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Anesthesiologists showcase cutting-edge research to transform patient care

2023-11-14T08:01:00

(BPT) – Traumatic brain injury (TBI) leads to depression in women more often than men. Minority patients are more likely to die after surgery. Parents may benefit from using virtual reality to ease their anxiety when their children have surgery. These were among the many cutting-edge studies impacting patient care presented at the recent ANESTHESIOLOGY® 2023, the annual meeting of the American Society of Anesthesiologists (ASA).

“Over their lifetimes, many Americans may experience TBI, endure health care disparities or experience anxiety when their child is having surgery,” said ASA President Ronald L. Harter, M.D., FASA. “This groundbreaking research has real-world implications for patients and their families and aims to improve health care for everyone. Anesthesiologists are on the forefront of advancing scientific inquiry to improve patients’ surgical experience before, during and after a procedure.”

Here are a few examples of the new findings anesthesiologists recently presented at ANESTHESIOLOGY 2023.

Women at much higher risk of depression after TBI

Most studies showing the link between TBI and depression have focused on men. But according to an analysis of nine studies and nearly 700,000 people, women are nearly 50% more likely than men to develop depression after suffering a concussion or other TBI. This research represents the highest-quality evidence to date that a patient’s gender influences the risk of depression after TBI, according to Isaac G. Freedman, M.D., MPH, lead author of the study and an anesthesiology resident at Massachusetts General Hospital and Harvard Medical School, Boston.

Every year, about 1.5 million Americans suffer a TBI, which can lead to long-term health effects such as memory loss and behavioral changes. Common causes of TBI in women include falls, intimate partner violence, trauma related to military service and sports-related concussion. Women’s soccer has the highest rate of concussions of all contact sports, a separate study recently found.

Women should be aware of the risk of developing depression after a brain injury, even if they have no prior history of mental health challenges, and should know what signs and symptoms to look for and when to seek help. Doctors may consider screening women for depression if they have had a TBI.

Black and Hispanic patients much more likely to die after surgery than white patients

Twelve thousand Black and Hispanic patients who died after surgery the past two decades may have lived if there were no racial and ethnic disparities among Americans having surgery, according to a study of more than 1.5 million inpatient procedures. This estimate draws attention to the human toll of disparities in surgical outcomes, with Black patients being 42% more likely and Hispanic patients 21% more likely to die after surgery compared to white patients.

This research represents the first effort to move beyond merely documenting the ongoing disparities in surgical outcomes in the U.S. by quantifying their total human toll, said Christian Mpody, M.D., Ph.D., MBA, lead author of the study and assistant professor of anesthesiology and pediatrics at The Ohio State University College of Medicine, Columbus.

Unless efforts to narrow the racial and ethnic gap in surgical outcomes intensify, preventable deaths will continue among minority patients, the researchers said. The development of equity policies to address disparity gaps can make a difference; a 2% reduction in projected excess mortality rates among Black patients would avert roughly 3,000 post-surgery deaths in the next decade, researchers determined.

While the study didn’t assess the effectiveness of specific interventions or policies, researchers noted that addressing the problem requires an extensive approach including investment in disparity research, cultural competency training for health professionals and prioritizing patient education and health literacy.

Virtual reality reduces anxiety among caregivers of children having surgery

Virtual reality (VR) may be an effective and reliable tool to alleviate the anxiety experienced by most parents or caregivers when their child undergoes surgery, a study found. By providing family-centered care, researchers aimed to treat not just the patient, but also caregivers, 74% of whom experience quite a bit of anxiety before, during and after their child’s surgery, said Thomas J. Caruso, M.D., Ph.D., FASA, senior author of the study and clinical professor of anesthesiology, perioperative and pain medicine at Stanford University, California. The findings demonstrated a significant reduction in anxiety when using VR, compared to the standard of care.

Immersive technologies, such as VR, offer new, non-pharmacologic treatment options for anxiety relief. Given the diminishing costs of VR and its commercial availability, the results of this study suggest that hospitals seeking to provide family-centered care may consider VR as an effective, anxiety-relieving option for parents or caregivers.

Learn more about the importance of physician-led anesthesia care, preparing for surgery and the latest advances in the specialty. Visit: https://www.asahq.org/madeforthismoment/.

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4 questions to ask before going electric

2023-11-13T12:01:01

(BPT) – The “electric vehicle (EV) boom” is upon us. Americans purchased nearly 300,000 EVs in the second quarter of this year, over 48% more than in 2022. To drive the trend even further, new data from Hankook Tire’s Gauge Index survey suggests that more than 1 in 3 drivers (34%) plan to own or lease a hybrid or EV in the future.

But purchasing an EV is an entirely different ballgame compared to purchasing a traditional gas-powered or internal combustion engine (ICE) vehicle. The unique characteristics of EV ownership mean that first-time buyers should ask specific questions of their car dealers and of themselves before making the switch.

If you are thinking about purchasing an EV for the first time, here are some questions to consider to make a smart purchasing decision:

1. What is the long-term cost?

The initial price on the sticker doesn’t cover everything for any vehicle, and the same is true for EVs. Drivers must consider the cost of maintenance, insurance and, of course, fueling up. However, the cost difference to charge an EV is an incentive for many car shoppers. Hankook found that 24% of drivers are most likely to switch to an EV for a lower cost to charge rather than pumping gas.

2. What type of maintenance will my EV need?

The general consensus among drivers is that EVs require less maintenance than their ICE counterparts, but understanding what is needed to keep the vehicle running at peak performance is still key. While there’s no oil to change in your EV, brakes, fluids and various air filters will still need to be maintained over the course of your vehicle’s life. As a new EV owner, it is important to be aware of the maintenance needs.

3. What tires come on my EV?

Did you know that there are tires specifically made for EVs? EV tires are created with the change in road noise and increased weight of the vehicle in mind. If the tires on your vehicle are not EV-specific, consider purchasing new ones through rebates and other tire sale opportunities. And don’t forget to consider tire qualities that are important to both yourself and your driving habits. The Gauge identified performance (14%), safety (14%) and longevity (14%) as the top considerations for EV drivers when purchasing a new set of tires.

4. What does my local charging infrastructure look like?

Charging stations continue to pop up across the U.S., but is there a charging station convenient to your daily life? Hankook found that 30% of drivers are more likely to consider driving an EV if there were more charging stations near where they work or live. Knowing where the most convenient stations are will make the transition to charging even easier.

There are many questions that new EV buyers should ask before making the shift, but thinking strategically and asking questions about factors that may impact you in the long run will set you up well for an electrified future.

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Understanding Myelosuppression: Big Implications for Small Cell Lung Cancer

2023-11-13T08:01:00

(BPT) – Small cell lung cancer (SCLC) is a rare disease in which cancerous cells form in the tissues of the lung, accounting for ~15% of all lung cancers.1 “Small cell” refers to the small, uniform nature of the cells under the microscope – contrary to non-small cell, where cells vary in both size and shape.

SCLC is typically categorized into two stages: limited stage and extensive stage, the latter describing cancers that have spread widely throughout the lung, to the other lung, to lymph nodes across the chest, or even to other parts of the body, such as the bone marrow. Because of the aggressive nature of the condition, 80-85% of patients are diagnosed with SCLC once it has reached this extensive-stage.2 With this, early detection and diagnosis can offer the best chance of successful treatment for people living with SCLC.

In recognition of Lung Cancer Awareness Month, let’s take a closer look to better understand the treatment journey of those living with SCLC.

Chemotherapy helps destroy the tumor, but also healthy bone marrow.

Because SCLC spreads quickly throughout the body, intravenous treatment such as chemotherapy remains a cornerstone of care; however, while chemotherapy works to destroy cancer cells, it does not have the ability to differentiate between cancer cells and healthy cells – ultimately damaging both.

One harmful side effect of chemotherapy is damage to the bone marrow – the parent source of multiple cell types, including red blood cells, white blood cells, and platelets. When the bone marrow is damaged, this results in low blood cell count, also known as myelosuppression.

Myelosuppression can have serious consequences.

Myelosuppression can put people at increased risk of infection, fatigue, and bleeding.3 To better understand its impact, it’s helpful to first understand the functions each of our cell-types play in supporting our bodies:

  • White blood cells are responsible for fighting infection, so when white blood cell counts are low – the scientific term is neutropenia – people are at a higher risk of infection;
  • Red blood cells carry oxygen around the body, so when red blood cell counts are low – also known as anemia – this can lead to feelings of weakness, fatigue, dizziness or difficulty breathing;
  • Platelets help clot blood, so with fewer platelets – called thrombocytopenia – there is a higher risk of bleeding or excessive bruising.

Having low blood cell counts or platelets can negatively impact people’s health and treatment, which can result in hospitalization, the need for blood transfusions or rescue interventions, as well as reduction in dose or delays in chemotherapy treatment.4,5 In fact, neutropenia and anemia are two of the top reasons people being treated with chemotherapy enter the emergency room or hospital.6

Mitigating myelosuppression is possible.

For people undergoing chemotherapy, traditional treatment options for myelosuppression often promote and replace cells that have been damaged or depleted due to the chemotherapy and aim to stimulate the recovery of damaged cells. These interventions are used with the goal of stimulating or replacing individual cell lineages after the damage from chemotherapy occurs and can include:

  • G-CSFs (Granulocyte-Colony Stimulating Factor) are typically given to people who experience neutropenia (low white blood cell counts) after chemotherapy to help stimulate the body to produce more white blood cells (neutrophils) to protect against infection;
  • ESAs (Erythropoietin Stimulating Agent) are given to people who experience anemia after chemotherapy to stimulate the bone marrow to make red blood cells;
  • Red blood cell transfusions provide another option for people with anemia but can create other burdens for the patient including additional travel for appointments and procedures.
  • While there are no approved treatments for chemotherapy-induced thrombocytopenia, healthcare providers may consider platelet transfusions for people with low platelets.

Alternatively, some people with SCLC may have the option to receive treatment in advance of chemotherapy which may help reduce the negative effects of chemotherapy on bone marrow cells. If you or someone you know has been diagnosed with SCLC, talk to your healthcare provider about your options. If you are interested in learning more about the effect of chemotherapy on multiple blood cell lineages, click here.

This content is sponsored by G1 Therapeutics.

References

1American Cancer Society. What Is Lung Cancer? Available from: https://www.cancer.org/cancer/types/lung-cancer/about/what-is.html. Accessed November 2, 2023.

2Schwendenwein A, Megyesfalvi Z, Barany N. et al. Molecular profiles of small cell lung cancer subtypes: therapeutic implications. Mol Ther Oncolytics. 2021;20:470–483.

3Cleveland Clinic. Myelosuppression (Bone Marrow Suppression. Available from: https://my.clevelandclinic.org/health/diseases/24788-myelosuppression. Accessed November 2, 2023.

4Kurtin S. Myeloid toxicity of cancer treatment. J Adv Pract Oncol. 2012;3(4):209-224.

5American Cancer Society. Kinds of Blood Product Transfusions. Available from: https://www.cancer.org/cancer/managing-cancer/treatment-types/blood-transfusion-and-donation/what-are-transfusions.html. Access November 2, 2023.

6Hassett MJ, O’Malley AJ, Pakes JR, et al. Frequency and cost of chemotherapy-related serious adverse effects in a population sample of women with breast cancer. J Natl Cancer Inst. 2006;98(16):1108-1117.

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Nurturing Mental Health in 2024: Your Guide to Connected Conversations

2023-11-13T08:01:00

(BPT) – It’s the season for family gatherings and resolutions. Family gatherings can bring both joy and stress. Thinking ahead to our goals for the next year, we often focus on self-improvement or showing up for other people in our lives. But there is one action that accomplishes both and can improve our mental health significantly: Deepening connection. The advice here can apply to any space or time, but can create connection and lessen conflict at the holidays.

“Social connection is a fundamental human need, as essential to survival as food, water and shelter,” wrote Surgeon General Vivek H. Murthy, in his recent advisory Our Epidemic of Loneliness and Isolation. He shared the sobering fact that research shows that social disconnection is as bad for our overall health as “smoking up to 15 cigarettes a day,” and emphasized that “Our individual relationships are an untapped resource — a source of healing hiding in plain sight. They can help us live healthier, more productive and more fulfilled lives.”

This year, The Jed Foundation (JED), which is focused on promoting mental health and preventing suicide for our nation’s teens and young adults, is offering concrete ways to start important and vulnerable intergenerational conversations that are the foundation of strong, supportive relationships. They can also be life-changing and — sometimes — life-saving.

Suicide remains the second-leading cause of death among 10- to 34-year-olds in the U.S., but it is preventable. Everyone has three key tools they can use to support young people: showing up, being willing to have hard conversations, and listening deeply. Being able to talk openly about suicide opens the door through which people find help.

“One of the best ways to care for your emotional health, and the emotional health of those around you, is by connecting to people you care about,” said Dr. Katie Hurley, DSW, a child and adolescent psychologist and Senior Clinical Advisor at JED. “Through social connectedness, you can create a solid foundation for mental well-being.”

Dr. Hurley suggests two ways to create a supportive environment along with conversation starters — from the everyday to the philosophical — that can be building blocks for more connected, enjoyable and mentally healthy family gatherings now and in the year ahead.

Make Space for Connection IRL

Create boundaries for social media use as a family. Prioritize spending time with people in person. These face-to-face interactions help to foster authentic connections and allow you, your young people, and others in your circle to share the joys and challenges you are experiencing.

Step Outside Your Comfort Zone

Being vulnerable with the people you trust in your life will help strengthen your bonds and support network. As a parent, caregiver or caring adult, admitting that you’re struggling mentally and emotionally can feel difficult, but there’s a pay-off. Acknowledging challenges makes them feel more manageable and encourages the same openness in the teens and young adults in your lives. This shows them the power of being open and honest. It’s equally important to share the things you do to cope with difficult moments.

Conversation Starters to Spark Family Connection

Caregivers to Teens

  • What is something you and your friends know more about than the adults in your lives?
  • If you could plan a family trip — on an unlimited budget — where would we go and what would we do?
  • If you could host a dinner for six people you admire the most, who would they be?
  • If you could fix one problem in the world right now what would it be?
  • What is something people don’t usually know about you when they first get to know you?

Teens to Caregivers

  • What’s one mistake you made that you were afraid for other people to find out about?
  • What’s one thing my generation has that you wish you had when you were my age?
  • Who was your go-to person when you were growing up?
  • What helps you relax when you are feeling stressed?
  • Name one of your most embarrassing moments when you were my age.

Teens to Teens

  • What’s something you wish your family understood about you?
  • What’s your favorite TikTok account when you want to check out for a bit?
  • Do you have a go-to thing you do when you’re feeling down?
  • How do you like people to support you when you’re having a hard time?
  • Would you rather go to a big party and meet lots of new people or gather with a small group of friends at home?

To learn more about how you can invest in your mental health and that of the young people in your life, visit JED’s Mental Health Resource Center and check out JED’s Guides to having tough — but important — conversations. For example, 10 tips to start a conversation with your teens about their mental well-being.

For media inquiries or interview opportunities, please contact Justin Barbo, Director of Public Relations at JED, at justin@jedfoundation.org.

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Why Sodium Matters, Especially If You Have Narcolepsy

2023-11-13T12:01:01

(BPT) – People with narcolepsy may be unaware that their chronic condition may increase their odds of having a stroke*, heart disease†, hypertension†, diabetes†, and other cardiometabolic comorbidities† compared to the people without narcolepsy. As a result, many are caught by surprise when they hear about their increased risk and the steps needed to help mitigate it.

Consider Grace** for example, who has narcolepsy type 1*** and has had to navigate the realities of her diagnosis and its connection to cardiovascular disease. Shortly after finding out she had narcolepsy, Grace spoke to her doctor and sought out online resources, which led her to a statistic that may come as a shock.

A study comparing 9,312 adults with narcolepsy to 46,559 similar adults who do not live with the sleep disorder showed that people with narcolepsy were 2.5x more likely to have a stroke**** than people without narcolepsy.

“I know narcolepsy is a life-long condition, and I will likely need treatment for the rest of my life,” Grace says. “Although I am healthy and in shape, I try to do what I can every day to lower my risk for cardiovascular disease.”

Below are some important considerations that narcolepsy patients with excessive daytime sleepiness and cataplexy can refer to when speaking with their doctor about their sodium intake, which is a modifiable risk factor for heart health.

Many people know sodium intake is important but may be overlooking the “why.” Enter the heart health connection. “Monitoring sodium is important to me because too much sodium can increase the risk of cardiovascular disease,” Grace says. “And I know that in general, I have a higher risk for cardiovascular disease since I have narcolepsy.”

For most adults, reducing sodium intake by 1,200 mg per day can help reduce the risk of cardiovascular diseases. And while sodium typically comes from food and drinks, people may be surprised to learn it is also in certain medications.

Oxybate-containing medications are a treatment option for people with narcolepsy who have excessive daytime sleepiness and cataplexy. However, some of these medications can contain up to ~1640 mg of sodium at the maximum recommended 9 g nightly dose. For patients seven years and older with cataplexy and/or excessive daytime sleepiness, XYWAV® (calcium, magnesium, potassium, and sodium oxybates), the first and only FDA approved low-sodium oxybate, is an option. XYWAV is thought to work during sleep to help with two common symptoms of narcolepsy during the day. The exact way XYWAV works for the treatment of cataplexy and EDS in patients with narcolepsy is unknown, but it contains 92% less sodium than the higher-sodium oxybate, XYREM® (sodium oxybate) oral solution. That’s as much as ~1,509 mg less sodium per night at the maximum recommended nightly dose.

It’s important for people with narcolepsy to understand certain risk factors for cardiovascular disease, including considering their sodium intake. “I would definitely recommend to others who are struggling with excessive daytime sleepiness and cataplexy in narcolepsy to talk to their doctor about trying XYWAV to see if it may help them like it helped me,” Grace says. No matter your age, diet or fitness status, it’s important people with narcolepsy be aware of how sodium plays into their heightened cardiovascular disease risk and to speak with their doctors about Xywav, a low-sodium treatment option.

XYWAV may cause serious side effects including Central Nervous System (CNS) depression, abuse and misuse, breathing problems, mental health problems and sleepwalking. Because of the risk of CNS depression, abuse and misuse, XYWAV is available only by prescription, and filled through the central pharmacy in the XYWAV and XYREM REMS. Please see below for more information on XYWAV.

For more information, visit XYWAV.com/narcolepsy.

Sponsored by Jazz Pharmaceuticals

* Based on an analysis of 9,312 people with narcolepsy and 46,559 people without narcolepsy matched by age, sex, geographic region, and payer who had continuous insurance coverage between the years of 2006 and 2010

† Based on an interview study of 320 people with narcolepsy compared to 1464 people without narcolepsy matched for age, sex, and body mass index

** Grace is a real XYWAV patient and has been compensated by Jazz Pharmaceuticals for her time

*** Narcolepsy type 1 is characterized by the symptoms of excessive daytime sleepiness, which is the uncontrollable need to sleep during the day, and cataplexy, which is a brief loss of muscle control that can happen when a person feels a strong emotion

**** Odds ratio (95% CI) 2.5 (2.3, 2.7); P-value <0.0001

Please see Important Safety Information and full Prescribing Information, including BOXED Warning and Medication Guide available on XYWAV.com.

About Xywav® (calcium, magnesium, potassium, and sodium oxybates) oral solution
Xywav is a lower-sodium oxybate approved by the U.S. Food and Drug Administration (FDA) for the treatment of cataplexy or excessive daytime sleepiness in patients 7 years of age and older with narcolepsy. FDA recognized seven years of Orphan Drug Exclusivity for Xywav in June 2021 for the treatment of cataplexy or excessive daytime sleepiness in patients 7 years of age and older with narcolepsy. The Office of Orphan Product Development (OOPD) at FDA found Xywav to be clinically superior to Xyrem by means of greater cardiovascular safety because Xywav provides a greatly reduced chronic sodium burden compared to Xyrem. According to FDA, these differences in sodium content will be clinically meaningful in reducing cardiovascular disease for many people with narcolepsy who suffer from EDS and/or cataplexy. There are no head-to-head data for Xywav and Xyrem. Xywav is comprised of a unique composition of cations resulting in 92% less sodium. At the recommended dosage range of 6 to 9 grams, that is a reduction of approximately 1,000 to 1,500 mg of sodium per night. While the exact mechanism of action of Xywav is unknown, it is hypothesized that the therapeutic effects of Xywav on cataplexy and excessive daytime sleepiness are thought to work during sleep to help with symptoms during the day. Because of the risks of CNS depression and abuse and misuse, Xywav is available only through a restricted program under a Risk Evaluation and Mitigation Strategy (REMS) called the XYWAV and XYREM REMS.

Important Safety Information

WARNING: Taking XYWAV with other central nervous system (CNS) depressants such as medicines used to make you or your child fall asleep, including opioid analgesics, benzodiazepines, sedating antidepressants, antipsychotics, sedating anti-epileptic medicines, general anesthetics, muscle relaxants, alcohol, or street drugs, may cause serious medical problems, including trouble breathing (respiratory depression), low blood pressure (hypotension), changes in alertness (drowsiness), fainting (syncope), and death.

The active ingredient of XYWAV is a form of gamma-hydroxybutyrate (GHB). Abuse or misuse of illegal GHB alone or with other drugs that cause changes in alertness (or consciousness) has caused serious side effects. These effects include seizures, trouble breathing (respiratory depression), changes in alertness (drowsiness), coma, and death. Call your doctor right away if you or your child has any of these serious side effects.

Because of these risks, you have to go through the XYWAV and XYREM REMS to have your or your child’s prescription for XYWAV filled.

Do not take XYWAV if you take or your child takes other sleep medicines or sedatives (medicines that cause sleepiness), drinks alcohol, or has a rare problem called succinic semialdehyde dehydrogenase deficiency.

Keep XYWAV in a safe place to prevent abuse and misuse. Selling or giving away XYWAV may harm others and is against the law. Tell your doctor if you have ever abused or been dependent on alcohol, prescription medicines, or street drugs.

Anyone who takes XYWAV should not do anything that requires them to be fully awake or is dangerous, including driving a car, using heavy machinery, or flying an airplane, for at least 6 hours after taking XYWAV. Those activities should not be done until you know how XYWAV affects you or your child.

XYWAV can cause serious side effects, including the following:

    • Breathing problems, including slower breathing, trouble breathing, and/or short periods of not breathing while sleeping (sleep apnea). People who already have breathing or lung problems have a higher chance of having breathing problems when they use XYWAV.
    • Mental health problems, including confusion, seeing or hearing things that are not real (hallucinations), unusual or disturbing thoughts (abnormal thinking), feeling anxious or upset, depression, thoughts of killing yourself or trying to kill yourself, increased tiredness, feelings of guilt or worthlessness, or difficulty concentrating. Tell your doctor if you or your child have or had depression or have tried to harm yourself or themselves. Call your doctor right away if you have or your child has symptoms of mental health problems or a change in weight or appetite.
    • Sleepwalking. XYWAV can cause sleepwalking, which can cause injuries. Call your doctor if this occurs.

The most common side effects of XYWAV in adults include nausea, headache, dizziness, anxiety, insomnia, decreased appetite, excessive sweating (hyperhidrosis), vomiting, diarrhea, dry mouth, parasomnia (a sleep disorder that can include abnormal dreams, abnormal rapid eye movement (REM) sleep, sleep paralysis, sleep talking, sleep terror, sleep-related eating disorder, sleepwalking, and other abnormal sleep-related events), somnolence, fatigue, and tremor.

The most common side effects of XYREM (which also contains oxybate like XYWAV) in children include nausea, bedwetting, vomiting, headache, weight decrease, decreased appetite, dizziness, and sleepwalking.

XYWAV can cause physical dependence and craving for the medicine when it is not taken as directed. These are not all the possible side effects of XYWAV.

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

Approved Use

XYWAV® (calcium, magnesium, potassium, and sodium oxybates) oral solution, 0.5 g/mL total salts (equivalent to 0.413 g/mL of oxybate) is a prescription medicine used to treat:

  • The following symptoms in people 7 years of age or older with narcolepsy:
    • Sudden onset of weak or paralyzed muscles (cataplexy)
    • Excessive daytime sleepiness (EDS)

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3 hearing health strategies for older adults

2023-11-13T16:37:00

(BPT) – As people age, our hearing tends to decline for multiple reasons, including repetitive exposure to loud sounds and genetic factors. In fact, hearing loss ranks as the third most common chronic condition among all Americans. For older Americans, nearly a quarter of those aged 65 to 74 have hearing loss. That number increases to 50% for those 75 and older.

For people in this situation, obtaining treatment as soon as possible is crucial, as hearing is vital to staying connected with friends and family. Studies have shown that hearing loss can contribute to social isolation, cognitive decline, trouble communicating and more.

While there is no cure for certain types of hearing loss, there are options to treat it and help you maintain an active lifestyle. In fact, the recent ACHIEVE Study found that for older adults at increased risk of cognitive decline, accessing hearing invention, specifically hearing aids, slowed down loss of thinking and memory abilities by 48% over three years.

To help prevent further hearing loss, avoid potential medication-related complications, and make more informed decisions about testing and treatment, here are three tips from Dr. Claire Collord Johnson, audiologist with UnitedHealthcare Hearing:

1. Continue to focus on prevention. Even if you are already experiencing hearing loss, it’s important to avoid exposure to one-time or prolonged loud sounds. When attending events such as concerts or sporting events, use protection such as foam or custom ear plugs.

There may be other activities in your day-to-day routine causing damage, too. Prolonged exposure to noise over 70 decibels over time can damage hearing health. Sources of sound above this decibel level can include lawn mowers, power tools or listening to music at high volumes. When using earbuds or headphones, follow the 60-60 listening rule, which promotes listening to audio devices at no more than 60% of maximum volume for no more than 60 minutes a day.

2. Consider your overall health. Before starting any new medications, it is important to know that more than 600 prescriptions and over-the-counter (OTC) drugs have the potential to impact hearing. These medications are known as ototoxic, which means they can contribute to hearing loss, worsen tinnitus (ringing in the ears) or contribute to balance disorders.

Make sure you check with your primary care provider to review any potential side effects of new medications that could cause further harm to your hearing, as well as make sure to follow the guidance from your prescribing physician. Importantly, hearing health is connected to overall health, with untreated hearing loss linked to higher rates of depression, dementia and increased risk of falls.

3. Seek treatment. If you or a loved one believes you may be experiencing hearing loss, it is important to access care as soon as possible. Wearing hearing aids when the condition first arises may help your ears adapt to the re-introduction of lost sounds more effectively, preserving the brain’s ability to process language.

A good place to start is by completing an online hearing test, which offers a hearing health questionnaire to assess your hearing health and learn about potential next steps for care. You can also check with your primary care physician, who may be able to provide a basic test, check for earwax and refer you to a hearing health professional for a comprehensive exam. Depending on your specific needs, an audiologist or hearing health professional may be able to fit you for a prescription hearing aid.

To help make hearing aids more affordable, check with your health plan to determine if any discounts may be available. For instance, people enrolled in most UnitedHealthcare Medicare Advantage plans can purchase custom-programmed hearing aids with little to no out-of-pocket costs.i Other potential ways to save on hearing aids include through membership organizations.

Following these tips can play an important role in protecting your hearing health as part of a comprehensive approach to healthy aging.

Learn more: Go to UHCHearing.com to access a free online hearing test*, find a hearing care professional near you, and to save on prescription and OTC hearing aids.

* The online hearing test is not designed to replace a professional hearing test.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. Benefits, features and/or devices vary by plan/area. Limitations and exclusions apply.

i The cost of hearing aids as well as the method of paying for them varies by plan. Medicare Advantage members should refer to their Evidence of Coverage document or call the number on their health plan ID card to confirm the cost and payment method for their plan.

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How you can stay ahead of diabetes

2023-11-13T13:01:00

(BPT) – With diabetes on the rise, getting tested and establishing a healthy routine are more important than ever.

We’re facing a diabetes crisis in the United States. About 1 in 10 of us — nearly 37 million people — are living with diabetes, and another 96 million have prediabetes.[1] What’s more, 1 in 5 Americans with diabetes don’t know they have it.[2]

The high rate of diabetes in this country comes at a significant cost. If not well managed, diabetes can lead to many complications, including blindness, kidney failure, heart disease and more.[3] Diabetes also increases the risk of developing serious complications or being hospitalized with respiratory illnesses such as COVID-19 and the flu.[4],[5] People living with diabetes incur an average of $16,750 in medical expenses every year — more than double the typical cost of care for people without diabetes.[6]

Although these statistics can be daunting, the good news is there are many steps you can take to prevent or delay the onset of diabetes and avert the worst complications. And the first step is as simple as visiting your local Walgreens.

Diabetes Care at Walgreens

During Diabetes Awareness Month, Walgreens and its partners are offering free diabetes testing and complimentary education to help people know where they stand and take action to manage their condition. Head to participating locations throughout November to get a free A1C or blood glucose test. You can also tune into a virtual diabetes education session hosted by Village Medical Primary Care at Walgreens and receive complimentary education materials. Visit Walgreens.com/FreeDiabetesScreening to find participating locations.

Beyond Diabetes Awareness Month, pharmacists are a year-round resource for people living with or at risk of diabetes. Thousands of Walgreens pharmacists have undergone specialized diabetes training and can answer your questions and help you overcome hurdles in getting the care you need.

“While navigating diabetes can be complicated, the most important things you need to do are get tested regularly and develop a routine to manage your condition over time,” says Danielle James, PharmD, a Walgreens pharmacy manager in the Chicago area. “Your pharmacist can help you with both of those things, whether you have diabetes, prediabetes or an elevated risk for diabetes. This is the perfect time to start that conversation with your pharmacist.”

Testing and ongoing management look different for everyone, but they are both crucial to stay ahead of diabetes before it progresses or leads to complications. Here are the basics:

Testing

The American Diabetes Association recommends all adults ages 35 and older get screened for diabetes at least once every three years.[7] People living with diabetes also need to undergo regular testing to monitor their condition and adjust their care regimen as needed.

Blood sugar tests are the most common form of testing for diabetes, and there are several different types:

  • A1C testing measures your average blood sugar level over three months. This is the most common test to diagnose diabetes and monitor it over time to determine how well treatment is working.
  • Blood glucose testing measures your blood sugar at a single moment in time and can also be used to diagnose diabetes or determine your risk of developing it. For some blood glucose tests, you will need to fast overnight before your blood is drawn.
  • Blood sugar monitoring is typically performed at home by people living with diabetes to monitor and manage their condition daily. It can be done via finger pricks throughout the day or by wearing a device called a continuous glucose monitor (CGM), which measures blood glucose levels every few minutes.

Other important tests for people at risk for or living with diabetes include cholesterol and blood pressure tests, routine kidney screenings, and eye and foot exams.

Based on your condition, your Walgreens pharmacist can help you identify which types of testing you need and how often you need them.

Ongoing Management

Testing is just one piece of managing diabetes. Most people also need a routine that includes medications, lifestyle changes, and staying up to date on immunizations and other preventative health measures. Walgreens pharmacists are trained to help you with all of this. They can:

  • Teach you how to keep A1C and glucose levels on target and use testing tools such as CGMs and blood glucose meters
  • Share important information about your medications and help you stay on track with medications
  • Counsel you on managing your diet, physical activity and weight to improve health
  • Provide vaccinations for flu, COVID-19, RSV and other vaccine-preventable illnesses
  • Help you navigate insurance and find cost savings through tools such as Rx Savings Finder and Find Rx Coverage

“I encourage patients to take a holistic approach to managing diabetes because there are many factors that contribute to success,” says James. “Working with you and your doctor, we can help you make sense of all the information, adjustments and new habits you’ll need to embrace to keep your blood sugar in a healthy range and protect against complications. Together, we can help you develop and stick to a routine that will empower you to live your best life.”

Take the first step toward managing your diabetes or diabetes risk by visiting Walgreens. In addition to free testing and education, Walgreens is offering discounts throughout November on products to manage your diabetes. To stay protected against respiratory illnesses this winter, you can also schedule all your fall vaccinations during your visit at Walgreens.com/ScheduleVaccine.

Visit Walgreens.com/Diabetes (English) or Walgreens.com/DiabetesESP (Spanish) for more information on diabetes services at Walgreens during Diabetes Awareness Month and year-round.


[1] American Diabetes Association. Statistics About Diabetes. https://diabetes.org/about-diabetes/statistics/about-diabetes

[2] Centers for Disease Control and Prevention. By the Numbers: Diabetes in America. October 25, 2022. https://www.cdc.gov/diabetes/health-equity/diabetes-by-the-numbers.html

[3] Centers for Disease Control and Prevention. Prevent Diabetes Complications. November 3, 2022. https://www.cdc.gov/diabetes/managing/problems.html

[4] Centers for Disease Control and Prevention. COVID-19 and Chronic Disease Prevention and Interventions. March 15, 2023. https://www.cdc.gov/chronicdisease/programs-impact/pop/covid-19.htm

[5] Centers for Disease Control and Prevention. Flu & People with Diabetes. September 12, 2022. https://www.cdc.gov/flu/highrisk/diabetes.htm

[6] American Diabetes Association. Economic costs of diabetes in the US in 2017. Diabetes Care. 2018;41(5):917–928. https://doi.org/10.2337/dci18-0007

[7] Centers for Disease Control and Prevention. An Additional 12 Million US Adults Become Eligible for Diabetes Screening. May 23, 2023. https://www.cdc.gov/diabetes/resources-publications/research-summaries/screening-eligibility.html

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Let’s debunk 6 myths about the flu shot

2023-11-13T14:13:01

(BPT) – The seasons are changing and with winter comes, unfortunately, the flu. The Centers for Disease Control and Prevention (CDC) suggests a flu vaccination is your best protection against influenza.

While flu is most serious for older Americans and individuals with certain chronic conditions, it can affect people of all ages. The CDC says the best way to protect yourself and your family is by getting a vaccine early. Flu vaccination is recommended for everyone, ages 6 months and up — with few exceptions.

“Annual flu shots can prevent you from missing work or an important event that you have been looking forward to attending,” said Dr. Donna O’Shea, chief medical officer of population health for UnitedHealthcare.

If you’re unsure whether the vaccine is right for you and your family, some important information may help cut through the confusion. Here are a few common myths and the facts that help disprove them:

Myth #1: Flu shots don’t really work

Facts: According to the CDC, the flu vaccine reduces the risk of the illness by between 40% and 60%. The vaccine’s effectiveness depends on multiple factors, including the amount of time between vaccination and exposure to the disease, your age and health status. Additionally, flu vaccinations can help protect people around you, especially when the vaccine is well matched to viruses circulating in a given year.

Myth #2: I got vaccinated last year, so I should be good for this year, too

Facts: The flu virus changes each year, so flu vaccines change as well. Plus, the body’s immune response to a flu vaccine declines over time, which is why the CDC advises yearly vaccination as the best option for protection.

Myth #3: I exercise and eat healthy food, so I don’t need to get vaccinated

Facts: It is true that being healthy may help you recover from illness more quickly, but it may not prevent you from getting or spreading the flu. Healthy people can be infected and spread the flu virus without showing symptoms.

Myth #4: I got the COVID-19 vaccine, so I can’t get the flu vaccine

Facts: The viruses are different, and so are the vaccines used to prevent them. There are no interactions between the vaccines, and both are recommended by the CDC to help maintain optimal health. Additionally, if you want to save a trip, you can get the flu vaccine and the COVID-19 vaccine or booster at the same time. Additional vaccines can be given at the same time you receive your influenza or COVID vaccinations.

Myth #5: The flu vaccine causes strong side effects

Facts: The side effects of the flu vaccine are generally mild. Some people may have soreness, redness or swelling where the shot was given, a low-grade fever or minor aches, but these issues are typically short-lived. The CDC stresses, because of how the vaccines are produced, you cannot get influenza from the flu shot or the nasal spray vaccine.

Myth #6: Getting the flu is not that serious

Facts: The flu illness can vary from mild to severe. When severe, it may result in hospitalization and even death. Reducing the risk of flu is especially important for these groups:

  • People who have certain medical conditions, such as asthma, diabetes or chronic lung disease
  • People 65 and older
  • Pregnant women
  • Young children, especially those under 5 years old

Even for people outside of these groups, flu symptoms can disrupt work, school or social life for several weeks or more.

Now is the time to get a flu vaccine, which is considered preventive, and, in most cases, covered through employer-sponsored, individual, Medicare and Medicaid health plans. Vaccines are available through primary care physicians, convenience care clinics and most local pharmacies.

Prevent missing out on winter activities by getting caught up on vaccination.

To find a flu shot location near you, visit UHCFluLocator.com.

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Prepare your bathroom for holiday guests with 7 simple upgrades

2023-11-13T08:01:00

(BPT) – If you’re hosting guests this holiday season, there’s much to do to prepare. Decorating, baking, cooking and organizing entertainment are likely your priorities leading up to their arrival. However, don’t overlook a space that everyone will use multiple times a day: your bathroom!

Preparing your bathroom for guests is essential to making them feel welcome and comfortable, but you don’t have to completely renovate your bathroom. Instead, try these seven simple bathroom upgrades in prep for the holidays.

1. Mix textures to add visual appeal

Mixing textures, styles and colors for your bathroom’s décor is a simple but effective way to infuse your bathroom with warmth and character. Consider combining different materials like wood, glass and metals for visual appeal.

An easy way to do so is to switch out your bathroom’s hardware, such as cabinet handles and knobs, towel racks and shower curtain hooks. Don’t forget to incorporate opposing textures with soft towels, rugs and shower curtains for a cozy and luxurious atmosphere.

2. Wallpaper

You don’t have to paint your bathroom to change the color and look. Wallpaper is an affordable and easy way to freshen up your bathroom’s aesthetic while adding a touch of personality.

You can wallpaper the whole bathroom or focus on one accent wall. Look for patterned and/or textured wallpapers that draw the eye. Whether you use nature-inspired or bold modern patterns, wallpapering your bathroom is a simple upgrade and allows for future flexibility as trends change.

3. Upgrade sink faucet

A practical and visually appealing way to elevate your bathroom is to upgrade your bathroom sink faucet. Look for designs that complement your décor to enhance the space’s aesthetic appeal, but also improve your bathroom’s functionality.

The Stryke® Single Handle Pull-Down Bathroom Faucet is perfect for DIYers. This easy-to-install faucet makes quick work of cleaning toothpaste, dirt and small debris from your sink with a nimble pull-down spray wand, and is available in several finishes and features a subtly upturned spout and handles that radiate elegance.

Guests will appreciate the Delta MagnaTite® Docking, which uses a powerful integrated magnet to snap the faucet spray wand precisely into place, keeping it docked when not in use. The Lumicoat® Finish is also guaranteed to resist water spots and mineral buildup and easily wipes clean without the need for cleaners or chemicals, keeping your bathroom spotless, no matter how many people you’re entertaining!

4. Add a bidet

Adding a bidet is a convenient, thoughtful and hygienic improvement to your bathroom. It adds a sense of luxury, making guests feel pampered and elevating their bathroom experience.

You don’t have to install a whole separate system and fuss with plumbing. Modern bidet attachments and toilet seats are a simple and cost-effective way to bring this modern amenity to your bathroom. Take it to the next level by searching for bidets with adjustable water and temperature controls, heated seats and night lights.

5. Switch out your showerhead

Switching out your current showerhead with a newer model can transform showering from a daily necessity to a lavish, spa-like experience. Depending on the model, a new showerhead can easily remedy low water pressure. Paired with a handheld showerhead, it can even make cleaning the shower and tub easier than ever.

Perfect for a DIY upgrade, the Delta® ProClean™ 6-Setting Hand Shower is a powerful and practical addition to your shower. Guests will be impressed by the pause setting that gives them plenty of time for shaving, lathering and other shower tasks. They can easily restart the water with the same temperature as when they left off, providing a seamless showering experience while helping conserve water and most importantly, your hot water supply!

Best of all, this showerhead makes it easier to keep your shower and tile clean and reduce soap scum buildup with regular use, cleaning shower surfaces at least two times faster than standard sprays. The focused, ProClean™ spray lets you easily clean hard-to-reach places without stepping in the shower.

6. Play around with lighting

You can adjust the mood and ambiance of your bathroom space by playing around with lighting. Create a relaxed atmosphere by installing adjustable lighting fixtures, like dimmer switches. Also, avoid bright white lighting. Focus on soft, warm colored LED lights for a cozy and inviting atmosphere.

Besides overhead lighting, think about adding night lights near the sink and toilet, if possible, so guests can find their way in the dark. This is especially helpful for holiday guests who may not be as familiar with your bathroom’s layout.

7. Improve storage

Improve or expand your bathroom storage to make it easy for you to stock and guests to access towels and toiletries. Look for space-efficient but well-organized cabinets to install. If you don’t have the space for a cabinet, you can easily install shelves and use stylish storage baskets to keep items organized and within reach.

These simple upgrades aren’t just for your guests. Think of these upgrades as holiday presents to yourself that you can enjoy year-round. Create a welcoming and comfortable bathroom space that your guests (and you) can appreciate this holiday season and beyond. Happy hosting!

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Apple cider: Unique twists on a classic fall flavor that everyone will love

2023-11-13T08:01:00

(BPT) – It comes as no surprise that apple cider is a star flavor of the fall season. However, this top flavor trend is about more than just sipping on a mug of warm happiness. This fall, people are thinking beyond the basics to reimagine this classic flavor in new ways that provide delectable twists that delight the taste buds.

Apple cider flavoring + bacon = love

You’ve heard of Applewood smoked bacon, but how about HORMEL® BLACK LABEL® Artificially Flavored Apple Cider Thick Cut Bacon? This limited-time variety perfectly marries the ever-popular essence of America’s fastest-growing bacon brand[i] with one of autumn’s trendiest flavors. One bite and you’ll enjoy a sweet, appley twist on the smoky, delicious taste of the bacon you already know and love.

No matter how you cook it, this bacon is great as a standalone for breakfast, brunch, snacks and more. Go a little further and explore the culinary possibilities of bacon and you’ll see it can be used in so many more ways. Use it as a tasty garnish for drinks. Add a slice of fresh apple and apple cider flavored cooked bacon on top of burgers or in grilled cheese. You can even include it in desserts!

Apple Cider Artificially Flavored Bacon Lattice Pie

Apple pie needs no introduction, but when you top it with a stunning lattice pattern of HORMEL® BLACK LABEL® Apple Cider Flavored Bacon, you’ll leave everyone in awe. The savory bacon is the perfect pairing to sweet, apple pie, making this dish a combination of lip-smacking flavors that leaves a lasting impression.

Interested in making this dish for your next dinner, potluck or tailgate party? Here are the details:

Servings: 8
Prep time: 15 minutes
Total: 1 hour 30 minutes

Ingredients:
1 refrigerated pie crust
8 Granny Smith apples, peeled and sliced (6 cups)
1/2 cup plus 2 tablespoons brown sugar, divided
1/4 cup all-purpose flour 2 tablespoons maple syrup, divided
1 teaspoon apple pie spice
1 teaspoon grated lemon zest
10 slices HORMEL® BLACK LABEL® Artificially Flavored Apple Cider Thick Cut Bacon
1 tablespoon apple cider

Directions:

  1. Heat oven to 400 F. Lay pie crust in bottom of a 9-inch pie pan. Crimp as desired.
  2. In large bowl, stir together apples, 1/2 cup brown sugar, flour, 1 tablespoon maple syrup, apple pie spice and lemon zest.
  3. Transfer apple mixture into pie crust.
  4. Weave bacon strips into a lattice on top of pie, trimming ends if necessary. Place pie on large, rimmed baking sheet.
  5. In small bowl, combine remaining brown sugar and maple syrup. Stir in apple cider.
  6. Bake 40 minutes. Brush bacon lattice with brown sugar mixture. Bake 10 minutes or until bacon lattice is crisped, apple mixture is bubbly and crust is deep golden brown.
  7. Allow to cool completely before slicing.

Apple Cider Artificially Flavored Bacon and Brie Sandwich

Now that your stomach is grumbling, do you want even more inspiration for using this limited-time bacon flavor? Everyone knows bacon goes great in sandwiches, but when you create a sandwich with complementary flavors like brie cheese and apple cider flavored bacon, you elevate the meal to a whole new level. Here’s the recipe:

Servings: 1
Prep time: 30 minutes
Total time: 35 minutes

Ingredients:

1 ciabatta roll, split and toasted
Whole grain Dijon mustard
3 thin slices Brie cheese
1/2 apple, sliced
4 slices HORMEL® BLACK LABEL® Artificially Flavored Apple Cider Thick Cut Bacon, cooked

Directions:

  1. Spread cut sides of roll with mustard.
  2. Top bottom of roll with cheese, apple and bacon. Assemble sandwich.

More recipe and apple cider inspiration

As a foundational flavor of the fall season, apple cider continues to gain popularity. In fact, did you know that November 18 is Apple Cider Day? Whether you embrace all things apple cider on this day or make it a season-long love affair, let the flavor and HORMEL® BLACK LABEL® inspire your snacks and meals. Try HORMEL® BLACK LABEL artificially flavored Apple Cider® Bacon at retailers nationwide and look forward to the brand’s upcoming rotating limited-time flavor profiles. For more information and to explore additional recipes, visit Hormel.com.

[i] Circana, Latest 52 weeks ending 10/8/2023, Unit Sales vs YA