Category: Brandpoint Health

2018-03-23T08:00:00

(BPT) – When you’re shopping for something, it’s good to have options to help you decide on the best choice for you.

This remains true when shopping for health care providers. However, determining which of the numerous health care options is right for you can be difficult. Like what’s the difference between a doctor of osteopathic medicine (D.O.) and a medical doctor (M.D.), or the difference between a physician assistant and a nurse practitioner?

If such questions have you confused, this article is a handy guide to help you understand your options and choose the right health care professional for you.

Doctor of osteopathic medicine

As mentioned above, D.O. stands for doctor of osteopathic medicine, and while D.O.s receive equivalent training to a medical doctor (M.D.), they also receive 200 hours of training in osteopathic manipulative medicine, which is used to diagnose and treat structural and functional issues in the bones, joints, tissues and muscles of the body.

D.O.s, like M.D.s, are found in all medical specialties, such as emergency medicine, neurology and pediatrics. The difference that sets D.O.s apart is mainly philosophical. D.O.s are trained to take a whole-person approach to patient care, not just focus on treatment of a disease. They also focus on wellness and prevention, while considering the patient’s mental, physical and emotional status, which contribute to overall health.

Medical doctor

M.D.s and D.O.s are the most highly trained health care professionals. This training teaches them to not only treat symptoms but to view the body as a system and link those symptoms to an underlying condition. Both M.D.s and D.O.s prescribe medication and can perform surgery, something others on this list cannot do.

The current market has seen a shortage of doctors in some areas and in some cases people who believe they are being treated by a doctor are actually seeing a person in another role like one of the next three professions.

Physician assistant

P.A.s are able to perform many of the same functions as M.D.s and D.O.s, including ordering X-rays, conducting physical exams and even prescribing medication. However, a P.A.’s training is limited and these professionals work under the supervision of a licensed M.D. or D.O.

Nurse practitioner

Perhaps the least widely known of the five on this list, a nurse practitioner is a registered nurse who has advanced their education and training — via a master’s or doctorate degree — to specialize in a given area, such as women’s health or pediatrics.

In addition to diagnosing conditions, nurse practitioners also prioritize counseling and health education in their work. N.P.s can practice independently in some states while others require them to work under an M.D. or D.O.

Registered nurse

The most common medical professional on this list, R.N.s generally have a Bachelor of Science degree in nursing. They have experience assessing symptoms, offering patient support and recording medical histories. As with nurse practitioners, patient education is a vital component of an R.N.’s role.

Yet, while R.N.s are skilled medical professionals, they are not allowed to work independently and cannot write prescriptions. In all cases an R.N. must work under the supervision of a D.O. or M.D.

Finding the best solution for you

So, which health care professional is right for you? Start by matching your needs to the qualifications of the professionals above and from there, search based on what is most important to you. Be diligent in your search, because finding the perfect solution for your medical needs will make it worth the time spent considering all those options.

To find a practicing D.O. in your area, visit doctorsthatdo.org.

2018-03-21T18:01:01

(BPT) – This article is sponsored advertising content from Amgen, Inc.

Patients living with multiple myeloma and physicians who treat them are realizing the importance of not only treating the underlying disease, but also treating or preventing disease complications. One important area that sometimes gets overlooked is how multiple myeloma can impact the bones. Multiple myeloma is typically characterized by bone lesions, which often result in serious bone problems, defined as broken bones, the need for surgery (to prevent or repair broken bones), the need for radiation treatments to the bone, and pressure on the spinal cord (spinal cord compression).^1,2

While still incurable, availability of new multiple myeloma treatment regimens have been shown to improve survival compared to recent standards-of-care. With these gains in survival, doctors and patients should be considering the importance of setting additional treatment goals to try to prevent some of the problems having multiple myeloma can bring, like fractures and other serious bone problems.³

March is Multiple Myeloma Awareness Month, which recognizes patients like Joshua Fine who are living with this life-threatening, incurable blood cancer that, as of 2014, affected an estimated 118,539 people in the U.S.^4,5

Bone lesions were present at the time of Joshua’s diagnosis and, in his case, were an indication of the underlying disease.⁶

“After I was diagnosed with multiple myeloma, I experienced significant damage to my hip and had to begin using crutches. My doctor wanted to avoid surgery,” recalled Joshua. “We immediately discussed the importance of getting on a bone targeting agent to help protect my bones from further damage.”

Until recently, treatment options to prevent serious bone problems in patients with multiple myeloma were limited to bisphosphonates, most commonly given as an intravenous infusion.⁷ These are cleared by the body through the kidneys. Renal impairment (which means your kidneys are not working normally) is a common problem for patients with multiple myeloma.⁷ In fact, approximately 60 percent of all multiple myeloma patients have or will develop renal impairment over the course of the disease.⁸

There is a new bone targeting medicine available, called XGEVA^® (denosumab), that is not cleared through the kidneys and can help prevent serious bone problems in patients with multiple myeloma.⁹ XGEVA^®‎, a prescription medicine given as a shot once every four weeks in your doctor’s office, is used to prevent fracture, spinal cord compression, or the need for radiation or surgery to bone in patients with multiple myeloma and in patients with bone metastases from solid tumors.¹⁰

XGEVA^® should not be used by women who are pregnant because it could harm the unborn baby. XGEVA^® should not be used by people with low blood calcium levels (hypocalcemia). XGEVA^® can cause low blood calcium levels, which in some cases could be life threatening. Patients with renal impairment are more likely to have problems with low calcium levels in their blood while taking XGEVA. Your doctor should check your blood calcium levels before you start and while on XGEVA^®. Take calcium and vitamin D supplements as directed by your doctor while you are on XGEVA^®. Please see the additional Important Safety Information at the end of this article to learn about risks to consider when talking to your doctor about starting XGEVA^®.

In the largest international multiple myeloma clinical trial ever conducted, which enrolled 1,718 newly diagnosed patients, XGEVA^® was no worse at reducing the risk of having a serious bone problem than another drug called zoledronic acid, based on the time to first on-study serious bone problem (median 22.8 months vs. 24 months, respectively).^10,11

Despite the risk of experiencing a serious bone problem, 36 percent of myeloma patients remain untreated for the prevention of bone problems.¹² XGEVA^® offers multiple myeloma patients protection from serious bone problems, with a convenient shot under the skin, instead of an intravenous infusion, providing patients with an alternative treatment option. Your doctor will check your blood before you start XGEVA^® to make sure you do not have low calcium levels in your blood.¹⁰

“Since my diagnosis I have learned a lot about the effect multiple myeloma has on the body, especially the bones,” Joshua said. “I’m excited about the approval of XGEVA in multiple myeloma as it provides patients like me a new option that can help prevent serious bone problems.”

For more information about how XGEVA^® can prevent serious bone problems in patients with multiple myeloma, and for support tools such as a list of questions for your doctor, visit http://www.xgeva.com/.

Important Safety Information

Do not take XGEVA^® if you have low blood calcium (hypocalcemia). Your low blood calcium must be treated before you receive XGEVA^®. XGEVA^® can significantly lower the calcium levels in your blood and some deaths have been reported. Take calcium and vitamin D as your doctor tells you to. Tell your doctor right away if you experience spasms, twitches, cramps, or stiffness in your muscles or numbness or tingling in your fingers, toes, or around your mouth.

Do not take XGEVA^® if you are allergic to denosumab or any of the ingredients of XGEVA^®. Serious allergic reactions have happened in people who take XGEVA^®. Call your doctor or go to your nearest emergency room right away if you have any symptoms of a serious allergic reaction, including low blood pressure (hypotension); trouble breathing; throat tightness; swelling of the face, lips, or tongue, rash; itching; or hives.

What is the most important information you should know about XGEVA^®?

Do not take XGEVA^® if you take Prolia. XGEVA^® contains the same medicine as Prolia^® (denosumab).

Severe jaw bone problems (osteonecrosis)

Severe jaw bone problems may happen when you take XGEVA^®. Your doctor should examine your mouth before you start, and while you are taking XGEVA^®. Tell your dentist that you are taking XGEVA^®. It is important for you to practice good mouth care during treatment with XGEVA^®. In studies of patients with bone involvement, the rate of severe jaw problems was higher the longer they were being treated with XGEVA^®.

Unusual thigh bone fracture

Unusual thigh bone fracture has been reported. Symptoms of a fracture include new or unusual pain in your hip, groin, or thigh.

Risk of high calcium levels in patients who are still growing

Patients with bones that are not fully matured are at a greater risk to develop high blood calcium levels after they stop taking XGEVA^®, that can be serious.

Increased risk of broken bones in the spine after discontinuing XGEVA^®

After your treatment with XGEVA^® is stopped, your risk for breaking bones in your spine can increase, especially if you have a history of risk factors such as osteoporosis or prior fractures.

Possible harm to your unborn baby

You should not become pregnant while taking XGEVA^®. Tell your doctor right away if you are pregnant, plan to become pregnant, or suspect you are pregnant. XGEVA^® can harm your unborn baby.

Tell your doctor if you:

• Are taking a medicine called Prolia^® (denosumab) because it contains the same medicine as XGEVA^®
• Have symptoms of low blood calcium such as muscle stiffness or cramps
• Have symptoms of severe jaw bone problems such as pain or numbness
• Have ongoing pain or slow healing after dental surgery
• Have symptoms of high blood calcium such as nausea, vomiting, headache, and decreased alertness
• Are pregnant, plan to become pregnant, suspect you are pregnant, or breastfeeding

While taking XGEVA^®, you should:

• Take good care of your teeth and gums and visit a dentist as recommended
• Tell your dentist that you are taking XGEVA^®
• Tell your doctor if you plan to have dental surgery or teeth removed
• Talk to your doctor before you stop taking XGEVA^® about your risk for broken bones in your spine.
• Women of child bearing age should use highly effective contraception while taking XGEVA^® and for at least 5 months after the last dose of XGEVA^®

What are the possible side effects of XGEVA^®?

In patients with bone metastases from solid tumors using XGEVA^®, the most common side effects were tiredness/weakness, low phosphate levels in your blood, and nausea. The most common serious side effect of XGEVA^® was shortness of breath.

In multiple myeloma patients receiving XGEVA^®, the most common side effects were diarrhea, nausea, low red blood cells, low blood platelets and calcium levels, back pain, swelling of the lower legs or hands, upper respiratory tract infection, rash, and headache. The most common serious adverse reaction in multiple myeloma patients was pneumonia.

These are not all the possible side effects of XGEVA^®. For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1–800–FDA1088.

Please see Full Prescribing Information.

*BPT: Brandpoint

References

1. Roodman GD. Pathogenesis of myeloma bone disease. Leukemia. 2009;23(3):435–441.
2. Drake MT. Bone disease in multiple myeloma. Oncology (Williston Park). 2009;23 (14 Suppl 5):28-32.
3. Rajkumar, SV, Moreau, P. Advances in biology and therapy. Nat Rev Clin Oncol. 2014; 11.
4. Jakubowiak A. Management Strategies for Relapsed/Refractory Multiple Myeloma: Current Clinical Perspectives. Semin in Hematol. 2012; 49(3)(1),S16-S32.
5. NCI SEER Cancer Stat Facts: Myeloma. www.seer.cancer.gov/statfacts/html/mulmy.html. Accessed August 28, 2017.
6. International Myeloma Working Group. International Myeloma Working Group (IMWG) Criteria for the Diagnosis of Multiple Myeloma. http://imwg.myeloma.org/international-myeloma-working-group-imwg-criteria-for-the-diagnosis-of-multiple-myeloma/. Accessed January 24, 2018.
7. Terpos E, et al. International Myeloma Working Group recommendations for the treatment of multiple myeloma-related bone disease. J Clin Oncol. 2013;31(18):2347-57.
8. Qian Y et al. Renal impairment and use of nephrotoxic agents in patients with multiple myeloma in the clinical practice setting in the United States. Cancer Med. 2017;6:1523-1530XGEVA^® (denosumab) prescribing information, Amgen.
9. Lewiecki EM. Denosumab: an investigational drug for the management of postmenopausal osteoporosis. Biologics: Targets & Therapy. 2008;2:645-653, 638-A-2.
10. XGEVA^® (denosumab) Prescribing information, Amgen.
11. Raje et al. Denosumab versus zoledronic acid in bone disease treatment of newly diagnosed multiple myeloma: an international, double-blind, double-dummy, randomised, controlled, phase 3 study [published online ahead of print February 8, 2018]. Lancet Oncol. https://doi.org/10.1016/S1470-2045(18)30072-X.
12. Kim, C., Hernandez, R. K., Cheng, P. C., Smith, J., Cyprien, L., & Liede, A. (2016). Bone Targeting Agent Treatment Patterns Among Patients with Multiple Myeloma Treated at Oncology Clinics Across the United States: Observations from Real-World Data. Blood. 128(22), 2364.

2018-03-22T08:31:01

(BPT) – You finish a workout and when you’re done, you reach for a bottle of water. Afterward, you shower, the clean water hitting your skin and then, that evening, you use water to prepare dinner for your family. It’s a standard day for you, but what if you were one of the millions of people around the world who didn’t have access to the clean water needed for life’s daily routines?

What if the clean water you rely on every single day wasn’t available?

While many people take clean water for granted, access remains a challenge for millions. Across the world, more than 844 million people lack access to clean drinking water. In some cases, the women and girls in the community, often those responsible for tasks requiring water, have to walk miles to reach the nearest water source. This is a staggering truth in countries around the world, yet many Americans are still unaware of how serious the problem really is.

Raising awareness

Recent research from Procter & Gamble (P&G) finds that one in four Americans underestimates the number of children who die each year because of waterborne illness, and that most Americans have no idea how many people struggle to have clean water.

To raise awareness of the global water crisis, P&G launched a new documentary in partnership with National Geographic, titled “The Power of Clean Water,” to honor World Water Day celebrated each year on March 22 and feature the impact of the P&G Children’s Safe Drinking Water (CSDW) Program.

The documentary follows the lives of three women and their families in three areas of the world where many lack access to clean water. Documentary viewers visit Indonesia, Kenya and Mexico and see firsthand the daily challenges of living without clean water and how transformational it can be when clean water is available in a community.

The new film is the latest initiative for the CSDW Program, which began in 2004 and has since worked with more than 150 partners and organizations to provide P&G’s water purification technology to communities that lack access to clean drinking water. To date, P&G, along with its partners, has delivered more than 13 billion liters of clean water to people who need it.

Helping those in need

If you’re interested in helping those affected by the global water crisis, take a moment to view highlights of the documentary and learn how the lack of clean water impacts people around the world. From there, take action by making a donation, getting others involved through a fundraiser or by purchasing a water purification demonstration kit with packets to share the power of clean water with others. Every action, large or small, makes a difference. To learn more about CSDW, visit www.csdw.org.

2018-03-20T14:45:01

(BPT) – How would you describe happiness? You may have trouble putting it into words, but you know you want it for yourself and your loved ones. One thing that’s harder than describing it for many people is knowing how to achieve it.

Researchers studying social emotional well-being define happiness as a balance: the combination of how frequent and robust your positive emotional experiences are, how gracefully you recover from difficult experiences, and how meaningful and worthwhile you feel your life is overall.

“Happiness is the ability to consistently recognize that life is good, even if it’s difficult,” says Dr. Emiliana Simon-Thomas, Ph.D., science director of the Greater Good Science Center at the University of California Berkeley. “It’s being able to identify and enjoy the positive times but also have resiliency to bounce back from the hard times.”

This is particularly important for youth. Research shows two out of three American teens are stressed and many don’t know how to cope. When school is in session, teens are the most stressed group in the country. The inability to reduce and cope with stress and anxiety can negatively impact different facets of a teen’s life including their health, friendships, relationships with parents and academic performance.

To help further the idea that happiness skills must be learned, Simon-Thomas identified six Sustainable Happiness Skills which provide the foundation for a new initiative called Life’s Good: Experience Happiness, which helps bring scientific, evidence-based tools and sustainable happiness skills directly to young people across America. Backed by 70 years of scientific research showing that happy people are healthier, live longer, earn more and do better in school and life, the platform aims to reach, teach and increase sustainable happiness.

Happiness is associated with several positive health effects, according to the Journal of Happiness Studies, including less insulin resistance, better sleep, higher HDL cholesterol levels and less reactivity to stress. Additionally, teens who identify as happy are more creative, helpful and sociable.

Research has also shown that happy kids do better in school. Happy learners remember information better and happiness is positively associated with GPA. The research also shows that schools that teach happiness skills outperform schools that don’t, and typically experience dramatic drops in bullying, absenteeism and discipline issues. They also see impressive gains in student engagement, optimism, test scores and executive functioning skills that are key to future success.

When practiced, the six sustainable happiness skills can sustain a person’s ability to recognize that life’s good, even if it’s hard sometimes, according to the research from Simon-Thomas. These are the foundation of Life’s Good: Experience Happiness, the new corporate social responsibility initiative led by LG Electronics USA.

Mindfulness: Being aware of your thoughts and feelings in the present moment, without judging those thoughts or feelings as admirable, shameful or anything in between.

Human connection: Building and sustaining relationships with significant others, friendships and social engagement with peers, which is the most reliable, enduring predictor of happiness in life.

Positive outlook: Harnessing the ability to imagine a fruitful outcome and maintain a readiness to pursue and experience the opportunity in any circumstance.

Purpose: Understanding your ability to make a difference in the world, at work, school or for a team leads to a refined sense of purpose and increases your sense of happiness.

Generosity: Helping and giving to others can increase one’s own happiness. According to a study overseen by Harvard University, people who donated time or money were 42 percent more likely to be happy when compared to those who didn’t.

Gratitude: The simple act of appreciating and thanking others for the goodness they contribute to your life helps foster happiness.

To learn more about these six skills, find tools you can use to teach happiness skills to your children and start your own journey to sustainable happiness, visit www.LGExperienceHappiness.com. A primary focus of the Life’s Good: Experience Happiness platform is driving positive change in lives across America with the goal of equipping 5.5 million youth with happiness skills over five years.

2018-03-28T12:01:00

(BPT) – Did you know that according to the Glaucoma Research Foundation (GRF), nearly 3 million people in the U.S. have glaucoma, and about half of them don’t even realize they have it? Glaucoma is often called the “silent thief of sight” because it is asymptomatic and painless, and can go undetected until it is at an advanced stage. However, those who are aware of their glaucoma may feel the pressure of managing their condition.

The National Eye Institute (NEI) characterizes glaucoma as damage to the eye’s optic nerve that can result in vision loss. This can occur when fluid build-up increases the intraocular eye pressure (IOP) to a point that can no longer be tolerated by the optic nerve, causing irreversible damage. As the disease progresses, Kellogg Eye Center reports patients may lose their peripheral vision, and experience tunnel vision, blind spots or even complete blindness.

The burden of managing the condition may be frustrating, seemingly unnecessary and cumbersome. Because glaucoma is a chronic condition, it has to be managed for life. However, the nerve damage caused by increased IOP could have no symptoms, which makes adhering to a treatment schedule a struggle for many. The GRF reports that research has shown approximately 40 percent of patients do not take their glaucoma medications as prescribed, or do not continue to refill them.

“The daily adherence to strict treatment regimens is overwhelming for many patients suffering from increased intraocular pressure associated with glaucoma,” said Dr. Brian Flowers* of Ophthalmology Associates in Fort Worth, Texas. “Patients should work closely with their eye care provider to determine a schedule that works for them, or to discuss surgical options that may help reduce dependence on daily drops.”

Alcon, the global leader in eye care, offers the following tips that may help relieve the pressure of daily treatment regimens for their IOP.

1. Visit your doctor for a regular eye screening. Since the condition can silently progress, only experts can appropriately diagnose and treat this “silent thief of sight,” while providing guidance on treatment that may work best for you.
2. Follow a schedule that works best for you. Be sure to take your medication exactly as directed, by setting reminders or timers, according to the GRF. Consult your doctor on the best way to manage your medication schedule, on your terms.
3. Consider one of the microinvasive glaucoma surgical (MIGS) options that may reduce your need for glaucoma medications. For those with increased IOP associated with mild-to-moderate primary open angle glaucoma and undergoing cataract surgery, the CyPass^® Micro-Stent from Alcon is an innovative option that not only can ease the pressure in your eyes, but may also help reduce daily dependence on topical glaucoma medications. Talk to your doctor to see if this option is right for you.

“The first step to easing the pressure caused by glaucoma is becoming informed, and knowing to visit your doctor regularly so that you can be diagnosed as early as possible,” said Dr. Randy Craven* of Johns Hopkins Medicine in Baltimore, Maryland. “After being diagnosed, work with your doctor to consider your options so you can continue to live your life fully despite the condition.”

Considering your personal lifestyle when deciding your course of treatment is key to easing the pressure due to glaucoma, and will help you and your doctor decide the best path forward, and whether a MIGS option, such as CyPass^® Micro-Stent, could be right for you.

Visit MyCyPass.com for more information about how you can lower your eye pressure at the same time as cataract surgery and to find a CyPass^® Micro-Stent surgeon in your local area.

CyPass^® Micro-Stent Important Product Information

INDICATION: The CyPass^® Micro-Stent is used to reduce intraocular pressure (IOP) in adult patients with mild to moderate primary open-angle glaucoma (POAG) who are undergoing cataract surgery.

CONTRAINDICATIONS: The CyPass^® Micro-Stent should not be used if:

• You have a type of glaucoma other than primary open-angle glaucoma
• Your eye anatomy or condition is unusual; for instance, if the area in your eye is too narrow to implant the CyPass^® Micro-Stent, or if there is a condition that may prevent your eye surgeon from seeing where the CyPass^® Micro-Stent will be implanted

PRECAUTIONS: Your eye surgeon will monitor you after surgery to make sure your eye pressure is controlled. If it is not, your eye surgeon may recommend appropriate medication or other treatment to control your eye pressure. The safety and effectiveness of use of more than a single CyPass^® Micro-Stent has not been established. The CyPass^® Micro-Stent has not been shown to be an alternative to treatment of glaucoma with medicine.

ADVERSE EVENTS: The CyPass^® Micro-Stent was studied in a clinical trial to compare the performance of cataract surgery with the CyPass^® Micro-Stent to cataract surgery alone (without the CyPass^® Micro-Stent). In this study, the most common adverse events in both groups included: significant loss of corrected vision (8.8% for the CyPass^® Micro-Stent vs 15.3% for cataract surgery only); visual field disturbances requiring steroid eye drops 30 or more days after surgery (8.6% vs 3.8%); significant worsening of visual field (6.7% vs 9.9%); significant increases in intraocular pressure 30 or more days after surgery (4.3% vs 2.3%); and eye swelling either 30 or more days after surgery, or severe in nature (3.5% vs 1.5%).

The CyPass^® Micro-Stent is a prescription medical device.

Talk to your eye doctor to see if the CyPass^® Micro-Stent is right for you.

*This release was provided by Alcon and Drs. Craven and Flowers are paid consultants.

2018-03-28T13:00:00

(BPT) – Carolyn Rios and her husband Rick have adventured far and wide together. From their post-college move to the Alaskan wilderness to 20 years of humanitarian work in Russia, this couple of more than 50 years has shared experiences that have far exceeded their imaginations.

Decades of adventure together — including a forced landing in their bush plane when its engine failed over a mountain range — have helped Carolyn and Rick learn to face and effectively manage unexpected challenges. But even as the two have come to expect the unexpected, nothing could have prepared the couple for Carolyn’s diagnosis at age 69 with the rare lung disease idiopathic pulmonary fibrosis, or IPF, in 2015.

“All of my emergency training could not equip me for the day Carolyn was diagnosed,” said Rick. “My initial thought was, ‘What do I do now? Where’s the emergency plan? How do we land this plane?’”

IPF causes permanent scarring of the lungs. It affects up to 132,000 Americans and yields about 50,000 new cases every year. A proper diagnosis for IPF patients often takes years because its symptoms, including breathlessness and a dry persistent cough, are similar to — and easily confused with — other more common and recognizable lung diseases, such as chronic obstructive pulmonary disorder (COPD) or asthma.

After Carolyn’s diagnosis, she experienced a period of deep concern for taking the next best steps — spiritually, emotionally and medically. Praying brought her comfort and clarity. Sharing the news with their two sons, family members and close friends brought support and companionship. The medical information seemed so bleak, yet her energy to pursue the next best steps remained. Thankfully, she and Rick were able to identify a pulmonologist who educated the two on Ofev^® (nintedanib), a treatment option that could help slow the progression of the disease.

Armed with information about IPF and potential treatment options, Carolyn and Rick started thinking about IPF as their next adventure and charted their course. Carolyn began taking Ofev^®, and Rick became her helper, assisting her to map out her daily regimen, track her medications and doctor appointments and follow a precise exercise and nutrition plan.

Today, Carolyn’s regular checkups have indicated only a slight drop in lung function. She experiences queasiness due to the medication but works with her doctors — her “adventure guides” — to manage this by eating certain foods prior to taking the medication.

“Life leads us on many adventures. Some adventures we plan, others are unexpected, and others challenge us more than we expect! But regardless, every adventure teaches us something if we’re willing to learn,” said Carolyn. “Experiencing IPF is another one of life’s adventures for me and accepting the challenges that come with it brings me to a deeper understanding of the true essence of my life. Each day still has opportunities to love well — with or without IPF.”

Carolyn and Rick are still able to travel together and most recently planned five trips for their 50th wedding anniversary — one trip to celebrate each decade of their adventure-packed marriage. And while their new “adventure” with IPF is ongoing, they are determined to focus instead on their time together and with their sons and grandchildren.

To learn more about Ofev^® visit www.Ofev.com.

What is OFEV?

OFEV is a prescription medicine used to treat people with a lung disease called idiopathic pulmonary fibrosis (IPF). It is not known if OFEV is safe and effective in children.

Important Safety Information

What is the most important information I should know about OFEV (nintedanib)?

OFEV can cause harm, birth defects or death to an unborn baby. Women should not become pregnant while taking OFEV. Women who are able to become pregnant should have a pregnancy test before starting treatment and should use birth control during and for at least 3 months after your last dose. If you become pregnant while taking OFEV, tell your doctor right away.

What should I tell my doctor before using OFEV?

Before you take OFEV, tell your doctor if you have:

• liver problems
• heart problems
• a history of blood clots
• a bleeding problem or a family history of a bleeding problem
• had recent surgery in your stomach (abdominal) area
• any other medical conditions.

Tell your doctor if you:

• are pregnant or plan to become pregnant.
• are breastfeeding or plan to breastfeed. It is not known if OFEV passes into your breast milk. You should not breastfeed while taking OFEV.
• are a smoker. You should stop smoking prior to taking OFEV and avoid smoking during treatment.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, herbal supplements such as St. John’s wort.

What are the possible side effects of OFEV?

OFEV may cause serious side effects.

TELL YOUR DOCTOR RIGHT AWAY if you are experiencing any side effects, including:

• Liver problems. Unexplained symptoms may include yellowing of your skin or the white part of your eyes (jaundice), dark or brown (tea colored) urine, pain on the upper right side of your stomach area (abdomen), bleeding or bruising more easily than normal, feeling tired, or loss of appetite. Your doctor will do blood tests regularly to check how well your liver is working during your treatment with OFEV.
• Diarrhea, nausea, and vomiting. Your doctor may recommend that you drink fluids or take medicine to treat these side effects. Tell your doctor if you have these symptoms, if they do not go away, or get worse and if you are taking over-the-counter laxatives, stool softeners, and other medicines or dietary supplements.
• Heart attack. Symptoms of a heart problem may include chest pain or pressure, pain in your arms, back, neck or jaw, or shortness of breath.
• Stroke. Symptoms of a stroke may include numbness or weakness on 1 side of your body, trouble talking, headache, or dizziness.
• Bleeding problems. OFEV may increase your chances of having bleeding problems. Tell your doctor if you have unusual bleeding, bruising, or wounds that do not heal and/or if you are taking a blood thinner, including prescription blood thinners and over-the-counter aspirin.
• Tear in your stomach or intestinal wall (perforation). OFEV may increase your chances of having a tear in your stomach or intestinal wall. Tell your doctor if you have pain or swelling in your stomach area.

The most common side effects of OFEV are diarrhea, nausea, stomach pain, vomiting, liver problems, decreased appetite, headache, weight loss, and high blood pressure.

These are not all the possible side effects of OFEV. For more information, ask your doctor or pharmacist. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit https://www.fda.gov/Safety/MedWatch/default.htm or call 1-800-FDA-1088.

For full Prescribing Information, including Patient Information, visit OFEV.com or contact Boehringer Ingelheim Pharmaceuticals at 1-800-542-6257

2018-04-11T07:01:01

(BPT) – Hard water, which contains high levels of calcium and magnesium, can be found in nearly 90 percent of American homes. These minerals cause scaling, a buildup that clogs waterlines and plumbing forcing appliances to work harder and operate less efficiently. The scale may also harbor bacteria. The only way to truly remove the hard and soft scale from household water systems is with salt-based water softeners.

The environmental and cost benefits of salt-based water softening are significant. Hard water scaling can cause your showerhead to lose up to 75 percent of its flow rate in just 18 months. Hard water also interacts negatively with soap, reducing its cleaning power. Soft water is up to 12 times more effective at cleaning dishes than increasing the amount of detergent used.

According to the Water Quality Research Foundation for washing machines, the most important factor in removing stains from clothing was water softness. Reduction of water hardness was up to 100 times more effective at stain removal than increasing the detergent dose or washing with hotter water. In fact, soft water can reduce soap use by as much as half. Hard water can also reduce the efficiency of water heaters and increase electricity costs by as much as 48 percent, according to the Battelle Memorial Institute.

Hard water scaling doesn’t just harm your appliances and wallet, it can harm your health as well. The piping used in home plumbing, whether it is copper or PVC, has very smooth interior surfaces that don’t permit bacteria to settle and grow. However, hard water results in scale formation on the interior surfaces of those pipes and that provides a perfect home for bacteria.

Researchers at the School of Sustainable Engineering at Arizona State University found bacteria may grow in pipes filled with both hard scale and soft scale at the same rate. This is important new information because some forms of water conditioning produce this soft scale. The only solution is to remove both hard and soft scale in the pipes with a salt-based water softener.

Hard water you use to wash your fresh fruits and vegetables may actually contain more bacteria, and the problem isn’t only in the kitchen. When you take a hot shower the steam you are inhaling can also contain the same microbial contamination that is in the rest of your plumbing, exposing you to bacteria such as Legionella, which can cause Legionnaire’s disease.

A salt-based water softener is the most functional and cost-effective means of removing hardness minerals. It is a time-tested, highly reliable tool to improve health and to lower maintenance costs for home appliances like dishwashers and washing machine. It also reduces the need for detergents and high-water temperatures, leading to a smaller household carbon footprint.

2018-04-03T09:01:00

(BPT) – Many women and their doctors are still confused about the safety of estrogen. When introduced, estrogen was believed to be good for you. But, following the Women’s Health Initiative study 15 years ago, women were told that hormone therapy could, in fact, lead to an increased risk of cancer, blood clots and heart disease. Nothing could be further from the truth, according to Dr. Mache Seibel, author of The Estrogen Fix.

Today, women are learning that use of hormone therapy (HT) can minimize risks and maximize menopausal relief for common symptoms like hot flashes, dryness, mood swings, fractured sleep, brain fog, irritability and weight gain. When taken at the right time, estrogen therapy can lead to substantial improvements in health and quality of life and lower the risk of breast cancer, heart disease, and dementia. Women should be aware of one caveat: beginning estrogen after a woman’s estrogen window closes at age 65 may increase their risk for breast cancer, heart disease, Alzheimer’s and osteoporosis.

Heeding advice about how and when to stop taking HT is important and revealed in new studies featured in Dr. Seibel’s The Estrogen Fix. The book reaffirms the safety of vaginal estrogen for the heart and brain, as well as its effectiveness in controlling weight; additionally, the book outlines newly available estrogens and progesterones, discusses misconceptions about compounded hormones and estrogen pellets and offers the latest hormone-free FDA solutions for women with vaginal dryness.

The following are 5 creative approaches to combat menopausal symptoms:

1. Hot flashes: Women experiencing hot flashes and night sweats can find relief using an FDA-approved estrogen hormone therapy called Divigel, a cool, clear gel that is applied to the upper thigh daily. It contains the plant-based estrogen hormone estradiol, the same hormone made naturally by a woman’s ovaries before menopause and delivers estrogen identical to that naturally produced in the body.

2. Irritability/sleeplessness: Quality sleep is often a challenge during menopause and can contribute to high blood pressure, diabetes, heart disease and obesity. A natural supplement with melatonin like Vitafusion Beauty Sleep promotes a good night’s sleep without prescription medication. Sex and/or self-pleasure are natural ways to decrease stress and can help with the onset and quality of sleep. The oxytocin released with hugging, stimulation and orgasm can increase feelings of calm and safety, causing cortisol levels to drop, thus optimizing sleep. Orgasm releases prolactin, helping you fall asleep faster and more efficiently.

3. Painful sex: Internal vaginal dryness can be relieved for three days with hormone-free Replens Vaginal Moisturizer. Alternatively, prescription remedies like vaginal estrogen or DHEA can be used. Don’t forget to incorporate a personal silicone lubricant like Replens Silky Smooth just before sex to ease penetration, increase comfort and reduce abrasion.

4. Weight gain? Eat to defeat menopause: Food is the fuel for every cell in your body, so avoid packaged and processed foods and limit sugary drinks and desserts to ensure you’re optimizing energy. Stick to unprocessed whole foods as there are no hidden ingredients or calories. Your body will also appreciate fresh and/or organic produce and hormone-free meat or grass-fed beef as often as possible. Eat to Defeat Menopause: The Essential Nutrition Guide for a Healthy Midlife offers practical advice and information on how to choose and prepare meals to optimize health during menopause.

5. Hair lacking luster, less-than-glowing skin and brittle nails: Loss of estrogen leaves many women dealing with thinning hair, increased dry skin and brittle or breaking nails. Introducing biotin into your diet with a raspberry-flavored gummy like Vitafusion Gorgeous Hair, Skin & Nails can ensure you’re consuming sufficient biotin and other helpful nutrients including vitamins C and E.

Every woman has safe, new options, from prescription HT to those available over-the-counter, to suit her unique needs. Schedule a chat with your health provider to discuss the right hormone therapy or alternative option for your personal menopausal challenge.

2018-04-05T08:01:00

(BPT) – Whether it’s scrubbing through grime to reveal a sparkling surface, cleaning dust bunnies from under appliances or organizing your pantry, there’s something oddly satisfying about a deep clean.

According to a recent survey conducted on behalf of Clorox, lots of people get the good vibes flowing when it’s cleaning day. Seventy-one percent say it makes them feel relaxed, while 57 percent say they feel accomplished.

Of the most oddly satisfying places to clean in the house, 34 percent say they find their bliss after cleaning the countertops, while a clean microwave lends that special feeling to another 30 percent.

To reach that spring cleaning joy, try some of these not-so-obvious cleaning jobs that will transform the look and feel of your space into a springtime sanctuary.

Grout: Over time, mold and mildew buildup can make your bathroom grout look dingy, but with the right approach, the grout stains will disappear. Start by wetting the tile with a cloth. Then, dip a sponge into a gallon bucket of water with 3/4 cup of bleach and wipe down the tile. Wait five minutes for disinfecting, rinse and viola! Your tiles will shine, offset by the clean lines of white grout.

Microwave: We don’t like to think about it, but a lot of hard-to-remove food residue accumulates in our microwaves and we rarely spend the time to give it a thorough clean. Microwave a cup of water and in five minutes the steam will help loosen the stains. A Clorox Disinfecting Wipe will take care of those extra stubborn messes.

Dust: In addition to moving aside the beds, appliances and other heavy pieces of furniture to get those dust bunnies, make sure you’re tackling the not-so-obvious places. Use the vacuum’s brush attachment to clear your HVAC register vents and don’t forget to dust the tops of fan blades!

Windows: Those panes have taken quite a beating over the months. It’s time to get a soft sponge and a bucket of warm, soapy water to defeat the smudges and layers of dirt, and then wipe them clean with a squeegee. You’ll love how sparkling clean glass transforms the room.

Outdoor surfaces: Right outside your back door is a golden opportunity for a deep clean. Rent or borrow a pressure washer, and once it’s set up, you can enjoy watching the blast of water and degreaser effortlessly turn your concrete walkways and driveway into bright clean surfaces — like a magic wand. To easily remove the mold and mildew off your deck and patio furniture, add 3/4 cup of bleach to a gallon of water and swipe away the stains from seasons past.

Try these tips and enjoy basking in the satisfaction of a deep-cleaned house. To find the tools you need for the job, visit Clorox.com/satisfyingspringclean/.

2018-04-02T12:45:00

(BPT) – It’s time for America’s workforce to wake up. If you are one of the tens of millions of adults sleeping fewer than seven hours each night — the amount recommended by the American Academy of Sleep Medicine (AASM) — you are likely jeopardizing performance, increasing accident risks and putting everyone in danger during commutes. Getting enough sleep every night is key to improving productivity, safety and quality of life.

Here are some tips to make sleep work for you.

Don’t burn the midnight oil

Working late nights might impress your boss, but restricting your sleep can lead to trouble making decisions, solving problems, controlling emotions and more, severely affecting your productivity at work. The National Safety Council reports that workers who sleep fewer than six hours per night cost employers six days a year in productivity.

Sleep for safety

Workers who sleep less than six hours per night are also at higher risk for injury, according to the Sleep Research Society. Cognitive and motor performance impairments caused by sleep deprivation can be comparable to drinking alcohol. If you make it a daily priority to recognize the signs of fatigue before, during and after work, and refuse to drive drowsy, you can reduce the risk of serious injury for yourself and others. This may be especially true if you work a job that involves manual labor or heavy machinery.

Strategies for non-traditional work hours

Some of the more high-risk professions involve working irregular hours. Shift workers — who can be nurses, law enforcement officers, emergency responders, transportation operators and more — work overnight or early morning hours with irregular or rotating shifts, causing upheaval in the body’s circadian rhythm and natural sleep/wake cycle. According to the AASM, shift workers may sleep up to four fewer hours per night than those working traditional hours, increasing the risk for injuries, accidents and drowsy driving. The CDC reports that serious long-term health problems are a concern, too.

However, there are ways for shift workers to combat this problematic sleep schedule.

Tips for ‘wake time’

* Avoid exposure to sunlight if you need to sleep during the day, and wear sunglasses if you must go outside.

* Use moderate amounts of caffeine in the early part of your shift.

* Use public transportation, rideshare or take a cab, or arrange rides from friends or family after a work shift.

* Take a 20- to 30-minute nap during a work break or before a night shift.

* Get help from a sleep specialist to reinforce your body clock with strategically timed bright light therapy.

Tips for ‘sleep time’

* Avoid caffeine and alcohol in the hours before you go to bed.

* Plan for any major changes in your shift schedule by altering your sleep time a few days in advance.

* Try to keep the same schedule on workdays and days off and create an effective “wind down” routine before going to bed.

* Keep your bedroom at a cool temperature, turn off all electronics and only do relaxing activities like reading or journaling.

Use the National Healthy Sleep Awareness Project’s bedtime calculator, which helps you find your ideal bedtime based on when you need to wake up for work — even if that’s in the middle of the night.

Getting at least seven hours of sleep isn’t just a matter of feeling alert for productivity and safety on the job; it’s a necessary component of good health and well-being. If you’re having trouble sleeping, you should talk to your doctor, who may refer you to a board-certified sleep medicine physician at an accredited sleep center for help. For more information go to www.sleepeducation.org.