February 2019 – Page 5

February 13, 2019

Connectivity is king this home-buying season

2019-02-12T13:15:00

(BPT) – The spring home-buying season is just around the corner and that means people are busy making improvements to get their homes ready to sell. These days, home upgrades are increasingly focused on one key feature: connectivity. In 2019, buyers want smart homes they can easily control from anywhere. From smart HVAC and sprinkler systems to connected garage door openers, it’s all about creating convenience and comfort.

Security gets connected

Security systems are nothing new, but the technology used to arm those systems is changing rapidly. More and more home security companies now offer fully connected systems that allow users to protect and monitor their homes from any smart device. Whether it’s a live video feed, the ability to lock and unlock doors remotely or just checking that all sensors are working properly, integrated security systems offer peace of mind. Having the infrastructure in place can be a selling point for buyers who want to make sure their new home is as safe as possible, given they’ll only have to set up the monitoring subscription upon move-in.

Updated garages add value

According to Remodeling Magazine’s 2019 Cost vs. Value survey, a garage door replacement is the number one home improvement project in terms of return on investment. But these days, more homeowners are taking it a step further and installing new technology to make the garage more user friendly. For example, the SilentMax Connect garage door opener from The Genie Company comes with Aladdin Connect technology built-in to improve convenience and functionality. Not only is the opener super quiet — ideal for attached garages — but the connectivity features allow you to check whether your garage door is open or closed, grant individual access with virtual keys, instantly know when someone is operating your garage door (authorized or not), and provide a log of when each opener was used — all from your phone or smart device. Thanks to this technology, you can open the garage door remotely for delivery people, a housekeeper or for your child coming home from school. Considering your garage is one of the most accessed points in your home, this functionality is a great security feature and proves that garages offer more than just storage space. With the right connectivity tools and features, they can provide convenience that will be attractive to future owners.

Save energy, increase comfort

As home improvement trends go, increased connectivity is rivaled only by the desire for more energy-efficient homes. Smart thermostats accomplish both these aims and can increase the value of your home in the process. Smart thermostats let you easily control the temperature in your home from any connected device. You can set a daily schedule for your heater, adjust the temperature in individual rooms or let the system program itself based on your usage history. For energy-conscious buyers, this kind of technology provides a way of living that’s as aspirational as it is attainable.

Lighting the way

Smart lighting has turned from a novelty to a practical tool as products have gotten more advanced. Programmable lighting allows you to schedule when your lights will come on, turn on and off lights remotely or change the lighting to improve aesthetics. With a smart lighting system, you’ll never have to get out of bed to turn the lights off downstairs, and you can always come home to a fully lit house, boosting your sense of security. With these kinds of applications, your home’s lighting can go from a ‘given’ to a must-have, attracting buyers like a moth to a flame.

New, smart products are hitting the market every day. For homeowners savvy enough to incorporate this new technology into their homes, they’ll not only be more connected, but they’ll likely see more offers rolling in when it comes time to sell.

February 12, 2019

Are your home and your wallet prepared for the inevitable?

2019-02-12T08:01:01

(BPT) – Nobody bats an eyelash when it comes to buying homeowner’s insurance, but many homeowners don’t apply that same logic to planning for home repairs — not what might happen, but what will happen.

Only a fraction of the 120 million U.S. households today are protected by a home services plan, also known as a home warranty.

That number is growing, as homeowners recognize the value of coverage when appliances go on the fritz, hot water heaters run cold in the middle of winter or a leaky faucet drives up their water bill. Perhaps one reason more homeowners don’t have home service plans is because they think they are covered through their homeowner’s insurance policy.

Homeowner’s insurance doesn’t protect you from the natural home aging process.

Insurance kicks in when damage occurs from an outside force, like a busted sewer line or roof damage due to a major storm. While insurance covers you when Mother Nature strikes, it doesn’t protect you from the natural wear and tear that your home’s major systems and appliances go through during the aging process. Understanding how home service plans work and how they fit into your financial and risk-planning strategy allows you to be prepared for covered breakdowns, without breaking the bank.

Let’s start at the beginning. What is a home service plan?

Home service plans typically cover the repair or replacement of major home appliances, including refrigerators, washers, dryers, ovens or cooktops, and components of major systems like plumbing, HVAC and electrical.

When your air conditioning system breaks, or your washer or dryer stops spinning, you want the confidence of having a home services plan in place that will help protect your budget.

This is where the true value of a home service plan comes in. Home service providers such as American Home Shield accept service requests and assign professionals to diagnose the problem and offer a solution through its vast network of skilled and trusted contractors, which includes more than 15,000 licensed and qualified pros throughout all 50 states.

What’s the bottom line?

With a home service plan, you won’t pay the full cost of repairing or replacing items covered by your plan. Regardless of age, make or model, your contract helps cover the repair or replacement of items covered in your plan. For example, if your refrigerator malfunctions, your service provider will connect you to a quality contractor to diagnose and repair the problem. This can help reduce the hassle of repairing it yourself and help protect your budget.

Think about your home’s future (and yours).

Service plans can come in handy when selling a home. The appeal speaks for itself: When buyers are making that final decision around one of the biggest investments in their lives, having a home service plan in place gives the new homeowner confidence that the home’s systems and appliances are protected, and they won’t bear the entire financial impact of repairing or replacing it if it breaks down.

The choice seems obvious: Don’t fall victim to the financial risks and mental stresses associated with owning a home. Appliances have set lifespans, breakdowns are inevitable and repairs and replacements are costly. Make sure your home is covered, so you and your wallet can rest assured that your home is taken care of.

February 12, 2019

What you need to know about Age-related Macular Degeneration.

2019-02-12T06:01:00

(BPT) – The ability to see the people, places and things in front of you is one of life’s most precious gifts. Imagine a life without the ability to see these things clearly — what steps would you then take to protect your vision? Life with Age-related Macular Degeneration, or AMD, can potentially lead to vision loss or blindness. While an AMD diagnosis can be a scary thought, there are things people can do to help reduce the risk of progression of the disease. Here’s what you need to know.

What is AMD?

AMD is a leading cause of blindness for people age 65 and older, and an estimated 16 million Americans are living with AMD. AMD affects the macula, the part of the eye that supports central vision. The condition is progressive, which means that central vision can ultimately become impaired, which may cause difficulty keeping up with daily activities like driving, reading or recognizing the faces of loved ones. While there is no cure for AMD, there are steps patients can take to help reduce the risk of progression.

Tips for taking action

Early detection of AMD is imperative. While early-stage AMD often does not present any symptoms or changes in vision, patients should get a comprehensive dilated eye exam once a year, so they may catch the condition early on. This is the best method to receive a proper diagnosis of AMD, as the dilation allows the doctor to see the back of the eye where this issue occurs.
Adopt a healthy lifestyle. People with AMD should make sure they are eating a diet that consists of eye-healthy nutrients, like green leafy vegetables and fatty fish; exercising regularly and not smoking.

In addition, people diagnosed with moderate to advanced AMD should talk to their doctor about taking a vitamin that contains the AREDS 2 formula, such as PreserVision^® AREDS 2 formula vitamins, which contain the exact nutrient formula recommended by the National Eye Institute for people with moderate to advanced AMD to help reduce the risk of progression.

Get the facts and find support

Patients are often learning about AMD for the first time as they’re being diagnosed, which can be overwhelming. While the Internet is a great resource for patients, medical literature about AMD is often dense and difficult to follow. That’s why Bausch + Lomb has developed SightMatters.com, a new online resource to provide AMD patients with personalized tips and tools, along with an online support system and network, to help each patient better navigate their life living with AMD no matter where they are on that journey.

The new website not only aims to help patients understand what AMD is, and how they can manage it, but ultimately to create a personalized action plan to discuss with their doctor and start taking charge of their condition, so they can continue to see what they love each day. Visit SightMatters.com to begin taking action today.

PreserVision is a trademark of Bausch & Lomb Incorporated or its affiliates.

AREDS2 is a registered trademark of the U.S. Department of Health and Human Services (HHS).

PV2.0026.USA.19

February 12, 2019

Dogs are making a difference in hospitals

2019-02-11T17:24:35

(BPT) – For pediatric patients, being in the hospital can be a frightening, vulnerable and lonely experience, especially for those undergoing serious medical treatments. However, research has shown that dogs, with their playful, comforting and loving nature, can have beneficial, long-lasting effects on pediatric patients.

According to Purdue University, interacting with animals in different environments, including hospitals, could improve our physical and mental health, as well as enhance aspects of our daily lives.

Here are a few things to know about in-residence dogs and their positive impact on pediatric patients:

1) In-residence dogs are highly trained service dogs that work in healthcare settings and perform specialized tasks. They are also trained to create an emotional connection with pediatric patients, helping to provide them with joy, comfort and other medical benefits.

2) Different from volunteer dogs that visit a hospital for a short time, in-residence dogs have a similar work schedule as their human counterparts, working closely with their handlers. They often have access to non-sterile clinics and inpatient units.

3) In-residence dogs can be an integral part of a child’s treatment team. They perform a range of tasks that help medical teams achieve their clinical goals. In-residence dogs can be trained to do incredible things like keep kids calm during medical interventions, teach them how to take a pill or model how to put on a hospital gown.

4) In-residence dogs can help lower a pediatric patient’s stress and anxiety by serving as a pleasant distraction. Hospital staff report that children who interact with in-residence dogs often require less medication.

While in-residence dog programs have potential, they are relatively new. Out of more than 220 children’s hospitals in the U.S., only a few have in-residence dog programs. By implementing such programs, hospitals could give more pediatric patients the opportunity to experience the joy and health benefits that come with in-residence dogs.

Dr. Jana Stockwell, a pediatric critical care physician at Children’s Healthcare of Atlanta, serves as a handler for an in-residence dog named Tidings. “Our Children’s dogs are full-time employees with a meaningful job to do, and on a daily basis, Tidings helps children be more engaged, encourages them to get out of bed, and even inspires them to tell us about a pet at home that they’re missing,” she said. “Our in-residence dogs never fail to lift the spirits of kids and adults alike.”

Foundation brings dogs to hospitals

To fill this unmet need and further its mission to bring joy to kids battling illness or hunger, the Joy in Childhood Foundation, the independent charitable foundation of Dunkin’ and Baskin-Robbins, has launched “Dogs for Joy,” a program to bring in-residence dogs to children’s hospitals nationwide.

Dogs in this program are bred and trained as service dogs but “work” full-time in children’s hospitals. Through more than $2 million in initial grants, the program will increase the number of in-residence dog programs in pediatric healthcare settings around the country and the prevalence of animal-assisted therapy as part of treatment.

The Joy in Childhood Foundation invites children’s hospitals nationwide to apply for a Dogs for Joy grant if they’re interested in launching a new in-residence dog program or expanding an existing program. Funds awarded cover costs for launching and maintaining an in-residence dog program at a hospital, including adoption of the dog, training of select staff, dog food, dog grooming needs, dog toys and more. Applicants can apply via www.joyinchildhoodfoundation.org/dogsforjoy until March 31, 2019.

February 11, 2019

Facts and tips about protein every expecting and nursing mom should know

2019-02-11T09:01:01

(BPT) – Eating for two? One critical thing pregnant women and new moms alike need to focus on is maintaining an adequate level of dietary protein, says registered dietitian Melissa Rifkin.

As a rule of thumb, pregnant women should aim for 70 to 100 grams of protein a day, which in many cases would amount to 20 to 25 percent of their total daily calorie intake.

“Protein is important for ensuring the proper growth of fetal tissue, including the brain, and increased blood supply,” Rifkin explains. “Once the baby is born, a nursing mom’s protein and calorie needs will continue to remain higher than usual — similar to what’s required during the second and third trimesters.”

Whether you’re sporting a barely-there bump, or nursing a newborn, these tips and insights from Rifkin can help you make sure you and baby are meeting your protein needs.

* Go for variety: When pregnant, make sure you’re taking in a variety of lean protein sources throughout the day, including chicken, fish, eggs, nuts, cheese, tofu and cottage cheese. Choosing from this wide selection can help you and baby reap the other nutritional benefits these foods have to offer. One option Rifkin recommends is Muuna, single-serve cups of cottage cheese with fruit-on-the-bottom flavors. Not only is it packed with protein, but cottage cheese also offers one of the three servings of calcium pregnant women need in their diets. Muuna also contains probiotics and potassium, which can aid with the health of your gut integrity and microbiome.

* Watch your sugar intake: For a protein boost, sometimes we turn to convenient options, especially when schedules get hectic. Check the label, Rifkin says, because some, including flavored yogurts, trail mixes and protein bars, can contain more sugar than we think. Make sure these high protein choices are low in sugar, like Muuna single serve fruit-flavored cottage cheeses with only 4-8 grams of sugar per serving. This lets you maintain a better energy balance — helpful for nursing moms to keep an adequate milk supply — while helping you steer clear of large shifts in blood sugar.

* Be aware of your changing needs: A lot is happening with your body as baby grows and develops, which is why it’s important to be aware of your changing needs as your pregnancy progresses. During the second and third trimesters, for example, your energy needs will increase, Rifkin explains. How much you need will depend on your weight and other factors, but for most women, that amounts to a 300-calorie-per-day increase. With that increase, be mindful of keeping your macronutrient ratios (protein, fat and carbohydrates) in balance. That’s why you’ll want to increase your protein intake during this time.

* Make time for breakfast: When pregnant, it’s all too common to feel nauseous in the morning, especially during the first trimester. The good news is research shows that eating protein-packed foods can be helpful in curbing the queasiness. This recipe for a make-ahead breakfast bowl will give you a delicious morning dose, while allowing you to grab those extra few moments of shuteye.

Hearty Oat and Cottage Cheese Breakfast Bowl

Prep time: 10 minutes

Overnight oats ingredients:

1 1/3 cups milk (or milk substitute)

1 cup rolled oats

1 container of 5.3 oz. strawberry Muuna cottage cheese (or any of Muuna’s 8 fruit-flavored or plain cottage cheese)

1 tablespoon chia seeds (optional)

Toppings ingredients:

1/2 cup blueberries (fresh or frozen)

1/2 cup pear, chopped

1/2 banana, sliced

1/8 cup sliced almonds

Drizzle of nut butter (almond butter or peanut butter will work)

Directions

Pour the overnight oats ingredients into a large glass lidded container.

Cover and refrigerate overnight (or for at least 4 hours).

Place half the oats mixture into a bowl (and refrigerate the leftovers).

February 11, 2019

How to improve your financial health in 2019

2019-02-11T10:01:00

(BPT) – It’s always a good time to reassess financial goals and work toward improving your overall financial health. No matter what your financial goals may be, having the right information and tools in place is key to getting you on track to take control of your credit.

Taking the first step towards financial wellness can provide a sense of empowerment as you get rid of everyday financial stressors, which is why many see a positive connection between financial control and self-perception. Though increasing your credit score might seem daunting, following these healthy credit behaviors can help you make positive changes to your financial health and even your personal well-being.

Understand your credit: When starting on your journey to better financial health, begin by familiarizing yourself with your current credit standing, as well as understanding what factors may be negatively impacting your credit score. A great place to start is with your Annual Credit Report, which provides one free credit report each year from all three nationwide credit reporting agencies. The information in these reports directly impacts credit scores, so it’s important to carefully review for any factors that could cause your score to be lower than it should be. This TransUnion Credit Score Overview is also a helpful educational resource and provides tips towards building a healthier credit standing.

Review your report and take action: While assessing your credit report, carefully review for any inaccuracies or problem areas that may negatively affect your credit score. For instance, high accumulations of debt such as maxed out credits cards and unpaid bills will likely be reflected in your credit report. Unpaid collections are also commonly reported delinquencies that can cause a big hit, even when as low as $100 or less. Prioritize addressing these smaller problem areas first before they get worse. Inaccurate information caused by identity theft can also lower your credit score and should be disputed online.

Create a plan for better credit: After resolving any outstanding issues identified while reviewing your credit report, create a plan towards improving your financial health, which should include:

1) On-time payments: Paying your bills on time and in full each month is key as it builds a positive history of on-time payments and responsible credit use.

2) Credit utilization: It is recommended to maintain a low credit utilization ratio, that is, how much of your available credit you’re using at any given time. It is recommended that you use no more than 30 percent of the available credit, otherwise, your score could be suffering.

3) Evaluate your credit cards: Before opening or closing any credit cards, do your research on the different types of credit cards and the benefits they have. Do one or more of your cards have an annual fee that you could live without? Strategize which cards you use regularly and keep daily spending concentrated to one or two cards total. However, don’t close an old account just because you aren’t using it. Longstanding credit accounts are vital for building credit as this demonstrates a responsible credit history.

Remain vigilant about credit monitoring and protection: Once you’re in control of your credit, the next step is to be diligent about monitoring your credit and cautious about your personal information, which includes fraud protection. Fraudsters may take out loans, lines of credit, or rent apartments in your name, which can negatively affect your credit if it results in a non-payment. If you think your information has been compromised, you can protect your credit by freezing it at all three credit reporting agencies. With TransUnion, you can simply freeze and unfreeze your credit with the touch of a button through the myTransUnion app at any time.

Understanding and managing personal information is vital to achieving life goals such as owning a home, financing your education or having the convenience of credit cards for everyday purchases. With responsible financial behaviors, discipline and consistency, you’ll be on your way to improving your credit, and in turn, feeling more confident about your overall financial health.

For more information, visit TransUnion.com.

February 11, 2019

Which bathtub style is right for you?

2019-02-11T08:01:01

(BPT) – Wondering if you should have a bathtub in your bathroom? Despite trend reports that say some homeowners are removing bathtubs, House Beautiful recently reported that there are good reasons to have a bathtub in your home. They make sense for families since children rarely take a shower. For everyone else, few things are better for self-care than a nice, long, deep soak.

Keep in mind there are so many size and function considerations in choosing a bathtub that it makes sense to start with space considerations. Do you want to replace your current tub and keep the same “footprint” or are you seeking a larger or freestanding tub?

Here are some bathtub options to consider:

1. Alcove tubs

The most common types of bathtubs are alcove tubs, which have three sides attached to the wall. Also known as recess tubs, they are often the best option for smaller or moderately sized bathrooms. You can find alcove tubs such as the Studio bathtub from American Standard with a depth of more than 22 inches, allowing a deeper soaking experience than typical alcove tubs that are only 15 or so inches deep.

2. Freestanding tubs

For larger bathrooms, freestanding tubs can be a sculptural and striking centerpiece. Bathrooms limited in space still have options to have a freestanding tub. The Town Square S freestanding soaking tub from American Standard is an eye-catching option with a flat back, so its stately design delivers an eye-catching look installed flush against a wall.

3. Drop-in and undermount tubs

Both of these bathtub styles involve a platform surrounding the tub, so they are ideal for whirlpool tubs because the pump and piping are concealed. Drop-in tubs are “dropped” into a fabricated platform. With a self-rimming finished edge that sits flush at the height of the platform, the tub and its weight are actually supported by the subfloor underneath. Undermount options also drop into a platform, but the lip of the tub is sealed under the deck of the surrounding platform. This creates a smooth, aesthetically pleasing surface.

4. Hydromassage whirlpool tubs

Speaking of whirlpools, hydromassage can do amazing things for your body, which is why whirlpool tubs continue to appeal to many people. Whirlpools use a pump to recirculate bathwater through strategically placed jets in the tub walls. Some jets have a loud sound, so look for whirlpools that create a quiet, tranquil atmosphere such as the Green Tea EcoSilent Whirlpool from American Standard. This modern acrylic tub uses advanced technology that enables a luxurious whirlpool experience with 70 percent less noise and 50 percent less energy usage.

5. Therapeutic air massage tubs

Air massage is another option, often called an air bath. Air, rather than water, is pumped into the tub. It may come from large jets, creating a powerful massage, or from many small holes in the bottom and sides to surround you with thousands of tiny bubbles. Splurge on the DXV Aqua Moment Drop-In Airbath with Waterfall and every day you can enjoy a spa-like bathing experience inspired by Japanese hot springs. The bathtub delivers a cascade of warm water over your shoulders, easing muscle tension, helping to improve blood flow, and relieving a stiff neck.

There are a lot of considerations in choosing a bathtub, but it’s definitely good to consider having at least one in your home. Select the type that fits perfectly into your lifestyle and you will experience enjoyment for years to come.

February 9, 2019

5 tips to flip your home from drab to fab

2019-02-08T16:01:00

(BPT) – If you’re looking to freshen up your living space, it’s easy to get swept away in on-trend designs. But while trends come and go, savvy homebuilders and designers agree that there’s one thing that never goes out of style: natural wood details, such as those crafted from a versatile species like cypress. Here are a handful of helpful tips to flip your home from drab to fab.

Accentuate walls

Photo courtesy Stephen Ellis, Everett Marc Dennison

For decades, accent walls have been a popular way to jazz up a room. But, today’s homeowners are ditching bold paints in favor of a wooden backdrop that can create a cozy setting in any room. “A shiplap wall can completely transform a mundane room,” says Stephen Ellis of MGB Fine Custom Homes in Sarasota, Florida. “I like working with shiplap cypress with a nickel gap. It’s available in multiple grades — offering the perfect combination of visual interest and texture without being overbearing — and it stands up to dings and dents better than drywall.”

Make a statement with ceilings

Photo courtesy Vicki Payne, For Your Home

Accent walls are one thing, but have you heard of statement ceilings? Top designers are crafting elegant ceilings with wood. “Cypress is lightweight and easy to work with, making it ideal for ceiling treatments ranging from planks and beams to intricate coffers,” says Charlotte, North Carolina-based designer Vicki Payne. “I recently completed a chic dining room that features a tray ceiling enhanced with cypress. The wood, with its rich grain and natural color, is the showpiece of the space.”

Top off the kitchen

Photo courtesy Bultman Architecture, Adam Cohen

When it comes to designing the heart of your home, architect Michelle Bultman from Stuart, Florida, relies on a few principles. “Simple lines, uncluttered counters and modern materials,” she says. “Overall, I believe simplicity is the ultimate form of elegance, but ceilings often offer untapped potential in kitchens. I prefer working with neutral tones — whites and grays — on most surfaces, but introducing a wood element, such as a tongue-and-groove cypress ceiling, can add complementary warmth and character to an otherwise cool, modern palette.”

Rethink doors

Photo courtesy Geoff Chick, Colleen Duffley

If simple swinging doors are too basic, consider installing an eye-catching barn door instead. “I’ve been including sliding barn doors in many projects,” says architect Geoff Chick from Santa Rosa Beach, Florida. “They work great for closets, laundry rooms, wet bars, room partitions and other semi-private spaces. Most often, I custom fabricate barn doors out of cypress because of the wood’s natural beauty and ability to accept a variety of finishes.”

Enjoy the outdoors

Photo courtesy Stephen Ellis, Everett Marc Dennison

Outdoor living space is one of the most sought-after features in a new or renovated home. And when it comes to specifying materials to create stunning spaces, Stephen Ellis chooses cypress. “With porches and patios, ceilings are often an afterthought,” he says. “I like to add a finished look with cypress for multiple reasons. First, not only is cypress naturally resistant to insect infestation, but it’s also an incredibly stable wood that performs well in areas with constantly changing humidity levels. One of my recent projects is all cypress — porch ceilings, beams and board-and-batten siding. Cypress’ natural characteristics and good looks enhance the relaxing vibe almost as much as the ocean views.”

“Wood is a timeless building material,” says Mark Tuck of the Southern Cypress Manufacturers Association, “and when you’re talking about a versatile species like cypress, it provides aesthetic warmth, lasting value and dependable performance in — or out of — the house. Small upgrades can make a big impact, —and they’re more affordable than a full-on remodel.”

Is it time to upgrade your living space? Think cypress! Visit www.CypressInfo.org to get inspired.

February 9, 2019

10 Years and Counting: An Innovative Medicine Helps Patients with a Rare Disease a Decade after its Approval

2019-02-08T08:11:00

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

Several years ago, Lib discovered a large bruise on her leg that seemingly appeared out of nowhere. Following a visit to her doctor, Lib learned the bruise was a sign of a rare disease called immune thrombocytopenia, or ITP.¹ People with ITP don’t have enough platelets — small cells in the blood that help stop bleeding by forming clots when blood vessels are damaged.² After trying an initial therapy and undergoing surgery, Lib’s platelets were still too low. She thought she was out of options until she learned about an innovative medicine for certain adults with chronic ITP.

ITP is rare but can be serious. Each year, about three in 100,000 adults worldwide are diagnosed with ITP.³ People living with the disease can experience a range of symptoms such as spontaneous bruising, frequent or heavy nosebleeds, or in rare cases, severe internal bleeding.² Initial therapies for ITP include corticosteroids and surgery to remove the spleen.² In the past, patients who did not respond to these therapies had no other treatment options.

Dr. Michael Tarantino, medical director of the Bleeding and Clotting Disorders Institute and professor of Pediatrics and Medicine at the University of Illinois College of Medicine, has been working with ITP patients for over 30 years and understands what they go through.

“I don’t know that I could even properly express the challenge or frustration some patients have with chronic ITP. It’s just perplexing and devastating when they have to live with very low platelet counts and fear that something bad could happen,” Dr. Tarantino said.

Lib experienced this firsthand. She tried corticosteroids. When they didn’t work, she had surgery to have her spleen removed. Unfortunately, soon after, her platelet count dropped again. Lib felt the only thing she could do was try to manage her bruising and other symptoms as best she could. But one day, she experienced a subdural hematoma or bleeding in the brain, which felt like a wake-up call.

It was after this that Lib heard about Nplate^® (romiplostim) — an innovative prescription medicine developed by Amgen to treat low blood platelet count in adults with chronic ITP and children 1 year of age and older with ITP for at least 6 months, when certain medicines or surgery to remove the spleen have not worked well enough.^4,5

Nplate^® is not for use in people with a precancerous condition called myelodysplastic syndrome (MDS) or low platelet count caused by any condition other than chronic (lasting a long time) ITP. Nplate^® is only used if your low platelet count and medical condition increase your risk of bleeding. Nplate^® is used to try to keep your platelet count about 50,000 per microliter in order to lower the risk for bleeding. Nplate^® is not used to make your platelet count normal.⁵It is not known if Nplate^® works or if it is safe in people under the age of 1.

Nplate^® is the result of many years of dedicated research that began with the discovery of a protein called thrombopoietin (TPO) by Amgen scientists. After this discovery, researchers at Amgen worked to develop a new type of treatment called a peptibody. Nplate^®, which helps increase the number of platelets in the bloodstream, was the first peptibody to be approved by the U.S. Food and Drug Administration (FDA).⁶

When Lib heard about Nplate^®, she decided to ask her doctor if it would be appropriate for her. After just a few weeks on Nplate^®, her platelet count started increasing.^† She now encourages other people living with ITP to take a proactive role in their treatment.

“My best advice is to arm yourself with knowledge, stay current on what’s going on with treatment options, pay attention to your body, and communicate well with your doctor,” Lib said.

Last year marked the 10-year anniversary of the approval of Nplate^® for adults with chronic ITP.⁷ Lib is grateful to have had Nplate^® as a treatment option.

“I live in the moment. I’ve always been somebody that just enjoys the day to day, and I like seeing where the journey’s going to take me,” says Lib. “I recognize that I have ITP, and I have to be respectful and mindful of that; but I have ITP, it doesn’t have me.”

Nplate^® was also recently approved in the U.S. for certain children with chronic ITP, signifying another important development in the treatment of this rare disease.⁴

To learn more, visit www.Nplate.com. Tools for people living with ITP to discuss treatment options with their doctor are also available on the website.

Important Safety Information

What is the most important information I should know about Nplate^®?

Nplate^® can cause serious side effects, including:

Worsening of a precancerous blood condition to a blood cancer (leukemia):
Nplate^® is not for use in people with a precancerous condition called myelodysplastic syndromes (MDS) or for any condition other than chronic (lasting a long time) immune thrombocytopenia (ITP). If you have MDS and receive Nplate^®, your MDS condition may worsen and become an acute leukemia. If MDS worsens to become acute leukemia you may die sooner from the acute leukemia.
Higher risk for blood clots:

You may have a higher risk of getting a blood clot if your platelet count becomes high during treatment with Nplate^®. You may have severe complications or die from some forms of blood clots, such as clots that spread to the lungs or that cause heart attacks or strokes.
If you have a chronic liver disease, you may get blood clots in the veins of your liver. This may affect your liver function.

What are the possible side effects of Nplate^®?
- Nplate^® may cause serious side effects. See “What is the most important information I should know about Nplate^®?”
- The most common side effects of Nplate^® in adults are:
- The most common side effects of Nplate^® in children 1 year of age and older include:
  - inflammation of the passages in the nose and throat
  - upper respiratory tract infection
  - itchy, runny, or blocked nose
  - sore throat and discomfort with swallowing
  - inflammation of the eye
  - ear infection
  - inflammation in the lining of the intestines
  - inflammation of the sinuses
  - cough
  - pain in mouth and throat
  - upper stomach (abdomen) pain
  - diarrhea
  - rash
  - bleeding beneath the surface of the skin or bruising under the skin
  - itchy rash
  - fever
  - swelling in the limbs/hands/feet
  - bruising
- People who take Nplate may have an increased risk of developing new or worsening changes in the bone marrow called “increased reticulin.” These changes may improve if you stop taking Nplate^®. Your healthcare provider may need to check your bone marrow for this problem during treatment with Nplate^®.
- These are not all the possible side effects of Nplate^®. Tell your healthcare provider if you have any side effect that bothers you or that does not go away. For more information, ask your healthcare provider or pharmacist.
- If you have any questions about this information, be sure to discuss with your doctor. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

How will I receive Nplate^®?

Nplate^® is given under the skin (subcutaneous injection) one time each week by your healthcare provider. Your healthcare provider will check your platelet count every week and change your dose of Nplate^® as needed. This will continue until your healthcare provider decides that your dose of Nplate^® can stay the same. After that, you will need to get blood tests every month. When you stop receiving Nplate^®, you will need blood tests for at least 2 weeks to check if your platelet count drops too low.

Pregnancy Surveillance Program: Women who become pregnant during Nplate^® treatment are encouraged to enroll in Amgen’s Pregnancy Surveillance Program. The purpose of this program is to collect safety information about the health of you and your baby. Contact the program as soon as you become aware of the pregnancy, or ask your healthcare provider to contact the program for you. You or your healthcare provider can get information and enroll in the program by calling 1-800-77-AMGEN (1-800-772-6436).

Please see Prescribing Information and Medication Guide for more information about Nplate on Nplate.com.

^*BPT: Brandpoint

^†One patient’s experience. Individual results may vary.

USA-531-80073

References

Platelet Disorder Support Association. What is ITP? https://www.pdsa.org/what-is-itp.html. Accessed November 6, 2018.
NORD. Immune Thrombocytopenia. https://rarediseases.org/rare-diseases/immune-thrombocytopenia/. Accessed November 6, 2018.
Terrell DR, et al. The incidence of immune thrombocytopenic purpura in children and adults: A critical review of published reports. Am J Hematol. 2010;85(3):174-80.
Nplate^® (romiplostim) prescribing information, Amgen.
Nplate^® (romiplostim) medication guide, Amgen.
Shimamoto G, et al. Peptibodies. A flexible alternative format to antibodies. mAbs. 2012;4:586-591.
US Food and Drug Administration. CDER Drug and Biologic Approvals For Calendar Year 2008. https://wayback.archive-it.org/7993/20170406061403/https://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/HowDrugsareDevelopedandApproved/DrugandBiologicApprovalReports/UCM200924.pdf. Accessed November 6, 2018.

February 9, 2019

5 ways to stay healthy on the road

2019-02-08T14:19:00

(BPT) – Whether you’re traveling for business or for pleasure, if you spend your career on the road or even just take an occasional road trip, it may seem tough to maintain a healthy lifestyle while you’re on the go. The sedentary hours spent behind the wheel, combined with the seemingly limited healthy food options along the highway, can take a toll — especially on your heart.

In honor of American Heart Month in February, the American Trucking Associations (ATA) has a few simple tips to encourage healthy habits while on the road.

1. Take breaks. Too much time behind the wheel can make you stiff and sore, causing stress and fatigue. Make sure to know your own limits, both in terms of physical endurance and mental focus and attention. Breathe deeply, in and out, several times during your breaks — this gets more oxygen to your brain when you need it, helping you to stay alert and awake.

2. Get some exercise. During your breaks, park further from the rest stop to add extra steps, or take a brisk walk around the area to get your blood flowing. Stretch your arms and legs, bend your knees, gently roll your neck and move all parts of your body to work out the kinks. If you are fit enough, try this challenge: 20 air squats, 10 push-ups, 10 lunges.

3. Rest. Get at least seven hours of sleep a night while you’re traveling, both for your own health and for safety. Tim McGee, Lead Driver for Pilot Flying J tanker fleet out of Knoxville, recommends that if you’re feeling fatigued, “Find a safe place to park and rest, nap no longer than 20-30 minutes, walk around.” When you wake up from a nap, move around, get some fresh air and drink plenty of water to be sure you’re fully awake and refreshed before hitting the road again.

4. Eat real meals. Stop for complete, well-rounded meals when you can, to help resist the urge to snack on less healthful choices. No matter which meal you’re stopping for, include protein choices like roasted chicken, yogurt or hard-boiled eggs, vegetables like salads, steamed broccoli or green beans, and fresh fruit such as grapes or bananas. All of these choices are available at Pilot Flying J, the largest operator of travel centers in North America. The PJ Fresh Marketplace, available at many locations nationwide, offers a fast-casual restaurant where you can sit and eat a fresh, healthy meal or get a combo meal to go. As one of the largest franchisees of Subway, Pilot Flying J also offers great sandwich choices. Choose options with lean meats like turkey or chicken, pile on the veggies and go easy on the dressing for the healthiest approach.

5. Snack smart. When you need a quick pick-me-up between meals, you can find plenty of healthy fruits, veggies, nuts, yogurt and protein bars on the road. According to the ATA, the banana has become one of the most popular picks for on-the-go snacking — it comes in its own package, and it’s full of nutrients. ATA America’s Road Team Captain Rhonda Hartman says, “Snack on fruits and vegetables instead of high-calorie and high-salt snacks. It will keep your blood sugar levels even, so you don’t get the energy spikes and drops.” Stay hydrated with water, limiting your intake of sugary sodas and not overdoing the caffeinated beverages, which can make you feel jittery and keep you from resting well at night.

These tips will not only make you healthier when you get to your destination, but keep the journey safe and more enjoyable as well. With a little planning ahead, and choosing the best options for where to rest and eat, your trips will fly by.

For those interested in going the extra mile, check out the Life is Why We Give(TM) campaign, where supporters like Pilot Flying J raise funds to support the American Heart Association’s mission to be a relentless force for a world of longer, healthier lives.