Posted on

Stage-struck kid? 5 virtual ways to boost skills this summer

2020-06-10T19:01:00

(BPT) – Has your son memorized the entire “Hamilton” cast recording? Maybe your daughter knows all the dance moves from “Newsies.” Or perhaps your kid has already had a leading role in their school production.

If your child has a strong interest in the performing arts on or off the stage, consider that a gift. Scholastic research shows children involved in singing, dancing and acting are four times more likely to be recognized for academic achievement than non-performing friends. Young performers also learn early to master anxiety, stay calm after mistakes, express new emotions, optimize teamwork and remain open to new perspectives.

“The arts don’t discriminate based on age, race, gender or any other measure,” adds Grace Chen in PublicSchoolReview.com. “Their study provides benefits for students of all kinds, shapes and sizes. When there are so many obstacles that children must overcome … the arts can quite literally be the lifeline they need to make long-lasting improvements to their life.”

Many avenues for providing enthusiastic young performers meaningful theater experiences are unavailable this summer due to COVID-19. The good news is that excellent, high-quality options are still readily available. Consider the following suggestions.

Watch performances online

Broaden your child’s mind and exposure by seeking out a wide range of dramatic, comedic and musical performances. Broadway HD, for example, maintains hundreds of Broadway hits that can be streamed whenever you want to relax and be entertained. Schedule viewings with your child, and make memories by comparing and critiquing performances.

Seek high-level virtual experiences

One of the best-recognized youth theater enrichment companies in the nation is Camp Broadway®, known as Broadway’s “original” destination for theatre-loving kids. Now celebrating its 25th year of enriching, educating and entertaining young performers, Camp Broadway is going virtual with MyMainstage, July 27 – Aug. 7 to offer its award-winning summer camp experience for kids across the world, ages 10 to 17. Taught live by experienced Broadway professionals, the 30-hour curriculum features interactive singing, dancing and acting classes around the classic musical “Guys and Dolls Jr.” Dedicated director/choreographers and musical directors guide participants through interactive rehearsals, creative activities and a watch party of a Broadway show with VIP guests. The finale? A professionally produced ensemble performance video that will be streamed to families via Broadway on Demand. It’s a theatre experience that only Broadway pros could deliver.

Work on audition pieces

While your child is waiting for the live theaters to get back to regular production schedules, she may wish to hone her audition skills by choosing and memorizing songs and practicing dance steps at home. Help her film her routines via smartphone so she can determine how she’d like to improve.

Find mentors

You can put your child in touch with experienced theatre arts educators including performers or stage technicians by contacting the local college or university in your area to explore pre-college programs for teens. The staff is often very willing to answer questions, provide advice and serve as sounding boards to help kids determine possible career paths into the performing arts and entertainment industries.

Check your local performing arts center

Call the local performing arts center in your community to inquire about the wide range of touring companies that they present. Whether it’s Broadway or ballet, they often provide opportunities for kids to participate in student workshops or meet the artists.

Despite the social isolation still underway in much of the theater world, it’s important to keep finding ways to support our children who have a passion for the theater arts. Take time to recognize and appreciate that affinity in your own kids, and look for opportunities to help them grow both as people and artists.

“Performers see the world in a whole new way,” writes Julia Savacool in the Scholastic article. “By having been part of the performance process, your child has been exposed to a new way of thinking and doing. And that alone is a success to be proud of.”

To learn more about the high-level virtual youth theatre instruction offered by Camp Broadway, visit CampBroadway.com, or contact Sunny at 212-575-2055, sunny@campbroadway.com.


Posted on

Adding financial fitness to your routine

2020-06-10T07:01:00

(BPT) – If you’re trying to stay healthy, chances are you have a routine to boost your physical fitness. But what about your financial fitness? As with exercise, you can establish regular routines to help keep your bank account healthy — and increase your peace of mind.

What does a financial fitness routine look like?

1. Create a budget

This is probably the toughest, and most important, step in ensuring your financial health. When you set a budget, you need to take a good look at your income compared with your expenses.

List your fixed expenses (rent/mortgage, utilities, insurance, etc.) and other vital expenses that vary, like groceries. Don’t forget payments you regularly make toward debts like student loans or credit cards.

Knowing the expenses you must cover each month will tell you how much you have left for discretionary spending. But if you’re spending more than you’re taking in, you’ll have to find ways to cut down on expenses, and/or earn more income.

Keep a spending diary to track where your money is going. Review several weeks of your diary to spot common expenses you can do without, like little-used streaming subscriptions or impulse purchases.

Make sure to budget together with anyone you’re sharing your life and household with. Online budget tools can help you set up a workable system. Don’t be surprised if it takes you several weeks to get the hang of budgeting. Just like establishing a workout routine, it takes patience and determination.

2. Make saving a regular habit

Set up an automatic deposit from your paycheck into a savings account as soon as you can, even just a small amount. This will establish the saving habit without you even having to think about it.

Building an emergency fund to cover unexpected expenses or loss of income for a few months will not only give you peace of mind, it will also prevent you from overusing credit cards when a car or appliance breaks down.

3. Set goals

Whether you want to increase your 401(k) contribution, build your emergency fund or save for a large purchase, it helps to set a specific goal or two with measurable amounts, with dates for achieving them.

Post your goals where you can see them every day.

4. Do a weekly check-in

Every week, review how you’re doing on your budget. Did you overspend? If so, where did expenses come from, and were they things you needed? Your spending diary can help you find your weaknesses.

Ways to avoid temptation:

  • Stay off websites where you impulse shop
  • Cut up credit cards or keep them in a locked box that’s hard to get at
  • Post your financial goals where you’ll see them before spending, like a note in your wallet or near your computer

5. Use credit wisely

To improve your credit score or keep it in good shape, make sure to follow good credit practices:

  • Pay credit card bills on time, above the minimum balance due when possible
  • Don’t use more than 30% of your available credit
  • Make occasional small purchases on cards to keep the accounts active

There are actually several credit scoring models out there, and they weigh items in your credit history differently. Some scoring models scan your credit report at one point in time, giving a snapshot that’s limited in understanding your overall credit picture. VantageScore 4.0, which is one of the models often used by lenders, is different because it takes advantage of trended credit data newly available from all three national credit reporting companies. By capturing the trajectory of borrowing and payment behaviors, trended credit data provides a more precise, holistic view of consumer habits.

For a better understanding of how credit scores work, check out this article.

While you’re working on your financial fitness, make sure to check your credit score at Your.VantageScore.com/free.

This article is not intended to provide any credit or financial advice or guidance or to recommend the taking of any specific action. This article is intended solely to describe the possible impact that an action may have on a credit score that is generated using the credit scoring models of VantageScore Solutions, LLC. The possible impacts described herein are based on hypothetical situations and the actual impact on a credit score may vary depending on various factors, including, among other things, a person’s actual circumstances and history.


Posted on

Coping with serious mental illness during challenging times

2020-06-10T00:01:00

(BPT) – Jason was diagnosed with schizophrenia in 2004 and now lives with schizoaffective disorder. As a way of coping with his day-to-day symptoms during COVID-19, he has developed a strong daily routine and treatment plan. Here, he shares his perspective.

The outbreak of coronavirus has rocked my world, causing stress or worry beyond what I might normally experience with my severe mental health diagnosis. With my mental illness, I already practice some degree of self-isolation. For me, a hidden benefit of the social distancing we are now required to practice is I don’t have to change my routine drastically because of this new normal for everyone else. I was diagnosed with schizophrenia in 2004 and currently live with schizoaffective disorder. As a way of coping with my day-to-day symptoms, I have worked hard to establish a daily routine that gives me purpose.

Continuing my routine has been an important part of my coping during the COVID-19 pandemic. Without a routine, my days would go by slowly, and I would lose my purpose.

Perhaps the most important part of my routine is adhering to my treatment plan. And for me, that involves going to my doctor’s office for a once-monthly injection. The office is usually a very busy place, but on my most recent visit there were only two other people in the waiting room. For added security, they had someone at the door, asking questions to make sure anyone entering the building didn’t have symptoms, and most people were wearing masks for protection. My psychiatrist informed me that we would begin doing phone appointments for our sessions. However, I still will be going for my blood work and injection. This experience let me know how serious the spread of the coronavirus can be. Everyone is affected by the changes that are taking place, and there are ways to adapt my schedule to accommodate what is going on.

With everything closed outside, there is no real limit as to how long I can sleep every day, but part of my routine is setting a clock to wake me in the morning so I can get up and get going.

Once I’m up, I follow an indoor workout on DVD that provides different experiences each day. I’ve started this new activity because the place where I take my kickboxing classes is closed, along with the fitness center at my apartment complex. Exercise and physical activity has been an important part of my routine and treatment journey. Watching the DVD and participating along with the instructor keeps me in good physical shape even though I’m doing something different.

According to the new rules of social distancing for many in the country, we should not go out except for essential services such as buying groceries. Since there are guidelines about being six feet apart when we are in lines, I was called out for being too close to another customer on my last visit to the grocery store. The cashier was correct, and I apologized for not following the new rule — it’s hard to get used to! I also noticed I was one of the few people without a mask, so my mom made one for me for next time. My family and support team have always been important to me, and I rely on them now more than ever.

With today’s technological advances, it is easy to stay in touch with family and friends. I recently had a video chat with some friends who were just checking up on how I was doing. It was good to hear from them. It is important for me to have human contact with those outside my apartment. It’s not enough to just say hello to my neighbors from my balcony, I have to feel more connected. I also continue to talk to my parents every day by phone.

Since being forgetful is one of the symptoms I deal with regularly and I can lose track of the days, I write down a daily itinerary. There was a time in my treatment journey when I put showering and brushing my teeth on my daily itinerary, but now my lists include things like groceries, self-care, and cleaning my apartment. It is important to me to practice self-care when it comes to my appearance. I also try to regularly spend time cleaning my apartment, which helps me stay organized.

Even though I have to distance myself from some of the people who care for me and there is a lot of uncertainty in the world, I am managing to cope because of my established routine, support network, and treatment plan. I have everything I need to live, and I can continue to adapt as needed.

Every story is unique. If you are an adult living with schizophrenia or schizoaffective disorder, talk to your doctor to figure out a treatment plan that’s right for you.

Jason is a volunteer with the SHARE Network, a Janssen Pharmaceuticals, Inc., program made up of people who are dedicated to inspiring others through their personal health journeys and stories of caring.


Posted on

Sophisticated soak: 3 stylish ways to add a freestanding bathroom tub

2020-06-09T08:31:00

(BPT) – Whether it’s a new build, remodel or update, freestanding tubs are a top trend in bathroom spaces. These showstopping centerpieces elevate the visual aesthetic of the room while adding to the overall value of the property. While in high demand, many homeowners have questions about the complexities of adding one to their home.

The good news is that new options are making it easier than ever to have a freestanding tub installed in bathrooms of various shapes and sizes. Consider the Unwind collection of freestanding baths from Sterling, for example. Designed with easy installation in mind, the collection features versatile bathtubs in freestanding or back-to-wall freestanding styles that fit any bathroom space and design aesthetic.

Traditional freestanding bath positioning

When most people think of freestanding bathtubs, they envision a bathroom with a luxurious tub as the focal point centered in the space. A freestanding placement leaves room around the entire tub and is a beautiful option for bathrooms with ample space. This stand-alone statement piece provides spa-like appeal in the bathroom.

Wall-facing freestanding tub placement

A freestanding tub can be positioned along a wall as well, which is a good option for bathrooms with unique designs or moderate space restrictions. This could include an oval-shaped tub or a rectangle style that flanks more closely to the wall, helping to open up space while still providing the luxe experience of a deep soaking tub.

Corner freestanding tub positioning

Some homeowners prefer a corner placement for a freestanding bath because of the visual appeal and space-saving qualities.

The Unwind Bath Collection has options for all three bathroom placements and consists of a sculptural oval bath, a crisp-edged rectangle bath, and a back-to-wall bath that is ideal for smaller spaces and offers a faucet deck and an open back, which allows for easy faucet installation. All three styles come in a 59-by-30-inch model. The oval bath and back-to-wall bath also come in 67-by-32-inch models. The rectangle bath is also available in a slightly smaller 67-by-30-inch size.

Easier installation options

All of the Unwind baths offer a single-piece, seamless design with a built-in integral overflow. The concealed legs can be adjusted for the ideal height for the homeowner and space. An above-floor rough-in and white toe-tap drain are included on all models.

Freestanding baths are on trend and in demand by homeowners of all ages. Providing a stylish focal point for the bathroom, they offer a luxurious way to reduce stress and soothe muscles. For additional information and inspiration visit www.sterlingplumbing.com.


Posted on

Pandemic spurs innovation for small- to mid-sized businesses

2020-06-08T15:01:00

(BPT) – As COVID-19 continues to disrupt normal day-to-day operations of small- to mid-sized businesses and nearly half of the U.S. workforce hangs in the balance, employers are taking creative measures to reset their go-to-market strategies and offerings. By changing their operations to meet the demands of their customers, businesses can not only stay relevant but keep their staff employed and thrive in the new economy.

This pandemic offers business owners, investors and solopreneurs the opportunity to take a critical look at their overall business model, offerings and operations and reset the entire business structure, creating new opportunities to serve and prevail. This is the perfect time to explore new legal solutions to the most common business obstacles to help companies preserve and protect their brands and prosper for generations to come. There are great examples of resets happening within many industries.

With the pandemic closing summer camps throughout the country, ACA-accredited Adventure Links, a 23-year-old summer camp in Virginia, has found a way to replace its usual summer adventure camp programs with The CampCloud(TM), an experiential online alternative. The company is now offering its virtual camping programs to individuals and employers to assist employees working from home by keeping their kids engaged, learning and delighted all day from virtually anywhere. The program is being offered to other camps as a customizable, online option for their campers.

Ensuring the health and safety of employers when stay-at-home orders are lifted, and business resumes, is critical. Thanks to a team of entrepreneurs, Disinfect & Shield(TM), an FDA-registered, EPA-approved and eco-friendly disinfectant used in surgical suites for the last decade, is now available to businesses worldwide to kill SARS-CoV-2, the virus that causes COVID-19 and other dangerous organisms. It works by creating a permanent anti-microbial shield, preventing the virus from attaching to surfaces where it has been applied without risk to humans, animals or crops. With Disinfect & Shield(TM), employees, customers and visitors can feel safe knowing that their space has been properly disinfected and treated for optimum health and safety.

Clint Coons, founder of Anderson Business Advisors, offers 5 financing and entity creation tips to help entrepreneurs and small business owners:

  1. Know how to use loans: CARES Act loans have specific guidelines like having to use at least 60% of the loan within 24 weeks of receipt for payroll expenses. Concerned that money would dry up, many small business owners applied with no way of utilizing them because their business cannot reopen under the strict guidelines imposed on the industry.
  2. Alternate cash sources: Borrow from a 401(k) or IRA to keep businesses afloat, as it does not need to be paid back for at least 3-6 years. However, pulling money out of a retirement plan comes with some risk, such as if the business does not see profitability, then retirement funds were wasted on a failed business venture.
  3. Beware of increasing liabilities: Because insurance will not cover claims brought under COVID, reopening comes with risk and business owners are wondering how they will operate under strict COVID-19 related guidelines and still make a profit. Now is the time to pivot and reset.
  4. Consider restructuring: Set up your business in the right entity and state. Mistakes in formation or taxation can have a lasting negative impact on business growth and viability. Before starting a new business, consider the best structure for asset protection and tax minimization. For example, a limited liability company (LLC) gives business owners time to operate at a loss for the first few months and write off the loss on their individual 1040 forms against other forms of income. There are different entity funding options with protection ramifications.
  5. Utilize Privacy Shield Protection by creating anonymity with trusts.

COVID-19 has shown that many businesses aren’t prepared for worst-case scenarios and make common mistakes that can affect their ability to grow and borrow money. If approached strategically, small- to medium-sized businesses can take this time to implement changes and help their operations succeed and thrive.


Posted on

Family Finds Gratitude and New Hope through Experience with a Rare Childhood Condition

2020-06-08T11:13:00

(BPT) – When Cooper Norris was just two years old, his pediatrician noticed some freckling and café au lait spots on his back. The pediatrician told his parents, Kirsta and Michael, they would need to monitor this. But by age four, Cooper had developed a lump on the left side of his neck. An ultrasound of the lump led the family to a geneticist who confirmed that it was a benign tumor called a plexiform neurofibroma (PN) caused by neurofibromatosis type 1 (NF1) – a neurogenetic condition caused by mutations in the NF1 gene, which can be inherited or occur spontaneously.

“We were surprised when the doctor told us to come back in a year to monitor the disease, because nothing else could be done – the tumor was inoperable and there were no approved treatments – and that was not really acceptable to us as we are not ‘wait and see’ kind of parents,” Kirsta recalls.

Despite its designation as a rare disease, NF1 is one of the most common inherited neurological disorders affecting one out of every 3,000. Symptoms of NF1, including soft lumps on and under the skin, and pigmentation (called “café-au-lait” spots), typically begin in early childhood. In up to 50% of patients, PN tumors, like Cooper’s, may develop on the nerve sheaths. PNs can lead to complications such as pain, disfigurement and airway dysfunction.

As Cooper’s tumor continued to grow, he experienced pain when he was hugged or turned his head to look for traffic while riding his bike. The tumor was doubling in size every 18 months and there was a risk that it might obstruct his airflow. “That’s when we knew we had to take that next step and become advocates for Cooper to find him the very best care and explore all the options that were out there,” Michael says.

Kirsta and Michael took Cooper to a leading geneticist and NF1 expert who helped enroll Cooper in a clinical trial for an investigational oral therapy for the treatment of NF1 PNs.

After the first three months of taking the treatment, Cooper’s tumor began to get smaller. Six months after starting treatment, his tumor shrunk 20%. He experienced nausea, mouth sores, and toenail redness from the treatment. All patients were different and Cooper’s experience with treatment may not have been the experience of all patients. “We were able to go from not knowing what to expect to seeing the tumor decrease in size, and that really changed our optimism and gave us hope” Kirsta shares.

The treatment Cooper received through the clinical trial was recently approved by the FDA for the treatment of children aged two years and older with neurofibromatosis type 1 (NF1) who have plexiform neurofibromas that cannot be completely removed by surgery. He takes it twice a day as a capsule and continues to get regular MRIs to monitor his condition. Today, Cooper, now 8, enjoys doing things that were sometimes difficult before like riding bikes with his brother, going to theme parks, watching his favorite films and playing games.

“Fortunately for Cooper, the treatment has reduced his tumor size at a time where kids are starting to be aware of differences,” Kirsta says. “It’s not that all our stress has been removed, but we try to focus on having an attitude of gratitude and being thankful.”

To learn more about Koselugo (selumetinib), visit www.koselugo.com

IMPORTANT SAFETY INFORMATION

Before taking Koselugo, tell your healthcare provider about all of your medical conditions, including if you:

  • have heart problems
  • have eye problems
  • are pregnant or plan to become pregnant. Koselugo can harm your unborn baby
    • Females who could become pregnant and males with female partners who could become pregnant should use effective birth control (contraception) during treatment with Koselugo and for 1 week after your last dose
    • Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with Koselugo
  • are breastfeeding or plan to breastfeed. It is not known if Koselugo passes into your breast milk
    • Do not breastfeed during treatment with Koselugo and for 1 week after your last dose
    • Talk to your healthcare provider about the best way to feed your baby during this time

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, or herbal supplements. Especially tell your healthcare provider if you are taking aspirin, blood thinners, or other medicines to treat blood clots. Koselugo contains vitamin E, which may increase your risk of bleeding.

Koselugo may cause serious side effects, including:

Heart problems. Koselugo can lower the amount of blood pumped by your heart, which is common and can also be severe. Your healthcare provider will do tests before and during treatment with Koselugo to check how well your heart is working. Tell your healthcare provider right away if you get any of the following signs or symptoms:

  • persistent coughing or wheezing
  • shortness of breath
  • swelling of your ankles and feet
  • tiredness
  • increased heart rate

Eye problems. Koselugo can cause eye problems that can lead to blindness. Your healthcare provider will check your vision before and during treatment with Koselugo. Tell your healthcare provider right away if you get any of the following signs or symptoms:

  • blurred vision
  • loss of vision
  • dark spots in your vision (floaters)
  • other changes to your vision

Severe diarrhea. Diarrhea is common with Koselugo and can also be severe. Tell your healthcare provider right away the first time that you get diarrhea during treatment with Koselugo. Your healthcare provider may give you medicine to help control your diarrhea and may tell you to drink more fluids.

Skin rash. Skin rashes are common with Koselugo and can also be severe. Tell your healthcare provider if you get any of the following signs or symptoms:

  • rash that covers a large area of your body
  • peeling skin
  • blisters

Muscle problems (rhabdomyolysis). Muscle problems are common with Koselugo and can also be severe. Treatment with Koselugo may increase the level of a muscle enzyme in your blood, which may be a sign of muscle damage. Your healthcare provider should do a blood test to check your muscle enzyme levels before you start taking Koselugo and during treatment. Tell your healthcare provider right away if you get any of the following signs or symptoms:

  • muscle aches or pain
  • muscle spasms and weakness
  • dark, reddish urine

Your healthcare provider may change your dose, temporarily stop, or permanently ask you to stop taking Koselugo if you have any of these side effects.

The most common side effects of Koselugo are:

  • vomiting
  • stomach pain
  • nausea
  • dry skin
  • feeling of tiredness, weakness, or lacking energy
  • muscle and bone pain
  • fever
  • inflammation of the mouth
  • headache
  • redness around the fingernails
  • itching

These are not all the possible side effects of Koselugo.

INDICATION

What is Koselugo?

Koselugo is a prescription medicine that is used to treat children 2 years of age and older with neurofibromatosis type 1 (NF1) who have plexiform neurofibromas that cannot be completely removed by surgery.

It is not known if Koselugo is safe and effective in children under 2 years of age.

Please see the full Prescribing Information, including Patient Information here.

This article is sponsored by AstraZeneca.

Koselugo is a trademark of the AstraZeneca group of companies.

©2020 AstraZeneca. All rights reserved. US-40388 Last Updated 6/20


Posted on

Have Relapsing Multiple Sclerosis? 5 Things You Should Know

2020-06-08T12:01:00

(BPT) – Relapsing multiple sclerosis (MS) begins with a malfunctioning immune system.1 Among MS patients, the immune system allows immune cells to move out of the lymph nodes into areas of the body where they don’t belong: parts of the central nervous system (CNS).1

These immune cells attack and damage healthy tissue, causing problems in CNS functioning and leading to issues typically related to MS.1 The following five facts will help you understand MS diagnoses – and may bring you closer to finding the help that you need.

Most MS diagnoses are a relapsing form of the disease

There are many different types of MS, but most people have a form of the disease called “relapsing-remitting MS (RRMS).”1 In RRMS, people experience relapses followed by periods of remission, in which symptoms become less severe or go away entirely.1

What is a relapse?

When a new MS symptom occurs, or an existing symptom gets worse, it’s called a “relapse.” Specifically, a relapse is defined as a symptomatic period lasting more than 24 hours, which follows a period of a mostly stable neurological state of at least 30 days.1 Relapses are often referred to as attacks, flare-ups, or exacerbations.

How medication can help manage relapses

One of the ways to help reduce relapses is with a type of medication called a disease-modifying therapy (DMT).1 According to some guidelines, it’s important to begin DMT treatment as soon as possible after being diagnosed with MS and to maintain ongoing treatment.2

A New DMT has been FDA-approved for relapsing MS

Zeposia (ozanimod) is a prescription medicine used to treat relapsing forms of multiple sclerosis, including clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults. The way Zeposia works is not known, but it is thought that Zeposia may keep immune cells from moving out of the lymph nodes, and, subsequently, into the CNS.1

Zeposia is taken as a once-daily pill

Zeposia is taken orally once daily.1 A few routine medical tests are required to determine eligibility for Zeposia treatment, including an electrocardiogram, complete blood count and liver function test, and an eye exam for certain patients. According to the Zeposia Prescribing Information, first dose monitoring is not required; once approved by their healthcare team most patients may be able to start treatment as early as the same day as prescribed. A patient’s dose will be increased gradually over the first 7 days to avoid a possible decrease in heart rate.

You can learn more about Zeposia by visiting Zeposia.com.

Indication

ZEPOSIA is a prescription medicine used to treat relapsing forms of multiple sclerosis (MS), to include clinically isolated syndrome, relapsing-remitting disease, and active secondary progressive disease, in adults.

It is not known if ZEPOSIA is safe and effective in children.

IMPORTANT SAFETY INFORMATION

Do not take ZEPOSIA if you:

  • have had a heart attack, chest pain (unstable angina), stroke or mini-stroke (transient ischemic attack or TIA), or certain types of heart failure in the last 6 months
  • have or have had a history of certain types of an irregular or abnormal heartbeat (arrhythmia) that is not corrected by a pacemaker
  • have untreated, severe breathing problems during your sleep (sleep apnea)
  • take certain medicines called monoamine oxidase (MAO) inhibitors

Talk to your healthcare provider before taking ZEPOSIA if you have any of these conditions or do not know if you have any of these conditions.

ZEPOSIA may cause serious side effects, including:

  • Infections. ZEPOSIA can increase your risk of serious infections that can be life-threatening and cause death. ZEPOSIA lowers the number of white blood cells (lymphocytes) in your blood. This will usually go back to normal within 3 months of stopping treatment. Your healthcare provider may do a blood test of your white blood cells before you start taking ZEPOSIA.

Call your healthcare provider right away if you have any of these symptoms of an infection during treatment with ZEPOSIA and for 3 months after your last dose of ZEPOSIA:

    • fever
    • feeling very tired
    • flu-like symptoms
    • cough
    • pain and frequent urination (signs of urinary tract infection)
    • rash
    • headache with fever, neck stiffness, sensitivity to light, nausea, or confusion (symptoms of meningitis, an infection of the lining around your brain and spine)

Your healthcare provider may delay starting or may stop your ZEPOSIA treatment if you have an infection.

  • Slow heart rate (also known as bradyarrhythmia) when you start taking ZEPOSIA. ZEPOSIA may cause your heart rate to temporarily slow down, especially during the first 8 days. You will have a test to check the electrical activity of your heart called an electrocardiogram (ECG) before you take your first dose of ZEPOSIA.

Call your healthcare provider if you experience the following symptoms of slow heart rate:

    • dizziness
    • lightheadedness
    • feeling like your heart is beating slowly or skipping beats
    • shortness of breath
    • confusion
    • chest pain
    • tiredness

Follow directions from your healthcare provider when starting ZEPOSIA and when you miss a dose.

Continue reading for additional possible serious side effects of ZEPOSIA.

Before taking ZEPOSIA, tell your healthcare provider about all of your medical conditions, including if you:

  • have a fever or infection, or are unable to fight infections due to a disease, or take or have taken medicines that lower your immune system
  • before you start ZEPOSIA, your healthcare provider may give you a chickenpox (varicella zoster virus) vaccine if you have not had one before
  • have had chickenpox or have received the vaccine for chickenpox. Your healthcare provider may do a blood test for the chickenpox virus. You may need to get the full course of the vaccine and wait 1 month before taking ZEPOSIA
  • have a slow heart rate
  • have an irregular or abnormal heartbeat (arrhythmia)
  • have a history of stroke
  • have or have had heart problems, including a heart attack or chest pain
  • have high blood pressure
  • have liver problems
  • have breathing problems, including during your sleep
  • have eye problems, especially an inflammation of the eye called uveitis
  • have diabetes
  • are or plan to become pregnant or if you become pregnant within 3 months after you stop taking ZEPOSIA. ZEPOSIA may harm your unborn baby. If you are a female who can become pregnant, talk to your healthcare provider about what birth control method is right for you during your treatment with ZEPOSIA and for 3 months after you stop taking ZEPOSIA
  • are breastfeeding or plan to breastfeed. It is not known if ZEPOSIA passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby if you take ZEPOSIA

Tell your healthcare provider about all the medicines you take or have recently taken, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using ZEPOSIA with other medicines can cause serious side effects. Especially tell your healthcare provider if you take or have taken:

  • medicines that affect your immune system, such as alemtuzumab
  • medicines to control your heart rhythm (antiarrhythmics) or heartbeat
  • strong CYP2C8 inhibitors such as gemfibrozil or clopidogrel
  • medicines that inhibit breast cancer resistance protein transporters, such as cyclosporine and eltrombopag
  • CYP2C8 inducers such as rifampin
  • opioids (pain medicine), medicines to treat depression, and medicines to treat Parkinson’s disease

You should not receive live vaccines during treatment with ZEPOSIA, for at least 1 month before taking ZEPOSIA and for 3 months after you stop taking ZEPOSIA. Vaccines may not work as well when given during treatment with ZEPOSIA.

ZEPOSIA can cause serious side effects, including:

  • liver problems. Your healthcare provider will do blood tests to check your liver before you start taking ZEPOSIA. Call your healthcare provider right away if you have any of the following symptoms:
    • unexplained nausea
    • vomiting
    • stomach area (abdominal) pain
    • tiredness
    • loss of appetite
    • yellowing of the whites of your eyes or skin
    • dark-colored urine
  • increased blood pressure. Your healthcare provider should check your blood pressure during treatment with ZEPOSIA. A sudden, severe increase in blood pressure (hypertensive crisis) can happen when you eat certain foods that contain high levels of tyramine
  • breathing problems. Some people who take ZEPOSIA have shortness of breath. Call your healthcare provider right away if you have new or worsening breathing problems
  • a problem with your vision called macular edema. Your risk of macular edema is higher if you have diabetes or have had an inflammation of your eye called uveitis. Your healthcare provider should test your vision before you start taking ZEPOSIA if you are at higher risk for macular edema or any time you notice vision changes during treatment with ZEPOSIA. Call your healthcare provider right away if you have any of the following symptoms:
    • blurriness or shadows in the center of your vision
    • sensitivity to light
    • a blind spot in the center of your vision
    • unusually colored vision
  • swelling and narrowing of the blood vessels in your brain. Posterior Reversible Encephalopathy Syndrome (PRES) is a rare condition that has happened with ZEPOSIA and with drugs in the same class. Symptoms of PRES usually get better when you stop taking ZEPOSIA. If left untreated, it may lead to stroke. Your healthcare provider will do a test if you have any symptoms of PRES. Call your healthcare provider right away if you have any of the following symptoms:
    • sudden severe headache
    • sudden confusion
    • sudden loss of vision or other changes in your vision
    • seizure
  • severe worsening of MS after stopping ZEPOSIA. When ZEPOSIA is stopped, symptoms of MS may return and become worse compared to before or during treatment. Always talk to your healthcare provider before you stop taking ZEPOSIA for any reason. Tell your healthcare provider if you have worsening symptoms of MS after stopping ZEPOSIA.
  • allergic reactions. Call your healthcare provider if you have symptoms of an allergic reaction, including a rash, itchy hives, or swelling of the lips, tongue, or face

The most common side effects of ZEPOSIA can include:

  • upper respiratory tract infections
  • elevated liver enzymes
  • low blood pressure when you stand up (orthostatic hypotension)
  • painful and frequent urination (signs of a urinary tract infection)
  • back pain
  • high blood pressure

These are not all of the possible side effects of ZEPOSIA. For more information, ask your healthcare provider or pharmacist.

Call your healthcare provider for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Please see full Prescribing Information, including Medication Guide.

ZEPOSIA® is a trademark of Bristol-Myers Squibb Company.

© 2020 Bristol-Myers Squibb Company. All Rights Reserved.

1 A Complete Guide to Taking Zeposia. Bristol Myers Squibb Pharmaceutical Corporation. May 2020.

2 MS Coalition. The Use of Disease Modifying Therapies in Multiple Sclerosis. http://ms-coalition.org/wp-content/uploads/2019/06/MSC_DMTPaper_062019.pdf. Accessed May 2020

US-ZEP-20-0531 5/2020


Posted on

A guide to virtual health care: 4 common telehealth myths debunked

2020-06-08T17:23:00

(BPT) – Following the outbreak of the COVID-19 pandemic in the United States, the adoption of telehealth services has been on the rise and people are turning to digital technology more than ever to address their personal health care needs without having to leave their homes.

But while many have begun to embrace telehealth offerings as a new way to connect to care and address their personal health needs, myths surrounding what telehealth services are intended for and how they compare to in-office visits continue to prevail.

To help determine how digital care can best meet health care needs during quarantine and beyond, here are the facts behind four common misconceptions about telehealth:

MYTH #1: Telehealth is only for basic or urgent care needs.

FACT: Telehealth can often be the first stop for preventive, primary care and other health and wellness needs. Patients can connect with a doctor or nurse practitioner to receive care for a range of acute, preventive and chronic care needs, including illness and injury, mental health services, and management of conditions like asthma, diabetes and more. Whether patients live in a rural area or simply want an easier way to manage their health, telehealth can adapt to their needs.

MYTH #2: There aren’t any telehealth providers in the area.

FACT: Many trusted local and national health care systems provide telehealth services across the nation. Today, more than half of providers in the United States currently offer some form of telehealth service, according to an April 22, 2020 Merritt Hawkins survey, “Physician Practice Patterns Changing as a Result of COVID-19.” Additionally, recent government, health system and reimbursement policy changes have improved patient access to telehealth services and are encouraging use as a safe way to access care during the pandemic.

In fact, locating telehealth providers is easier than ever before with platforms like Walgreens.com/FindCareServices which helps patients access care when and how they need it from providers they know and trust. Patients can choose from more than 30 telehealth providers treating over 100 conditions in one place, while searching from the comfort of their own home. Available through an app and online, the platform makes it easy to find and compare available providers by location, preference, insurance coverage, services and price.

MYTH #3: Virtual care isn’t as good as in-person care.

FACT: Telehealth services can offer high-quality, convenient access to care. Much like face-to-face office visits, telehealth visits can facilitate a trusting, open dialogue with a doctor or nurse practitioner. Most providers have a web-based interface or mobile app, making it easy to log onto and use secure, quality video for consultations and to visually help communicate about injuries or conditions.

Telehealth also reduces time spent in waiting rooms and commuting to appointments, putting more power in the hands of patients. It can be particularly valuable for enabling remote monitoring and regular check-ins for patients with chronic conditions.

While telehealth can be a convenient alternative to in-person care, there are still instances where in-person appointments are recommended, such as in the case of a medical emergency. To consider the best option for care needs, check with a doctor.

MYTH #4: Telehealth is too expensive.

FACT: Telehealth and other services can help save money while expanding access to care. When looking for a telehealth provider, it can prove cost-effective to compare options based on pricing, insurance coverage, preferences and services provided. Look for telehealth options that list transparent pricing information to help guide the search.

If a consultation requires a prescription, Walgreens also has 24/7 pharmacy chat capabilities through its app and Walgreens.com/SaveOnRX with discounted pricing to help save money on a wide range of medications.

Telehealth is more accessible than ever as more providers evolve and adapt technologies to meet patient needs at a safe distance. But even as social distancing constrictions lift, digital wellness offerings will present greater flexibility and convenience in meeting individual health care needs.


Posted on

5 reasons to accelerate your car maintenance

2020-06-08T15:11:00

(BPT) – Car maintenance is often a scheduled chore when you’re regularly driving. However, if you’re driving less due to the current environment, maintenance can easily become a lesser priority or even completely forgotten. Hankook Tire’s latest Gauge Index found that as daily driving decreased as a result of the coronavirus pandemic, nearly one-third (30 percent) of Americans have done less car cleaning and maintenance too.

But car maintenance is always important, especially as drivers around the country gradually resume their travels and hit the road. Hankook Tire found that 60 percent of Americans expect to take more car trips moving forward, and with that in mind, offers five reasons why it’s important to keep up with regular car maintenance:

1. Safety

First and foremost: Regular car maintenance helps increase safety when driving. This is especially important if your car has been parked for a while. Be sure to check your fluids (oil, washer, coolant, etc.) and inspect the tires to make sure that they haven’t lost their pressure. After all, the Gauge revealed 70 percent of Americans have not regularly been checking tire pressure during the pandemic. Low tire pressure can lead to several issues such as poor performance, premature wear, and higher rolling resistance which can impact fuel efficiency.

2. Save time and money

Consistent car maintenance also helps extend the overall life of not only your tires, but the systems that drive them, including the engine, suspension, brakes and transmission. With the median price of a set of tires (4) ranging from $300-600, investing in regular tire upkeep such as rotations and alignment when necessary, helps deter more costly repairs down the road — making both your car, and your money, go further. And, you’ll save time! Regularly scheduled basic maintenance appointments traditionally don’t take too long — and some dealerships even offer special pick-up and drop-off appointments so you never have to leave the comfort of your home.

3. First place performance

Just like a regular gym routine helps keep your muscle groups firing on all cylinders, regular trips to the mechanic can provide the same benefit to your car! Whether it’s a crushing leg day (suspension) or a cardio bout (engine), routine inspection of your shoes (tires) will help you maximize your workout traction so you’re ready for the next round and running at peak performance.

4. Cleanliness

While cleaning the vehicle’s interior and exterior was the primary maintenance measure (40 percent) Americans took at the height of quarantine, the idea of clean cars goes beyond just dust on the dashboard and sanitized seatbelts. It keeps the environment clean, too. Little maintenance checks add up to a big environmental impact. For example, regular oil changes contribute to a cleaner engine and lower vehicle emissions, while properly inflated tires can contribute to better fuel efficiency.

5. Vehicle value

When the time comes to upgrade your vehicle, one of the first points of inspection is on the inside. A vehicle’s internal condition is one of the key factors in determining its worth, so it’s best to keep everything well-oiled and running smoothly, even if you don’t have any immediate plans to trade it in.

While Hankook recommends adhering to your particular vehicle’s outlined maintenance schedule, there are a few things that drivers can do on a regular basis to provide added value. Every month, double-check to make sure both headlights and taillights are working, fluids are topped off, and your belt and hose systems are running smoothly. Use the penny test to check your tire’s tread. In addition, keeping a vehicle maintenance log helps you stay organized and ensure good habits that can have a real impact when it comes time to trade in.

If any issues do arise, Hankook recommends getting your vehicle checked out by a certified mechanic before getting back behind the wheel.


Posted on

5 tips: Now’s a prime time for a car seat safety review

2020-06-08T13:35:00

(BPT) – Although many families aren’t driving as much these days, it’s always important to make sure you are keeping your kids as safe as possible in the car.

Now that we’re spending more time at home, this is a good time for parents and caregivers to brush up on expert advice for choosing, installing and properly using car seats, booster seats and seat belts. Making sure your child is buckled up correctly, on every car trip, is one of the best ways you can protect their health.

Stay safe on short trips

Most drives these days may be quick jaunts for necessary errands or appointments, but that doesn’t mean it’s safe for kids to skip their car seats or ride up front. According to a new study from the National Highway Traffic Safety Administration (NHTSA), one in three caregivers point to short trips as a reason they’ve sometimes skipped the car seat or booster seat. But a car crash can happen anywhere, at any time, which is why kids must be buckled in correctly every time. And no matter where you’re going, children under 13 should always ride in the back seat.

Practice installation

Now that you’re not rushing to get your child in the car for school or activities, take this opportunity to review your vehicle and car seat manuals and practice accurate installation. Many parents and caregivers report particular difficulty in securing lower anchor attachments and tethers, so if your car seat has those features, take additional time practicing those steps. Note that most car seats should be secured with either lower anchors or seat belts, not both.

Check your child’s weight and height

Keep in mind that the right car seat or booster seat for your child is based on their size as well as their age. Check your child’s height and weight against their current seat’s recommended limits. To keep them as protected as possible, don’t move them to the next seat type until they’ve exceeded either of those limits. Even if they beg and plead, you’re the parent, and you know best.

Register for safety updates

The last time you bought a car seat, do you remember filling out an online or mail-in form to register it? If you’re not sure, take a few minutes to go online and register so you can receive important safety updates from the manufacturers, including recalls.

Protect older kids too

For their own safety, kids 8 to 12 should use a booster seat until they outgrow its size limits or get big enough for adult seat belts. You’ll know they’re ready for a seat belt alone when it lies snugly across their shoulder and chest without crossing their neck or face, with the lap belt snugly crossing the upper thighs (not the stomach). Even if they’re ready for an adult seat belt, children under 13 should never sit in the front seat.

During these times of uncertainty, one thing you can control is how you keep your children safe in the car. For tips, interactive tools, and videos to help you choose and use the right seat, visit NHTSA.gov/TheRightSeat.