poor lifestyle choices.

“There’s this idea that people with diabetes are to blame for their condition,” he said. “It’s not as simple as, ‘You didn’t eat right.‘”

Criticism of food and lifestyle decisions is a common challenge. People with both Type 1 and Type 2 diabetes are often unfairly judged, reinforcing the false belief that diabetes is only caused by “bad” choices. In truth, diabetes is a complex condition influenced by genetics, immune system responses, environment and other factors.3

Man on tiny motorcycle and little guy wearing a helmet.

Here’s what Porter and Hughes wish everyone knew about living with diabetes:

  1. Every day means constant decision-making.
    People with diabetes can make up to 180 health decisions daily.4 From predicting how their glucose responds to what they eat to choosing what activities they do – all while managing the medications they take – staying healthy requires constant vigilance.
  2. There’s no one-size-fits-all plan.
    Everyone’s journey with diabetes is personal. What works for one person may not work for another.
  3. It’s not just about sugar.
    Diabetes is about how the body processes glucose, which can be affected by insulin resistance, stress, illness, sleep and activity levels – not just food.5
  4. A continuous glucose monitor (CGM) can help inform lifestyle choices.
    CGMs are discreet biowearables that monitor a person’s glucose in real-time, helping them understand how food, activity and medications affect their levels. This insight helps support informed decisions.
  5. Support matters.
    Helpful language helps create a more supportive environment. In a survey conducted by Abbott, 70% of respondents said supportive comments from others can significantly boost their motivation to manage their condition.6

Bethany Dingman, 32, has lived with diabetes for more than 20 years and shares Porter and Hughes’ experiences and advice. “Diabetes does not define who you are as a person,” she said. “Yes, it is a serious medical condition but when treated correctly, whether through diet and exercise, checking your glucose levels or medication, you can still enjoy life.”

Three girl friends at the gym taking a break from their work out.

The weight of stigma

Abbott, a global leader in diabetes biowearables, recently released research capturing the real-life experiences of people living with diabetes.6 It showed:

  • Nearly 70% believe there is stigma associated with their condition.6
  • Almost 25% have avoided sharing their diagnosis with family or friends out of embarrassment or concern.5
  • 40% have skipped or missed a doctor’s appointment due to shame.6

These findings reveal that stigmatizing comments don’t just hurt, they isolate. They can make people with diabetes less likely to seek care, less willing to share their struggles and more vulnerable to shame.

Smiling woman talking with a friend at work.

How you can be supportive

Start with empathy. Instead of asking what a person with diabetes “can” or “can’t” do, ask how you can support them. Respect that people with diabetes are the most knowledgeable about their own condition and how to manage it.

“People think that having diabetes means that I can’t have sugar, but it’s much more complex than that. I have an excellent system in place to help me manage it,” Porter said.

“Diabetes is something I work at managing every single day,” added Hughes. “The ideal support is respecting that I know my body and my needs. I am in control.”

“I am living proof that diabetes is not stopping me from living my best life,” shares Dingman. “I have the tools to ensure my glucose levels stay at a safe level and it helps me worry less while doing my workouts and planning my meals.”

To raise awareness about the health impact of diabetes-related misconceptions, Abbott launched the Above the Bias initiative. If you or someone you know is living with diabetes and would like to learn more about what better support looks like, visit AboveBias.com.

The views expressed in this story should not be used for medical diagnosis or treatment or as a substitute for professional medical advice. Individual symptoms, situations and circumstances may vary.

1 World Health Organization, Diabetes, accessed September 18, 2025.

2 Speight, Jane, Elizabeth Holmes-Truscott, Matthew Garza, et al. “Bringing an End to Diabetes Stigma and Discrimination: An International Consensus Statement on Evidence and Recommendations.” The Lancet Diabetes & Endocrinology 12, no. 1 (January 2024): 61–82. https://www.thelancet.com/journals/landia/article/PIIS2213-8587(23)00347-9/ppt.

3 American Diabetes Association, Genetics of Diabetes, accessed September 18, 2025.

4 Stanford Medicine, New research shows how to keep diabetics safer during sleep, accessed October 27, 2025.

5 American Diabetes Association, Blood Glucose and Insulin, accessed October 10, 2025.

6 Data on file, Abbott Diabetes Care. Based on a global survey among 1,233 adult participants (n=134 with type 1 Diabetes, n=1,099 with Type 2 Diabetes) commissioned by Abbott and conducted by Savanta in May 2024.

Meet the U.S. Army Soldier-athletes on a mission to compete for gold at the 2026 Winter Olympics

2025-11-07T16:01:01

(BPT) – The United States’ top athletes are aiming to secure their spot on Team USA for the 2026 Winter Olympics. This group includes 15 Soldier-athletes and coaches from the U.S. Army’s World Class Athlete Program (WCAP), which allows Soldiers to train and compete at the Olympic level while serving in the Army.

Since 1948, the U.S. Army has sent more than 600 Soldier-athletes to the Summer, Winter and Paralympic Games, earning more than 120 medals across a variety of sports and disciplines, and the Army hopes to build on this success in Italy.

While these hopeful Soldier-athletes have different backgrounds and experiences, they apply the same teamwork, discipline and resiliency to compete at the highest level, serving their country in more ways than one. Here are some of their stories:

• Staff Sgt. Deedra Irwin pursues a historic Olympic return

Biathlon athlete and Vermont Army National Guard Soldier Staff Sgt. Deedra Irwin is preparing to make her return to the Olympic stage after a historic seventh-place finish in the 15-kilometer individual event at the 2022 Beijing Games, the highest ever for an American in this event.

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Staff Sgt. Deedra Irwin hopes to bring the United States its first medal in biathlon at the 2026 Olympics

Originally a collegiate track runner, Irwin fell in love with the biathlon (a combination of cross-country skiing and precision rifle shooting) in 2017. Irwin not only has to train for speed and endurance, but she also uses breathwork and visualization to help calm her heart rate and successfully shoot her targets, which can be as small as a golf ball.

Eager to continue competing at an elite level, Irwin enlisted in the Vermont Army National Guard in 2019 as a Human Resources Specialist and a member of WCAP. In this role, she could pursue one of the Army’s many career paths, and had access to the elite coaching, resources and support the Army provides its Soldier-athletes. Now, with her sights set on Milano Cortina, Irwin is determined to bring home the United States’ first medal in biathlon.

• Three-time Olympian Lt. Col. Chris Fogt leads Team USA

Lt. Col. Chris Fogt’s journey from three-time Olympian to head coach of Team USA Bobsled is a testament to his dedication to his sport and service. As an active-duty Soldier, Fogt is leading the athletes as they prepare for the bobsled competition at the 2026 Games.

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As an Olympic silver medalist in the 4-man bobsled event, Lt. Col. Chris Fogt is now using his experience to lead Team USA as head coach.

While competing as a collegiate track athlete, Fogt discovered the opportunity to serve his country and pursue his Olympic dreams through the Army and WCAP. His Olympic debut in 2010 was marked by a crash while in medal contention, but he used the experience as motivation, working tirelessly over the next four years — even maintaining focus during a deployment as an Intelligence Officer. His perseverance paid off at the 2014 Winter Games, where he won a Silver Medal in the four-man bobsled event.

Fogt has represented Team USA at three total Olympics and earned six national team selections. Now he applies the same mental toughness, adaptability and flexibility he learned from his Army missions to prepare his bobsledders to handle pressure at the highest level.

• What is Spc. Bradley Nicol’s secret weapon? Mental resilience.

Utah Army National Guard Soldier Spc. Bradley Nicol relies heavily on mental readiness techniques to prepare for the intense speed and force he experiences in the high-speed event of skeleton. He uses visualization to mentally rehearse each run, picturing and moving to the turns of the track before pushing off, which helps him build confidence and anticipate challenges at high speeds. Nicol also practices mindfulness to manage the adrenaline and nerves that come with racing downhill at nearly 90mph, focusing on deep breathing and staying present in the moment.

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To prepare for the high-speeds and sharp turns of skeleton, Spc. Bradley Nicol uses visualization techniques to mentally rehearse before a run.

For athletes preparing to compete in the Olympics, building mental resilience is as important as being physically prepared. Whether completing a mission in the field or competing internationally on the world stage, every Army Soldier has access to force-wide initiatives like the Army’s Holistic Health and Fitness (H2F) system, which provides resources, education and expert guidance to the physical, nutritional, mental, sleep and spiritual health of Soldiers.

Drawing on lessons from Army Basic Training, the stability and structure provided by the Army have allowed Nicol to establish routines and develop a mental approach that strengthens his athletic and personal life. Combining these mental strategies with his physical training, Nicol can face each race with courage and focus as he pursues his Olympic dream.

• Sgt. Frank Del Duca and Cpl. Hakeem Abdul-Saboor are battle buddies in service and on the track

While many winter sports are individual pursuits, the Army offers a strong sense of teamwork and support that helps Soldier-athletes reach their highest potential. Bobsledders and active-duty Soldiers Sgt. Frank Del Duca and Cpl. Hakeem Abdul-Saboor share a friendship built through years of training, competing and serving together.

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Through their mutual Army service and competition experience, Sgt. Frank Del Duca (pictured) and Cpl. Hakeem Abdul-Saboor have become trusted battle buddies on and off the track.

Abdul-Saboor — a two-time Olympian and former basketball, football and track star — had no intention of competing in bobsled and only discovered the sport after a strength coach recognized his natural athletic ability. Del Duca — a 2022 Olympian — developed an early love for winter sports by competing in downhill slalom and giant slalom skiing in high school, transitioning to bobsled in 2015. Abdul-Saboor and Del Duca attended the same rookie camps and joined the Army in 2019 to continue pursuing the sport.

They competed together in the two-man and four-man bobsled events at the 2022 Beijing Games, and although they hoped for a higher finish, the experience strengthened their bond and inspired them to come back stronger. With the goal of getting on the podium this year, their journey demonstrates how the Army can foster deep camaraderie and lifelong friendship, turning competitors into trusted teammates on and off the track.

• Pvt. Spencer Howe battles back from injury

WCAP Soldier-athletes draw upon their Army training to overcome challenges and adversity, including battling through injuries, as they pursue their Olympic goals.

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Pvt. Spencer Howe hopes to represent the United States and the U.S. Army on the world stage in pair figure skating after battling back from a shoulder injury.

As the Army’s only competitor in pair figure skating, active-duty Soldier Pvt. Spencer Howe has demonstrated remarkable resilience throughout his competitive journey. After earning a historic fifth-place finish at the 2023 International Skating Union World Championship in Osaka, Japan, Howe underwent shoulder surgery and faced a long recovery period filled with extensive physical therapy.

During his recovery, he learned about WCAP and the training resources and career opportunities for the Soldier-athletes who compete on behalf of the Army. He enlisted as a Motor Transport Operator, and credits the Army with instilling discipline, mental toughness and a renewed sense of pride in his sport and his service as he aims to make his Olympic debut. In addition to his competition goals, Howe is pursuing a degree in theology at Grand Canyon University and hopes to eventually continue his service as an Army Chaplain.

• Spc. Azaria Hill hopes to continue her family’s Olympic tradition

Active-duty Soldier and bobsled competitor Spc. Azaria Hill’s Olympic dreams are not just a competitive goal, but a family legacy.

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Spc. Azaria Hill is aiming to make her Olympic debut at the 2026 Games, following in her parents’ footsteps as Olympians in track and field and boxing.

Hill comes from a family of Olympians. Her mother, Denean Howard Hill, won four Olympic medals in track and field for the United States. Her father, Virgil Hill Sr., won a silver medal in boxing at the Olympics, became a five-time World Champion, and is a member of the International Boxing Hall of Fame. Hill became a collegiate track and field runner, with her eyes set on attending the Summer Olympics.

Hill ran throughout college, but became interested in bobsled, realizing that the event had many similarities to track and field, like requiring an explosive sprint at the beginning to maintain the speed of the sled. She proved herself to be a natural in the event and joined the Army in 2024 to continue her pursuit of competition, placing fourth at the 2024 World Championships in Winterberg, Germany, and third at the World Cup in Lillehammer, Norway. Although her path is different from what she originally planned, Hill hopes to make her Olympic debut with her family and the Army’s support.

The path to becoming an elite athlete is different for everyone, but the training, values and dedication it takes to be an Army Soldier translate directly to athletic success. Both require a desire for excellence, physical discipline, mental agility, training and teamwork. These attributes ensure the Soldier-athletes are prepared to perform well in any environment, including the Olympic stage.

Learn more about the U.S. Army’s Soldier-athletes and the possibilities of Army service at GoArmy.com.