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Keep Calm and Clean On: Why You Shouldn’t Ease Up on Cleaning Practices this Winter

2020-11-20T09:01:00

(BPT) – When the coronavirus (COVID-19) pandemic first hit the United States, Americans showed up by not showing up.

Since March 2020, residents of more than 40 states have experienced some type of a stay-at-home order (CDC). Major life events like graduations, weddings, birthday parties and funerals have been cancelled or postponed. Schools have grappled with online learning. Companies have sent employees to work remotely and families have stayed at home.

To help protect themselves, their families and their homes from the spread of COVID-19, Americans also turned to cleaning. A recent national survey conducted on behalf of the American Cleaning Institute (ACI) found more than 80% of consumers were somewhat or very confident that their cleaning products would help protect against COVID-19. This trust played out on store shelves across the country with unprecedented demand. On average, manufacturers saw a 23% increase in production volume of cleaning and sanitizing products.

Communities have worked hard to adopt behaviors known to impact the transmission rates. But after eight long months, pandemic fatigue is emerging, making people more complacent and less concerned about social distancing, wearing a mask and keeping up with cleaning practices. For example, ACI’s recent survey marked a decline in handwashing practices for the first time since the start of the pandemic.

As we head into the holiday season, a time known for gatherings and celebrations, it is important to remember the fight against COVID-19 is not over yet.

While many long to feel the normalcy that existed before the pandemic, public health experts warn this winter could be the deadliest for our country in more than a century. Surging COVID-19 cases paired with increased indoor gatherings and the start of cold and flu season have the potential to create the perfect storm for the spread of germs.

As the battle against COVID-19 rages on, Americans cannot ease up on the recommended practices and new routines adapted back in March. The health of the nation depends on it.

Here are some cleaning tips to keep top of mind this winter:

  • When disinfecting, after you spray or wipe, let the surface air dry, making sure it stays wet for as long as recommended on the product label. This is critical in ensuring that the proper germ or virus kill takes place as intended.
    • If disinfecting food contact surfaces or toys, rinse with water after they air dry.
  • Wash hands with soap and water for at least 20 seconds. Be sure to lather the backs of your hands, between your fingers and under your nails.
  • If soap and water are not available, use hand sanitizer as an alternative. The CDC suggests an alcohol-based sanitizer with at least 60% alcohol content.

To learn more about the disinfecting and hygiene protocols that can help keep your home clean, happy and healthy, visit cleaninginstitute.org.


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Living with recurrent C. diff? 5 tips to enjoying the holidays

2020-11-20T15:31:00

(BPT) – Just when we all thought it was still March, the holidays have crept up on us. Let’s face it, we could all use a little joy right now to brighten up our holidays. Although the holidays may look different this year, many of us are hoping to keep a few normal traditions. Whether it’s gathering safely with family or enjoying a special meal, if you’re suffering from a recurrent diarrheal condition like C. difficile infection, those things can be anything but normal. Here are 5 tips Dr. Paul Feuerstadt of the PACT Gastroenterology Center in Connecticut recommends to help people with C. diff enjoy the holiday season.

1) Try your best to decompress

The holidays come with their own set of stressors. Gathering for meals with loved ones shouldn’t be one of them. Feuerstadt explains that those living with recurrent C. diff often show greater signs of stress in general, and frequently when it comes to mealtime.

Many C. diff patients often suffer a range of increased emotions which can be further elevated during the holiday season. Whether it’s grief, anger, fear, depression or anxiety, remember the holidays are a time to be kind to one another, including yourself.1

Take some time for yourself. Each day take 10 minutes to relax. Close your eyes and try your best to clear your mind.

Find outlets to help manage your stress and anxiety, such as through yoga, listening to music, reading a good book or just by getting enough sleep (7-8 hours per night).1

Listen to your body. It will tell you when you may need to take a minute for yourself. If the feelings are more intense than you feel you can consistently handle, follow up with your healthcare provider.

2) Don’t try to do it all yourself

The holidays can be a busy time of year. From picking out gifts for loved ones, to decorating the house, those suffering from C. diff can feel overwhelmed easily.

Rather than trying to do everything this year, why not focus on a couple of fun holiday traditions you enjoy? Maybe your one big activity is family baking and you ask a family member to help you decorate cookies. Whatever it may be, remember you don’t need to do it all. Focus your attention on one or two holiday traditions so you’re able to enjoy them to the fullest.

3) Know what’s on the menu

Whether you’re the chef or guest at a holiday dinner, know what’s on the menu. If there are certain foods or ingredients you must avoid, let your host know.

Although no two people are alike, there are foods that C. diff patients should generally avoid, including dairy products with lactose, greasy foods and any foods that may cause bloating (e.g., broccoli, onions, beans).2

Knowing it’s never good to arrive at a holiday gathering empty-handed, consider bringing a dish that you know will keep your gut calm and that you can eat without repercussions.

Remember to consult your healthcare professional for more information on nutritional advice for foods that are best suited for your body type and C. diff infection.

4) Practice health and safety guidelines

Anyone living with recurrent C. diff knows how contagious it is. That’s why it’s important to ensure you maintain standard health and safety measures, such as frequent handwashing. When using the restroom, be sure to always wash your hands with soap and water before touching surfaces such as doorknobs. Please be aware that alcohol-based hand sanitizer will not kill C. diff spores.3,4

Although already top of mind for most, COVID-19 is still on the rise in many parts of the country. Proper handwashing, social distancing and wearing of face coverings is essential for everyone. Many people living with C. diff have already been practicing many of these universal hygiene measures before COVID-19 so this will be less of an adjustment.

COVID-19 has opened the doors to telehealth, making it even easier and more common for people with C. diff to connect with both their local medical providers but also experts across the country who might be able to help. If you feel that you are not well, you should feel free to utilize these modern tools to communicate with providers to get the proper care you need, when you need it.

5) Try a new tradition

2020 has been a year unlike any other. We’ve all had to reimagine the expectation of being “together” and perhaps this year is the time to try a new tradition — like a virtual meal with family and friends who are far away. If you’re a big football fan, you may consider a Zoom football watch party. Or how about a recipe and meal prep virtual gathering? It’s normal for people with C. diff to feel isolated, so try turning social distancing into an opportunity to be more connected without the stress of, “What if I need to get to the bathroom quickly?” Embrace technologies like Zoom to safely connect with loved ones and take this opportunity to spin this constraint into a positive.

Although the holidays this year will look a little different, consider these tips as a guide to safely connect with your loved ones and enjoy this special season. Above all, continue to talk to your healthcare provider about your symptoms, and potential treatments. There have been a number of important advancements in therapies for recurrent C. diff that may help people feel better and lead better lives.

About C. diff:

Clostridioides difficile (C. diff) is a type of bacteria that can cause diarrhea, fever, abdominal pain, nausea, colitis, and in more serious cases, shock and death. According to the CDC, it’s estimated to cause almost half a million illnesses in the United States each year.5 After initial C. diff infection, up to 35% of patients may experience symptoms again, also known as recurrent C. diff infection.6

To learn more about the power of the microbiome and if it can be unlocked to break the cycle of recurrent C. diff infection, visit http://www.powerofmicrobiome.com/ and on Twitter, follow @FerringUSA.

This piece is sponsored by Ferring Pharmaceuticals, a research-driven, specialty biopharmaceutical group committed to helping people around the world build families and live better lives.

1 C Diff Foundation. Warm Wishes for a Peaceful Holiday Season. https://cdifffoundation.org/tag/holidays/. Accessed on November 10, 2020.

2 C Diff Foundation. Nutrition: Suggested Foods to Avoid During a C. difficile Infection. https://cdifffoundation.org/nutrition/. Accessed on November 10, 2020.

3 Centers for Disease Control and Prevention. Information for Patients. https://www.cdc.gov/cdiff/prevent.html. Accessed on November 10, 2020.

4 C Diff Foundation. Hand Washing & Updates. https://cdifffoundation.org/hand-washing-updates/. Accessed on November 10, 2020

5 Centers for Disease Control and Prevention. What Is C. diff? https://www.cdc.gov/cdiff/what-is.html. Accessed on November 10, 2020.

6 Lessa FC, Mu Y, Bamberg WM, et al. Burden of Clostridium difficile infection in the United States. N Engl J Med. 2015;372(9):825-834.

US-MBIO-2000055


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Quarantine confidential: The unexpected ways social distancing impacted life for women with overactive bladder

2020-11-20T14:31:02

(BPT) – In 2020, the phrase “social distancing” became mainstream, as many people around the world had to experience extended periods of quarantining. The mandate to keep distance, limit travel and stay home has left many people to feel anxious, isolated and lonely. Unfortunately, for the 30 million Americans that suffer from overactive bladder (OAB), the feelings are all too familiar.[i]

OAB is a condition defined by the sudden urge to urinate that is difficult to ignore or control, with people experiencing that “need to go” feeling more than eight times a day and are frequently woken up two or more times at night.[ii] Beyond physical symptoms, individuals with OAB also report significant impairment to quality of life, with the condition impacting daily events, physical activity, mental health, sexual function, relationships and emotional well-being.[iii] Those affected often suffer in silence as their conditions are misunderstood or not adequately treated.iii

Ethnographic research[iv] from Urovant Sciences revealed some unanticipated outcomes of COVID-19 on OAB patients.

1. The Relief of Social Distancing

For some, COVID-19 has provided a safe haven. Living with OAB can result in unexpected and urgent trips to the bathroom, causing some to skip social events altogether. Some people say they feel more relaxed at home with a bathroom just a few steps away.

Vanessa, a saleswoman who has been living with OAB for over 20 years, says being able to work from home has allowed her to go about her daily routine with less stress about her condition. “OAB has always made the smallest of things — like grocery shopping or going to the movies — more challenging. It makes me feel like an outcast when I’m out in public or travelling for work and the only thing on my mind is my bathroom breaks. Spending more time at home during the pandemic has been a relief. I don’t need to plan my routes around my bathroom schedule or risk feeling embarrassed in front of others.”

2. The Difference Five Minutes Makes

Many stores and restaurants have new COVID-based safety protocols in place to maintain cleanliness. However, something as little as a five-minute delay could shatter an entire day for someone with OAB. Every extra minute waiting in lines, in one-way aisles, or looking for an open bathroom may be the difference between making it home or experiencing a leak.

“COVID has made life with OAB even more complicated, and everyday tasks sometimes feel impossible,” said Sia, another woman with OAB. “With all of the restaurants in my area closed, at times I was left with zero options if I have to use the bathroom away from home. I’ve had to plan my errands in advance and even call the stores ahead of time before mapping out my route around the open restrooms. My OAB is constantly in the back of my head.”

3. The Doctor will Video Chat You Now

For many, time in quarantine has been spent on projects they otherwise put off: from home organization to baking. This may also be an ideal time to build a stronger relationship with your doctor — especially for women who have been putting off those doctor’s visits. Though more than 40 percent of women in the United States live with OAB symptoms, many individuals delay seeking treatment or even discussing their symptoms with healthcare providers because they think their issues aren’t important enough.iii

Telemedicine, or virtual doctors’ visits, were steadily on the rise before seeing a huge jump in popularity following COVID-19 concerns. Now, telemedicine may also be helping remove roadblocks to care. Patients do not have to wait in-person at doctors’ offices donning a mask, map out where the nearest restroom is, or worry about a long drive to a physician’s office. Some may also be more comfortable having these conversations from the comfort of their home.

All of this may result in better outcomes for patients: when a healthcare provider better understands their patients’ lifestyles and needs, the better they can customize their treatment recommendations and symptom management. Talking with a healthcare provider about OAB can improve understanding of the condition, keep patients updated on the latest treatment options, and make it easier to explore the options that may work best for you. Whether virtually or in person (following safety protocols), make your health a priority.

To help address the needs of women struggling with OAB, and to help reduce the stigma so often associated with this condition, Urovant created Bladder Chatter: an online, community-based forum that helps empower, inform and support women with overactive bladder. The site is for people who seek to learn from each other in a safe, private and nonjudgmental place. Bladder Chatter hosts expert articles, tips and patient stories that inform OAB patients how they can change the way they think about their OAB.

“I’ve tried countless different approaches to manage OAB, and sometimes it feels like this is something I just have to live with,” said Vanessa. “Right now, I don’t even discuss OAB with my family, just one friend who has the same experiences. I would love an opportunity to talk to other women, hear about what’s working for them, and consider new options to discuss with my doctor for my own OAB management.”

Join the conversation and start connecting with others at BladderChatter.com.

[i] Coyne, K. S., Sexton, C. C., Vats, V., Thompson, C., Kopp, Z. S., & Milsom, I. (2011). National community prevalence of overactive bladder in the United States stratified by sex and age. Urology, 77(5), 1081–1087. https://doi.org/10.1016/j.urology.2010.08.039

[ii] Mayo Clinic Staff (2020) Overactive Bladder Symptoms & Causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/overactive-bladder/symptoms-causes/syc-20355715

[iii] Reynolds, W. S., Fowke, J., & Dmochowski, R. (2016). The Burden of Overactive Bladder on US Public Health. Current bladder dysfunction reports, 11(1), 8–13. https://doi.org/10.1007/s11884-016-0344-9

[iv] Basis Health Ethnography (September 2020). The OAB Files


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Fighting for their future: One couple’s refusal to let lung cancer call the shots

2020-11-20T16:01:02

(BPT) – In 2002, Xin Z. and Zhigang W. moved to the United States from China to pursue new academic opportunities. Throughout the next decade, they lived in several different states before settling in Michigan.

They were happy, but their world turned upside down when Xin was diagnosed with advanced lung cancer.

The last thing they expected was to be dealt this devastating diagnosis. But, when life threw them an unexpected obstacle, they refused to retreat.

Instead of giving up, Xin and Zhigang fought to find the right tools and determine a treatment plan with their doctors to manage Xin’s prognosis. Seven years later, they are a testament to the power of self-advocacy and the potential of an innovative precision medicine tool that helped guide Xin’s cancer care – comprehensive genomic profiling (CGP).

Taking control of Xin’s cancer journey

In 2013, Xin started to experience pain in her chest and shoulders, along with a persistent cough. Once it was clear the symptoms were there to stay, she saw her primary care doctor, who ordered a chest x-ray. The scans showed a small nodule on her right lung. The doctor incorrectly identified it as an after effect of pneumonia and prescribed her antibiotics.

Fast forward to 2015, when the chronic cough and pains in Xin’s chest returned stronger than ever. Her doctor performed a CT scan and found a mass in the upper lobe of Xin’s right lung, exactly where the nodule had presented itself two years earlier.

“She was so strong and healthy,” Zhigang said of his wife. “We truly thought we had nothing to worry about. Unfortunately, we ignored the early signs until it was too late.”

Further examination revealed that Xin had Stage 4 non-small cell lung cancer (NSCLC), which eventually metastasized to her hip and brain.

“It was more than difficult to cope with Xin’s diagnosis at first,” Zhigang said. “It was something we really had to adjust to, both physically and mentally.”

Initial treatments to try controlling Xin’s growing cancer failed, including a debilitating hip replacement surgery to remove the cancerous bone and months of radiation to her leg and brain.

“We knew we needed to do something, but we didn’t know where to look or what route to take,” Zhigang said. “At this point, I decided it was time to take matters into my own hands – I needed to drive this vehicle, I needed to be in control.”

Zhigang relentlessly searched for alternative treatment approaches for his wife, ultimately leading them to CGP.

Comprehensive genomic profiling utilizes next generation sequencing (NGS) to identify gene mutations in a tumor that may drive cancer growth. This can oftentimes help with a personalized approach to therapy when targetable mutations are in the patient’s tumor.

Xin’s genomic sequencing test revealed a RET fusion, but Xin’s oncologist said there were no targeted therapies available at the time for this mutation.

Undeterred, Zhigang continued his personal research.

This proved worthwhile when the couple received information about a clinical trial for an investigational RET-targeted inhibitor. Xin became the first patient with NSCLC to be enrolled in the trial.

What Xin learned along the way

Xin remains in the clinical trial today, and her lung cancer has shown no further progression.

She encourages all partners, family members and caregivers to support their loved ones battling cancer, as Zhigang continues to do for her.

“It was so important for me to take some of the burden off of her,” Zhigang said.

Xin knows working together as a team is critical in handling a cancer diagnosis. “I’m so thankful and appreciative of my husband’s support,” Xin emphasized.

Xin and Zhigang often think about how many people may be misdiagnosed like Xin was. Zhigang emphasized that many of these cancer patients and health care providers may not know about genomic testing.

“Five years ago, many oncologists did not see the opportunity of genomic testing,” Zhigang said. “Even today, some oncologists we have encountered still do not have a deep understanding of NGS.”

While he knows no test or treatment is a magic bullet, and they don’t always work the same for every patient, Zhigang is thankful for the path that Xin’s testing put them on. Through his and Xin’s experience, he hopes other patients and caregivers are inspired to advocate for themselves through research, asking questions and most importantly, never giving up.


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Redefining Life to Tackle Heart Failure

2020-11-20T10:01:02

(BPT) – Tammy, a mother and grandmother, who always led an active lifestyle — going to the gym several times a week — never thought she would be at risk for heart failure.

Tammy began experiencing what she thought were common cold symptoms, including a persistent cough, shortness of breath and fatigue, but they worsened over time. “I went from leading group exercise classes, to being completely exhausted just from walking to my car from my door,” Tammy recalls.

When Tammy woke up one morning, she noticed that her abdomen was bloated and she had rapidly gained weight, a sign of fluid retention (edema). She knew something wasn’t right, so she scheduled an appointment with her doctor and was eventually referred to a cardiologist.

To Tammy’s surprise she was diagnosed with heart failure with reduced ejection fraction (HFrEF), a chronic, progressive condition that changes the structure of the heart so it can’t work as well. This specific type of heart failure accounts for half of all heart failure cases. Tammy’s condition got so serious that she was hospitalized.

There are approximately 1 million hospitalizations for heart failure every year in the US — that’s about 2 every minute. A hospitalization for heart failure is a sign that the condition is worsening, and patients may experience frequent hospitalizations throughout their condition, which can take a great toll on them and their loved ones as well as the health care system.

Tammy has worked closely with her health care providers to develop a heart failure treatment plan that works best for her, including ENTRESTO® (sacubitril/valsartan), a heart failure medication prescribed by most cardiologists that helps improve the heart’s ability to pump blood to the body.

While everyone’s journey may be different, Tammy hasn’t been hospitalized since starting ENTRESTO. In addition, Entresto helped Tammy’s heart so she can keep on doing what she loves.

In addition to frequent hospitalizations, heart failure can make doing daily activities harder, such as walking to the mailbox or taking care of household chores. Some symptoms of heart failure are shortness of breath, persistent cough, fatigue and swelling in legs, feet, ankles and/or abdomen. While it’s always been important, now more than ever, it is critical for patients to actively communicate how they are feeling to their health care providers so they can be partners in care.

Though not as active as she once was, Tammy has adapted to a new routine, including eating a low-salt diet, getting some regular physical activity, and taking her medications, including ENTRESTO. These unprecedented times can be challenging, especially for those with heart failure, but Tammy takes precautions to stay well and tries to stick to her heart-healthy routine. Instead of going to the gym, she walks her dogs outside and uses workout videos, and she cooks meals at home as much as possible.

Tammy encourages others with the condition to keep positive, set daily goals — no matter how small — and stay connected with their health care providers to find a treatment plan that works for them.

To learn more about ENTRESTO for heart failure patients, go to ENTRESTO.com.

About ENTRESTO®

ENTRESTO (sacubitril/valsartan) is a prescription medicine used to reduce the risk of cardiovascular death and heart failure hospitalization in adults with long-lasting (chronic) heart failure. ENTRESTO is usually used with other heart failure therapies, in place of an angiotensin-converting enzyme (ACE) inhibitor or other angiotensin II receptor blocker (ARB) therapy. Heart failure occurs when the heart is weak and cannot pump enough blood to your lungs and the rest of your body. It is not known if ENTRESTO is safe and effective in children less than 1 year old.

IMPORTANT SAFETY INFORMATION

Entresto can harm or cause death to an unborn baby. Patients should talk to their doctor about other ways to treat heart failure if they plan to become pregnant. If a patient gets pregnant while taking Entresto, she should tell her doctor right away.

Patients are not to take Entresto if they are allergic to sacubitril or valsartan or any of the ingredients in Entresto; have had an allergic reaction including swelling of the face, lips, tongue, throat or trouble breathing while taking a type of medicine called an ACE inhibitor or ARB; or take an ACE inhibitor medicine. Patients are not to take Entresto for at least 36 hours before or after they take an ACE inhibitor medicine. Patients should talk with their doctor or pharmacist before taking Entresto if they are not sure if they take an ACE inhibitor medicine. Patients are not to take Entresto if they have diabetes and take a medicine that contains aliskiren.

Before they take Entresto, patients should tell their doctor about all of their medical conditions, including if they have kidney or liver problems; or a history of hereditary angioedema; are pregnant or plan to become pregnant; are breastfeeding or plan to breastfeed. Patients should either take Entresto or breastfeed. They should not do both.

Patients should tell their doctor about all the medicines they take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. They should especially tell their doctor if they take potassium supplements or a salt substitute; nonsteroidal anti-inflammatory drugs (NSAIDs); lithium; or other medicines for high blood pressure or heart problems such as an ACE inhibitor, ARB, or aliskiren.

Entresto may cause serious side effects including serious allergic reactions causing swelling of the face, lips, tongue, and throat (angioedema) that may cause trouble breathing and death. Patients are to get emergency medical help right away if they have symptoms of angioedema or trouble breathing. Patients are not to take Entresto again if they have had angioedema while taking Entresto. People who are black or who have had angioedema may have a higher risk of having angioedema if they take Entresto. Entresto may cause low blood pressure (hypotension). Patients are to call their doctor if they become dizzy or lightheaded, or they develop extreme fatigue. Entresto may cause kidney problems or an increased amount of potassium in the blood.

The most common side effects in adults were low blood pressure, high potassium, cough, dizziness, and
kidney problems.

Please see full Prescribing Information, including Boxed WARNING available at http://www.pharma.us.novartis.com/product/pi/pdf/entresto.pdf

Patients are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Novartis is committed to providing patients with affordable access and resources through Entresto Central. For more information, please call 1-888-ENTRESTO or visit www.entresto.com.

Novartis Pharmaceuticals Corporation

East Hanover, New Jersey 07936-1080 ©2020 Novartis 10/20 ETR-1395278


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Simple ways to safely bring joy to seniors during the holidays

2020-11-20T13:01:00

(BPT) – Many seniors and their loved ones are taking special precautions to stay healthy, including limiting or eliminating visits and other activities that can cause COVID-19 to spread. That’s because the older you are, the higher your risk of severe illness from the coronavirus, according to the Centers for Disease Control and Prevention.

While these important steps help keep seniors physically healthy, they can have a negative impact on mental well-being. Many elderly people already felt isolation before COVID-19 limitations. Now that many activities and interactions they previously enjoyed are no longer an option, this can be particularly disheartening, especially during the holiday season.

In fact, 76% of people 65 and older are anxious to spend time in-person with their loved ones, according to a COVID-19 impact study by Comfort Keepers, providers of senior in-home and respite care. What’s more, 57% are eagerly awaiting the chance to embrace a loved one as soon as they can.

“Seniors are struggling with the emotional impact of isolation now more than ever due to COVID-19,” says Carl McManus, CEO, Comfort Keepers North America. “Fortunately, with a bit of creativity and outside-the-box thinking, friends and family can still bring joy to older loved ones to elevate the human spirit even from afar.”

McManus and the experts at Comfort Keepers share their top tips to bring joy to seniors in a safe manner:

Send joy in the mail: Many seniors still hold close the art of the handwritten letter, so try sitting down and writing out your thoughts to share with a loved one. An alternative would be a greeting card with a salutation and positive thoughts for the future. While sending mail for special occasions is always a welcome idea, consider sending letters periodically just to brighten the day.

Spread holiday cheer: There are many ways to virtually celebrate the holiday season. You can decorate a tree in a senior’s yard, leave a gift basket or greeting card on their doorstep, or have a drive-through holiday parade right in front of their home. Other traditional holiday activities that you can still do include caroling, gift giving and cookie exchanges. Take the time to plan the big celebration days, but don’t forget about bringing daily doses of joy throughout the season.

Share meaningful memories: Show seniors you’re thinking about them by sending imagery of your times together over the past few years. This could be a photo either via text, email or mail. You can also have children paint or draw their favorite memories with senior loved ones. A picture is worth a thousand words and by sharing imagery of meaningful experiences you’re showing that you cherish time together also. And sharing photos can help older adults feel connected and loved.

Make movie magic: Plan a time to virtually connect and watch a joyful movie together. It might be a classic, an option that’s been on your must-see list for a while, or a new release. A video meeting app can work best for this activity as it allows for easy interaction as you watch your flick, plus you can see each other’s reactions throughout the movie. For seniors who are less comfortable with technology, consider sending them your favorite film and theater treats to enjoy, and share your thoughts together later over the phone.

Name that tune: Music is a special part of the human experience and our favorite songs can bring a smile any time of the year. Take time to make a playlist of your loved one’s favorite music and send it as a gift in whatever manner is most easily accessible, digital or on CD. You can also plan a list of different songs and play them on random and guess to see who gets the most song titles right the fastest. Video and phone calls are also a great time for a sing-along or impromptu serenade!

Get grandkids in on the fun: For grandparents, grandkids are their pride and joy. Invite your kids of all ages to participate in activities, including singing contests, book reading, board games, crafts and more. Even a simple conversation sharing their interests, what’s happening at school and any craft projects is a pure joy. Also consider asking grandma and grandpa to have a Zoom class to teach kids a treasured craft, activity or recipe. And many seniors love to connect with children in their community, so consider having kids write cards or draw pictures for seniors that may be feeling lonely or isolated.

Become baking buddies: If you both have the ability, it can be a fun experience to bake together simultaneously. You might try a new recipe or one that is a family tradition. Get all the ingredients ready and then set a time to meet online virtually to start chopping, mixing and blending until you bake and compare results. Kids love participating in kitchen adventures as well. You can also make your favorite treats and gift them to seniors in your local area.

“Having a connection is so important to so many seniors, which is why a simple act of kindness can mean the world even if that looks a little different this year,” says McManus.


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How to green your table (and your wine glass) this winter

2020-11-20T15:53:00

(BPT) – Gathering around the table looks a lot different this year. From virtual toasts to strategically separated seating, winter’s hottest entertaining trend is the socially distanced dinner. But a little distance needn’t dim the glow of socializing, nor the eco-minded sensibility of sustainable choices.

The coziest of gatherings are still centered around the joys of great company, delicious food and wine, and beautiful décor — no matter how far apart everyone sits. And, a virtual meal can still pull together stylish and sustainable elements that lessen the impact on the earth, while exuding grace and warmth.

Set the table, set the tone

A table that is equal parts welcoming and sustainable starts from the reclaimed wood up. It’s easy to green your winter table with simple eco-chic touches like an organic cotton runner or an upcycled centerpiece. Thoughtful elements made from sustainable materials, like reusable bamboo dinnerware or jute napkin rings, create a lovely, neutral palette. And if you’re using recycled glass for your stemware, why not fill it with earth-friendly wine?

Swirl and sip sustainably

Thanks to eco-conscious wineries who value sustainably grown fruit, what you pour may be the greenest element of your winter table. Here are three labels leading the sustainability charge, from California to Chile:

Bonterra Organic Vineyards — American organic winery Bonterra began farming organically in 1987, decades before organic products became a mainstay of modern life. The team, led by Vineyard Director Joseph Brinkley, focuses on nurturing biodiversity, soil health and balance in the vineyards, all in the name of pure organic flavor in the glass. Instead of tractors, sheep mow the cover crops around Bonterra’s organically farmed vines in Mendocino County, California.

Fetzer — An early pioneer of sustainable farming, Barney Fetzer founded his eponymous winery in 1968 and helped shape the quality and environmental consciousness of California wine. More than 50 years later, Fetzer is synonymous with classic American wines rooted in an abiding commitment to people and planet. Much of the fruit that goes into a bottle of Fetzer wine is sourced from certified sustainable vineyards throughout California.

Cono Sur — Half a world away, Chile’s Cono Sur is an emblem of sustainable farming and winemaking in the Southern Hemisphere, with a dozen certified sustainable vineyards that dot the country’s vast north-south expanse. Nestled amid the first-ever Pinot Noir vines planted in Chile more than 50 years ago, Cono Sur is globally recognized for its Pinot Noir offerings.

Here are some top picks for winter wines that check all the boxes: sustainably sourced, delightful on the palate and deliciously suited for hearty, cold-weather fare.

Bonterra 2019 Chardonnay, California

Bright stone fruit and citrus zest are framed by subtle notes of toasted oak and crème brûlée in this organically farmed California Chardonnay. A rich and creamy palate is balanced by uplifted acidity and clean minerality. A go-to white for roasted game.

Fetzer 2019 Shaly Loam Gewürztraminer, Monterey County

America’s #1 Gewürztraminer lives up to its reputation with exotic notes of melon, rosewater, candied ginger and a touch of warm cinnamon spice. This sustainably sourced and fragrant white from the cool-climate vineyards of Monterey County is equally suited for a turkey feast or spicy pad Thai.

Cono Sur 2018 Organico Pinot Noir, Chile

Crafted from organically farmed, estate-grown fruit in Colchagua Valley and San Antonio Valley, this medium-bodied Pinot Noir delivers intense wild fruit aromas of cherry and raspberry, layered over nuanced notes of toasted oak. Sip this elegant red with poached salmon, roasted duck or a nutty Gruyère cheese.

Bonterra 2018 Merlot, California

Ripe fruit notes of strawberry and pomegranate are framed by a subtle suggestion of dried herbs. Elegant tannins and a smooth finish make this organically farmed, robust red a winter favorite. Pour it alongside braised meat or tomato pasta.

No matter how your gatherings take shape this winter — from a few people at the table to a few households connected by virtual screens — you can still embrace all the elements that matter most: the people you love, memorable conversations, delicious food and wine, and sustainable style.


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Doctor’s insight: Debunking toddler nutrition myths

2020-11-20T07:01:00

(BPT) – The transition from breast milk or formula to food can be a stressful one for parents of toddlers. Keeping track of the newest information about adequate nutrition is difficult enough, not to mention you’re now dealing with toddler food preferences that can seemingly alter overnight.

“Guidelines around nutrition are frequently changing and parents of young children often struggle with knowing what to feed their little ones and how to do it best,” says Dr. Christina Valentine, neonatologist focused on maternal and infant diet and North America Medical Director, RB Nutrition. “This can lead to a lot of misconceptions that confuse well-meaning parents.”

Toddlers’ bodies and brains are growing rapidly, so it’s important they have good nutrition to help support this growth. Valentine shares her expert insight about some of the most common food and nutrition myths, along with ways to help ensure your toddler is getting the necessary nutrients.

Myth: Toddlers get enough vitamin D from the sun.

Fact: Vitamin D is important for healthy bone growth in toddlers, yet many kids may be experiencing decreased exposure to sunlight due to changing seasons, differing routines, quarantine and more. This decreased exposure paired with limited dietary sources of vitamin D can mean some children may need additional supplementation, according to Pediatrics journal. In fact, the Journal of Nutrition reported that 76% of U.S. toddlers, aged 12 to 24 months, have an inadequate intake of vitamin D.

What to do: If your child is no longer drinking formula, incorporate vitamin D-rich foods and drinks like fortified milk and yogurt, toddler nutritional drinks, eggs, canned tuna, salmon and a vitamin D fortified cereal into their diet.

Myth: My child will eventually grow out of being a picky eater.

Fact: As kids grow up, they may outgrow resistance with certain foods, however, some habits may stick around if not addressed.

What to do: Try offering a variety of healthy options during snack time. Serve meals buffet style and allow your child to choose from a selection of nutritious foods, introducing new foods into the mix. Additionally, get them interested in what they’re eating by allowing them to help out in the kitchen. Finally, be a role model for healthy eating choices so they observe you eating well, too.

Myth: All toddlers can get all the nutrients they need — like iron — from their diet.

Fact: Because toddlers’ tastes are changing, they might not be getting the necessary nutrients they need from their diet. Data show many toddlers face nutrient inadequacies and that approximately 1.5 million children between the ages of 1 and 5 may be at risk for iron deficiency, according to Nutrients journal.

What to do: Mix in nutritious foods with foods you know they like such as peanut butter, yogurt and blended fruit smoothies. Consider incorporating a toddler nutritional drink, like Enfagrow Toddler Nutrition Drink, to help fill in those nutrient gaps. Made with real milk, it has nutrients like DHA, vitamin D and iron. In fact, two servings has 70% of the daily value of iron they need for development, and it helps support growth with as much iron as in over two gallons of milk. Serve it as a drink on-the-go or use it in baking.


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3 ways COVID-19 has changed pain management

2020-11-19T18:51:28

(BPT) – When COVID-19 halted all non-essential health services, it begged the question — what types of care can’t be delayed? Treatment for chronic pain, for one. Not only is pain management essential care, it’s even more critical during stressful times.

The good news is the pandemic has inspired innovations, such as telehealth and minimally invasive treatments for long-lasting pain relief, to help suffering patients, says the American Society of Anesthesiologists (ASA).

“The anxiety and isolation caused by COVID-19 adds to chronic pain, which is further compounded by reduced access to strategies, such as physical therapy, exercise and even visits with the grandkids or other loved ones, that help people manage their discomfort,” said Dr. David Dickerson, pain medicine specialist and vice chair of ASA’s Committee on Pain Medicine. “As a result, they may be more likely to turn to medications or alcohol, increasing the risk of misuse and abuse. Physician anesthesiologists who specialize in pain medicine have gotten creative to ensure their patients have access to the safest and most effective care.”

Here are three ways pain management changed due to COVID-19.

1. Greater access to providers through telehealth

When the COVID-19 pandemic suspended in-person visits, physician anesthesiologist pain medicine specialists turned to secure video meetings or telephone calls to consult with patients. Led by the Centers for Medicare & Medicaid (CMS), health insurance companies revised their coverage to include telehealth to ensure this vital care. Using telehealth visits, pain medicine specialists see the patient face-to-face via video, ask and answer questions and formulate a plan. They can refer those struggling with stress from COVID-19 to psychologists who also can counsel them via telehealth.

Telehealth also removes some barriers to care during a pandemic. Patients don’t need to worry about getting to an appointment or sitting for long periods in crowded waiting rooms. Via telehealth, they wait in a virtual waiting room in their own home. Specialists can easily access patients’ electronic medical records while talking to them virtually. As a result, 95% of people seeing pain medicine specialists have continued to do so, many of them via telehealth, which likely will remain an option for the foreseeable future.

2. Pain medicine specialists expand role to meet patients’ needs

During the pandemic, many patients have put off seeing their primary care physicians, so pain medicine specialists have been helping fill that role. They’re getting patients to understand the importance of seeking necessary treatment, such as visiting the emergency room if they are experiencing signs of stroke or angina, a symptom of heart disease.

As in-person medical appointments resume, many pain medicine specialists have revised their office visit practices, requiring masks and staggering appointments, to keep patients safe. Although telehealth remains an option, having the patient come into the office is preferred in some instances. For example, pain medicine specialists can more readily treat those with addiction issues in person. During this national health emergency, the number of patients needing treatment for pancreatitis — painful inflammation of the pancreas often due to excessive alcohol use — has increased dramatically. Early evidence suggests drug overdoses, including those from opioids, may be increasing as well, according to a report at odmap.org.

3. Long-lasting, minimally invasive techniques reduce visits and hospitalizations

To reduce the frequency of visits while keeping patients out of the hospital, pain medicine specialists are focusing on office-based treatments that can ease pain for six months or more. For example, rather than giving patients a series of injections that require regular office visits, pain medicine specialists can perform procedures in one visit. Some of these treatments include a procedure called percutaneous image-guided lumbar decompression (PILD), which reduces pain by removing excess tissue in people with spinal stenosis (narrowing of the spinal canal that can compress nerves and cause pain in the back and legs); neurostimulation, in which a device implanted under the skin generates electrical impulses that disrupt pain signals; and radiofrequency ablation or neurolysis, which silences nerves that bring pain signals from inflamed joints or tissue.

“Treatment for debilitating pain is complex in any circumstance and even more so during this health crisis,” said Dickerson. “Physician anesthesiologists and other pain medicine specialists can ensure proper and effective approaches to care that improve quality of life during the pandemic and beyond.”

Learn more about how pain specialists can help you manage your chronic pain and download tips for relieving pain during the pandemic at www.asahq.org.